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Death Rate Report for United States by County

All Cancer Sites, 2016-2020

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

Sorted by Name
County	Met Healthy People Objective of 122.7?	Age-Adjusted Death Rate^† deaths per 100,000 (95% Confidence Interval)	CI*Rank⋔ (95% Confidence Interval)	Average Annual Count	Recent Trend	Recent 5-Year Trend^‡ in Death Rates (95% Confidence Interval)
United States	No	149.4 (149.3, 149.6)	N/A	599,666	falling	-2.0 (-2.2, -1.8)
Ziebach County, South Dakota	No	141.8 (79.4, 231.8)	N/A	3	*	*
Zavala County, Texas	No	162.0 (131.4, 197.8)	N/A	20	stable	-0.8 (-1.7, 0.1)
Zapata County, Texas	Yes	109.5 (85.8, 137.6)	N/A	15	stable	-0.9 (-2.2, 0.5)
Yuma County, Colorado	No	145.7 (117.0, 179.7)	N/A	19	stable	2.4 (-4.1, 9.3)
Yuma County, Arizona ³	Yes	114.6 (108.9, 120.5)	N/A	329	falling	-1.0 (-1.4, -0.7)
Yukon-Koyukuk Census Area, Alaska	No	216.2 (164.6, 279.3)	N/A	13	stable	0.2 (-1.3, 1.7)
Yuba County, California	No	184.9 (171.1, 199.5)	N/A	141	falling	-1.1 (-1.5, -0.6)
Young County, Texas	No	192.0 (168.4, 218.3)	N/A	51	stable	-0.5 (-1.0, 0.0)
York County, Virginia	Yes	119.1 (108.9, 130.2)	N/A	101	falling	-2.7 (-3.2, -2.1)
York County, South Carolina	No	154.3 (147.9, 160.9)	N/A	462	falling	-2.7 (-3.4, -1.9)
York County, Pennsylvania	No	162.0 (157.4, 166.7)	N/A	971	falling	-1.0 (-1.2, -0.9)
York County, Nebraska	No	142.9 (120.3, 168.9)	N/A	31	stable	-0.6 (-1.2, 0.0)
York County, Maine	No	161.7 (155.3, 168.4)	N/A	506	falling	-1.3 (-1.5, -1.1)
Yolo County, California	No	137.3 (130.1, 144.6)	N/A	289	falling	-1.8 (-2.2, -1.5)
Yoakum County, Texas	No	171.4 (132.6, 217.8)	N/A	14	stable	0.1 (-1.2, 1.5)
Yellowstone County, Montana	No	151.9 (144.3, 159.8)	N/A	313	falling	-1.2 (-1.4, -1.0)
Yellow Medicine County, Minnesota	No	156.7 (128.8, 189.5)	N/A	25	stable	-0.7 (-1.4, 0.1)
Yell County, Arkansas	No	168.8 (148.0, 192.0)	N/A	49	falling	-1.3 (-1.8, -0.8)
Yazoo County, Mississippi	No	222.3 (198.6, 248.1)	N/A	66	stable	-0.3 (-0.9, 0.4)
Yavapai County, Arizona	No	150.4 (145.1, 156.0)	N/A	723	falling	-0.9 (-1.0, -0.7)
Yates County, New York	No	153.9 (135.9, 173.8)	N/A	57	falling	-1.4 (-1.9, -0.9)
Yankton County, South Dakota	Yes	118.9 (102.7, 137.3)	N/A	41	falling	-1.3 (-2.0, -0.7)
Yancey County, North Carolina	No	166.0 (146.2, 188.3)	N/A	54	stable	0.0 (-0.5, 0.6)
Yamhill County, Oregon	No	144.7 (135.7, 154.2)	N/A	200	falling	-1.1 (-1.5, -0.7)
Yalobusha County, Mississippi	No	207.8 (178.8, 240.8)	N/A	39	stable	-0.6 (-1.2, 0.0)
Yakima County, Washington	No	160.1 (153.3, 167.2)	N/A	426	falling	-0.8 (-0.9, -0.6)
Yadkin County, North Carolina	No	167.2 (152.0, 183.8)	N/A	92	falling	-0.7 (-1.1, -0.3)
Wythe County, Virginia	No	173.9 (156.7, 192.8)	N/A	78	falling	-1.0 (-1.5, -0.6)
Wyoming County, West Virginia	No	198.4 (175.5, 223.7)	N/A	61	stable	-0.5 (-1.0, 0.1)
Wyoming County, Pennsylvania	No	165.1 (147.6, 184.4)	N/A	69	falling	-0.7 (-1.2, -0.2)
Wyoming County, New York	No	165.2 (149.9, 181.8)	N/A	89	falling	-0.8 (-1.2, -0.4)
Wyandotte County, Kansas	No	179.6 (170.4, 189.3)	N/A	297	falling	-1.8 (-2.5, -1.2)
Wyandot County, Ohio	No	164.5 (144.8, 186.5)	N/A	53	stable	-0.3 (-0.8, 0.3)
Wright County, Missouri	No	176.9 (154.3, 202.3)	N/A	47	falling	-0.7 (-1.2, -0.1)
Wright County, Minnesota	No	147.2 (138.1, 156.8)	N/A	201	falling	-1.0 (-1.3, -0.7)
Wright County, Iowa	No	140.1 (116.6, 167.5)	N/A	29	falling	-1.1 (-1.8, -0.3)
Wrangell-Petersburg Census Area, Alaska	No	147.9 (111.8, 193.4)	N/A	12	stable	-0.7 (-1.9, 0.4)
Worth County, Missouri	No	182.4 (123.5, 267.1)	N/A	7	stable	-0.3 (-1.8, 1.3)
Worth County, Iowa	No	173.1 (139.6, 213.2)	N/A	20	falling	-1.1 (-2.0, -0.1)
Worth County, Georgia	No	163.4 (142.5, 186.7)	N/A	47	falling	-1.0 (-1.6, -0.4)
Worcester County, Massachusetts	No	150.9 (147.5, 154.4)	N/A	1,551	falling	-1.4 (-1.6, -1.3)
Worcester County, Maryland	No	152.5 (141.2, 164.7)	N/A	153	falling	-1.6 (-1.8, -1.3)
Woodward County, Oklahoma	No	151.0 (129.9, 174.8)	N/A	37	falling	-1.1 (-2.0, -0.2)
Woodson County, Kansas	No	161.4 (114.2, 225.7)	N/A	9	stable	0.7 (-0.6, 2.1)
Woods County, Oklahoma	No	162.0 (130.3, 199.8)	N/A	19	stable	-0.6 (-1.6, 0.4)
Woodruff County, Arkansas	No	204.4 (166.9, 249.2)	N/A	22	stable	-1.0 (-1.9, 0.0)
Woodford County, Kentucky	No	156.4 (138.1, 176.7)	N/A	56	falling	-3.0 (-4.3, -1.7)
Woodford County, Illinois	No	160.1 (144.7, 176.8)	N/A	84	falling	-0.6 (-1.1, -0.1)
Woodbury County, Iowa	No	176.4 (165.6, 187.6)	N/A	210	falling	-0.6 (-0.8, -0.3)
Wood County, Wisconsin	No	166.6 (155.8, 178.0)	N/A	191	stable	-1.2 (-10.7, 9.3)
Wood County, West Virginia	No	183.9 (173.2, 195.1)	N/A	231	falling	-0.6 (-0.9, -0.3)
Wood County, Texas	No	162.2 (149.0, 176.5)	N/A	130	falling	-1.2 (-1.7, -0.7)
Wood County, Ohio	No	163.6 (154.5, 173.2)	N/A	249	falling	-1.0 (-1.2, -0.8)
Wolfe County, Kentucky	No	243.9 (200.8, 294.2)	N/A	24	stable	-0.6 (-1.7, 0.6)
Wise County, Virginia	No	199.2 (181.9, 217.9)	N/A	102	falling	-0.8 (-1.2, -0.3)
Wise County, Texas	No	182.9 (169.4, 197.2)	N/A	144	stable	-0.4 (-0.8, 0.0)
Wirt County, West Virginia	No	158.0 (120.7, 204.5)	N/A	13	stable	-0.8 (-2.0, 0.5)
Winston County, Mississippi	No	158.4 (137.0, 182.6)	N/A	42	stable	-0.9 (-1.7, 0.0)
Winston County, Alabama	No	157.8 (139.9, 177.7)	N/A	59	falling	-1.2 (-1.7, -0.7)
Winona County, Minnesota	No	152.8 (139.1, 167.5)	N/A	98	falling	-1.1 (-1.5, -0.8)
Winneshiek County, Iowa	Yes	113.6 (97.1, 132.7)	N/A	37	falling	-1.5 (-2.2, -0.9)
Winnebago County, Wisconsin	No	146.8 (139.5, 154.4)	N/A	318	falling	-1.2 (-1.4, -0.9)
Winnebago County, Iowa	No	133.5 (109.4, 162.3)	N/A	23	stable	-0.6 (-1.5, 0.3)
Winnebago County, Illinois	No	169.7 (163.8, 175.9)	N/A	638	falling	-0.8 (-1.0, -0.6)
Winn Parish, Louisiana	No	182.7 (156.5, 212.4)	N/A	36	falling	-1.0 (-1.6, -0.3)
Winkler County, Texas	No	130.3 (96.0, 172.8)	N/A	10	stable	-0.5 (-1.9, 0.9)
Windsor County, Vermont	No	151.7 (140.2, 164.1)	N/A	140	falling	-1.2 (-1.6, -0.8)
Windham County, Vermont	No	163.9 (149.6, 179.2)	N/A	109	falling	-1.3 (-1.7, -0.9)
Windham County, Connecticut	No	162.1 (152.9, 171.7)	N/A	245	stable	-0.7 (-1.5, 0.1)
Winchester City, Virginia	No	163.9 (145.0, 184.7)	N/A	56	falling	-1.5 (-2.0, -0.9)
Wilson County, Texas	No	142.9 (129.6, 157.3)	N/A	89	falling	-1.2 (-1.7, -0.6)
Wilson County, Tennessee	No	153.0 (144.5, 161.9)	N/A	252	falling	-2.0 (-2.5, -1.5)
Wilson County, North Carolina	No	153.3 (142.9, 164.2)	N/A	170	falling	-3.1 (-4.8, -1.5)
Wilson County, Kansas	No	187.6 (155.3, 225.5)	N/A	25	stable	-0.1 (-0.9, 0.7)
Williamson County, Texas	No	128.9 (124.5, 133.3)	N/A	685	falling	-1.7 (-1.9, -1.5)
Williamson County, Tennessee	Yes	122.1 (115.8, 128.7)	N/A	296	falling	-2.0 (-2.3, -1.7)
Williamson County, Illinois	No	172.3 (160.5, 184.8)	N/A	164	falling	-1.1 (-1.4, -0.8)
Williamsburg County, South Carolina	No	186.9 (169.2, 206.3)	N/A	87	stable	-0.5 (-1.0, 0.1)
Williamsburg City, Virginia	Yes	84.5 (66.1, 107.2)	N/A	15	falling	-4.1 (-5.3, -2.8)
Williams County, Ohio	No	177.9 (161.9, 195.2)	N/A	95	falling	-0.7 (-1.1, -0.3)
Williams County, North Dakota	No	162.1 (141.2, 185.1)	N/A	47	falling	-0.6 (-1.1, -0.1)
Willacy County, Texas	No	129.3 (109.0, 152.5)	N/A	29	falling	-1.0 (-1.9, -0.1)
Will County, Illinois	No	157.6 (153.4, 161.9)	N/A	1,122	falling	-1.4 (-1.7, -1.2)
Wilkinson County, Mississippi	No	212.0 (175.3, 254.7)	N/A	25	stable	-0.7 (-1.5, 0.2)
Wilkinson County, Georgia	No	156.8 (127.6, 191.5)	N/A	21	stable	-1.1 (-2.2, 0.0)
Wilkin County, Minnesota	No	172.0 (135.4, 216.6)	N/A	16	stable	-0.6 (-1.5, 0.3)
Wilkes County, North Carolina	No	163.9 (152.9, 175.6)	N/A	175	falling	-0.6 (-1.0, -0.3)
Wilkes County, Georgia	No	202.3 (171.1, 238.5)	N/A	33	stable	-0.7 (-1.4, 0.1)
Wilcox County, Georgia	No	158.9 (127.9, 195.9)	N/A	19	falling	-1.6 (-2.5, -0.7)
Wilcox County, Alabama	No	212.6 (179.6, 250.5)	N/A	32	stable	0.0 (-0.9, 0.8)
Wilbarger County, Texas	No	162.2 (135.9, 192.6)	N/A	28	stable	-0.7 (-1.3, 0.0)
Wicomico County, Maryland	No	186.6 (175.8, 197.9)	N/A	231	falling	-1.2 (-1.6, -0.8)
Wichita County, Texas	No	184.5 (174.8, 194.6)	N/A	280	falling	-3.9 (-6.8, -0.9)
Wichita County, Kansas	No	190.2 (122.8, 284.4)	N/A	5	stable	0.1 (-1.8, 2.0)
Whitman County, Washington	No	126.8 (111.4, 143.7)	N/A	51	falling	-1.2 (-1.7, -0.6)
Whitley County, Kentucky	No	239.4 (218.9, 261.2)	N/A	105	stable	-0.2 (-0.8, 0.4)
Whitley County, Indiana	No	169.6 (153.0, 187.7)	N/A	80	falling	-0.8 (-1.3, -0.3)
Whitfield County, Georgia	No	153.3 (143.2, 164.0)	N/A	175	falling	-1.2 (-1.6, -0.9)
Whiteside County, Illinois	No	167.5 (155.3, 180.6)	N/A	147	falling	-0.5 (-0.9, -0.1)
White Pine County, Nevada	No	159.9 (130.1, 195.1)	N/A	21	stable	-0.3 (-1.3, 0.7)
White County, Tennessee	No	183.0 (164.5, 203.2)	N/A	74	falling	-0.9 (-1.4, -0.4)
White County, Indiana	No	175.0 (155.6, 196.5)	N/A	63	falling	-0.8 (-1.3, -0.3)
White County, Illinois	No	179.8 (155.1, 207.9)	N/A	41	stable	-0.4 (-1.2, 0.4)
White County, Georgia	No	151.6 (135.5, 169.3)	N/A	71	stable	-0.7 (-1.4, 0.0)
White County, Arkansas	No	171.1 (159.5, 183.4)	N/A	165	falling	-1.2 (-1.5, -0.9)
Wheeler County, Texas	No	180.8 (139.5, 231.8)	N/A	14	stable	-0.6 (-1.5, 0.4)
Wheeler County, Oregon	No	130.0 (82.9, 221.5)	N/A	5	stable	-1.2 (-3.3, 0.9)
Wheeler County, Georgia	No	133.3 (101.6, 172.4)	N/A	12	falling	-1.3 (-2.6, -0.1)
Wheatland County, Montana	No	137.3 (83.0, 218.5)	N/A	5	*	*
Whatcom County, Washington	No	147.3 (140.9, 154.0)	N/A	412	falling	-1.2 (-1.5, -0.9)
Wharton County, Texas	No	164.1 (148.9, 180.5)	N/A	89	falling	-1.4 (-1.7, -1.0)
Wexford County, Michigan	No	164.5 (148.2, 182.2)	N/A	79	falling	-4.1 (-6.3, -1.8)
Wetzel County, West Virginia	No	170.9 (148.4, 196.6)	N/A	44	stable	-0.7 (-1.3, 0.0)
Weston County, Wyoming	No	145.8 (114.5, 184.3)	N/A	16	falling	-1.4 (-2.4, -0.4)
Westmoreland County, Virginia	No	175.6 (155.0, 198.9)	N/A	57	falling	-1.5 (-2.1, -0.9)
Westmoreland County, Pennsylvania	No	158.5 (153.8, 163.3)	N/A	943	falling	-1.1 (-1.2, -1.0)
Westchester County, New York	Yes	120.1 (117.4, 122.8)	N/A	1,592	falling	-2.2 (-2.4, -2.1)
West Feliciana Parish, Louisiana	No	163.9 (138.9, 192.5)	N/A	32	falling	-2.2 (-3.1, -1.3)
West Carroll Parish, Louisiana	No	185.2 (155.4, 219.6)	N/A	29	falling	-1.4 (-2.0, -0.7)
West Baton Rouge Parish, Louisiana	No	144.4 (125.5, 165.5)	N/A	44	falling	-2.1 (-2.9, -1.3)
Wells County, North Dakota	No	167.7 (125.5, 223.1)	N/A	13	stable	-0.7 (-1.7, 0.4)
Wells County, Indiana	No	169.2 (151.0, 189.2)	N/A	66	stable	-0.5 (-1.2, 0.2)
Weld County, Colorado ⁸	No	134.1 (128.1, 140.2)	N/A	399	falling	-1.5 (-2.1, -1.0)
Webster Parish, Louisiana	No	192.3 (176.0, 209.7)	N/A	108	falling	-1.1 (-1.5, -0.8)
Webster County, West Virginia	No	197.6 (164.1, 237.1)	N/A	27	stable	0.1 (-0.7, 0.8)
Webster County, Nebraska	No	214.5 (162.9, 280.3)	N/A	13	stable	-0.1 (-1.3, 1.2)
Webster County, Missouri	No	173.5 (156.7, 191.8)	N/A	80	falling	-1.1 (-1.6, -0.6)
Webster County, Mississippi	No	163.3 (133.0, 198.9)	N/A	21	stable	-0.5 (-1.3, 0.3)
Webster County, Kentucky	No	202.6 (172.9, 236.2)	N/A	35	falling	-0.8 (-1.4, -0.1)
Webster County, Iowa	No	164.5 (148.8, 181.6)	N/A	85	falling	-0.8 (-1.2, -0.4)
Webster County, Georgia	No	132.2 (88.8, 195.8)	N/A	6	falling	-2.9 (-4.7, -1.1)
Weber County, Utah	Yes	122.0 (115.6, 128.6)	N/A	285	falling	-1.0 (-1.3, -0.8)
Webb County, Texas	No	126.0 (119.2, 133.0)	N/A	270	falling	-0.8 (-1.1, -0.4)
Weakley County, Tennessee	No	178.4 (161.1, 197.3)	N/A	81	falling	-0.5 (-0.9, -0.1)
Waynesboro City, Virginia	No	206.9 (184.2, 231.9)	N/A	62	stable	-0.3 (-0.9, 0.3)
Wayne County, West Virginia	No	172.4 (157.6, 188.3)	N/A	105	falling	-1.7 (-2.1, -1.3)
Wayne County, Utah	No	125.1 (79.2, 191.7)	N/A	5	stable	-0.9 (-2.7, 1.0)
Wayne County, Tennessee	No	179.7 (156.4, 206.1)	N/A	44	stable	-0.3 (-0.9, 0.4)
Wayne County, Pennsylvania	No	153.1 (141.4, 165.7)	N/A	135	falling	-2.3 (-3.1, -1.6)
Wayne County, Ohio	No	155.0 (146.1, 164.4)	N/A	238	falling	-1.2 (-1.4, -0.9)
Wayne County, North Carolina	No	179.0 (169.6, 188.9)	N/A	277	falling	-1.2 (-1.5, -0.8)
Wayne County, New York	No	167.4 (157.2, 178.1)	N/A	215	falling	-1.1 (-1.4, -0.8)
Wayne County, Nebraska	No	124.4 (96.1, 159.0)	N/A	14	stable	0.2 (-0.9, 1.3)
Wayne County, Missouri	No	182.8 (157.0, 212.4)	N/A	40	stable	-0.4 (-1.1, 0.3)
Wayne County, Mississippi	No	163.2 (141.8, 187.2)	N/A	43	falling	-1.1 (-1.7, -0.5)
Wayne County, Michigan	No	170.5 (168.0, 173.1)	N/A	3,611	falling	-2.2 (-2.6, -1.8)
Wayne County, Kentucky	No	190.7 (168.8, 215.0)	N/A	59	falling	-0.6 (-1.1, -0.1)
Wayne County, Iowa	No	197.3 (158.5, 243.9)	N/A	20	stable	-0.4 (-1.2, 0.4)
Wayne County, Indiana	No	172.9 (160.9, 185.6)	N/A	163	falling	-2.1 (-3.2, -0.9)
Wayne County, Illinois	No	157.4 (136.0, 181.8)	N/A	41	falling	-0.7 (-1.4, -0.1)
Wayne County, Georgia	No	186.0 (166.4, 207.4)	N/A	68	falling	-0.5 (-1.0, -0.1)
Waushara County, Wisconsin	No	165.1 (147.5, 184.7)	N/A	70	falling	-0.9 (-1.5, -0.3)
Waupaca County, Wisconsin	No	162.8 (150.3, 176.3)	N/A	133	falling	-1.0 (-1.4, -0.6)
Waukesha County, Wisconsin	No	136.5 (132.1, 140.9)	N/A	783	falling	-1.9 (-2.4, -1.5)
Watonwan County, Minnesota	No	157.5 (130.0, 189.7)	N/A	26	stable	-0.7 (-1.6, 0.2)
Watauga County, North Carolina	Yes	119.9 (107.9, 133.0)	N/A	77	falling	-1.5 (-2.1, -0.9)
Washtenaw County, Michigan	No	139.9 (134.5, 145.3)	N/A	540	falling	-1.4 (-1.6, -1.2)
Washoe County, Nevada	No	144.4 (139.8, 149.1)	N/A	796	falling	-2.0 (-2.3, -1.6)
Washita County, Oklahoma	No	171.6 (142.3, 205.6)	N/A	26	stable	-0.1 (-1.0, 0.7)
Washington Parish, Louisiana	No	194.0 (178.5, 210.7)	N/A	121	falling	-1.0 (-1.4, -0.7)
Washington County, Wisconsin	No	126.5 (119.2, 134.1)	N/A	236	falling	-2.5 (-3.3, -1.6)
Washington County, Virginia	No	159.1 (146.9, 172.1)	N/A	138	falling	-1.1 (-1.5, -0.6)
Washington County, Vermont	No	152.2 (140.2, 165.1)	N/A	126	falling	-1.4 (-1.8, -1.0)
Washington County, Utah	Yes	107.1 (101.2, 113.2)	N/A	274	falling	-1.3 (-1.7, -1.0)
Washington County, Texas	No	138.3 (124.3, 153.7)	N/A	78	falling	-1.4 (-1.8, -1.0)
Washington County, Tennessee	No	169.6 (160.9, 178.7)	N/A	298	falling	-1.0 (-1.2, -0.7)
Washington County, Rhode Island	No	150.4 (142.4, 158.7)	N/A	290	falling	-1.5 (-1.7, -1.3)
Washington County, Pennsylvania	No	170.6 (164.0, 177.3)	N/A	545	falling	-1.0 (-1.2, -0.8)
Washington County, Oregon	No	125.9 (121.9, 130.0)	N/A	776	falling	-3.6 (-6.3, -0.9)
Washington County, Oklahoma	No	187.1 (173.1, 202.0)	N/A	142	stable	-0.2 (-0.6, 0.2)
Washington County, Ohio	No	170.0 (158.0, 182.7)	N/A	159	falling	-0.7 (-1.0, -0.3)
Washington County, North Carolina	No	178.2 (151.0, 209.7)	N/A	35	falling	-1.6 (-2.5, -0.7)
Washington County, New York	No	175.8 (163.5, 188.9)	N/A	159	falling	-1.2 (-1.5, -0.9)
Washington County, Nebraska	No	159.1 (138.2, 182.6)	N/A	44	falling	-0.9 (-1.5, -0.2)
Washington County, Missouri	No	193.6 (172.2, 217.0)	N/A	62	stable	-0.5 (-1.2, 0.1)
Washington County, Mississippi	No	216.1 (198.4, 235.0)	N/A	119	stable	-0.3 (-0.7, 0.1)
Washington County, Minnesota	No	137.4 (131.4, 143.7)	N/A	407	falling	-1.4 (-1.8, -1.1)
Washington County, Maryland	No	161.7 (153.8, 170.0)	N/A	324	falling	-1.2 (-1.4, -1.0)
Washington County, Maine	No	192.5 (175.5, 211.1)	N/A	103	falling	-0.8 (-1.2, -0.4)
Washington County, Kentucky	No	204.1 (174.0, 238.3)	N/A	34	stable	-0.4 (-1.4, 0.6)
Washington County, Kansas	No	143.7 (111.2, 185.0)	N/A	15	stable	-0.7 (-1.8, 0.4)
Washington County, Iowa	No	160.8 (141.0, 182.8)	N/A	52	stable	-0.2 (-0.8, 0.4)
Washington County, Indiana	No	181.3 (161.6, 202.9)	N/A	65	falling	-0.8 (-1.3, -0.4)
Washington County, Illinois	No	138.9 (116.9, 164.4)	N/A	30	falling	-1.2 (-1.9, -0.4)
Washington County, Idaho	No	161.0 (134.9, 191.8)	N/A	29	falling	-1.0 (-2.0, -0.1)
Washington County, Georgia	No	190.4 (167.4, 215.9)	N/A	52	stable	-0.7 (-1.4, 0.1)
Washington County, Florida	No	200.9 (179.7, 224.2)	N/A	68	stable	-0.3 (-0.9, 0.3)
Washington County, Colorado	No	147.0 (110.9, 193.2)	N/A	12	falling	-1.3 (-2.6, -0.1)
Washington County, Arkansas	No	148.4 (141.2, 156.0)	N/A	324	falling	-2.0 (-2.5, -1.5)
Washington County, Alabama	No	159.4 (136.6, 185.3)	N/A	37	falling	-0.8 (-1.6, -0.1)
Washburn County, Wisconsin	No	189.2 (166.2, 215.2)	N/A	55	stable	-0.7 (-1.4, 0.0)
Washakie County, Wyoming	No	140.4 (112.4, 174.4)	N/A	18	stable	-1.0 (-2.0, 0.1)
Waseca County, Minnesota	No	145.0 (124.3, 168.4)	N/A	37	falling	-1.2 (-1.9, -0.5)
Wasco County, Oregon	No	167.7 (149.6, 187.6)	N/A	66	falling	-0.9 (-1.4, -0.4)
Wasatch County, Utah	No	124.9 (105.7, 146.4)	N/A	34	falling	-1.2 (-2.1, -0.4)
Warrick County, Indiana	No	151.4 (139.5, 164.1)	N/A	125	falling	-1.4 (-1.8, -1.0)
Warren County, Virginia	No	183.5 (166.6, 201.7)	N/A	92	falling	-1.0 (-1.5, -0.5)
Warren County, Tennessee	No	193.7 (177.2, 211.4)	N/A	105	stable	-0.3 (-0.8, 0.2)
Warren County, Pennsylvania	No	175.4 (161.1, 191.0)	N/A	118	falling	-0.8 (-1.2, -0.4)
Warren County, Ohio	No	141.7 (135.3, 148.4)	N/A	372	falling	-1.8 (-2.0, -1.5)
Warren County, North Carolina	No	152.6 (133.7, 173.9)	N/A	53	falling	-1.6 (-2.3, -0.9)
Warren County, New York	No	164.8 (153.6, 176.9)	N/A	171	falling	-0.9 (-1.3, -0.5)
Warren County, New Jersey	No	155.6 (146.6, 165.1)	N/A	235	falling	-1.2 (-1.5, -1.0)
Warren County, Missouri	No	146.3 (131.0, 163.1)	N/A	69	falling	-1.6 (-2.2, -1.1)
Warren County, Mississippi	No	180.3 (164.7, 197.0)	N/A	104	falling	-1.0 (-1.4, -0.7)
Warren County, Kentucky	No	173.3 (163.2, 183.8)	N/A	229	falling	-1.2 (-1.5, -0.9)
Warren County, Iowa	No	144.6 (131.2, 159.0)	N/A	88	falling	-0.8 (-1.3, -0.3)
Warren County, Indiana	No	134.2 (107.1, 167.2)	N/A	17	falling	-1.8 (-2.9, -0.7)
Warren County, Illinois	No	170.1 (146.9, 196.4)	N/A	41	falling	-1.0 (-1.8, -0.2)
Warren County, Georgia	No	213.0 (170.5, 264.9)	N/A	19	stable	-0.1 (-1.1, 1.0)
Ware County, Georgia	No	180.1 (163.0, 198.7)	N/A	84	falling	-0.8 (-1.3, -0.3)
Ward County, Texas	No	146.8 (117.8, 180.9)	N/A	18	falling	-1.3 (-2.2, -0.4)
Ward County, North Dakota	No	132.0 (119.9, 145.0)	N/A	91	falling	-1.4 (-1.9, -0.8)
Wapello County, Iowa	No	179.4 (162.5, 197.6)	N/A	87	falling	-0.9 (-1.3, -0.4)
Walworth County, Wisconsin	No	160.5 (151.0, 170.6)	N/A	220	falling	-1.0 (-1.3, -0.7)
Walworth County, South Dakota	No	138.4 (106.7, 178.8)	N/A	14	falling	-1.7 (-2.8, -0.5)
Walton County, Georgia	No	166.5 (155.8, 177.8)	N/A	186	falling	-0.9 (-1.3, -0.5)
Walton County, Florida	No	158.8 (147.7, 170.7)	N/A	161	falling	-1.2 (-1.6, -0.7)
Walthall County, Mississippi	No	167.1 (142.7, 194.8)	N/A	35	stable	-0.6 (-1.2, 0.0)
Walsh County, North Dakota	No	156.6 (130.7, 186.9)	N/A	28	stable	1.6 (-1.9, 5.3)
Wallowa County, Oregon	Yes	120.0 (94.2, 152.9)	N/A	17	falling	-1.9 (-2.8, -1.1)
Waller County, Texas	No	153.6 (138.2, 170.3)	N/A	76	falling	-1.5 (-2.0, -1.1)
Wallace County, Kansas	No	159.1 (86.5, 272.1)	N/A	3	*	*
Walla Walla County, Washington	No	145.7 (133.8, 158.4)	N/A	119	falling	-0.8 (-1.2, -0.4)
Walker County, Texas	No	139.9 (127.9, 152.7)	N/A	105	falling	-1.7 (-2.1, -1.2)
Walker County, Georgia	No	171.0 (159.3, 183.3)	N/A	166	falling	-2.1 (-2.7, -1.4)
Walker County, Alabama	No	205.4 (192.0, 219.5)	N/A	185	stable	-0.3 (-0.6, 0.0)
Waldo County, Maine	No	164.3 (149.6, 180.2)	N/A	101	falling	-1.3 (-1.7, -0.9)
Wakulla County, Florida	No	169.1 (150.2, 189.7)	N/A	63	falling	-1.4 (-2.1, -0.7)
Wake County, North Carolina	No	130.6 (127.4, 133.9)	N/A	1,318	falling	-3.1 (-4.1, -2.2)
Wahkiakum County, Washington	No	135.3 (101.4, 181.9)	N/A	12	stable	-1.0 (-2.5, 0.6)
Wagoner County, Oklahoma	No	139.1 (128.7, 150.1)	N/A	138	falling	-1.2 (-1.7, -0.7)
Wadena County, Minnesota	No	185.0 (159.0, 214.5)	N/A	40	stable	-0.1 (-0.8, 0.6)
Wabaunsee County, Kansas	No	145.1 (113.3, 184.4)	N/A	15	stable	-0.8 (-1.9, 0.3)
Wabasha County, Minnesota	No	144.6 (127.0, 164.3)	N/A	51	falling	-1.1 (-1.6, -0.5)
Wabash County, Indiana	No	181.2 (163.6, 200.4)	N/A	87	falling	-0.6 (-1.0, -0.2)
Wabash County, Illinois	No	157.3 (131.7, 187.1)	N/A	29	falling	-1.4 (-2.0, -0.7)
Volusia County, Florida	No	163.2 (159.4, 167.0)	N/A	1,563	falling	-1.0 (-1.2, -0.9)
Virginia Beach City, Virginia	No	148.7 (143.9, 153.6)	N/A	740	falling	-1.5 (-1.7, -1.3)
Vinton County, Ohio	No	211.8 (181.2, 246.4)	N/A	36	stable	-0.5 (-1.1, 0.1)
Vilas County, Wisconsin	No	150.5 (134.0, 169.2)	N/A	71	falling	-1.4 (-2.0, -0.8)
Vigo County, Indiana	No	179.0 (168.8, 189.7)	N/A	238	falling	-0.9 (-1.2, -0.5)
Victoria County, Texas	No	156.3 (145.8, 167.4)	N/A	171	falling	-1.2 (-1.6, -0.8)
Vernon Parish, Louisiana	No	218.7 (199.7, 239.0)	N/A	100	stable	0.2 (-0.4, 0.7)
Vernon County, Wisconsin	No	154.8 (138.3, 172.9)	N/A	69	falling	-0.7 (-1.2, -0.2)
Vernon County, Missouri	No	167.2 (146.6, 190.2)	N/A	50	falling	-0.7 (-1.3, -0.1)
Vermillion County, Indiana	No	202.2 (176.0, 231.6)	N/A	45	falling	-0.8 (-1.5, -0.2)
Vermilion Parish, Louisiana	No	163.6 (150.6, 177.5)	N/A	120	falling	-2.5 (-3.4, -1.6)
Vermilion County, Illinois	No	194.0 (182.3, 206.5)	N/A	213	falling	-0.6 (-0.9, -0.3)
Ventura County, California	No	130.7 (127.6, 133.9)	N/A	1,337	falling	-1.5 (-1.6, -1.3)
Venango County, Pennsylvania	No	162.3 (150.0, 175.5)	N/A	140	falling	-1.0 (-1.3, -0.6)
Vanderburgh County, Indiana	No	171.6 (164.1, 179.5)	N/A	406	falling	-1.1 (-1.3, -1.0)
Vance County, North Carolina	No	197.6 (181.6, 214.9)	N/A	119	falling	-1.1 (-1.5, -0.7)
Van Zandt County, Texas	No	172.3 (159.5, 186.0)	N/A	141	falling	-1.1 (-1.6, -0.6)
Van Wert County, Ohio	No	165.5 (147.8, 184.9)	N/A	67	stable	-0.4 (-0.9, 0.1)
Van Buren County, Tennessee	No	193.4 (154.3, 241.1)	N/A	18	stable	-0.3 (-1.5, 0.9)
Van Buren County, Michigan	No	171.1 (159.5, 183.3)	N/A	173	falling	-0.9 (-1.3, -0.6)
Van Buren County, Iowa	No	221.5 (182.9, 267.0)	N/A	25	stable	0.5 (-0.5, 1.6)
Van Buren County, Arkansas	No	153.7 (134.1, 176.1)	N/A	48	falling	-1.2 (-1.8, -0.7)
Valley County, Nebraska	No	132.9 (98.1, 179.4)	N/A	10	stable	-0.6 (-1.9, 0.7)
Valley County, Montana	No	125.7 (98.0, 160.0)	N/A	16	falling	-2.3 (-3.4, -1.1)
Valley County, Idaho	Yes	120.0 (96.8, 147.9)	N/A	22	falling	-2.1 (-3.3, -1.0)
Valencia County, New Mexico	No	139.2 (128.9, 150.2)	N/A	140	falling	-1.3 (-1.7, -0.8)
Valdez-Cordova Census Area, Alaska	No	133.5 (99.4, 175.3)	N/A	13	falling	-2.4 (-3.6, -1.2)
Val Verde County, Texas	No	146.9 (132.5, 162.5)	N/A	77	stable	2.3 (-3.3, 8.1)
Uvalde County, Texas	No	175.2 (155.3, 197.2)	N/A	58	falling	-1.1 (-1.7, -0.4)
Utah County, Utah	Yes	116.1 (111.3, 121.2)	N/A	443	falling	-0.7 (-0.9, -0.5)
Upton County, Texas	No	154.2 (102.9, 222.3)	N/A	6	falling	-2.4 (-3.6, -1.0)
Upson County, Georgia	No	191.3 (171.7, 212.8)	N/A	72	stable	-0.4 (-0.9, 0.1)
Upshur County, West Virginia	No	174.4 (155.2, 195.7)	N/A	63	falling	-1.0 (-1.6, -0.5)
Upshur County, Texas	No	175.2 (159.7, 192.0)	N/A	99	falling	-1.4 (-1.9, -0.9)
Union Parish, Louisiana	No	191.4 (169.8, 215.3)	N/A	62	falling	-1.2 (-1.8, -0.6)
Union County, Tennessee	No	185.0 (162.1, 210.5)	N/A	50	falling	-0.9 (-1.4, -0.3)
Union County, South Dakota	No	163.1 (138.8, 190.8)	N/A	34	falling	-1.3 (-2.1, -0.6)
Union County, South Carolina	No	197.2 (177.9, 218.4)	N/A	80	falling	-0.5 (-0.9, -0.1)
Union County, Pennsylvania	No	130.7 (118.0, 144.6)	N/A	81	falling	-1.0 (-1.4, -0.6)
Union County, Oregon	No	154.4 (136.6, 174.1)	N/A	60	falling	-1.0 (-1.5, -0.5)
Union County, Ohio	No	155.4 (140.8, 171.0)	N/A	88	falling	-1.7 (-2.1, -1.3)
Union County, North Carolina	No	145.8 (138.8, 153.0)	N/A	345	falling	-1.5 (-1.8, -1.2)
Union County, New Mexico	No	152.7 (111.1, 206.9)	N/A	9	stable	-1.1 (-2.3, 0.1)
Union County, New Jersey	No	130.4 (126.4, 134.5)	N/A	843	falling	-2.2 (-2.4, -2.0)
Union County, Mississippi	No	195.7 (175.3, 217.8)	N/A	69	stable	3.3 (-0.1, 6.8)
Union County, Kentucky	No	195.7 (167.2, 227.9)	N/A	36	stable	-0.7 (-1.4, 0.0)
Union County, Iowa	No	183.0 (154.7, 215.4)	N/A	33	stable	-0.6 (-1.4, 0.2)
Union County, Indiana	No	185.9 (149.9, 229.0)	N/A	19	stable	-0.3 (-1.4, 0.7)
Union County, Illinois	No	176.7 (154.3, 202.0)	N/A	47	stable	-0.3 (-0.9, 0.3)
Union County, Georgia	No	133.3 (119.3, 149.3)	N/A	72	falling	-1.3 (-2.1, -0.5)
Union County, Florida	No	414.5 (372.8, 459.9)	N/A	77	stable	-0.1 (-0.9, 0.7)
Union County, Arkansas	No	209.1 (191.5, 228.0)	N/A	109	falling	-0.6 (-1.0, -0.3)
Unicoi County, Tennessee	No	191.6 (169.1, 216.8)	N/A	57	stable	-0.2 (-0.7, 0.3)
Umatilla County, Oregon	No	161.7 (150.0, 174.1)	N/A	146	falling	-0.9 (-1.3, -0.5)
Ulster County, New York	No	149.9 (143.2, 156.9)	N/A	396	falling	-1.7 (-1.9, -1.4)
Uintah County, Utah	No	130.9 (113.0, 150.7)	N/A	40	falling	-1.9 (-3.0, -0.9)
Uinta County, Wyoming	No	127.5 (106.5, 151.5)	N/A	29	falling	-1.9 (-2.6, -1.2)
Tyrrell County, North Carolina	No	168.2 (126.4, 222.3)	N/A	11	stable	-1.1 (-2.6, 0.4)
Tyler County, West Virginia	No	162.6 (133.4, 197.3)	N/A	24	falling	-1.3 (-2.0, -0.6)
Tyler County, Texas	No	148.0 (129.8, 168.4)	N/A	51	falling	-1.6 (-2.1, -1.1)
Twin Falls County, Idaho	No	153.5 (142.7, 164.8)	N/A	155	falling	-0.8 (-1.1, -0.5)
Twiggs County, Georgia	No	170.0 (138.3, 208.1)	N/A	22	falling	-1.0 (-1.8, -0.2)
Tuscola County, Michigan	No	169.3 (156.5, 183.0)	N/A	137	falling	-0.8 (-1.2, -0.4)
Tuscarawas County, Ohio	No	173.3 (163.2, 184.0)	N/A	232	falling	-0.7 (-1.0, -0.4)
Tuscaloosa County, Alabama	No	148.3 (140.9, 155.9)	N/A	320	falling	-2.2 (-2.9, -1.6)
Turner County, South Dakota	No	154.0 (124.3, 189.6)	N/A	20	falling	-1.5 (-2.4, -0.7)
Turner County, Georgia	No	205.7 (167.9, 250.1)	N/A	22	stable	0.2 (-0.7, 1.0)
Tuolumne County, California	No	150.4 (139.2, 162.4)	N/A	148	falling	-1.4 (-1.8, -0.9)
Tunica County, Mississippi	No	228.5 (187.4, 276.0)	N/A	23	falling	-0.7 (-1.3, -0.1)
Tulsa County, Oklahoma	No	165.8 (161.5, 170.1)	N/A	1,205	falling	-1.4 (-1.6, -1.1)
Tulare County, California	No	142.8 (137.7, 148.1)	N/A	598	falling	-1.2 (-1.4, -1.0)
Tucker County, West Virginia	No	176.4 (143.0, 217.1)	N/A	22	falling	-1.0 (-1.8, -0.1)
Trumbull County, Ohio	No	160.6 (154.1, 167.3)	N/A	497	falling	-1.9 (-2.6, -1.1)
Trousdale County, Tennessee	No	181.6 (146.7, 222.5)	N/A	20	stable	-0.8 (-1.8, 0.2)
Troup County, Georgia	No	171.7 (159.0, 185.3)	N/A	140	falling	-1.1 (-1.4, -0.9)
Tripp County, South Dakota	No	136.3 (104.3, 177.0)	N/A	14	falling	-1.5 (-2.6, -0.4)
Trinity County, Texas	No	205.0 (180.3, 232.9)	N/A	55	stable	0.0 (-0.8, 0.7)
Trinity County, California	Yes	116.3 (96.8, 139.7)	N/A	28	falling	-2.2 (-3.1, -1.2)
Trimble County, Kentucky	No	175.8 (141.7, 216.3)	N/A	20	stable	-0.5 (-1.6, 0.6)
Trigg County, Kentucky	No	169.2 (145.7, 196.1)	N/A	40	falling	-1.6 (-2.2, -1.0)
Treutlen County, Georgia	No	195.2 (155.5, 242.7)	N/A	18	stable	-0.1 (-0.8, 0.7)
Trempealeau County, Wisconsin	No	152.9 (135.7, 171.8)	N/A	60	falling	-0.6 (-1.1, -0.2)
Trego County, Kansas	No	185.7 (138.2, 250.4)	N/A	11	stable	-0.4 (-1.6, 0.8)
Travis County, Texas	Yes	120.8 (117.6, 124.0)	N/A	1,205	falling	-2.2 (-2.3, -2.0)
Traverse County, Minnesota	No	154.2 (114.3, 208.4)	N/A	11	stable	-0.8 (-2.2, 0.7)
Transylvania County, North Carolina	No	127.4 (115.0, 141.0)	N/A	91	falling	-1.9 (-2.4, -1.3)
Traill County, North Dakota	No	157.7 (126.7, 194.9)	N/A	20	stable	-0.1 (-0.8, 0.6)
Towns County, Georgia	No	148.2 (125.2, 175.7)	N/A	39	stable	-0.6 (-1.6, 0.3)
Towner County, North Dakota	Yes	120.6 (78.2, 187.2)	N/A	5	stable	-0.9 (-2.3, 0.5)
Torrance County, New Mexico	No	164.5 (140.6, 191.9)	N/A	37	falling	-1.0 (-1.7, -0.3)
Toombs County, Georgia	No	199.2 (178.0, 222.2)	N/A	67	falling	-0.9 (-1.5, -0.4)
Toole County, Montana	No	165.3 (123.5, 218.1)	N/A	11	stable	-0.8 (-1.8, 0.3)
Tooele County, Utah	No	146.6 (131.6, 162.6)	N/A	75	falling	-1.2 (-1.7, -0.6)
Tompkins County, New York	No	138.8 (128.8, 149.3)	N/A	152	falling	-1.5 (-1.8, -1.1)
Tom Green County, Texas	No	155.7 (146.4, 165.5)	N/A	216	falling	-1.1 (-1.4, -0.7)
Tolland County, Connecticut	No	127.6 (120.3, 135.3)	N/A	237	falling	-2.0 (-2.2, -1.7)
Todd County, South Dakota	No	258.3 (201.7, 324.6)	N/A	16	stable	-0.4 (-1.5, 0.7)
Todd County, Minnesota	Yes	122.1 (106.6, 139.6)	N/A	48	falling	-2.9 (-4.0, -1.8)
Todd County, Kentucky	No	208.7 (177.3, 244.3)	N/A	32	stable	-0.9 (-1.8, 0.0)
Titus County, Texas	No	160.1 (141.7, 180.3)	N/A	56	falling	-1.4 (-2.1, -0.8)
Tishomingo County, Mississippi	No	192.3 (169.4, 217.7)	N/A	54	falling	-0.8 (-1.5, -0.1)
Tipton County, Tennessee	No	196.6 (181.8, 212.3)	N/A	137	falling	-0.5 (-1.0, -0.1)
Tipton County, Indiana	No	167.7 (143.9, 194.9)	N/A	38	falling	-0.9 (-1.6, -0.2)
Tippecanoe County, Indiana	No	146.9 (138.8, 155.3)	N/A	255	falling	-1.7 (-2.0, -1.4)
Tippah County, Mississippi	No	195.8 (172.4, 221.6)	N/A	53	stable	-0.3 (-0.9, 0.2)
Tioga County, Pennsylvania	No	161.7 (147.7, 177.0)	N/A	105	falling	-0.9 (-1.4, -0.4)
Tioga County, New York	No	140.1 (128.0, 153.2)	N/A	104	falling	-1.8 (-2.2, -1.5)
Tillman County, Oklahoma	No	182.8 (147.4, 225.1)	N/A	19	stable	1.8 (-2.2, 5.9)
Tillamook County, Oregon	No	180.5 (162.6, 200.2)	N/A	84	falling	-0.7 (-1.2, -0.2)
Tift County, Georgia	No	184.1 (166.9, 202.6)	N/A	87	stable	-0.4 (-0.8, 0.0)
Thurston County, Washington	No	147.1 (141.4, 153.0)	N/A	526	falling	-2.0 (-2.4, -1.6)
Thurston County, Nebraska	No	242.1 (191.0, 302.5)	N/A	16	stable	0.5 (-0.7, 1.7)
Throckmorton County, Texas	No	127.4 (77.2, 212.5)	N/A	4	stable	-0.7 (-2.3, 1.0)
Thomas County, Kansas	No	142.7 (111.5, 180.6)	N/A	15	falling	-1.3 (-2.3, -0.2)
Thomas County, Georgia	No	189.8 (174.1, 206.7)	N/A	112	falling	-0.9 (-1.3, -0.5)
Thayer County, Nebraska	No	153.0 (115.6, 200.8)	N/A	14	stable	-1.0 (-2.2, 0.2)
Texas County, Oklahoma	No	190.9 (163.2, 221.9)	N/A	35	rising	3.7 (1.2, 6.3)
Texas County, Missouri	No	170.1 (152.1, 190.0)	N/A	68	falling	-0.6 (-1.2, -0.1)
Teton County, Wyoming	Yes	93.3 (76.6, 112.7)	N/A	23	falling	-2.6 (-3.5, -1.6)
Teton County, Montana	No	151.1 (118.2, 192.0)	N/A	16	stable	-1.0 (-2.0, 0.0)
Teton County, Idaho	Yes	112.1 (82.8, 147.9)	N/A	11	*	*
Terry County, Texas	No	137.4 (111.2, 168.1)	N/A	20	falling	-0.9 (-1.7, -0.1)
Terrell County, Georgia	No	211.0 (174.6, 253.3)	N/A	25	falling	-0.9 (-1.7, -0.1)
Terrebonne Parish, Louisiana	No	188.2 (177.5, 199.4)	N/A	240	falling	-1.0 (-1.3, -0.7)
Tensas Parish, Louisiana	No	179.4 (139.5, 230.2)	N/A	15	falling	-1.6 (-2.9, -0.4)
Teller County, Colorado	Yes	122.7 (104.8, 143.0)	N/A	43	falling	-2.4 (-3.2, -1.6)
Telfair County, Georgia	No	147.7 (125.6, 173.0)	N/A	33	falling	-2.2 (-2.8, -1.5)
Tehama County, California	No	162.5 (150.8, 175.0)	N/A	151	falling	-1.6 (-2.0, -1.2)
Tazewell County, Virginia	No	194.2 (178.9, 210.6)	N/A	128	falling	-0.7 (-1.1, -0.4)
Tazewell County, Illinois	No	160.6 (152.4, 169.1)	N/A	304	falling	-1.1 (-1.3, -0.8)
Taylor County, Wisconsin	No	132.2 (113.8, 153.2)	N/A	40	falling	-1.6 (-2.3, -0.9)
Taylor County, West Virginia	No	174.4 (151.8, 200.0)	N/A	44	falling	-1.4 (-2.0, -0.7)
Taylor County, Texas	No	168.0 (158.7, 177.6)	N/A	257	falling	-0.9 (-1.2, -0.6)
Taylor County, Kentucky	No	204.8 (183.3, 228.3)	N/A	70	stable	0.0 (-0.5, 0.5)
Taylor County, Iowa	No	136.1 (103.2, 177.4)	N/A	13	stable	-0.5 (-1.3, 0.4)
Taylor County, Georgia	No	161.4 (130.9, 198.0)	N/A	20	stable	-0.8 (-1.8, 0.2)
Taylor County, Florida	No	174.9 (154.4, 197.6)	N/A	56	falling	-1.7 (-2.2, -1.2)
Tattnall County, Georgia	No	167.9 (147.1, 191.0)	N/A	48	falling	-3.4 (-5.0, -1.8)
Tate County, Mississippi	No	182.6 (162.7, 204.4)	N/A	64	falling	-0.8 (-1.2, -0.3)
Tarrant County, Texas	No	149.2 (146.7, 151.7)	N/A	2,857	falling	-1.5 (-1.6, -1.5)
Taos County, New Mexico	Yes	119.3 (106.2, 133.9)	N/A	70	falling	-1.4 (-1.9, -0.8)
Tangipahoa Parish, Louisiana	No	179.1 (169.3, 189.3)	N/A	265	falling	-1.4 (-1.7, -1.2)
Taney County, Missouri	No	146.7 (135.1, 159.1)	N/A	126	falling	-1.4 (-1.8, -1.0)
Tama County, Iowa	No	174.2 (150.9, 200.4)	N/A	44	stable	-0.5 (-0.9, 0.0)
Tallapoosa County, Alabama	No	183.0 (167.5, 199.8)	N/A	113	falling	-0.7 (-1.2, -0.1)
Tallahatchie County, Mississippi	No	199.9 (170.1, 233.7)	N/A	33	stable	-0.4 (-1.1, 0.2)
Talladega County, Alabama	No	187.6 (176.0, 199.8)	N/A	205	falling	-0.8 (-1.1, -0.5)
Taliaferro County, Georgia	No	182.1 (117.3, 280.8)	N/A	5	*	*
Talbot County, Maryland	No	123.9 (112.5, 136.6)	N/A	97	falling	-1.8 (-2.2, -1.3)
Talbot County, Georgia	No	145.0 (114.4, 183.5)	N/A	17	falling	-1.5 (-2.5, -0.4)
Switzerland County, Indiana	No	169.8 (140.4, 204.2)	N/A	24	stable	-0.9 (-2.0, 0.1)
Swisher County, Texas	No	168.3 (133.9, 209.8)	N/A	17	stable	-0.4 (-1.1, 0.4)
Swift County, Minnesota	No	152.7 (124.7, 186.0)	N/A	23	falling	-1.4 (-2.1, -0.7)
Sweetwater County, Wyoming	No	161.3 (143.7, 180.5)	N/A	67	falling	-0.6 (-1.2, -0.1)
Sweet Grass County, Montana	Yes	118.0 (82.8, 167.4)	N/A	8	stable	-0.7 (-2.2, 0.8)
Swain County, North Carolina	No	216.3 (188.0, 248.0)	N/A	44	stable	0.0 (-0.7, 0.7)
Suwannee County, Florida	No	186.7 (172.2, 202.3)	N/A	129	falling	-0.7 (-1.2, -0.2)
Sutton County, Texas	No	153.7 (109.3, 211.9)	N/A	8	falling	-1.7 (-3.3, -0.2)
Sutter County, California	No	152.5 (142.5, 163.1)	N/A	176	falling	-1.3 (-1.6, -0.9)
Sussex County, Virginia	No	213.6 (180.8, 251.1)	N/A	31	falling	-1.4 (-2.1, -0.7)
Sussex County, New Jersey	No	155.2 (147.1, 163.8)	N/A	291	falling	-1.6 (-1.8, -1.4)
Sussex County, Delaware	No	153.6 (148.0, 159.4)	N/A	650	falling	-1.7 (-1.9, -1.5)
Susquehanna County, Pennsylvania	No	159.4 (146.1, 173.9)	N/A	112	falling	-1.3 (-1.7, -0.9)
Surry County, Virginia	No	169.3 (134.5, 212.1)	N/A	18	falling	-1.6 (-2.7, -0.5)
Surry County, North Carolina	No	184.7 (173.2, 196.8)	N/A	201	stable	-0.3 (-0.6, 0.1)
Sunflower County, Mississippi	No	239.8 (214.4, 267.5)	N/A	67	stable	-0.1 (-0.5, 0.3)
Sumter County, South Carolina	No	179.6 (169.3, 190.4)	N/A	236	falling	-1.5 (-2.0, -0.9)
Sumter County, Georgia	No	197.9 (177.6, 220.0)	N/A	73	falling	-0.6 (-1.1, -0.2)
Sumter County, Florida	No	129.9 (122.9, 137.5)	N/A	513	falling	-1.2 (-1.6, -0.8)
Sumter County, Alabama	No	199.9 (168.2, 236.2)	N/A	32	stable	-0.5 (-1.4, 0.4)
Sumner County, Tennessee	No	163.8 (156.3, 171.6)	N/A	371	falling	-1.5 (-2.2, -0.8)
Sumner County, Kansas	No	168.8 (149.2, 190.6)	N/A	57	falling	-1.1 (-1.6, -0.7)
Summit County, Utah	Yes	95.9 (81.2, 112.3)	N/A	37	falling	-1.8 (-2.8, -0.8)
Summit County, Ohio	No	163.4 (159.2, 167.7)	N/A	1,207	falling	-1.2 (-1.3, -1.0)
Summit County, Colorado	Yes	63.6 (49.4, 80.6)	N/A	18	falling	-2.4 (-4.2, -0.5)
Summers County, West Virginia	No	177.0 (151.9, 206.0)	N/A	39	falling	-1.2 (-1.8, -0.5)
Sullivan County, Tennessee	No	174.8 (167.3, 182.6)	N/A	432	falling	-0.8 (-1.1, -0.6)
Sullivan County, Pennsylvania	No	178.9 (144.8, 222.0)	N/A	21	stable	-0.7 (-1.7, 0.3)
Sullivan County, New York	No	164.2 (153.2, 175.9)	N/A	173	falling	-1.8 (-2.1, -1.5)
Sullivan County, New Hampshire	No	174.8 (160.4, 190.3)	N/A	118	falling	-1.4 (-1.8, -1.0)
Sullivan County, Missouri	No	161.4 (124.8, 206.4)	N/A	14	stable	-0.3 (-1.2, 0.6)
Sullivan County, Indiana	No	188.2 (165.5, 213.5)	N/A	51	falling	-0.7 (-1.2, -0.2)
Suffolk County, New York	No	139.2 (136.9, 141.6)	N/A	2,742	falling	-2.6 (-3.4, -1.8)
Suffolk County, Massachusetts	No	136.3 (132.6, 140.1)	N/A	1,050	falling	-4.2 (-5.1, -3.3)
Suffolk City, Virginia	No	171.3 (160.0, 183.2)	N/A	178	falling	-1.7 (-2.0, -1.3)
Sublette County, Wyoming	Yes	81.8 (61.2, 107.9)	N/A	11	falling	-3.7 (-4.9, -2.5)
Stutsman County, North Dakota	No	139.4 (120.6, 160.5)	N/A	43	falling	-1.1 (-1.7, -0.6)
Strafford County, New Hampshire	No	175.7 (166.1, 185.6)	N/A	266	falling	-1.1 (-1.4, -0.8)
Story County, Iowa	No	135.7 (125.0, 147.1)	N/A	124	falling	-1.0 (-1.3, -0.6)
Storey County, Nevada	No	141.8 (99.9, 200.3)	N/A	10	stable	-1.6 (-3.8, 0.5)
Stonewall County, Texas	No	190.5 (112.7, 310.2)	N/A	4	stable	-0.2 (-1.9, 1.5)
Stone County, Missouri	No	147.9 (133.3, 164.1)	N/A	94	falling	-1.4 (-1.9, -0.9)
Stone County, Mississippi	No	205.5 (178.2, 235.9)	N/A	43	falling	-1.0 (-1.6, -0.3)
Stone County, Arkansas	No	172.3 (148.9, 199.3)	N/A	43	falling	-1.3 (-2.0, -0.6)
Stokes County, North Carolina	No	175.6 (161.7, 190.5)	N/A	125	falling	-1.0 (-1.4, -0.6)
Stoddard County, Missouri	No	194.3 (175.7, 214.5)	N/A	84	stable	-0.5 (-1.0, 0.0)
Stillwater County, Montana	No	131.1 (105.1, 162.6)	N/A	20	falling	-2.0 (-3.2, -0.8)
Stewart County, Tennessee	No	208.6 (180.4, 240.4)	N/A	41	stable	-0.1 (-1.0, 0.8)
Stewart County, Georgia	No	171.3 (130.5, 222.3)	N/A	12	stable	-0.5 (-1.3, 0.4)
Stevens County, Washington	No	150.3 (137.4, 164.2)	N/A	111	falling	-1.2 (-1.6, -0.8)
Stevens County, Minnesota	No	144.0 (113.8, 180.1)	N/A	18	stable	-0.2 (-1.0, 0.6)
Stevens County, Kansas	No	148.6 (108.8, 198.8)	N/A	10	stable	0.3 (-1.4, 2.1)
Steuben County, New York	No	166.6 (156.9, 176.8)	N/A	232	falling	-1.2 (-1.4, -0.9)
Steuben County, Indiana	No	154.4 (138.8, 171.4)	N/A	77	falling	-1.4 (-1.8, -0.9)
Stephenson County, Illinois	No	161.7 (148.4, 176.0)	N/A	119	falling	-0.7 (-1.1, -0.3)
Stephens County, Texas	No	186.8 (155.3, 223.6)	N/A	26	falling	-1.1 (-1.7, -0.5)
Stephens County, Oklahoma	No	182.1 (167.0, 198.2)	N/A	115	falling	-0.8 (-1.3, -0.3)
Stephens County, Georgia	No	198.0 (177.3, 220.7)	N/A	70	stable	-0.3 (-0.8, 0.2)
Steele County, North Dakota	Yes	100.0 (59.0, 168.5)	N/A	4	falling	-2.2 (-3.8, -0.6)
Steele County, Minnesota	No	133.3 (119.1, 148.8)	N/A	68	falling	-1.5 (-1.9, -1.1)
Stearns County, Minnesota	No	144.3 (136.6, 152.4)	N/A	269	falling	-0.9 (-1.2, -0.7)
Ste. Genevieve County, Missouri	No	150.4 (129.9, 173.6)	N/A	41	falling	-0.8 (-1.4, -0.2)
Staunton City, Virginia	No	188.1 (168.4, 209.7)	N/A	71	stable	-0.3 (-0.9, 0.3)
Starr County, Texas	No	133.6 (120.5, 147.8)	N/A	76	stable	0.0 (-0.6, 0.6)
Starke County, Indiana	No	190.6 (169.5, 213.9)	N/A	63	falling	-2.3 (-3.9, -0.7)
Stark County, Ohio	No	168.0 (163.0, 173.1)	N/A	912	falling	-1.0 (-1.1, -0.8)
Stark County, North Dakota	No	136.4 (118.8, 155.7)	N/A	47	falling	-1.0 (-1.7, -0.4)
Stark County, Illinois	No	168.2 (130.9, 214.7)	N/A	15	stable	-0.8 (-1.7, 0.2)
Stanton County, Nebraska	Yes	120.2 (88.1, 161.3)	N/A	10	stable	-1.3 (-2.7, 0.2)
Stanton County, Kansas	No	132.0 (78.4, 212.4)	N/A	4	*	*
Stanly County, North Carolina	No	160.5 (148.6, 173.2)	N/A	139	falling	-1.1 (-1.5, -0.7)
Stanley County, South Dakota	No	146.5 (100.6, 209.4)	N/A	7	falling	-2.6 (-4.0, -1.2)
Stanislaus County, California	No	158.8 (154.1, 163.6)	N/A	888	falling	-1.1 (-1.3, -0.9)
Stafford County, Virginia	No	143.8 (134.2, 153.8)	N/A	185	falling	-2.6 (-3.5, -1.8)
Stafford County, Kansas	No	142.7 (103.1, 194.9)	N/A	10	stable	-0.9 (-2.0, 0.3)
St. Tammany Parish, Louisiana	No	151.4 (145.4, 157.7)	N/A	493	falling	-1.5 (-1.8, -1.3)
St. Marys County, Maryland	No	164.7 (154.4, 175.5)	N/A	198	falling	-1.1 (-1.5, -0.8)
St. Mary Parish, Louisiana	No	188.4 (173.5, 204.4)	N/A	122	falling	-1.3 (-1.7, -0.8)
St. Martin Parish, Louisiana	No	174.2 (159.7, 189.8)	N/A	111	falling	-1.4 (-1.8, -1.0)
St. Lucie County, Florida	No	146.7 (142.0, 151.5)	N/A	800	falling	-1.5 (-1.7, -1.3)
St. Louis County, Missouri	No	151.8 (148.8, 154.8)	N/A	2,091	falling	-1.3 (-1.4, -1.2)
St. Louis County, Minnesota	No	157.8 (151.2, 164.6)	N/A	459	falling	-0.9 (-1.2, -0.7)
St. Louis City, Missouri	No	174.1 (167.7, 180.8)	N/A	589	falling	-2.9 (-3.5, -2.2)
St. Lawrence County, New York	No	159.8 (150.5, 169.6)	N/A	230	falling	-1.4 (-1.7, -1.1)
St. Landry Parish, Louisiana	No	202.9 (190.4, 216.0)	N/A	205	falling	-0.7 (-1.0, -0.4)
St. Joseph County, Michigan	No	168.1 (155.5, 181.6)	N/A	137	falling	-1.1 (-1.5, -0.8)
St. Joseph County, Indiana	No	166.8 (160.5, 173.4)	N/A	548	falling	-1.0 (-1.2, -0.9)
St. Johns County, Florida	No	132.8 (127.5, 138.3)	N/A	493	falling	-2.1 (-2.4, -1.8)
St. John the Baptist Parish, Louisiana	No	167.2 (150.7, 185.1)	N/A	80	falling	-1.8 (-2.5, -1.1)
St. James Parish, Louisiana	No	167.7 (146.3, 191.5)	N/A	47	falling	-1.6 (-2.2, -0.9)
St. Helena Parish, Louisiana	No	174.1 (144.7, 208.4)	N/A	26	falling	-1.1 (-2.0, -0.1)
St. Francois County, Missouri	No	212.8 (198.9, 227.4)	N/A	180	stable	0.3 (-0.6, 1.2)
St. Francis County, Arkansas	No	163.8 (144.0, 185.7)	N/A	51	falling	-2.6 (-3.5, -1.8)
St. Croix County, Wisconsin	No	157.7 (146.5, 169.6)	N/A	154	falling	-0.9 (-1.2, -0.5)
St. Clair County, Missouri	No	167.4 (141.1, 198.7)	N/A	31	falling	-1.3 (-2.0, -0.6)
St. Clair County, Michigan	No	170.9 (163.1, 178.9)	N/A	385	falling	-1.1 (-1.3, -0.9)
St. Clair County, Illinois	No	168.7 (162.3, 175.3)	N/A	547	falling	-1.4 (-1.6, -1.3)
St. Clair County, Alabama	No	175.4 (164.4, 187.1)	N/A	196	stable	-0.6 (-1.6, 0.3)
St. Charles Parish, Louisiana	No	165.4 (150.3, 181.6)	N/A	94	falling	-1.0 (-1.5, -0.6)
St. Charles County, Missouri	No	141.9 (137.1, 146.9)	N/A	672	falling	-1.5 (-1.8, -1.3)
St. Bernard Parish, Louisiana	No	172.4 (154.9, 191.3)	N/A	77	falling	-4.5 (-6.7, -2.3)
Spotsylvania County, Virginia	No	150.5 (141.6, 159.8)	N/A	224	falling	-1.6 (-2.1, -1.2)
Spokane County, Washington	No	159.6 (155.1, 164.2)	N/A	997	falling	-1.0 (-1.2, -0.9)
Spink County, South Dakota	No	139.9 (107.9, 179.7)	N/A	15	falling	-1.5 (-2.5, -0.5)
Spencer County, Kentucky	No	163.8 (139.1, 191.7)	N/A	35	falling	-1.3 (-2.0, -0.6)
Spencer County, Indiana	No	154.2 (134.2, 176.6)	N/A	46	falling	-1.5 (-2.0, -1.0)
Spartanburg County, South Carolina	No	166.9 (161.0, 172.9)	N/A	638	falling	-1.6 (-2.1, -1.2)
Spalding County, Georgia	No	181.7 (169.0, 195.3)	N/A	157	falling	-0.8 (-1.2, -0.4)
Southeast Fairbanks Census Area, Alaska	No	154.0 (113.4, 204.1)	N/A	11	stable	-1.1 (-2.5, 0.2)
Southampton County, Virginia	No	155.8 (134.9, 179.5)	N/A	42	falling	-1.6 (-2.2, -0.9)
Sonoma County, California	No	137.5 (133.5, 141.5)	N/A	978	falling	-2.3 (-2.8, -1.8)
Somervell County, Texas	No	162.1 (131.1, 199.0)	N/A	20	falling	-1.6 (-2.4, -0.8)
Somerset County, Pennsylvania	No	149.4 (139.5, 160.0)	N/A	182	falling	-0.8 (-1.1, -0.5)
Somerset County, New Jersey	Yes	118.7 (114.0, 123.6)	N/A	506	falling	-4.0 (-5.9, -2.1)
Somerset County, Maryland	No	186.5 (165.7, 209.3)	N/A	61	falling	-1.7 (-2.2, -1.2)
Somerset County, Maine	No	193.0 (178.9, 208.1)	N/A	149	falling	-1.0 (-1.4, -0.7)
Solano County, California	No	158.1 (153.3, 163.1)	N/A	841	falling	-1.3 (-1.5, -1.1)
Socorro County, New Mexico	No	133.4 (112.8, 157.1)	N/A	32	falling	-1.0 (-1.7, -0.3)
Snyder County, Pennsylvania	No	140.8 (127.3, 155.4)	N/A	83	falling	-1.5 (-1.9, -1.1)
Snohomish County, Washington	No	149.9 (146.1, 153.7)	N/A	1,288	falling	-1.3 (-1.5, -1.1)
Smyth County, Virginia	No	192.3 (175.0, 211.1)	N/A	95	falling	-0.6 (-1.0, -0.2)
Smith County, Texas	No	145.9 (139.6, 152.4)	N/A	417	rising	5.7 (2.7, 8.7)
Smith County, Tennessee	No	186.9 (163.1, 213.4)	N/A	47	stable	3.3 (-2.3, 9.2)
Smith County, Mississippi	No	140.9 (119.6, 165.3)	N/A	33	falling	-4.9 (-7.5, -2.2)
Smith County, Kansas	No	162.4 (118.3, 221.4)	N/A	11	stable	-0.7 (-1.8, 0.5)
Skamania County, Washington	No	124.2 (101.5, 151.3)	N/A	23	falling	-1.9 (-2.9, -1.0)
Skagway Hoonah Angoon Census Area, Alaska ³	No	137.6 (93.4, 199.1)	N/A	7	*	*
Skagit County, Washington	No	157.2 (149.0, 165.7)	N/A	296	falling	-0.9 (-1.2, -0.7)
Sitka Borough, Alaska	Yes	114.5 (86.6, 149.1)	N/A	12	falling	-1.8 (-2.9, -0.7)
Siskiyou County, California	No	170.5 (156.9, 185.3)	N/A	129	falling	-0.9 (-1.3, -0.5)
Sioux County, North Dakota	No	174.3 (112.7, 255.4)	N/A	6	stable	-1.7 (-4.1, 0.8)
Sioux County, Iowa	Yes	113.2 (99.1, 128.8)	N/A	50	falling	-1.2 (-1.6, -0.7)
Simpson County, Mississippi	No	158.6 (140.1, 178.9)	N/A	56	falling	-1.0 (-1.6, -0.4)
Simpson County, Kentucky	No	202.6 (177.0, 231.2)	N/A	47	stable	0.2 (-0.5, 0.9)
Silver Bow County, Montana	No	150.8 (135.6, 167.5)	N/A	75	falling	-2.2 (-3.0, -1.3)
Sierra County, New Mexico	No	167.0 (143.4, 195.1)	N/A	46	stable	-0.4 (-1.0, 0.2)
Sierra County, California	Yes	98.1 (66.1, 148.6)	N/A	6	falling	-1.7 (-3.1, -0.3)
Sibley County, Minnesota	No	168.4 (143.6, 196.5)	N/A	35	stable	-0.5 (-1.1, 0.2)
Shoshone County, Idaho	No	191.6 (164.3, 222.9)	N/A	39	falling	-0.8 (-1.4, -0.1)
Shiawassee County, Michigan	No	168.4 (156.7, 180.8)	N/A	160	falling	-1.0 (-1.4, -0.7)
Sherman County, Texas	No	157.2 (103.6, 229.8)	N/A	6	stable	-0.1 (-1.9, 1.8)
Sherman County, Oregon	Yes	106.8 (59.3, 186.4)	N/A	3	falling	-2.6 (-4.3, -0.9)
Sherman County, Nebraska	No	127.2 (86.5, 185.5)	N/A	8	stable	-0.2 (-1.8, 1.4)
Sherman County, Kansas	No	137.4 (103.8, 179.7)	N/A	12	stable	-0.9 (-2.1, 0.4)
Sheridan County, Wyoming	No	142.3 (126.7, 159.4)	N/A	65	falling	-1.4 (-1.9, -0.9)
Sheridan County, Nebraska	No	143.9 (111.7, 185.2)	N/A	15	stable	-0.6 (-1.5, 0.2)
Sheridan County, Montana	No	160.4 (119.6, 215.0)	N/A	11	stable	-0.9 (-2.0, 0.3)
Sheridan County, Kansas	Yes	115.6 (76.4, 174.8)	N/A	6	falling	-1.7 (-3.0, -0.3)
Sherburne County, Minnesota	No	146.3 (135.0, 158.3)	N/A	131	falling	-1.3 (-1.8, -0.8)
Shenandoah County, Virginia	No	172.8 (158.9, 187.8)	N/A	119	falling	-0.8 (-1.1, -0.6)
Shelby County, Texas	No	181.0 (160.8, 203.2)	N/A	60	falling	-1.2 (-1.6, -0.8)
Shelby County, Tennessee	No	169.3 (165.6, 173.0)	N/A	1,695	falling	-2.9 (-3.6, -2.1)
Shelby County, Ohio	No	164.8 (150.6, 180.1)	N/A	104	falling	-0.6 (-1.0, -0.2)
Shelby County, Missouri	No	162.8 (129.0, 204.6)	N/A	16	falling	-1.2 (-2.2, -0.2)
Shelby County, Kentucky	No	163.6 (148.7, 179.7)	N/A	93	falling	-1.4 (-2.0, -0.8)
Shelby County, Iowa	No	144.3 (120.7, 172.0)	N/A	29	stable	-0.4 (-1.1, 0.4)
Shelby County, Indiana	No	185.7 (170.2, 202.3)	N/A	111	falling	-0.7 (-1.2, -0.2)
Shelby County, Illinois	No	142.4 (125.2, 161.7)	N/A	52	falling	-1.1 (-1.7, -0.5)
Shelby County, Alabama	No	126.7 (120.4, 133.2)	N/A	321	falling	-1.6 (-2.0, -1.2)
Sheboygan County, Wisconsin	No	143.8 (135.4, 152.6)	N/A	229	falling	-1.1 (-1.5, -0.8)
Shawnee County, Kansas	No	165.3 (157.9, 172.9)	N/A	401	falling	-0.9 (-1.1, -0.7)
Shawano County, Wisconsin	No	154.2 (140.7, 169.0)	N/A	99	falling	-0.7 (-1.1, -0.4)
Shasta County, California	No	166.0 (159.0, 173.3)	N/A	445	falling	-1.0 (-1.3, -0.8)
Sharp County, Arkansas	No	205.4 (182.8, 230.7)	N/A	65	stable	-0.1 (-0.6, 0.5)
Sharkey County, Mississippi	No	235.1 (179.5, 303.6)	N/A	14	falling	-1.6 (-2.6, -0.6)
Shannon County, Missouri	No	178.1 (146.5, 215.7)	N/A	23	falling	-1.0 (-1.8, -0.1)
Shackelford County, Texas	Yes	109.5 (72.7, 162.1)	N/A	6	falling	-2.9 (-4.4, -1.3)
Seward County, Nebraska	No	163.2 (139.8, 189.8)	N/A	36	falling	-1.5 (-2.7, -0.3)
Seward County, Kansas	No	138.5 (115.4, 164.6)	N/A	26	falling	-1.3 (-2.0, -0.6)
Sevier County, Utah	No	142.7 (122.4, 165.5)	N/A	36	stable	-0.5 (-1.2, 0.3)
Sevier County, Tennessee	No	183.3 (173.0, 194.2)	N/A	252	falling	-0.4 (-0.7, -0.2)
Sevier County, Arkansas	No	159.4 (134.6, 187.5)	N/A	30	falling	-1.4 (-2.1, -0.6)
Sequoyah County, Oklahoma	No	209.0 (192.1, 227.2)	N/A	117	falling	-0.8 (-1.3, -0.3)
Sequatchie County, Tennessee	No	144.5 (121.9, 170.4)	N/A	32	falling	-6.8 (-11.8, -1.5)
Seneca County, Ohio	No	172.5 (159.2, 186.7)	N/A	132	falling	-0.6 (-1.0, -0.2)
Seneca County, New York	No	160.7 (144.8, 178.0)	N/A	79	falling	-1.2 (-1.8, -0.7)
Seminole County, Oklahoma	No	199.5 (178.1, 223.0)	N/A	66	stable	-0.1 (-0.5, 0.3)
Seminole County, Georgia	No	202.5 (169.3, 241.6)	N/A	28	stable	-0.5 (-1.4, 0.3)
Seminole County, Florida	No	145.0 (140.5, 149.6)	N/A	818	falling	-1.5 (-1.7, -1.4)
Sedgwick County, Kansas	No	159.2 (154.5, 163.9)	N/A	929	falling	-1.0 (-1.4, -0.6)
Sedgwick County, Colorado	No	164.0 (111.8, 238.8)	N/A	8	stable	-1.0 (-2.5, 0.5)
Sebastian County, Arkansas	No	162.4 (153.4, 171.9)	N/A	252	falling	-2.0 (-3.1, -1.0)
Searcy County, Arkansas	No	170.2 (140.5, 205.9)	N/A	25	falling	-1.0 (-1.7, -0.3)
Scurry County, Texas	No	161.8 (137.4, 189.4)	N/A	32	falling	-1.2 (-2.0, -0.5)
Screven County, Georgia	No	184.3 (158.0, 214.1)	N/A	37	stable	-0.6 (-1.1, 0.0)
Scotts Bluff County, Nebraska	No	150.9 (135.5, 167.7)	N/A	76	falling	-0.8 (-1.2, -0.3)
Scott County, Virginia	No	193.3 (173.3, 215.5)	N/A	73	falling	-0.6 (-1.1, -0.1)
Scott County, Tennessee	No	219.4 (195.5, 245.6)	N/A	63	falling	-0.6 (-1.1, -0.1)
Scott County, Missouri	No	170.2 (154.5, 187.2)	N/A	89	falling	-5.3 (-9.1, -1.4)
Scott County, Mississippi	No	190.8 (170.0, 213.6)	N/A	63	falling	-0.7 (-1.3, -0.1)
Scott County, Minnesota	No	136.4 (127.3, 145.9)	N/A	179	falling	-1.6 (-2.0, -1.2)
Scott County, Kentucky	No	160.5 (145.1, 177.0)	N/A	86	falling	-1.7 (-2.2, -1.1)
Scott County, Kansas	No	156.9 (118.2, 206.0)	N/A	12	stable	-0.4 (-1.5, 0.8)
Scott County, Iowa	No	159.4 (151.8, 167.3)	N/A	346	falling	-1.0 (-1.3, -0.8)
Scott County, Indiana	No	232.9 (208.5, 259.4)	N/A	70	stable	-0.6 (-1.3, 0.1)
Scott County, Illinois	No	203.0 (158.3, 258.1)	N/A	15	stable	-0.1 (-0.9, 0.8)
Scott County, Arkansas	No	202.0 (171.1, 237.7)	N/A	32	stable	-0.5 (-1.5, 0.4)
Scotland County, North Carolina	No	198.3 (180.2, 217.8)	N/A	93	falling	-0.6 (-1.2, -0.1)
Scotland County, Missouri	No	173.8 (131.1, 227.2)	N/A	12	stable	0.1 (-1.0, 1.3)
Scioto County, Ohio	No	192.5 (180.5, 205.2)	N/A	200	falling	-0.9 (-1.1, -0.6)
Schuylkill County, Pennsylvania	No	192.0 (183.6, 200.7)	N/A	417	falling	-0.6 (-0.8, -0.4)
Schuyler County, New York	No	190.1 (166.7, 216.3)	N/A	52	stable	-0.7 (-1.3, 0.0)
Schuyler County, Missouri	No	160.2 (118.7, 213.0)	N/A	10	stable	-0.5 (-1.5, 0.5)
Schuyler County, Illinois	No	154.6 (123.6, 192.7)	N/A	18	stable	-0.7 (-1.7, 0.2)
Schoolcraft County, Michigan	No	186.3 (156.2, 222.6)	N/A	29	stable	-0.3 (-0.9, 0.3)
Schoharie County, New York	No	152.9 (137.2, 170.1)	N/A	75	falling	-1.5 (-1.9, -1.1)
Schley County, Georgia	No	151.9 (110.9, 203.8)	N/A	10	falling	-2.9 (-4.0, -1.8)
Schleicher County, Texas	No	154.6 (103.6, 224.7)	N/A	6	stable	0.3 (-1.7, 2.2)
Schenectady County, New York	No	151.6 (144.0, 159.5)	N/A	320	falling	-1.3 (-1.5, -1.1)
Sawyer County, Wisconsin	No	178.0 (155.7, 203.3)	N/A	52	falling	-1.2 (-1.9, -0.6)
Saunders County, Nebraska	No	153.9 (134.3, 175.7)	N/A	47	stable	-0.7 (-1.3, 0.0)
Sauk County, Wisconsin	No	167.0 (155.0, 179.7)	N/A	150	falling	-0.6 (-0.9, -0.2)
Sarpy County, Nebraska	No	144.7 (136.6, 153.2)	N/A	247	falling	-1.3 (-1.7, -1.0)
Sargent County, North Dakota	No	141.3 (102.4, 192.9)	N/A	9	stable	-0.6 (-1.7, 0.5)
Saratoga County, New York	No	148.5 (142.4, 154.8)	N/A	467	falling	-1.4 (-1.6, -1.2)
Sarasota County, Florida	No	132.8 (129.2, 136.5)	N/A	1,393	falling	-1.3 (-1.4, -1.1)
Santa Rosa County, Florida	No	152.7 (145.3, 160.4)	N/A	335	falling	-1.2 (-1.6, -0.8)
Santa Fe County, New Mexico	Yes	114.3 (108.0, 120.9)	N/A	276	falling	-1.6 (-1.8, -1.4)
Santa Cruz County, California	No	124.8 (119.3, 130.6)	N/A	410	falling	-1.6 (-1.9, -1.3)
Santa Cruz County, Arizona	Yes	112.5 (100.6, 125.5)	N/A	67	falling	-1.7 (-2.2, -1.1)
Santa Clara County, California	Yes	113.5 (111.5, 115.6)	N/A	2,388	falling	-2.6 (-3.2, -2.0)
Santa Barbara County, California	No	130.0 (125.6, 134.5)	N/A	687	falling	-1.3 (-1.5, -1.1)
Sanpete County, Utah	Yes	109.4 (93.2, 127.5)	N/A	34	falling	-1.6 (-2.4, -0.8)
Sanilac County, Michigan	No	183.5 (168.4, 199.9)	N/A	117	stable	-6.7 (-14.9, 2.2)
Sangamon County, Illinois	No	160.6 (153.7, 167.8)	N/A	426	falling	-1.0 (-1.3, -0.8)
Sandusky County, Ohio	No	175.1 (162.3, 188.8)	N/A	146	falling	-0.7 (-1.0, -0.4)
Sandoval County, New Mexico	No	131.4 (123.9, 139.2)	N/A	246	falling	-1.3 (-1.6, -1.0)
Sanders County, Montana	No	157.2 (133.1, 185.5)	N/A	37	falling	-1.4 (-2.0, -0.7)
Sanborn County, South Dakota	Yes	115.2 (70.3, 182.6)	N/A	4	falling	-1.7 (-3.2, -0.1)
San Saba County, Texas	No	136.6 (105.4, 176.0)	N/A	14	stable	-0.6 (-1.7, 0.4)
San Patricio County, Texas	No	171.0 (157.8, 185.0)	N/A	128	falling	-1.2 (-1.6, -0.9)
San Miguel County, New Mexico	No	132.9 (117.4, 150.3)	N/A	57	falling	-0.8 (-1.6, -0.1)
San Miguel County, Colorado	No	124.1 (84.1, 175.2)	N/A	8	*	*
San Mateo County, California	Yes	114.0 (111.0, 117.1)	N/A	1,110	falling	-2.6 (-2.9, -2.4)
San Luis Obispo County, California	No	134.1 (129.0, 139.4)	N/A	548	falling	-1.5 (-1.6, -1.3)
San Juan County, Washington	No	123.5 (105.7, 144.5)	N/A	43	falling	-1.1 (-1.9, -0.4)
San Juan County, Utah	Yes	109.1 (87.1, 135.0)	N/A	18	stable	-0.6 (-1.7, 0.5)
San Juan County, New Mexico	No	134.5 (125.9, 143.5)	N/A	190	falling	-1.4 (-1.8, -1.0)
San Joaquin County, California	No	150.8 (146.9, 154.8)	N/A	1,141	falling	-1.1 (-1.3, -1.0)
San Jacinto County, Texas	No	155.4 (138.7, 173.8)	N/A	69	falling	-5.5 (-8.2, -2.6)
San Francisco County, California	Yes	121.6 (118.7, 124.7)	N/A	1,328	falling	-5.0 (-8.8, -1.0)
San Diego County, California	No	137.2 (135.5, 139.0)	N/A	5,040	falling	-2.2 (-2.7, -1.8)
San Bernardino County, California	No	150.7 (148.2, 153.1)	N/A	3,030	falling	-1.6 (-1.7, -1.4)
San Benito County, California	Yes	120.3 (108.2, 133.3)	N/A	76	falling	-2.1 (-2.6, -1.5)
San Augustine County, Texas	No	163.0 (134.6, 197.1)	N/A	25	falling	-1.2 (-2.0, -0.4)
Sampson County, North Carolina	No	178.2 (165.5, 191.7)	N/A	151	falling	-0.7 (-1.1, -0.4)
Saluda County, South Carolina	No	155.3 (136.2, 176.8)	N/A	49	falling	-1.3 (-1.9, -0.7)
Salt Lake County, Utah	No	125.5 (122.3, 128.7)	N/A	1,234	falling	-1.1 (-1.3, -0.9)
Saline County, Nebraska	No	162.5 (135.6, 193.3)	N/A	27	stable	-13.3 (-28.5, 5.0)
Saline County, Missouri	No	173.0 (152.5, 195.7)	N/A	54	stable	-0.6 (-1.2, 0.1)
Saline County, Kansas	No	165.9 (152.8, 179.9)	N/A	124	falling	-0.6 (-1.0, -0.1)
Saline County, Illinois	No	205.2 (184.0, 228.3)	N/A	72	falling	-0.6 (-1.1, -0.1)
Saline County, Arkansas	No	155.1 (146.4, 164.2)	N/A	244	stable	-6.9 (-13.7, 0.5)
Salem County, New Jersey	No	183.7 (171.1, 197.2)	N/A	165	falling	-1.1 (-1.5, -0.8)
Salem City, Virginia	No	207.4 (186.4, 230.4)	N/A	74	stable	-0.4 (-1.0, 0.1)
Saguache County, Colorado	No	124.2 (94.2, 162.5)	N/A	14	stable	-0.3 (-2.0, 1.4)
Saginaw County, Michigan	No	159.1 (152.3, 166.1)	N/A	437	falling	-1.3 (-1.5, -1.0)
Sagadahoc County, Maine	No	150.0 (135.9, 165.4)	N/A	87	falling	-1.7 (-2.2, -1.2)
Sacramento County, California	No	150.7 (148.1, 153.4)	N/A	2,553	falling	-1.8 (-2.2, -1.4)
Sac County, Iowa	No	163.8 (135.8, 196.8)	N/A	28	stable	-0.5 (-1.3, 0.3)
Sabine Parish, Louisiana	No	170.0 (150.5, 191.6)	N/A	59	falling	-1.2 (-1.8, -0.6)
Sabine County, Texas	No	171.0 (145.2, 201.3)	N/A	37	falling	-1.1 (-1.8, -0.3)
Rutland County, Vermont	No	176.4 (164.2, 189.4)	N/A	167	falling	-0.6 (-0.8, -0.4)
Rutherford County, Tennessee	No	163.1 (156.2, 170.2)	N/A	452	falling	-1.4 (-1.6, -1.1)
Rutherford County, North Carolina	No	166.4 (155.1, 178.4)	N/A	172	stable	-0.3 (-2.1, 1.6)
Russell County, Virginia	No	182.1 (163.8, 202.1)	N/A	78	stable	-0.5 (-1.0, 0.0)
Russell County, Kentucky	No	220.2 (194.6, 248.5)	N/A	57	stable	-0.1 (-0.7, 0.5)
Russell County, Kansas	No	196.0 (158.1, 241.4)	N/A	22	stable	-0.5 (-1.6, 0.5)
Russell County, Alabama	No	200.1 (184.7, 216.5)	N/A	130	falling	-0.8 (-1.1, -0.4)
Rusk County, Wisconsin	No	163.2 (139.4, 190.6)	N/A	39	falling	-5.2 (-7.6, -2.6)
Rusk County, Texas	No	166.7 (153.0, 181.3)	N/A	113	falling	-1.2 (-1.5, -0.8)
Rush County, Kansas	No	200.9 (149.3, 269.1)	N/A	11	stable	0.1 (-1.2, 1.4)
Rush County, Indiana	No	170.2 (146.8, 196.6)	N/A	40	falling	-0.8 (-1.4, -0.2)
Runnels County, Texas	No	163.4 (136.1, 195.4)	N/A	26	falling	-0.9 (-1.7, -0.1)
Rowan County, North Carolina	No	177.1 (168.5, 186.0)	N/A	330	falling	-3.3 (-5.1, -1.4)
Rowan County, Kentucky	No	185.8 (162.6, 211.5)	N/A	48	stable	0.0 (-0.8, 0.8)
Routt County, Colorado	Yes	94.6 (77.8, 114.0)	N/A	25	falling	-2.5 (-3.5, -1.6)
Ross County, Ohio	No	185.7 (173.7, 198.4)	N/A	184	falling	-1.0 (-1.3, -0.6)
Rosebud County, Montana	No	155.1 (122.6, 194.0)	N/A	16	falling	-1.8 (-2.9, -0.7)
Roseau County, Minnesota	No	130.5 (109.4, 155.0)	N/A	28	falling	-1.6 (-2.2, -1.0)
Roscommon County, Michigan	No	206.1 (186.3, 228.1)	N/A	103	stable	-0.2 (-0.7, 0.3)
Roosevelt County, New Mexico	No	142.5 (120.0, 168.1)	N/A	29	falling	-1.3 (-2.0, -0.6)
Roosevelt County, Montana	No	184.7 (148.2, 227.3)	N/A	19	stable	0.0 (-1.2, 1.1)
Rooks County, Kansas	No	144.7 (109.6, 189.6)	N/A	12	falling	-2.0 (-3.0, -1.0)
Rolette County, North Dakota	No	202.1 (168.7, 240.0)	N/A	27	falling	-1.1 (-1.9, -0.2)
Rogers County, Oklahoma	No	173.6 (162.9, 184.9)	N/A	201	falling	-0.8 (-1.2, -0.5)
Roger Mills County, Oklahoma	No	174.0 (128.6, 233.1)	N/A	10	stable	-0.4 (-1.9, 1.2)
Rockwall County, Texas	No	140.2 (129.6, 151.3)	N/A	138	falling	-1.5 (-2.0, -1.1)
Rockland County, New York	Yes	120.0 (115.1, 125.0)	N/A	476	falling	-2.3 (-2.4, -2.1)
Rockingham County, Virginia	No	141.8 (132.2, 152.0)	N/A	167	falling	-1.6 (-2.4, -0.8)
Rockingham County, North Carolina	No	168.7 (158.9, 178.9)	N/A	236	falling	-1.4 (-1.8, -1.1)
Rockingham County, New Hampshire	No	145.1 (139.9, 150.6)	N/A	606	falling	-2.5 (-3.1, -1.9)
Rockdale County, Georgia	No	158.2 (147.0, 170.1)	N/A	158	falling	-1.2 (-1.6, -0.7)
Rockcastle County, Kentucky	No	185.0 (159.8, 213.3)	N/A	41	stable	-0.5 (-1.1, 0.1)
Rockbridge County, Virginia	No	133.2 (117.3, 151.1)	N/A	56	falling	-1.7 (-2.3, -1.0)
Rock Island County, Illinois	No	162.1 (154.2, 170.4)	N/A	333	falling	-1.1 (-1.3, -0.9)
Rock County, Wisconsin	No	163.7 (155.9, 171.8)	N/A	341	falling	-1.0 (-1.3, -0.7)
Rock County, Nebraska	Yes	114.8 (65.0, 205.0)	N/A	3	stable	-0.8 (-2.5, 1.0)
Rock County, Minnesota	No	158.0 (129.7, 191.5)	N/A	23	stable	-0.5 (-1.3, 0.2)
Robeson County, North Carolina	No	188.7 (178.8, 198.9)	N/A	290	falling	-1.1 (-1.4, -0.7)
Robertson County, Texas	No	185.5 (161.1, 212.8)	N/A	45	falling	-1.2 (-1.7, -0.7)
Robertson County, Tennessee	No	180.5 (167.4, 194.4)	N/A	149	falling	-0.9 (-1.3, -0.5)
Robertson County, Kentucky	No	143.5 (94.4, 216.0)	N/A	5	stable	-0.5 (-2.1, 1.1)
Roberts County, South Dakota	No	150.7 (122.7, 183.7)	N/A	22	falling	-1.2 (-2.0, -0.4)
Roanoke County, Virginia	No	136.0 (127.6, 145.0)	N/A	203	falling	-0.9 (-1.3, -0.6)
Roanoke City, Virginia	No	187.5 (176.6, 198.8)	N/A	236	falling	-0.9 (-1.1, -0.7)
Roane County, West Virginia	No	220.0 (191.7, 251.9)	N/A	47	stable	-0.2 (-0.8, 0.5)
Roane County, Tennessee	No	168.9 (156.7, 181.9)	N/A	152	falling	-1.0 (-1.3, -0.7)
Riverside County, California	No	138.2 (136.3, 140.3)	N/A	3,767	falling	-1.7 (-1.9, -1.5)
Ritchie County, West Virginia	No	155.1 (128.2, 187.0)	N/A	25	stable	-0.8 (-1.6, 0.0)
Ripley County, Missouri	No	198.3 (171.8, 228.4)	N/A	42	stable	-0.1 (-0.8, 0.6)
Ripley County, Indiana	No	167.6 (149.5, 187.5)	N/A	65	stable	-0.5 (-1.1, 0.0)
Rio Grande County, Colorado	No	147.7 (121.6, 178.5)	N/A	24	falling	-0.9 (-1.7, -0.1)
Rio Blanco County, Colorado	No	147.2 (109.8, 193.8)	N/A	11	stable	-0.5 (-1.8, 0.7)
Rio Arriba County, New Mexico	Yes	121.8 (108.9, 136.0)	N/A	68	falling	-2.7 (-4.2, -1.2)
Ringgold County, Iowa	No	215.2 (173.4, 266.5)	N/A	20	stable	1.0 (0.0, 2.0)
Riley County, Kansas	No	139.3 (125.4, 154.3)	N/A	78	falling	-0.6 (-1.1, -0.2)
Richmond County, Virginia	No	197.0 (165.9, 233.3)	N/A	29	falling	-0.9 (-1.7, -0.2)
Richmond County, North Carolina	No	178.9 (163.8, 195.1)	N/A	108	falling	-0.8 (-1.2, -0.4)
Richmond County, New York	No	145.8 (141.4, 150.3)	N/A	868	falling	-1.8 (-2.0, -1.7)
Richmond County, Georgia	No	185.4 (177.3, 193.9)	N/A	409	falling	-1.1 (-1.3, -0.8)
Richmond City, Virginia	No	147.8 (140.7, 155.1)	N/A	356	falling	-3.5 (-4.2, -2.8)
Richland Parish, Louisiana	No	173.5 (151.1, 198.4)	N/A	46	falling	-1.7 (-2.3, -1.1)
Richland County, Wisconsin	No	131.5 (113.2, 152.5)	N/A	40	falling	-1.6 (-2.3, -1.0)
Richland County, South Carolina	No	165.5 (159.8, 171.3)	N/A	676	falling	-1.4 (-1.6, -1.2)
Richland County, Ohio	No	177.7 (168.8, 186.9)	N/A	315	falling	-0.8 (-1.1, -0.6)
Richland County, North Dakota	No	141.6 (119.4, 167.1)	N/A	32	falling	-1.1 (-1.8, -0.5)
Richland County, Montana	No	167.9 (136.6, 204.3)	N/A	21	falling	-0.9 (-1.7, -0.1)
Richland County, Illinois	No	159.9 (137.4, 185.6)	N/A	39	falling	-1.4 (-2.4, -0.4)
Richardson County, Nebraska	No	167.9 (138.2, 203.5)	N/A	25	stable	-0.5 (-1.4, 0.4)
Rice County, Minnesota	No	144.4 (132.7, 157.0)	N/A	115	falling	-1.4 (-1.8, -1.0)
Rice County, Kansas	No	162.8 (133.0, 197.9)	N/A	22	stable	-2.7 (-5.6, 0.2)
Rhea County, Tennessee	No	198.8 (180.5, 218.6)	N/A	90	falling	-0.6 (-1.0, -0.2)
Reynolds County, Missouri	No	153.9 (121.0, 194.7)	N/A	16	falling	-2.2 (-3.8, -0.5)
Republic County, Kansas	No	192.2 (146.9, 249.2)	N/A	16	stable	0.3 (-0.6, 1.3)
Renville County, North Dakota	No	144.2 (96.5, 213.0)	N/A	6	stable	-0.1 (-1.7, 1.7)
Renville County, Minnesota	No	159.2 (136.0, 185.7)	N/A	37	falling	-0.8 (-1.4, -0.1)
Rensselaer County, New York	No	157.5 (149.8, 165.6)	N/A	327	falling	-2.1 (-2.5, -1.6)
Reno County, Kansas	No	151.9 (140.5, 164.1)	N/A	140	falling	-0.7 (-1.1, -0.3)
Refugio County, Texas	No	163.1 (130.7, 202.5)	N/A	18	stable	-0.6 (-1.7, 0.5)
Reeves County, Texas	No	122.8 (98.5, 151.1)	N/A	18	falling	-1.7 (-2.5, -0.9)
Redwood County, Minnesota	No	142.1 (120.7, 166.6)	N/A	35	falling	-0.9 (-1.4, -0.3)
Red Willow County, Nebraska	No	171.9 (143.6, 204.8)	N/A	29	falling	-0.8 (-1.5, -0.1)
Red River Parish, Louisiana	No	199.2 (164.5, 239.8)	N/A	24	stable	0.1 (-0.8, 1.1)
Red River County, Texas	No	169.1 (144.5, 197.6)	N/A	37	stable	-0.7 (-1.5, 0.1)
Red Lake County, Minnesota	No	155.1 (113.3, 209.8)	N/A	10	stable	-0.4 (-1.4, 0.7)
Real County, Texas	No	172.1 (126.3, 233.6)	N/A	11	falling	-1.6 (-2.5, -0.7)
Reagan County, Texas	No	138.6 (87.0, 208.4)	N/A	5	stable	-1.4 (-3.5, 0.7)
Ray County, Missouri	No	186.0 (165.3, 208.9)	N/A	61	stable	-0.4 (-1.0, 0.2)
Rawlins County, Kansas	No	160.6 (114.7, 225.8)	N/A	8	stable	0.8 (-0.3, 1.8)
Ravalli County, Montana	No	150.2 (137.5, 163.9)	N/A	115	falling	-0.8 (-1.3, -0.3)
Rappahannock County, Virginia	Yes	120.8 (95.9, 152.5)	N/A	17	falling	-2.2 (-3.2, -1.1)
Rapides Parish, Louisiana	No	165.4 (156.4, 174.7)	N/A	267	falling	-1.4 (-1.6, -1.1)
Ransom County, North Dakota	No	138.4 (102.5, 184.5)	N/A	12	falling	-1.6 (-2.6, -0.7)
Rankin County, Mississippi	No	135.9 (128.3, 143.9)	N/A	247	falling	-2.5 (-4.1, -0.9)
Randolph County, West Virginia	No	165.0 (148.1, 183.5)	N/A	74	falling	-0.9 (-1.4, -0.4)
Randolph County, North Carolina	No	175.5 (167.0, 184.3)	N/A	337	falling	-0.6 (-0.9, -0.4)
Randolph County, Missouri	No	210.3 (187.8, 234.8)	N/A	66	stable	-0.4 (-0.8, 0.0)
Randolph County, Indiana	No	171.0 (152.5, 191.5)	N/A	65	stable	-0.6 (-1.2, 0.0)
Randolph County, Illinois	No	169.6 (153.1, 187.7)	N/A	80	falling	-0.7 (-1.2, -0.2)
Randolph County, Georgia	No	157.1 (124.9, 196.7)	N/A	19	falling	-2.3 (-3.1, -1.4)
Randolph County, Arkansas	No	200.9 (176.3, 228.3)	N/A	52	stable	-0.1 (-0.7, 0.6)
Randolph County, Alabama	No	162.8 (143.4, 184.3)	N/A	55	falling	-0.8 (-1.4, -0.2)
Randall County, Texas	No	140.0 (131.7, 148.7)	N/A	217	falling	-0.8 (-1.1, -0.6)
Ramsey County, North Dakota	No	148.0 (122.9, 177.4)	N/A	26	falling	-1.0 (-1.8, -0.1)
Ramsey County, Minnesota	No	145.2 (140.9, 149.7)	N/A	892	falling	-1.8 (-2.0, -1.6)
Ralls County, Missouri	No	162.5 (135.2, 194.6)	N/A	26	stable	3.6 (-20.6, 35.2)
Raleigh County, West Virginia	No	179.2 (167.8, 191.3)	N/A	196	falling	-0.8 (-1.1, -0.4)
Rains County, Texas	No	155.9 (131.1, 184.9)	N/A	32	falling	-1.4 (-2.2, -0.5)
Radford City, Virginia	No	177.4 (145.9, 213.6)	N/A	23	falling	-1.1 (-2.0, -0.3)
Racine County, Wisconsin	No	161.3 (154.2, 168.7)	N/A	403	falling	-1.1 (-1.3, -0.9)
Rabun County, Georgia	No	148.4 (129.2, 170.4)	N/A	47	falling	-1.2 (-1.8, -0.6)
Quitman County, Mississippi	No	235.4 (192.8, 285.4)	N/A	22	stable	-0.8 (-1.6, 0.0)
Quitman County, Georgia	No	209.3 (150.8, 290.8)	N/A	10	stable	-0.4 (-2.1, 1.4)
Queens County, New York	Yes	116.8 (115.0, 118.6)	N/A	3,297	falling	-4.6 (-6.2, -3.0)
Queen Annes County, Maryland	No	142.9 (130.5, 156.3)	N/A	102	falling	-1.7 (-2.2, -1.2)
Quay County, New Mexico	No	166.5 (136.5, 202.3)	N/A	24	falling	-1.1 (-1.9, -0.3)
Putnam County, West Virginia	No	164.9 (152.0, 178.7)	N/A	126	falling	-1.1 (-1.5, -0.7)
Putnam County, Tennessee	No	177.5 (165.7, 190.0)	N/A	172	falling	-0.5 (-1.0, -0.1)
Putnam County, Ohio	No	133.4 (118.7, 149.6)	N/A	63	falling	-1.5 (-2.1, -0.8)
Putnam County, New York	No	140.3 (131.2, 149.8)	N/A	186	falling	-2.1 (-2.4, -1.8)
Putnam County, Missouri	No	185.4 (145.0, 236.1)	N/A	15	stable	0.1 (-1.1, 1.2)
Putnam County, Indiana	No	188.6 (171.3, 207.3)	N/A	90	falling	-0.5 (-0.9, -0.1)
Putnam County, Illinois	No	142.9 (110.5, 184.0)	N/A	14	falling	-1.6 (-2.9, -0.3)
Putnam County, Georgia	No	148.7 (130.7, 168.9)	N/A	54	falling	-1.3 (-2.0, -0.5)
Putnam County, Florida	No	192.4 (181.0, 204.5)	N/A	232	falling	-0.8 (-1.2, -0.4)
Pushmataha County, Oklahoma	No	187.1 (159.7, 218.7)	N/A	35	stable	-0.5 (-1.4, 0.3)
Pulaski County, Virginia	No	145.5 (131.4, 161.0)	N/A	81	falling	-1.2 (-1.8, -0.7)
Pulaski County, Missouri	No	175.1 (156.6, 195.2)	N/A	67	falling	-1.1 (-1.7, -0.5)
Pulaski County, Kentucky	No	201.7 (188.4, 215.8)	N/A	180	falling	-0.4 (-0.7, -0.1)
Pulaski County, Indiana	No	200.4 (171.9, 232.8)	N/A	37	stable	-0.5 (-1.1, 0.2)
Pulaski County, Illinois	No	215.5 (172.2, 268.2)	N/A	18	stable	-0.4 (-1.5, 0.8)
Pulaski County, Georgia	Yes	120.6 (98.3, 147.3)	N/A	21	falling	-2.8 (-3.6, -1.9)
Pulaski County, Arkansas	No	155.5 (150.4, 160.8)	N/A	724	falling	-2.3 (-2.9, -1.7)
Puerto Rico ⁸	Yes	105.5 (104.1, 106.8)	N/A	5,147	falling	-2.0 (-3.1, -0.8)
Pueblo County, Colorado	No	152.8 (145.6, 160.4)	N/A	352	falling	-0.8 (-1.1, -0.5)
Prowers County, Colorado	No	178.8 (150.0, 211.8)	N/A	29	falling	-0.8 (-1.6, -0.1)
Providence County, Rhode Island	No	150.7 (146.8, 154.8)	N/A	1,174	falling	-1.6 (-1.8, -1.5)
Prince of Wales-Outer Ketchikan, Alaska	No	180.1 (136.1, 234.1)	N/A	13	stable	-0.7 (-2.5, 1.2)
Prince William County, Virginia	No	129.0 (123.7, 134.5)	N/A	490	falling	-2.4 (-2.6, -2.1)
Prince Georges County, Maryland	No	147.4 (143.9, 151.0)	N/A	1,409	falling	-2.2 (-2.3, -2.0)
Prince George County, Virginia	No	138.3 (122.6, 155.6)	N/A	58	falling	-2.2 (-2.9, -1.6)
Prince Edward County, Virginia	No	181.4 (158.9, 206.5)	N/A	51	falling	-1.0 (-1.4, -0.7)
Price County, Wisconsin	No	151.5 (129.9, 176.7)	N/A	38	stable	-0.7 (-1.5, 0.0)
Preston County, West Virginia	No	163.5 (147.4, 181.0)	N/A	80	falling	-0.9 (-1.3, -0.4)
Presque Isle County, Michigan	No	156.6 (134.0, 183.2)	N/A	42	falling	-1.1 (-1.8, -0.4)
Presidio County, Texas	Yes	74.7 (51.9, 105.2)	N/A	8	falling	-3.6 (-5.0, -2.2)
Prentiss County, Mississippi	No	179.8 (160.0, 201.7)	N/A	62	stable	0.1 (-0.5, 0.7)
Preble County, Ohio	No	187.6 (171.6, 204.7)	N/A	108	falling	-0.4 (-0.8, -0.1)
Pratt County, Kansas	No	159.5 (131.1, 193.1)	N/A	24	stable	-0.7 (-1.6, 0.1)
Prairie County, Montana	No	240.2 (146.0, 388.0)	N/A	5	*	*
Prairie County, Arkansas	No	161.0 (131.5, 196.4)	N/A	23	falling	-1.3 (-2.2, -0.3)
Powhatan County, Virginia	No	135.2 (118.8, 153.4)	N/A	53	falling	-2.5 (-3.0, -2.0)
Poweshiek County, Iowa	No	154.7 (134.3, 177.9)	N/A	45	falling	-0.7 (-1.2, -0.2)
Power County, Idaho	Yes	120.5 (89.5, 159.0)	N/A	11	falling	-1.4 (-2.7, -0.1)
Powell County, Montana	No	159.2 (126.2, 199.7)	N/A	17	falling	-1.4 (-2.3, -0.6)
Powell County, Kentucky	No	236.9 (202.4, 275.9)	N/A	36	stable	-0.6 (-1.3, 0.1)
Powder River County, Montana	Yes	91.1 (51.2, 164.4)	N/A	3	*	*
Potter County, Texas	No	181.5 (170.7, 192.8)	N/A	217	falling	-1.1 (-1.4, -0.9)
Potter County, South Dakota	Yes	117.5 (78.9, 179.0)	N/A	6	stable	-1.3 (-2.7, 0.2)
Potter County, Pennsylvania	No	171.0 (148.8, 196.1)	N/A	48	falling	-0.8 (-1.5, -0.2)
Pottawattamie County, Iowa	No	173.7 (163.3, 184.7)	N/A	215	falling	-0.9 (-1.2, -0.6)
Pottawatomie County, Oklahoma	No	193.8 (180.9, 207.4)	N/A	174	falling	-0.4 (-0.7, -0.1)
Pottawatomie County, Kansas	No	141.5 (121.7, 163.7)	N/A	38	falling	-1.1 (-1.8, -0.5)
Posey County, Indiana	No	159.5 (140.8, 180.1)	N/A	56	falling	-1.2 (-1.7, -0.8)
Portsmouth City, Virginia	No	196.0 (184.3, 208.3)	N/A	217	falling	-1.1 (-1.4, -0.8)
Porter County, Indiana	No	163.0 (155.2, 171.1)	N/A	344	falling	-1.1 (-1.3, -0.8)
Portage County, Wisconsin	No	137.4 (126.4, 149.2)	N/A	120	falling	-1.2 (-1.6, -0.8)
Portage County, Ohio	No	165.4 (157.4, 173.7)	N/A	338	falling	-1.0 (-1.3, -0.7)
Poquoson City, Virginia	No	170.5 (143.7, 201.6)	N/A	29	falling	-2.3 (-3.7, -1.0)
Pope County, Minnesota	No	129.4 (105.7, 157.7)	N/A	24	falling	-1.2 (-1.9, -0.4)
Pope County, Illinois	No	156.8 (117.2, 210.3)	N/A	12	stable	-1.1 (-2.5, 0.4)
Pope County, Arkansas	No	165.3 (152.6, 178.9)	N/A	127	falling	-3.6 (-6.3, -0.8)
Pontotoc County, Oklahoma	No	172.7 (156.2, 190.6)	N/A	83	falling	-0.6 (-1.1, -0.2)
Pontotoc County, Mississippi	No	179.8 (160.9, 200.4)	N/A	68	falling	-0.8 (-1.4, -0.1)
Pondera County, Montana	No	157.0 (122.4, 199.9)	N/A	15	falling	-1.2 (-2.1, -0.2)
Polk County, Wisconsin	No	162.3 (148.6, 177.1)	N/A	109	falling	-1.0 (-1.4, -0.6)
Polk County, Texas	No	236.3 (218.2, 255.6)	N/A	148	stable	-0.2 (-0.7, 0.4)
Polk County, Tennessee	No	205.5 (180.9, 232.9)	N/A	53	falling	-0.9 (-1.6, -0.1)
Polk County, Oregon	No	149.6 (139.3, 160.5)	N/A	164	falling	-0.6 (-1.0, -0.3)
Polk County, North Carolina	No	124.6 (108.9, 142.7)	N/A	55	falling	-1.5 (-2.0, -1.0)
Polk County, Nebraska	No	123.9 (91.4, 166.3)	N/A	11	stable	-0.3 (-1.4, 0.9)
Polk County, Missouri	No	153.9 (137.4, 172.0)	N/A	66	falling	-1.4 (-2.0, -0.8)
Polk County, Minnesota	No	176.2 (158.5, 195.5)	N/A	78	stable	0.3 (-11.5, 13.8)
Polk County, Iowa	No	158.4 (153.4, 163.5)	N/A	792	falling	-2.0 (-2.9, -1.2)
Polk County, Georgia	No	198.5 (181.3, 216.8)	N/A	102	falling	-0.8 (-1.3, -0.4)
Polk County, Florida	No	146.0 (142.6, 149.4)	N/A	1,485	falling	-1.6 (-1.8, -1.4)
Polk County, Arkansas	No	187.9 (166.8, 211.4)	N/A	61	falling	-0.8 (-1.3, -0.2)
Pointe Coupee Parish, Louisiana	No	154.5 (135.6, 175.6)	N/A	52	falling	-1.6 (-2.3, -1.0)
Poinsett County, Arkansas	No	207.0 (185.0, 231.1)	N/A	66	falling	-0.6 (-1.0, -0.1)
Pocahontas County, West Virginia	No	171.4 (140.9, 208.0)	N/A	25	stable	-0.9 (-1.8, 0.0)
Pocahontas County, Iowa	No	172.1 (139.5, 211.7)	N/A	21	stable	-0.9 (-1.9, 0.0)
Plymouth County, Massachusetts	No	152.5 (148.4, 156.7)	N/A	1,088	falling	-2.2 (-2.5, -1.9)
Plymouth County, Iowa	No	140.5 (123.3, 159.6)	N/A	51	falling	-1.1 (-1.7, -0.5)
Plumas County, California	No	149.1 (130.3, 170.6)	N/A	53	falling	-1.8 (-2.2, -1.3)
Pleasants County, West Virginia	No	206.7 (169.2, 251.1)	N/A	22	stable	-0.1 (-1.2, 0.9)
Platte County, Wyoming	No	136.8 (111.9, 167.2)	N/A	22	falling	-1.7 (-2.5, -1.0)
Platte County, Nebraska	No	149.7 (133.4, 167.6)	N/A	65	stable	0.8 (-1.4, 3.0)
Platte County, Missouri	No	136.3 (126.8, 146.4)	N/A	158	falling	-1.8 (-2.1, -1.5)
Plaquemines Parish, Louisiana	No	173.6 (151.2, 198.5)	N/A	44	falling	-1.6 (-2.4, -0.7)
Placer County, California	No	130.2 (126.0, 134.6)	N/A	745	falling	-1.7 (-2.0, -1.5)
Piute County, Utah	No	158.3 (85.7, 274.7)	N/A	4	*	*
Pittsylvania County, Virginia	No	159.5 (148.1, 171.6)	N/A	158	falling	-1.0 (-1.4, -0.6)
Pittsburg County, Oklahoma	No	193.4 (178.0, 209.8)	N/A	123	falling	-0.5 (-0.9, -0.1)
Pitt County, North Carolina	No	146.2 (138.3, 154.4)	N/A	270	falling	-1.8 (-2.1, -1.5)
Pitkin County, Colorado	Yes	67.1 (52.9, 84.5)	N/A	17	falling	-2.7 (-4.0, -1.5)
Piscataquis County, Maine	No	200.0 (177.7, 225.1)	N/A	63	falling	-0.9 (-1.3, -0.4)
Pipestone County, Minnesota	No	150.3 (123.1, 182.7)	N/A	23	stable	-0.6 (-1.5, 0.3)
Pinellas County, Florida	No	143.4 (140.8, 146.1)	N/A	2,519	falling	-1.6 (-1.9, -1.4)
Pine County, Minnesota	No	153.7 (137.9, 171.2)	N/A	71	falling	-1.0 (-1.6, -0.5)
Pinal County, Arizona	Yes	117.4 (113.5, 121.4)	N/A	736	falling	-1.9 (-2.2, -1.5)
Pima County, Arizona	No	134.3 (131.6, 137.1)	N/A	1,985	falling	-1.5 (-1.6, -1.3)
Pike County, Pennsylvania	No	138.4 (127.6, 150.2)	N/A	128	falling	-1.6 (-2.2, -1.1)
Pike County, Ohio	No	193.0 (173.6, 214.1)	N/A	75	stable	-0.3 (-0.9, 0.3)
Pike County, Missouri	No	176.3 (153.3, 202.1)	N/A	43	falling	-0.5 (-0.9, -0.1)
Pike County, Mississippi	No	175.6 (159.3, 193.2)	N/A	89	falling	-0.7 (-1.3, -0.1)
Pike County, Kentucky	No	215.0 (200.6, 230.2)	N/A	176	falling	-0.4 (-0.7, -0.1)
Pike County, Indiana	No	190.9 (163.0, 222.8)	N/A	35	stable	-0.4 (-1.1, 0.4)
Pike County, Illinois	No	191.4 (167.2, 218.7)	N/A	48	stable	-0.2 (-0.9, 0.4)
Pike County, Georgia	No	185.3 (160.7, 212.7)	N/A	42	stable	-0.8 (-1.6, 0.0)
Pike County, Arkansas	No	170.2 (142.6, 202.3)	N/A	28	stable	-0.5 (-1.5, 0.5)
Pike County, Alabama	No	181.6 (162.1, 202.9)	N/A	67	falling	-1.1 (-1.6, -0.6)
Pierce County, Wisconsin	No	146.2 (130.8, 162.9)	N/A	69	falling	-1.1 (-1.7, -0.6)
Pierce County, Washington	No	154.9 (151.3, 158.5)	N/A	1,474	falling	-1.8 (-2.1, -1.5)
Pierce County, North Dakota	Yes	120.4 (87.8, 164.8)	N/A	10	falling	-2.0 (-3.3, -0.8)
Pierce County, Nebraska	No	138.7 (107.7, 176.9)	N/A	14	stable	-0.6 (-1.5, 0.3)
Pierce County, Georgia	No	180.8 (157.1, 207.1)	N/A	44	stable	-0.6 (-1.1, 0.0)
Pickett County, Tennessee	No	159.9 (123.3, 206.6)	N/A	15	stable	-0.6 (-1.6, 0.5)
Pickens County, South Carolina	No	163.6 (154.5, 173.2)	N/A	253	falling	-0.9 (-1.1, -0.6)
Pickens County, Georgia	No	159.6 (143.3, 177.5)	N/A	77	falling	-0.9 (-1.5, -0.3)
Pickens County, Alabama	No	144.4 (125.2, 166.0)	N/A	42	falling	-3.5 (-5.0, -2.0)
Pickaway County, Ohio	No	195.2 (180.7, 210.7)	N/A	138	falling	-0.7 (-1.0, -0.4)
Piatt County, Illinois	No	157.9 (135.5, 183.3)	N/A	38	falling	-1.3 (-2.0, -0.6)
Phillips County, Montana	No	146.3 (107.8, 197.2)	N/A	10	falling	-2.0 (-3.1, -0.8)
Phillips County, Kansas	No	154.6 (118.2, 200.5)	N/A	14	stable	-1.0 (-1.9, 0.0)
Phillips County, Colorado	Yes	119.4 (83.9, 167.0)	N/A	9	falling	-1.3 (-2.5, -0.1)
Phillips County, Arkansas	No	191.6 (167.5, 218.5)	N/A	48	falling	-1.4 (-1.9, -0.8)
Philadelphia County, Pennsylvania	No	175.2 (172.4, 178.1)	N/A	3,005	falling	-2.2 (-2.5, -1.9)
Phelps County, Nebraska	No	157.9 (129.1, 192.1)	N/A	23	stable	-0.1 (-1.1, 1.0)
Phelps County, Missouri	No	172.3 (156.7, 189.1)	N/A	94	falling	-1.1 (-1.7, -0.5)
Pettis County, Missouri	No	190.1 (173.7, 207.6)	N/A	104	falling	-0.6 (-1.0, -0.2)
Petersburg City, Virginia	No	262.5 (239.3, 287.4)	N/A	103	falling	-0.9 (-1.4, -0.4)
Person County, North Carolina	No	170.0 (154.9, 186.3)	N/A	99	falling	-0.9 (-1.5, -0.2)
Pershing County, Nevada	Yes	105.7 (76.5, 143.5)	N/A	9	falling	-2.7 (-4.0, -1.4)
Perry County, Tennessee	No	211.7 (175.7, 253.8)	N/A	26	stable	-0.3 (-1.4, 0.8)
Perry County, Pennsylvania	No	175.1 (160.3, 191.0)	N/A	110	falling	-0.7 (-1.1, -0.4)
Perry County, Ohio	No	180.5 (163.2, 199.4)	N/A	83	falling	-0.9 (-1.5, -0.3)
Perry County, Missouri	No	155.8 (135.0, 179.2)	N/A	42	stable	-0.8 (-1.6, 0.0)
Perry County, Mississippi	No	181.5 (152.7, 214.7)	N/A	30	stable	-0.3 (-1.2, 0.6)
Perry County, Kentucky	No	267.4 (242.8, 293.9)	N/A	92	stable	0.0 (-0.6, 0.5)
Perry County, Indiana	No	172.0 (150.2, 196.5)	N/A	46	stable	-0.6 (-1.3, 0.2)
Perry County, Illinois	No	162.5 (141.9, 185.6)	N/A	47	falling	-1.0 (-1.6, -0.4)
Perry County, Arkansas	No	172.3 (143.6, 205.9)	N/A	27	stable	-0.3 (-1.0, 0.5)
Perry County, Alabama	No	176.5 (143.7, 215.2)	N/A	22	stable	-0.4 (-1.4, 0.6)
Perquimans County, North Carolina	No	152.8 (130.9, 178.3)	N/A	39	falling	-1.5 (-2.1, -1.0)
Perkins County, South Dakota	No	159.4 (114.3, 221.5)	N/A	9	stable	0.6 (-1.0, 2.2)
Perkins County, Nebraska	No	160.4 (112.0, 226.5)	N/A	8	falling	-1.4 (-2.7, -0.1)
Pepin County, Wisconsin	No	137.2 (108.1, 173.1)	N/A	16	stable	-1.1 (-2.3, 0.0)
Peoria County, Illinois	No	170.1 (162.5, 178.0)	N/A	393	falling	-0.9 (-1.2, -0.7)
Penobscot County, Maine	No	175.1 (167.0, 183.5)	N/A	372	falling	-1.2 (-1.4, -1.0)
Pennington County, South Dakota	No	150.9 (141.7, 160.5)	N/A	219	falling	-1.3 (-1.6, -0.9)
Pennington County, Minnesota	No	142.7 (119.5, 169.5)	N/A	28	falling	-1.1 (-1.8, -0.3)
Pendleton County, West Virginia	No	139.2 (112.5, 172.7)	N/A	20	falling	-1.2 (-2.2, -0.1)
Pendleton County, Kentucky	No	200.0 (171.2, 232.5)	N/A	37	falling	-0.8 (-1.4, -0.2)
Pender County, North Carolina	No	159.4 (147.2, 172.5)	N/A	132	falling	-1.1 (-1.6, -0.7)
Pend Oreille County, Washington	No	160.1 (136.5, 187.4)	N/A	38	falling	-1.3 (-2.1, -0.4)
Pemiscot County, Missouri	No	237.0 (208.1, 269.1)	N/A	51	stable	-0.1 (-0.6, 0.4)
Pembina County, North Dakota	No	143.4 (115.1, 178.5)	N/A	19	falling	-1.9 (-2.8, -1.0)
Pecos County, Texas	No	127.9 (104.3, 155.4)	N/A	21	falling	-2.7 (-3.8, -1.6)
Pearl River County, Mississippi	No	195.3 (180.9, 210.6)	N/A	146	falling	-0.8 (-1.1, -0.5)
Peach County, Georgia	No	195.6 (174.4, 218.8)	N/A	65	falling	-1.1 (-1.7, -0.6)
Payne County, Oklahoma	No	165.1 (152.3, 178.8)	N/A	127	falling	-0.6 (-1.0, -0.3)
Payette County, Idaho	No	165.3 (145.5, 187.2)	N/A	52	falling	-0.9 (-1.4, -0.4)
Pawnee County, Oklahoma	No	182.6 (158.3, 210.0)	N/A	42	stable	-0.3 (-0.9, 0.3)
Pawnee County, Nebraska	No	144.2 (89.2, 223.0)	N/A	7	stable	-0.1 (-1.4, 1.3)
Pawnee County, Kansas	No	159.6 (126.4, 200.6)	N/A	17	stable	-0.4 (-1.4, 0.5)
Paulding County, Ohio	No	186.4 (162.9, 212.6)	N/A	47	falling	-0.8 (-1.3, -0.3)
Paulding County, Georgia	No	150.3 (141.1, 159.9)	N/A	222	falling	-1.7 (-2.1, -1.3)
Patrick County, Virginia	No	173.3 (152.6, 196.7)	N/A	56	stable	-0.5 (-1.1, 0.1)
Passaic County, New Jersey	No	134.5 (130.3, 138.9)	N/A	780	falling	-2.2 (-2.4, -2.0)
Pasquotank County, North Carolina	No	176.8 (160.5, 194.4)	N/A	91	falling	-1.1 (-1.5, -0.7)
Pasco County, Florida	No	161.6 (157.7, 165.5)	N/A	1,401	falling	-1.1 (-1.2, -1.0)
Parmer County, Texas	No	131.9 (102.3, 167.6)	N/A	14	stable	-0.9 (-2.2, 0.4)
Parker County, Texas	No	164.2 (155.3, 173.5)	N/A	269	falling	-1.1 (-1.4, -0.8)
Parke County, Indiana	No	163.1 (140.4, 188.8)	N/A	39	falling	-1.2 (-1.9, -0.5)
Park County, Wyoming	No	122.9 (108.3, 139.0)	N/A	58	falling	-1.6 (-2.1, -1.1)
Park County, Montana	No	152.6 (131.6, 176.6)	N/A	40	stable	0.7 (-1.1, 2.6)
Park County, Colorado	Yes	87.5 (70.1, 108.6)	N/A	24	falling	-1.7 (-3.2, -0.2)
Panola County, Texas	No	184.0 (163.5, 206.7)	N/A	61	falling	-1.1 (-1.7, -0.5)
Panola County, Mississippi	No	196.9 (177.9, 217.4)	N/A	83	falling	-0.7 (-1.3, -0.2)
Pamlico County, North Carolina	No	148.2 (125.6, 175.0)	N/A	37	falling	-1.9 (-2.5, -1.2)
Palo Pinto County, Texas	No	172.8 (154.9, 192.4)	N/A	72	falling	-1.3 (-1.8, -0.8)
Palo Alto County, Iowa	No	195.8 (163.8, 233.3)	N/A	30	stable	-0.7 (-1.4, 0.1)
Palm Beach County, Florida	Yes	122.6 (120.6, 124.6)	N/A	3,262	falling	-3.3 (-4.6, -2.0)
Page County, Virginia	No	180.8 (161.7, 201.8)	N/A	68	stable	-0.3 (-0.9, 0.3)
Page County, Iowa	No	137.0 (117.2, 160.0)	N/A	36	stable	-0.7 (-1.5, 0.0)
Pacific County, Washington	No	168.2 (150.8, 187.8)	N/A	78	falling	-0.9 (-1.5, -0.2)
Ozaukee County, Wisconsin	No	135.0 (126.2, 144.4)	N/A	181	falling	-1.5 (-1.8, -1.1)
Ozark County, Missouri	No	167.6 (139.9, 200.8)	N/A	30	falling	-1.3 (-2.0, -0.6)
Oxford County, Maine	No	170.8 (158.5, 183.8)	N/A	157	falling	-1.2 (-1.4, -0.9)
Owyhee County, Idaho	No	152.9 (125.2, 185.2)	N/A	23	stable	-0.2 (-1.4, 0.9)
Owsley County, Kentucky	No	231.3 (180.1, 294.0)	N/A	15	stable	0.0 (-1.0, 0.9)
Owen County, Kentucky	No	156.0 (128.1, 188.7)	N/A	23	falling	-1.4 (-2.3, -0.5)
Owen County, Indiana	No	188.9 (166.6, 213.7)	N/A	56	falling	-1.7 (-3.2, -0.1)
Overton County, Tennessee	No	241.8 (217.7, 268.1)	N/A	78	stable	-0.1 (-0.6, 0.5)
Outagamie County, Wisconsin	No	143.5 (136.3, 150.9)	N/A	312	falling	-1.4 (-1.7, -1.1)
Ouray County, Colorado	Yes	80.1 (53.9, 119.0)	N/A	7	falling	-3.1 (-5.0, -1.1)
Ouachita Parish, Louisiana	No	188.5 (179.4, 197.9)	N/A	336	falling	-0.9 (-1.2, -0.7)
Ouachita County, Arkansas	No	197.3 (176.5, 220.1)	N/A	70	stable	-0.4 (-1.0, 0.2)
Otter Tail County, Minnesota	No	137.0 (126.5, 148.2)	N/A	141	falling	-1.1 (-1.5, -0.6)
Ottawa County, Oklahoma	No	213.5 (193.9, 234.8)	N/A	90	falling	-0.7 (-1.0, -0.3)
Ottawa County, Ohio	No	180.8 (166.3, 196.4)	N/A	129	falling	-0.5 (-0.9, -0.1)
Ottawa County, Michigan	No	135.5 (129.9, 141.3)	N/A	449	falling	-1.0 (-1.2, -0.8)
Ottawa County, Kansas	No	167.1 (129.3, 213.9)	N/A	14	stable	-0.7 (-1.8, 0.5)
Otsego County, New York	No	152.9 (141.2, 165.5)	N/A	139	falling	-1.1 (-1.6, -0.7)
Otsego County, Michigan	No	160.8 (142.4, 181.1)	N/A	59	falling	-0.8 (-1.4, -0.2)
Otoe County, Nebraska	No	145.3 (124.1, 169.6)	N/A	36	falling	-1.1 (-1.7, -0.4)
Otero County, New Mexico	No	154.5 (142.8, 166.9)	N/A	134	falling	-0.5 (-0.9, -0.1)
Otero County, Colorado	No	157.6 (136.5, 181.4)	N/A	43	stable	-0.7 (-1.4, 0.0)
Oswego County, New York	No	167.0 (157.6, 176.9)	N/A	248	falling	-1.1 (-1.4, -0.9)
Oscoda County, Michigan	No	195.8 (163.3, 234.5)	N/A	30	stable	-0.6 (-1.6, 0.4)
Osceola County, Michigan	No	180.3 (160.5, 202.2)	N/A	64	falling	-0.8 (-1.3, -0.4)
Osceola County, Iowa	No	153.0 (119.2, 195.1)	N/A	16	stable	-0.2 (-1.2, 0.8)
Osceola County, Florida	No	151.6 (145.9, 157.4)	N/A	562	stable	1.8 (-1.2, 4.9)
Osborne County, Kansas	No	159.1 (117.5, 214.7)	N/A	11	stable	-0.5 (-1.7, 0.7)
Osage County, Oklahoma	No	159.0 (145.5, 173.6)	N/A	109	falling	-0.8 (-1.1, -0.4)
Osage County, Missouri	No	145.4 (121.1, 173.5)	N/A	26	stable	-0.4 (-1.1, 0.3)
Osage County, Kansas	No	167.4 (144.2, 193.9)	N/A	39	falling	-0.8 (-1.4, -0.1)
Orleans Parish, Louisiana	No	150.3 (145.2, 155.6)	N/A	683	falling	-3.2 (-3.7, -2.7)
Orleans County, Vermont	No	161.0 (143.7, 180.1)	N/A	68	falling	-1.2 (-1.5, -0.8)
Orleans County, New York	No	182.3 (166.3, 199.5)	N/A	101	falling	-0.8 (-1.3, -0.3)
Oregon County, Missouri	No	161.1 (135.3, 191.3)	N/A	29	falling	-1.1 (-1.7, -0.5)
Orangeburg County, South Carolina	No	172.9 (162.3, 184.1)	N/A	212	falling	-1.0 (-1.2, -0.7)
Orange County, Virginia	No	166.8 (151.5, 183.4)	N/A	91	falling	-1.3 (-1.8, -0.8)
Orange County, Vermont	No	147.7 (131.5, 165.7)	N/A	65	falling	-1.3 (-1.8, -0.7)
Orange County, Texas	No	184.0 (172.3, 196.2)	N/A	191	falling	-1.3 (-1.6, -1.0)
Orange County, North Carolina	No	129.2 (121.0, 137.7)	N/A	196	falling	-2.7 (-3.3, -2.1)
Orange County, New York	No	149.6 (144.3, 155.0)	N/A	633	falling	-1.7 (-1.9, -1.6)
Orange County, Indiana	No	204.8 (181.2, 231.0)	N/A	58	stable	-0.2 (-0.7, 0.3)
Orange County, Florida	No	143.2 (140.3, 146.2)	N/A	1,893	falling	-1.7 (-1.8, -1.6)
Orange County, California	No	127.1 (125.5, 128.8)	N/A	4,707	falling	-1.6 (-1.7, -1.5)
Ontonagon County, Michigan	No	171.1 (141.0, 211.2)	N/A	25	stable	-0.6 (-1.5, 0.3)
Ontario County, New York	No	152.1 (143.6, 161.0)	N/A	252	falling	-1.5 (-1.8, -1.2)
Onslow County, North Carolina	No	203.9 (193.4, 214.8)	N/A	293	falling	-0.6 (-1.0, -0.3)
Onondaga County, New York	No	148.3 (143.9, 152.8)	N/A	901	falling	-3.0 (-3.8, -2.2)
Oneida County, Wisconsin	No	179.1 (163.9, 195.5)	N/A	115	falling	-0.7 (-1.0, -0.3)
Oneida County, New York	No	162.3 (156.0, 168.8)	N/A	528	falling	-1.1 (-1.3, -0.9)
Oneida County, Idaho	Yes	78.5 (51.1, 117.8)	N/A	5	stable	-1.1 (-2.6, 0.5)
Olmsted County, Minnesota	No	127.1 (119.9, 134.6)	N/A	242	falling	-1.8 (-2.0, -1.5)
Oldham County, Texas	No	184.2 (111.0, 288.9)	N/A	4	*	*
Oldham County, Kentucky	No	149.6 (136.4, 163.8)	N/A	102	falling	-1.5 (-2.0, -1.0)
Oktibbeha County, Mississippi	No	160.1 (143.2, 178.5)	N/A	69	falling	-1.1 (-1.6, -0.5)
Okmulgee County, Oklahoma	No	197.3 (180.3, 215.6)	N/A	104	stable	-0.4 (-0.7, 0.0)
Oklahoma County, Oklahoma	No	172.4 (168.4, 176.5)	N/A	1,455	falling	-0.9 (-1.0, -0.8)
Okfuskee County, Oklahoma	No	247.6 (213.9, 285.5)	N/A	40	stable	0.4 (-0.2, 1.0)
Okeechobee County, Florida	No	183.3 (168.0, 199.8)	N/A	110	falling	-0.9 (-1.4, -0.5)
Okanogan County, Washington	No	171.3 (156.8, 187.0)	N/A	111	falling	-0.6 (-1.0, -0.3)
Okaloosa County, Florida	No	158.0 (151.0, 165.2)	N/A	400	falling	-1.3 (-1.6, -1.0)
Ohio County, West Virginia	No	176.2 (161.4, 192.2)	N/A	116	falling	-1.3 (-1.6, -1.0)
Ohio County, Kentucky	No	197.7 (176.1, 221.5)	N/A	63	falling	-0.8 (-1.3, -0.2)
Ohio County, Indiana	No	164.2 (130.4, 206.3)	N/A	17	falling	-2.4 (-3.8, -1.1)
Oglethorpe County, Georgia	No	167.4 (143.6, 194.6)	N/A	36	stable	-0.8 (-1.7, 0.1)
Ogle County, Illinois	No	170.8 (157.4, 185.1)	N/A	125	falling	-0.9 (-1.2, -0.5)
Oglala Lakota/Shannon County, South Dakota	No	213.6 (168.5, 265.9)	N/A	18	falling	-1.6 (-2.4, -0.8)
Ogemaw County, Michigan	No	193.5 (173.5, 215.7)	N/A	75	falling	-1.3 (-1.8, -0.7)
Oconto County, Wisconsin	No	156.4 (141.8, 172.2)	N/A	90	falling	-1.0 (-1.5, -0.5)
Oconee County, South Carolina	No	155.2 (145.1, 165.9)	N/A	192	falling	-1.1 (-1.5, -0.8)
Oconee County, Georgia	Yes	116.9 (102.9, 132.4)	N/A	53	falling	-2.0 (-2.7, -1.4)
Ochiltree County, Texas	No	135.9 (103.4, 175.1)	N/A	12	falling	-1.4 (-2.5, -0.4)
Oceana County, Michigan	No	162.5 (144.9, 181.9)	N/A	66	falling	-0.9 (-1.5, -0.4)
Ocean County, New Jersey	No	157.8 (154.1, 161.4)	N/A	1,573	falling	-1.5 (-1.6, -1.3)
Obion County, Tennessee	No	176.4 (159.3, 195.1)	N/A	81	falling	-3.5 (-6.0, -1.0)
Oakland County, Michigan	No	139.2 (136.6, 141.8)	N/A	2,269	falling	-1.7 (-1.9, -1.5)
O'Brien County, Iowa	No	140.0 (118.5, 165.0)	N/A	33	stable	-0.8 (-1.6, 0.0)
Nye County, Nevada	No	193.3 (179.3, 208.2)	N/A	172	stable	-0.3 (-0.8, 0.2)
Nueces County, Texas	No	138.2 (133.0, 143.5)	N/A	563	falling	-1.8 (-1.9, -1.6)
Nuckolls County, Nebraska	No	171.2 (132.3, 221.7)	N/A	15	falling	-1.3 (-2.4, -0.2)
Noxubee County, Mississippi	No	179.3 (146.9, 216.9)	N/A	23	stable	-0.7 (-1.6, 0.3)
Nowata County, Oklahoma	No	209.1 (177.1, 246.0)	N/A	32	stable	-0.5 (-1.4, 0.4)
Nottoway County, Virginia	No	187.9 (162.8, 216.2)	N/A	41	falling	-1.0 (-1.5, -0.4)
Norton County, Kansas	Yes	120.6 (88.7, 161.9)	N/A	10	falling	-2.2 (-3.5, -0.9)
Norton City, Virginia	No	201.0 (150.7, 264.3)	N/A	11	stable	-1.2 (-2.5, 0.1)
Northwest Arctic Borough, Alaska	No	155.7 (109.4, 213.5)	N/A	8	stable	-1.6 (-3.1, 0.0)
Northumberland County, Virginia	No	136.4 (117.8, 159.2)	N/A	43	falling	-2.2 (-2.8, -1.5)
Northumberland County, Pennsylvania	No	173.2 (163.5, 183.4)	N/A	253	falling	-1.1 (-1.3, -0.8)
Northampton County, Virginia	No	179.7 (154.0, 209.5)	N/A	40	falling	-1.2 (-1.8, -0.6)
Northampton County, Pennsylvania	No	155.2 (149.9, 160.7)	N/A	684	falling	-1.1 (-1.3, -1.0)
Northampton County, North Carolina	No	146.2 (127.1, 167.8)	N/A	50	falling	-1.5 (-2.1, -0.9)
North Slope Borough, Alaska	No	221.1 (160.7, 294.2)	N/A	12	stable	-0.7 (-2.3, 1.0)
Norman County, Minnesota	No	169.1 (135.1, 210.6)	N/A	19	stable	-0.8 (-1.7, 0.1)
Norfolk County, Massachusetts	No	141.1 (137.6, 144.6)	N/A	1,323	falling	-1.9 (-2.0, -1.8)
Norfolk City, Virginia	No	188.8 (180.6, 197.3)	N/A	424	falling	-1.6 (-1.8, -1.3)
Nome Census Area, Alaska	No	246.1 (187.3, 315.8)	N/A	15	stable	0.4 (-1.0, 1.8)
Nolan County, Texas	No	201.8 (174.3, 232.8)	N/A	40	stable	-0.2 (-0.9, 0.4)
Nodaway County, Missouri	No	148.4 (127.6, 172.0)	N/A	38	falling	-0.6 (-1.1, -0.1)
Nobles County, Minnesota	No	163.4 (142.4, 186.8)	N/A	46	stable	-0.7 (-1.3, 0.0)
Noble County, Oklahoma	No	175.0 (147.3, 207.1)	N/A	29	falling	-0.9 (-1.4, -0.3)
Noble County, Ohio	No	128.0 (106.6, 153.2)	N/A	32	falling	-1.7 (-2.4, -0.9)
Noble County, Indiana	No	180.6 (165.0, 197.4)	N/A	104	falling	-0.7 (-1.1, -0.2)
Niobrara County, Wyoming	Yes	99.4 (61.1, 159.3)	N/A	4	falling	-6.1 (-9.1, -3.0)
Nicollet County, Minnesota	No	134.1 (118.6, 151.2)	N/A	56	falling	-1.2 (-1.9, -0.5)
Nicholas County, West Virginia	No	175.1 (156.1, 196.0)	N/A	67	falling	-1.1 (-1.6, -0.6)
Nicholas County, Kentucky	No	200.1 (160.9, 246.6)	N/A	19	stable	-0.4 (-1.3, 0.4)
Niagara County, New York	No	169.4 (162.7, 176.3)	N/A	518	falling	-1.0 (-1.2, -0.8)
Nez Perce County, Idaho	No	164.1 (149.6, 179.7)	N/A	100	falling	-0.7 (-1.1, -0.3)
Newton County, Texas	No	166.4 (140.9, 195.6)	N/A	34	falling	-0.9 (-1.6, -0.1)
Newton County, Missouri	No	184.8 (171.4, 199.1)	N/A	146	falling	-0.5 (-0.8, -0.2)
Newton County, Mississippi	No	168.3 (146.8, 192.3)	N/A	45	falling	-1.3 (-2.0, -0.5)
Newton County, Indiana	No	164.1 (140.0, 191.6)	N/A	35	falling	-1.4 (-2.1, -0.7)
Newton County, Georgia	No	181.8 (170.5, 193.6)	N/A	204	falling	-0.8 (-1.2, -0.4)
Newton County, Arkansas	No	162.8 (132.7, 199.3)	N/A	23	stable	-0.8 (-1.6, 0.0)
Newport News City, Virginia	No	182.6 (173.9, 191.7)	N/A	340	falling	-1.2 (-1.4, -1.0)
Newport County, Rhode Island	No	141.3 (132.1, 151.1)	N/A	189	falling	-1.8 (-2.1, -1.5)
Newberry County, South Carolina	No	177.7 (161.8, 194.9)	N/A	97	falling	-0.8 (-1.2, -0.4)
Newaygo County, Michigan	No	169.8 (155.8, 184.9)	N/A	117	falling	-1.0 (-1.5, -0.5)
New York County, New York	Yes	114.6 (112.5, 116.7)	N/A	2,373	falling	-3.3 (-3.8, -2.8)
New Madrid County, Missouri	No	207.0 (182.2, 234.7)	N/A	52	stable	-0.2 (-0.8, 0.3)
New London County, Connecticut	No	148.6 (143.0, 154.4)	N/A	555	falling	-1.7 (-2.1, -1.3)
New Kent County, Virginia	No	166.4 (144.3, 191.1)	N/A	46	falling	-1.6 (-2.3, -0.9)
New Haven County, Connecticut	No	143.1 (140.0, 146.3)	N/A	1,663	falling	-2.2 (-2.6, -1.9)
New Hanover County, North Carolina	No	144.0 (137.8, 150.3)	N/A	434	falling	-1.7 (-2.0, -1.5)
New Castle County, Delaware	No	158.8 (154.5, 163.2)	N/A	1,075	falling	-1.7 (-1.8, -1.6)
Nevada County, California	No	135.4 (127.5, 143.9)	N/A	247	falling	-1.7 (-2.0, -1.4)
Nevada County, Arkansas	No	179.4 (147.2, 217.5)	N/A	23	falling	-1.3 (-1.9, -0.6)
Ness County, Kansas	No	150.4 (101.6, 218.6)	N/A	8	stable	-0.2 (-1.6, 1.2)
Neshoba County, Mississippi	No	191.1 (170.5, 213.6)	N/A	66	stable	-0.5 (-1.0, 0.0)
Neosho County, Kansas	No	179.8 (155.5, 207.1)	N/A	42	stable	-0.3 (-0.8, 0.2)
Nemaha County, Nebraska	No	168.2 (133.1, 210.7)	N/A	17	stable	0.0 (-0.9, 1.0)
Nemaha County, Kansas	No	175.1 (145.2, 209.9)	N/A	28	stable	-0.4 (-1.2, 0.5)
Nelson County, Virginia	No	165.1 (142.7, 190.9)	N/A	44	stable	-0.6 (-1.3, 0.2)
Nelson County, North Dakota	No	159.2 (117.3, 218.2)	N/A	10	stable	-1.4 (-2.8, 0.1)
Nelson County, Kentucky	No	186.1 (169.8, 203.6)	N/A	101	falling	-1.0 (-1.5, -0.5)
Navarro County, Texas	No	177.8 (163.0, 193.7)	N/A	111	falling	-0.9 (-1.4, -0.4)
Navajo County, Arizona	No	128.6 (120.1, 137.6)	N/A	181	falling	-1.4 (-1.7, -1.0)
Natrona County, Wyoming	No	138.6 (127.9, 150.0)	N/A	132	falling	-1.7 (-2.0, -1.3)
Natchitoches Parish, Louisiana	No	193.4 (175.6, 212.6)	N/A	91	falling	-1.0 (-1.5, -0.5)
Nassau County, New York	No	124.2 (121.9, 126.5)	N/A	2,364	falling	-2.0 (-2.1, -1.9)
Nassau County, Florida	No	176.4 (166.1, 187.4)	N/A	233	falling	-1.2 (-1.5, -0.8)
Nash County, North Carolina	No	175.5 (165.1, 186.4)	N/A	225	falling	-1.0 (-1.3, -0.8)
Napa County, California	No	141.4 (134.0, 149.2)	N/A	282	falling	-1.8 (-2.1, -1.5)
Nantucket County, Massachusetts	No	129.8 (102.8, 161.8)	N/A	17	falling	-3.1 (-4.1, -2.0)
Nance County, Nebraska	No	199.6 (146.2, 268.4)	N/A	11	stable	-0.1 (-1.5, 1.2)
Nacogdoches County, Texas	No	158.0 (145.0, 171.9)	N/A	115	stable	3.7 (-5.5, 13.7)
Musselshell County, Montana	No	178.0 (138.8, 228.1)	N/A	16	stable	-1.0 (-2.1, 0.2)
Muskogee County, Oklahoma	No	202.4 (189.0, 216.6)	N/A	176	falling	-0.4 (-0.7, -0.2)
Muskingum County, Ohio	No	174.2 (163.4, 185.5)	N/A	202	falling	-3.6 (-5.5, -1.6)
Muskegon County, Michigan	No	176.2 (168.3, 184.3)	N/A	397	falling	-0.8 (-1.0, -0.5)
Muscogee County, Georgia	No	180.2 (172.0, 188.7)	N/A	375	falling	-0.9 (-1.2, -0.7)
Muscatine County, Iowa	No	165.6 (150.3, 182.1)	N/A	90	falling	-0.7 (-1.2, -0.2)
Murray County, Oklahoma	No	206.2 (178.1, 238.0)	N/A	41	falling	-0.8 (-1.6, -0.1)
Murray County, Minnesota	Yes	121.2 (97.4, 150.7)	N/A	19	stable	-1.0 (-2.0, 0.0)
Murray County, Georgia	No	193.4 (175.4, 212.7)	N/A	89	falling	-0.8 (-1.4, -0.2)
Multnomah County, Oregon	No	149.8 (146.0, 153.7)	N/A	1,250	falling	-2.3 (-2.7, -1.8)
Muhlenberg County, Kentucky	No	180.9 (163.1, 200.2)	N/A	79	falling	-0.9 (-1.4, -0.4)
Mower County, Minnesota	No	148.0 (133.8, 163.5)	N/A	85	falling	-1.1 (-1.6, -0.6)
Mountrail County, North Dakota	No	134.5 (102.1, 173.6)	N/A	13	falling	-1.8 (-3.1, -0.5)
Moultrie County, Illinois	No	173.0 (147.7, 201.7)	N/A	35	stable	-0.2 (-0.9, 0.5)
Motley County, Texas	No	208.6 (120.7, 347.6)	N/A	4	stable	-0.7 (-2.6, 1.2)
Morton County, North Dakota	No	154.2 (136.9, 173.1)	N/A	62	falling	-1.3 (-1.9, -0.6)
Morton County, Kansas	No	175.1 (122.4, 246.8)	N/A	7	stable	-0.2 (-1.7, 1.2)
Morrow County, Oregon	No	128.3 (102.9, 158.5)	N/A	19	falling	-1.9 (-3.0, -0.8)
Morrow County, Ohio	No	175.4 (158.4, 193.8)	N/A	82	falling	-0.9 (-1.4, -0.4)
Morrison County, Minnesota	No	154.2 (138.7, 171.1)	N/A	77	falling	-0.9 (-1.4, -0.4)
Morris County, Texas	No	194.2 (166.2, 226.3)	N/A	37	falling	-1.0 (-1.7, -0.3)
Morris County, New Jersey	No	128.9 (125.0, 132.9)	N/A	868	falling	-2.4 (-2.7, -2.1)
Morris County, Kansas	No	168.2 (130.5, 215.1)	N/A	16	stable	-0.7 (-1.7, 0.4)
Morrill County, Nebraska	Yes	106.1 (75.7, 147.1)	N/A	8	falling	-1.8 (-3.2, -0.4)
Morgan County, West Virginia	No	199.2 (175.9, 225.2)	N/A	58	stable	-0.5 (-1.0, 0.1)
Morgan County, Utah	No	132.5 (102.7, 168.1)	N/A	14	falling	-1.3 (-2.4, -0.2)
Morgan County, Tennessee	No	186.0 (163.8, 210.6)	N/A	53	falling	-0.9 (-1.5, -0.2)
Morgan County, Ohio	No	177.5 (153.2, 205.1)	N/A	41	stable	-0.7 (-1.5, 0.0)
Morgan County, Missouri	No	188.6 (167.4, 212.2)	N/A	64	falling	-0.7 (-1.3, -0.1)
Morgan County, Kentucky	No	226.0 (193.8, 262.4)	N/A	37	stable	0.5 (-0.3, 1.3)
Morgan County, Indiana	No	169.1 (157.0, 182.0)	N/A	152	falling	-0.9 (-1.3, -0.5)
Morgan County, Illinois	No	179.1 (162.3, 197.3)	N/A	90	falling	-0.6 (-1.0, -0.2)
Morgan County, Georgia	No	167.4 (145.6, 191.8)	N/A	45	falling	-0.8 (-1.6, -0.1)
Morgan County, Colorado	No	162.8 (144.2, 183.3)	N/A	58	stable	-0.5 (-1.2, 0.1)
Morgan County, Alabama	No	171.7 (162.5, 181.4)	N/A	268	falling	-0.6 (-0.9, -0.3)
Morehouse Parish, Louisiana	No	202.9 (181.5, 226.3)	N/A	70	falling	-0.7 (-1.1, -0.2)
Mora County, New Mexico	Yes	121.3 (85.0, 170.3)	N/A	10	stable	-0.9 (-2.5, 0.7)
Moore County, Texas	No	133.8 (111.6, 159.0)	N/A	26	falling	-1.3 (-2.0, -0.6)
Moore County, Tennessee	No	132.8 (101.3, 172.5)	N/A	13	falling	-1.7 (-3.0, -0.5)
Moore County, North Carolina	No	143.8 (135.4, 152.5)	N/A	245	falling	-1.4 (-1.7, -1.1)
Moody County, South Dakota	No	132.6 (99.9, 173.5)	N/A	12	stable	-0.1 (-1.1, 0.9)
Montrose County, Colorado	No	133.3 (120.9, 146.9)	N/A	93	falling	-1.2 (-1.7, -0.7)
Montour County, Pennsylvania	No	154.0 (133.7, 176.9)	N/A	45	falling	-1.0 (-1.7, -0.2)
Montmorency County, Michigan	No	208.6 (175.4, 247.8)	N/A	38	stable	-0.7 (-1.5, 0.2)
Montgomery County, Virginia	No	130.5 (120.3, 141.3)	N/A	125	falling	-1.7 (-2.1, -1.4)
Montgomery County, Texas	No	143.4 (139.1, 147.9)	N/A	873	falling	-1.9 (-2.2, -1.6)
Montgomery County, Tennessee	No	185.2 (175.5, 195.3)	N/A	292	falling	-0.9 (-1.3, -0.6)
Montgomery County, Pennsylvania	No	142.3 (139.2, 145.5)	N/A	1,641	falling	-1.7 (-1.9, -1.5)
Montgomery County, Ohio	No	171.5 (167.2, 176.0)	N/A	1,237	falling	-1.2 (-1.3, -1.0)
Montgomery County, North Carolina	No	154.0 (136.9, 172.9)	N/A	63	falling	-1.4 (-2.0, -0.9)
Montgomery County, New York	No	164.5 (150.9, 179.2)	N/A	115	falling	-1.2 (-1.6, -0.7)
Montgomery County, Missouri	No	195.2 (166.4, 228.3)	N/A	35	stable	-0.5 (-1.4, 0.3)
Montgomery County, Mississippi	No	191.7 (161.1, 227.2)	N/A	30	stable	-0.4 (-0.9, 0.2)
Montgomery County, Maryland	Yes	111.8 (109.2, 114.5)	N/A	1,435	falling	-1.9 (-2.1, -1.7)
Montgomery County, Kentucky	No	215.1 (193.3, 238.8)	N/A	74	falling	-0.7 (-1.3, -0.1)
Montgomery County, Kansas	No	166.6 (150.0, 184.6)	N/A	79	falling	-3.9 (-6.4, -1.3)
Montgomery County, Iowa	No	192.4 (161.8, 227.9)	N/A	31	stable	-0.5 (-1.2, 0.2)
Montgomery County, Indiana	No	154.7 (139.9, 170.7)	N/A	83	falling	-1.4 (-1.8, -1.0)
Montgomery County, Illinois	No	177.4 (159.8, 196.8)	N/A	78	falling	-1.2 (-1.6, -0.8)
Montgomery County, Georgia	No	190.3 (154.3, 232.5)	N/A	21	stable	-1.0 (-2.1, 0.1)
Montgomery County, Arkansas	No	174.1 (144.4, 209.5)	N/A	29	stable	-0.2 (-1.0, 0.7)
Montgomery County, Alabama	No	163.3 (156.3, 170.6)	N/A	427	falling	-1.4 (-1.7, -1.2)
Montezuma County, Colorado	No	129.6 (113.8, 147.3)	N/A	53	falling	-1.3 (-1.8, -0.8)
Monterey County, California	Yes	121.6 (117.1, 126.3)	N/A	559	falling	-1.8 (-2.0, -1.6)
Montcalm County, Michigan	No	171.1 (158.7, 184.3)	N/A	147	falling	-1.0 (-1.4, -0.6)
Montague County, Texas	No	180.3 (159.2, 203.8)	N/A	57	stable	-0.5 (-1.7, 0.6)
Monroe County, Wisconsin	No	167.1 (152.3, 182.9)	N/A	99	falling	-0.7 (-1.2, -0.2)
Monroe County, West Virginia	No	169.6 (145.9, 196.9)	N/A	39	stable	-0.6 (-1.2, 0.1)
Monroe County, Tennessee	No	202.9 (187.4, 219.4)	N/A	138	falling	-0.5 (-1.0, -0.1)
Monroe County, Pennsylvania	No	157.0 (149.5, 164.7)	N/A	353	falling	-2.0 (-2.5, -1.5)
Monroe County, Ohio	No	158.2 (135.6, 184.3)	N/A	37	stable	-0.6 (-1.3, 0.1)
Monroe County, New York	No	151.2 (147.7, 154.8)	N/A	1,489	falling	-1.4 (-1.6, -1.3)
Monroe County, Missouri	No	177.9 (147.5, 213.8)	N/A	26	falling	-1.1 (-2.1, -0.2)
Monroe County, Mississippi	No	178.8 (162.2, 196.7)	N/A	91	falling	-0.7 (-1.2, -0.1)
Monroe County, Michigan	No	169.7 (161.6, 178.1)	N/A	347	falling	-1.1 (-1.3, -0.9)
Monroe County, Kentucky	No	226.5 (192.9, 264.9)	N/A	34	stable	0.0 (-0.8, 0.8)
Monroe County, Iowa	No	187.6 (153.2, 228.5)	N/A	22	stable	0.2 (-0.7, 1.1)
Monroe County, Indiana	No	137.8 (129.3, 146.8)	N/A	202	falling	-4.9 (-8.4, -1.2)
Monroe County, Illinois	No	125.5 (111.3, 141.2)	N/A	60	falling	-1.8 (-2.2, -1.3)
Monroe County, Georgia	No	150.9 (133.6, 170.0)	N/A	58	falling	-1.5 (-2.2, -0.9)
Monroe County, Florida	No	140.0 (130.5, 150.1)	N/A	173	falling	-1.7 (-2.0, -1.3)
Monroe County, Arkansas	No	249.1 (207.6, 297.8)	N/A	28	stable	-0.5 (-1.3, 0.3)
Monroe County, Alabama	No	159.2 (139.5, 181.3)	N/A	50	falling	-1.0 (-1.6, -0.4)
Monongalia County, West Virginia	No	141.6 (131.2, 152.6)	N/A	145	falling	-1.6 (-2.0, -1.1)
Monona County, Iowa	No	163.3 (134.5, 197.7)	N/A	26	falling	-1.3 (-2.1, -0.4)
Mono County, California	Yes	57.1 (42.3, 75.8)	N/A	11	falling	-3.2 (-4.5, -1.8)
Monmouth County, New Jersey	No	139.8 (136.2, 143.5)	N/A	1,200	stable	-0.8 (-3.5, 2.1)
Moniteau County, Missouri	No	147.1 (123.9, 173.7)	N/A	29	falling	-1.0 (-1.9, -0.2)
Mohave County, Arizona	No	177.5 (171.4, 183.8)	N/A	761	falling	-1.0 (-1.2, -0.8)
Moffat County, Colorado	No	148.9 (121.9, 180.3)	N/A	23	stable	-0.6 (-1.6, 0.3)
Modoc County, California	Yes	121.6 (97.3, 151.5)	N/A	20	falling	-1.5 (-2.4, -0.7)
Mobile County, Alabama	No	173.8 (168.6, 179.1)	N/A	889	falling	-1.6 (-1.8, -1.4)
Mitchell County, Texas	No	199.1 (160.0, 245.0)	N/A	18	stable	-0.6 (-1.6, 0.5)
Mitchell County, North Carolina	No	166.6 (143.9, 192.6)	N/A	43	falling	-1.0 (-1.5, -0.6)
Mitchell County, Kansas	No	135.4 (103.0, 176.2)	N/A	14	stable	-0.6 (-1.6, 0.4)
Mitchell County, Iowa	No	147.0 (122.1, 176.3)	N/A	27	falling	-1.2 (-1.9, -0.5)
Mitchell County, Georgia	No	174.2 (153.0, 197.6)	N/A	51	falling	-1.2 (-1.8, -0.6)
Missoula County, Montana	No	137.6 (128.6, 147.1)	N/A	184	falling	-1.2 (-1.6, -0.9)
Mississippi County, Missouri	No	209.4 (180.3, 242.2)	N/A	38	stable	-0.6 (-1.4, 0.3)
Mississippi County, Arkansas	No	212.9 (194.4, 232.7)	N/A	102	falling	-0.5 (-1.0, -0.1)
Missaukee County, Michigan	No	149.8 (127.6, 175.2)	N/A	35	stable	-0.6 (-1.4, 0.2)
Minnehaha County, South Dakota	No	174.4 (165.9, 183.2)	N/A	339	falling	-0.7 (-0.9, -0.4)
Minidoka County, Idaho	No	142.5 (121.8, 165.8)	N/A	35	falling	-1.3 (-2.0, -0.7)
Mingo County, West Virginia	No	208.0 (185.7, 232.4)	N/A	69	falling	-0.8 (-1.2, -0.3)
Mineral County, West Virginia	No	174.6 (156.4, 194.6)	N/A	71	falling	-0.8 (-1.4, -0.3)
Mineral County, Nevada	No	171.8 (132.5, 222.1)	N/A	14	stable	-0.8 (-1.9, 0.3)
Mineral County, Montana	No	176.3 (136.5, 228.0)	N/A	15	stable	-0.5 (-1.9, 0.9)
Miner County, South Dakota	No	210.4 (144.6, 300.6)	N/A	7	stable	0.3 (-1.1, 1.7)
Milwaukee County, Wisconsin	No	169.3 (165.7, 173.0)	N/A	1,741	falling	-1.1 (-1.2, -1.0)
Mills County, Texas	No	169.2 (130.8, 218.3)	N/A	15	stable	-0.8 (-2.3, 0.6)
Mills County, Iowa	No	166.6 (141.7, 195.0)	N/A	34	stable	-0.8 (-1.6, 0.0)
Miller County, Missouri	No	155.2 (137.1, 175.3)	N/A	55	falling	-5.5 (-9.4, -1.5)
Miller County, Georgia	No	168.0 (129.9, 215.1)	N/A	14	stable	-0.2 (-1.2, 0.8)
Miller County, Arkansas	No	191.5 (175.1, 209.1)	N/A	104	falling	-0.6 (-1.0, -0.2)
Mille Lacs County, Minnesota	No	183.7 (163.8, 205.5)	N/A	65	stable	-0.5 (-1.1, 0.1)
Millard County, Utah	Yes	112.6 (90.5, 139.0)	N/A	19	stable	-0.8 (-2.0, 0.4)
Milam County, Texas	No	160.2 (142.2, 180.2)	N/A	60	stable	-0.6 (-1.2, 0.0)
Mifflin County, Pennsylvania	No	170.6 (157.4, 184.8)	N/A	128	falling	-0.5 (-0.9, -0.1)
Midland County, Texas	No	144.6 (135.8, 153.7)	N/A	216	falling	-1.2 (-1.5, -0.9)
Midland County, Michigan	No	148.1 (138.2, 158.6)	N/A	174	stable	2.6 (-0.1, 5.4)
Middlesex County, Virginia	No	158.6 (136.0, 185.6)	N/A	38	falling	-1.3 (-2.0, -0.7)
Middlesex County, New Jersey	No	131.1 (127.9, 134.4)	N/A	1,294	falling	-2.0 (-2.2, -1.8)
Middlesex County, Massachusetts	No	135.5 (133.2, 137.9)	N/A	2,621	falling	-2.2 (-2.4, -2.1)
Middlesex County, Connecticut	No	134.8 (128.3, 141.7)	N/A	342	falling	-1.6 (-1.8, -1.4)
Miami-Dade County, Florida	No	126.3 (124.6, 128.0)	N/A	4,385	falling	-1.7 (-1.8, -1.6)
Miami County, Ohio	No	163.5 (154.2, 173.2)	N/A	241	falling	-1.0 (-1.2, -0.8)
Miami County, Kansas	No	129.6 (114.9, 145.8)	N/A	58	falling	-1.5 (-2.1, -0.8)
Miami County, Indiana	No	174.7 (158.0, 192.9)	N/A	82	falling	-0.8 (-1.3, -0.4)
Metcalfe County, Kentucky	No	205.9 (174.1, 242.7)	N/A	31	stable	0.1 (-0.9, 1.0)
Mesa County, Colorado	No	136.5 (129.4, 143.8)	N/A	295	falling	-1.5 (-1.8, -1.3)
Merrimack County, New Hampshire	No	151.8 (144.2, 159.9)	N/A	312	falling	-4.7 (-9.2, -0.1)
Merrick County, Nebraska	No	158.0 (127.0, 195.2)	N/A	19	stable	-0.5 (-1.4, 0.5)
Meriwether County, Georgia	No	170.4 (150.0, 193.2)	N/A	53	falling	-1.1 (-1.6, -0.5)
Mercer County, West Virginia	No	195.2 (182.0, 209.3)	N/A	177	falling	-0.5 (-0.8, -0.2)
Mercer County, Pennsylvania	No	168.4 (159.7, 177.5)	N/A	303	falling	-0.8 (-1.0, -0.5)
Mercer County, Ohio	No	155.3 (140.5, 171.4)	N/A	86	falling	-0.7 (-1.2, -0.3)
Mercer County, North Dakota	No	158.2 (126.8, 195.8)	N/A	19	stable	-0.5 (-1.4, 0.4)
Mercer County, New Jersey	No	142.0 (137.0, 147.1)	N/A	640	falling	-1.8 (-2.0, -1.6)
Mercer County, Missouri	No	196.9 (146.4, 261.7)	N/A	11	stable	1.0 (-0.3, 2.3)
Mercer County, Kentucky	No	190.4 (168.8, 214.3)	N/A	59	falling	-0.8 (-1.4, -0.1)
Mercer County, Illinois	No	186.3 (162.8, 212.9)	N/A	47	stable	-0.3 (-1.0, 0.4)
Merced County, California	No	154.3 (147.3, 161.5)	N/A	377	falling	-1.2 (-1.5, -1.0)
Menominee County, Wisconsin	No	153.9 (108.9, 212.1)	N/A	8	falling	-3.5 (-4.8, -2.1)
Menominee County, Michigan	No	160.9 (143.5, 180.5)	N/A	67	stable	-0.6 (-1.2, 0.0)
Menifee County, Kentucky	No	217.0 (176.5, 265.2)	N/A	21	stable	-0.8 (-2.0, 0.4)
Mendocino County, California	No	147.4 (137.9, 157.4)	N/A	196	falling	-1.5 (-1.8, -1.3)
Menard County, Texas	No	151.4 (101.9, 226.8)	N/A	7	falling	-1.7 (-3.3, -0.1)
Menard County, Illinois	No	155.5 (129.7, 185.5)	N/A	28	falling	-1.1 (-1.9, -0.2)
Mellette County, South Dakota	No	265.8 (177.8, 383.4)	N/A	6	stable	0.6 (-1.0, 2.2)
Meigs County, Tennessee	No	215.8 (185.0, 250.8)	N/A	38	stable	0.5 (-0.5, 1.4)
Meigs County, Ohio	No	192.1 (171.2, 215.2)	N/A	65	falling	-1.1 (-1.7, -0.6)
Meeker County, Minnesota	No	156.0 (137.8, 176.4)	N/A	56	falling	-0.9 (-1.4, -0.4)
Medina County, Texas	No	136.7 (124.0, 150.5)	N/A	88	falling	-1.2 (-1.6, -0.7)
Medina County, Ohio	No	142.9 (136.1, 150.0)	N/A	345	falling	-1.4 (-1.6, -1.2)
Mecosta County, Michigan	No	177.7 (161.8, 194.8)	N/A	101	falling	-0.6 (-1.0, -0.2)
Mecklenburg County, Virginia	No	174.3 (158.6, 191.5)	N/A	98	falling	-1.0 (-1.5, -0.6)
Mecklenburg County, North Carolina	No	134.3 (131.0, 137.6)	N/A	1,333	falling	-2.5 (-3.0, -2.0)
Meagher County, Montana	No	138.9 (88.0, 219.2)	N/A	5	stable	-1.4 (-3.1, 0.4)
Meade County, South Dakota	No	171.1 (151.1, 193.2)	N/A	56	falling	-1.0 (-1.8, -0.2)
Meade County, Kentucky	No	200.0 (178.2, 223.8)	N/A	65	falling	-0.8 (-1.4, -0.3)
Meade County, Kansas	No	148.9 (108.2, 202.0)	N/A	10	stable	-0.5 (-1.8, 0.8)
McPherson County, South Dakota	No	139.5 (91.4, 210.0)	N/A	7	stable	-0.8 (-2.3, 0.7)
McPherson County, Kansas	No	154.6 (138.1, 172.7)	N/A	71	stable	-0.1 (-0.6, 0.4)
McNairy County, Tennessee	No	203.0 (182.9, 225.1)	N/A	78	stable	-0.3 (-0.8, 0.2)
McMinn County, Tennessee	No	182.5 (169.1, 196.8)	N/A	143	falling	-0.9 (-1.4, -0.5)
McLeod County, Minnesota	No	135.9 (121.9, 151.3)	N/A	71	falling	-0.8 (-1.4, -0.2)
McLennan County, Texas	No	155.2 (148.7, 162.0)	N/A	439	stable	0.8 (-2.6, 4.4)
McLean County, North Dakota	No	142.9 (116.1, 175.0)	N/A	22	falling	-1.5 (-2.3, -0.6)
McLean County, Kentucky	No	196.0 (163.4, 234.0)	N/A	26	falling	-0.9 (-1.7, -0.2)
McLean County, Illinois	No	149.0 (140.9, 157.4)	N/A	263	falling	-1.2 (-1.4, -1.0)
McKinley County, New Mexico	No	145.4 (132.7, 159.0)	N/A	100	falling	-0.7 (-1.2, -0.2)
McKenzie County, North Dakota	Yes	116.4 (87.1, 151.7)	N/A	11	falling	-2.3 (-3.3, -1.3)
McKean County, Pennsylvania	No	165.0 (150.4, 180.8)	N/A	100	falling	-1.2 (-1.7, -0.8)
McIntosh County, Oklahoma	No	187.3 (166.8, 210.2)	N/A	66	stable	-0.5 (-1.2, 0.1)
McIntosh County, North Dakota	No	139.8 (91.6, 210.9)	N/A	9	falling	-2.3 (-3.7, -1.0)
McIntosh County, Georgia	No	129.4 (109.1, 153.3)	N/A	33	falling	-2.7 (-3.3, -2.1)
McHenry County, North Dakota	No	161.2 (123.8, 207.7)	N/A	14	stable	-0.7 (-1.8, 0.3)
McHenry County, Illinois	No	154.9 (149.0, 161.0)	N/A	541	falling	-2.1 (-2.5, -1.8)
McDuffie County, Georgia	No	188.5 (165.8, 213.6)	N/A	53	falling	-2.2 (-3.2, -1.1)
McDowell County, West Virginia	No	223.3 (198.8, 250.5)	N/A	65	stable	-0.5 (-1.0, 0.0)
McDowell County, North Carolina	No	178.2 (163.9, 193.6)	N/A	121	stable	-0.2 (-0.6, 0.3)
McDonough County, Illinois	No	161.4 (143.2, 181.5)	N/A	62	falling	-1.0 (-1.5, -0.5)
McDonald County, Missouri	No	207.7 (183.6, 234.2)	N/A	56	stable	-0.4 (-1.1, 0.3)
McCurtain County, Oklahoma	No	200.8 (181.9, 221.3)	N/A	87	falling	-0.7 (-1.1, -0.3)
McCulloch County, Texas	No	194.4 (160.4, 234.4)	N/A	25	stable	-0.8 (-1.6, 0.0)
McCreary County, Kentucky	No	222.7 (194.2, 254.4)	N/A	46	falling	-1.0 (-1.8, -0.2)
McCracken County, Kentucky	No	165.5 (153.9, 177.8)	N/A	160	falling	-1.1 (-1.4, -0.9)
McCormick County, South Carolina	No	158.8 (133.9, 189.4)	N/A	34	falling	-1.9 (-2.5, -1.3)
McCook County, South Dakota	No	204.0 (161.3, 255.9)	N/A	16	stable	0.6 (-0.5, 1.7)
McCone County, Montana	No	134.4 (79.3, 222.6)	N/A	4	*	*
McClain County, Oklahoma	No	183.6 (166.2, 202.3)	N/A	85	falling	-0.8 (-1.4, -0.2)
Mayes County, Oklahoma	No	188.8 (172.5, 206.3)	N/A	104	falling	-0.8 (-1.3, -0.4)
Maverick County, Texas	No	143.6 (129.3, 159.0)	N/A	75	stable	-0.2 (-0.7, 0.3)
Maury County, Tennessee	No	172.6 (161.8, 184.0)	N/A	201	falling	-1.2 (-1.5, -0.8)
Maui County, Hawaii ⁸	No	124.5 (117.8, 131.5)	N/A	277	falling	-1.4 (-1.8, -1.0)
Mathews County, Virginia	No	145.0 (121.0, 174.6)	N/A	28	falling	-2.2 (-3.0, -1.4)
Matanuska-Susitna Borough, Alaska	No	159.1 (147.1, 171.8)	N/A	152	falling	-1.2 (-1.8, -0.6)
Matagorda County, Texas	No	189.8 (172.2, 208.8)	N/A	89	falling	-0.8 (-1.4, -0.3)
Massac County, Illinois	No	169.0 (144.9, 196.6)	N/A	37	falling	-1.0 (-1.6, -0.3)
Mason County, West Virginia	No	175.8 (157.8, 195.6)	N/A	73	falling	-1.4 (-1.9, -0.9)
Mason County, Washington	No	165.1 (153.8, 177.1)	N/A	173	falling	-1.2 (-1.6, -0.8)
Mason County, Texas	No	148.1 (109.5, 199.2)	N/A	12	falling	-1.6 (-2.6, -0.6)
Mason County, Michigan	No	164.5 (148.2, 182.6)	N/A	80	falling	-0.9 (-1.4, -0.4)
Mason County, Kentucky	No	198.2 (172.5, 227.0)	N/A	45	stable	-0.5 (-1.1, 0.0)
Mason County, Illinois	No	224.5 (196.7, 255.9)	N/A	50	stable	-0.5 (-1.1, 0.2)
Martinsville City, Virginia	No	273.9 (239.8, 311.9)	N/A	48	rising	3.5 (0.8, 6.3)
Martin County, Texas	No	208.8 (156.8, 272.3)	N/A	11	stable	-0.2 (-1.6, 1.2)
Martin County, North Carolina	No	166.2 (147.7, 186.8)	N/A	63	falling	-2.7 (-3.6, -1.8)
Martin County, Minnesota	No	165.7 (145.9, 187.8)	N/A	58	stable	-0.5 (-1.2, 0.3)
Martin County, Kentucky	No	229.9 (195.0, 269.5)	N/A	32	stable	-0.6 (-1.4, 0.3)
Martin County, Indiana	No	171.2 (142.1, 205.4)	N/A	25	falling	-1.0 (-1.9, -0.1)
Martin County, Florida	No	127.9 (122.2, 133.8)	N/A	462	falling	-1.8 (-2.0, -1.6)
Marshall County, West Virginia	No	170.4 (153.8, 188.6)	N/A	83	falling	-0.9 (-1.4, -0.5)
Marshall County, Tennessee	No	183.9 (165.7, 203.8)	N/A	78	falling	-0.7 (-1.2, -0.2)
Marshall County, South Dakota	Yes	121.1 (86.7, 166.2)	N/A	9	stable	-0.5 (-1.9, 0.8)
Marshall County, Oklahoma	No	175.7 (152.9, 201.4)	N/A	46	stable	-0.4 (-1.1, 0.3)
Marshall County, Mississippi	No	206.8 (188.4, 226.7)	N/A	98	falling	-0.8 (-1.2, -0.4)
Marshall County, Minnesota	No	139.2 (113.2, 170.4)	N/A	22	falling	-1.4 (-2.2, -0.6)
Marshall County, Kentucky	No	193.4 (175.7, 212.6)	N/A	94	stable	-0.5 (-1.0, 0.0)
Marshall County, Kansas	No	162.2 (134.6, 194.6)	N/A	27	stable	-0.5 (-1.2, 0.3)
Marshall County, Iowa	No	149.5 (135.2, 165.1)	N/A	84	falling	-1.3 (-1.8, -0.9)
Marshall County, Indiana	No	153.8 (140.0, 168.6)	N/A	96	falling	-1.1 (-1.5, -0.8)
Marshall County, Illinois	No	185.1 (158.2, 216.1)	N/A	36	stable	-0.6 (-1.4, 0.1)
Marshall County, Alabama	No	166.4 (156.3, 177.1)	N/A	206	falling	-2.1 (-3.1, -1.1)
Marquette County, Wisconsin	No	176.4 (153.9, 202.1)	N/A	48	stable	-0.3 (-0.9, 0.3)
Marquette County, Michigan	No	146.9 (135.7, 158.9)	N/A	137	falling	-0.9 (-1.3, -0.5)
Marlboro County, South Carolina	No	197.9 (177.1, 220.7)	N/A	69	falling	-1.1 (-1.7, -0.4)
Mariposa County, California	No	145.2 (125.2, 168.2)	N/A	46	falling	-1.6 (-2.4, -0.8)
Marion County, West Virginia	No	173.7 (160.7, 187.7)	N/A	138	falling	-0.7 (-1.1, -0.3)
Marion County, Texas	No	148.0 (122.2, 178.9)	N/A	27	stable	-8.6 (-17.4, 1.1)
Marion County, Tennessee	No	175.5 (157.6, 195.1)	N/A	74	falling	-2.5 (-3.8, -1.1)
Marion County, South Carolina	No	172.1 (154.6, 191.2)	N/A	76	falling	-1.2 (-1.7, -0.7)
Marion County, Oregon	No	154.4 (149.0, 160.0)	N/A	627	falling	-1.6 (-1.9, -1.2)
Marion County, Ohio	No	179.2 (166.7, 192.6)	N/A	157	falling	-1.0 (-1.4, -0.5)
Marion County, Missouri	No	186.8 (167.5, 207.9)	N/A	72	falling	-0.6 (-1.2, -0.1)
Marion County, Mississippi	No	178.2 (158.4, 200.1)	N/A	61	falling	-1.6 (-2.5, -0.7)
Marion County, Kentucky	No	176.5 (153.3, 202.6)	N/A	43	falling	-1.1 (-1.9, -0.3)
Marion County, Kansas	No	163.6 (138.5, 192.8)	N/A	34	stable	-0.3 (-1.1, 0.4)
Marion County, Iowa	No	177.3 (160.1, 196.0)	N/A	80	stable	-0.3 (-0.7, 0.0)
Marion County, Indiana	No	172.1 (168.4, 176.0)	N/A	1,669	falling	-2.5 (-3.4, -1.6)
Marion County, Illinois	No	207.9 (190.7, 226.4)	N/A	115	stable	-0.2 (-0.7, 0.3)
Marion County, Georgia	No	159.4 (129.2, 195.6)	N/A	21	falling	-1.2 (-2.3, -0.1)
Marion County, Florida	No	163.6 (159.0, 168.3)	N/A	1,119	falling	-1.4 (-1.8, -1.1)
Marion County, Arkansas	No	176.5 (153.7, 202.3)	N/A	54	falling	-0.7 (-1.2, -0.1)
Marion County, Alabama	No	181.1 (163.7, 200.0)	N/A	84	stable	-0.4 (-0.9, 0.2)
Marinette County, Wisconsin	No	168.8 (154.9, 183.9)	N/A	118	falling	-0.9 (-1.3, -0.5)
Marin County, California	Yes	111.7 (107.2, 116.4)	N/A	480	falling	-2.2 (-2.4, -2.0)
Maries County, Missouri	No	161.7 (132.9, 196.1)	N/A	23	stable	-0.9 (-2.0, 0.2)
Maricopa County, Arizona	No	130.1 (128.7, 131.5)	N/A	6,622	falling	-2.4 (-2.9, -1.9)
Marengo County, Alabama	No	188.7 (165.7, 214.4)	N/A	52	falling	-0.8 (-1.4, -0.3)
Marathon County, Wisconsin	No	140.9 (133.2, 149.0)	N/A	259	falling	-1.2 (-1.5, -0.9)
Manitowoc County, Wisconsin	No	161.3 (151.0, 172.2)	N/A	196	falling	-0.9 (-1.2, -0.5)
Manistee County, Michigan	No	183.2 (165.3, 203.0)	N/A	83	falling	-1.1 (-1.4, -0.7)
Manatee County, Florida	No	122.8 (119.1, 126.7)	N/A	920	falling	-2.1 (-2.3, -1.9)
Manassas Park City, Virginia	Yes	80.3 (58.2, 107.3)	N/A	9	falling	-6.8 (-8.9, -4.7)
Manassas City, Virginia	No	155.5 (136.2, 176.6)	N/A	52	falling	-1.7 (-2.4, -1.0)
Malheur County, Oregon	No	168.1 (149.8, 188.2)	N/A	64	stable	-0.4 (-1.0, 0.2)
Major County, Oklahoma	No	173.1 (138.5, 214.5)	N/A	19	stable	1.0 (-0.1, 2.1)
Mahoning County, Ohio	No	153.5 (147.7, 159.6)	N/A	553	falling	-3.3 (-4.8, -1.9)
Mahnomen County, Minnesota	No	205.7 (160.1, 261.1)	N/A	15	stable	-0.2 (-1.0, 0.5)
Mahaska County, Iowa	No	176.0 (155.1, 199.1)	N/A	55	stable	0.0 (-0.4, 0.3)
Magoffin County, Kentucky	No	203.7 (173.1, 238.7)	N/A	33	falling	-1.0 (-1.8, -0.1)
Madison Parish, Louisiana	No	224.4 (188.6, 265.2)	N/A	29	falling	-1.3 (-2.1, -0.5)
Madison County, Virginia	No	163.6 (138.5, 192.6)	N/A	33	stable	-0.7 (-1.5, 0.0)
Madison County, Texas	No	172.1 (144.7, 203.3)	N/A	29	falling	-1.0 (-1.7, -0.2)
Madison County, Tennessee	No	169.2 (159.0, 180.0)	N/A	215	falling	-1.0 (-1.3, -0.7)
Madison County, Ohio	No	174.4 (158.7, 191.3)	N/A	93	falling	-1.3 (-1.8, -0.9)
Madison County, North Carolina	No	147.9 (129.5, 168.6)	N/A	50	stable	1.0 (-2.0, 4.1)
Madison County, New York	No	145.2 (134.4, 156.6)	N/A	143	falling	-2.2 (-2.7, -1.8)
Madison County, Nebraska	No	137.8 (122.2, 154.9)	N/A	61	falling	-1.1 (-1.5, -0.6)
Madison County, Montana	Yes	107.8 (86.4, 135.1)	N/A	18	falling	-2.9 (-4.1, -1.7)
Madison County, Missouri	No	208.2 (179.1, 241.2)	N/A	38	falling	-0.9 (-1.4, -0.3)
Madison County, Mississippi	No	235.3 (222.0, 249.2)	N/A	249	falling	-2.8 (-4.3, -1.3)
Madison County, Kentucky	No	174.4 (162.6, 186.8)	N/A	169	falling	-1.2 (-1.7, -0.6)
Madison County, Iowa	No	161.1 (137.6, 187.8)	N/A	35	falling	-1.1 (-1.9, -0.3)
Madison County, Indiana	No	172.9 (164.1, 182.1)	N/A	301	falling	-1.0 (-1.2, -0.8)
Madison County, Illinois	No	168.8 (162.7, 175.1)	N/A	602	falling	-1.0 (-1.1, -0.8)
Madison County, Idaho	Yes	98.4 (80.3, 119.2)	N/A	21	falling	-1.8 (-2.5, -1.1)
Madison County, Georgia	No	177.7 (158.8, 198.3)	N/A	68	stable	-0.6 (-1.3, 0.0)
Madison County, Florida	No	169.3 (148.1, 193.2)	N/A	47	stable	-0.8 (-1.5, 0.0)
Madison County, Arkansas	No	173.0 (149.0, 200.2)	N/A	39	falling	-0.7 (-1.3, -0.1)
Madison County, Alabama	No	151.1 (145.9, 156.5)	N/A	659	falling	-1.7 (-2.0, -1.4)
Madera County, California	No	145.2 (137.0, 153.9)	N/A	238	falling	-1.1 (-1.4, -0.8)
Macoupin County, Illinois	No	181.0 (166.6, 196.3)	N/A	125	falling	-0.7 (-1.0, -0.3)
Macon County, Tennessee	No	203.7 (180.9, 228.8)	N/A	60	stable	-0.4 (-0.8, 0.0)
Macon County, North Carolina	No	149.7 (136.2, 164.4)	N/A	102	falling	-0.8 (-1.3, -0.4)
Macon County, Missouri	No	184.0 (159.4, 211.8)	N/A	44	falling	-0.7 (-1.4, -0.1)
Macon County, Illinois	No	173.7 (164.3, 183.6)	N/A	271	falling	-0.8 (-1.1, -0.6)
Macon County, Georgia	No	165.8 (139.0, 196.7)	N/A	29	stable	-0.7 (-1.4, 0.0)
Macon County, Alabama	No	204.3 (179.2, 232.3)	N/A	53	falling	-1.0 (-1.4, -0.6)
Macomb County, Michigan	No	167.3 (163.9, 170.7)	N/A	1,923	falling	-1.0 (-1.1, -0.9)
Mackinac County, Michigan	No	163.0 (137.8, 192.7)	N/A	34	falling	-1.7 (-2.4, -1.0)
Lyon County, Nevada	No	166.1 (153.3, 179.7)	N/A	138	falling	-1.6 (-2.1, -1.0)
Lyon County, Minnesota	No	147.7 (129.0, 168.5)	N/A	48	stable	-0.4 (-1.0, 0.2)
Lyon County, Kentucky	No	161.1 (132.3, 196.1)	N/A	24	falling	-1.0 (-2.0, -0.1)
Lyon County, Kansas	No	162.3 (144.4, 182.0)	N/A	62	stable	-0.5 (-1.0, 0.1)
Lyon County, Iowa	No	152.9 (126.7, 183.5)	N/A	26	falling	-1.2 (-2.1, -0.3)
Lynn County, Texas	No	207.4 (163.0, 260.9)	N/A	16	stable	-0.1 (-1.3, 1.1)
Lynchburg City, Virginia	No	181.3 (168.5, 194.8)	N/A	159	falling	-1.0 (-1.3, -0.6)
Lyman County, South Dakota	No	185.7 (133.8, 252.3)	N/A	9	stable	-1.0 (-2.4, 0.4)
Lycoming County, Pennsylvania	No	170.3 (161.3, 179.7)	N/A	283	falling	-0.7 (-1.0, -0.5)
Luzerne County, Pennsylvania	No	164.0 (158.8, 169.4)	N/A	784	falling	-1.0 (-1.1, -0.8)
Lunenburg County, Virginia	No	173.4 (147.1, 203.7)	N/A	33	falling	-0.9 (-1.7, -0.2)
Luna County, New Mexico	No	165.8 (146.4, 187.2)	N/A	58	stable	0.0 (-0.6, 0.6)
Lumpkin County, Georgia	No	152.1 (135.2, 170.7)	N/A	64	falling	-1.3 (-2.1, -0.5)
Luce County, Michigan	No	179.3 (142.8, 223.9)	N/A	18	falling	-1.5 (-2.6, -0.5)
Lucas County, Ohio	No	180.8 (175.7, 186.1)	N/A	974	falling	-1.0 (-1.1, -0.9)
Lucas County, Iowa	No	146.3 (119.3, 178.8)	N/A	21	falling	-0.8 (-1.5, -0.1)
Lubbock County, Texas	No	153.7 (147.4, 160.2)	N/A	463	falling	-1.0 (-1.2, -0.8)
Lowndes County, Mississippi	No	204.6 (189.8, 220.3)	N/A	147	falling	-0.6 (-1.0, -0.2)
Lowndes County, Georgia	No	141.0 (131.2, 151.4)	N/A	158	falling	-2.8 (-3.7, -1.9)
Lowndes County, Alabama	No	202.1 (169.0, 240.4)	N/A	28	stable	-0.7 (-1.4, 0.1)
Love County, Oklahoma	No	225.6 (190.7, 265.4)	N/A	31	stable	0.2 (-0.5, 1.0)
Loup County, Nebraska	No	294.0 (158.3, 528.3)	N/A	3	*	*
Louisa County, Virginia	No	162.4 (146.8, 179.3)	N/A	86	falling	-1.3 (-1.9, -0.6)
Louisa County, Iowa	No	154.8 (127.5, 186.6)	N/A	24	stable	-0.8 (-1.8, 0.2)
Loudoun County, Virginia	Yes	117.0 (111.6, 122.5)	N/A	378	falling	-2.5 (-2.8, -2.3)
Loudon County, Tennessee	No	149.1 (137.6, 161.4)	N/A	141	falling	-1.5 (-1.9, -1.0)
Los Angeles County, California	No	133.3 (132.4, 134.3)	N/A	14,616	falling	-1.5 (-1.6, -1.5)
Los Alamos County, New Mexico	Yes	114.0 (96.4, 134.2)	N/A	30	falling	-1.4 (-2.1, -0.8)
Lorain County, Ohio	No	162.3 (156.9, 168.0)	N/A	692	falling	-1.7 (-2.1, -1.4)
Lonoke County, Arkansas	No	184.7 (171.3, 199.0)	N/A	145	falling	-0.8 (-1.2, -0.4)
Long County, Georgia	No	128.0 (102.5, 157.6)	N/A	20	falling	-2.7 (-3.8, -1.5)
Logan County, West Virginia	No	218.0 (199.1, 238.3)	N/A	106	falling	-1.0 (-1.6, -0.5)
Logan County, Oklahoma	No	154.2 (139.9, 169.6)	N/A	90	falling	-0.9 (-1.4, -0.4)
Logan County, Ohio	No	183.7 (168.7, 199.8)	N/A	116	falling	-8.0 (-15.2, -0.1)
Logan County, North Dakota	Yes	116.8 (69.7, 192.7)	N/A	4	stable	-0.9 (-2.4, 0.5)
Logan County, Kentucky	No	198.4 (178.0, 220.6)	N/A	73	falling	-0.6 (-1.1, -0.1)
Logan County, Kansas	No	153.9 (101.1, 226.7)	N/A	6	stable	-0.5 (-2.1, 1.1)
Logan County, Illinois	No	193.6 (174.4, 214.6)	N/A	77	stable	-0.4 (-0.9, 0.0)
Logan County, Colorado	No	145.8 (126.7, 167.3)	N/A	44	falling	-0.7 (-1.2, -0.1)
Logan County, Arkansas	No	177.0 (156.7, 199.7)	N/A	57	falling	-0.8 (-1.3, -0.3)
Llano County, Texas	No	147.5 (130.3, 167.0)	N/A	73	falling	-1.2 (-1.7, -0.7)
Livingston Parish, Louisiana	No	158.7 (149.5, 168.3)	N/A	234	falling	-1.9 (-2.2, -1.6)
Livingston County, New York	No	161.5 (149.3, 174.4)	N/A	139	stable	-0.9 (-2.1, 0.3)
Livingston County, Missouri	No	185.8 (160.5, 214.3)	N/A	41	stable	0.2 (-0.5, 0.9)
Livingston County, Michigan	No	148.0 (141.1, 155.2)	N/A	367	falling	-1.6 (-1.9, -1.4)
Livingston County, Kentucky	No	214.1 (181.1, 252.3)	N/A	32	stable	-0.2 (-1.0, 0.7)
Livingston County, Illinois	No	178.8 (162.5, 196.6)	N/A	93	falling	-0.8 (-1.2, -0.3)
Live Oak County, Texas	No	134.7 (111.3, 162.1)	N/A	25	falling	-1.5 (-2.3, -0.6)
Little River County, Arkansas	No	162.8 (137.1, 192.5)	N/A	30	falling	-1.4 (-2.2, -0.6)
Litchfield County, Connecticut	No	140.6 (134.4, 147.1)	N/A	407	falling	-1.7 (-2.0, -1.3)
Lipscomb County, Texas	Yes	119.8 (77.6, 178.7)	N/A	5	falling	-2.7 (-4.0, -1.3)
Linn County, Oregon	No	172.9 (164.0, 182.2)	N/A	298	falling	-0.8 (-1.0, -0.5)
Linn County, Missouri	No	188.0 (160.1, 220.0)	N/A	35	stable	-0.5 (-1.1, 0.2)
Linn County, Kansas	No	169.9 (141.5, 203.4)	N/A	27	stable	-0.2 (-1.0, 0.7)
Linn County, Iowa	No	152.0 (145.4, 158.8)	N/A	417	falling	-1.1 (-1.3, -1.0)
Lincoln Parish, Louisiana	No	166.7 (150.6, 184.1)	N/A	82	falling	-1.1 (-1.5, -0.7)
Lincoln County, Wyoming	Yes	111.8 (93.0, 133.5)	N/A	27	falling	-1.3 (-2.2, -0.3)
Lincoln County, Wisconsin	No	157.1 (140.8, 175.0)	N/A	72	falling	-1.2 (-1.6, -0.7)
Lincoln County, West Virginia	No	222.2 (197.7, 249.1)	N/A	64	stable	-0.4 (-1.0, 0.1)
Lincoln County, Washington	No	144.2 (119.3, 173.8)	N/A	27	falling	-1.1 (-1.7, -0.4)
Lincoln County, Tennessee	No	169.8 (153.6, 187.3)	N/A	85	falling	-1.2 (-1.7, -0.7)
Lincoln County, South Dakota	Yes	114.7 (102.5, 128.0)	N/A	67	stable	-0.9 (-3.2, 1.4)
Lincoln County, Oregon	No	171.6 (158.8, 185.4)	N/A	157	falling	-1.0 (-1.4, -0.7)
Lincoln County, Oklahoma	No	182.7 (165.6, 201.1)	N/A	88	stable	-0.5 (-1.0, 0.0)
Lincoln County, North Carolina	No	161.8 (151.2, 173.0)	N/A	182	falling	-1.0 (-1.3, -0.7)
Lincoln County, New Mexico	Yes	114.6 (99.1, 132.5)	N/A	45	falling	-1.6 (-2.3, -0.8)
Lincoln County, Nevada	Yes	102.3 (74.1, 140.3)	N/A	9	falling	-2.9 (-3.9, -1.8)
Lincoln County, Nebraska	No	163.4 (147.6, 180.6)	N/A	83	stable	-0.5 (-0.9, 0.0)
Lincoln County, Montana	No	150.7 (132.6, 171.3)	N/A	57	falling	-1.5 (-2.0, -0.9)
Lincoln County, Missouri	No	171.6 (157.0, 187.2)	N/A	107	falling	-0.7 (-1.2, -0.2)
Lincoln County, Mississippi	No	187.6 (169.7, 207.0)	N/A	83	falling	-0.6 (-1.2, -0.1)
Lincoln County, Minnesota	No	175.2 (137.6, 221.6)	N/A	18	stable	0.1 (-1.5, 1.7)
Lincoln County, Maine	No	162.0 (148.2, 177.2)	N/A	110	falling	-1.5 (-2.0, -1.1)
Lincoln County, Kentucky	No	207.8 (186.2, 231.4)	N/A	70	falling	-0.6 (-1.1, -0.2)
Lincoln County, Kansas	No	157.0 (111.1, 220.4)	N/A	8	stable	0.1 (-1.1, 1.3)
Lincoln County, Idaho	No	150.7 (107.6, 205.5)	N/A	8	stable	-0.6 (-2.1, 1.0)
Lincoln County, Georgia	No	171.9 (140.3, 209.7)	N/A	23	falling	-1.7 (-2.3, -1.0)
Lincoln County, Colorado	No	146.9 (110.8, 192.2)	N/A	11	stable	-1.1 (-2.2, 0.0)
Lincoln County, Arkansas	No	187.8 (158.7, 221.0)	N/A	30	stable	-0.1 (-0.7, 0.6)
Limestone County, Texas	No	167.6 (147.3, 190.0)	N/A	53	falling	-1.4 (-1.9, -0.9)
Limestone County, Alabama	No	147.9 (138.0, 158.3)	N/A	173	falling	-2.3 (-3.2, -1.4)
Licking County, Ohio	No	167.1 (159.5, 175.1)	N/A	371	falling	-1.3 (-1.5, -1.1)
Liberty County, Texas	No	194.5 (181.3, 208.5)	N/A	171	falling	-1.5 (-1.9, -1.1)
Liberty County, Montana	Yes	89.2 (50.8, 150.3)	N/A	4	falling	-2.1 (-3.8, -0.4)
Liberty County, Georgia	No	164.1 (147.0, 182.4)	N/A	75	falling	-1.8 (-2.4, -1.2)
Liberty County, Florida	No	179.7 (143.1, 223.3)	N/A	17	stable	-1.1 (-2.2, 0.0)
Lexington County, South Carolina	No	154.8 (149.0, 160.9)	N/A	552	falling	-1.4 (-1.7, -1.2)
Lexington City, Virginia	No	220.8 (175.0, 277.0)	N/A	18	stable	-1.1 (-2.5, 0.2)
Lewis and Clark County, Montana	No	150.7 (139.4, 162.8)	N/A	141	falling	-1.3 (-1.7, -0.9)
Lewis County, West Virginia	No	227.8 (201.1, 257.5)	N/A	55	stable	-0.2 (-0.7, 0.2)
Lewis County, Washington	No	173.7 (163.1, 184.9)	N/A	210	falling	-0.9 (-1.2, -0.6)
Lewis County, Tennessee	No	190.7 (162.4, 223.1)	N/A	35	falling	-0.7 (-1.3, -0.2)
Lewis County, New York	No	145.8 (128.6, 164.9)	N/A	54	falling	-1.8 (-2.3, -1.2)
Lewis County, Missouri	No	148.5 (121.1, 181.1)	N/A	21	stable	-0.8 (-2.0, 0.4)
Lewis County, Kentucky	No	223.4 (193.3, 257.3)	N/A	42	stable	-0.1 (-0.8, 0.5)
Lewis County, Idaho	No	153.0 (111.1, 208.9)	N/A	11	stable	-0.5 (-1.8, 0.8)
Levy County, Florida	No	196.1 (180.7, 212.7)	N/A	135	falling	-0.5 (-0.9, -0.1)
Letcher County, Kentucky	No	220.5 (197.2, 246.2)	N/A	69	falling	-0.7 (-1.2, -0.2)
Leslie County, Kentucky	No	251.8 (214.9, 293.9)	N/A	35	stable	0.3 (-0.4, 1.0)
Leon County, Texas	No	173.4 (151.9, 197.6)	N/A	52	falling	-1.3 (-1.8, -0.6)
Leon County, Florida	No	142.0 (135.8, 148.4)	N/A	416	falling	-1.8 (-2.1, -1.5)
Lenoir County, North Carolina	No	169.5 (156.9, 183.0)	N/A	141	falling	-1.1 (-1.5, -0.8)
Lenawee County, Michigan	No	167.6 (157.8, 177.9)	N/A	228	falling	-0.8 (-1.1, -0.6)
Lemhi County, Idaho	No	143.8 (117.4, 176.5)	N/A	24	falling	-1.0 (-1.9, -0.1)
Lehigh County, Pennsylvania	No	149.1 (144.2, 154.2)	N/A	708	falling	-1.2 (-1.3, -1.0)
Leflore County, Mississippi	No	232.6 (209.1, 258.2)	N/A	74	stable	-0.1 (-0.6, 0.3)
Leelanau County, Michigan	Yes	120.0 (104.7, 137.6)	N/A	55	falling	-1.7 (-2.3, -1.1)
Lee County, Virginia	No	178.2 (159.0, 199.5)	N/A	66	stable	-0.5 (-1.0, 0.0)
Lee County, Texas	No	180.8 (157.0, 207.6)	N/A	43	falling	-0.7 (-1.3, -0.1)
Lee County, South Carolina	No	192.0 (167.0, 220.0)	N/A	46	falling	-4.3 (-7.6, -1.0)
Lee County, North Carolina	No	164.1 (151.4, 177.7)	N/A	128	falling	-1.3 (-1.7, -0.9)
Lee County, Mississippi	No	204.9 (192.2, 218.2)	N/A	201	falling	-3.7 (-5.0, -2.4)
Lee County, Kentucky	No	222.4 (181.1, 271.3)	N/A	22	stable	-0.3 (-1.2, 0.6)
Lee County, Iowa	No	169.9 (154.0, 187.2)	N/A	88	falling	-1.2 (-1.7, -0.8)
Lee County, Illinois	No	179.1 (162.8, 196.9)	N/A	92	falling	-0.9 (-1.4, -0.4)
Lee County, Georgia	No	186.4 (163.8, 211.3)	N/A	54	stable	-0.5 (-1.2, 0.2)
Lee County, Florida	No	122.8 (120.1, 125.6)	N/A	1,780	falling	-1.7 (-1.8, -1.5)
Lee County, Arkansas	No	197.3 (163.5, 236.8)	N/A	25	falling	-1.1 (-1.7, -0.5)
Lee County, Alabama	No	170.5 (161.0, 180.4)	N/A	255	falling	-0.9 (-1.3, -0.5)
Lebanon County, Pennsylvania	No	157.3 (149.6, 165.4)	N/A	324	falling	-1.0 (-1.2, -0.7)
Leavenworth County, Kansas	No	166.2 (154.4, 178.7)	N/A	153	falling	-1.5 (-1.9, -1.2)
Leake County, Mississippi	No	177.3 (155.5, 201.4)	N/A	49	falling	-4.1 (-6.7, -1.4)
Lea County, New Mexico	No	159.2 (145.4, 173.8)	N/A	102	falling	-1.3 (-1.7, -0.9)
Le Sueur County, Minnesota	No	159.0 (141.2, 178.5)	N/A	60	falling	-0.8 (-1.4, -0.3)
Le Flore County, Oklahoma	No	200.5 (185.2, 216.8)	N/A	132	stable	-0.4 (-0.8, 0.0)
Lawrence County, Tennessee	No	193.0 (177.3, 210.0)	N/A	114	falling	-0.9 (-1.3, -0.4)
Lawrence County, South Dakota	No	130.4 (114.1, 148.7)	N/A	51	falling	-1.3 (-1.8, -0.7)
Lawrence County, Pennsylvania	No	169.1 (159.3, 179.4)	N/A	240	falling	-0.9 (-1.2, -0.7)
Lawrence County, Ohio	No	217.5 (203.3, 232.5)	N/A	182	stable	1.1 (-0.1, 2.3)
Lawrence County, Missouri	No	178.9 (162.7, 196.3)	N/A	94	falling	-0.8 (-1.2, -0.5)
Lawrence County, Mississippi	No	205.2 (174.2, 240.5)	N/A	33	stable	-0.1 (-0.8, 0.6)
Lawrence County, Kentucky	No	230.3 (201.2, 262.8)	N/A	48	stable	-0.1 (-0.5, 0.3)
Lawrence County, Indiana	No	171.8 (157.8, 186.8)	N/A	116	falling	-0.8 (-1.1, -0.5)
Lawrence County, Illinois	No	194.4 (168.6, 223.5)	N/A	42	stable	-0.7 (-1.5, 0.0)
Lawrence County, Arkansas	No	223.8 (197.7, 252.8)	N/A	55	stable	-0.1 (-0.7, 0.5)
Lawrence County, Alabama	No	180.8 (163.5, 199.5)	N/A	84	falling	-0.6 (-1.1, -0.1)
Lavaca County, Texas	No	156.6 (137.6, 177.9)	N/A	53	falling	-0.7 (-1.3, -0.1)
Laurens County, South Carolina	No	191.6 (178.8, 205.1)	N/A	177	stable	-0.4 (-0.8, 0.0)
Laurens County, Georgia	No	181.0 (166.1, 197.0)	N/A	113	falling	-0.8 (-1.3, -0.2)
Laurel County, Kentucky	No	200.8 (186.5, 215.9)	N/A	153	stable	-0.5 (-0.9, 0.0)
Lauderdale County, Tennessee	No	214.5 (191.9, 239.2)	N/A	68	falling	-0.6 (-1.0, -0.2)
Lauderdale County, Mississippi	No	149.9 (139.0, 161.4)	N/A	148	falling	-3.0 (-3.6, -2.4)
Lauderdale County, Alabama	No	156.1 (146.6, 166.1)	N/A	211	falling	-2.9 (-4.6, -1.2)
Latimer County, Oklahoma	No	178.6 (150.2, 211.7)	N/A	30	falling	-1.3 (-2.1, -0.5)
Latah County, Idaho	No	129.6 (114.1, 146.7)	N/A	53	falling	-0.7 (-1.3, -0.1)
Lassen County, California	No	145.1 (127.2, 165.0)	N/A	49	falling	-1.5 (-2.1, -0.9)
Las Animas County, Colorado	No	138.9 (117.9, 163.2)	N/A	34	falling	-0.6 (-1.2, -0.1)
Larue County, Kentucky	No	193.2 (165.9, 224.2)	N/A	37	stable	-0.6 (-1.3, 0.1)
Larimer County, Colorado	Yes	122.5 (117.6, 127.5)	N/A	495	falling	-1.4 (-1.7, -1.2)
Laramie County, Wyoming	No	145.8 (136.1, 156.1)	N/A	174	falling	-1.5 (-1.9, -1.1)
Lapeer County, Michigan	No	168.6 (158.1, 179.7)	N/A	204	falling	-0.9 (-1.3, -0.6)
Lanier County, Georgia	No	151.2 (120.5, 187.4)	N/A	18	falling	-1.3 (-2.2, -0.4)
Langlade County, Wisconsin	No	157.1 (138.2, 178.4)	N/A	54	falling	-0.8 (-1.5, -0.1)
Lane County, Oregon	No	153.2 (148.4, 158.2)	N/A	800	falling	-1.6 (-1.9, -1.2)
Lane County, Kansas	No	220.8 (147.6, 327.1)	N/A	6	stable	0.7 (-0.9, 2.3)
Lander County, Nevada	No	156.8 (116.6, 207.1)	N/A	10	falling	-1.9 (-3.6, -0.2)
Lancaster County, Virginia	No	183.5 (156.7, 215.2)	N/A	48	falling	-1.7 (-2.3, -1.1)
Lancaster County, South Carolina	No	143.2 (134.1, 152.7)	N/A	198	falling	-1.4 (-1.8, -1.0)
Lancaster County, Pennsylvania	No	144.9 (140.9, 148.9)	N/A	1,085	falling	-1.3 (-1.5, -1.2)
Lancaster County, Nebraska	No	141.9 (136.1, 147.9)	N/A	472	falling	-1.4 (-1.6, -1.1)
Lampasas County, Texas	No	173.6 (152.9, 196.7)	N/A	53	stable	9.0 (-3.4, 22.9)
Lamoille County, Vermont	No	163.0 (143.7, 184.3)	N/A	54	falling	-1.0 (-1.5, -0.5)
Lamb County, Texas	No	147.2 (122.1, 176.3)	N/A	25	stable	-0.4 (-1.2, 0.4)
Lamar County, Texas	No	181.3 (167.1, 196.6)	N/A	126	falling	-0.9 (-1.3, -0.6)
Lamar County, Mississippi	No	137.9 (125.4, 151.4)	N/A	91	falling	-1.6 (-2.1, -1.1)
Lamar County, Georgia	No	172.9 (149.2, 199.4)	N/A	40	falling	-0.9 (-1.6, -0.2)
Lamar County, Alabama	No	180.8 (155.5, 209.5)	N/A	39	falling	-1.1 (-1.7, -0.5)
Lake of the Woods County, Minnesota	No	137.0 (97.8, 190.4)	N/A	9	stable	-0.9 (-2.1, 0.3)
Lake County, Tennessee	No	185.4 (147.3, 231.4)	N/A	17	stable	-0.9 (-1.8, 0.0)
Lake County, South Dakota	Yes	122.6 (99.9, 149.5)	N/A	23	falling	-1.4 (-2.3, -0.4)
Lake County, Oregon	No	161.3 (132.0, 196.7)	N/A	23	falling	-1.6 (-2.4, -0.7)
Lake County, Ohio	No	158.0 (152.0, 164.2)	N/A	546	falling	-1.8 (-2.2, -1.3)
Lake County, Montana	No	138.2 (122.9, 155.1)	N/A	65	falling	-1.4 (-1.9, -0.9)
Lake County, Minnesota	No	145.0 (121.4, 173.1)	N/A	30	falling	-1.6 (-2.3, -0.9)
Lake County, Michigan	No	203.8 (176.3, 235.6)	N/A	47	stable	0.0 (-1.4, 1.3)
Lake County, Indiana	No	167.5 (162.9, 172.3)	N/A	1,039	falling	-1.8 (-2.1, -1.6)
Lake County, Illinois	No	145.5 (141.7, 149.5)	N/A	1,141	falling	-1.6 (-1.8, -1.4)
Lake County, Florida	No	152.4 (147.9, 156.9)	N/A	998	falling	-1.2 (-1.5, -1.0)
Lake County, Colorado	Yes	95.4 (65.8, 133.8)	N/A	7	falling	-2.6 (-4.1, -1.0)
Lake County, California	No	179.9 (167.9, 192.6)	N/A	185	falling	-1.2 (-1.5, -0.9)
Lafayette Parish, Louisiana	No	154.7 (147.8, 161.9)	N/A	393	falling	-2.3 (-2.8, -1.8)
Lafayette County, Wisconsin	No	168.3 (145.5, 194.1)	N/A	41	falling	-0.8 (-1.4, -0.2)
Lafayette County, Missouri	No	173.3 (156.6, 191.6)	N/A	82	falling	-0.6 (-1.0, -0.1)
Lafayette County, Mississippi	No	145.2 (130.6, 160.9)	N/A	76	falling	-1.5 (-2.0, -1.0)
Lafayette County, Florida	No	193.8 (157.4, 236.8)	N/A	20	stable	-0.1 (-1.3, 1.1)
Lafayette County, Arkansas	No	158.1 (126.5, 197.0)	N/A	19	falling	-1.5 (-2.5, -0.5)
Laclede County, Missouri	No	191.1 (173.6, 210.0)	N/A	91	falling	-0.8 (-1.2, -0.4)
Lackawanna County, Pennsylvania	No	172.2 (165.5, 179.0)	N/A	542	falling	-0.9 (-1.1, -0.7)
Lac qui Parle County, Minnesota	No	138.0 (107.3, 176.6)	N/A	17	falling	-1.6 (-2.6, -0.7)
Labette County, Kansas	No	171.8 (150.4, 195.6)	N/A	50	stable	-0.3 (-0.9, 0.4)
LaPorte County, Indiana	No	173.1 (163.5, 183.2)	N/A	255	falling	-1.1 (-1.3, -0.8)
LaMoure County, North Dakota	Yes	103.7 (68.8, 152.6)	N/A	8	falling	-1.4 (-2.5, -0.2)
LaGrange County, Indiana	No	169.3 (151.5, 188.5)	N/A	69	falling	-0.7 (-1.2, -0.1)
LaFourche Parish, Louisiana	No	175.9 (165.3, 187.0)	N/A	212	falling	-0.9 (-1.3, -0.5)
La Salle Parish, Louisiana	No	162.1 (137.4, 190.4)	N/A	31	falling	-1.4 (-2.2, -0.6)
La Salle County, Texas	No	160.2 (122.1, 206.8)	N/A	12	stable	-1.4 (-2.9, 0.1)
La Salle County, Illinois	No	188.1 (178.4, 198.2)	N/A	298	falling	-0.7 (-0.9, -0.5)
La Plata County, Colorado	Yes	111.8 (100.4, 124.2)	N/A	77	falling	-1.8 (-2.3, -1.3)
La Paz County, Arizona ³	No	136.1 (117.6, 157.4)	N/A	61	stable	-1.1 (-2.1, 0.0)
La Crosse County, Wisconsin	No	148.7 (139.8, 158.1)	N/A	219	falling	-1.2 (-1.5, -0.9)
Kusilvak/Wade Hampton Census Area, Alaska	No	187.9 (129.9, 260.5)	N/A	8	stable	-1.2 (-2.9, 0.5)
Kossuth County, Iowa	No	136.0 (115.2, 160.1)	N/A	36	falling	-1.4 (-1.8, -0.9)
Kosciusko County, Indiana	No	151.2 (140.4, 162.8)	N/A	150	falling	-1.0 (-1.3, -0.6)
Kootenai County, Idaho	No	163.2 (155.5, 171.3)	N/A	351	falling	-1.0 (-1.2, -0.7)
Koochiching County, Minnesota	No	147.4 (125.1, 173.6)	N/A	34	falling	-1.3 (-2.1, -0.5)
Kodiak Island Borough, Alaska	No	125.6 (96.0, 160.9)	N/A	14	falling	-2.5 (-3.8, -1.2)
Knox County, Texas	No	216.6 (163.8, 283.1)	N/A	12	stable	0.0 (-0.9, 0.9)
Knox County, Tennessee	No	157.8 (153.1, 162.6)	N/A	887	falling	-3.1 (-4.6, -1.6)
Knox County, Ohio	No	165.0 (152.7, 178.2)	N/A	139	falling	-1.0 (-1.4, -0.6)
Knox County, Nebraska	No	123.3 (98.4, 154.1)	N/A	19	stable	-0.5 (-1.6, 0.5)
Knox County, Missouri	No	175.0 (127.2, 236.6)	N/A	10	stable	0.1 (-1.2, 1.4)
Knox County, Maine	No	168.5 (154.7, 183.4)	N/A	120	falling	-0.8 (-1.3, -0.4)
Knox County, Kentucky	No	230.5 (209.8, 252.9)	N/A	94	stable	0.0 (-0.5, 0.4)
Knox County, Indiana	No	173.8 (157.5, 191.5)	N/A	87	falling	-0.9 (-1.3, -0.4)
Knox County, Illinois	No	174.3 (161.0, 188.6)	N/A	135	falling	-0.8 (-1.2, -0.3)
Knott County, Kentucky	No	205.9 (178.4, 236.9)	N/A	43	stable	-0.4 (-1.0, 0.3)
Klickitat County, Washington	No	157.6 (139.3, 178.2)	N/A	59	falling	-1.2 (-1.7, -0.7)
Kleberg County, Texas	No	186.8 (165.2, 210.4)	N/A	56	stable	-0.4 (-1.1, 0.3)
Klamath County, Oregon	No	183.9 (171.7, 196.7)	N/A	182	falling	-0.6 (-0.9, -0.4)
Kittson County, Minnesota	No	147.8 (111.3, 195.8)	N/A	12	stable	-0.8 (-1.9, 0.4)
Kittitas County, Washington	No	138.3 (124.7, 153.2)	N/A	78	falling	-1.5 (-2.0, -1.1)
Kitsap County, Washington	No	142.6 (136.8, 148.5)	N/A	492	falling	-1.5 (-1.7, -1.3)
Kit Carson County, Colorado	Yes	94.6 (70.2, 125.9)	N/A	10	falling	-2.2 (-3.2, -1.0)
Kiowa County, Oklahoma	No	216.9 (180.8, 258.8)	N/A	27	stable	0.3 (-0.5, 1.1)
Kiowa County, Kansas	No	165.8 (112.1, 240.5)	N/A	7	stable	0.1 (-1.5, 1.7)
Kiowa County, Colorado	No	132.8 (74.3, 230.4)	N/A	3	*	*
Kinney County, Texas	No	160.0 (114.6, 219.6)	N/A	10	stable	-0.1 (-1.5, 1.3)
Kingsbury County, South Dakota	No	153.2 (118.1, 198.0)	N/A	13	stable	-0.9 (-1.9, 0.1)
Kings County, New York	No	125.4 (123.5, 127.3)	N/A	3,534	falling	-5.2 (-6.8, -3.7)
Kings County, California	No	144.4 (135.1, 154.2)	N/A	184	falling	-1.0 (-1.4, -0.7)
Kingman County, Kansas	No	353.6 (301.6, 412.9)	N/A	38	rising	17.7 (4.3, 32.9)
Kingfisher County, Oklahoma	No	159.2 (134.8, 187.0)	N/A	31	stable	-0.2 (-0.9, 0.5)
King and Queen County, Virginia	No	190.4 (153.7, 234.7)	N/A	21	stable	-0.8 (-1.7, 0.1)
King William County, Virginia	No	152.0 (128.7, 178.4)	N/A	32	falling	-1.5 (-2.4, -0.7)
King George County, Virginia	No	138.7 (119.4, 160.3)	N/A	39	falling	-2.0 (-2.8, -1.2)
King County, Washington	No	127.0 (124.9, 129.1)	N/A	2,943	falling	-2.7 (-3.1, -2.3)
Kimble County, Texas	No	184.1 (141.5, 238.4)	N/A	15	stable	-1.0 (-1.9, 0.0)
Kimball County, Nebraska	No	205.9 (156.2, 269.7)	N/A	13	stable	-0.2 (-1.3, 0.9)
Kidder County, North Dakota	Yes	116.4 (71.9, 183.3)	N/A	5	falling	-2.0 (-3.7, -0.3)
Keweenaw County, Michigan	No	125.8 (80.6, 200.5)	N/A	6	falling	-2.1 (-3.5, -0.7)
Kewaunee County, Wisconsin	No	138.7 (120.1, 159.8)	N/A	43	falling	-1.4 (-2.0, -0.9)
Ketchikan Gateway Borough, Alaska	No	140.9 (115.3, 170.7)	N/A	23	falling	-1.8 (-2.8, -0.8)
Kershaw County, South Carolina	No	174.3 (162.0, 187.3)	N/A	158	falling	-1.1 (-1.5, -0.8)
Kerr County, Texas	No	151.0 (139.7, 163.2)	N/A	152	falling	-1.0 (-1.4, -0.7)
Kern County, California	No	148.8 (145.0, 152.8)	N/A	1,170	falling	-1.4 (-1.5, -1.2)
Keokuk County, Iowa	No	156.0 (128.4, 188.5)	N/A	25	stable	-0.9 (-1.8, 0.0)
Kenton County, Kentucky	No	173.3 (164.7, 182.2)	N/A	322	falling	-1.9 (-2.4, -1.4)
Kent County, Rhode Island	No	167.8 (160.4, 175.6)	N/A	403	falling	-1.4 (-1.7, -1.2)
Kent County, Michigan	No	147.7 (143.6, 151.9)	N/A	1,043	falling	-1.2 (-1.3, -1.0)
Kent County, Maryland	No	139.5 (122.5, 158.9)	N/A	52	falling	-2.1 (-2.7, -1.5)
Kent County, Delaware	No	166.9 (159.3, 174.7)	N/A	379	falling	-1.2 (-1.5, -0.9)
Kenosha County, Wisconsin	No	163.4 (155.2, 172.0)	N/A	312	falling	-1.0 (-1.3, -0.8)
Kennebec County, Maine	No	168.8 (160.3, 177.8)	N/A	309	falling	-1.2 (-1.4, -0.9)
Kendall County, Texas	Yes	118.9 (106.9, 131.9)	N/A	75	falling	-5.0 (-7.5, -2.4)
Kendall County, Illinois	No	147.3 (136.7, 158.5)	N/A	152	falling	-1.2 (-1.6, -0.9)
Kenai Peninsula Borough, Alaska	No	151.8 (138.6, 165.9)	N/A	110	falling	-1.8 (-2.4, -1.2)
Kemper County, Mississippi	No	130.2 (104.9, 160.6)	N/A	20	stable	-0.9 (-1.9, 0.1)
Keith County, Nebraska	No	159.0 (129.1, 195.0)	N/A	23	stable	-0.5 (-1.3, 0.2)
Kearny County, Kansas	No	129.3 (86.3, 187.1)	N/A	6	stable	-0.4 (-2.3, 1.5)
Kearney County, Nebraska	No	154.7 (120.9, 196.1)	N/A	15	falling	-1.6 (-2.6, -0.5)
Kay County, Oklahoma	No	186.9 (171.6, 203.3)	N/A	117	stable	-0.2 (-0.6, 0.2)
Kaufman County, Texas	No	178.4 (167.8, 189.6)	N/A	221	falling	-1.4 (-1.7, -1.2)
Kauai County, Hawaii ⁸	No	126.3 (116.4, 136.9)	N/A	131	falling	-1.9 (-2.4, -1.3)
Karnes County, Texas	No	153.7 (128.3, 182.8)	N/A	27	stable	-0.8 (-1.6, 0.1)
Kankakee County, Illinois	No	182.4 (172.4, 193.0)	N/A	256	falling	-1.2 (-1.5, -0.9)
Kane County, Utah	No	161.3 (127.8, 201.8)	N/A	18	stable	-0.8 (-2.1, 0.6)
Kane County, Illinois	No	137.4 (133.0, 141.9)	N/A	780	falling	-1.7 (-1.9, -1.5)
Kandiyohi County, Minnesota	No	143.9 (130.1, 158.9)	N/A	86	falling	-1.1 (-1.5, -0.7)
Kanawha County, West Virginia	No	172.5 (165.4, 179.8)	N/A	470	falling	-1.3 (-1.5, -1.1)
Kanabec County, Minnesota	No	153.8 (131.8, 178.9)	N/A	37	falling	-1.4 (-2.2, -0.7)
Kalkaska County, Michigan	No	198.3 (173.5, 226.1)	N/A	50	stable	-0.4 (-1.0, 0.1)
Kalamazoo County, Michigan	No	150.6 (144.4, 157.0)	N/A	456	falling	-1.2 (-1.4, -0.9)
Juniata County, Pennsylvania	No	151.1 (133.6, 170.4)	N/A	57	falling	-1.0 (-1.5, -0.4)
Juneau County, Wisconsin	No	179.0 (160.7, 199.2)	N/A	73	falling	-1.0 (-1.5, -0.4)
Juneau Borough, Alaska	No	135.6 (117.0, 156.2)	N/A	44	falling	-1.4 (-2.1, -0.6)
Judith Basin County, Montana	No	127.8 (79.8, 203.9)	N/A	5	stable	-1.4 (-3.2, 0.5)
Juab County, Utah	No	122.8 (94.3, 156.9)	N/A	13	stable	-1.0 (-2.3, 0.4)
Josephine County, Oregon	No	179.9 (170.2, 190.1)	N/A	286	falling	-0.8 (-1.1, -0.5)
Jones County, Texas	No	165.3 (142.6, 190.8)	N/A	39	stable	-0.6 (-1.2, 0.0)
Jones County, South Dakota	No	188.0 (108.5, 326.7)	N/A	3	*	*
Jones County, North Carolina	No	162.1 (133.7, 195.8)	N/A	25	stable	11.1 (-17.2, 49.1)
Jones County, Mississippi	No	149.1 (137.6, 161.3)	N/A	130	falling	-1.4 (-1.7, -1.0)
Jones County, Iowa	No	137.3 (119.2, 157.8)	N/A	44	falling	-1.4 (-1.9, -0.8)
Jones County, Georgia	No	144.8 (127.9, 163.4)	N/A	56	falling	-1.2 (-1.8, -0.7)
Johnston County, Oklahoma	No	185.4 (155.7, 219.7)	N/A	29	falling	-1.1 (-1.8, -0.4)
Johnston County, North Carolina	No	161.0 (153.2, 169.1)	N/A	341	falling	-1.5 (-1.8, -1.2)
Johnson County, Wyoming	No	131.5 (105.9, 162.8)	N/A	20	falling	-1.7 (-2.8, -0.6)
Johnson County, Texas	No	171.8 (163.3, 180.6)	N/A	322	falling	-1.1 (-1.3, -0.8)
Johnson County, Tennessee	No	208.4 (184.9, 234.7)	N/A	60	stable	0.0 (-0.7, 0.7)
Johnson County, Nebraska	No	177.0 (136.0, 228.3)	N/A	13	stable	-0.8 (-2.1, 0.6)
Johnson County, Missouri	No	160.6 (145.6, 176.7)	N/A	87	stable	-1.8 (-3.6, 0.0)
Johnson County, Kentucky	No	236.1 (211.3, 263.1)	N/A	70	stable	-0.3 (-0.8, 0.3)
Johnson County, Kansas	No	129.0 (125.2, 133.0)	N/A	865	falling	-1.4 (-1.6, -1.2)
Johnson County, Iowa	No	124.9 (116.4, 133.8)	N/A	171	falling	-2.5 (-3.0, -1.9)
Johnson County, Indiana	No	162.8 (154.3, 171.6)	N/A	284	falling	-1.0 (-1.3, -0.8)
Johnson County, Illinois	No	159.4 (134.8, 187.9)	N/A	31	falling	-1.1 (-1.7, -0.4)
Johnson County, Georgia	No	145.0 (117.2, 178.0)	N/A	20	falling	-1.7 (-2.7, -0.8)
Johnson County, Arkansas	No	187.7 (166.9, 210.5)	N/A	62	stable	-0.3 (-0.9, 0.3)
Jo Daviess County, Illinois	No	145.2 (128.6, 164.0)	N/A	61	falling	-1.3 (-1.8, -0.7)
Jim Wells County, Texas	No	160.2 (144.1, 177.6)	N/A	75	falling	-0.9 (-1.4, -0.4)
Jim Hogg County, Texas	No	186.9 (139.1, 246.2)	N/A	11	stable	-0.7 (-2.0, 0.7)
Jewell County, Kansas	No	151.5 (110.1, 210.7)	N/A	9	falling	-1.2 (-2.3, -0.2)
Jessamine County, Kentucky	No	155.1 (141.4, 169.8)	N/A	98	falling	-1.7 (-2.1, -1.3)
Jersey County, Illinois	No	166.9 (147.1, 188.9)	N/A	54	falling	-0.9 (-1.5, -0.3)
Jerome County, Idaho	No	136.9 (116.2, 160.2)	N/A	32	falling	-1.4 (-2.0, -0.8)
Jerauld County, South Dakota	No	124.6 (77.8, 197.7)	N/A	5	*	*
Jennings County, Indiana	No	205.2 (183.9, 228.4)	N/A	71	falling	-0.7 (-1.2, -0.2)
Jenkins County, Georgia	No	185.3 (150.5, 226.2)	N/A	20	stable	-0.9 (-1.8, 0.1)
Jefferson Parish, Louisiana	No	158.5 (153.8, 163.4)	N/A	900	falling	-2.0 (-2.3, -1.7)
Jefferson Davis Parish, Louisiana	No	195.9 (176.5, 217.1)	N/A	77	falling	-0.7 (-1.1, -0.3)
Jefferson Davis County, Mississippi	No	180.4 (151.9, 213.3)	N/A	31	falling	-1.0 (-1.8, -0.3)
Jefferson County, Wisconsin	No	143.9 (133.9, 154.5)	N/A	159	falling	-1.5 (-1.8, -1.2)
Jefferson County, West Virginia	No	181.9 (167.7, 197.0)	N/A	129	falling	-1.0 (-1.6, -0.5)
Jefferson County, Washington	No	140.7 (127.3, 155.7)	N/A	104	falling	-1.5 (-2.0, -1.0)
Jefferson County, Texas	No	154.7 (148.3, 161.3)	N/A	453	falling	-1.5 (-1.8, -1.3)
Jefferson County, Tennessee	No	171.2 (158.2, 185.0)	N/A	136	falling	-0.9 (-1.4, -0.4)
Jefferson County, Pennsylvania	No	168.6 (154.6, 183.7)	N/A	114	falling	-0.6 (-0.9, -0.3)
Jefferson County, Oregon	No	150.1 (131.3, 171.2)	N/A	49	stable	-0.4 (-0.9, 0.2)
Jefferson County, Oklahoma	No	186.2 (146.6, 234.2)	N/A	17	stable	0.1 (-0.7, 1.0)
Jefferson County, Ohio	No	186.7 (174.8, 199.4)	N/A	195	falling	-1.1 (-1.4, -0.8)
Jefferson County, New York	No	176.7 (165.9, 188.0)	N/A	207	falling	-1.0 (-1.3, -0.6)
Jefferson County, Nebraska	No	164.8 (134.8, 201.3)	N/A	22	stable	-0.5 (-1.5, 0.4)
Jefferson County, Montana	No	159.8 (132.9, 191.3)	N/A	29	falling	-1.2 (-2.1, -0.2)
Jefferson County, Missouri	No	176.7 (169.4, 184.3)	N/A	467	falling	-1.2 (-1.4, -0.9)
Jefferson County, Mississippi	No	206.3 (165.9, 254.2)	N/A	19	stable	-0.6 (-1.4, 0.2)
Jefferson County, Kentucky	No	167.9 (164.1, 171.7)	N/A	1,596	falling	-1.9 (-2.1, -1.7)
Jefferson County, Kansas	No	156.3 (135.1, 180.2)	N/A	41	falling	-1.2 (-1.8, -0.5)
Jefferson County, Iowa	No	137.6 (117.2, 161.0)	N/A	37	falling	-1.0 (-1.6, -0.4)
Jefferson County, Indiana	No	202.0 (182.9, 222.7)	N/A	86	stable	-0.5 (-1.0, 0.0)
Jefferson County, Illinois	No	174.9 (159.1, 191.8)	N/A	94	falling	-0.8 (-1.2, -0.4)
Jefferson County, Idaho	No	127.5 (108.4, 148.9)	N/A	33	stable	-0.9 (-2.0, 0.1)
Jefferson County, Georgia	No	217.2 (189.6, 248.1)	N/A	46	stable	-0.4 (-1.1, 0.4)
Jefferson County, Florida	No	161.4 (138.3, 187.9)	N/A	38	falling	-1.5 (-2.2, -0.8)
Jefferson County, Colorado ⁸	No	127.5 (123.8, 131.4)	N/A	911	falling	-1.6 (-1.8, -1.4)
Jefferson County, Arkansas	No	190.0 (177.2, 203.6)	N/A	171	falling	-1.0 (-1.3, -0.7)
Jefferson County, Alabama	No	167.4 (163.3, 171.5)	N/A	1,347	falling	-1.6 (-1.9, -1.3)
Jeff Davis County, Texas	Yes	89.3 (55.5, 173.3)	N/A	5	stable	-1.3 (-3.5, 1.1)
Jeff Davis County, Georgia	No	160.8 (135.0, 190.4)	N/A	29	falling	-2.4 (-3.1, -1.6)
Jay County, Indiana	No	167.7 (146.3, 191.6)	N/A	46	stable	-0.5 (-1.2, 0.3)
Jasper County, Texas	No	170.4 (154.1, 188.0)	N/A	86	falling	-1.5 (-2.0, -1.0)
Jasper County, South Carolina	No	132.8 (116.5, 150.9)	N/A	53	falling	-1.4 (-2.2, -0.5)
Jasper County, Missouri	No	182.5 (172.6, 192.9)	N/A	262	falling	-0.9 (-1.3, -0.6)
Jasper County, Mississippi	No	162.5 (140.0, 188.1)	N/A	39	falling	-1.2 (-1.8, -0.5)
Jasper County, Iowa	No	159.4 (144.3, 175.8)	N/A	86	falling	-0.9 (-1.4, -0.4)
Jasper County, Indiana	No	153.9 (137.7, 171.7)	N/A	68	falling	-1.2 (-1.7, -0.6)
Jasper County, Illinois	No	131.4 (106.4, 161.5)	N/A	20	falling	-1.5 (-2.4, -0.6)
Jasper County, Georgia	No	196.1 (168.1, 227.9)	N/A	37	stable	-0.8 (-1.6, 0.0)
James City County, Virginia	No	142.1 (132.8, 151.9)	N/A	193	falling	-1.0 (-1.5, -0.5)
Jackson Parish, Louisiana	No	185.3 (160.5, 213.2)	N/A	42	falling	-0.8 (-1.5, -0.1)
Jackson County, Wisconsin	No	167.7 (147.1, 190.6)	N/A	50	falling	-1.2 (-1.7, -0.7)
Jackson County, West Virginia	No	167.0 (150.3, 185.4)	N/A	75	falling	-1.0 (-1.6, -0.5)
Jackson County, Texas	No	175.4 (149.9, 204.4)	N/A	35	stable	-0.5 (-1.3, 0.3)
Jackson County, Tennessee	No	164.7 (140.0, 193.6)	N/A	34	falling	-1.0 (-1.8, -0.1)
Jackson County, South Dakota	No	200.4 (139.3, 280.0)	N/A	7	stable	-1.2 (-2.7, 0.4)
Jackson County, Oregon	No	149.0 (143.1, 155.1)	N/A	514	falling	-1.3 (-1.5, -1.0)
Jackson County, Oklahoma	No	178.5 (157.0, 202.2)	N/A	51	stable	0.1 (-0.4, 0.6)
Jackson County, Ohio	No	208.5 (188.9, 229.8)	N/A	87	falling	-0.6 (-1.0, -0.1)
Jackson County, North Carolina	No	144.8 (130.9, 160.0)	N/A	85	falling	-1.1 (-1.7, -0.6)
Jackson County, Missouri	No	160.0 (156.1, 164.0)	N/A	1,322	falling	-2.5 (-3.5, -1.5)
Jackson County, Mississippi	No	178.0 (169.0, 187.4)	N/A	307	falling	-1.3 (-1.5, -1.0)
Jackson County, Minnesota	No	141.4 (115.6, 172.2)	N/A	24	stable	-0.6 (-1.5, 0.3)
Jackson County, Michigan	No	181.2 (173.0, 189.6)	N/A	387	falling	-0.9 (-1.2, -0.6)
Jackson County, Kentucky	No	191.3 (163.2, 223.2)	N/A	35	stable	-0.7 (-1.6, 0.1)
Jackson County, Kansas	No	126.5 (104.8, 152.0)	N/A	24	falling	-1.4 (-2.2, -0.7)
Jackson County, Iowa	No	151.1 (131.6, 173.2)	N/A	46	falling	-0.8 (-1.5, -0.2)
Jackson County, Indiana	No	176.9 (161.4, 193.5)	N/A	99	falling	-3.8 (-6.9, -0.7)
Jackson County, Illinois	No	152.9 (139.4, 167.4)	N/A	101	falling	-1.0 (-1.4, -0.5)
Jackson County, Georgia	No	175.1 (161.9, 189.1)	N/A	136	falling	-0.9 (-1.4, -0.5)
Jackson County, Florida	No	191.2 (176.7, 206.6)	N/A	133	falling	-0.4 (-0.7, -0.1)
Jackson County, Colorado	No	172.4 (103.9, 280.7)	N/A	4	*	*
Jackson County, Arkansas	No	208.0 (181.8, 237.3)	N/A	47	stable	0.3 (-0.4, 1.0)
Jackson County, Alabama	No	197.1 (182.6, 212.5)	N/A	147	falling	-0.6 (-0.9, -0.3)
Jack County, Texas	No	142.8 (113.3, 178.2)	N/A	16	falling	-1.6 (-2.4, -0.8)
Izard County, Arkansas	No	160.1 (137.8, 185.8)	N/A	39	falling	-1.3 (-2.1, -0.6)
Itawamba County, Mississippi	No	159.6 (140.1, 181.2)	N/A	50	falling	-0.9 (-1.4, -0.4)
Itasca County, Minnesota	No	163.5 (150.1, 178.0)	N/A	121	falling	-1.1 (-1.5, -0.8)
Isle of Wight County, Virginia	No	159.9 (144.7, 176.6)	N/A	85	falling	-1.5 (-2.1, -1.0)
Island County, Washington	No	145.2 (135.8, 155.2)	N/A	198	stable	1.4 (-1.1, 4.0)
Isanti County, Minnesota	No	156.2 (140.9, 172.9)	N/A	78	stable	-0.5 (-1.0, 0.1)
Isabella County, Michigan	No	160.5 (146.9, 175.0)	N/A	108	falling	-0.8 (-1.4, -0.3)
Irwin County, Georgia	No	160.0 (129.9, 195.6)	N/A	20	falling	-1.4 (-2.4, -0.4)
Iroquois County, Illinois	No	194.6 (176.0, 215.0)	N/A	86	stable	-0.3 (-0.6, 0.1)
Iron County, Wisconsin	No	169.5 (137.9, 210.2)	N/A	22	stable	-0.9 (-1.9, 0.1)
Iron County, Utah	No	134.5 (119.9, 150.4)	N/A	65	stable	-0.8 (-1.6, 0.1)
Iron County, Missouri	No	181.5 (153.0, 214.6)	N/A	30	falling	-1.4 (-2.0, -0.8)
Iron County, Michigan	No	177.6 (150.7, 209.1)	N/A	41	falling	-1.2 (-1.8, -0.5)
Irion County, Texas	No	150.3 (87.3, 248.9)	N/A	4	*	*
Iredell County, North Carolina	No	154.7 (147.1, 162.5)	N/A	331	falling	-1.3 (-1.6, -1.0)
Iowa County, Wisconsin	No	133.0 (115.5, 152.7)	N/A	44	falling	-1.1 (-1.7, -0.5)
Iowa County, Iowa	No	152.0 (130.2, 176.9)	N/A	37	falling	-0.8 (-1.3, -0.2)
Iosco County, Michigan	No	174.4 (157.1, 193.7)	N/A	87	falling	-1.2 (-1.6, -0.7)
Ionia County, Michigan	No	164.7 (151.6, 178.6)	N/A	123	falling	-1.1 (-1.5, -0.7)
Inyo County, California	No	146.2 (126.2, 168.9)	N/A	43	falling	-1.5 (-2.1, -0.9)
Ingham County, Michigan	No	155.6 (149.2, 162.3)	N/A	468	falling	-1.0 (-1.2, -0.7)
Indiana County, Pennsylvania	No	140.6 (131.1, 150.7)	N/A	172	falling	-1.4 (-1.6, -1.1)
Indian River County, Florida	No	152.0 (145.6, 158.7)	N/A	534	falling	-1.1 (-1.3, -0.9)
Independence County, Arkansas	No	149.8 (134.6, 166.4)	N/A	74	falling	-1.2 (-1.7, -0.6)
Imperial County, California	Yes	122.4 (115.2, 129.9)	N/A	223	falling	-2.1 (-2.5, -1.7)
Idaho County, Idaho	No	136.5 (118.6, 157.2)	N/A	44	falling	-1.0 (-1.6, -0.4)
Ida County, Iowa	No	189.3 (155.2, 230.3)	N/A	23	stable	-0.1 (-1.1, 0.9)
Iberville Parish, Louisiana	No	191.7 (172.8, 212.3)	N/A	78	falling	-1.0 (-1.4, -0.6)
Iberia Parish, Louisiana	No	180.7 (167.6, 194.6)	N/A	149	falling	-1.2 (-1.6, -0.8)
Hyde County, South Dakota	No	138.6 (83.9, 232.9)	N/A	4	*	*
Hyde County, North Carolina	No	172.8 (132.8, 223.2)	N/A	14	stable	-0.6 (-1.7, 0.5)
Hutchinson County, Texas	No	173.2 (150.9, 197.9)	N/A	46	falling	-0.8 (-1.2, -0.3)
Hutchinson County, South Dakota	No	139.2 (109.8, 175.2)	N/A	19	falling	-1.5 (-2.5, -0.3)
Huron County, Ohio	No	168.6 (155.4, 182.7)	N/A	126	falling	-0.5 (-0.8, -0.1)
Huron County, Michigan	No	157.2 (142.6, 173.2)	N/A	91	falling	-0.8 (-1.1, -0.4)
Huntington County, Indiana	No	181.5 (164.7, 199.7)	N/A	89	falling	-0.7 (-1.1, -0.3)
Huntingdon County, Pennsylvania	No	156.1 (142.8, 170.4)	N/A	107	falling	-0.8 (-1.2, -0.4)
Hunterdon County, New Jersey	No	127.9 (120.3, 135.8)	N/A	229	falling	-2.0 (-2.2, -1.7)
Hunt County, Texas	No	175.1 (164.4, 186.3)	N/A	208	falling	-0.8 (-1.2, -0.4)
Humphreys County, Tennessee	No	183.9 (161.6, 208.8)	N/A	51	stable	-0.6 (-1.2, 0.0)
Humphreys County, Mississippi	No	180.1 (145.2, 221.5)	N/A	19	falling	-3.3 (-5.1, -1.6)
Humboldt County, Nevada	No	134.5 (110.3, 162.4)	N/A	23	falling	-1.5 (-2.3, -0.8)
Humboldt County, Iowa	No	137.9 (111.4, 169.5)	N/A	21	falling	-1.5 (-2.2, -0.8)
Humboldt County, California	No	168.3 (159.5, 177.4)	N/A	297	falling	-1.3 (-1.6, -1.1)
Hughes County, South Dakota	No	155.5 (132.9, 181.1)	N/A	36	stable	-0.1 (-1.0, 0.8)
Hughes County, Oklahoma	No	202.1 (174.0, 233.9)	N/A	38	stable	-0.1 (-0.7, 0.5)
Huerfano County, Colorado	No	163.9 (132.6, 203.1)	N/A	23	stable	-0.5 (-1.5, 0.6)
Hudspeth County, Texas	Yes	112.1 (73.8, 163.7)	N/A	6	*	*
Hudson County, New Jersey	Yes	121.5 (117.7, 125.4)	N/A	799	falling	-2.5 (-2.6, -2.4)
Hubbard County, Minnesota	No	150.5 (132.3, 170.9)	N/A	56	falling	-1.1 (-1.8, -0.5)
Howell County, Missouri	No	188.3 (172.5, 205.3)	N/A	109	falling	-0.6 (-1.0, -0.2)
Howard County, Texas	No	150.4 (133.3, 169.1)	N/A	58	falling	-1.2 (-1.7, -0.8)
Howard County, Nebraska	No	136.8 (105.5, 175.8)	N/A	14	falling	-1.3 (-2.3, -0.4)
Howard County, Missouri	No	141.7 (113.9, 174.7)	N/A	19	falling	-1.5 (-2.4, -0.6)
Howard County, Maryland	Yes	115.2 (110.1, 120.5)	N/A	397	falling	-2.3 (-2.6, -2.1)
Howard County, Iowa	No	156.1 (128.2, 189.2)	N/A	23	stable	-0.6 (-1.4, 0.3)
Howard County, Indiana	No	184.6 (173.5, 196.4)	N/A	215	falling	-0.8 (-1.1, -0.5)
Howard County, Arkansas	No	159.3 (134.4, 187.8)	N/A	29	falling	-4.6 (-7.6, -1.6)
Houston County, Texas	No	159.2 (141.1, 179.4)	N/A	59	falling	-1.6 (-2.2, -0.9)
Houston County, Tennessee	No	232.8 (195.2, 276.4)	N/A	29	stable	0.5 (-0.2, 1.2)
Houston County, Minnesota	No	128.2 (109.8, 149.2)	N/A	38	falling	-1.3 (-1.8, -0.8)
Houston County, Georgia	No	155.0 (146.3, 164.2)	N/A	247	falling	-1.4 (-1.8, -1.0)
Houston County, Alabama	No	154.4 (145.1, 164.1)	N/A	215	falling	-4.0 (-6.3, -1.6)
Houghton County, Michigan	No	174.8 (157.7, 193.5)	N/A	81	falling	-0.9 (-1.3, -0.4)
Hot Springs County, Wyoming	No	175.1 (137.6, 223.0)	N/A	16	falling	-0.9 (-1.7, -0.1)
Hot Spring County, Arkansas	No	177.7 (160.9, 196.0)	N/A	85	falling	-0.8 (-1.2, -0.3)
Horry County, South Carolina	No	163.0 (158.0, 168.2)	N/A	882	falling	-1.1 (-1.3, -0.9)
Hopkins County, Texas	No	162.9 (147.1, 180.1)	N/A	81	falling	-1.4 (-1.9, -0.8)
Hopkins County, Kentucky	No	198.5 (182.7, 215.4)	N/A	123	falling	-0.9 (-1.3, -0.4)
Hopewell City, Virginia	No	230.7 (205.6, 258.2)	N/A	63	stable	-0.3 (-0.8, 0.1)
Hood River County, Oregon	No	133.6 (114.9, 154.7)	N/A	38	stable	-0.7 (-10.1, 9.7)
Hood County, Texas	No	148.1 (137.4, 159.7)	N/A	154	falling	-2.0 (-2.5, -1.5)
Honolulu County, Hawaii ⁸	No	123.4 (120.7, 126.2)	N/A	1,636	falling	-1.1 (-1.3, -0.9)
Holt County, Nebraska	No	134.3 (108.8, 164.9)	N/A	22	falling	-1.1 (-1.9, -0.3)
Holt County, Missouri	No	156.7 (114.6, 211.3)	N/A	11	stable	-0.7 (-1.9, 0.5)
Holmes County, Ohio	No	158.0 (142.0, 175.4)	N/A	74	stable	-0.5 (-1.0, 0.0)
Holmes County, Mississippi	No	215.1 (187.3, 246.1)	N/A	45	stable	-0.4 (-1.1, 0.3)
Holmes County, Florida	No	175.9 (154.6, 199.8)	N/A	51	falling	-0.9 (-1.6, -0.1)
Hoke County, North Carolina	No	167.5 (150.1, 186.3)	N/A	75	falling	-1.9 (-2.6, -1.3)
Hodgeman County, Kansas	No	138.1 (87.7, 216.9)	N/A	5	falling	-1.6 (-3.0, -0.1)
Hockley County, Texas	No	158.0 (136.6, 181.9)	N/A	40	falling	-1.1 (-1.8, -0.3)
Hocking County, Ohio	No	182.4 (163.8, 202.8)	N/A	73	falling	-1.1 (-1.6, -0.6)
Hitchcock County, Nebraska	No	214.1 (153.4, 294.6)	N/A	10	stable	0.2 (-1.0, 1.3)
Hinds County, Mississippi	No	170.1 (162.9, 177.4)	N/A	450	stable	-0.1 (-0.5, 0.3)
Hillsdale County, Michigan	No	184.3 (169.5, 200.2)	N/A	122	falling	-0.6 (-1.0, -0.2)
Hillsborough County, New Hampshire	No	143.8 (139.1, 148.6)	N/A	741	falling	-1.7 (-1.9, -1.5)
Hillsborough County, Florida	No	146.7 (144.1, 149.4)	N/A	2,361	falling	-1.7 (-1.8, -1.6)
Hill County, Texas	No	187.0 (170.4, 205.0)	N/A	100	falling	-0.7 (-1.2, -0.2)
Hill County, Montana	No	174.7 (148.0, 204.8)	N/A	32	falling	-0.7 (-1.2, -0.1)
Highlands County, Florida	No	143.7 (135.8, 152.0)	N/A	338	falling	-1.1 (-1.4, -0.8)
Highland County, Virginia	No	155.8 (109.0, 229.9)	N/A	8	falling	-2.0 (-3.6, -0.5)
Highland County, Ohio	No	186.9 (171.1, 203.8)	N/A	109	falling	-0.7 (-1.2, -0.1)
Hidalgo County, Texas	Yes	111.8 (108.5, 115.3)	N/A	841	falling	-1.0 (-1.2, -0.8)
Hidalgo County, New Mexico	No	151.7 (112.9, 202.2)	N/A	11	stable	-0.3 (-1.4, 0.8)
Hickory County, Missouri	No	187.2 (158.9, 220.9)	N/A	38	falling	-1.0 (-1.7, -0.3)
Hickman County, Tennessee	No	196.3 (175.0, 219.6)	N/A	65	stable	-0.5 (-1.2, 0.1)
Hickman County, Kentucky	No	182.0 (142.5, 232.1)	N/A	15	stable	-0.1 (-1.3, 1.0)
Hettinger County, North Dakota	No	154.0 (104.7, 223.4)	N/A	7	stable	-1.1 (-2.7, 0.5)
Hertford County, North Carolina	No	144.3 (126.5, 164.2)	N/A	51	falling	-3.8 (-5.4, -2.2)
Hernando County, Florida	No	168.4 (162.1, 174.9)	N/A	611	falling	-1.1 (-1.3, -0.9)
Herkimer County, New York	No	146.3 (135.2, 158.2)	N/A	137	falling	-1.5 (-1.8, -1.1)
Henry County, Virginia	No	165.9 (153.4, 179.3)	N/A	144	stable	-0.2 (-0.6, 0.2)
Henry County, Tennessee	No	187.0 (170.5, 204.9)	N/A	101	falling	-0.7 (-1.1, -0.3)
Henry County, Ohio	No	153.7 (136.3, 172.9)	N/A	59	falling	-1.1 (-1.6, -0.6)
Henry County, Missouri	No	170.3 (151.0, 191.7)	N/A	60	falling	-6.0 (-11.5, -0.2)
Henry County, Kentucky	No	208.8 (181.3, 239.5)	N/A	44	stable	-0.3 (-0.8, 0.3)
Henry County, Iowa	No	157.1 (136.9, 179.7)	N/A	45	falling	-0.8 (-1.5, -0.2)
Henry County, Indiana	No	199.8 (184.7, 215.9)	N/A	135	stable	-0.3 (-0.6, 0.0)
Henry County, Illinois	No	154.3 (141.7, 167.8)	N/A	116	falling	-1.0 (-1.4, -0.5)
Henry County, Georgia	No	156.5 (148.8, 164.6)	N/A	338	falling	-1.1 (-1.4, -0.8)
Henry County, Alabama	No	174.4 (152.1, 199.6)	N/A	47	falling	-0.7 (-1.2, -0.1)
Henrico County, Virginia	No	152.3 (146.8, 157.9)	N/A	603	falling	-1.4 (-1.6, -1.1)
Hennepin County, Minnesota	No	137.3 (134.5, 140.1)	N/A	1,912	falling	-1.8 (-2.0, -1.6)
Hendry County, Florida	No	137.7 (122.5, 154.2)	N/A	61	falling	-1.4 (-2.0, -0.7)
Hendricks County, Indiana	No	154.5 (146.2, 163.1)	N/A	273	falling	-1.5 (-1.7, -1.3)
Henderson County, Texas	No	173.1 (162.6, 184.1)	N/A	223	falling	-1.3 (-1.6, -0.9)
Henderson County, Tennessee	No	199.2 (179.2, 221.1)	N/A	76	stable	-0.4 (-0.9, 0.0)
Henderson County, North Carolina	No	141.5 (134.0, 149.3)	N/A	296	falling	-1.3 (-1.6, -0.9)
Henderson County, Kentucky	No	186.9 (171.4, 203.5)	N/A	113	falling	-0.7 (-1.2, -0.2)
Henderson County, Illinois	No	147.0 (115.7, 185.9)	N/A	18	falling	-1.3 (-2.2, -0.5)
Hempstead County, Arkansas	No	150.4 (131.1, 172.1)	N/A	46	falling	-1.2 (-1.9, -0.6)
Hemphill County, Texas	No	148.3 (100.0, 212.3)	N/A	6	stable	-0.6 (-2.2, 1.0)
Heard County, Georgia	No	166.7 (138.6, 199.2)	N/A	26	stable	-0.5 (-1.2, 0.3)
Haywood County, Tennessee	No	181.1 (157.4, 207.7)	N/A	45	falling	-1.0 (-1.7, -0.3)
Haywood County, North Carolina	No	148.4 (137.9, 159.7)	N/A	159	falling	-1.0 (-1.3, -0.7)
Hays County, Texas	No	140.8 (133.0, 148.9)	N/A	263	falling	-1.4 (-1.8, -1.0)
Hawkins County, Tennessee	No	190.8 (177.5, 205.0)	N/A	162	stable	-0.1 (-0.5, 0.2)
Hawaii County, Hawaii ⁸	No	137.5 (131.4, 144.0)	N/A	413	falling	-1.4 (-1.9, -1.0)
Haskell County, Texas	No	179.3 (142.3, 224.9)	N/A	17	stable	-0.6 (-1.7, 0.6)
Haskell County, Oklahoma	No	192.7 (165.1, 224.3)	N/A	37	falling	-0.7 (-1.4, -0.1)
Haskell County, Kansas	No	126.1 (82.6, 184.9)	N/A	6	stable	0.6 (-1.0, 2.1)
Harvey County, Kansas	No	154.7 (139.1, 171.7)	N/A	78	stable	-0.3 (-0.9, 0.2)
Hartley County, Texas	No	130.9 (94.2, 177.8)	N/A	8	falling	-1.5 (-2.8, -0.1)
Hartford County, Connecticut	No	136.8 (133.8, 139.8)	N/A	1,646	falling	-1.7 (-1.9, -1.6)
Hart County, Kentucky	No	219.0 (192.7, 248.1)	N/A	53	stable	0.0 (-0.6, 0.7)
Hart County, Georgia	No	150.5 (133.6, 169.1)	N/A	61	falling	-0.8 (-1.6, -0.1)
Harrisonburg City, Virginia	No	145.7 (129.2, 163.6)	N/A	59	falling	-1.5 (-2.2, -0.8)
Harrison County, West Virginia	No	183.3 (171.2, 196.1)	N/A	179	falling	-0.9 (-1.2, -0.5)
Harrison County, Texas	No	153.1 (141.4, 165.5)	N/A	133	falling	-1.2 (-1.7, -0.7)
Harrison County, Ohio	No	159.8 (137.3, 185.6)	N/A	38	falling	-0.9 (-1.6, -0.3)
Harrison County, Missouri	No	157.1 (128.0, 191.8)	N/A	22	stable	-0.7 (-1.5, 0.1)
Harrison County, Mississippi	No	194.7 (186.7, 203.0)	N/A	462	falling	-0.9 (-1.2, -0.6)
Harrison County, Kentucky	No	182.8 (159.8, 208.5)	N/A	47	stable	-0.6 (-1.2, 0.0)
Harrison County, Iowa	No	160.6 (136.8, 188.0)	N/A	34	falling	-1.2 (-1.7, -0.6)
Harrison County, Indiana	No	173.6 (157.8, 190.8)	N/A	93	falling	-0.9 (-1.4, -0.4)
Harris County, Texas	No	139.4 (137.7, 141.1)	N/A	5,610	falling	-2.0 (-2.1, -1.9)
Harris County, Georgia	No	140.1 (124.7, 157.0)	N/A	65	falling	-2.0 (-2.5, -1.5)
Harper County, Oklahoma	No	153.3 (108.3, 212.7)	N/A	8	stable	-0.7 (-2.1, 0.8)
Harper County, Kansas	No	208.1 (166.9, 258.1)	N/A	19	stable	-0.2 (-1.3, 0.9)
Harney County, Oregon	No	141.3 (113.0, 176.1)	N/A	18	falling	-1.8 (-2.6, -1.0)
Harnett County, North Carolina	No	168.9 (159.0, 179.3)	N/A	225	falling	-1.3 (-1.6, -1.0)
Harmon County, Oklahoma	No	203.2 (140.3, 286.8)	N/A	7	stable	0.2 (-1.6, 2.1)
Harlan County, Nebraska	No	147.6 (107.1, 203.0)	N/A	10	stable	-0.2 (-1.5, 1.2)
Harlan County, Kentucky	No	237.6 (214.9, 262.2)	N/A	86	stable	0.2 (-0.4, 0.8)
Harford County, Maryland	No	155.7 (149.5, 162.1)	N/A	494	falling	-1.5 (-1.6, -1.3)
Hardy County, West Virginia	No	150.1 (126.6, 177.2)	N/A	31	falling	-1.2 (-1.8, -0.7)
Hardin County, Texas	No	164.9 (151.7, 179.0)	N/A	120	falling	-2.2 (-2.9, -1.6)
Hardin County, Tennessee	No	170.5 (152.8, 190.0)	N/A	73	stable	-0.5 (-1.2, 0.2)
Hardin County, Ohio	No	183.1 (164.0, 203.8)	N/A	70	falling	-0.8 (-1.3, -0.2)
Hardin County, Kentucky	No	180.6 (169.9, 191.8)	N/A	221	falling	-0.8 (-1.1, -0.5)
Hardin County, Iowa	No	167.1 (145.6, 191.4)	N/A	48	falling	-1.0 (-1.6, -0.5)
Hardin County, Illinois	No	210.1 (162.6, 270.7)	N/A	15	stable	-0.5 (-1.5, 0.5)
Hardeman County, Texas	No	151.1 (108.9, 206.3)	N/A	9	stable	-1.0 (-2.3, 0.3)
Hardeman County, Tennessee	No	206.8 (185.1, 230.4)	N/A	69	stable	-0.3 (-0.9, 0.2)
Hardee County, Florida	No	138.9 (121.3, 158.5)	N/A	45	falling	-1.0 (-1.5, -0.4)
Haralson County, Georgia	No	174.5 (155.7, 195.1)	N/A	64	stable	-0.6 (-1.3, 0.1)
Hanson County, South Dakota	No	302.1 (213.4, 413.3)	N/A	9	rising	1.9 (0.3, 3.5)
Hansford County, Texas	No	163.4 (120.8, 216.6)	N/A	10	stable	-0.9 (-1.9, 0.2)
Hanover County, Virginia	No	150.4 (141.3, 159.9)	N/A	216	falling	-1.7 (-2.0, -1.4)
Hand County, South Dakota	Yes	103.7 (67.6, 156.4)	N/A	7	falling	-1.9 (-3.2, -0.7)
Hancock County, West Virginia	No	167.1 (150.8, 185.0)	N/A	82	falling	-1.1 (-1.5, -0.6)
Hancock County, Tennessee	No	182.3 (145.7, 226.6)	N/A	19	stable	-0.2 (-1.2, 0.7)
Hancock County, Ohio	No	161.4 (150.2, 173.2)	N/A	161	falling	-0.8 (-1.2, -0.4)
Hancock County, Mississippi	No	159.7 (146.2, 174.2)	N/A	111	falling	-1.1 (-1.5, -0.7)
Hancock County, Maine	No	157.9 (146.2, 170.6)	N/A	148	falling	-1.9 (-2.2, -1.6)
Hancock County, Kentucky	No	197.8 (162.0, 239.8)	N/A	22	stable	-0.6 (-1.7, 0.5)
Hancock County, Iowa	No	125.2 (102.4, 152.4)	N/A	23	falling	-1.3 (-2.3, -0.2)
Hancock County, Indiana	No	154.1 (143.0, 166.0)	N/A	147	falling	-1.0 (-1.4, -0.6)
Hancock County, Illinois	No	140.2 (121.3, 161.8)	N/A	43	falling	-1.5 (-2.1, -0.9)
Hancock County, Georgia	No	157.8 (128.0, 193.8)	N/A	21	falling	-1.4 (-2.3, -0.6)
Hampton County, South Carolina	No	195.0 (171.4, 221.3)	N/A	52	stable	-0.5 (-1.2, 0.1)
Hampton City, Virginia	No	176.1 (166.8, 185.8)	N/A	281	falling	-1.3 (-1.6, -1.0)
Hampshire County, West Virginia	No	176.9 (157.1, 198.8)	N/A	64	stable	-0.6 (-1.2, 0.1)
Hampshire County, Massachusetts	No	138.4 (131.1, 146.0)	N/A	286	falling	-1.6 (-1.9, -1.3)
Hampden County, Massachusetts	No	156.6 (152.1, 161.2)	N/A	952	falling	-1.3 (-1.5, -1.2)
Hamlin County, South Dakota	No	188.7 (146.4, 240.0)	N/A	14	stable	-0.2 (-1.0, 0.7)
Hamilton County, Texas	No	216.4 (180.2, 258.6)	N/A	30	stable	0.1 (-0.5, 0.8)
Hamilton County, Tennessee	No	148.5 (143.5, 153.5)	N/A	718	falling	-4.3 (-5.9, -2.6)
Hamilton County, Ohio	No	165.5 (161.9, 169.3)	N/A	1,615	falling	-1.7 (-1.9, -1.4)
Hamilton County, New York	No	170.3 (132.1, 221.4)	N/A	16	falling	-1.5 (-2.6, -0.5)
Hamilton County, Nebraska	No	147.1 (118.7, 181.0)	N/A	20	falling	-1.4 (-2.4, -0.4)
Hamilton County, Kansas	No	179.7 (115.1, 268.2)	N/A	5	stable	-0.4 (-1.8, 1.0)
Hamilton County, Iowa	No	149.2 (127.2, 174.4)	N/A	36	falling	-1.3 (-1.9, -0.8)
Hamilton County, Indiana	No	126.8 (121.2, 132.6)	N/A	403	falling	-1.6 (-1.9, -1.3)
Hamilton County, Illinois	No	175.3 (144.1, 212.3)	N/A	23	stable	-0.4 (-1.3, 0.5)
Hamilton County, Florida	No	202.9 (174.4, 235.1)	N/A	38	falling	-1.6 (-2.1, -1.1)
Hamblen County, Tennessee	No	171.0 (158.8, 184.0)	N/A	151	falling	-1.1 (-1.6, -0.6)
Hall County, Texas	Yes	117.5 (79.9, 172.0)	N/A	6	falling	-9.2 (-15.6, -2.5)
Hall County, Nebraska	No	150.0 (137.4, 163.5)	N/A	107	falling	-1.1 (-1.5, -0.7)
Hall County, Georgia	No	142.4 (135.5, 149.5)	N/A	329	falling	-1.3 (-1.7, -1.0)
Halifax County, North Carolina	No	195.0 (180.8, 210.1)	N/A	150	falling	-0.7 (-1.0, -0.4)
Halifax County with South Boston City, Virginia	No	198.8 (182.0, 216.9)	N/A	115	stable	3.2 (-0.7, 7.2)
Hale County, Texas	No	162.3 (143.9, 182.4)	N/A	58	stable	-0.2 (-0.8, 0.3)
Hale County, Alabama	No	157.0 (133.2, 184.2)	N/A	33	falling	-1.3 (-2.2, -0.3)
Habersham County, Georgia	No	153.7 (139.9, 168.7)	N/A	94	stable	-0.5 (-1.1, 0.0)
Haakon County, South Dakota	No	156.3 (100.0, 240.8)	N/A	5	stable	-1.0 (-2.9, 1.0)
Gwinnett County, Georgia	No	136.5 (132.6, 140.4)	N/A	1,035	falling	-1.4 (-1.6, -1.3)
Guthrie County, Iowa	No	150.0 (124.9, 179.6)	N/A	27	stable	-0.5 (-1.3, 0.3)
Gunnison County, Colorado	Yes	109.5 (86.4, 136.9)	N/A	17	falling	-2.7 (-3.8, -1.5)
Gulf County, Florida	No	162.0 (139.5, 187.8)	N/A	40	falling	-1.8 (-2.5, -1.0)
Guilford County, North Carolina	No	148.2 (143.9, 152.7)	N/A	924	falling	-1.2 (-1.6, -0.9)
Guernsey County, Ohio	No	182.7 (166.9, 199.6)	N/A	104	falling	-0.9 (-1.3, -0.5)
Guadalupe County, Texas	No	147.3 (139.3, 155.7)	N/A	258	falling	-1.4 (-1.8, -1.1)
Guadalupe County, New Mexico	No	176.4 (132.6, 232.0)	N/A	11	stable	-0.5 (-1.7, 0.7)
Grundy County, Tennessee	No	221.9 (192.6, 254.8)	N/A	44	stable	0.4 (-0.4, 1.3)
Grundy County, Missouri	No	137.3 (111.8, 167.7)	N/A	22	falling	-1.0 (-1.8, -0.2)
Grundy County, Iowa	No	166.3 (141.2, 195.3)	N/A	33	stable	-0.3 (-1.2, 0.6)
Grundy County, Illinois	No	177.7 (162.2, 194.4)	N/A	100	falling	-1.0 (-1.5, -0.5)
Grimes County, Texas	No	167.3 (149.1, 187.3)	N/A	65	falling	-1.1 (-1.6, -0.6)
Griggs County, North Dakota	Yes	99.6 (62.1, 161.5)	N/A	5	stable	-1.1 (-3.0, 0.9)
Grenada County, Mississippi	No	209.3 (185.3, 235.8)	N/A	58	stable	0.0 (-0.6, 0.6)
Gregory County, South Dakota	No	152.9 (115.6, 201.8)	N/A	12	stable	-0.5 (-1.4, 0.4)
Gregg County, Texas	No	170.9 (161.3, 180.8)	N/A	249	falling	-1.4 (-1.6, -1.2)
Greer County, Oklahoma	No	201.3 (158.7, 252.8)	N/A	16	stable	-0.2 (-0.9, 0.4)
Greenwood County, South Carolina	No	168.4 (156.9, 180.7)	N/A	165	falling	-1.2 (-1.5, -0.9)
Greenwood County, Kansas	No	202.4 (162.9, 250.4)	N/A	21	stable	-0.7 (-1.7, 0.2)
Greenville County, South Carolina	No	144.4 (140.1, 148.8)	N/A	885	falling	-3.1 (-4.2, -2.0)
Greenup County, Kentucky	No	191.2 (174.8, 208.9)	N/A	104	falling	-1.0 (-1.5, -0.5)
Greensville County, Virginia	No	226.8 (190.5, 268.4)	N/A	29	stable	-0.1 (-1.1, 0.9)
Greenlee County, Arizona	No	128.4 (97.6, 165.7)	N/A	12	falling	-1.6 (-2.7, -0.5)
Greene County, Virginia	No	139.5 (119.1, 162.6)	N/A	35	falling	-1.7 (-2.5, -0.8)
Greene County, Tennessee	No	190.7 (178.8, 203.2)	N/A	204	falling	-0.6 (-1.0, -0.2)
Greene County, Pennsylvania	No	179.8 (163.4, 197.6)	N/A	93	falling	-0.6 (-1.0, -0.2)
Greene County, Ohio	No	147.4 (140.1, 155.0)	N/A	318	falling	-1.5 (-1.8, -1.2)
Greene County, North Carolina	No	162.3 (141.0, 186.1)	N/A	44	falling	-0.8 (-1.5, -0.1)
Greene County, New York	No	169.2 (156.0, 183.4)	N/A	129	falling	-1.3 (-1.7, -0.8)
Greene County, Missouri	No	153.8 (148.0, 159.7)	N/A	556	falling	-1.3 (-1.5, -1.1)
Greene County, Mississippi	No	176.7 (148.3, 209.3)	N/A	28	falling	-1.1 (-1.8, -0.3)
Greene County, Iowa	No	163.8 (135.7, 197.2)	N/A	26	stable	-0.3 (-1.1, 0.6)
Greene County, Indiana	No	191.2 (173.3, 210.6)	N/A	88	stable	-0.1 (-0.7, 0.5)
Greene County, Illinois	No	170.3 (144.8, 199.6)	N/A	33	falling	-1.0 (-1.7, -0.2)
Greene County, Georgia	No	136.6 (117.5, 158.6)	N/A	43	falling	-1.5 (-2.2, -0.8)
Greene County, Arkansas	No	178.1 (162.6, 194.7)	N/A	99	stable	-0.5 (-1.0, 0.1)
Greene County, Alabama	No	155.6 (125.8, 191.4)	N/A	21	falling	-1.4 (-2.3, -0.6)
Greenbrier County, West Virginia	No	166.3 (151.3, 182.7)	N/A	96	falling	-1.1 (-1.5, -0.7)
Green Lake County, Wisconsin	No	147.1 (128.2, 168.5)	N/A	46	stable	-0.7 (-1.4, 0.0)
Green County, Wisconsin	No	147.4 (132.8, 163.4)	N/A	78	falling	-0.8 (-1.3, -0.3)
Green County, Kentucky	No	179.0 (151.7, 210.7)	N/A	31	stable	0.1 (-0.8, 1.0)
Greeley County, Nebraska	Yes	119.7 (74.9, 187.4)	N/A	5	stable	-0.7 (-2.7, 1.4)
Greeley County, Kansas	No	220.9 (127.3, 362.9)	N/A	4	*	*
Grayson County, Virginia	No	170.6 (148.7, 195.5)	N/A	47	stable	-0.5 (-1.2, 0.2)
Grayson County, Texas	No	173.0 (164.2, 182.1)	N/A	308	falling	-0.9 (-1.2, -0.7)
Grayson County, Kentucky	No	210.3 (188.9, 233.7)	N/A	74	stable	0.2 (-0.2, 0.6)
Grays Harbor County, Washington	No	174.7 (163.7, 186.4)	N/A	201	falling	-1.2 (-1.6, -0.9)
Gray County, Texas	No	149.9 (130.1, 172.2)	N/A	42	falling	-1.0 (-1.6, -0.4)
Gray County, Kansas	No	140.0 (102.5, 187.2)	N/A	10	falling	-1.8 (-3.2, -0.4)
Graves County, Kentucky	No	182.0 (165.4, 199.9)	N/A	93	falling	-0.6 (-1.0, -0.2)
Gratiot County, Michigan	No	181.0 (164.9, 198.3)	N/A	97	stable	-0.5 (-0.9, 0.0)
Granville County, North Carolina	No	168.9 (156.0, 182.6)	N/A	134	falling	-2.9 (-4.2, -1.6)
Grant Parish, Louisiana	No	174.5 (152.1, 199.3)	N/A	45	falling	-1.3 (-2.0, -0.7)
Grant County, Wisconsin	No	161.2 (147.6, 175.7)	N/A	110	falling	-0.6 (-1.1, -0.2)
Grant County, West Virginia	No	128.5 (106.6, 154.5)	N/A	26	falling	-1.3 (-2.2, -0.3)
Grant County, Washington	No	152.7 (141.9, 164.1)	N/A	154	falling	-1.0 (-1.3, -0.6)
Grant County, South Dakota	No	142.9 (114.0, 178.3)	N/A	17	stable	-0.8 (-1.6, 0.0)
Grant County, Oregon	No	145.1 (116.9, 180.3)	N/A	22	stable	11.6 (-6.5, 33.0)
Grant County, Oklahoma	No	201.5 (153.3, 261.7)	N/A	13	stable	0.5 (-0.5, 1.5)
Grant County, North Dakota	Yes	105.0 (67.6, 165.3)	N/A	5	stable	-1.2 (-2.7, 0.2)
Grant County, New Mexico	No	146.2 (130.4, 163.7)	N/A	74	falling	-1.1 (-1.7, -0.5)
Grant County, Minnesota	No	150.1 (114.1, 195.0)	N/A	14	stable	-0.8 (-1.8, 0.1)
Grant County, Kentucky	No	185.5 (162.5, 210.8)	N/A	50	falling	-1.1 (-1.7, -0.4)
Grant County, Kansas	No	198.7 (155.7, 250.0)	N/A	15	stable	-0.5 (-1.6, 0.7)
Grant County, Indiana	No	187.7 (175.2, 200.9)	N/A	177	falling	-0.5 (-0.8, -0.2)
Grant County, Arkansas	No	169.0 (146.7, 194.0)	N/A	42	stable	-0.5 (-1.2, 0.2)
Granite County, Montana	Yes	111.2 (76.5, 163.5)	N/A	8	falling	-3.0 (-4.7, -1.2)
Grand Traverse County, Michigan	No	138.3 (129.4, 147.8)	N/A	189	falling	-1.4 (-1.8, -1.0)
Grand Isle County, Vermont	No	174.5 (137.2, 219.9)	N/A	18	falling	-1.6 (-2.8, -0.3)
Grand Forks County, North Dakota	No	168.1 (154.4, 182.6)	N/A	117	falling	-0.9 (-1.3, -0.5)
Grand County, Utah	No	147.7 (118.8, 182.0)	N/A	19	falling	-1.5 (-2.3, -0.6)
Grand County, Colorado	Yes	93.9 (73.1, 119.1)	N/A	16	stable	-1.5 (-2.9, 0.0)
Grainger County, Tennessee	No	188.8 (168.3, 211.5)	N/A	66	stable	-0.5 (-1.1, 0.2)
Graham County, North Carolina	No	166.1 (136.9, 200.9)	N/A	24	falling	-1.1 (-1.9, -0.3)
Graham County, Kansas	No	145.9 (101.7, 210.7)	N/A	8	falling	-1.7 (-2.9, -0.4)
Graham County, Arizona	No	131.5 (116.0, 148.5)	N/A	53	falling	-1.4 (-1.9, -0.8)
Grafton County, New Hampshire	No	146.6 (137.4, 156.5)	N/A	200	falling	-1.8 (-2.1, -1.5)
Grady County, Oklahoma	No	171.7 (158.0, 186.5)	N/A	119	stable	-0.5 (-0.9, 0.0)
Grady County, Georgia	No	157.1 (138.2, 178.1)	N/A	52	falling	-3.0 (-4.3, -1.7)
Gove County, Kansas	No	122.9 (80.3, 185.2)	N/A	6	stable	-0.9 (-2.6, 0.8)
Gosper County, Nebraska	No	144.9 (89.1, 228.5)	N/A	5	stable	-0.2 (-2.0, 1.7)
Goshen County, Wyoming	No	169.9 (145.2, 198.2)	N/A	36	stable	-0.2 (-0.9, 0.4)
Gordon County, Georgia	No	183.3 (168.8, 198.7)	N/A	122	falling	-0.9 (-1.3, -0.5)
Gooding County, Idaho	No	153.6 (130.2, 180.3)	N/A	31	falling	-1.0 (-1.8, -0.1)
Goodhue County, Minnesota	No	156.9 (143.6, 171.2)	N/A	109	falling	-0.8 (-1.2, -0.4)
Goochland County, Virginia	No	152.2 (134.0, 172.6)	N/A	56	falling	-1.8 (-2.6, -1.1)
Gonzales County, Texas	No	165.9 (144.2, 190.0)	N/A	44	falling	-1.2 (-1.8, -0.6)
Goliad County, Texas	No	161.3 (128.2, 201.3)	N/A	19	falling	-1.4 (-2.6, -0.3)
Gogebic County, Michigan	No	153.7 (132.9, 177.8)	N/A	43	falling	-1.3 (-1.9, -0.7)
Glynn County, Georgia	No	160.2 (150.0, 170.9)	N/A	197	falling	-1.6 (-1.9, -1.2)
Gloucester County, Virginia	No	194.1 (177.2, 212.2)	N/A	104	falling	-1.0 (-1.5, -0.6)
Gloucester County, New Jersey	No	167.3 (161.3, 173.6)	N/A	600	falling	-2.3 (-2.7, -1.9)
Glenn County, California	No	155.3 (137.0, 175.5)	N/A	53	falling	-1.4 (-2.0, -0.8)
Glascock County, Georgia	No	196.1 (138.1, 272.5)	N/A	8	stable	0.8 (-0.9, 2.6)
Gladwin County, Michigan	No	194.8 (176.0, 215.4)	N/A	89	falling	-0.7 (-1.3, -0.2)
Glades County, Florida	No	124.3 (104.7, 147.5)	N/A	32	falling	-2.1 (-2.8, -1.4)
Glacier County, Montana	No	161.7 (132.3, 195.6)	N/A	22	falling	-1.1 (-2.1, -0.1)
Gilpin County, Colorado	Yes	100.8 (64.8, 149.9)	N/A	7	*	*
Gilmer County, West Virginia	No	182.5 (147.5, 224.4)	N/A	19	stable	-0.3 (-1.2, 0.6)
Gilmer County, Georgia	No	152.5 (137.0, 169.5)	N/A	80	falling	-1.8 (-2.5, -1.1)
Gilliam County, Oregon	Yes	97.0 (58.6, 164.4)	N/A	4	stable	-1.6 (-3.8, 0.5)
Gillespie County, Texas	No	131.5 (117.3, 147.4)	N/A	73	falling	-1.3 (-1.7, -0.9)
Giles County, Virginia	No	189.8 (166.5, 216.0)	N/A	50	falling	-0.9 (-1.5, -0.4)
Giles County, Tennessee	No	169.1 (151.9, 187.9)	N/A	74	falling	-0.9 (-1.5, -0.4)
Gilchrist County, Florida	No	173.0 (150.8, 197.9)	N/A	47	falling	-1.0 (-1.8, -0.2)
Gila County, Arizona	No	136.2 (125.4, 147.8)	N/A	143	falling	-1.2 (-1.7, -0.8)
Gibson County, Tennessee	No	200.8 (185.6, 216.9)	N/A	134	falling	-0.5 (-0.9, -0.1)
Gibson County, Indiana	No	160.6 (144.1, 178.6)	N/A	72	falling	-1.1 (-1.5, -0.7)
Georgetown County, South Carolina	No	154.4 (143.5, 166.1)	N/A	174	falling	-1.2 (-1.6, -0.9)
George County, Mississippi	No	197.1 (172.8, 224.0)	N/A	51	falling	-0.9 (-1.6, -0.1)
Gentry County, Missouri	No	172.0 (135.4, 216.5)	N/A	17	stable	-0.4 (-1.2, 0.4)
Geneva County, Alabama	No	187.2 (168.1, 208.0)	N/A	74	stable	-0.5 (-1.1, 0.1)
Genesee County, New York	No	165.5 (153.1, 178.7)	N/A	139	falling	-1.1 (-1.4, -0.7)
Genesee County, Michigan	No	172.0 (167.0, 177.1)	N/A	938	falling	-1.7 (-2.2, -1.2)
Gem County, Idaho	No	146.6 (126.6, 169.3)	N/A	41	falling	-1.1 (-1.8, -0.4)
Geauga County, Ohio	No	135.7 (127.0, 144.9)	N/A	192	falling	-1.5 (-1.8, -1.2)
Geary County, Kansas	No	185.2 (160.3, 212.6)	N/A	41	falling	-0.7 (-1.3, -0.1)
Gates County, North Carolina	No	151.0 (124.8, 181.7)	N/A	25	falling	-1.6 (-2.4, -0.8)
Gaston County, North Carolina	No	166.0 (159.1, 173.0)	N/A	458	falling	-3.6 (-6.0, -1.2)
Gasconade County, Missouri	No	166.6 (143.7, 192.8)	N/A	41	falling	-1.0 (-1.6, -0.4)
Garza County, Texas	No	144.1 (104.3, 194.3)	N/A	9	falling	-1.9 (-3.1, -0.6)
Garvin County, Oklahoma	No	220.6 (199.0, 244.0)	N/A	80	stable	0.2 (-0.3, 0.8)
Garrett County, Maryland	No	123.7 (109.7, 139.4)	N/A	60	stable	-11.4 (-24.8, 4.4)
Garrard County, Kentucky	No	180.0 (156.3, 206.6)	N/A	44	falling	-0.8 (-1.6, -0.1)
Garland County, Arkansas	No	159.8 (150.9, 169.1)	N/A	263	falling	-1.8 (-2.5, -1.1)
Garfield County, Washington	No	138.4 (87.9, 213.2)	N/A	6	falling	-2.5 (-3.8, -1.1)
Garfield County, Utah	No	138.7 (99.5, 189.3)	N/A	9	stable	-1.4 (-2.9, 0.2)
Garfield County, Oklahoma	No	168.9 (155.9, 182.8)	N/A	129	falling	-0.5 (-0.8, -0.1)
Garfield County, Nebraska	No	137.6 (85.9, 217.8)	N/A	5	stable	0.3 (-2.7, 3.4)
Garfield County, Colorado	No	125.0 (112.1, 138.9)	N/A	74	falling	-1.8 (-2.2, -1.4)
Garden County, Nebraska	No	174.8 (110.8, 269.9)	N/A	6	stable	-0.7 (-2.4, 1.0)
Galveston County, Texas	No	171.2 (165.2, 177.3)	N/A	649	falling	-1.4 (-1.6, -1.2)
Gallia County, Ohio	No	203.3 (183.9, 224.4)	N/A	85	stable	-0.4 (-0.9, 0.1)
Gallatin County, Montana	No	123.0 (113.2, 133.4)	N/A	124	falling	-1.3 (-1.9, -0.8)
Gallatin County, Kentucky	No	226.8 (184.5, 276.1)	N/A	22	stable	-0.9 (-1.8, 0.0)
Gallatin County, Illinois	No	218.4 (172.1, 275.1)	N/A	17	falling	-0.9 (-1.7, -0.2)
Galax City, Virginia	No	363.1 (307.7, 426.4)	N/A	33	falling	-17.0 (-30.7, -0.6)
Gaines County, Texas	No	154.1 (126.7, 185.3)	N/A	23	stable	-0.9 (-1.8, 0.1)
Gage County, Nebraska	No	160.1 (140.9, 181.6)	N/A	54	stable	-0.5 (-1.1, 0.2)
Gadsden County, Florida	No	158.3 (144.3, 173.4)	N/A	99	falling	-1.5 (-1.9, -1.1)
Furnas County, Nebraska	No	177.0 (133.7, 231.6)	N/A	13	stable	-1.0 (-2.0, 0.0)
Fulton County, Pennsylvania	No	171.0 (147.6, 197.7)	N/A	40	stable	-0.4 (-1.3, 0.6)
Fulton County, Ohio	No	181.3 (165.5, 198.3)	N/A	102	stable	-0.1 (-0.5, 0.2)
Fulton County, New York	No	163.4 (150.6, 177.1)	N/A	128	falling	-1.2 (-1.6, -0.9)
Fulton County, Kentucky	No	200.1 (159.9, 248.7)	N/A	18	falling	-0.7 (-1.4, -0.1)
Fulton County, Indiana	No	184.4 (162.3, 208.9)	N/A	53	falling	-0.9 (-1.4, -0.3)
Fulton County, Illinois	No	196.9 (179.9, 215.3)	N/A	104	falling	-0.6 (-1.0, -0.1)
Fulton County, Georgia	No	140.5 (137.1, 143.9)	N/A	1,398	falling	-2.4 (-2.7, -2.2)
Fulton County, Arkansas	No	186.4 (159.0, 217.8)	N/A	39	stable	-0.2 (-1.1, 0.6)
Frontier County, Nebraska	Yes	88.2 (54.1, 142.4)	N/A	4	stable	-1.8 (-3.8, 0.3)
Frio County, Texas	No	161.2 (136.1, 189.6)	N/A	30	stable	-0.4 (-1.2, 0.4)
Fresno County, California	No	139.5 (136.1, 142.9)	N/A	1,336	falling	-1.3 (-1.4, -1.2)
Fremont County, Wyoming	No	148.5 (133.9, 164.4)	N/A	80	falling	-1.1 (-1.7, -0.5)
Fremont County, Iowa	No	149.2 (118.0, 187.5)	N/A	17	stable	-1.2 (-2.5, 0.0)
Fremont County, Idaho	Yes	121.7 (98.6, 149.0)	N/A	20	stable	-0.4 (-1.2, 0.3)
Fremont County, Colorado	No	148.4 (136.0, 161.8)	N/A	111	falling	-1.0 (-1.4, -0.5)
Freestone County, Texas	No	172.3 (151.0, 196.2)	N/A	49	stable	-0.3 (-1.0, 0.3)
Freeborn County, Minnesota	No	148.3 (133.1, 165.1)	N/A	76	falling	-0.8 (-1.2, -0.4)
Fredericksburg City, Virginia	No	135.3 (115.7, 157.2)	N/A	35	stable	1.0 (-24.9, 35.8)
Frederick County, Virginia	No	161.5 (151.1, 172.5)	N/A	186	falling	-1.4 (-1.8, -1.0)
Frederick County, Maryland	No	139.0 (133.0, 145.3)	N/A	410	falling	-1.6 (-1.9, -1.4)
Franklin Parish, Louisiana	No	161.7 (140.6, 185.3)	N/A	44	falling	-1.4 (-2.2, -0.7)
Franklin County, Washington	No	135.7 (123.3, 148.9)	N/A	94	falling	-1.9 (-2.4, -1.4)
Franklin County, Virginia	No	144.6 (133.2, 156.8)	N/A	132	falling	-1.1 (-1.5, -0.7)
Franklin County, Vermont	No	173.3 (158.4, 189.2)	N/A	106	falling	-1.1 (-1.5, -0.7)
Franklin County, Texas	No	177.6 (147.7, 212.3)	N/A	28	stable	-0.6 (-1.3, 0.2)
Franklin County, Tennessee	No	165.4 (150.7, 181.2)	N/A	100	falling	-0.9 (-1.4, -0.5)
Franklin County, Pennsylvania	No	156.9 (149.6, 164.6)	N/A	356	falling	-1.0 (-1.2, -0.8)
Franklin County, Ohio	No	155.9 (152.8, 159.1)	N/A	1,953	falling	-2.2 (-2.4, -1.9)
Franklin County, North Carolina	No	166.6 (154.3, 179.7)	N/A	144	falling	-1.2 (-1.6, -0.8)
Franklin County, New York	No	164.5 (150.7, 179.4)	N/A	108	falling	-1.4 (-1.8, -1.1)
Franklin County, Nebraska	No	159.2 (113.1, 222.7)	N/A	9	falling	-2.5 (-3.8, -1.2)
Franklin County, Missouri	No	159.8 (150.3, 169.8)	N/A	220	falling	-1.1 (-1.4, -0.8)
Franklin County, Mississippi	No	171.9 (138.5, 211.9)	N/A	20	falling	-1.1 (-2.0, -0.2)
Franklin County, Massachusetts	No	148.7 (138.3, 159.9)	N/A	165	falling	-1.3 (-1.6, -1.0)
Franklin County, Maine	No	170.2 (153.1, 189.0)	N/A	79	falling	-1.1 (-1.6, -0.7)
Franklin County, Kentucky	No	173.3 (159.2, 188.5)	N/A	115	falling	-1.4 (-1.8, -1.0)
Franklin County, Kansas	No	189.2 (168.4, 212.0)	N/A	63	stable	-0.4 (-0.8, 0.0)
Franklin County, Iowa	No	130.0 (105.6, 159.3)	N/A	21	stable	-0.5 (-1.3, 0.3)
Franklin County, Indiana	No	175.2 (154.5, 198.3)	N/A	54	stable	-0.4 (-1.0, 0.2)
Franklin County, Illinois	No	178.4 (163.2, 194.9)	N/A	105	falling	-1.1 (-1.5, -0.7)
Franklin County, Idaho	Yes	109.2 (86.3, 136.4)	N/A	16	stable	-1.0 (-2.0, 0.1)
Franklin County, Georgia	No	184.1 (163.6, 206.8)	N/A	61	stable	-0.1 (-0.6, 0.5)
Franklin County, Florida	No	172.6 (146.5, 202.9)	N/A	34	stable	-0.8 (-1.6, 0.0)
Franklin County, Arkansas	No	182.4 (159.5, 208.1)	N/A	47	falling	-0.7 (-1.4, -0.1)
Franklin County, Alabama	No	174.1 (155.9, 194.0)	N/A	68	falling	-1.1 (-1.6, -0.5)
Franklin City, Virginia	No	237.8 (198.5, 283.4)	N/A	28	falling	-0.9 (-1.6, -0.2)
Fountain County, Indiana	No	213.3 (188.1, 241.4)	N/A	54	stable	-0.4 (-1.0, 0.2)
Foster County, North Dakota	No	128.9 (89.6, 183.6)	N/A	8	stable	-0.7 (-2.3, 0.9)
Fort Bend County, Texas	Yes	116.3 (112.6, 120.2)	N/A	806	falling	-1.8 (-2.2, -1.4)
Forsyth County, North Carolina	No	155.8 (150.7, 161.1)	N/A	718	falling	-1.9 (-2.3, -1.5)
Forsyth County, Georgia	No	124.1 (117.4, 131.1)	N/A	270	falling	-1.5 (-2.0, -0.9)
Forrest County, Mississippi	No	193.7 (180.1, 208.0)	N/A	155	falling	-0.8 (-1.2, -0.5)
Forest County, Wisconsin	No	171.8 (143.1, 205.8)	N/A	27	stable	-0.9 (-1.7, 0.0)
Forest County, Pennsylvania	No	154.1 (122.3, 202.7)	N/A	17	falling	-1.3 (-2.3, -0.2)
Ford County, Kansas	No	148.6 (129.6, 169.6)	N/A	46	falling	-1.3 (-1.8, -0.7)
Ford County, Illinois	No	207.8 (179.3, 240.2)	N/A	41	stable	0.0 (-0.7, 0.7)
Fond du Lac County, Wisconsin	No	148.3 (139.3, 157.8)	N/A	214	falling	-1.0 (-1.3, -0.6)
Foard County, Texas	No	189.0 (99.7, 333.0)	N/A	3	stable	0.2 (-1.8, 2.4)
Fluvanna County, Virginia	No	146.5 (129.8, 165.1)	N/A	58	falling	-1.6 (-2.2, -1.0)
Floyd County, Virginia	No	154.8 (133.0, 179.7)	N/A	39	stable	-0.1 (-0.9, 0.6)
Floyd County, Texas	No	144.0 (109.3, 187.4)	N/A	12	stable	-0.8 (-1.9, 0.4)
Floyd County, Kentucky	No	240.4 (220.6, 261.7)	N/A	116	falling	-0.5 (-0.9, -0.1)
Floyd County, Iowa	No	150.4 (129.5, 174.2)	N/A	39	falling	-1.2 (-1.8, -0.6)
Floyd County, Indiana	No	167.0 (155.4, 179.3)	N/A	162	falling	-1.3 (-1.7, -1.0)
Floyd County, Georgia	No	177.8 (167.3, 188.8)	N/A	220	falling	-1.1 (-1.4, -0.8)
Florence County, Wisconsin	No	222.2 (174.3, 283.1)	N/A	17	stable	0.2 (-1.1, 1.5)
Florence County, South Carolina	No	160.9 (152.4, 169.8)	N/A	279	falling	-1.4 (-1.7, -1.1)
Fleming County, Kentucky	No	229.1 (198.9, 262.9)	N/A	43	stable	0.0 (-0.6, 0.6)
Flathead County, Montana	No	136.9 (128.0, 146.2)	N/A	191	falling	-1.6 (-2.0, -1.3)
Flagler County, Florida	No	148.5 (140.9, 156.5)	N/A	337	falling	-1.1 (-1.5, -0.8)
Fisher County, Texas	No	141.4 (103.4, 192.3)	N/A	10	stable	-0.9 (-2.0, 0.2)
Finney County, Kansas	No	149.9 (131.1, 170.6)	N/A	48	falling	-1.0 (-1.5, -0.5)
Fillmore County, Nebraska	No	165.6 (130.4, 209.5)	N/A	16	stable	-0.5 (-1.6, 0.5)
Fillmore County, Minnesota	No	151.3 (132.2, 172.7)	N/A	50	falling	-0.8 (-1.2, -0.3)
Ferry County, Washington	No	162.1 (130.8, 200.3)	N/A	21	stable	-1.1 (-2.6, 0.5)
Fergus County, Montana	No	130.7 (108.5, 157.1)	N/A	26	falling	-1.8 (-2.5, -1.1)
Fentress County, Tennessee	No	205.8 (181.6, 232.7)	N/A	58	falling	-0.7 (-1.3, -0.1)
Fayette County, West Virginia	No	196.8 (181.4, 213.2)	N/A	130	falling	-0.5 (-0.9, -0.2)
Fayette County, Texas	No	122.9 (108.6, 139.0)	N/A	58	falling	-1.5 (-2.1, -0.9)
Fayette County, Tennessee	No	147.4 (133.7, 162.4)	N/A	92	falling	-1.5 (-2.2, -0.9)
Fayette County, Pennsylvania	No	179.6 (171.2, 188.4)	N/A	369	falling	-0.9 (-1.2, -0.6)
Fayette County, Ohio	No	212.6 (191.7, 235.2)	N/A	79	stable	-0.3 (-0.8, 0.2)
Fayette County, Kentucky	No	153.0 (147.0, 159.2)	N/A	513	falling	-1.7 (-1.9, -1.5)
Fayette County, Iowa	No	144.6 (125.6, 166.1)	N/A	46	falling	-1.2 (-1.8, -0.6)
Fayette County, Indiana	No	181.2 (160.9, 203.6)	N/A	61	falling	-0.9 (-1.4, -0.4)
Fayette County, Illinois	No	164.1 (144.1, 186.4)	N/A	51	falling	-1.2 (-1.9, -0.6)
Fayette County, Georgia	No	124.2 (116.1, 132.7)	N/A	187	falling	-1.7 (-2.2, -1.2)
Fayette County, Alabama	No	190.7 (166.5, 217.9)	N/A	47	stable	-0.5 (-1.1, 0.2)
Fauquier County, Virginia	No	145.7 (134.5, 157.5)	N/A	132	falling	-1.8 (-2.3, -1.3)
Faulkner County, Arkansas	No	153.9 (144.1, 164.2)	N/A	191	falling	-0.9 (-1.3, -0.6)
Faulk County, South Dakota	No	143.1 (91.2, 218.3)	N/A	6	stable	-1.1 (-2.7, 0.7)
Faribault County, Minnesota	No	170.1 (145.8, 197.9)	N/A	40	stable	0.1 (-0.5, 0.7)
Fannin County, Texas	No	169.0 (152.9, 186.4)	N/A	84	falling	-1.0 (-1.5, -0.6)
Fannin County, Georgia	No	163.3 (146.0, 182.5)	N/A	79	falling	-1.1 (-1.5, -0.7)
Falls County, Texas	No	171.5 (148.3, 197.6)	N/A	41	falling	-1.4 (-2.0, -0.7)
Falls Church City, Virginia	No	131.3 (106.1, 160.7)	N/A	20	falling	-2.3 (-3.3, -1.4)
Fallon County, Montana	No	139.2 (87.3, 211.6)	N/A	5	stable	-1.2 (-3.2, 0.8)
Fall River County, South Dakota	No	206.0 (169.9, 249.6)	N/A	27	stable	-0.5 (-1.3, 0.3)
Fairfield County, South Carolina	No	172.2 (152.2, 194.5)	N/A	59	falling	-1.2 (-1.8, -0.6)
Fairfield County, Ohio	No	156.2 (148.2, 164.5)	N/A	297	falling	-1.3 (-1.5, -1.1)
Fairfield County, Connecticut	No	122.9 (120.1, 125.8)	N/A	1,487	falling	-2.3 (-2.5, -2.1)
Fairfax County, Virginia	Yes	107.3 (104.6, 110.0)	N/A	1,298	falling	-2.5 (-2.7, -2.2)
Fairfax City, Virginia	No	205.4 (181.9, 231.3)	N/A	57	falling	-1.5 (-2.4, -0.5)
Fairbanks North Star, Alaska	No	127.3 (115.5, 139.8)	N/A	101	falling	-1.7 (-2.3, -1.2)
Evans County, Georgia	No	177.2 (146.2, 213.3)	N/A	23	stable	-0.5 (-1.4, 0.3)
Evangeline Parish, Louisiana	No	185.4 (166.9, 205.5)	N/A	76	falling	-0.9 (-1.4, -0.5)
Etowah County, Alabama	No	177.2 (167.3, 187.5)	N/A	254	falling	-1.0 (-1.3, -0.7)
Estill County, Kentucky	No	208.8 (180.4, 240.8)	N/A	41	stable	-0.1 (-0.8, 0.6)
Essex County, Virginia	No	173.8 (146.1, 206.0)	N/A	31	falling	-1.2 (-2.0, -0.3)
Essex County, Vermont	No	181.4 (147.7, 223.0)	N/A	21	falling	-1.3 (-2.2, -0.3)
Essex County, New York	No	165.2 (150.9, 180.8)	N/A	107	falling	-1.5 (-2.0, -1.0)
Essex County, New Jersey	No	136.1 (132.6, 139.6)	N/A	1,200	falling	-5.2 (-9.7, -0.3)
Essex County, Massachusetts	No	137.5 (134.2, 140.8)	N/A	1,439	falling	-2.4 (-2.6, -2.3)
Escambia County, Florida	No	179.3 (173.4, 185.4)	N/A	722	falling	-1.0 (-1.1, -0.8)
Escambia County, Alabama	No	198.1 (180.6, 216.9)	N/A	98	falling	-0.8 (-1.2, -0.5)
Erie County, Pennsylvania	No	167.8 (161.8, 174.0)	N/A	623	falling	-1.0 (-1.1, -0.8)
Erie County, Ohio	No	163.8 (153.3, 175.0)	N/A	196	falling	-1.2 (-1.5, -0.9)
Erie County, New York	No	162.0 (158.8, 165.3)	N/A	2,069	falling	-1.3 (-1.3, -1.2)
Erath County, Texas	No	141.1 (125.7, 158.0)	N/A	63	falling	-1.4 (-2.0, -0.9)
Emporia City, Virginia	No	168.9 (129.5, 217.8)	N/A	13	falling	-2.1 (-3.1, -1.0)
Emmons County, North Dakota	Yes	104.5 (71.6, 153.5)	N/A	8	falling	-2.3 (-3.3, -1.3)
Emmet County, Michigan	No	163.1 (147.8, 179.8)	N/A	89	falling	-0.6 (-1.1, -0.1)
Emmet County, Iowa	No	181.4 (149.9, 218.4)	N/A	27	stable	-0.2 (-1.0, 0.7)
Emery County, Utah	Yes	114.7 (89.6, 145.1)	N/A	15	falling	-2.0 (-3.2, -0.8)
Emanuel County, Georgia	No	197.5 (174.2, 223.1)	N/A	55	falling	-0.7 (-1.3, -0.1)
Elmore County, Idaho	No	180.3 (158.0, 204.8)	N/A	49	falling	-1.0 (-1.6, -0.4)
Elmore County, Alabama	No	172.3 (160.6, 184.8)	N/A	166	falling	-1.1 (-1.4, -0.8)
Ellsworth County, Kansas	No	189.8 (151.7, 236.0)	N/A	18	stable	0.3 (-0.8, 1.3)
Ellis County, Texas	No	159.8 (151.5, 168.5)	N/A	289	falling	-1.5 (-1.8, -1.2)
Ellis County, Oklahoma	No	171.5 (126.2, 230.0)	N/A	10	stable	-0.4 (-1.7, 1.0)
Ellis County, Kansas	No	141.4 (123.4, 161.3)	N/A	48	falling	-0.9 (-1.4, -0.3)
Elliott County, Kentucky	No	170.1 (136.5, 210.5)	N/A	18	falling	-1.9 (-3.1, -0.6)
Elko County, Nevada	No	128.8 (114.4, 144.5)	N/A	62	falling	-1.8 (-2.5, -1.1)
Elkhart County, Indiana	No	157.4 (150.2, 164.9)	N/A	367	falling	-0.8 (-1.0, -0.6)
Elk County, Pennsylvania	No	169.0 (153.1, 186.4)	N/A	88	falling	-1.0 (-1.4, -0.7)
Elk County, Kansas	No	216.2 (156.7, 297.0)	N/A	11	stable	-0.7 (-2.0, 0.6)
Elbert County, Georgia	No	182.9 (161.2, 207.0)	N/A	55	falling	-1.0 (-1.5, -0.5)
Elbert County, Colorado	Yes	120.4 (102.4, 140.8)	N/A	37	falling	-2.2 (-3.1, -1.4)
El Paso County, Texas	No	131.6 (128.0, 135.2)	N/A	1,070	falling	-1.3 (-1.5, -1.2)
El Paso County, Colorado	No	142.4 (138.4, 146.5)	N/A	996	falling	-1.2 (-1.4, -1.0)
El Dorado County, California	No	127.5 (121.6, 133.7)	N/A	371	falling	-1.8 (-2.1, -1.5)
Effingham County, Illinois	No	143.5 (128.2, 160.4)	N/A	66	falling	-1.0 (-1.5, -0.5)
Effingham County, Georgia	No	172.6 (157.4, 189.0)	N/A	102	falling	-0.7 (-1.3, -0.2)
Edwards County, Texas	No	187.9 (121.0, 284.2)	N/A	6	stable	-0.6 (-2.4, 1.3)
Edwards County, Kansas	No	235.2 (169.3, 320.9)	N/A	10	stable	1.2 (-0.3, 2.7)
Edwards County, Illinois	No	151.9 (118.9, 192.6)	N/A	15	stable	-0.9 (-1.7, 0.0)
Edmunds County, South Dakota	Yes	111.0 (76.1, 159.1)	N/A	7	falling	-2.2 (-3.5, -0.9)
Edmonson County, Kentucky	No	168.4 (142.3, 198.6)	N/A	31	falling	-1.3 (-1.8, -0.8)
Edgefield County, South Carolina	No	135.9 (119.4, 154.2)	N/A	52	falling	-2.1 (-2.8, -1.5)
Edgecombe County, North Carolina	No	182.0 (168.3, 196.6)	N/A	139	falling	-1.4 (-1.6, -1.2)
Edgar County, Illinois	No	164.9 (144.0, 188.6)	N/A	47	falling	-1.0 (-1.5, -0.4)
Eddy County, North Dakota	No	161.7 (110.9, 234.7)	N/A	7	stable	0.7 (-0.6, 2.1)
Eddy County, New Mexico	No	154.9 (141.6, 169.3)	N/A	102	falling	-0.8 (-1.2, -0.4)
Ector County, Texas	No	173.4 (163.2, 184.0)	N/A	226	falling	-1.1 (-1.4, -0.8)
Echols County, Georgia	Yes	110.0 (68.1, 167.9)	N/A	4	falling	-2.2 (-4.1, -0.3)
Eau Claire County, Wisconsin	No	139.8 (130.3, 149.8)	N/A	168	falling	-1.2 (-1.7, -0.8)
Eaton County, Michigan	No	157.3 (148.3, 166.8)	N/A	237	falling	-0.8 (-1.2, -0.5)
Eastland County, Texas	No	163.6 (142.3, 187.6)	N/A	47	falling	-1.2 (-1.8, -0.6)
East Feliciana Parish, Louisiana	No	177.3 (154.8, 202.6)	N/A	48	falling	-1.1 (-1.7, -0.5)
East Carroll Parish, Louisiana	No	277.7 (227.6, 336.0)	N/A	22	stable	0.0 (-0.8, 0.9)
East Baton Rouge Parish, Louisiana	No	152.5 (147.5, 157.7)	N/A	730	falling	-3.5 (-5.4, -1.6)
Early County, Georgia	No	170.6 (140.9, 205.2)	N/A	24	falling	-0.8 (-1.4, -0.1)
Eagle County, Colorado	Yes	69.9 (58.5, 82.7)	N/A	33	falling	-3.6 (-4.7, -2.6)
Dyer County, Tennessee	No	197.0 (179.5, 215.8)	N/A	97	stable	-0.5 (-1.0, 0.0)
Duval County, Texas	No	171.3 (142.1, 205.1)	N/A	25	stable	-0.7 (-1.6, 0.2)
Duval County, Florida	No	169.1 (165.5, 172.7)	N/A	1,774	falling	-1.9 (-2.3, -1.5)
Dutchess County, New York	No	140.0 (134.8, 145.4)	N/A	567	falling	-2.0 (-2.2, -1.8)
Durham County, North Carolina	No	144.2 (138.2, 150.3)	N/A	462	falling	-2.3 (-2.5, -2.0)
Duplin County, North Carolina	No	142.2 (130.4, 154.9)	N/A	114	falling	-2.1 (-2.5, -1.7)
Dunn County, Wisconsin	No	141.0 (126.8, 156.3)	N/A	76	falling	-0.8 (-1.3, -0.2)
Dunn County, North Dakota	Yes	119.7 (79.6, 173.4)	N/A	6	stable	-1.4 (-2.9, 0.0)
Dunklin County, Missouri	No	211.1 (191.0, 233.0)	N/A	85	stable	-0.4 (-0.9, 0.1)
Dundy County, Nebraska	No	123.6 (74.8, 202.8)	N/A	4	stable	0.0 (-1.8, 1.7)
Dukes County, Massachusetts	No	141.4 (121.8, 163.9)	N/A	41	falling	-2.2 (-2.8, -1.5)
Duchesne County, Utah	No	150.1 (126.1, 177.4)	N/A	28	stable	-0.8 (-1.8, 0.2)
Dubuque County, Iowa	No	143.7 (134.5, 153.5)	N/A	190	stable	-5.3 (-12.9, 3.0)
Dubois County, Indiana	No	148.1 (134.1, 163.3)	N/A	85	falling	-0.9 (-1.3, -0.4)
DuPage County, Illinois	No	132.6 (129.5, 135.7)	N/A	1,478	falling	-1.7 (-1.8, -1.5)
Drew County, Arkansas	No	188.3 (163.8, 215.6)	N/A	45	falling	-0.6 (-1.1, -0.1)
Douglas County, Wisconsin	No	168.5 (153.6, 184.5)	N/A	100	falling	-1.5 (-1.8, -1.2)
Douglas County, Washington	No	131.7 (118.1, 146.4)	N/A	72	falling	-3.1 (-5.0, -1.2)
Douglas County, South Dakota	Yes	113.8 (73.8, 172.3)	N/A	6	stable	-1.2 (-2.8, 0.4)
Douglas County, Oregon	No	176.7 (168.2, 185.7)	N/A	352	falling	-0.8 (-1.0, -0.6)
Douglas County, Nevada	No	125.7 (115.0, 137.5)	N/A	118	falling	-1.5 (-2.0, -1.1)
Douglas County, Nebraska	No	156.5 (151.9, 161.3)	N/A	900	falling	-1.5 (-1.8, -1.2)
Douglas County, Missouri	No	140.3 (120.1, 164.0)	N/A	35	falling	-1.8 (-2.5, -1.1)
Douglas County, Minnesota	No	155.0 (141.0, 170.2)	N/A	98	stable	-0.5 (-0.9, 0.0)
Douglas County, Kansas	No	133.6 (124.0, 143.8)	N/A	149	falling	-1.2 (-1.7, -0.8)
Douglas County, Illinois	No	170.1 (147.9, 194.9)	N/A	45	falling	-0.8 (-1.4, -0.2)
Douglas County, Georgia	No	162.0 (152.0, 172.4)	N/A	215	falling	-1.2 (-1.7, -0.8)
Douglas County, Colorado	Yes	110.3 (105.0, 115.9)	N/A	345	falling	-1.9 (-2.3, -1.5)
Dougherty County, Georgia	No	166.3 (155.2, 178.0)	N/A	175	falling	-1.2 (-1.5, -0.8)
Dorchester County, South Carolina	No	154.9 (146.5, 163.7)	N/A	268	falling	-1.9 (-2.3, -1.5)
Dorchester County, Maryland	No	182.2 (165.2, 200.7)	N/A	91	falling	-1.6 (-2.0, -1.2)
Door County, Wisconsin	No	135.5 (121.0, 151.7)	N/A	75	falling	-1.2 (-1.7, -0.7)
Dooly County, Georgia	No	133.2 (110.9, 159.3)	N/A	27	falling	-2.3 (-3.0, -1.7)
Donley County, Texas	No	175.3 (124.7, 242.4)	N/A	9	stable	-0.5 (-1.7, 0.8)
Doniphan County, Kansas	No	205.4 (168.9, 248.4)	N/A	23	stable	-0.4 (-1.3, 0.5)
Dona Ana County, New Mexico	No	130.4 (124.0, 137.0)	N/A	327	falling	-1.1 (-1.4, -0.9)
Dolores County, Colorado	Yes	112.0 (68.5, 182.7)	N/A	4	stable	-1.5 (-3.5, 0.6)
Dodge County, Wisconsin	No	164.6 (154.4, 175.4)	N/A	202	falling	-1.0 (-1.3, -0.6)
Dodge County, Nebraska	No	181.6 (165.1, 199.5)	N/A	96	stable	-0.1 (-0.4, 0.3)
Dodge County, Minnesota	No	136.9 (116.4, 160.1)	N/A	33	stable	-0.8 (-1.6, 0.0)
Dodge County, Georgia	No	160.1 (139.8, 182.8)	N/A	46	falling	-1.2 (-2.0, -0.4)
Doddridge County, West Virginia	No	145.3 (117.0, 179.5)	N/A	19	falling	-1.8 (-2.6, -0.9)
Dixon County, Nebraska	No	144.8 (110.1, 188.5)	N/A	13	stable	-0.4 (-1.5, 0.7)
Dixie County, Florida	No	184.9 (162.3, 210.3)	N/A	52	falling	-0.7 (-1.4, -0.1)
Divide County, North Dakota	No	148.4 (96.8, 223.7)	N/A	6	rising	5.5 (0.8, 10.5)
District of Columbia	No	149.5 (145.4, 153.7)	N/A	1,031	falling	-2.4 (-2.5, -2.2)
Dinwiddie County, Virginia	No	164.6 (146.4, 184.7)	N/A	62	falling	-1.3 (-2.0, -0.7)
Dimmit County, Texas	No	128.9 (101.3, 162.0)	N/A	16	falling	-1.3 (-2.1, -0.4)
Dillon County, South Carolina	No	177.2 (158.4, 197.6)	N/A	69	falling	-1.3 (-1.9, -0.7)
Dillingham Census Area, Alaska ³	No	201.4 (140.2, 279.0)	N/A	8	stable	-0.1 (-2.1, 1.9)
Dickson County, Tennessee	No	204.6 (189.1, 221.0)	N/A	134	falling	-0.5 (-0.8, -0.1)
Dickinson County, Michigan	No	146.9 (130.5, 165.2)	N/A	63	falling	-1.1 (-1.6, -0.7)
Dickinson County, Kansas	No	158.5 (138.3, 181.2)	N/A	47	stable	-0.6 (-1.2, 0.0)
Dickinson County, Iowa	No	138.9 (120.3, 160.2)	N/A	45	falling	-1.0 (-1.7, -0.3)
Dickey County, North Dakota	No	156.5 (120.4, 202.2)	N/A	13	stable	-0.7 (-1.8, 0.4)
Dickenson County, Virginia	No	212.0 (185.4, 241.9)	N/A	49	stable	0.0 (-0.7, 0.7)
Dickens County, Texas	No	188.1 (123.9, 277.8)	N/A	6	stable	-0.8 (-2.5, 0.9)
Dewey County, South Dakota	No	196.6 (143.2, 262.7)	N/A	10	stable	-0.9 (-2.1, 0.3)
Dewey County, Oklahoma	No	164.1 (124.0, 214.6)	N/A	12	falling	-1.3 (-2.3, -0.2)
Deuel County, South Dakota	No	168.5 (127.2, 221.4)	N/A	12	stable	-17.8 (-40.8, 14.3)
Deuel County, Nebraska	No	165.3 (109.2, 249.9)	N/A	6	stable	-1.7 (-3.3, 0.0)
Desha County, Arkansas	No	166.9 (139.1, 199.1)	N/A	27	falling	-1.2 (-1.8, -0.6)
Deschutes County, Oregon	No	126.6 (120.4, 133.1)	N/A	334	falling	-1.7 (-2.0, -1.4)
Des Moines County, Iowa	No	162.1 (147.7, 177.7)	N/A	99	falling	-0.9 (-1.4, -0.3)
Denver County, Colorado	No	138.1 (134.1, 142.3)	N/A	911	falling	-1.9 (-2.2, -1.5)
Denton County, Texas	No	123.5 (119.7, 127.4)	N/A	885	falling	-2.0 (-2.2, -1.8)
Dent County, Missouri	No	167.7 (144.6, 193.8)	N/A	41	falling	-0.7 (-1.3, -0.2)
Delta County, Texas	No	225.4 (179.2, 281.3)	N/A	18	stable	-0.2 (-1.4, 1.0)
Delta County, Michigan	No	170.6 (155.8, 186.6)	N/A	108	falling	-0.9 (-1.3, -0.5)
Delta County, Colorado	No	163.6 (147.7, 181.1)	N/A	88	stable	0.6 (-0.4, 1.7)
Delaware County, Pennsylvania	No	157.4 (153.2, 161.6)	N/A	1,155	falling	-2.6 (-3.3, -1.9)
Delaware County, Oklahoma	No	166.8 (153.0, 181.6)	N/A	121	falling	-1.1 (-1.5, -0.7)
Delaware County, Ohio	No	124.8 (118.0, 131.9)	N/A	265	falling	-1.8 (-2.1, -1.5)
Delaware County, New York	No	152.8 (140.3, 166.4)	N/A	121	falling	-1.3 (-1.8, -0.9)
Delaware County, Iowa	No	145.8 (125.2, 169.2)	N/A	38	falling	-0.9 (-1.4, -0.4)
Delaware County, Indiana	No	176.5 (166.8, 186.7)	N/A	257	falling	-0.9 (-1.1, -0.6)
Del Norte County, California	No	170.7 (152.0, 191.3)	N/A	64	falling	-1.3 (-1.9, -0.8)
Defiance County, Ohio	No	165.9 (150.5, 182.7)	N/A	89	falling	-0.6 (-1.0, -0.2)
Deer Lodge County, Montana	No	171.8 (142.2, 207.1)	N/A	26	falling	-1.0 (-1.7, -0.2)
Decatur County, Tennessee	No	181.1 (154.4, 211.9)	N/A	35	stable	-0.6 (-1.3, 0.2)
Decatur County, Kansas	No	200.1 (143.3, 276.4)	N/A	11	stable	1.0 (0.0, 2.1)
Decatur County, Iowa	No	170.2 (136.4, 210.7)	N/A	20	stable	-0.4 (-1.4, 0.6)
Decatur County, Indiana	No	171.7 (152.2, 193.2)	N/A	58	falling	-0.8 (-1.4, -0.2)
Decatur County, Georgia	No	186.6 (166.3, 208.7)	N/A	64	falling	-1.1 (-1.6, -0.6)
Dearborn County, Indiana	No	166.8 (152.8, 181.8)	N/A	111	falling	-1.2 (-1.7, -0.8)
Deaf Smith County, Texas	No	148.9 (124.7, 176.3)	N/A	28	stable	0.0 (-0.9, 0.9)
DeWitt County, Texas	No	195.4 (173.2, 220.1)	N/A	59	stable	-0.4 (-0.9, 0.1)
DeSoto County, Mississippi	No	179.5 (170.7, 188.5)	N/A	331	stable	-5.0 (-11.0, 1.5)
DeSoto County, Florida	No	155.7 (141.3, 171.4)	N/A	91	falling	-1.1 (-1.8, -0.4)
DeKalb County, Tennessee	No	188.7 (166.1, 213.8)	N/A	53	stable	-0.5 (-1.1, 0.1)
DeKalb County, Missouri	No	189.5 (159.8, 223.5)	N/A	30	stable	-0.9 (-2.0, 0.2)
DeKalb County, Indiana	No	175.4 (159.6, 192.4)	N/A	95	falling	-0.6 (-1.0, -0.2)
DeKalb County, Illinois	No	167.5 (156.4, 179.3)	N/A	174	falling	-0.8 (-1.1, -0.4)
DeKalb County, Georgia	No	133.5 (129.7, 137.4)	N/A	993	falling	-1.7 (-1.9, -1.5)
DeKalb County, Alabama	No	156.8 (145.4, 168.9)	N/A	145	falling	-1.9 (-3.0, -0.9)
DeBaca County, New Mexico	No	147.9 (97.6, 228.0)	N/A	6	stable	0.0 (-1.4, 1.5)
De Witt County, Illinois	No	181.7 (157.4, 209.1)	N/A	42	falling	-0.9 (-1.5, -0.3)
De Soto Parish, Louisiana	No	174.7 (155.6, 195.5)	N/A	64	falling	-1.4 (-2.0, -0.8)
Day County, South Dakota	No	146.3 (112.7, 189.1)	N/A	15	falling	-1.4 (-2.4, -0.5)
Dawson County, Texas	No	163.7 (135.4, 196.4)	N/A	24	stable	-0.4 (-1.2, 0.5)
Dawson County, Nebraska	No	132.5 (114.3, 152.8)	N/A	40	falling	-1.2 (-1.7, -0.6)
Dawson County, Montana	No	132.0 (104.4, 165.5)	N/A	17	falling	-1.2 (-2.2, -0.2)
Dawson County, Georgia	No	146.7 (128.6, 167.0)	N/A	52	falling	-1.6 (-2.4, -0.7)
Dawes County, Nebraska	No	172.7 (138.6, 213.5)	N/A	20	stable	-0.8 (-1.9, 0.3)
Davison County, South Dakota	No	146.4 (126.7, 168.6)	N/A	43	falling	-1.2 (-2.0, -0.4)
Davis County, Utah	Yes	114.1 (108.5, 120.0)	N/A	319	stable	2.4 (-2.5, 7.4)
Davis County, Iowa	No	144.2 (114.3, 180.0)	N/A	17	stable	-0.5 (-1.5, 0.7)
Daviess County, Missouri	No	150.9 (121.5, 186.2)	N/A	19	falling	-1.2 (-2.1, -0.3)
Daviess County, Kentucky	No	171.4 (161.3, 182.0)	N/A	223	falling	-1.1 (-1.5, -0.8)
Daviess County, Indiana	No	163.1 (145.4, 182.4)	N/A	64	falling	-0.9 (-1.3, -0.5)
Davie County, North Carolina	No	164.3 (150.4, 179.4)	N/A	108	stable	-0.5 (-1.0, 0.0)
Davidson County, Tennessee	No	159.3 (155.0, 163.7)	N/A	1,085	falling	-2.6 (-3.0, -2.1)
Davidson County, North Carolina	No	175.5 (167.7, 183.5)	N/A	401	falling	-0.5 (-0.8, -0.2)
Dauphin County, Pennsylvania	No	151.7 (146.0, 157.7)	N/A	544	falling	-1.5 (-1.6, -1.3)
Darlington County, South Carolina	No	172.2 (160.1, 185.0)	N/A	159	falling	-2.8 (-4.3, -1.3)
Darke County, Ohio	No	175.3 (161.8, 189.7)	N/A	132	falling	-0.5 (-0.8, -0.2)
Dare County, North Carolina	No	158.4 (143.4, 174.8)	N/A	90	falling	-1.4 (-2.0, -0.8)
Danville City, Virginia	No	191.8 (176.0, 208.8)	N/A	118	falling	-0.8 (-1.2, -0.4)
Daniels County, Montana	No	138.6 (80.7, 230.6)	N/A	4	falling	-2.0 (-3.8, -0.2)
Dane County, Wisconsin	No	134.3 (130.0, 138.7)	N/A	763	falling	-1.2 (-1.4, -1.0)
Dallas County, Texas	No	146.3 (144.0, 148.6)	N/A	3,387	falling	-1.8 (-1.9, -1.6)
Dallas County, Missouri	No	187.7 (163.9, 214.4)	N/A	48	falling	-0.8 (-1.3, -0.3)
Dallas County, Iowa	No	128.0 (117.4, 139.3)	N/A	110	falling	-2.4 (-3.0, -1.8)
Dallas County, Arkansas	No	204.9 (168.4, 248.4)	N/A	24	stable	-0.8 (-1.6, 0.0)
Dallas County, Alabama	No	194.7 (177.5, 213.4)	N/A	100	falling	-0.8 (-1.2, -0.5)
Dallam County, Texas	No	141.3 (102.6, 189.5)	N/A	9	falling	-2.1 (-3.2, -0.8)
Dale County, Alabama	No	168.9 (154.7, 184.1)	N/A	107	falling	-2.1 (-3.1, -1.2)
Dakota County, Nebraska	No	158.2 (134.9, 184.5)	N/A	34	falling	-1.2 (-1.9, -0.5)
Dakota County, Minnesota	No	136.9 (132.1, 141.8)	N/A	646	falling	-1.5 (-1.7, -1.3)
Dade County, Missouri	No	164.3 (132.9, 202.3)	N/A	21	stable	-0.5 (-1.3, 0.2)
Dade County, Georgia	No	180.5 (156.1, 208.1)	N/A	41	stable	-0.7 (-1.5, 0.1)
Cuyahoga County, Ohio	No	168.9 (166.1, 171.7)	N/A	2,935	falling	-1.3 (-1.4, -1.2)
Custer County, South Dakota	No	138.3 (113.7, 168.7)	N/A	25	falling	-1.2 (-2.2, -0.2)
Custer County, Oklahoma	No	178.9 (157.9, 201.9)	N/A	55	stable	-0.1 (-0.7, 0.5)
Custer County, Nebraska	No	135.0 (110.4, 164.2)	N/A	24	stable	-0.6 (-1.4, 0.2)
Custer County, Montana	No	187.1 (158.7, 219.8)	N/A	32	falling	-1.2 (-1.9, -0.5)
Custer County, Idaho	No	172.6 (131.7, 226.1)	N/A	13	stable	-0.3 (-1.4, 0.9)
Custer County, Colorado	Yes	118.1 (83.7, 165.7)	N/A	11	falling	-1.8 (-3.4, -0.2)
Curry County, Oregon	No	182.8 (165.4, 202.3)	N/A	95	falling	-0.6 (-1.1, -0.2)
Curry County, New Mexico	No	149.1 (134.0, 165.4)	N/A	73	falling	-1.0 (-1.5, -0.4)
Currituck County, North Carolina	No	140.0 (122.5, 159.5)	N/A	50	falling	-2.2 (-2.8, -1.6)
Cuming County, Nebraska	No	123.1 (97.2, 154.6)	N/A	18	falling	-1.0 (-1.9, -0.1)
Cumberland County, Virginia	No	178.5 (148.7, 213.3)	N/A	28	falling	-1.1 (-1.9, -0.4)
Cumberland County, Tennessee	No	155.2 (144.4, 166.8)	N/A	185	falling	-1.0 (-1.4, -0.6)
Cumberland County, Pennsylvania	No	142.7 (137.0, 148.5)	N/A	504	falling	-1.3 (-1.5, -1.1)
Cumberland County, North Carolina	No	170.5 (164.0, 177.1)	N/A	537	falling	-1.3 (-1.5, -1.1)
Cumberland County, New Jersey	No	186.2 (177.2, 195.6)	N/A	329	falling	-0.9 (-1.0, -0.7)
Cumberland County, Maine	No	148.5 (143.1, 154.0)	N/A	608	falling	-2.0 (-2.4, -1.6)
Cumberland County, Kentucky	No	220.4 (182.4, 265.6)	N/A	25	stable	-0.1 (-1.2, 1.0)
Cumberland County, Illinois	No	155.1 (127.7, 187.3)	N/A	24	stable	-0.8 (-1.8, 0.3)
Culpeper County, Virginia	No	164.1 (149.9, 179.4)	N/A	101	falling	-1.2 (-1.6, -0.9)
Cullman County, Alabama	No	161.7 (151.1, 172.9)	N/A	182	falling	-0.8 (-1.1, -0.5)
Crowley County, Colorado	No	149.2 (109.2, 200.8)	N/A	9	stable	-1.3 (-2.9, 0.3)
Crow Wing County, Minnesota	No	153.9 (143.1, 165.5)	N/A	161	falling	-1.0 (-1.3, -0.6)
Cross County, Arkansas	No	214.6 (187.7, 244.6)	N/A	48	falling	-1.0 (-1.8, -0.3)
Crosby County, Texas	No	142.2 (106.9, 186.5)	N/A	11	stable	-0.9 (-1.9, 0.1)
Crook County, Wyoming	No	159.5 (127.1, 198.7)	N/A	18	stable	-1.0 (-2.0, 0.1)
Crook County, Oregon	No	161.3 (143.2, 181.3)	N/A	65	stable	0.3 (-1.5, 2.2)
Crockett County, Texas	No	186.3 (132.6, 255.8)	N/A	8	stable	-1.0 (-2.5, 0.5)
Crockett County, Tennessee	No	215.5 (186.6, 247.8)	N/A	42	stable	0.3 (-0.4, 1.0)
Crittenden County, Kentucky	No	190.9 (158.3, 229.1)	N/A	25	stable	-0.5 (-1.5, 0.4)
Crittenden County, Arkansas	No	224.0 (205.8, 243.4)	N/A	117	falling	-0.7 (-1.2, -0.2)
Crisp County, Georgia	No	165.2 (145.0, 187.6)	N/A	52	falling	-1.4 (-2.2, -0.7)
Crenshaw County, Alabama	No	211.0 (182.3, 243.5)	N/A	41	stable	-0.3 (-1.0, 0.4)
Creek County, Oklahoma	No	196.4 (183.8, 209.7)	N/A	189	falling	-0.4 (-0.6, -0.1)
Crawford County, Wisconsin	No	155.4 (134.1, 179.7)	N/A	42	falling	-0.7 (-1.3, -0.1)
Crawford County, Pennsylvania	No	165.7 (155.6, 176.5)	N/A	212	falling	-1.3 (-1.8, -0.8)
Crawford County, Ohio	No	186.1 (171.0, 202.4)	N/A	118	falling	-0.9 (-1.2, -0.5)
Crawford County, Missouri	No	209.6 (187.9, 233.3)	N/A	72	stable	-0.4 (-0.8, 0.1)
Crawford County, Michigan	No	169.8 (147.0, 196.2)	N/A	44	falling	-0.7 (-1.2, -0.2)
Crawford County, Kansas	No	205.1 (186.5, 225.0)	N/A	94	stable	-0.4 (-0.8, 0.1)
Crawford County, Iowa	No	135.4 (114.6, 159.2)	N/A	31	falling	-1.1 (-1.8, -0.4)
Crawford County, Indiana	No	184.8 (154.7, 219.7)	N/A	29	stable	-0.7 (-1.5, 0.1)
Crawford County, Illinois	No	174.4 (153.0, 198.4)	N/A	49	falling	-0.7 (-1.1, -0.3)
Crawford County, Georgia	No	180.7 (151.3, 214.6)	N/A	30	stable	-0.4 (-1.5, 0.8)
Crawford County, Arkansas	No	177.1 (164.1, 190.9)	N/A	142	falling	-1.0 (-1.4, -0.7)
Craven County, North Carolina	No	174.6 (164.6, 185.1)	N/A	244	falling	-1.0 (-1.3, -0.8)
Crane County, Texas	No	194.1 (139.8, 262.0)	N/A	9	stable	-1.1 (-2.5, 0.4)
Craighead County, Arkansas	No	165.1 (154.6, 176.1)	N/A	190	falling	-0.9 (-1.3, -0.6)
Craig County, Virginia	No	146.0 (111.7, 190.3)	N/A	13	stable	-1.0 (-2.1, 0.2)
Craig County, Oklahoma	No	177.1 (152.0, 205.6)	N/A	37	falling	-1.0 (-1.5, -0.5)
Cowlitz County, Washington	No	180.8 (171.1, 191.0)	N/A	275	falling	-0.7 (-1.0, -0.4)
Cowley County, Kansas	No	183.4 (166.1, 202.2)	N/A	87	falling	-0.5 (-0.9, -0.1)
Coweta County, Georgia	No	150.6 (141.8, 159.7)	N/A	236	falling	-1.5 (-2.0, -1.0)
Covington County, Mississippi	No	207.5 (181.9, 235.8)	N/A	49	stable	-0.2 (-0.8, 0.4)
Covington County, Alabama	No	192.5 (176.4, 209.8)	N/A	112	stable	-0.4 (-0.9, 0.1)
Covington City, Virginia	No	267.3 (217.7, 325.9)	N/A	22	stable	-16.5 (-32.9, 3.8)
Cottonwood County, Minnesota	No	148.3 (124.7, 176.0)	N/A	30	stable	-0.4 (-1.1, 0.3)
Cotton County, Oklahoma	No	199.0 (157.6, 249.2)	N/A	17	stable	0.0 (-0.8, 0.9)
Cottle County, Texas	No	155.8 (93.4, 256.9)	N/A	4	stable	-1.1 (-2.8, 0.6)
Costilla County, Colorado	Yes	98.0 (65.1, 145.5)	N/A	7	stable	-1.1 (-3.1, 1.0)
Coshocton County, Ohio	No	173.5 (157.4, 190.9)	N/A	91	falling	-0.7 (-1.1, -0.2)
Coryell County, Texas	No	184.4 (169.2, 200.6)	N/A	112	falling	-0.5 (-0.9, -0.1)
Cortland County, New York	No	157.9 (143.6, 173.3)	N/A	94	falling	-1.6 (-2.2, -1.0)
Corson County, South Dakota	No	207.1 (142.9, 289.3)	N/A	7	stable	-0.1 (-1.3, 1.1)
Copiah County, Mississippi	No	180.1 (160.8, 201.4)	N/A	67	falling	-1.1 (-1.5, -0.6)
Coosa County, Alabama	No	164.3 (136.8, 196.6)	N/A	29	falling	-1.0 (-1.7, -0.3)
Coos County, Oregon	No	180.5 (169.1, 192.6)	N/A	209	falling	-1.0 (-1.3, -0.8)
Coos County, New Hampshire	No	165.5 (150.2, 182.4)	N/A	91	falling	-1.4 (-1.9, -0.8)
Cooper County, Missouri	No	156.1 (133.8, 181.4)	N/A	36	falling	-0.8 (-1.4, -0.3)
Cooke County, Texas	No	163.9 (148.8, 180.2)	N/A	91	falling	-0.8 (-1.3, -0.3)
Cook County, Minnesota	No	145.8 (111.0, 190.7)	N/A	14	stable	-1.2 (-3.0, 0.6)
Cook County, Illinois	No	152.1 (150.7, 153.6)	N/A	9,085	falling	-2.7 (-3.5, -1.8)
Cook County, Georgia	No	171.3 (146.9, 198.7)	N/A	36	falling	-0.9 (-1.7, -0.1)
Conway County, Arkansas	No	168.5 (148.0, 191.5)	N/A	51	falling	-1.0 (-1.6, -0.4)
Converse County, Wyoming	No	143.2 (118.8, 171.4)	N/A	26	falling	-1.8 (-2.8, -0.8)
Contra Costa County, California	No	130.5 (127.8, 133.2)	N/A	1,832	falling	-2.1 (-2.4, -1.8)
Conejos County, Colorado	No	135.3 (105.9, 171.2)	N/A	15	falling	-1.2 (-2.2, -0.2)
Conecuh County, Alabama	No	171.7 (145.8, 201.6)	N/A	34	falling	-1.5 (-2.2, -0.9)
Concordia Parish, Louisiana	No	200.6 (176.0, 227.9)	N/A	51	falling	-0.7 (-1.2, -0.2)
Concho County, Texas	Yes	119.5 (78.9, 177.9)	N/A	6	stable	-0.7 (-2.0, 0.7)
Comanche County, Texas	No	127.5 (107.0, 151.5)	N/A	30	falling	-5.1 (-8.2, -2.0)
Comanche County, Oklahoma	No	179.3 (168.6, 190.4)	N/A	217	falling	-0.9 (-1.2, -0.6)
Comanche County, Kansas	No	179.3 (120.3, 267.3)	N/A	6	stable	0.5 (-1.2, 2.2)
Comal County, Texas	No	139.6 (132.1, 147.4)	N/A	277	falling	-1.3 (-1.6, -0.9)
Colusa County, California	No	132.5 (112.3, 155.3)	N/A	32	falling	-1.9 (-2.8, -1.0)
Columbus County, North Carolina	No	176.7 (163.8, 190.6)	N/A	144	falling	-1.2 (-1.6, -0.8)
Columbiana County, Ohio	No	182.9 (173.2, 193.1)	N/A	283	falling	-0.8 (-1.1, -0.6)
Columbia County, Wisconsin	No	163.6 (150.9, 177.2)	N/A	128	falling	-1.0 (-1.3, -0.7)
Columbia County, Washington	No	169.0 (131.5, 218.4)	N/A	14	falling	-1.7 (-2.8, -0.6)
Columbia County, Pennsylvania	No	153.5 (142.4, 165.4)	N/A	148	falling	-0.8 (-1.2, -0.4)
Columbia County, Oregon	No	165.5 (152.3, 179.7)	N/A	123	falling	-1.5 (-1.9, -1.0)
Columbia County, New York	No	144.6 (134.0, 156.0)	N/A	149	falling	-1.5 (-1.7, -1.3)
Columbia County, Georgia	No	138.1 (129.8, 146.7)	N/A	218	falling	-2.1 (-2.5, -1.8)
Columbia County, Florida	No	194.9 (182.5, 208.1)	N/A	193	stable	-6.4 (-14.8, 2.9)
Columbia County, Arkansas	No	180.0 (158.7, 203.6)	N/A	54	falling	-0.8 (-1.4, -0.3)
Colquitt County, Georgia	No	170.4 (154.9, 187.1)	N/A	91	falling	-1.0 (-1.3, -0.7)
Colorado County, Texas	No	152.3 (133.4, 173.6)	N/A	51	falling	-1.3 (-1.8, -0.7)
Colonial Heights City, Virginia	No	202.7 (178.0, 230.3)	N/A	52	falling	-0.9 (-1.5, -0.3)
Collingsworth County, Texas	No	125.4 (78.8, 191.3)	N/A	5	stable	-1.2 (-2.6, 0.2)
Collin County, Texas	Yes	118.8 (115.5, 122.2)	N/A	1,045	falling	-2.0 (-2.2, -1.8)
Collier County, Florida	Yes	102.6 (99.2, 106.1)	N/A	858	falling	-2.0 (-2.3, -1.8)
Colleton County, South Carolina	No	207.8 (190.5, 226.4)	N/A	114	stable	-0.3 (-0.8, 0.1)
Colfax County, New Mexico	No	126.9 (105.8, 152.0)	N/A	29	falling	-1.1 (-1.8, -0.4)
Colfax County, Nebraska	No	127.3 (99.3, 160.9)	N/A	15	stable	-0.4 (-1.4, 0.5)
Coles County, Illinois	No	148.9 (135.7, 163.2)	N/A	98	falling	-1.1 (-1.7, -0.5)
Coleman County, Texas	No	196.8 (164.4, 235.1)	N/A	29	stable	-0.1 (-0.8, 0.7)
Cole County, Missouri	No	145.7 (135.0, 157.1)	N/A	142	falling	-1.8 (-2.2, -1.4)
Colbert County, Alabama	No	177.9 (164.8, 191.9)	N/A	143	falling	-0.9 (-1.2, -0.6)
Coke County, Texas	No	203.2 (157.0, 263.5)	N/A	13	falling	-1.4 (-2.5, -0.3)
Coffey County, Kansas	No	149.7 (119.8, 185.7)	N/A	19	falling	-1.0 (-1.9, -0.1)
Coffee County, Tennessee	No	187.4 (173.3, 202.4)	N/A	135	falling	-0.8 (-1.2, -0.4)
Coffee County, Georgia	No	162.9 (146.7, 180.5)	N/A	76	falling	-0.8 (-1.3, -0.2)
Coffee County, Alabama	No	159.6 (146.1, 174.0)	N/A	107	falling	-1.1 (-1.5, -0.7)
Codington County, South Dakota	No	157.3 (139.8, 176.6)	N/A	61	falling	-1.0 (-1.4, -0.5)
Coconino County, Arizona	No	127.7 (118.9, 136.9)	N/A	170	falling	-1.3 (-1.7, -1.0)
Cocke County, Tennessee	No	180.5 (164.5, 198.0)	N/A	99	falling	-0.9 (-1.4, -0.5)
Cochran County, Texas	No	131.7 (84.0, 198.8)	N/A	5	stable	-0.9 (-2.5, 0.8)
Cochise County, Arizona	No	149.3 (141.5, 157.4)	N/A	298	falling	-1.2 (-1.4, -0.9)
Cobb County, Georgia	No	136.8 (132.9, 140.8)	N/A	994	falling	-3.2 (-4.7, -1.6)
Coal County, Oklahoma	No	177.4 (139.6, 223.9)	N/A	16	stable	-1.0 (-1.9, 0.0)
Coahoma County, Mississippi	No	220.1 (195.2, 247.5)	N/A	60	falling	-3.4 (-6.6, -0.2)
Cloud County, Kansas	No	149.4 (120.8, 183.6)	N/A	21	stable	-0.6 (-1.6, 0.3)
Clinton County, Pennsylvania	No	153.6 (139.0, 169.6)	N/A	84	falling	-5.4 (-9.4, -1.2)
Clinton County, Ohio	No	183.0 (167.2, 200.1)	N/A	102	falling	-0.7 (-1.1, -0.2)
Clinton County, New York	No	164.8 (153.9, 176.3)	N/A	176	falling	-1.0 (-1.3, -0.6)
Clinton County, Missouri	No	177.7 (155.9, 201.9)	N/A	51	stable	-0.3 (-0.8, 0.2)
Clinton County, Michigan	No	142.3 (131.8, 153.4)	N/A	143	falling	-1.4 (-1.8, -1.0)
Clinton County, Kentucky	No	208.6 (176.1, 246.1)	N/A	31	stable	-0.2 (-1.0, 0.5)
Clinton County, Iowa	No	162.0 (148.6, 176.3)	N/A	114	falling	-1.0 (-1.4, -0.6)
Clinton County, Indiana	No	184.1 (165.7, 204.1)	N/A	77	stable	-0.2 (-0.7, 0.2)
Clinton County, Illinois	No	144.8 (129.7, 161.3)	N/A	71	falling	-1.3 (-1.8, -0.8)
Clinch County, Georgia	No	208.0 (165.6, 258.5)	N/A	18	stable	-0.3 (-1.3, 0.8)
Cleveland County, Oklahoma	No	150.1 (143.8, 156.6)	N/A	441	falling	-0.8 (-1.0, -0.5)
Cleveland County, North Carolina	No	183.3 (172.9, 194.2)	N/A	243	stable	-0.2 (-0.6, 0.1)
Cleveland County, Arkansas	No	185.2 (151.1, 225.7)	N/A	22	falling	-1.5 (-2.6, -0.4)
Clermont County, Ohio	No	166.1 (159.0, 173.5)	N/A	430	falling	-1.5 (-1.7, -1.3)
Cleburne County, Arkansas	No	167.0 (150.3, 185.5)	N/A	80	stable	-0.4 (-0.9, 0.1)
Cleburne County, Alabama	No	157.0 (133.8, 183.5)	N/A	34	falling	-1.3 (-2.1, -0.4)
Clearwater County, Minnesota	No	162.4 (132.4, 198.1)	N/A	22	stable	-0.7 (-1.4, 0.0)
Clearwater County, Idaho	No	176.9 (148.1, 211.2)	N/A	30	stable	-0.7 (-1.5, 0.2)
Clearfield County, Pennsylvania	No	167.7 (157.4, 178.6)	N/A	206	falling	-0.7 (-0.9, -0.4)
Clear Creek County, Colorado	Yes	103.3 (78.2, 134.8)	N/A	14	falling	-2.3 (-3.5, -1.0)
Clayton County, Iowa	No	157.9 (137.2, 181.5)	N/A	47	falling	-1.0 (-1.5, -0.5)
Clayton County, Georgia	No	155.7 (147.9, 163.8)	N/A	350	falling	-1.3 (-1.6, -1.0)
Clay County, West Virginia	No	198.6 (164.7, 238.3)	N/A	26	falling	-1.4 (-2.1, -0.7)
Clay County, Texas	No	167.0 (139.1, 199.7)	N/A	28	stable	-0.5 (-1.3, 0.3)
Clay County, Tennessee	No	168.4 (138.5, 204.5)	N/A	23	falling	-1.0 (-2.0, -0.1)
Clay County, South Dakota	No	179.1 (147.2, 216.0)	N/A	23	stable	-0.6 (-1.6, 0.3)
Clay County, North Carolina	No	135.5 (112.3, 163.3)	N/A	30	falling	-1.6 (-2.1, -1.0)
Clay County, Nebraska	No	143.5 (109.2, 186.1)	N/A	13	stable	-0.5 (-1.7, 0.7)
Clay County, Missouri	No	154.7 (148.1, 161.6)	N/A	420	falling	-2.1 (-2.7, -1.6)
Clay County, Mississippi	No	175.5 (153.4, 200.2)	N/A	48	stable	-0.6 (-1.2, 0.0)
Clay County, Minnesota	No	147.6 (134.7, 161.5)	N/A	100	falling	-0.6 (-1.0, -0.1)
Clay County, Kentucky	No	250.6 (222.3, 281.7)	N/A	60	stable	0.5 (-0.2, 1.1)
Clay County, Kansas	No	138.5 (110.7, 172.3)	N/A	19	stable	-0.6 (-1.4, 0.3)
Clay County, Iowa	No	133.5 (113.9, 156.0)	N/A	35	falling	-0.8 (-1.5, -0.2)
Clay County, Indiana	No	190.1 (170.0, 212.1)	N/A	68	falling	-0.7 (-1.2, -0.1)
Clay County, Illinois	No	180.6 (154.2, 210.7)	N/A	36	stable	-0.6 (-1.4, 0.2)
Clay County, Georgia	No	172.1 (125.6, 235.6)	N/A	10	stable	-1.5 (-2.9, 0.0)
Clay County, Florida	No	166.3 (159.0, 173.8)	N/A	418	falling	-1.3 (-1.5, -1.1)
Clay County, Arkansas	No	221.8 (195.0, 251.8)	N/A	51	stable	-0.1 (-0.6, 0.4)
Clay County, Alabama	No	175.7 (150.3, 204.8)	N/A	36	stable	-0.5 (-1.3, 0.4)
Clatsop County, Oregon	No	168.2 (153.2, 184.5)	N/A	101	falling	-1.4 (-1.8, -1.0)
Clarke County, Virginia	No	144.0 (122.5, 169.1)	N/A	33	falling	-1.6 (-2.4, -0.7)
Clarke County, Mississippi	No	172.2 (149.0, 198.5)	N/A	41	stable	-0.1 (-0.7, 0.6)
Clarke County, Iowa	No	181.5 (149.1, 219.5)	N/A	24	stable	0.1 (-0.9, 1.1)
Clarke County, Georgia	No	139.8 (129.8, 150.5)	N/A	148	falling	-2.2 (-2.9, -1.5)
Clarke County, Alabama	No	188.3 (168.2, 210.6)	N/A	67	falling	-0.9 (-1.5, -0.2)
Clark County, Wisconsin	No	164.7 (148.1, 182.7)	N/A	75	falling	-0.7 (-1.3, -0.2)
Clark County, Washington	No	152.0 (147.3, 156.8)	N/A	833	falling	-1.9 (-2.3, -1.5)
Clark County, South Dakota	No	161.3 (117.1, 219.5)	N/A	10	stable	-0.5 (-1.8, 0.9)
Clark County, Ohio	No	179.4 (170.8, 188.4)	N/A	345	falling	-0.9 (-1.2, -0.7)
Clark County, Nevada	No	150.8 (148.6, 153.0)	N/A	3,717	falling	-1.7 (-1.8, -1.6)
Clark County, Missouri	No	124.6 (95.9, 160.6)	N/A	14	stable	-1.1 (-2.3, 0.1)
Clark County, Kentucky	No	179.9 (163.1, 198.1)	N/A	87	falling	-5.8 (-9.9, -1.5)
Clark County, Kansas	No	153.9 (96.2, 238.3)	N/A	5	stable	-0.2 (-2.0, 1.6)
Clark County, Indiana	No	171.6 (161.9, 181.8)	N/A	244	falling	-1.5 (-1.7, -1.2)
Clark County, Illinois	No	165.6 (142.5, 191.8)	N/A	39	stable	-0.3 (-0.9, 0.4)
Clark County, Arkansas	No	181.5 (158.7, 206.8)	N/A	48	stable	-0.5 (-1.1, 0.1)
Clarion County, Pennsylvania	No	167.8 (152.7, 184.2)	N/A	95	falling	-0.6 (-1.2, -0.1)
Clarendon County, South Carolina	No	162.7 (147.1, 179.7)	N/A	88	falling	-1.1 (-1.6, -0.6)
Clare County, Michigan	No	210.8 (192.5, 230.6)	N/A	107	falling	-0.6 (-1.0, -0.3)
Clallam County, Washington	No	159.2 (149.6, 169.3)	N/A	244	falling	-1.1 (-1.4, -0.7)
Claiborne Parish, Louisiana	No	158.8 (135.9, 184.8)	N/A	36	falling	-1.1 (-1.6, -0.6)
Claiborne County, Tennessee	No	187.1 (169.1, 206.6)	N/A	85	falling	-0.7 (-1.2, -0.2)
Claiborne County, Mississippi	No	221.1 (181.2, 267.5)	N/A	23	stable	-0.6 (-1.4, 0.2)
Clackamas County, Oregon	No	146.1 (141.5, 150.8)	N/A	802	falling	-1.7 (-2.0, -1.4)
Citrus County, Florida	No	172.2 (165.0, 179.7)	N/A	582	falling	-0.7 (-1.0, -0.5)
Cimarron County, Oklahoma	Yes	117.7 (70.3, 190.7)	N/A	4	stable	-0.5 (-2.4, 1.5)
Cibola County, New Mexico	No	126.8 (109.9, 145.7)	N/A	42	falling	-1.1 (-1.7, -0.5)
Churchill County, Nevada	No	185.0 (164.1, 208.1)	N/A	61	stable	-0.5 (-1.2, 0.2)
Christian County, Missouri	No	149.9 (139.3, 161.0)	N/A	154	falling	-1.1 (-1.5, -0.7)
Christian County, Kentucky	No	183.0 (168.7, 198.1)	N/A	125	falling	-0.9 (-1.3, -0.5)
Christian County, Illinois	No	184.5 (167.6, 202.8)	N/A	92	falling	-0.8 (-1.2, -0.4)
Chowan County, North Carolina	No	163.5 (140.1, 190.5)	N/A	39	falling	-0.9 (-1.6, -0.3)
Chouteau County, Montana	No	145.7 (112.0, 188.3)	N/A	13	stable	-0.7 (-1.8, 0.5)
Choctaw County, Oklahoma	No	189.8 (164.8, 218.1)	N/A	43	stable	-0.1 (-0.7, 0.5)
Choctaw County, Mississippi	No	165.8 (135.1, 202.6)	N/A	21	falling	-1.1 (-2.0, -0.3)
Choctaw County, Alabama	No	136.0 (114.3, 161.5)	N/A	29	falling	-2.0 (-2.7, -1.3)
Chittenden County, Vermont	No	143.4 (135.8, 151.4)	N/A	276	falling	-1.6 (-1.9, -1.4)
Chisago County, Minnesota	No	161.5 (147.9, 176.0)	N/A	108	stable	6.1 (-4.4, 17.8)
Chippewa County, Wisconsin	No	153.8 (142.1, 166.2)	N/A	134	falling	-1.0 (-1.4, -0.6)
Chippewa County, Minnesota	No	188.2 (160.4, 220.1)	N/A	36	stable	0.7 (-0.1, 1.5)
Chippewa County, Michigan	No	177.5 (161.2, 195.2)	N/A	90	falling	-0.5 (-1.0, -0.1)
Chilton County, Alabama	No	165.6 (150.7, 181.7)	N/A	94	falling	-0.7 (-1.3, -0.2)
Childress County, Texas	No	170.5 (131.6, 217.7)	N/A	14	stable	-0.9 (-2.1, 0.2)
Chicot County, Arkansas	No	204.8 (174.3, 240.0)	N/A	34	stable	-0.3 (-1.0, 0.4)
Chickasaw County, Mississippi	No	198.0 (172.3, 226.6)	N/A	44	stable	-0.6 (-1.2, 0.1)
Chickasaw County, Iowa	No	159.3 (133.4, 189.3)	N/A	29	stable	-0.7 (-1.4, 0.1)
Cheyenne County, Nebraska	No	159.0 (129.2, 194.2)	N/A	22	stable	-0.7 (-1.9, 0.4)
Cheyenne County, Kansas	No	127.6 (80.2, 196.6)	N/A	6	stable	-0.3 (-1.9, 1.2)
Cheyenne County, Colorado	No	251.7 (172.5, 360.1)	N/A	7	stable	18.7 (-3.1, 45.3)
Chesterfield County, Virginia	No	151.8 (146.2, 157.5)	N/A	588	falling	-1.5 (-1.7, -1.2)
Chesterfield County, South Carolina	No	174.8 (160.1, 190.6)	N/A	110	falling	-1.0 (-1.4, -0.6)
Chester County, Tennessee	No	194.1 (168.8, 222.6)	N/A	44	stable	0.0 (-0.8, 0.8)
Chester County, South Carolina	No	198.9 (180.5, 218.8)	N/A	90	falling	-0.6 (-1.0, -0.3)
Chester County, Pennsylvania	No	134.2 (130.2, 138.3)	N/A	888	falling	-1.7 (-1.9, -1.6)
Cheshire County, New Hampshire	No	150.9 (140.6, 161.9)	N/A	169	falling	-1.3 (-1.8, -0.9)
Chesapeake City, Virginia	No	164.4 (157.2, 171.8)	N/A	418	falling	-1.6 (-1.9, -1.3)
Cherry County, Nebraska	Yes	121.8 (91.2, 160.9)	N/A	12	falling	-1.2 (-2.2, -0.1)
Cherokee County, Texas	No	159.8 (146.4, 174.1)	N/A	109	stable	0.7 (-13.7, 17.4)
Cherokee County, South Carolina	No	176.3 (162.5, 191.0)	N/A	126	falling	-2.0 (-2.7, -1.2)
Cherokee County, Oklahoma	No	187.4 (171.8, 204.0)	N/A	112	stable	-0.3 (-0.7, 0.2)
Cherokee County, North Carolina	No	154.6 (139.2, 171.8)	N/A	86	falling	-1.1 (-1.6, -0.6)
Cherokee County, Kansas	No	191.8 (169.3, 216.8)	N/A	55	falling	-0.8 (-1.2, -0.3)
Cherokee County, Iowa	No	168.0 (142.0, 198.2)	N/A	35	stable	-0.4 (-1.1, 0.4)
Cherokee County, Georgia	No	143.0 (136.4, 149.8)	N/A	382	falling	-1.8 (-3.0, -0.7)
Cherokee County, Alabama	No	167.4 (150.0, 186.7)	N/A	72	falling	-0.7 (-1.3, -0.1)
Chenango County, New York	No	163.9 (150.5, 178.3)	N/A	118	falling	-1.2 (-1.5, -0.9)
Chemung County, New York	No	176.3 (165.6, 187.6)	N/A	214	falling	-1.1 (-1.3, -0.8)
Chelan County, Washington	No	143.5 (133.2, 154.5)	N/A	153	falling	-1.4 (-1.7, -1.1)
Cheboygan County, Michigan	No	165.2 (148.4, 183.9)	N/A	79	falling	-1.0 (-1.6, -0.4)
Cheatham County, Tennessee	No	195.9 (177.6, 215.5)	N/A	93	falling	-0.8 (-1.5, -0.2)
Chaves County, New Mexico	No	144.0 (132.1, 156.6)	N/A	112	falling	-1.2 (-1.6, -0.7)
Chautauqua County, New York	No	161.5 (153.3, 170.2)	N/A	308	falling	-1.0 (-1.2, -0.7)
Chautauqua County, Kansas	No	160.2 (115.2, 220.8)	N/A	10	stable	-0.2 (-1.8, 1.3)
Chattooga County, Georgia	No	192.6 (171.6, 215.7)	N/A	64	falling	-0.9 (-1.3, -0.5)
Chattahoochee County, Georgia	No	163.5 (114.1, 225.2)	N/A	7	falling	-2.5 (-3.8, -1.2)
Chatham County, North Carolina	No	131.8 (122.7, 141.4)	N/A	168	falling	-1.6 (-2.0, -1.2)
Chatham County, Georgia	No	143.5 (137.7, 149.5)	N/A	480	falling	-2.4 (-2.8, -2.0)
Chase County, Nebraska	No	170.5 (126.6, 227.0)	N/A	11	stable	-0.2 (-1.4, 1.0)
Chase County, Kansas	No	188.7 (129.9, 268.4)	N/A	8	stable	-0.1 (-1.5, 1.3)
Charlton County, Georgia	No	169.0 (141.5, 200.6)	N/A	27	falling	-1.7 (-2.7, -0.6)
Charlottesville City, Virginia	No	139.4 (123.4, 157.0)	N/A	58	falling	-1.9 (-2.4, -1.5)
Charlotte County, Virginia	No	175.9 (150.1, 205.5)	N/A	35	falling	-1.3 (-1.8, -0.7)
Charlotte County, Florida	No	135.3 (129.8, 141.1)	N/A	642	falling	-1.2 (-1.4, -1.0)
Charlevoix County, Michigan	No	149.2 (132.5, 167.9)	N/A	65	falling	-1.2 (-1.7, -0.7)
Charleston County, South Carolina	No	147.8 (142.9, 152.8)	N/A	735	falling	-2.6 (-3.4, -1.9)
Charles Mix County, South Dakota	No	164.9 (133.3, 202.2)	N/A	21	stable	-0.6 (-1.7, 0.6)
Charles County, Maryland	No	157.8 (149.1, 166.8)	N/A	262	falling	-1.8 (-2.2, -1.5)
Charles City County, Virginia	No	164.1 (133.3, 202.2)	N/A	21	falling	-1.7 (-2.6, -0.9)
Chariton County, Missouri	No	189.8 (155.5, 230.7)	N/A	25	stable	-0.2 (-0.9, 0.5)
Champaign County, Ohio	No	176.1 (160.2, 193.2)	N/A	94	falling	-0.7 (-1.1, -0.3)
Champaign County, Illinois	No	133.3 (126.2, 140.7)	N/A	278	falling	-2.1 (-2.5, -1.8)
Chambers County, Texas	No	167.0 (148.8, 186.8)	N/A	65	falling	-1.4 (-2.1, -0.6)
Chambers County, Alabama	No	181.4 (164.3, 199.9)	N/A	87	falling	-0.8 (-1.2, -0.4)
Chaffee County, Colorado	Yes	118.1 (101.8, 137.0)	N/A	40	falling	-1.2 (-2.1, -0.2)
Cerro Gordo County, Iowa	No	153.5 (140.1, 167.9)	N/A	107	falling	-1.3 (-1.7, -1.0)
Centre County, Pennsylvania	Yes	119.5 (112.3, 127.0)	N/A	213	falling	-1.8 (-2.0, -1.5)
Cedar County, Nebraska	No	137.4 (109.9, 170.9)	N/A	19	stable	-0.8 (-1.7, 0.1)
Cedar County, Missouri	No	168.5 (144.8, 195.5)	N/A	40	stable	-0.6 (-1.4, 0.3)
Cedar County, Iowa	No	152.0 (131.6, 175.1)	N/A	42	falling	-0.8 (-1.5, -0.1)
Cecil County, Maryland	No	179.4 (168.8, 190.6)	N/A	225	falling	-1.6 (-1.9, -1.2)
Cayuga County, New York	No	151.2 (141.0, 162.0)	N/A	172	falling	-1.0 (-1.4, -0.6)
Cavalier County, North Dakota	No	156.0 (112.9, 213.2)	N/A	11	falling	-1.4 (-2.5, -0.3)
Cattaraugus County, New York	No	154.1 (143.7, 165.2)	N/A	171	falling	-1.2 (-1.5, -0.8)
Catron County, New Mexico	Yes	92.3 (66.7, 137.5)	N/A	9	falling	-2.1 (-3.8, -0.3)
Catoosa County, Georgia	No	157.7 (146.1, 170.1)	N/A	140	falling	-1.1 (-1.5, -0.7)
Catawba County, North Carolina	No	156.0 (148.3, 163.9)	N/A	326	falling	-2.0 (-2.7, -1.4)
Catahoula Parish, Louisiana	No	198.6 (164.7, 237.9)	N/A	25	stable	0.1 (-0.8, 0.9)
Caswell County, North Carolina	No	180.3 (160.9, 201.8)	N/A	66	falling	-1.0 (-1.5, -0.5)
Castro County, Texas	No	125.5 (93.9, 164.7)	N/A	11	falling	-1.8 (-2.8, -0.7)
Cassia County, Idaho	No	131.0 (111.9, 152.6)	N/A	34	falling	-1.1 (-1.9, -0.2)
Cass County, Texas	No	174.7 (157.9, 193.0)	N/A	85	falling	-0.9 (-1.4, -0.4)
Cass County, North Dakota	No	138.1 (130.1, 146.4)	N/A	238	falling	-1.7 (-2.1, -1.4)
Cass County, Nebraska	No	154.9 (136.3, 175.5)	N/A	53	falling	-0.7 (-1.3, -0.1)
Cass County, Missouri	No	158.0 (148.6, 167.9)	N/A	218	falling	-0.9 (-1.3, -0.5)
Cass County, Minnesota	No	166.3 (149.9, 184.4)	N/A	85	falling	-0.8 (-1.2, -0.4)
Cass County, Michigan	No	175.9 (162.5, 190.1)	N/A	138	stable	0.1 (-1.5, 1.7)
Cass County, Iowa	No	185.8 (159.5, 215.7)	N/A	40	stable	-3.4 (-6.8, 0.2)
Cass County, Indiana	No	173.2 (157.3, 190.4)	N/A	90	falling	-1.0 (-1.4, -0.6)
Cass County, Illinois	No	182.8 (153.9, 216.0)	N/A	30	falling	-1.0 (-1.7, -0.2)
Casey County, Kentucky	No	196.2 (171.2, 224.4)	N/A	46	stable	8.0 (-5.8, 23.8)
Cascade County, Montana	No	151.0 (140.8, 161.8)	N/A	172	falling	-1.4 (-1.6, -1.1)
Carver County, Minnesota	No	122.9 (113.1, 133.2)	N/A	125	falling	-1.5 (-2.0, -1.1)
Carteret County, North Carolina	No	166.9 (156.3, 178.2)	N/A	202	falling	-1.3 (-1.6, -1.0)
Carter County, Tennessee	No	159.0 (147.2, 171.6)	N/A	142	falling	-1.2 (-1.7, -0.8)
Carter County, Oklahoma	No	194.8 (179.4, 211.3)	N/A	122	falling	-0.6 (-0.9, -0.3)
Carter County, Missouri	No	192.8 (152.5, 241.5)	N/A	17	stable	-0.5 (-1.6, 0.7)
Carter County, Kentucky	No	199.3 (179.3, 221.1)	N/A	76	falling	-1.1 (-1.6, -0.6)
Carson County, Texas	No	131.2 (98.9, 172.2)	N/A	12	falling	-1.9 (-2.9, -0.8)
Carson City, Nevada	No	183.3 (170.2, 197.2)	N/A	152	falling	-1.2 (-1.6, -0.8)
Carroll County, Virginia	No	150.6 (135.8, 167.0)	N/A	80	falling	-0.6 (-1.2, -0.1)
Carroll County, Tennessee	No	220.5 (200.4, 242.3)	N/A	92	stable	-0.2 (-0.6, 0.1)
Carroll County, Ohio	No	170.9 (153.2, 190.3)	N/A	72	stable	-0.5 (-1.1, 0.2)
Carroll County, New Hampshire	No	145.8 (134.1, 158.5)	N/A	134	falling	-1.6 (-2.1, -1.2)
Carroll County, Missouri	No	134.0 (107.9, 165.5)	N/A	19	falling	-1.2 (-2.1, -0.4)
Carroll County, Mississippi	No	147.8 (122.4, 178.0)	N/A	25	stable	-0.9 (-1.8, 0.0)
Carroll County, Maryland	No	152.7 (145.3, 160.4)	N/A	335	falling	-1.5 (-1.8, -1.3)
Carroll County, Kentucky	No	219.8 (185.0, 259.6)	N/A	29	stable	-0.5 (-1.1, 0.2)
Carroll County, Iowa	No	157.4 (137.8, 179.4)	N/A	51	stable	-0.7 (-1.3, 0.0)
Carroll County, Indiana	No	139.0 (120.1, 160.3)	N/A	41	falling	-1.0 (-1.7, -0.3)
Carroll County, Illinois	No	158.2 (135.7, 184.1)	N/A	40	falling	-1.3 (-1.8, -0.8)
Carroll County, Georgia	No	174.2 (163.8, 185.1)	N/A	216	stable	-6.6 (-13.0, 0.2)
Carroll County, Arkansas	No	165.7 (148.8, 184.3)	N/A	76	falling	-1.0 (-1.6, -0.5)
Caroline County, Virginia	No	173.2 (154.6, 193.6)	N/A	66	falling	-1.5 (-2.0, -1.0)
Caroline County, Maryland	No	175.0 (157.5, 194.1)	N/A	75	falling	-1.5 (-2.0, -1.0)
Carlton County, Minnesota	No	148.0 (132.8, 164.6)	N/A	72	stable	-8.0 (-15.8, 0.5)
Carlisle County, Kentucky	No	208.4 (163.2, 264.1)	N/A	15	stable	-0.4 (-1.6, 0.7)
Caribou County, Idaho	Yes	117.4 (88.1, 154.3)	N/A	11	stable	0.4 (-0.9, 1.7)
Carbon County, Wyoming	No	127.5 (105.0, 153.6)	N/A	24	falling	-1.8 (-2.7, -0.9)
Carbon County, Utah	No	148.7 (127.5, 172.5)	N/A	37	stable	-0.5 (-1.3, 0.2)
Carbon County, Pennsylvania	No	161.1 (149.9, 173.1)	N/A	162	falling	-1.0 (-1.4, -0.6)
Carbon County, Montana	Yes	116.3 (94.9, 142.3)	N/A	22	falling	-2.0 (-2.8, -1.2)
Cape May County, New Jersey	No	171.3 (162.2, 180.8)	N/A	298	falling	-1.3 (-1.5, -1.0)
Cape Girardeau County, Missouri	No	161.4 (150.2, 173.4)	N/A	161	falling	-0.6 (-0.9, -0.3)
Canyon County, Idaho	No	150.1 (142.9, 157.5)	N/A	342	falling	-0.8 (-1.1, -0.5)
Cannon County, Tennessee	No	199.3 (171.3, 230.8)	N/A	38	stable	0.0 (-0.7, 0.7)
Candler County, Georgia	No	154.3 (126.9, 186.5)	N/A	23	falling	-1.3 (-2.2, -0.3)
Canadian County, Oklahoma	No	160.8 (151.6, 170.4)	N/A	238	falling	-0.8 (-1.2, -0.5)
Campbell County, Wyoming	No	159.7 (140.6, 180.6)	N/A	60	falling	-1.1 (-2.1, -0.1)
Campbell County, Virginia	No	166.0 (153.5, 179.4)	N/A	136	falling	-1.1 (-1.5, -0.7)
Campbell County, Tennessee	No	196.2 (180.3, 213.3)	N/A	118	falling	-0.7 (-1.0, -0.3)
Campbell County, Kentucky	No	172.1 (161.2, 183.5)	N/A	196	falling	-1.5 (-1.8, -1.2)
Camp County, Texas	No	168.5 (141.3, 199.7)	N/A	29	falling	-1.8 (-2.6, -1.0)
Cameron Parish, Louisiana	Yes	104.5 (76.7, 140.0)	N/A	10	falling	-6.7 (-9.1, -4.2)
Cameron County, Texas	Yes	117.3 (112.8, 122.0)	N/A	509	falling	-1.1 (-1.4, -0.9)
Cameron County, Pennsylvania	No	156.4 (118.3, 206.2)	N/A	14	falling	-1.5 (-2.9, -0.2)
Camden County, North Carolina	No	135.0 (108.2, 166.8)	N/A	18	falling	-3.8 (-4.9, -2.6)
Camden County, New Jersey	No	163.3 (158.8, 168.0)	N/A	1,012	falling	-1.8 (-2.0, -1.6)
Camden County, Missouri	No	145.7 (133.9, 158.5)	N/A	130	falling	-1.1 (-1.5, -0.7)
Camden County, Georgia	No	159.9 (144.7, 176.3)	N/A	87	falling	-1.6 (-2.2, -1.0)
Cambria County, Pennsylvania	No	168.6 (160.7, 176.9)	N/A	371	falling	-0.9 (-1.1, -0.7)
Camas County, Idaho	No	283.5 (162.7, 465.9)	N/A	4	*	*
Calvert County, Maryland	No	166.2 (155.3, 177.7)	N/A	183	falling	-1.5 (-2.0, -1.1)
Calumet County, Wisconsin	No	126.0 (113.1, 140.0)	N/A	73	falling	-1.2 (-2.0, -0.4)
Calloway County, Kentucky	No	165.0 (148.9, 182.4)	N/A	81	stable	-0.4 (-0.8, 0.0)
Callaway County, Missouri	No	181.0 (165.3, 198.0)	N/A	101	falling	-0.8 (-1.2, -0.3)
Callahan County, Texas	No	164.9 (140.4, 193.1)	N/A	34	stable	-0.5 (-1.2, 0.3)
Calhoun County, West Virginia	No	147.9 (118.6, 184.1)	N/A	19	falling	-1.3 (-2.3, -0.4)
Calhoun County, Texas	No	166.6 (145.8, 189.7)	N/A	48	falling	-1.1 (-1.8, -0.5)
Calhoun County, South Carolina	No	172.5 (148.8, 199.7)	N/A	41	stable	-0.5 (-1.4, 0.4)
Calhoun County, Mississippi	No	172.7 (147.3, 201.7)	N/A	34	stable	0.1 (-0.8, 0.9)
Calhoun County, Michigan	No	179.7 (170.9, 189.0)	N/A	323	falling	-0.9 (-1.1, -0.7)
Calhoun County, Iowa	No	161.8 (134.1, 194.6)	N/A	27	stable	-0.4 (-1.1, 0.2)
Calhoun County, Illinois	No	146.5 (112.9, 190.1)	N/A	13	stable	-1.2 (-2.3, 0.0)
Calhoun County, Georgia	No	145.3 (109.0, 190.6)	N/A	11	stable	-0.3 (-5.1, 4.8)
Calhoun County, Florida	No	185.0 (159.4, 214.0)	N/A	38	falling	-0.9 (-1.6, -0.1)
Calhoun County, Arkansas	No	235.8 (189.5, 291.9)	N/A	19	stable	-0.3 (-1.2, 0.7)
Calhoun County, Alabama	No	181.4 (171.7, 191.6)	N/A	273	falling	-1.3 (-1.6, -1.0)
Caledonia County, Vermont	No	154.5 (137.7, 173.0)	N/A	68	falling	-1.0 (-1.5, -0.5)
Caldwell Parish, Louisiana	No	164.4 (134.3, 199.7)	N/A	22	falling	-1.1 (-2.0, -0.2)
Caldwell County, Texas	No	166.3 (150.1, 183.7)	N/A	80	falling	-1.1 (-1.7, -0.5)
Caldwell County, North Carolina	No	170.6 (160.0, 181.7)	N/A	205	falling	-0.8 (-1.1, -0.5)
Caldwell County, Missouri	No	186.1 (152.5, 225.4)	N/A	23	stable	0.2 (-0.8, 1.2)
Caldwell County, Kentucky	No	162.9 (137.9, 191.8)	N/A	32	falling	-0.9 (-1.5, -0.2)
Calcasieu Parish, Louisiana	No	178.4 (170.6, 186.4)	N/A	416	falling	-1.3 (-1.5, -1.0)
Calaveras County, California	No	141.9 (130.2, 154.6)	N/A	123	falling	-1.5 (-1.9, -1.1)
Caddo Parish, Louisiana	No	176.9 (170.2, 183.8)	N/A	557	falling	-1.1 (-1.2, -0.9)
Caddo County, Oklahoma	No	212.9 (192.1, 235.5)	N/A	79	stable	0.2 (-0.4, 0.7)
Cache County, Utah	Yes	111.4 (101.9, 121.5)	N/A	103	falling	-0.8 (-1.3, -0.4)
Cabell County, West Virginia	No	180.2 (169.7, 191.3)	N/A	229	falling	-1.0 (-1.2, -0.7)
Cabarrus County, North Carolina	No	145.7 (138.5, 153.1)	N/A	319	falling	-2.3 (-2.8, -1.7)
Butts County, Georgia	No	197.2 (175.0, 221.7)	N/A	59	stable	-0.4 (-1.1, 0.3)
Butte County, South Dakota	No	193.6 (162.5, 229.5)	N/A	29	stable	-0.5 (-1.7, 0.8)
Butte County, Idaho	No	162.8 (107.1, 240.5)	N/A	6	stable	5.1 (-0.7, 11.3)
Butte County, California	No	166.7 (160.0, 173.7)	N/A	493	falling	-1.2 (-1.4, -0.9)
Butler County, Pennsylvania	No	156.0 (149.3, 163.0)	N/A	426	falling	-1.1 (-1.3, -0.9)
Butler County, Ohio	No	164.2 (158.8, 169.8)	N/A	717	falling	-1.8 (-2.0, -1.5)
Butler County, Nebraska	No	207.0 (172.0, 248.1)	N/A	26	rising	3.4 (0.1, 6.9)
Butler County, Missouri	No	196.1 (180.5, 212.9)	N/A	120	falling	-0.7 (-1.1, -0.3)
Butler County, Kentucky	No	238.7 (206.6, 274.8)	N/A	41	stable	-0.6 (-1.3, 0.0)
Butler County, Kansas	No	163.9 (151.3, 177.3)	N/A	132	falling	-0.6 (-0.9, -0.2)
Butler County, Iowa	No	155.3 (133.0, 181.0)	N/A	38	falling	-1.2 (-1.8, -0.5)
Butler County, Alabama	No	158.9 (138.5, 181.9)	N/A	46	falling	-0.9 (-1.5, -0.4)
Burt County, Nebraska	No	163.1 (128.7, 205.3)	N/A	18	stable	-0.3 (-1.1, 0.6)
Burnett County, Wisconsin	No	175.6 (154.0, 200.3)	N/A	54	falling	-0.8 (-1.3, -0.2)
Burnet County, Texas	No	148.5 (135.9, 162.0)	N/A	112	falling	-1.6 (-2.0, -1.2)
Burlington County, New Jersey	No	152.7 (148.2, 157.3)	N/A	913	falling	-1.8 (-2.1, -1.6)
Burleson County, Texas	No	157.7 (137.2, 180.9)	N/A	45	falling	-1.4 (-1.9, -0.8)
Burleigh County, North Dakota	No	129.7 (120.5, 139.4)	N/A	156	falling	-1.2 (-1.7, -0.8)
Burke County, North Dakota	No	158.0 (102.6, 237.9)	N/A	5	falling	-1.7 (-3.1, -0.2)
Burke County, North Carolina	No	162.3 (152.6, 172.5)	N/A	220	falling	-0.7 (-1.0, -0.4)
Burke County, Georgia	No	160.0 (138.6, 183.8)	N/A	43	falling	-4.2 (-6.8, -1.6)
Bureau County, Illinois	No	168.9 (153.3, 185.8)	N/A	92	falling	-0.8 (-1.2, -0.4)
Buncombe County, North Carolina	No	146.3 (140.8, 152.0)	N/A	551	falling	-1.5 (-1.7, -1.3)
Bullock County, Alabama	No	188.8 (156.1, 226.7)	N/A	24	stable	-0.5 (-1.4, 0.4)
Bulloch County, Georgia	No	168.4 (154.8, 183.0)	N/A	117	falling	-0.9 (-1.4, -0.5)
Bullitt County, Kentucky	No	160.1 (148.8, 172.2)	N/A	156	falling	-1.7 (-2.1, -1.2)
Buffalo County, Wisconsin	No	139.3 (117.4, 164.9)	N/A	30	falling	-1.3 (-2.0, -0.6)
Buffalo County, South Dakota	No	230.9 (126.3, 381.4)	N/A	3	*	*
Buffalo County, Nebraska	No	150.7 (136.3, 166.3)	N/A	84	falling	-0.8 (-1.3, -0.2)
Buena Vista County, Iowa	No	137.8 (117.3, 161.0)	N/A	35	falling	-1.0 (-1.7, -0.2)
Buena Vista City, Virginia	No	185.6 (147.6, 231.6)	N/A	17	falling	-1.4 (-2.5, -0.4)
Bucks County, Pennsylvania	No	144.8 (141.3, 148.5)	N/A	1,318	falling	-1.7 (-1.8, -1.5)
Buckingham County, Virginia	No	157.0 (135.5, 181.3)	N/A	40	falling	-1.2 (-2.1, -0.2)
Buchanan County, Virginia	No	188.6 (167.9, 211.6)	N/A	65	falling	-0.7 (-1.3, -0.1)
Buchanan County, Missouri	No	170.3 (159.4, 181.8)	N/A	188	falling	-0.9 (-1.3, -0.5)
Buchanan County, Iowa	No	154.0 (134.0, 176.5)	N/A	44	falling	-1.3 (-1.9, -0.7)
Bryan County, Oklahoma	No	163.4 (149.2, 178.8)	N/A	100	falling	-1.4 (-1.9, -1.0)
Bryan County, Georgia	No	204.1 (182.6, 227.4)	N/A	69	falling	-0.8 (-1.4, -0.2)
Brunswick County, Virginia	No	179.5 (156.3, 205.7)	N/A	46	falling	-1.9 (-2.6, -1.3)
Brunswick County, North Carolina	No	145.4 (138.3, 152.8)	N/A	383	falling	-1.6 (-1.9, -1.4)
Brule County, South Dakota	No	128.6 (94.1, 173.1)	N/A	10	stable	-1.2 (-2.4, 0.1)
Brown County, Wisconsin	No	147.6 (141.4, 154.0)	N/A	444	falling	-1.0 (-1.2, -0.8)
Brown County, Texas	No	167.3 (152.2, 183.8)	N/A	93	falling	-0.9 (-1.3, -0.5)
Brown County, South Dakota	No	138.2 (123.8, 154.0)	N/A	72	falling	-1.2 (-1.7, -0.6)
Brown County, Ohio	No	199.2 (183.4, 216.1)	N/A	122	falling	-0.8 (-1.2, -0.4)
Brown County, Nebraska	No	143.5 (97.5, 207.7)	N/A	8	stable	-1.0 (-2.3, 0.2)
Brown County, Minnesota	No	161.7 (143.7, 181.6)	N/A	66	stable	-0.5 (-1.0, 0.1)
Brown County, Kansas	No	184.5 (154.2, 220.0)	N/A	27	stable	0.2 (-0.8, 1.3)
Brown County, Indiana	No	161.3 (138.5, 187.5)	N/A	40	stable	-0.7 (-1.6, 0.2)
Brown County, Illinois	No	200.1 (157.4, 251.7)	N/A	15	stable	-0.4 (-1.6, 0.7)
Broward County, Florida	No	135.2 (133.2, 137.3)	N/A	3,439	falling	-2.6 (-3.1, -2.1)
Broomfield County, Colorado ⁸	Yes	120.1 (108.9, 132.0)	N/A	88	falling	-3.9 (-6.0, -1.7)
Broome County, New York	No	152.5 (145.9, 159.4)	N/A	426	falling	-1.4 (-1.6, -1.1)
Brooks County, Texas	No	150.7 (116.6, 192.3)	N/A	14	stable	-0.8 (-2.0, 0.3)
Brooks County, Georgia	No	188.5 (162.1, 218.3)	N/A	40	stable	-0.4 (-1.1, 0.3)
Brookings County, South Dakota	No	130.9 (113.5, 150.3)	N/A	42	falling	-0.8 (-1.4, -0.2)
Brooke County, West Virginia	No	166.3 (147.6, 187.2)	N/A	62	falling	-1.0 (-1.6, -0.5)
Bronx County, New York	No	135.7 (133.0, 138.4)	N/A	2,023	falling	-4.6 (-7.2, -2.0)
Broadwater County, Montana	No	143.4 (109.5, 186.1)	N/A	14	falling	-2.1 (-3.4, -0.8)
Bristol County, Rhode Island	No	131.5 (119.9, 144.1)	N/A	101	falling	-1.8 (-2.2, -1.3)
Bristol County, Massachusetts	No	152.5 (148.5, 156.7)	N/A	1,137	falling	-1.6 (-1.8, -1.5)
Bristol City, Virginia	No	187.2 (163.9, 213.4)	N/A	49	falling	-13.6 (-24.3, -1.4)
Briscoe County, Texas	No	150.9 (95.4, 239.4)	N/A	5	*	*
Brewster County, Texas	Yes	110.4 (87.4, 138.8)	N/A	17	falling	-1.5 (-2.3, -0.7)
Brevard County, Florida	No	156.0 (152.5, 159.6)	N/A	1,621	falling	-4.0 (-5.5, -2.4)
Bremer County, Iowa	No	140.1 (123.0, 159.1)	N/A	51	falling	-1.3 (-1.8, -0.7)
Breckinridge County, Kentucky	No	179.2 (157.6, 203.1)	N/A	53	falling	-1.3 (-1.7, -0.8)
Breathitt County, Kentucky	No	222.4 (190.2, 258.7)	N/A	37	stable	-0.4 (-1.2, 0.4)
Brazos County, Texas	No	125.8 (118.1, 133.7)	N/A	209	falling	-1.8 (-2.1, -1.5)
Brazoria County, Texas	No	156.6 (150.7, 162.8)	N/A	548	falling	-1.7 (-2.0, -1.5)
Braxton County, West Virginia	No	168.5 (145.3, 195.1)	N/A	39	falling	-1.2 (-1.9, -0.4)
Brantley County, Georgia	No	204.8 (179.4, 233.1)	N/A	50	stable	-0.6 (-1.4, 0.2)
Branch County, Michigan	No	177.2 (161.9, 193.6)	N/A	104	falling	-0.6 (-1.1, -0.1)
Bradley County, Tennessee	No	167.8 (158.2, 178.0)	N/A	231	falling	-1.0 (-1.3, -0.7)
Bradley County, Arkansas	No	178.9 (148.8, 213.7)	N/A	26	stable	-0.7 (-1.5, 0.1)
Bradford County, Pennsylvania	No	153.3 (141.9, 165.5)	N/A	144	falling	-0.7 (-1.1, -0.3)
Bradford County, Florida	No	177.3 (158.6, 197.9)	N/A	67	falling	-1.4 (-2.0, -0.9)
Bracken County, Kentucky	No	163.1 (130.2, 202.4)	N/A	18	stable	-1.0 (-1.9, 0.0)
Boyle County, Kentucky	No	175.2 (157.4, 194.6)	N/A	74	falling	-1.3 (-1.8, -0.7)
Boyd County, Nebraska	No	174.6 (110.1, 270.1)	N/A	7	stable	0.1 (-1.1, 1.3)
Boyd County, Kentucky	No	192.7 (178.0, 208.5)	N/A	132	falling	-1.0 (-1.4, -0.7)
Box Elder County, Utah	Yes	120.1 (107.4, 133.8)	N/A	67	falling	-0.8 (-1.4, -0.1)
Box Butte County, Nebraska	No	148.2 (120.9, 180.2)	N/A	23	stable	-0.8 (-1.6, 0.1)
Bowman County, North Dakota	No	137.8 (95.9, 195.8)	N/A	8	stable	-0.9 (-2.1, 0.4)
Bowie County, Texas	No	174.6 (163.9, 185.8)	N/A	207	falling	-1.2 (-1.5, -0.9)
Bourbon County, Kentucky	No	199.0 (175.7, 224.8)	N/A	55	falling	-1.9 (-2.7, -1.0)
Bourbon County, Kansas	No	178.2 (152.4, 207.6)	N/A	37	stable	-0.5 (-1.3, 0.3)
Boundary County, Idaho	No	152.0 (126.6, 181.6)	N/A	28	falling	-1.1 (-2.1, -0.1)
Boulder County, Colorado ⁸	Yes	118.7 (113.6, 124.1)	N/A	418	stable	-0.5 (-1.5, 0.5)
Bottineau County, North Dakota	No	146.3 (114.2, 186.2)	N/A	16	stable	-0.9 (-2.3, 0.5)
Botetourt County, Virginia	No	133.1 (119.4, 148.1)	N/A	72	falling	-1.4 (-1.8, -0.9)
Bossier Parish, Louisiana	No	156.4 (147.2, 166.0)	N/A	222	falling	-1.8 (-2.1, -1.4)
Bosque County, Texas	No	184.3 (162.7, 208.6)	N/A	59	stable	4.9 (-6.8, 18.1)
Boone County, West Virginia	No	200.8 (178.8, 225.1)	N/A	65	falling	-1.3 (-1.8, -0.8)
Boone County, Nebraska	No	150.7 (116.0, 194.6)	N/A	15	stable	0.0 (-1.1, 1.1)
Boone County, Missouri	No	144.9 (136.8, 153.4)	N/A	249	falling	-1.3 (-1.7, -1.0)
Boone County, Kentucky	No	143.8 (134.8, 153.3)	N/A	201	falling	-2.7 (-3.4, -2.0)
Boone County, Iowa	No	155.9 (137.9, 175.9)	N/A	57	stable	-0.5 (-1.0, 0.0)
Boone County, Indiana	No	163.3 (150.0, 177.6)	N/A	114	falling	-1.3 (-1.8, -0.9)
Boone County, Illinois	No	143.0 (130.0, 156.9)	N/A	92	falling	-1.3 (-1.7, -0.8)
Boone County, Arkansas	No	169.0 (153.8, 185.4)	N/A	96	falling	-0.8 (-1.2, -0.4)
Bonneville County, Idaho	No	139.2 (129.7, 149.2)	N/A	164	falling	-0.8 (-1.2, -0.4)
Bonner County, Idaho	No	159.8 (146.4, 174.2)	N/A	117	falling	-1.1 (-1.5, -0.7)
Bond County, Illinois	No	160.4 (137.8, 186.1)	N/A	38	falling	-1.3 (-2.3, -0.3)
Bon Homme County, South Dakota	No	143.8 (113.1, 181.6)	N/A	16	stable	-0.5 (-1.7, 0.6)
Bollinger County, Missouri	No	171.0 (144.0, 202.2)	N/A	30	falling	-0.9 (-1.7, -0.1)
Bolivar County, Mississippi	No	239.5 (217.0, 263.7)	N/A	88	stable	-0.4 (-0.8, 0.1)
Boise County, Idaho	Yes	97.9 (73.6, 129.8)	N/A	13	falling	-2.1 (-3.2, -0.9)
Blue Earth County, Minnesota	No	142.1 (129.8, 155.2)	N/A	105	falling	-1.2 (-1.6, -0.8)
Blount County, Tennessee	No	158.1 (150.1, 166.4)	N/A	307	falling	-1.5 (-2.1, -1.0)
Blount County, Alabama	No	186.4 (172.8, 200.7)	N/A	146	falling	-0.8 (-1.2, -0.5)
Bledsoe County, Tennessee	No	144.2 (121.7, 170.2)	N/A	30	falling	-1.4 (-2.2, -0.7)
Bleckley County, Georgia	No	162.4 (135.7, 193.2)	N/A	27	falling	-1.8 (-2.7, -0.8)
Bland County, Virginia	No	123.9 (95.1, 160.9)	N/A	13	stable	-1.1 (-2.4, 0.3)
Blanco County, Texas	No	162.5 (137.5, 191.7)	N/A	33	stable	-0.2 (-1.1, 0.6)
Blair County, Pennsylvania	No	159.1 (150.9, 167.6)	N/A	302	falling	-1.8 (-2.2, -1.3)
Blaine County, Oklahoma	No	185.4 (153.4, 222.7)	N/A	25	stable	-0.5 (-1.3, 0.2)
Blaine County, Montana	No	147.5 (110.8, 192.9)	N/A	11	stable	-1.0 (-2.3, 0.3)
Blaine County, Idaho	Yes	97.1 (81.1, 115.5)	N/A	29	falling	-2.3 (-3.1, -1.4)
Bladen County, North Carolina	No	167.9 (151.6, 185.6)	N/A	86	falling	-1.3 (-1.9, -0.7)
Blackford County, Indiana	No	209.3 (180.6, 242.0)	N/A	39	stable	-0.6 (-1.2, 0.0)
Black Hawk County, Iowa	No	158.8 (150.1, 168.0)	N/A	261	falling	-1.2 (-1.5, -1.0)
Bingham County, Idaho	No	148.3 (133.2, 164.6)	N/A	73	falling	-0.7 (-1.2, -0.3)
Big Stone County, Minnesota	No	147.8 (114.6, 190.5)	N/A	15	falling	-1.7 (-2.6, -0.9)
Big Horn County, Wyoming	No	152.4 (126.7, 182.3)	N/A	27	stable	-0.8 (-1.5, 0.0)
Big Horn County, Montana	No	169.7 (137.9, 206.5)	N/A	21	falling	-1.9 (-2.9, -1.0)
Bienville Parish, Louisiana	No	188.4 (161.3, 219.2)	N/A	37	falling	-0.7 (-1.3, -0.1)
Bibb County, Georgia	No	162.1 (153.8, 170.7)	N/A	298	falling	-1.2 (-1.4, -0.9)
Bibb County, Alabama	No	186.1 (163.8, 210.7)	N/A	52	falling	-0.9 (-1.4, -0.3)
Bexar County, Texas	No	142.0 (139.6, 144.5)	N/A	2,686	falling	-1.4 (-1.5, -1.3)
Bethel Census Area, Alaska	No	195.0 (153.8, 242.6)	N/A	21	stable	-0.6 (-1.7, 0.5)
Bertie County, North Carolina	No	172.3 (151.2, 196.0)	N/A	53	falling	-1.9 (-2.5, -1.4)
Berrien County, Michigan	No	161.6 (154.1, 169.4)	N/A	370	falling	-1.2 (-1.4, -0.9)
Berrien County, Georgia	No	169.4 (147.3, 194.1)	N/A	44	falling	-1.5 (-2.0, -1.0)
Bernalillo County, New Mexico	No	135.1 (131.5, 138.7)	N/A	1,123	falling	-1.3 (-1.4, -1.2)
Berkshire County, Massachusetts	No	145.2 (137.8, 152.9)	N/A	317	falling	-1.5 (-1.7, -1.2)
Berks County, Pennsylvania	No	154.3 (149.6, 159.1)	N/A	859	falling	-1.1 (-1.3, -1.0)
Berkeley County, West Virginia	No	185.7 (175.1, 196.8)	N/A	247	falling	-1.1 (-1.5, -0.7)
Berkeley County, South Carolina	No	158.2 (150.8, 165.9)	N/A	366	falling	-1.7 (-1.9, -1.4)
Bergen County, New Jersey	No	127.2 (124.4, 130.1)	N/A	1,637	falling	-2.1 (-2.2, -2.0)
Benzie County, Michigan	No	138.1 (119.2, 159.8)	N/A	44	falling	-1.3 (-2.1, -0.5)
Benton County, Washington	No	144.1 (137.0, 151.4)	N/A	325	falling	-1.9 (-2.4, -1.4)
Benton County, Tennessee	No	228.9 (202.5, 258.3)	N/A	60	stable	0.2 (-0.4, 0.8)
Benton County, Oregon	No	127.5 (117.9, 137.7)	N/A	138	falling	-1.0 (-1.4, -0.5)
Benton County, Missouri	No	208.2 (187.0, 231.9)	N/A	84	falling	-1.0 (-1.5, -0.5)
Benton County, Mississippi	No	137.4 (108.7, 172.2)	N/A	16	stable	-0.7 (-1.9, 0.4)
Benton County, Minnesota	No	152.6 (136.7, 170.0)	N/A	70	falling	-1.4 (-2.0, -0.8)
Benton County, Iowa	No	158.6 (140.6, 178.5)	N/A	59	falling	-1.2 (-1.7, -0.7)
Benton County, Indiana	No	156.1 (125.4, 192.6)	N/A	19	stable	-0.6 (-1.4, 0.3)
Benton County, Arkansas	No	146.4 (140.1, 152.9)	N/A	414	falling	-0.9 (-1.1, -0.6)
Bent County, Colorado	No	153.6 (117.4, 199.3)	N/A	12	stable	-0.6 (-1.9, 0.7)
Benson County, North Dakota	No	149.4 (110.6, 197.6)	N/A	11	stable	0.3 (-1.1, 1.7)
Bennington County, Vermont	No	170.1 (155.0, 186.6)	N/A	101	falling	-1.0 (-1.4, -0.6)
Bennett County, South Dakota	No	165.3 (108.5, 241.1)	N/A	6	stable	-0.8 (-2.7, 1.0)
Benewah County, Idaho	No	161.5 (132.7, 195.8)	N/A	24	stable	-0.5 (-1.3, 0.4)
Ben Hill County, Georgia	No	182.6 (157.5, 210.9)	N/A	40	falling	-2.2 (-3.0, -1.3)
Beltrami County, Minnesota	No	146.1 (131.9, 161.4)	N/A	82	falling	-1.1 (-1.6, -0.6)
Belmont County, Ohio	No	161.8 (150.7, 173.6)	N/A	168	falling	-1.3 (-1.6, -1.1)
Bell County, Texas	No	161.3 (154.9, 167.9)	N/A	497	falling	-1.6 (-1.9, -1.2)
Bell County, Kentucky	No	201.1 (181.0, 223.1)	N/A	76	falling	-0.9 (-1.5, -0.4)
Belknap County, New Hampshire	No	163.7 (152.1, 176.1)	N/A	161	falling	-1.5 (-1.8, -1.2)
Bee County, Texas	No	162.5 (143.3, 183.6)	N/A	53	falling	-1.2 (-1.8, -0.6)
Bedford County, Tennessee	No	196.6 (180.3, 214.1)	N/A	112	falling	-0.6 (-1.0, -0.1)
Bedford County, Pennsylvania	No	147.2 (135.3, 160.1)	N/A	120	falling	-0.9 (-1.5, -0.3)
Bedford City and County, Virginia	No	158.6 (148.5, 169.3)	N/A	195	falling	-1.1 (-1.5, -0.8)
Beckham County, Oklahoma	No	192.8 (168.9, 219.3)	N/A	48	stable	-0.6 (-1.2, 0.1)
Becker County, Minnesota	No	149.4 (134.6, 165.7)	N/A	78	falling	-0.9 (-1.3, -0.4)
Beaverhead County, Montana	No	139.3 (112.6, 171.5)	N/A	21	falling	-1.4 (-2.3, -0.4)
Beaver County, Utah	No	143.5 (103.9, 193.0)	N/A	9	stable	-1.1 (-2.3, 0.1)
Beaver County, Pennsylvania	No	158.2 (151.3, 165.4)	N/A	422	falling	-1.3 (-1.4, -1.1)
Beaver County, Oklahoma	Yes	122.0 (88.8, 165.1)	N/A	9	falling	-1.9 (-3.1, -0.7)
Beauregard Parish, Louisiana	No	206.0 (187.3, 226.2)	N/A	92	stable	-0.6 (-1.1, 0.0)
Beaufort County, South Carolina	Yes	121.2 (115.7, 127.0)	N/A	409	falling	-2.4 (-2.9, -1.9)
Beaufort County, North Carolina	No	160.4 (147.3, 174.5)	N/A	124	falling	-1.2 (-1.6, -0.8)
Bear Lake County, Idaho	No	136.3 (102.7, 178.7)	N/A	12	stable	-1.1 (-2.3, 0.2)
Beadle County, South Dakota	No	150.8 (129.1, 175.4)	N/A	37	falling	-1.2 (-1.8, -0.5)
Baylor County, Texas	No	254.2 (199.4, 322.6)	N/A	16	stable	-0.3 (-1.5, 0.8)
Bayfield County, Wisconsin	No	146.8 (126.3, 170.7)	N/A	42	falling	-1.9 (-2.7, -1.0)
Bay County, Michigan	No	174.0 (164.5, 184.0)	N/A	268	falling	-0.8 (-1.1, -0.6)
Bay County, Florida	No	154.7 (147.7, 162.1)	N/A	374	falling	-1.7 (-2.2, -1.2)
Baxter County, Arkansas	No	182.9 (169.0, 198.0)	N/A	157	falling	-0.7 (-1.0, -0.4)
Bath County, Virginia	No	188.4 (147.9, 240.6)	N/A	16	falling	-1.0 (-2.0, -0.1)
Bath County, Kentucky	No	204.2 (173.9, 238.8)	N/A	33	stable	-0.1 (-0.7, 0.5)
Bates County, Missouri	No	183.1 (158.8, 210.4)	N/A	43	falling	-0.9 (-1.5, -0.3)
Bastrop County, Texas	No	161.1 (149.8, 173.0)	N/A	162	falling	-1.2 (-1.7, -0.8)
Bartow County, Georgia	No	165.3 (154.7, 176.4)	N/A	193	falling	-1.3 (-1.7, -0.9)
Barton County, Missouri	No	165.4 (138.9, 196.0)	N/A	29	falling	-0.8 (-1.4, -0.1)
Barton County, Kansas	No	147.2 (129.9, 166.3)	N/A	57	stable	-0.6 (-1.2, 0.0)
Bartholomew County, Indiana	No	149.0 (138.4, 160.1)	N/A	152	falling	-2.4 (-3.3, -1.4)
Barry County, Missouri	No	172.5 (156.8, 189.5)	N/A	94	falling	-0.6 (-1.1, -0.1)
Barry County, Michigan	No	152.4 (140.5, 165.2)	N/A	127	falling	-1.1 (-1.6, -0.6)
Barrow County, Georgia	No	180.5 (167.3, 194.4)	N/A	147	stable	-0.5 (-1.0, 0.0)
Barron County, Wisconsin	No	163.1 (149.8, 177.4)	N/A	118	falling	-0.9 (-1.2, -0.6)
Barren County, Kentucky	No	194.2 (178.4, 211.3)	N/A	114	falling	-0.6 (-1.1, -0.2)
Barnwell County, South Carolina	No	192.2 (169.8, 217.1)	N/A	57	falling	-0.5 (-0.9, -0.1)
Barnstable County, Massachusetts	No	144.8 (139.5, 150.3)	N/A	661	falling	-1.4 (-1.6, -1.2)
Barnes County, North Dakota	No	157.8 (131.6, 188.6)	N/A	28	stable	-0.8 (-1.6, 0.0)
Barbour County, West Virginia	No	184.4 (159.8, 212.1)	N/A	43	falling	-0.7 (-1.4, -0.1)
Barbour County, Alabama	No	190.4 (170.0, 212.7)	N/A	67	falling	-1.1 (-1.8, -0.4)
Barber County, Kansas	No	153.7 (115.1, 203.6)	N/A	12	falling	-1.1 (-2.1, -0.2)
Baraga County, Michigan	No	176.8 (145.5, 214.2)	N/A	24	stable	-0.5 (-1.2, 0.3)
Bannock County, Idaho	No	153.4 (142.0, 165.5)	N/A	140	falling	-0.7 (-1.2, -0.2)
Banks County, Georgia	No	142.2 (121.2, 166.1)	N/A	35	stable	-1.0 (-2.0, 0.1)
Bandera County, Texas	No	144.3 (127.5, 163.2)	N/A	62	falling	-1.5 (-2.1, -0.9)
Bamberg County, South Carolina	No	174.3 (149.5, 202.6)	N/A	39	falling	-0.9 (-1.6, -0.3)
Baltimore County, Maryland	No	161.5 (158.1, 165.0)	N/A	1,785	falling	-1.5 (-1.7, -1.3)
Baltimore City, Maryland	No	191.3 (186.6, 196.2)	N/A	1,287	falling	-1.7 (-1.9, -1.5)
Ballard County, Kentucky	No	171.3 (139.7, 209.2)	N/A	21	falling	-1.6 (-2.4, -0.7)
Baldwin County, Georgia	No	161.8 (146.7, 178.1)	N/A	89	falling	-0.8 (-1.2, -0.3)
Baldwin County, Alabama	No	155.2 (149.0, 161.7)	N/A	497	falling	-1.2 (-1.5, -1.0)
Baker County, Oregon	No	157.1 (137.0, 180.1)	N/A	47	falling	-0.8 (-1.6, -0.1)
Baker County, Georgia	No	150.9 (105.5, 213.2)	N/A	8	stable	-0.8 (-2.7, 1.1)
Baker County, Florida	No	175.3 (155.1, 197.6)	N/A	56	falling	-1.8 (-2.4, -1.1)
Bailey County, Texas	No	138.2 (102.6, 182.2)	N/A	10	falling	-1.4 (-2.5, -0.2)
Bacon County, Georgia	No	171.7 (141.3, 206.9)	N/A	24	falling	-1.5 (-2.4, -0.6)
Baca County, Colorado	No	183.3 (138.3, 242.0)	N/A	13	stable	-0.5 (-1.7, 0.8)
Avoyelles Parish, Louisiana	No	196.4 (179.4, 214.5)	N/A	102	falling	-2.5 (-3.9, -1.0)
Avery County, North Carolina	No	142.1 (122.4, 164.6)	N/A	39	falling	-1.2 (-1.9, -0.6)
Autauga County, Alabama	No	151.6 (138.6, 165.6)	N/A	102	falling	-1.8 (-2.4, -1.3)
Austin County, Texas	No	147.5 (131.2, 165.6)	N/A	63	falling	-1.3 (-1.9, -0.8)
Aurora County, South Dakota	No	181.5 (129.1, 251.8)	N/A	8	stable	0.1 (-1.4, 1.7)
Augusta County, Virginia	No	132.8 (123.5, 142.6)	N/A	158	falling	-1.5 (-2.0, -1.1)
Auglaize County, Ohio	No	157.5 (143.6, 172.5)	N/A	100	falling	-1.0 (-1.5, -0.5)
Audubon County, Iowa	No	130.5 (100.9, 168.8)	N/A	14	stable	-1.0 (-2.3, 0.4)
Audrain County, Missouri	No	191.6 (171.0, 214.2)	N/A	65	stable	-0.5 (-1.0, 0.1)
Attala County, Mississippi	No	195.6 (172.0, 221.9)	N/A	51	stable	-0.3 (-0.9, 0.4)
Atoka County, Oklahoma	No	190.0 (163.2, 220.4)	N/A	37	stable	0.3 (-0.5, 1.2)
Atlantic County, New Jersey	No	157.9 (152.1, 163.9)	N/A	576	falling	-2.2 (-2.6, -1.8)
Atkinson County, Georgia	No	207.7 (166.3, 256.3)	N/A	18	stable	-0.3 (-1.5, 0.9)
Athens County, Ohio	No	165.6 (151.5, 180.7)	N/A	107	falling	-1.5 (-1.9, -1.0)
Atchison County, Missouri	No	174.4 (135.5, 223.1)	N/A	16	stable	24.0 (-1.3, 55.9)
Atchison County, Kansas	No	171.8 (147.1, 199.7)	N/A	36	falling	-0.7 (-1.3, -0.1)
Atascosa County, Texas	No	140.8 (127.1, 155.6)	N/A	79	falling	-1.3 (-1.8, -0.7)
Assumption Parish, Louisiana	No	171.7 (150.7, 195.1)	N/A	51	falling	-1.4 (-2.0, -0.9)
Asotin County, Washington	No	143.3 (126.5, 162.2)	N/A	56	falling	-1.4 (-2.1, -0.8)
Ashtabula County, Ohio	No	182.5 (172.4, 193.1)	N/A	255	falling	-0.8 (-1.1, -0.5)
Ashley County, Arkansas	No	203.7 (180.7, 229.1)	N/A	60	falling	-0.8 (-1.4, -0.3)
Ashland County, Wisconsin	No	173.2 (149.1, 200.5)	N/A	39	stable	-0.7 (-1.4, 0.0)
Ashland County, Ohio	No	163.6 (150.6, 177.5)	N/A	123	falling	-0.6 (-1.0, -0.2)
Ashe County, North Carolina	No	153.0 (137.4, 170.4)	N/A	76	falling	-0.8 (-1.3, -0.3)
Ascension Parish, Louisiana	No	144.4 (134.5, 154.8)	N/A	172	falling	-2.0 (-2.4, -1.6)
Aroostook County, Maine	No	162.1 (151.5, 173.4)	N/A	190	falling	-1.0 (-1.3, -0.7)
Armstrong County, Texas	No	150.5 (97.1, 231.5)	N/A	5	*	*
Armstrong County, Pennsylvania	No	159.1 (148.4, 170.6)	N/A	174	falling	-1.1 (-1.5, -0.7)
Arlington County, Virginia	Yes	105.4 (99.0, 112.1)	N/A	212	falling	-2.4 (-2.6, -2.1)
Arkansas County, Arkansas	No	213.3 (188.0, 241.5)	N/A	54	stable	-0.6 (-1.1, 0.0)
Arenac County, Michigan	No	163.6 (141.3, 189.1)	N/A	44	falling	-1.2 (-1.7, -0.7)
Archuleta County, Colorado	Yes	101.4 (82.3, 124.5)	N/A	24	falling	-2.0 (-3.3, -0.7)
Archer County, Texas	No	139.2 (112.0, 172.0)	N/A	19	falling	-1.5 (-2.3, -0.7)
Arapahoe County, Colorado	No	126.4 (122.5, 130.4)	N/A	828	falling	-1.4 (-1.6, -1.2)
Aransas County, Texas	No	183.1 (164.5, 203.7)	N/A	82	falling	-1.0 (-1.5, -0.5)
Appomattox County, Virginia	No	161.6 (138.8, 187.5)	N/A	38	falling	-0.9 (-1.7, -0.1)
Appling County, Georgia	No	172.8 (149.8, 198.6)	N/A	42	falling	-1.0 (-1.7, -0.2)
Appanoose County, Iowa	No	163.4 (140.2, 190.2)	N/A	37	stable	0.0 (-1.0, 1.0)
Apache County, Arizona	Yes	113.7 (103.4, 124.7)	N/A	94	falling	-0.9 (-1.4, -0.3)
Antrim County, Michigan	No	145.4 (128.8, 164.1)	N/A	63	falling	-1.6 (-2.1, -1.0)
Antelope County, Nebraska	No	128.9 (98.3, 167.6)	N/A	14	falling	-1.5 (-2.4, -0.5)
Anson County, North Carolina	No	171.6 (151.8, 193.5)	N/A	58	falling	-0.8 (-1.2, -0.3)
Anoka County, Minnesota	No	149.0 (143.5, 154.7)	N/A	577	falling	-1.2 (-1.4, -1.0)
Anne Arundel County, Maryland	No	149.6 (145.4, 153.9)	N/A	997	falling	-2.3 (-2.8, -1.8)
Angelina County, Texas	No	159.6 (148.9, 170.9)	N/A	170	falling	-1.5 (-1.8, -1.2)
Androscoggin County, Maine	No	175.0 (165.3, 185.2)	N/A	254	falling	-1.1 (-1.3, -0.8)
Andrews County, Texas	No	145.7 (119.3, 175.8)	N/A	22	falling	-1.3 (-2.1, -0.4)
Andrew County, Missouri	No	170.1 (147.5, 195.6)	N/A	42	stable	-0.6 (-1.4, 0.2)
Anderson County, Texas	No	225.5 (209.6, 242.3)	N/A	154	falling	-1.9 (-2.6, -1.1)
Anderson County, Tennessee	No	161.1 (150.5, 172.3)	N/A	182	falling	-1.0 (-1.4, -0.6)
Anderson County, South Carolina	No	161.6 (154.8, 168.7)	N/A	436	falling	-1.4 (-2.4, -0.4)
Anderson County, Kentucky	No	212.6 (188.3, 239.3)	N/A	58	stable	-0.2 (-0.9, 0.6)
Anderson County, Kansas	No	201.2 (166.3, 242.3)	N/A	25	stable	-0.9 (-1.8, 0.1)
Anchorage Borough, Alaska	No	146.1 (139.2, 153.2)	N/A	376	falling	-1.4 (-1.7, -1.1)
Amite County, Mississippi	No	151.4 (127.7, 179.1)	N/A	32	falling	-2.2 (-3.2, -1.2)
Amherst County, Virginia	No	156.4 (140.6, 173.6)	N/A	76	falling	-1.5 (-2.1, -1.0)
Amelia County, Virginia	No	193.7 (165.9, 225.4)	N/A	37	stable	-0.8 (-1.7, 0.1)
Amador County, California	No	143.5 (131.2, 157.0)	N/A	107	falling	-1.5 (-2.0, -1.1)
Alpine County, California	No	235.3 (137.9, 389.3)	N/A	4	*	*
Alpena County, Michigan	No	181.6 (164.7, 200.3)	N/A	90	falling	-0.9 (-1.4, -0.5)
Allendale County, South Carolina	No	195.8 (160.9, 236.8)	N/A	24	falling	-1.2 (-2.0, -0.3)
Allen Parish, Louisiana	No	188.0 (166.4, 211.8)	N/A	56	falling	-1.2 (-2.2, -0.2)
Allen County, Ohio	No	173.2 (163.2, 183.7)	N/A	235	falling	-0.8 (-1.1, -0.6)
Allen County, Kentucky	No	179.6 (157.5, 204.1)	N/A	50	stable	-0.6 (-1.4, 0.1)
Allen County, Kansas	No	159.0 (134.1, 187.7)	N/A	31	falling	-0.9 (-1.6, -0.3)
Allen County, Indiana	No	163.1 (157.6, 168.7)	N/A	692	falling	-1.4 (-1.6, -1.2)
Allegheny County, Pennsylvania	No	159.3 (156.6, 162.0)	N/A	2,816	falling	-1.8 (-2.0, -1.7)
Alleghany County, North Carolina	No	142.6 (120.4, 168.9)	N/A	31	falling	-2.4 (-3.2, -1.5)
Alleghany County and Clifton Forge City, Virginia	No	153.3 (131.9, 177.9)	N/A	41	falling	-1.5 (-2.1, -0.8)
Allegany County, New York	No	166.9 (152.7, 182.2)	N/A	108	falling	-1.9 (-2.3, -1.4)
Allegany County, Maryland	No	159.8 (149.0, 171.2)	N/A	172	falling	-1.1 (-1.4, -0.8)
Allegan County, Michigan	No	160.6 (151.3, 170.3)	N/A	237	falling	-1.0 (-1.3, -0.7)
Allamakee County, Iowa	No	139.8 (117.4, 165.7)	N/A	31	stable	-0.8 (-1.7, 0.2)
Alger County, Michigan	No	144.1 (118.2, 175.6)	N/A	24	stable	-15.9 (-40.8, 19.6)
Alfalfa County, Oklahoma	No	148.3 (114.6, 190.6)	N/A	13	stable	-0.3 (-1.3, 0.8)
Alexandria City, Virginia	Yes	112.6 (104.8, 120.9)	N/A	162	falling	-2.6 (-2.9, -2.3)
Alexander County, North Carolina	No	159.2 (144.2, 175.6)	N/A	86	falling	-0.9 (-1.3, -0.4)
Alexander County, Illinois	No	207.3 (168.1, 254.6)	N/A	21	stable	-0.6 (-1.6, 0.3)
Aleutians West Census Area, Alaska ³	Yes	114.2 (49.6, 214.1)	N/A	4	*	*
Alcorn County, Mississippi	No	172.7 (156.4, 190.3)	N/A	86	falling	-0.8 (-1.3, -0.3)
Alcona County, Michigan	No	179.6 (154.3, 210.0)	N/A	45	falling	-0.8 (-1.3, -0.4)
Albemarle County, Virginia	Yes	120.6 (112.7, 128.9)	N/A	184	falling	-1.6 (-2.0, -1.2)
Albany County, Wyoming	Yes	110.4 (94.5, 128.3)	N/A	37	falling	-2.3 (-3.0, -1.6)
Albany County, New York	No	151.5 (146.0, 157.2)	N/A	605	falling	-1.3 (-1.5, -1.1)
Alamosa County, Colorado	No	131.4 (107.4, 159.2)	N/A	22	stable	-0.5 (-1.2, 0.3)
Alameda County, California	No	125.0 (122.6, 127.3)	N/A	2,278	falling	-2.3 (-2.4, -2.1)
Alamance County, North Carolina	No	169.0 (161.2, 177.1)	N/A	366	falling	-0.8 (-1.1, -0.6)
Alachua County, Florida	No	158.1 (151.5, 164.9)	N/A	452	falling	-1.5 (-1.7, -1.3)
Aitkin County, Minnesota	No	159.6 (139.6, 182.7)	N/A	57	falling	-1.3 (-1.9, -0.7)
Aiken County, South Carolina	No	158.4 (151.1, 165.9)	N/A	379	falling	-1.4 (-1.7, -1.1)
Addison County, Vermont	No	134.0 (120.1, 149.3)	N/A	72	falling	-1.5 (-2.0, -1.0)
Adams County, Wisconsin	No	172.1 (153.0, 193.6)	N/A	69	stable	-0.6 (-1.2, 0.0)
Adams County, Washington	No	135.9 (111.9, 163.5)	N/A	23	falling	-1.9 (-2.6, -1.2)
Adams County, Pennsylvania	No	143.7 (135.1, 152.7)	N/A	221	falling	-1.2 (-1.5, -0.9)
Adams County, Ohio	No	245.8 (223.3, 270.2)	N/A	92	stable	-0.3 (-0.9, 0.3)
Adams County, North Dakota	No	163.7 (110.2, 240.9)	N/A	7	stable	-1.1 (-2.4, 0.2)
Adams County, Nebraska	No	161.5 (144.4, 180.1)	N/A	70	falling	-0.9 (-1.2, -0.5)
Adams County, Mississippi	No	207.6 (188.6, 228.2)	N/A	92	falling	-0.6 (-1.0, -0.2)
Adams County, Iowa	No	147.8 (105.5, 204.6)	N/A	9	stable	-0.8 (-1.7, 0.2)
Adams County, Indiana	No	169.2 (151.5, 188.4)	N/A	70	stable	-0.3 (-0.8, 0.3)
Adams County, Illinois	No	156.2 (145.0, 168.1)	N/A	157	falling	-1.6 (-2.0, -1.2)
Adams County, Idaho	No	152.6 (114.6, 203.5)	N/A	13	falling	-1.7 (-3.0, -0.5)
Adams County, Colorado ⁸	No	141.9 (136.7, 147.2)	N/A	603	falling	-1.8 (-2.2, -1.4)
Adair County, Oklahoma	No	179.8 (157.5, 204.5)	N/A	48	falling	-1.1 (-1.6, -0.6)
Adair County, Missouri	No	180.2 (158.4, 204.3)	N/A	51	falling	-0.7 (-1.3, -0.1)
Adair County, Kentucky	No	174.7 (152.3, 199.9)	N/A	46	falling	-0.8 (-1.5, -0.1)
Adair County, Iowa	No	170.1 (137.2, 210.0)	N/A	21	stable	0.2 (-0.6, 0.9)
Ada County, Idaho	No	139.6 (134.9, 144.3)	N/A	706	falling	-1.3 (-1.6, -1.1)
Accomack County, Virginia	No	192.1 (175.1, 210.5)	N/A	104	falling	-1.1 (-1.4, -0.8)
Acadia Parish, Louisiana	No	187.7 (173.7, 202.4)	N/A	140	falling	-1.1 (-1.5, -0.8)
Abbeville County, South Carolina	No	175.1 (156.2, 196.0)	N/A	66	falling	-0.7 (-1.3, -0.2)
Aleutians East Borough, Alaska ³	*******	*	*	3 or fewer	*	*
Arthur County, Nebraska	*******	*	*	3 or fewer	*	*
Banner County, Nebraska	*******	*	*	3 or fewer	*	*
Billings County, North Dakota	*******	*	*	3 or fewer	*	*
Blaine County, Nebraska	*******	*	*	3 or fewer	*	*
Borden County, Texas	*******	*	*	3 or fewer	*	*
Bristol Bay Borough, Alaska	*******	*	*	3 or fewer	*	*
Campbell County, South Dakota	*******	*	*	3 or fewer	*	*
Carter County, Montana	*******	*	*	3 or fewer	*	*
Clark County, Idaho	*******	*	*	3 or fewer	*	*
Culberson County, Texas	*******	*	*	3 or fewer	*	*
Daggett County, Utah	*******	*	*	3 or fewer	*	*
Denali, Alaska	*******	*	*	3 or fewer	*	*
Esmeralda County, Nevada	*******	*	*	3 or fewer	*	*
Eureka County, Nevada	*******	*	*	3 or fewer	*	*
Garfield County, Montana	*******	*	*	3 or fewer	*	*
Glasscock County, Texas	*******	*	*	3 or fewer	*	*
Golden Valley County, Montana	*******	*	*	3 or fewer	*	*
Golden Valley County, North Dakota	*******	*	*	3 or fewer	*	*
Grant County, Nebraska	*******	*	*	3 or fewer	*	*
Haines Borough, Alaska	*******	*	*	3 or fewer	*	*
Harding County, New Mexico	*******	*	*	3 or fewer	*	*
Harding County, South Dakota	*******	*	*	3 or fewer	*	*
Hayes County, Nebraska	*******	*	*	3 or fewer	*	*
Hinsdale County, Colorado	*******	*	*	3 or fewer	*	*
Hooker County, Nebraska	*******	*	*	3 or fewer	*	*
Issaquena County, Mississippi	*******	*	*	3 or fewer	*	*
Kalawao County, Hawaii ⁸	*******	*	*	3 or fewer	*	*
Kenedy County, Texas	*******	*	*	3 or fewer	*	*
Kent County, Texas	*******	*	*	3 or fewer	*	*
Keya Paha County, Nebraska	*******	*	*	3 or fewer	*	*
King County, Texas	*******	*	*	3 or fewer	*	*
Lake and Peninsula Borough, Alaska ³	*******	*	*	3 or fewer	*	*
Logan County, Nebraska	*******	*	*	3 or fewer	*	*
Loving County, Texas	*******	*	*	3 or fewer	*	*
McMullen County, Texas	*******	*	*	3 or fewer	*	*
McPherson County, Nebraska	*******	*	*	3 or fewer	*	*
Mineral County, Colorado	*******	*	*	3 or fewer	*	*
Oliver County, North Dakota	*******	*	*	3 or fewer	*	*
Petroleum County, Montana	*******	*	*	3 or fewer	*	*
Rich County, Utah	*******	*	*	3 or fewer	*	*
Roberts County, Texas	*******	*	*	3 or fewer	*	*
San Juan County, Colorado	*******	*	*	3 or fewer	*	*
Sheridan County, North Dakota	*******	*	*	3 or fewer	*	*
Sioux County, Nebraska	*******	*	*	3 or fewer	*	*
Slope County, North Dakota	*******	*	*	3 or fewer	*	*
Sterling County, Texas	*******	*	*	3 or fewer	*	*
Sully County, South Dakota	*******	*	*	3 or fewer	*	*
Terrell County, Texas	*******	*	*	3 or fewer	*	*
Thomas County, Nebraska	*******	*	*	3 or fewer	*	*
Treasure County, Montana	*******	*	*	3 or fewer	*	*
Wheeler County, Nebraska	*******	*	*	3 or fewer	*	*
Wibaux County, Montana	*******	*	*	3 or fewer	*	*
Yakutat City and Borough, Alaska ³	*******	*	*	3 or fewer	*	*

Notes:
Created by statecancerprofiles.cancer.gov on 04/19/2024 6:10 am.

Alaska Census Area Name Change: please note that Wade Hampton Census Area, AK (FIPS code=02270) was renamed effective July 1, 2015, and the new name is Kusilvak Census Area (FIPS Code=02158). This website will use Kusilvak/Wade Hampton until the next incidence/mortality data release.

South Dakota County Name Change: please note that Shannon County, SD (FIPS code=46113) was renamed effective May 1, 2015, and the new name is Oglala Lakota County (FIPS Code=46102). This website will use Oglala Lakota/Shannon until the next incidence/mortality data release.

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

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

† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI.
The US Population Data File is used with mortality data.
‡ The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.
⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.

³ Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

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

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

Please note that the data comes from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.
Data for United States does not include Puerto Rico.

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