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Death Rate Report for United States by County

All Cancer Sites, 2018-2022

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

Sorted by Rate

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

Notes:
Created by statecancerprofiles.cancer.gov on 07/08/2025 4:32 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 now uses Kusilvak.

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

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

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

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

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

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

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

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

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

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

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

Data for United States does not include Puerto Rico.

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State Cancer Profiles

Death Rates Table

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

Death Rate Report for United States by County

All Cancer Sites, 2018-2022

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

Sorted by Rate