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Death Rates Table

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Death Rate Report for United States by County

All Cancer Sites, 2019-2023

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

Sorted by Rate

County
sort alphabetically by name ascending 		2023 Rural-Urban Continuum Codes Φ
sort by rural urban descending 		Met Healthy People Objective of 122.7?
 Age-Adjusted Death Rate †
deaths per 100,000
(95% Confidence Interval)
sort by rate ascending 		CI*Rank ⋔
(95% Confidence Interval)
sort by CI rank descending 		Average Annual Count
sort by count descending 		Recent Trend
 Recent 5-Year Trend ‡ in Death Rates
(95% Confidence Interval)
sort by trend descending
United States N/A No 145.4 (145.2, 145.6) N/A 605,771 falling falling trend -1.3 (-1.5, -1.2)
Union County, Florida Rural No 412.2 (372.1, 455.7) N/A 81 stable stable trend 0.2 (-0.6, 1.2)
Kingman County, Kansas Rural No 359.7 (308.4, 417.9) N/A 39 stable stable trend 0.3 (-15.4, 11.8)
Todd County, South Dakota Rural No 273.9 (210.9, 348.4) N/A 15 stable stable trend 1.6 (0.0, 3.4)
Galax City, Virginia Rural No 273.1 (224.8, 329.2) N/A 24 falling falling trend -8.9 (-19.0, -3.4)
Humphreys County, Mississippi Rural No 269.2 (223.8, 321.7) N/A 27 rising rising trend 19.2 (4.0, 29.3)
Owsley County, Kentucky Rural No 265.8 (207.4, 336.9) N/A 15 stable stable trend -0.1 (-1.7, 1.4)
Polk County, Texas Rural No 265.7 (244.3, 288.5) N/A 152 rising rising trend 2.3 (0.4, 9.3)
Thurston County, Nebraska Rural No 263.8 (207.1, 330.9) N/A 16 stable stable trend 0.8 (-1.7, 3.2)
Ripley County, Missouri Rural No 262.8 (226.2, 304.2) N/A 40 stable stable trend 1.0 (-0.3, 2.2)
Tunica County, Mississippi Urban No 259.5 (212.5, 313.7) N/A 24 stable stable trend 0.2 (-1.3, 1.7)
Edwards County, Kansas Rural No 257.2 (188.3, 345.3) N/A 11 stable stable trend 1.5 (-0.9, 3.8)
Carlisle County, Kentucky Urban No 256.3 (205.1, 317.9) N/A 18 stable stable trend 1.4 (-0.6, 3.5)
Cumberland County, Kentucky Rural No 255.9 (212.2, 307.5) N/A 25 stable stable trend 1.0 (-0.6, 2.6)
Elk County, Kansas Rural No 255.8 (190.0, 342.6) N/A 11 stable stable trend -0.3 (-3.1, 2.3)
Issaquena County, Mississippi Rural No 255.4 (148.7, 423.5) N/A 4 stable stable trend 1.7 (-2.4, 6.2)
Clay County, Kentucky Rural No 255.4 (227.4, 286.1) N/A 64 stable stable trend -0.1 (-0.9, 0.7)
Baylor County, Texas Rural No 254.5 (196.4, 326.8) N/A 15 stable stable trend -0.4 (-2.7, 1.8)
Lincoln County, West Virginia Rural No 253.5 (227.1, 282.3) N/A 73 stable stable trend -0.3 (-1.3, 0.8)
Dewey County, South Dakota Rural No 252.5 (184.7, 336.0) N/A 10 stable stable trend -0.4 (-2.8, 1.8)
Clinton County, Kentucky Rural No 251.6 (214.6, 294.0) N/A 35 stable stable trend 0.4 (-0.7, 1.7)
East Carroll Parish, Louisiana Rural No 251.4 (204.3, 306.5) N/A 21 stable stable trend -0.4 (-1.9, 1.0)
Franklin City, Virginia Rural No 251.3 (210.7, 298.2) N/A 29 rising rising trend 14.1 (3.5, 20.6)
Quitman County, Mississippi Rural No 250.3 (200.9, 308.9) N/A 19 stable stable trend 0.0 (-1.5, 1.3)
Fairfax City, Virginia Urban No 249.9 (223.0, 279.3) N/A 65 rising rising trend 5.1 (1.3, 13.5)
Perry County, Kentucky Rural No 249.8 (226.8, 274.8) N/A 93 stable stable trend -0.5 (-1.5, 0.5)
Lawrence County, Kentucky Urban No 249.5 (219.1, 283.1) N/A 52 stable stable trend -0.2 (-1.1, 0.6)
Okfuskee County, Oklahoma Rural No 249.4 (214.5, 288.7) N/A 38 rising rising trend 1.3 (0.4, 2.3)
Knox County, Kentucky Rural No 248.2 (226.2, 271.8) N/A 98 rising rising trend 1.2 (0.1, 4.3)
Alexander County, Illinois Urban No 247.9 (201.2, 304.2) N/A 22 stable stable trend -0.3 (-2.2, 1.4)
Holmes County, Mississippi Urban No 246.4 (215.8, 280.3) N/A 49 stable stable trend -0.7 (-1.8, 0.3)
Hudspeth County, Texas Urban No 246.0 (166.8, 349.7) N/A 6
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Martinsville City, Virginia Rural No 244.3 (211.2, 281.3) N/A 42 rising rising trend 1.4 (0.1, 2.8)
Hanson County, South Dakota Rural No 243.9 (150.3, 368.1) N/A 6 rising rising trend 4.5 (1.2, 7.9)
Nance County, Nebraska Rural No 242.2 (179.9, 320.8) N/A 12 stable stable trend 0.6 (-2.0, 3.1)
Leslie County, Kentucky Rural No 241.7 (206.5, 281.9) N/A 36 stable stable trend -0.2 (-1.5, 1.0)
Norton City, Virginia Rural No 241.6 (183.1, 314.5) N/A 12 stable stable trend -0.4 (-2.5, 1.8)
Real County, Texas Rural No 241.5 (182.8, 318.5) N/A 14 stable stable trend 1.1 (-0.3, 2.7)
Lee County, Kentucky Rural No 240.3 (198.3, 289.6) N/A 24 stable stable trend -1.1 (-2.3, 0.1)
Leflore County, Mississippi Rural No 240.2 (215.9, 266.6) N/A 75 stable stable trend 0.5 (-0.2, 1.3)
Powell County, Kentucky Rural No 240.1 (205.1, 279.5) N/A 37 stable stable trend -0.7 (-2.2, 0.8)
Petersburg City, Virginia Urban No 238.7 (217.4, 261.7) N/A 99 stable stable trend 1.1 (-0.3, 6.6)
Wolfe County, Kentucky Rural No 237.6 (193.1, 290.2) N/A 22 stable stable trend -0.1 (-1.9, 1.7)
Coahoma County, Mississippi Rural No 235.8 (209.3, 265.0) N/A 62 stable stable trend -0.4 (-1.5, 0.6)
Morton County, Kansas Rural No 235.5 (172.6, 317.4) N/A 10 stable stable trend 1.0 (-1.2, 3.4)
Prince of Wales-Hyder Census Area, Alaska Rural No 235.1 (183.8, 297.1) N/A 17 stable stable trend 3.9 (-4.7, 15.4)
New Madrid County, Missouri Rural No 234.5 (207.2, 264.8) N/A 56 stable stable trend 0.1 (-0.8, 1.0)
Crockett County, Texas Rural No 234.5 (171.2, 315.5) N/A 10 stable stable trend 0.8 (-1.6, 3.3)
Poinsett County, Arkansas Urban No 234.4 (210.4, 260.7) N/A 72 stable stable trend -0.2 (-1.0, 0.6)
Harlan County, Kentucky Rural No 234.4 (212.0, 258.6) N/A 86 stable stable trend -0.9 (-1.8, 0.0)
Monroe County, Kentucky Rural No 234.0 (200.5, 272.0) N/A 37 stable stable trend 0.8 (-0.3, 2.0)
Shannon County, Missouri Rural No 233.3 (194.1, 279.3) N/A 27 stable stable trend 3.9 (-1.3, 15.2)
Overton County, Tennessee Rural No 233.2 (209.5, 259.2) N/A 76 stable stable trend -0.1 (-1.1, 1.0)
Floyd County, Kentucky Rural No 233.0 (213.5, 254.0) N/A 114 falling falling trend -1.1 (-1.7, -0.5)
Jackson County, South Dakota Rural No 232.1 (158.7, 327.8) N/A 7 stable stable trend 0.8 (-2.1, 3.8)
Grant County, Oklahoma Rural No 231.0 (177.1, 297.6) N/A 14 stable stable trend 0.9 (-1.2, 2.9)
Kiowa County, Oklahoma Rural No 230.8 (193.0, 274.5) N/A 29 stable stable trend 0.5 (-1.0, 2.0)
Adams County, Ohio Rural No 230.6 (208.8, 254.3) N/A 87 stable stable trend 0.5 (-5.4, 6.8)
Pleasants County, West Virginia Rural No 230.2 (189.1, 278.3) N/A 23 stable stable trend -0.1 (-2.0, 1.9)
Sequoyah County, Oklahoma Urban No 229.9 (211.8, 249.3) N/A 125 stable stable trend -0.2 (-1.1, 0.8)
Jefferson County, Oklahoma Rural No 229.4 (182.4, 286.1) N/A 18 stable stable trend 0.3 (-0.9, 1.5)
Greensville County, Virginia Rural No 229.1 (193.0, 270.5) N/A 30 stable stable trend 0.2 (-1.7, 2.1)
Bell County, Kentucky Rural No 228.6 (206.0, 253.2) N/A 79 stable stable trend -0.4 (-1.4, 0.6)
McCreary County, Kentucky Rural No 228.4 (199.8, 260.3) N/A 48 stable stable trend -1.2 (-2.6, 0.1)
Hardin County, Illinois Rural No 228.2 (174.8, 296.1) N/A 14 stable stable trend 0.5 (-1.1, 2.0)
Clay County, Tennessee Rural No 228.1 (191.3, 271.3) N/A 30 stable stable trend 0.0 (-1.7, 1.7)
Mellette County, South Dakota Rural No 227.9 (144.2, 345.1) N/A 5 stable stable trend 0.0 (-3.3, 3.3)
Metcalfe County, Kentucky Rural No 227.8 (194.3, 266.0) N/A 35 stable stable trend -0.9 (-2.5, 0.7)
Gentry County, Missouri Rural No 227.3 (184.3, 278.4) N/A 20 rising rising trend 7.9 (0.9, 19.5)
Nowata County, Oklahoma Rural No 227.0 (191.4, 268.0) N/A 30 stable stable trend 0.3 (-1.3, 1.8)
Lawrence County, Ohio Urban No 226.8 (212.0, 242.5) N/A 183 rising rising trend 1.0 (0.3, 2.3)
Caddo County, Oklahoma Rural No 226.6 (203.5, 251.8) N/A 72 stable stable trend 0.1 (-1.0, 1.1)
Wise County, Virginia Rural No 226.4 (207.4, 246.9) N/A 110 stable stable trend -0.5 (-1.1, 0.1)
Webster County, Nebraska Rural No 225.3 (170.4, 295.1) N/A 12 stable stable trend 1.8 (-0.2, 3.9)
Hyde County, South Dakota Rural No 225.3 (143.0, 349.0) N/A 5
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Bolivar County, Mississippi Rural No 224.7 (203.0, 248.1) N/A 84 stable stable trend -0.6 (-3.0, 2.9)
Swain County, North Carolina Rural No 224.5 (194.9, 257.7) N/A 44 stable stable trend 0.9 (-0.3, 2.1)
Gibson County, Tennessee Urban No 224.3 (208.3, 241.3) N/A 151 stable stable trend 2.7 (-0.8, 8.2)
Blaine County, Oklahoma Rural No 224.0 (187.4, 266.4) N/A 28 stable stable trend 1.0 (-2.3, 10.9)
Coleman County, Texas Rural No 223.8 (188.5, 265.2) N/A 31 stable stable trend 0.5 (-1.0, 2.0)
Chicot County, Arkansas Rural No 223.7 (190.8, 261.3) N/A 36 stable stable trend -0.4 (-1.7, 0.9)
Oglala Lakota, South Dakota Rural No 222.4 (177.6, 274.5) N/A 20
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Coal County, Oklahoma Rural No 221.8 (176.8, 276.3) N/A 18 stable stable trend -0.4 (-2.8, 1.9)
Menominee County, Wisconsin Rural No 221.6 (163.6, 294.4) N/A 10 rising rising trend 28.2 (1.2, 48.5)
Fulton County, Kentucky Rural No 221.6 (178.8, 272.5) N/A 20 stable stable trend 0.0 (-1.3, 1.3)
Danville City, Virginia Rural No 221.3 (204.5, 239.3) N/A 138 rising rising trend 7.5 (5.5, 10.3)
Grayson County, Kentucky Rural No 221.1 (198.9, 245.2) N/A 78 stable stable trend 0.2 (-0.3, 0.8)
Washington County, Missouri Rural No 221.0 (197.6, 246.8) N/A 69 stable stable trend -0.6 (-1.5, 0.4)
Chester County, Tennessee Urban No 221.0 (193.5, 251.5) N/A 49 stable stable trend 0.4 (-0.8, 1.7)
Sharkey County, Mississippi Rural No 220.6 (165.5, 290.2) N/A 12 stable stable trend 0.2 (-1.9, 2.2)
Estill County, Kentucky Rural No 220.5 (190.8, 254.0) N/A 43 stable stable trend -0.5 (-1.6, 0.6)
Livingston County, Kentucky Urban No 220.3 (186.3, 259.7) N/A 32 stable stable trend 0.4 (-1.2, 2.1)
Hitchcock County, Nebraska Rural No 220.1 (159.5, 300.2) N/A 10 stable stable trend 1.2 (-0.8, 3.1)
Rolette County, North Dakota Rural No 220.0 (182.8, 262.5) N/A 27 stable stable trend -1.0 (-2.0, 0.1)
Lauderdale County, Tennessee Rural No 219.7 (196.3, 245.3) N/A 68 stable stable trend -0.5 (-1.3, 0.2)
Oregon County, Missouri Rural No 219.7 (184.9, 260.1) N/A 31 stable stable trend 0.3 (-1.4, 2.0)
Stewart County, Georgia Urban No 219.6 (169.2, 282.2) N/A 13 stable stable trend 0.7 (-0.5, 1.9)
Hopewell City, Virginia Urban No 219.3 (194.3, 246.8) N/A 58 stable stable trend -0.9 (-1.7, 0.0)
Marshall County, Mississippi Urban No 218.8 (199.5, 239.6) N/A 101 stable stable trend 0.3 (-0.7, 3.9)
Butler County, Kentucky Urban No 218.4 (187.3, 253.6) N/A 37 stable stable trend -0.3 (-1.5, 0.9)
Greeley County, Nebraska Rural No 218.1 (149.4, 311.1) N/A 8 stable stable trend 1.4 (-2.5, 5.0)
Dunklin County, Missouri Rural No 218.0 (196.9, 241.0) N/A 83 stable stable trend -0.6 (-1.3, 0.1)
Seminole County, Oklahoma Rural No 217.9 (195.3, 242.7) N/A 70 stable stable trend 0.0 (-0.6, 0.6)
Sunflower County, Mississippi Rural No 217.8 (193.8, 244.0) N/A 63 stable stable trend -0.4 (-1.2, 0.3)
Jones County, South Dakota Rural No 217.7 (120.6, 379.5) N/A 3
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Taylor County, Kentucky Rural No 217.5 (195.1, 241.8) N/A 73 stable stable trend 0.1 (-0.8, 1.0)
Arkansas County, Arkansas Rural No 217.4 (191.4, 246.3) N/A 53 stable stable trend 0.1 (-0.7, 1.0)
Yazoo County, Mississippi Urban No 217.3 (193.6, 243.2) N/A 63 stable stable trend 0.3 (-0.8, 1.4)
Jackson Parish, Louisiana Rural No 217.2 (190.3, 247.4) N/A 49 stable stable trend -0.4 (-1.7, 0.8)
Trousdale County, Tennessee Urban No 217.1 (179.8, 260.0) N/A 25 stable stable trend -0.5 (-1.9, 1.1)
McCurtain County, Oklahoma Rural No 216.9 (196.5, 239.1) N/A 87 stable stable trend -0.2 (-0.8, 0.4)
Rockcastle County, Kentucky Rural No 216.6 (189.5, 246.9) N/A 49 stable stable trend -0.4 (-1.6, 0.8)
Lawrence County, Arkansas Rural No 216.6 (189.8, 246.3) N/A 50 stable stable trend 0.0 (-1.0, 1.1)
Washington County, Mississippi Rural No 216.5 (198.9, 235.4) N/A 121 falling falling trend -0.9 (-1.5, -0.4)
Menifee County, Kentucky Rural No 216.4 (175.0, 266.1) N/A 21 stable stable trend -0.5 (-2.2, 1.3)
Calhoun County, Arkansas Rural No 216.2 (170.7, 272.1) N/A 17 stable stable trend -0.3 (-2.3, 1.6)
Atkinson County, Georgia Rural No 215.5 (175.3, 262.6) N/A 21 stable stable trend -0.7 (-2.7, 1.4)
Anderson County, Texas Rural No 215.4 (199.8, 232.0) N/A 147 stable stable trend -1.0 (-2.2, 3.2)
Bethel Census Area, Alaska Rural No 215.4 (165.1, 274.4) N/A 21 stable stable trend -1.1 (-3.4, 1.0)
Nome Census Area, Alaska Rural No 215.2 (160.0, 281.5) N/A 14 stable stable trend 0.6 (-1.9, 3.1)
Lewis County, Kentucky Rural No 215.1 (185.2, 248.7) N/A 40 stable stable trend -0.6 (-1.8, 0.7)
McDowell County, West Virginia Rural No 214.9 (190.7, 241.9) N/A 61 falling falling trend -1.0 (-1.7, -0.3)
Ottawa County, Oklahoma Rural No 214.9 (194.6, 236.8) N/A 86 stable stable trend -0.3 (-0.9, 0.2)
Crockett County, Tennessee Urban No 214.7 (185.4, 247.6) N/A 41 stable stable trend 0.8 (-0.4, 2.1)
Crittenden County, Arkansas Urban No 214.6 (197.0, 233.5) N/A 114 stable stable trend -0.9 (-1.8, 0.0)
Whitley County, Kentucky Rural No 214.5 (195.2, 235.3) N/A 94 stable stable trend 0.0 (-1.1, 1.2)
Fountain County, Indiana Rural No 214.5 (189.0, 242.8) N/A 53 stable stable trend 0.0 (-1.0, 0.9)
Phillips County, Arkansas Rural No 214.3 (187.2, 244.6) N/A 49 falling falling trend -1.2 (-2.1, -0.3)
Okmulgee County, Oklahoma Urban No 214.3 (196.1, 233.9) N/A 107 stable stable trend 0.0 (-0.6, 0.7)
Lewis County, Tennessee Rural No 214.0 (184.7, 247.1) N/A 41 stable stable trend 6.9 (-0.9, 12.6)
Scott County, Indiana Rural No 213.9 (191.0, 238.9) N/A 67 stable stable trend 0.2 (-1.1, 4.4)
Dallas County, Arkansas Rural No 213.6 (173.7, 261.3) N/A 23 stable stable trend -0.8 (-2.5, 0.8)
Hardin County, Ohio Rural No 213.5 (192.2, 236.7) N/A 77 stable stable trend -0.3 (-1.3, 0.7)
Pushmataha County, Oklahoma Rural No 213.5 (183.3, 248.0) N/A 38 stable stable trend -1.1 (-2.7, 0.4)
Dillon County, South Carolina Rural No 213.5 (192.0, 236.8) N/A 77 falling falling trend -1.1 (-2.1, -0.1)
Catahoula Parish, Louisiana Rural No 213.1 (174.6, 258.0) N/A 24 stable stable trend 0.4 (-1.2, 1.9)
Fisher County, Texas Rural No 213.0 (159.9, 280.5) N/A 13 stable stable trend 12.8 (-1.7, 33.0)
Greeley County, Kansas Rural No 212.8 (118.2, 356.7) N/A 3
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Hickman County, Tennessee Urban No 212.6 (190.5, 236.8) N/A 72 stable stable trend -0.4 (-1.5, 0.7)
Clay County, West Virginia Urban No 212.6 (176.6, 254.8) N/A 26 falling falling trend -1.3 (-2.3, -0.3)
Love County, Oklahoma Rural No 212.5 (178.7, 251.3) N/A 29 stable stable trend -0.3 (-1.4, 0.9)
Cross County, Arkansas Rural No 212.3 (186.0, 241.6) N/A 49 stable stable trend -0.2 (-1.1, 0.6)
Garvin County, Oklahoma Rural No 212.3 (190.4, 236.2) N/A 72 stable stable trend 0.3 (-0.7, 1.3)
Kusilvak Census Area, Alaska Rural No 212.2 (140.4, 303.7) N/A 7
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Adair County, Oklahoma Rural No 212.2 (186.4, 240.8) N/A 51 stable stable trend -0.6 (-1.1, 0.0)
Bath County, Kentucky Rural No 212.1 (181.4, 246.9) N/A 36 stable stable trend -0.4 (-1.4, 0.6)
Pontotoc County, Mississippi Rural No 211.8 (190.6, 234.8) N/A 76 stable stable trend 0.7 (-0.3, 1.9)
Pemiscot County, Missouri Rural No 211.6 (183.6, 243.0) N/A 43 stable stable trend -0.2 (-1.5, 0.9)
Tishomingo County, Mississippi Rural No 211.6 (187.8, 237.9) N/A 60 stable stable trend 0.5 (-0.4, 1.4)
Vinton County, Ohio Rural No 211.4 (180.6, 246.4) N/A 37 stable stable trend -0.2 (-1.2, 0.8)
Hamilton County, Texas Rural No 211.4 (177.5, 250.9) N/A 31 stable stable trend 0.9 (-0.2, 2.0)
Roosevelt County, Montana Rural No 211.3 (171.2, 257.9) N/A 21 stable stable trend -0.1 (-2.0, 1.7)
Atchison County, Missouri Rural No 211.1 (170.0, 261.3) N/A 20 stable stable trend -0.3 (-2.7, 1.9)
St. Clair County, Missouri Rural No 211.1 (178.8, 248.5) N/A 35 stable stable trend 9.4 (-0.5, 19.2)
Mississippi County, Arkansas Rural No 211.1 (192.2, 231.3) N/A 98 falling falling trend -0.7 (-1.4, -0.1)
Pendleton County, Kentucky Urban No 210.9 (180.9, 244.6) N/A 38 stable stable trend 0.1 (-0.8, 1.2)
Carter County, Kentucky Urban No 210.6 (190.0, 233.0) N/A 80 stable stable trend -0.7 (-1.7, 0.2)
Russell County, Kentucky Rural No 210.4 (185.6, 238.1) N/A 56 stable stable trend -0.4 (-1.6, 0.8)
Wilkes County, Georgia Rural No 210.3 (177.7, 248.0) N/A 33 stable stable trend -0.3 (-1.5, 0.9)
Searcy County, Arkansas Rural No 210.3 (176.5, 250.1) N/A 30 stable stable trend -0.8 (-2.1, 0.5)
Breathitt County, Kentucky Rural No 210.3 (180.3, 244.2) N/A 38 stable stable trend -0.9 (-2.3, 0.5)
George County, Mississippi Rural No 210.2 (184.5, 238.5) N/A 56 stable stable trend -0.7 (-1.7, 0.3)
Richmond County, North Carolina Rural No 210.2 (193.2, 228.4) N/A 119 stable stable trend -0.4 (-1.3, 0.4)
Carter County, Missouri Rural No 210.1 (166.4, 263.2) N/A 17 stable stable trend -0.9 (-2.7, 0.8)
Hughes County, Oklahoma Rural No 209.9 (180.8, 242.7) N/A 38 stable stable trend -0.2 (-1.4, 0.9)
Iron County, Missouri Rural No 209.7 (177.9, 246.5) N/A 33 stable stable trend -0.8 (-2.3, 0.6)
Wayne County, Georgia Rural No 209.6 (188.7, 232.3) N/A 77 stable stable trend 0.5 (-0.3, 1.4)
Coke County, Texas Rural No 209.3 (157.3, 276.3) N/A 13 stable stable trend -0.4 (-2.3, 1.5)
Fayette County, West Virginia Urban No 209.1 (192.9, 226.6) N/A 133 stable stable trend -0.7 (-1.4, 0.1)
Union County, Kentucky Rural No 209.1 (179.7, 242.5) N/A 39 stable stable trend -0.8 (-2.4, 0.8)
Randolph County, Missouri Rural No 208.8 (186.6, 233.0) N/A 66 stable stable trend -0.4 (-1.3, 0.4)
Todd County, Kentucky Rural No 208.5 (176.9, 244.5) N/A 32 stable stable trend -0.2 (-1.5, 1.1)
Treutlen County, Georgia Rural No 208.3 (165.6, 259.3) N/A 18 stable stable trend 0.5 (-0.7, 1.8)
Dent County, Missouri Rural No 208.1 (181.7, 237.8) N/A 48 stable stable trend -0.2 (-1.3, 0.8)
Elbert County, Georgia Rural No 207.9 (184.5, 233.8) N/A 62 stable stable trend 5.7 (-0.3, 12.7)
Trego County, Kansas Rural No 207.8 (155.6, 277.4) N/A 11 stable stable trend 1.6 (-0.2, 3.6)
Lewis County, West Virginia Rural No 207.7 (182.8, 235.5) N/A 53 stable stable trend -0.3 (-1.1, 0.6)
Letcher County, Kentucky Rural No 207.5 (184.5, 232.9) N/A 65 stable stable trend -0.9 (-2.1, 0.3)
Kalkaska County, Michigan Urban No 207.5 (182.8, 235.0) N/A 57 stable stable trend -0.4 (-1.5, 0.8)
McCook County, South Dakota Urban No 207.3 (162.5, 261.5) N/A 16 stable stable trend 1.6 (-0.2, 3.6)
Muskogee County, Oklahoma Rural No 207.3 (193.6, 221.9) N/A 176 stable stable trend -0.4 (-1.1, 0.2)
Lake County, Tennessee Rural No 207.3 (166.0, 256.9) N/A 18 stable stable trend -1.4 (-3.0, 0.1)
Scott County, Arkansas Rural No 207.3 (175.4, 244.1) N/A 32 stable stable trend -0.7 (-2.2, 0.8)
Lee County, Arkansas Rural No 207.1 (172.1, 248.0) N/A 26 stable stable trend -0.6 (-2.2, 0.8)
Sussex County, Virginia Urban No 207.1 (174.5, 244.7) N/A 31 stable stable trend -0.7 (-1.7, 0.3)
Fleming County, Kentucky Rural No 206.9 (179.2, 237.9) N/A 42 stable stable trend 0.2 (-0.9, 1.5)
Trinity County, Texas Rural No 206.8 (181.0, 236.0) N/A 53 stable stable trend -0.3 (-1.5, 0.9)
Houston County, Tennessee Rural No 206.7 (172.2, 247.1) N/A 26 stable stable trend 0.1 (-1.2, 1.5)
Monroe County, Arkansas Rural No 206.7 (169.3, 251.3) N/A 23 stable stable trend -0.4 (-2.2, 1.1)
Palo Alto County, Iowa Rural No 206.6 (172.8, 246.0) N/A 29 rising rising trend 3.2 (0.2, 14.7)
Pottawatomie County, Oklahoma Rural No 206.5 (193.2, 220.6) N/A 187 stable stable trend 0.1 (-0.3, 0.6)
St. Francois County, Missouri Rural No 206.4 (192.9, 220.7) N/A 179 stable stable trend 0.1 (-0.6, 2.6)
Randolph County, Arkansas Rural No 206.4 (181.7, 233.7) N/A 54 stable stable trend -0.3 (-1.5, 0.8)
Lee County, Virginia Rural No 206.1 (184.9, 229.5) N/A 73 stable stable trend -0.6 (-1.6, 0.4)
Henderson County, Tennessee Rural No 206.0 (185.7, 228.2) N/A 79 stable stable trend -0.2 (-1.0, 0.5)
Allen Parish, Louisiana Rural No 206.0 (181.3, 233.2) N/A 52 stable stable trend 0.4 (-1.4, 2.3)
Smyth County, Virginia Rural No 205.9 (187.6, 225.7) N/A 99 stable stable trend -0.3 (-0.9, 0.2)
Republic County, Kansas Rural No 205.5 (160.1, 261.8) N/A 17 rising rising trend 3.8 (1.3, 14.9)
Haskell County, Oklahoma Rural No 205.4 (175.7, 239.3) N/A 36 stable stable trend -0.5 (-1.5, 0.4)
Oscoda County, Michigan Rural No 205.4 (173.3, 243.3) N/A 33 stable stable trend 0.2 (-1.5, 1.9)
Orange County, Indiana Rural No 205.3 (181.7, 231.5) N/A 58 stable stable trend -0.5 (-1.5, 0.5)
Franklin County, Illinois Rural No 205.3 (188.4, 223.5) N/A 114 falling falling trend -1.2 (-1.8, -0.5)
Edwards County, Texas Rural No 205.3 (128.7, 320.3) N/A 5 stable stable trend 0.4 (-3.6, 4.6)
Emanuel County, Georgia Rural No 205.3 (181.8, 231.1) N/A 58 stable stable trend -0.3 (-1.2, 0.7)
Union County, Tennessee Urban No 205.1 (181.1, 231.7) N/A 57 stable stable trend -0.6 (-1.6, 0.5)
Colonial Heights City, Virginia Urban No 205.0 (180.5, 232.3) N/A 53 stable stable trend 2.5 (-0.1, 11.0)
Jackson County, Arkansas Rural No 205.0 (178.7, 234.4) N/A 46 stable stable trend -0.4 (-1.7, 0.8)
Ray County, Missouri Urban No 204.9 (183.2, 228.8) N/A 68 stable stable trend -0.2 (-1.4, 1.0)
Calloway County, Kentucky Rural No 204.8 (186.3, 224.8) N/A 94 stable stable trend 0.2 (-0.3, 0.7)
Pittsburg County, Oklahoma Rural No 204.8 (189.0, 221.6) N/A 131 stable stable trend -0.1 (-0.7, 0.4)
Red River County, Texas Rural No 204.8 (176.1, 237.5) N/A 41 stable stable trend -1.2 (-2.5, 0.0)
Carroll County, Kentucky Rural No 204.7 (171.4, 242.9) N/A 28 stable stable trend -0.5 (-1.6, 0.8)
Pulaski County, Illinois Rural No 204.7 (162.4, 256.6) N/A 17 stable stable trend -0.4 (-3.0, 2.0)
Crenshaw County, Alabama Rural No 204.7 (175.9, 237.2) N/A 39 stable stable trend 0.0 (-1.5, 1.6)
Scioto County, Ohio Rural No 204.6 (192.0, 218.0) N/A 203 falling falling trend -0.6 (-1.0, -0.1)
Cheatham County, Tennessee Urban No 204.6 (186.0, 224.5) N/A 100 stable stable trend -0.7 (-1.7, 0.3)
Ozark County, Missouri Rural No 204.4 (173.3, 241.0) N/A 35 stable stable trend -0.9 (-2.1, 0.3)
Stephens County, Georgia Rural No 204.2 (183.9, 226.5) N/A 79 stable stable trend -0.7 (-1.5, 0.0)
Cocke County, Tennessee Rural No 204.2 (187.0, 222.8) N/A 114 falling falling trend -0.9 (-1.6, -0.2)
Young County, Texas Rural No 204.1 (179.6, 231.2) N/A 53 stable stable trend -0.5 (-1.4, 0.4)
Grenada County, Mississippi Rural No 204.0 (180.8, 229.6) N/A 59 falling falling trend -1.1 (-1.9, -0.4)
Mingo County, West Virginia Rural No 203.9 (181.6, 228.4) N/A 67 falling falling trend -1.3 (-2.0, -0.5)
Brown County, Kansas Rural No 203.9 (170.1, 243.0) N/A 28 stable stable trend -1.0 (-6.8, 0.6)
Rhea County, Tennessee Rural No 203.8 (185.3, 223.9) N/A 93 stable stable trend -0.2 (-1.0, 0.5)
Gilmer County, West Virginia Rural No 203.7 (165.9, 248.7) N/A 21 stable stable trend 0.2 (-1.0, 1.5)
Desha County, Arkansas Rural No 203.7 (171.4, 240.7) N/A 31 stable stable trend -0.7 (-1.9, 0.4)
Iosco County, Michigan Rural No 203.7 (184.1, 225.2) N/A 98 stable stable trend 0.1 (-0.8, 1.0)
Clarke County, Alabama Rural No 203.6 (182.2, 227.2) N/A 70 stable stable trend -0.2 (-1.6, 1.2)
Madison County, Missouri Rural No 203.5 (174.9, 236.0) N/A 38 stable stable trend -0.5 (-1.5, 0.4)
Clay County, Arkansas Rural No 203.5 (177.9, 232.3) N/A 47 stable stable trend 0.0 (-1.1, 1.0)
Martin County, Kentucky Rural No 203.5 (170.9, 240.8) N/A 29 stable stable trend -0.6 (-2.0, 0.8)
Mason County, West Virginia Rural No 203.4 (183.5, 225.1) N/A 82 stable stable trend -0.5 (-1.2, 0.1)
Hardeman County, Tennessee Rural No 203.0 (181.9, 226.2) N/A 70 stable stable trend -0.3 (-1.3, 0.6)
Jennings County, Indiana Rural No 202.9 (182.0, 225.8) N/A 72 falling falling trend -0.7 (-1.2, -0.1)
Crittenden County, Kentucky Rural No 202.9 (169.2, 242.1) N/A 27 stable stable trend -0.2 (-1.9, 1.4)
Pike County, Ohio Rural No 202.9 (182.6, 225.0) N/A 77 stable stable trend -0.1 (-1.0, 0.9)
Le Flore County, Oklahoma Rural No 202.8 (187.1, 219.5) N/A 129 stable stable trend -0.5 (-1.2, 0.2)
Tensas Parish, Louisiana Rural No 202.7 (154.6, 263.8) N/A 14 stable stable trend 6.1 (-2.5, 29.8)
Fairfield County, South Carolina Urban No 202.7 (180.0, 227.8) N/A 66 stable stable trend -0.5 (-1.4, 0.5)
Vermilion County, Illinois Rural No 202.4 (190.1, 215.3) N/A 215 stable stable trend -0.3 (-0.9, 0.2)
Carter County, Oklahoma Rural No 202.3 (186.3, 219.4) N/A 123 stable stable trend -0.5 (-1.1, 0.0)
Lincoln County, Kentucky Rural No 202.3 (180.6, 226.0) N/A 67 stable stable trend -0.7 (-1.4, 0.1)
Morgan County, Kentucky Rural No 202.3 (172.9, 235.5) N/A 36 falling falling trend -2.5 (-9.8, -0.3)
Hickory County, Missouri Rural No 202.2 (169.1, 241.3) N/A 35 stable stable trend -0.1 (-1.5, 1.2)
St. Landry Parish, Louisiana Rural No 202.1 (189.6, 215.3) N/A 206 stable stable trend -0.5 (-1.1, 0.0)
Pulaski County, Kentucky Rural No 202.1 (189.0, 215.9) N/A 188 falling falling trend -0.6 (-1.1, -0.2)
Fayette County, Indiana Rural No 202.0 (180.1, 226.1) N/A 66 stable stable trend -0.7 (-1.8, 0.4)
Benton County, Tennessee Rural No 201.9 (176.7, 230.1) N/A 52 stable stable trend 0.0 (-1.1, 1.1)
Washington County, Maine Rural No 201.8 (183.9, 221.1) N/A 107 falling falling trend -0.8 (-1.4, -0.2)
Pike County, Georgia Urban No 201.7 (176.2, 230.1) N/A 47 stable stable trend -0.3 (-1.6, 1.2)
Chester County, South Carolina Urban No 201.6 (182.7, 222.1) N/A 89 stable stable trend -0.5 (-1.1, 0.2)
Lee County, Mississippi Rural No 201.5 (188.8, 214.8) N/A 195 falling falling trend -2.6 (-4.6, -1.5)
Henry County, Kentucky Urban No 201.4 (174.7, 231.4) N/A 44 stable stable trend -0.7 (-1.6, 0.3)
Neshoba County, Mississippi Rural No 201.4 (180.4, 224.2) N/A 70 stable stable trend 0.8 (-0.1, 1.7)
Pike County, Kentucky Rural No 201.3 (187.4, 216.1) N/A 166 falling falling trend -2.2 (-5.8, -1.2)
Covington County, Mississippi Rural No 201.2 (175.8, 229.5) N/A 47 stable stable trend -0.1 (-1.2, 1.1)
Morgan County, Tennessee Urban No 201.1 (178.0, 226.7) N/A 58 stable stable trend -0.5 (-1.5, 0.5)
Nottoway County, Virginia Rural No 201.1 (175.1, 230.2) N/A 44 stable stable trend -0.8 (-1.7, 0.1)
Morris County, Kansas Rural No 201.0 (157.9, 253.7) N/A 18 stable stable trend -0.2 (-2.1, 1.5)
Carroll County, Tennessee Rural No 201.0 (181.6, 222.1) N/A 83 stable stable trend -0.7 (-1.3, 0.0)
Mahnomen County, Minnesota Rural No 200.9 (155.3, 256.7) N/A 14 stable stable trend -0.2 (-1.5, 1.1)
Johnson County, Kentucky Rural No 200.9 (178.2, 225.9) N/A 61 falling falling trend -1.1 (-2.1, -0.2)
Pike County, Indiana Rural No 200.8 (171.6, 234.0) N/A 36 stable stable trend -0.1 (-1.7, 1.5)
Colleton County, South Carolina Rural No 200.7 (183.9, 218.9) N/A 112 stable stable trend -0.8 (-1.7, 0.0)
Russell County, Alabama Urban No 200.7 (185.5, 216.8) N/A 136 falling falling trend -1.0 (-1.6, -0.4)
Fulton County, Illinois Rural No 200.7 (183.2, 219.5) N/A 102 stable stable trend -0.1 (-0.9, 0.6)
Grant County, Indiana Rural No 200.7 (187.6, 214.4) N/A 186 stable stable trend -0.2 (-0.8, 0.4)
Wibaux County, Montana Rural No 200.6 (114.0, 345.9) N/A 3
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Wayne County, Missouri Rural No 200.6 (172.5, 232.9) N/A 39 falling falling trend -1.8 (-12.1, -0.3)
Yalobusha County, Mississippi Rural No 200.4 (172.2, 232.6) N/A 38 falling falling trend -1.3 (-4.8, -0.4)
Wetzel County, West Virginia Rural No 200.3 (174.7, 229.2) N/A 47 stable stable trend -0.1 (-1.1, 0.9)
Union County, South Carolina Urban No 200.3 (180.4, 222.0) N/A 82 stable stable trend -0.5 (-1.1, 0.1)
Toombs County, Georgia Rural No 200.2 (179.0, 223.5) N/A 67 stable stable trend -0.6 (-1.6, 0.5)
Fayette County, Ohio Rural No 200.2 (179.6, 222.6) N/A 74 stable stable trend -0.2 (-1.1, 0.6)
Webster Parish, Louisiana Rural No 200.2 (183.0, 218.7) N/A 107 falling falling trend -0.8 (-1.5, -0.2)
Hampton County, South Carolina Rural No 200.2 (176.0, 227.1) N/A 52 stable stable trend -0.8 (-1.7, 0.2)
Attala County, Mississippi Rural No 200.1 (175.6, 227.5) N/A 50 stable stable trend 0.0 (-0.8, 0.9)
Knott County, Kentucky Rural No 200.1 (172.4, 231.5) N/A 41 stable stable trend -0.6 (-1.5, 0.3)
Anson County, North Carolina Urban No 200.1 (177.7, 224.7) N/A 62 stable stable trend 0.4 (-0.4, 1.2)
Dimmit County, Texas Rural No 200.0 (162.7, 243.7) N/A 21 rising rising trend 1.6 (0.4, 2.9)
Montgomery County, Missouri Rural No 200.0 (170.5, 233.8) N/A 35 stable stable trend -1.1 (-2.3, 0.0)
Harper County, Kansas Rural No 199.8 (158.2, 250.5) N/A 17 stable stable trend 0.4 (-1.5, 2.2)
DeKalb County, Tennessee Rural No 199.6 (176.7, 225.0) N/A 58 stable stable trend -0.2 (-1.2, 0.9)
Barbour County, West Virginia Rural No 199.5 (173.4, 228.9) N/A 45 stable stable trend -0.3 (-1.4, 0.7)
Bosque County, Texas Urban No 199.5 (177.4, 224.1) N/A 65 stable stable trend 0.1 (-0.8, 1.0)
Johnston County, Oklahoma Rural No 199.4 (166.4, 237.4) N/A 27 stable stable trend -0.5 (-1.7, 0.7)
Robeson County, North Carolina Rural No 199.1 (188.4, 210.2) N/A 275 stable stable trend -0.3 (-0.9, 0.2)
Twiggs County, Georgia Urban No 199.1 (163.7, 240.9) N/A 25 stable stable trend -0.4 (-1.7, 0.8)
Tate County, Mississippi Urban No 199.1 (177.8, 222.3) N/A 68 stable stable trend -0.5 (-1.3, 0.2)
Jim Hogg County, Texas Rural No 199.0 (148.8, 261.2) N/A 11 stable stable trend -0.1 (-2.0, 1.7)
Zavala County, Texas Rural No 199.0 (160.9, 243.4) N/A 20 stable stable trend 1.1 (-1.0, 3.3)
Palo Pinto County, Texas Rural No 199.0 (179.5, 220.2) N/A 82 stable stable trend 3.9 (-0.9, 11.6)
Laclede County, Missouri Rural No 198.9 (181.1, 218.2) N/A 96 stable stable trend -0.2 (-1.0, 0.6)
Green County, Kentucky Rural No 198.9 (170.0, 232.0) N/A 35 stable stable trend -0.3 (-1.9, 1.3)
Henry County, Indiana Rural No 198.8 (183.9, 214.8) N/A 137 stable stable trend -0.2 (-0.8, 0.4)
Marion County, Illinois Rural No 198.7 (181.8, 216.8) N/A 108 stable stable trend -0.1 (-0.9, 0.7)
Dixie County, Florida Rural No 198.7 (176.0, 224.1) N/A 59 falling falling trend -0.9 (-1.4, -0.2)
Montmorency County, Michigan Rural No 198.6 (168.6, 234.1) N/A 38 stable stable trend -0.5 (-2.1, 1.0)
Harrison County, West Virginia Rural No 198.5 (185.8, 212.0) N/A 190 stable stable trend -0.8 (-1.6, 0.0)
Grundy County, Tennessee Rural No 198.5 (171.6, 228.9) N/A 41 stable stable trend -0.6 (-1.8, 0.6)
Nelson County, Kentucky Urban No 198.5 (182.0, 216.1) N/A 114 stable stable trend 2.5 (-0.4, 8.6)
Lyman County, South Dakota Rural No 198.4 (142.7, 269.5) N/A 9 stable stable trend 0.7 (-1.7, 3.2)
Fulton County, Arkansas Rural No 198.2 (171.2, 229.2) N/A 43 stable stable trend -0.1 (-1.4, 1.4)
Faulk County, South Dakota Rural No 198.1 (136.9, 282.5) N/A 8 stable stable trend 1.6 (-1.4, 4.7)
Casey County, Kentucky Rural No 198.1 (172.6, 226.6) N/A 46 falling falling trend -2.9 (-13.0, -1.1)
Gallatin County, Kentucky Urban No 198.0 (160.0, 242.7) N/A 20 falling falling trend -1.8 (-3.5, -0.1)
Childress County, Texas Rural No 197.9 (156.6, 247.6) N/A 16 stable stable trend -0.5 (-2.8, 1.7)
McDonald County, Missouri Rural No 197.8 (174.3, 223.7) N/A 55 stable stable trend -0.7 (-1.9, 0.6)
Jasper County, Texas Rural No 197.8 (179.5, 217.6) N/A 94 stable stable trend -0.4 (-1.1, 0.3)
Runnels County, Texas Rural No 197.7 (166.6, 233.6) N/A 30 stable stable trend -0.3 (-1.4, 0.9)
Shelby County, Texas Rural No 197.7 (176.1, 221.3) N/A 63 stable stable trend -0.1 (-1.1, 0.8)
Union Parish, Louisiana Urban No 197.6 (175.5, 222.0) N/A 64 stable stable trend -0.2 (-3.3, 6.2)
Mercer County, Kentucky Rural No 197.5 (175.8, 221.5) N/A 64 falling falling trend -1.1 (-2.0, -0.2)
Guernsey County, Ohio Rural No 197.5 (180.7, 215.6) N/A 109 falling falling trend -0.6 (-1.2, -0.1)
Fall River County, South Dakota Rural No 197.5 (163.5, 238.6) N/A 28 stable stable trend -0.4 (-1.9, 1.0)
Greene County, Illinois Rural No 197.5 (169.4, 229.6) N/A 37 stable stable trend -0.7 (-2.4, 0.9)
Mineral County, Nevada Rural No 197.4 (153.1, 253.0) N/A 16 falling falling trend -1.9 (-3.7, -0.2)
Dyer County, Tennessee Rural No 197.4 (179.8, 216.3) N/A 96 stable stable trend -0.2 (-1.0, 0.6)
Hart County, Kentucky Rural No 197.3 (172.6, 224.8) N/A 49 stable stable trend -0.2 (-1.8, 1.3)
Buchanan County, Virginia Rural No 197.2 (175.8, 221.0) N/A 66 stable stable trend 0.7 (-1.0, 6.7)
Dickson County, Tennessee Urban No 197.2 (182.1, 213.2) N/A 134 stable stable trend -0.1 (-0.7, 0.5)
Boone County, West Virginia Urban No 197.1 (175.4, 221.0) N/A 66 falling falling trend -1.4 (-2.1, -0.7)
Waynesboro City, Virginia Urban No 197.0 (174.9, 221.2) N/A 60 stable stable trend -0.4 (-1.4, 0.6)
Lake County, Michigan Rural No 197.0 (170.1, 227.9) N/A 44 stable stable trend -0.4 (-1.5, 0.7)
Levy County, Florida Urban No 196.9 (182.3, 212.6) N/A 150 falling falling trend -2.1 (-5.8, -1.1)
Hamilton County, Florida Rural No 196.9 (169.3, 228.2) N/A 38 falling falling trend -1.2 (-1.9, -0.3)
Evans County, Georgia Rural No 196.9 (163.5, 235.5) N/A 25 stable stable trend -0.8 (-2.4, 0.9)
Perry County, Ohio Urban No 196.9 (178.5, 216.7) N/A 92 stable stable trend -0.7 (-1.8, 0.4)
Marion County, South Carolina Rural No 196.8 (177.3, 218.1) N/A 82 falling falling trend -1.0 (-2.0, -0.1)
Sheridan County, Montana Rural No 196.8 (149.6, 257.6) N/A 12 stable stable trend -0.6 (-2.8, 1.5)
Clare County, Michigan Rural No 196.8 (179.2, 216.0) N/A 102 stable stable trend -0.7 (-1.5, 0.0)
Jefferson County, Georgia Rural No 196.8 (169.9, 227.0) N/A 41 stable stable trend -0.5 (-1.8, 0.7)
Polk County, Tennessee Urban No 196.8 (172.9, 223.5) N/A 53 stable stable trend -1.1 (-2.4, 0.3)
Crawford County, Kansas Rural No 196.8 (178.7, 216.2) N/A 91 stable stable trend -0.2 (-1.1, 0.8)
Tipton County, Tennessee Urban No 196.6 (181.8, 212.4) N/A 140 falling falling trend -0.8 (-1.4, -0.1)
Wayne County, Tennessee Rural No 196.6 (171.9, 224.4) N/A 47 stable stable trend 0.0 (-0.8, 0.8)
Beauregard Parish, Louisiana Rural No 196.6 (178.0, 216.7) N/A 86 stable stable trend -0.7 (-1.6, 0.2)
Franklin County, Nebraska Rural No 196.6 (145.1, 265.1) N/A 11 rising rising trend 5.3 (1.0, 22.8)
Jerauld County, South Dakota Rural No 196.6 (127.9, 297.2) N/A 6
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Jefferson Davis Parish, Louisiana Urban No 196.4 (177.2, 217.3) N/A 79 stable stable trend -0.4 (-1.1, 0.4)
Laurel County, Kentucky Rural No 196.4 (182.4, 211.3) N/A 153 falling falling trend -1.2 (-1.8, -0.5)
Morris County, Texas Rural No 196.4 (168.9, 227.9) N/A 38 stable stable trend -1.0 (-2.1, 0.1)
Logan County, West Virginia Rural No 196.4 (178.6, 215.7) N/A 97 falling falling trend -1.1 (-2.2, -0.1)
Prince Edward County, Virginia Rural No 196.4 (171.9, 223.5) N/A 50 stable stable trend 0.4 (-0.5, 3.9)
Pearl River County, Mississippi Rural No 196.3 (182.3, 211.3) N/A 154 falling falling trend -0.9 (-1.4, -0.4)
Lawrence County, Mississippi Rural No 196.3 (165.6, 231.5) N/A 31 stable stable trend -0.5 (-1.8, 0.7)
Schuyler County, New York Rural No 196.3 (172.9, 222.4) N/A 56 stable stable trend 0.3 (-0.7, 1.2)
Halifax County, North Carolina Rural No 196.2 (181.6, 211.9) N/A 144 falling falling trend -0.6 (-1.2, -0.1)
Panola County, Mississippi Rural No 196.1 (177.3, 216.4) N/A 84 falling falling trend -0.9 (-1.7, -0.1)
Cotton County, Oklahoma Urban No 196.1 (155.2, 246.0) N/A 16 stable stable trend 0.7 (-0.9, 2.2)
Meade County, Kansas Rural No 196.0 (147.4, 257.3) N/A 11 stable stable trend 0.5 (-1.9, 2.9)
Newton County, Texas Rural No 196.0 (166.6, 229.6) N/A 37 stable stable trend 3.2 (-0.9, 11.4)
Graves County, Kentucky Rural No 195.9 (178.6, 214.6) N/A 99 stable stable trend -0.5 (-1.1, 0.1)
Mitchell County, Georgia Rural No 195.9 (173.2, 220.9) N/A 57 stable stable trend 7.9 (-1.7, 14.9)
Roscommon County, Michigan Rural No 195.8 (176.3, 217.6) N/A 96 stable stable trend 0.1 (-0.9, 1.0)
Blackford County, Indiana Rural No 195.8 (168.5, 227.0) N/A 38 stable stable trend -0.5 (-1.4, 0.4)
Jasper County, Mississippi Rural No 195.7 (169.9, 224.7) N/A 45 stable stable trend -0.2 (-1.4, 1.1)
Roane County, West Virginia Rural No 195.7 (169.2, 225.8) N/A 43 stable stable trend -0.1 (-1.2, 1.0)
Acadia Parish, Louisiana Urban No 195.7 (180.9, 211.5) N/A 136 falling falling trend -1.1 (-1.5, -0.8)
Washington Parish, Louisiana Rural No 195.7 (180.0, 212.5) N/A 122 falling falling trend -1.3 (-2.1, -0.6)
Butler County, Missouri Rural No 195.7 (179.8, 212.7) N/A 116 stable stable trend -0.7 (-1.4, 0.0)
Saline County, Missouri Rural No 195.7 (173.3, 220.3) N/A 59 stable stable trend -0.5 (-1.8, 0.8)
Newberry County, South Carolina Rural No 195.5 (178.6, 213.7) N/A 106 stable stable trend -0.3 (-1.1, 0.6)
Fulton County, Indiana Rural No 195.5 (172.8, 220.5) N/A 57 stable stable trend -0.6 (-1.3, 0.1)
Okeechobee County, Florida Rural No 195.5 (179.6, 212.5) N/A 118 stable stable trend -0.6 (-1.5, 0.2)
Screven County, Georgia Rural No 195.4 (168.7, 225.7) N/A 41 stable stable trend -0.7 (-1.6, 0.2)
Hawkins County, Tennessee Urban No 195.4 (182.1, 209.5) N/A 173 stable stable trend -0.1 (-0.8, 0.7)
McNairy County, Tennessee Rural No 195.4 (175.7, 216.9) N/A 76 falling falling trend -0.8 (-1.5, -0.2)
Norman County, Minnesota Rural No 195.4 (157.9, 240.4) N/A 20 stable stable trend -0.4 (-2.0, 1.1)
Tallahatchie County, Mississippi Rural No 195.4 (165.3, 229.8) N/A 31 stable stable trend -0.2 (-1.2, 0.8)
De Witt County, Illinois Rural No 195.4 (170.0, 223.9) N/A 45 stable stable trend 7.4 (-1.7, 13.9)
Covington City, Virginia Rural No 195.3 (153.7, 246.0) N/A 16 falling falling trend -11.1 (-25.4, -5.1)
Hansford County, Texas Rural No 195.3 (148.3, 253.1) N/A 12 stable stable trend 1.5 (-0.7, 3.7)
Montgomery County, Georgia Rural No 195.3 (159.2, 237.6) N/A 22 stable stable trend -0.3 (-1.9, 1.5)
Adams County, Mississippi Rural No 195.2 (176.5, 215.6) N/A 87 stable stable trend -0.3 (-1.1, 0.5)
Kay County, Oklahoma Rural No 195.2 (179.5, 212.0) N/A 120 stable stable trend -0.4 (-0.9, 0.1)
Campbell County, Tennessee Urban No 195.2 (179.0, 212.5) N/A 115 falling falling trend -0.8 (-1.4, -0.3)
Brantley County, Georgia Urban No 195.1 (170.0, 223.1) N/A 47 stable stable trend -0.9 (-1.9, 0.3)
Christian County, Kentucky Urban No 195.1 (180.3, 210.7) N/A 134 stable stable trend 0.6 (-0.7, 5.3)
Crawford County, Missouri Rural No 195.0 (173.8, 218.4) N/A 66 stable stable trend -0.2 (-1.1, 0.6)
Obion County, Tennessee Rural No 195.0 (176.8, 214.7) N/A 89 rising rising trend 7.8 (2.1, 13.1)
Starke County, Indiana Rural No 195.0 (174.0, 218.1) N/A 67 falling falling trend -1.1 (-2.1, -0.1)
Marquette County, Wisconsin Rural No 194.9 (171.0, 221.9) N/A 54 stable stable trend -0.8 (-2.0, 0.4)
Escambia County, Alabama Rural No 194.7 (177.4, 213.4) N/A 97 falling falling trend -0.7 (-1.3, -0.1)
Rush County, Indiana Rural No 194.6 (169.6, 222.7) N/A 46 stable stable trend -1.0 (-2.1, 0.1)
Wayne County, Mississippi Rural No 194.5 (170.3, 221.5) N/A 49 stable stable trend -0.3 (-1.3, 0.7)
Laurens County, South Carolina Urban No 194.5 (181.7, 208.1) N/A 183 stable stable trend -0.1 (-0.7, 0.5)
Pulaski County, Indiana Rural No 194.5 (166.1, 226.9) N/A 36 stable stable trend -0.4 (-1.5, 0.7)
Montgomery County, Kentucky Rural No 194.3 (173.9, 216.6) N/A 68 stable stable trend -0.3 (-1.3, 0.7)
Reagan County, Texas Rural No 194.3 (119.9, 294.5) N/A 5 stable stable trend -0.3 (-4.4, 3.2)
Jay County, Indiana Rural No 194.3 (170.9, 220.2) N/A 52 stable stable trend -0.6 (-2.1, 0.7)
Knox County, Texas Rural No 194.2 (141.9, 261.7) N/A 10 stable stable trend 0.8 (-1.4, 2.8)
Owen County, Indiana Urban No 194.2 (171.8, 219.0) N/A 60 falling falling trend -1.4 (-2.3, -0.5)
Cherokee County, Oklahoma Rural No 194.2 (178.5, 210.9) N/A 119 stable stable trend -0.2 (-0.8, 0.4)
San Augustine County, Texas Rural No 194.1 (162.1, 231.9) N/A 29 stable stable trend 0.0 (-1.3, 1.2)
Cass County, Texas Rural No 194.0 (175.7, 214.0) N/A 88 stable stable trend -0.2 (-0.9, 0.5)
Pierce County, Georgia Rural No 193.9 (169.6, 221.0) N/A 48 stable stable trend -0.9 (-2.2, 0.4)
Henderson County, Texas Rural No 193.9 (182.9, 205.4) N/A 253 falling falling trend -0.9 (-1.5, -0.3)
Putnam County, Florida Rural No 193.8 (182.2, 205.9) N/A 234 falling falling trend -1.1 (-1.7, -0.5)
Jefferson County, Mississippi Rural No 193.7 (154.7, 240.1) N/A 19 stable stable trend -0.9 (-2.6, 0.8)
Cheyenne County, Colorado Rural No 193.7 (122.1, 296.9) N/A 5 stable stable trend 1.9 (-1.2, 5.4)
Harrison County, Kentucky Rural No 193.6 (170.3, 219.5) N/A 52 stable stable trend -0.2 (-1.4, 1.1)
Cochran County, Texas Urban No 193.6 (131.0, 277.4) N/A 6 stable stable trend -1.7 (-4.5, 0.5)
Claiborne County, Tennessee Rural No 193.6 (175.4, 213.3) N/A 90 falling falling trend -1.4 (-2.2, -0.6)
Marlboro County, South Carolina Rural No 193.5 (173.3, 215.7) N/A 71 falling falling trend -1.0 (-1.6, -0.3)
Washington County, Florida Urban No 193.5 (173.3, 215.7) N/A 69 stable stable trend -1.0 (-1.9, 0.0)
Hancock County, Tennessee Rural No 193.5 (156.8, 237.5) N/A 21 stable stable trend -0.2 (-1.8, 1.6)
Russell County, Kansas Rural No 193.4 (154.8, 239.7) N/A 21 stable stable trend 0.6 (-1.2, 2.4)
Pike County, Illinois Rural No 193.3 (168.1, 221.6) N/A 45 stable stable trend -0.2 (-1.1, 0.7)
Ballard County, Kentucky Urban No 193.2 (159.0, 233.7) N/A 23 stable stable trend -0.9 (-2.6, 0.8)
Lawrence County, Missouri Rural No 193.1 (176.2, 211.3) N/A 100 stable stable trend 2.1 (-0.2, 7.1)
Stoddard County, Missouri Rural No 193.1 (174.6, 213.1) N/A 84 stable stable trend -0.6 (-1.5, 0.2)
Wayne County, North Carolina Urban No 193.0 (182.8, 203.6) N/A 281 falling falling trend -0.7 (-1.2, -0.1)
Berkeley County, West Virginia Urban No 192.9 (182.3, 204.0) N/A 271 falling falling trend -0.9 (-1.4, -0.3)
Corson County, South Dakota Rural No 192.9 (130.4, 274.1) N/A 7 stable stable trend 0.9 (-1.4, 3.2)
Franklin County, Arkansas Rural No 192.9 (168.9, 219.6) N/A 49 stable stable trend -0.6 (-1.5, 0.4)
Cherokee County, Kansas Urban No 192.8 (169.7, 218.5) N/A 54 stable stable trend -0.6 (-1.3, 0.1)
Stonewall County, Texas Rural No 192.7 (111.1, 320.2) N/A 4 stable stable trend -0.5 (-4.0, 2.7)
Greene County, Indiana Rural No 192.7 (174.4, 212.5) N/A 87 stable stable trend -0.4 (-1.5, 0.7)
Union County, Mississippi Rural No 192.5 (172.2, 214.7) N/A 67 stable stable trend 0.2 (-1.0, 1.5)
Murray County, Georgia Urban No 192.5 (174.9, 211.4) N/A 93 falling falling trend -1.4 (-2.2, -0.6)
Vance County, North Carolina Rural No 192.5 (176.3, 209.8) N/A 112 stable stable trend -0.7 (-1.3, 0.0)
Putnam County, Indiana Rural No 192.4 (175.1, 211.2) N/A 93 stable stable trend -0.7 (-1.4, 0.0)
Hamblen County, Tennessee Urban No 192.4 (179.3, 206.4) N/A 164 falling falling trend -1.0 (-1.7, -0.4)
Dickenson County, Virginia Rural No 192.4 (166.8, 221.6) N/A 44 stable stable trend -0.6 (-2.0, 0.8)
Avoyelles Parish, Louisiana Rural No 192.3 (175.5, 210.5) N/A 99 falling falling trend -1.4 (-2.2, -0.6)
Wyoming County, West Virginia Rural No 192.3 (170.0, 217.0) N/A 60 stable stable trend -0.9 (-1.8, 0.0)
Liberty County, Texas Urban No 192.3 (179.3, 205.9) N/A 177 falling falling trend -1.5 (-2.2, -0.9)
Van Buren County, Tennessee Rural No 192.3 (154.8, 237.7) N/A 20 stable stable trend -0.1 (-2.0, 2.2)
Peach County, Georgia Urban No 192.2 (171.5, 214.9) N/A 67 falling falling trend -1.2 (-2.0, -0.3)
Terrell County, Georgia Urban No 192.1 (158.6, 231.3) N/A 25 falling falling trend -2.2 (-3.3, -1.3)
Scotland County, North Carolina Rural No 192.1 (174.0, 211.7) N/A 87 falling falling trend -1.0 (-1.9, -0.2)
Columbia County, Florida Rural No 192.1 (179.8, 205.1) N/A 193 stable stable trend -0.6 (-1.2, 0.0)
Barren County, Kentucky Rural No 192.1 (176.3, 209.0) N/A 114 stable stable trend -0.6 (-1.3, 0.1)
Mayes County, Oklahoma Rural No 192.0 (175.2, 210.2) N/A 101 stable stable trend -0.4 (-1.3, 0.4)
Crawford County, Michigan Rural No 192.0 (167.1, 220.4) N/A 48 stable stable trend 0.0 (-1.0, 0.9)
Mason County, Kentucky Rural No 192.0 (166.8, 220.2) N/A 44 stable stable trend -0.9 (-2.1, 0.2)
Macon County, Missouri Rural No 191.9 (166.6, 220.4) N/A 45 stable stable trend 2.4 (0.0, 10.7)
McCulloch County, Texas Rural No 191.9 (158.0, 232.2) N/A 24 stable stable trend -0.1 (-1.4, 1.3)
Adair County, Kentucky Rural No 191.7 (168.2, 217.8) N/A 51 stable stable trend -0.4 (-1.5, 0.7)
Mille Lacs County, Minnesota Urban No 191.5 (171.5, 213.4) N/A 70 stable stable trend -0.2 (-1.2, 0.9)
Edgecombe County, North Carolina Urban No 191.5 (177.0, 207.0) N/A 139 stable stable trend -0.2 (-1.0, 2.6)
Iberville Parish, Louisiana Urban No 191.5 (172.2, 212.5) N/A 75 falling falling trend -1.1 (-1.8, -0.3)
Meigs County, Tennessee Rural No 191.5 (163.3, 223.7) N/A 36 stable stable trend -0.5 (-2.2, 1.4)
Claiborne Parish, Louisiana Rural No 191.5 (165.3, 221.1) N/A 41 rising rising trend 11.1 (0.9, 18.4)
Jefferson County, Nebraska Rural No 191.4 (157.7, 231.6) N/A 25 stable stable trend 0.4 (-1.9, 2.5)
Lamar County, Texas Rural No 191.2 (176.6, 206.8) N/A 133 stable stable trend -0.7 (-1.5, 0.0)
Pipestone County, Minnesota Rural No 191.2 (159.8, 227.7) N/A 28 stable stable trend 0.0 (-1.7, 1.6)
Onslow County, North Carolina Urban No 191.2 (181.3, 201.4) N/A 297 stable stable trend -0.3 (-1.0, 0.5)
Ector County, Texas Urban No 191.1 (180.3, 202.4) N/A 247 stable stable trend 1.8 (-0.4, 6.2)
Burke County, North Dakota Rural No 191.1 (123.8, 284.5) N/A 6 stable stable trend 0.9 (-2.1, 3.7)
Jefferson County, Indiana Rural No 191.1 (173.0, 210.7) N/A 87 stable stable trend -0.3 (-1.2, 0.5)
Linn County, Missouri Rural No 191.0 (162.5, 223.7) N/A 34 stable stable trend -0.4 (-1.9, 1.1)
Marshall County, Oklahoma Rural No 190.7 (166.8, 217.6) N/A 48 stable stable trend 0.0 (-0.9, 0.9)
Taliaferro County, Georgia Rural No 190.7 (127.1, 286.5) N/A 6
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Webster County, Mississippi Rural No 190.6 (158.2, 228.3) N/A 26 falling falling trend -1.3 (-2.6, -0.1)
Simpson County, Kentucky Rural No 190.6 (165.8, 218.2) N/A 45 stable stable trend -0.5 (-1.7, 0.8)
Nolan County, Texas Rural No 190.6 (164.3, 220.3) N/A 39 stable stable trend -0.6 (-1.8, 0.5)
Patrick County, Virginia Rural No 190.5 (168.7, 215.0) N/A 62 stable stable trend -0.3 (-1.3, 0.8)
DeBaca County, New Mexico Rural No 190.5 (124.8, 288.5) N/A 6 stable stable trend 0.3 (-2.5, 3.1)
Logan County, Arkansas Rural No 190.3 (169.0, 214.0) N/A 61 falling falling trend -1.6 (-10.0, -0.6)
Columbus County, North Carolina Rural No 190.3 (176.1, 205.5) N/A 141 stable stable trend -0.8 (-1.5, 0.0)
Calhoun County, West Virginia Rural No 190.3 (152.7, 236.1) N/A 20 stable stable trend -1.0 (-2.5, 0.5)
Mason County, Illinois Rural No 190.2 (164.6, 219.4) N/A 41 stable stable trend -0.4 (-1.5, 0.6)
Perry County, Mississippi Urban No 190.2 (160.4, 224.3) N/A 30 falling falling trend -1.7 (-3.1, -0.2)
Mitchell County, North Carolina Rural No 190.1 (165.8, 217.6) N/A 49 stable stable trend 6.6 (-0.7, 12.2)
Tyrrell County, North Carolina Rural No 190.1 (142.0, 252.6) N/A 12 falling falling trend -2.5 (-4.5, -0.6)
Magoffin County, Kentucky Rural No 190.1 (159.5, 225.3) N/A 30 falling falling trend -1.5 (-2.7, -0.3)
Crawford County, Georgia Urban No 190.0 (160.8, 223.6) N/A 33 stable stable trend -1.4 (-3.2, 0.4)
Macon County, Tennessee Urban No 189.9 (168.1, 214.0) N/A 58 falling falling trend -1.0 (-1.7, -0.3)
Madison Parish, Louisiana Rural No 189.9 (155.9, 229.5) N/A 23 stable stable trend -1.6 (-3.5, 0.0)
Polk County, Georgia Rural No 189.9 (172.9, 208.1) N/A 97 falling falling trend -1.0 (-1.7, -0.3)
Greene County, Pennsylvania Rural No 189.9 (172.9, 208.2) N/A 97 stable stable trend -0.6 (-1.4, 0.1)
Sampson County, North Carolina Rural No 189.9 (176.2, 204.4) N/A 149 stable stable trend -0.6 (-1.1, 0.0)
Webster County, Kentucky Rural No 189.8 (160.6, 223.2) N/A 31 stable stable trend -0.9 (-1.9, 0.1)
Craig County, Virginia Urban No 189.8 (148.3, 241.9) N/A 16 stable stable trend -0.2 (-2.3, 2.0)
Freestone County, Texas Rural No 189.8 (167.5, 214.6) N/A 55 stable stable trend -0.5 (-1.6, 0.7)
Leon County, Texas Rural No 189.8 (165.6, 217.0) N/A 50 stable stable trend -0.5 (-1.6, 0.5)
Warren County, Tennessee Rural No 189.7 (173.3, 207.5) N/A 103 falling falling trend -1.6 (-4.8, -0.7)
Cleburne County, Alabama Rural No 189.7 (164.4, 218.2) N/A 42 stable stable trend 10.3 (-0.8, 19.0)
Washington County, North Carolina Rural No 189.7 (160.5, 223.4) N/A 36 stable stable trend -0.3 (-1.7, 1.2)
Hill County, Texas Rural No 189.6 (173.1, 207.5) N/A 103 stable stable trend -0.3 (-1.3, 0.7)
Lowndes County, Mississippi Rural No 189.6 (175.3, 204.8) N/A 138 stable stable trend -0.2 (-1.0, 0.5)
Union County, New Mexico Rural No 189.6 (142.1, 249.8) N/A 12 stable stable trend 0.1 (-1.7, 2.0)
Grant Parish, Louisiana Urban No 189.6 (166.3, 215.4) N/A 50 falling falling trend -1.1 (-2.1, -0.1)
Jefferson County, Illinois Rural No 189.6 (172.9, 207.5) N/A 100 stable stable trend -0.6 (-1.2, 0.0)
Weakley County, Tennessee Rural No 189.5 (171.4, 209.2) N/A 84 stable stable trend -0.5 (-1.2, 0.3)
Hamlin County, South Dakota Rural No 189.5 (145.1, 243.3) N/A 13 stable stable trend -0.2 (-2.0, 1.4)
Union County, Arkansas Rural No 189.5 (172.7, 207.6) N/A 99 falling falling trend -1.1 (-1.7, -0.6)
Harrison County, Ohio Rural No 189.5 (164.0, 218.3) N/A 43 stable stable trend -0.9 (-2.0, 0.1)
Sharp County, Arkansas Rural No 189.4 (167.5, 214.0) N/A 60 stable stable trend -0.4 (-1.6, 0.7)
Hempstead County, Arkansas Rural No 189.4 (166.0, 215.5) N/A 50 stable stable trend 3.9 (-1.4, 12.5)
Bacon County, Georgia Rural No 189.3 (157.6, 225.9) N/A 27 stable stable trend -1.1 (-2.5, 0.3)
Somerset County, Maryland Urban No 189.3 (168.0, 212.7) N/A 61 falling falling trend -1.4 (-2.2, -0.6)
Marshall County, Kentucky Rural No 189.3 (172.2, 207.9) N/A 95 stable stable trend -0.3 (-1.0, 0.4)
Panola County, Texas Rural No 189.2 (168.0, 212.6) N/A 61 stable stable trend -0.6 (-1.5, 0.3)
Wadena County, Minnesota Rural No 189.2 (163.5, 218.2) N/A 41 stable stable trend 0.3 (-0.7, 1.3)
Edgar County, Illinois Rural No 189.1 (166.1, 214.8) N/A 54 stable stable trend -0.7 (-1.8, 0.4)
McIntosh County, Oklahoma Rural No 188.9 (168.2, 212.0) N/A 65 stable stable trend -0.4 (-1.4, 0.6)
Jackson County, Ohio Rural No 188.9 (170.2, 209.3) N/A 79 falling falling trend -1.1 (-1.9, -0.3)
Alcona County, Michigan Rural No 188.9 (161.4, 221.7) N/A 45 stable stable trend 0.1 (-0.5, 0.8)
Morgan County, West Virginia Urban No 188.8 (165.8, 214.7) N/A 55 stable stable trend -0.7 (-2.0, 0.5)
Lampasas County, Texas Urban No 188.8 (167.6, 212.2) N/A 61 falling falling trend -1.1 (-2.1, -0.1)
Wakulla County, Florida Urban No 188.8 (169.6, 209.5) N/A 78 stable stable trend -0.6 (-1.6, 0.6)
Kershaw County, South Carolina Urban No 188.7 (175.9, 202.3) N/A 172 falling falling trend -1.0 (-1.4, -0.5)
Iberia Parish, Louisiana Rural No 188.7 (175.1, 203.1) N/A 154 stable stable trend -1.4 (-7.0, 0.5)
Moultrie County, Illinois Rural No 188.7 (161.8, 219.1) N/A 37 stable stable trend -0.2 (-1.2, 0.8)
Portsmouth City, Virginia Urban No 188.7 (177.1, 200.8) N/A 210 falling falling trend -1.3 (-1.8, -0.8)
Johnson County, Tennessee Rural No 188.7 (166.0, 214.0) N/A 54 stable stable trend -0.5 (-1.8, 0.9)
Chippewa County, Michigan Rural No 188.6 (171.6, 207.0) N/A 95 stable stable trend 0.2 (-0.7, 1.2)
Roanoke City, Virginia Urban No 188.6 (177.8, 199.9) N/A 242 falling falling trend -0.7 (-1.1, -0.3)
Wichita County, Texas Urban No 188.6 (178.6, 199.0) N/A 279 stable stable trend 0.2 (-1.0, 3.7)
Nemaha County, Nebraska Rural No 188.5 (150.5, 233.9) N/A 19 stable stable trend 0.7 (-1.0, 2.5)
Putnam County, Tennessee Rural No 188.5 (176.2, 201.5) N/A 182 stable stable trend -0.6 (-1.2, 0.2)
Concordia Parish, Louisiana Rural No 188.5 (163.8, 216.0) N/A 45 falling falling trend -1.0 (-1.8, -0.2)
Russell County, Virginia Rural No 188.5 (169.4, 209.4) N/A 78 stable stable trend -0.6 (-1.5, 0.2)
Mason County, Texas Rural No 188.4 (142.0, 248.1) N/A 14 stable stable trend 0.0 (-1.6, 1.6)
Jackson County, Florida Rural No 188.4 (174.1, 203.6) N/A 135 stable stable trend -0.3 (-0.8, 0.3)
Brown County, Ohio Urban No 188.3 (172.8, 205.0) N/A 114 stable stable trend -0.6 (-1.2, 0.1)
Robertson County, Texas Urban No 188.3 (164.1, 215.5) N/A 47 stable stable trend -0.7 (-1.6, 0.2)
Baca County, Colorado Rural No 188.3 (143.5, 246.4) N/A 13 stable stable trend -0.5 (-2.6, 1.7)
Choctaw County, Oklahoma Rural No 188.3 (162.4, 217.6) N/A 40 falling falling trend -1.8 (-7.1, -0.2)
Madison County, Florida Rural No 188.2 (165.9, 213.2) N/A 54 stable stable trend -0.9 (-2.3, 0.5)
Sumter County, Georgia Rural No 188.2 (168.4, 209.8) N/A 69 stable stable trend 0.1 (-0.7, 0.8)
Spalding County, Georgia Urban No 188.1 (175.4, 201.7) N/A 170 stable stable trend -0.4 (-0.9, 0.2)
Tangipahoa Parish, Louisiana Urban No 188.1 (178.1, 198.5) N/A 282 falling falling trend -1.2 (-1.7, -0.8)
Randolph County, Indiana Rural No 188.1 (168.2, 209.9) N/A 68 stable stable trend -0.6 (-1.5, 0.3)
Reynolds County, Missouri Rural No 187.9 (151.7, 232.0) N/A 20 falling falling trend -1.7 (-2.9, -0.6)
Fentress County, Tennessee Rural No 187.9 (165.7, 212.8) N/A 56 falling falling trend -1.1 (-2.1, -0.1)
Howell County, Missouri Rural No 187.8 (172.0, 204.8) N/A 109 stable stable trend -0.5 (-1.1, 0.1)
Benton County, Missouri Rural No 187.8 (168.3, 209.7) N/A 78 stable stable trend -0.9 (-1.9, 0.1)
Big Stone County, Minnesota Rural No 187.8 (146.5, 239.0) N/A 17 stable stable trend 5.4 (-3.0, 21.3)
Henry County, Tennessee Rural No 187.8 (171.2, 205.8) N/A 101 falling falling trend -0.9 (-1.6, -0.3)
Smith County, Tennessee Urban No 187.8 (164.6, 213.6) N/A 50 falling falling trend -1.8 (-5.9, -0.8)
Doniphan County, Kansas Urban No 187.8 (151.2, 231.2) N/A 20 stable stable trend -0.1 (-1.5, 1.3)
Marion County, West Virginia Rural No 187.8 (174.1, 202.2) N/A 149 falling falling trend -0.8 (-1.5, -0.1)
Upshur County, Texas Urban No 187.7 (171.7, 205.0) N/A 107 stable stable trend -0.2 (-1.1, 2.5)
Alpine County, California Rural No 187.7 (113.1, 309.7) N/A 4
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Gulf County, Florida Rural No 187.7 (162.9, 215.9) N/A 45 stable stable trend -0.6 (-1.9, 0.8)
Franklin County, Kansas Rural No 187.7 (166.9, 210.5) N/A 63 stable stable trend 0.0 (-0.9, 0.9)
Martin County, Texas Urban No 187.6 (136.4, 251.7) N/A 9 stable stable trend 0.3 (-2.0, 2.6)
Halifax County with South Boston City, Virginia Rural No 187.6 (171.5, 205.0) N/A 111 stable stable trend -0.5 (-1.3, 0.4)
Logan County, Kentucky Rural No 187.6 (168.1, 208.8) N/A 71 falling falling trend -1.1 (-1.9, -0.3)
Cowlitz County, Washington Urban No 187.5 (177.7, 197.7) N/A 290 falling falling trend -0.6 (-1.2, -0.1)
Beckham County, Oklahoma Rural No 187.5 (164.0, 213.4) N/A 48 stable stable trend -0.4 (-1.3, 0.5)
Vermillion County, Indiana Urban No 187.4 (161.9, 216.3) N/A 41 stable stable trend -0.9 (-2.4, 0.4)
Columbia County, Washington Rural No 187.4 (146.0, 240.8) N/A 15 stable stable trend -0.7 (-2.3, 1.0)
Cowley County, Kansas Rural No 187.4 (169.8, 206.5) N/A 87 stable stable trend -0.6 (-1.2, 0.1)
Marshall County, Tennessee Rural No 187.4 (169.2, 207.2) N/A 82 falling falling trend -1.2 (-1.8, -0.5)
Bamberg County, South Carolina Rural No 187.3 (161.4, 216.9) N/A 41 stable stable trend -0.6 (-1.7, 0.6)
Prowers County, Colorado Rural No 187.3 (157.3, 221.7) N/A 29 stable stable trend -0.3 (-1.4, 0.8)
McDowell County, North Carolina Rural No 187.3 (172.7, 202.9) N/A 129 stable stable trend -0.1 (-0.8, 0.6)
Johnson County, Arkansas Rural No 187.2 (166.4, 210.2) N/A 61 stable stable trend -0.2 (-1.1, 0.7)
Bedford County, Tennessee Rural No 187.2 (171.4, 204.2) N/A 108 stable stable trend -0.7 (-1.5, 0.1)
Barnwell County, South Carolina Rural No 187.2 (164.7, 212.2) N/A 54 stable stable trend -0.5 (-1.1, 0.2)
Refugio County, Texas Rural No 187.1 (152.2, 229.2) N/A 21 stable stable trend -0.8 (-2.4, 0.8)
Pocahontas County, West Virginia Rural No 187.1 (154.9, 225.4) N/A 27 stable stable trend -0.3 (-2.3, 1.6)
King and Queen County, Virginia Urban No 187.0 (151.3, 230.3) N/A 21 stable stable trend -1.2 (-2.6, 0.1)
Somerset County, Maine Rural No 187.0 (173.4, 201.6) N/A 151 falling falling trend -0.7 (-1.3, -0.1)
Eastland County, Texas Rural No 187.0 (164.1, 212.6) N/A 52 stable stable trend -0.6 (-1.6, 0.3)
Jeff Davis County, Georgia Rural No 186.9 (159.3, 218.2) N/A 34 stable stable trend -1.2 (-2.6, 0.2)
Clarke County, Iowa Rural No 186.9 (154.9, 224.0) N/A 25 stable stable trend -0.1 (-2.2, 2.0)
Labette County, Kansas Rural No 186.8 (164.9, 211.2) N/A 56 stable stable trend -0.7 (-1.9, 0.4)
Tazewell County, Virginia Rural No 186.8 (171.5, 203.2) N/A 120 stable stable trend -0.2 (-1.0, 0.6)
Rowan County, Kentucky Rural No 186.8 (163.7, 212.2) N/A 49 falling falling trend -2.9 (-11.0, -0.8)
Wheeler County, Texas Rural No 186.7 (144.4, 239.3) N/A 14 stable stable trend 0.7 (-0.6, 2.1)
Clay County, Indiana Urban No 186.7 (166.8, 208.5) N/A 68 stable stable trend -0.9 (-1.9, 0.1)
Caldwell County, North Carolina Urban No 186.7 (175.6, 198.4) N/A 225 falling falling trend -0.7 (-1.2, -0.2)
Lincoln County, Mississippi Rural No 186.7 (168.8, 206.1) N/A 84 falling falling trend -0.9 (-1.7, -0.1)
Warren County, Mississippi Rural No 186.6 (170.6, 203.8) N/A 108 falling falling trend -0.9 (-1.5, -0.3)
Washburn County, Wisconsin Rural No 186.6 (163.8, 212.3) N/A 56 stable stable trend -0.6 (-1.6, 0.6)
Giles County, Virginia Urban No 186.5 (163.5, 212.4) N/A 50 stable stable trend -1.0 (-2.0, 0.0)
Calhoun County, Texas Rural No 186.5 (164.0, 211.6) N/A 52 stable stable trend 0.2 (-1.3, 1.8)
Ohio County, Kentucky Rural No 186.5 (165.6, 209.5) N/A 60 falling falling trend -1.0 (-1.8, -0.2)
Gilchrist County, Florida Urban No 186.5 (164.4, 211.1) N/A 54 stable stable trend -0.2 (-1.3, 1.1)
Butte County, Idaho Urban No 186.4 (129.2, 263.9) N/A 8 rising rising trend 5.1 (1.4, 12.5)
Crisp County, Georgia Rural No 186.4 (163.7, 211.7) N/A 52 stable stable trend 0.6 (-0.9, 6.4)
Lawrence County, Indiana Rural No 186.4 (171.6, 202.2) N/A 124 stable stable trend -0.5 (-1.1, 0.1)
Pettis County, Missouri Rural No 186.3 (170.3, 203.5) N/A 104 falling falling trend -0.8 (-1.4, -0.1)
Massac County, Illinois Urban No 186.2 (160.5, 215.5) N/A 41 stable stable trend -0.6 (-2.1, 0.8)
Wood County, Texas Rural No 186.2 (172.6, 200.9) N/A 157 stable stable trend 2.4 (-0.7, 11.0)
Charlotte County, Virginia Rural No 186.2 (158.0, 218.7) N/A 34 stable stable trend 0.1 (-1.1, 4.6)
Richmond County, Georgia Urban No 186.1 (178.0, 194.5) N/A 421 falling falling trend -1.1 (-1.4, -0.8)
Swisher County, Texas Rural No 186.1 (147.7, 232.1) N/A 17 stable stable trend 0.6 (-0.8, 1.9)
Logan County, Illinois Rural No 186.0 (167.4, 206.4) N/A 75 stable stable trend -0.3 (-1.1, 0.6)
Haywood County, Tennessee Rural No 186.0 (162.0, 212.8) N/A 47 stable stable trend -0.7 (-1.9, 0.4)
Bourbon County, Kentucky Urban No 186.0 (164.3, 210.0) N/A 55 falling falling trend -1.2 (-2.3, -0.1)
Barber County, Kansas Rural No 185.9 (139.5, 245.0) N/A 12 stable stable trend -1.3 (-3.2, 0.3)
Grainger County, Tennessee Urban No 185.9 (165.6, 208.4) N/A 67 falling falling trend -1.4 (-2.3, -0.4)
Iroquois County, Illinois Rural No 185.9 (167.6, 206.0) N/A 81 stable stable trend -0.2 (-0.8, 0.5)
Madison County, Texas Rural No 185.9 (156.4, 219.5) N/A 29 stable stable trend -0.4 (-1.7, 0.9)
Collingsworth County, Texas Rural No 185.8 (124.6, 268.8) N/A 6 stable stable trend -0.8 (-3.3, 1.3)
Forest County, Pennsylvania Rural No 185.8 (150.5, 241.9) N/A 21 stable stable trend 0.2 (-1.2, 1.7)
Dillingham Census Area, Alaska Rural No 185.8 (127.5, 261.0) N/A 8 stable stable trend -1.3 (-3.7, 1.3)
Dickinson County, Kansas Rural No 185.7 (163.1, 211.0) N/A 52 stable stable trend -0.2 (-1.3, 1.0)
Brunswick County, Virginia Rural No 185.7 (161.9, 212.6) N/A 47 stable stable trend 0.6 (-2.0, 9.5)
Breckinridge County, Kentucky Rural No 185.7 (164.0, 209.8) N/A 56 falling falling trend -1.4 (-2.4, -0.5)
Creek County, Oklahoma Urban No 185.7 (173.6, 198.4) N/A 185 falling falling trend -7.4 (-10.8, -4.2)
Bowie County, Texas Urban No 185.6 (174.6, 197.2) N/A 219 stable stable trend 0.1 (-0.9, 3.8)
Evangeline Parish, Louisiana Rural No 185.6 (166.7, 206.2) N/A 73 falling falling trend -1.1 (-1.9, -0.4)
Prentiss County, Mississippi Rural No 185.6 (165.0, 208.2) N/A 61 stable stable trend 0.3 (-0.7, 1.2)
Grant County, Kentucky Urban No 185.5 (162.4, 210.9) N/A 51 stable stable trend -0.9 (-1.9, 0.1)
Harrison County, Mississippi Urban No 185.4 (177.8, 193.3) N/A 468 falling falling trend -1.2 (-1.5, -0.8)
Hardin County, Kentucky Urban No 185.4 (174.7, 196.6) N/A 235 falling falling trend -0.9 (-1.3, -0.5)
Miller County, Arkansas Urban No 185.4 (169.3, 202.7) N/A 101 stable stable trend -0.4 (-1.1, 0.2)
Clark County, Arkansas Rural No 185.3 (162.1, 211.2) N/A 47 stable stable trend -0.1 (-1.0, 0.8)
Decatur County, Tennessee Rural No 185.3 (157.3, 217.5) N/A 34 stable stable trend -1.1 (-2.3, 0.1)
Hodgeman County, Kansas Rural No 185.3 (114.9, 288.2) N/A 5 stable stable trend 0.8 (-1.8, 3.7)
Douglas County, Missouri Rural No 185.1 (159.0, 215.3) N/A 38 stable stable trend -1.2 (-2.8, 0.3)
Nicholas County, Kentucky Rural No 185.1 (148.0, 229.2) N/A 18 falling falling trend -4.6 (-16.3, -1.4)
Wyoming County, Pennsylvania Urban No 185.0 (166.1, 205.8) N/A 75 stable stable trend 0.2 (-0.8, 1.3)
Bollinger County, Missouri Urban No 185.0 (155.9, 218.7) N/A 30 stable stable trend -0.3 (-1.3, 0.8)
Boyd County, Kentucky Urban No 185.0 (170.8, 200.3) N/A 130 falling falling trend -1.4 (-1.9, -0.9)
Motley County, Texas Rural No 185.0 (95.4, 332.8) N/A 3 stable stable trend 0.1 (-3.7, 3.6)
Lynchburg City, Virginia Urban No 184.9 (171.9, 198.7) N/A 157 stable stable trend 0.0 (-0.8, 3.1)
Buchanan County, Missouri Urban No 184.9 (173.3, 197.2) N/A 196 stable stable trend -0.7 (-1.5, 0.0)
Pendleton County, West Virginia Rural No 184.9 (149.9, 227.8) N/A 22 stable stable trend 1.0 (-1.1, 3.1)
Wabash County, Indiana Rural No 184.8 (167.8, 203.4) N/A 92 stable stable trend -0.1 (-0.6, 0.5)
Vigo County, Indiana Urban No 184.8 (174.4, 195.7) N/A 247 falling falling trend -0.9 (-1.5, -0.3)
Highland County, Ohio Rural No 184.8 (169.5, 201.3) N/A 112 stable stable trend -0.8 (-1.6, 0.0)
Van Buren County, Iowa Rural No 184.8 (149.9, 226.5) N/A 21 stable stable trend -0.2 (-2.4, 2.0)
Clay County, Illinois Rural No 184.7 (157.9, 215.3) N/A 36 stable stable trend -0.7 (-2.3, 0.8)
Cumberland County, Virginia Rural No 184.7 (153.7, 220.9) N/A 28 stable stable trend -1.1 (-2.3, 0.1)
Suwannee County, Florida Rural No 184.7 (170.4, 200.1) N/A 130 falling falling trend -0.9 (-1.6, -0.2)
Stephens County, Oklahoma Rural No 184.7 (169.6, 200.9) N/A 118 stable stable trend -0.5 (-1.1, 0.0)
Terrebonne Parish, Louisiana Urban No 184.6 (173.9, 195.9) N/A 233 falling falling trend -1.2 (-1.6, -0.8)
Orleans County, New York Urban No 184.5 (168.3, 202.1) N/A 102 stable stable trend -0.3 (-1.2, 0.6)
Early County, Georgia Rural No 184.5 (153.9, 219.9) N/A 27 stable stable trend -0.3 (-1.7, 1.0)
Greene County, Tennessee Rural No 184.5 (172.9, 196.7) N/A 202 falling falling trend -1.1 (-1.6, -0.6)
Dallas County, Missouri Urban No 184.4 (161.0, 210.7) N/A 47 stable stable trend -0.7 (-1.5, 0.1)
Jefferson County, Arkansas Rural No 184.4 (171.6, 198.1) N/A 161 falling falling trend -1.0 (-1.6, -0.4)
Ogemaw County, Michigan Rural No 184.4 (164.2, 207.0) N/A 70 falling falling trend -1.0 (-1.7, -0.2)
Eddy County, North Dakota Rural No 184.4 (124.1, 267.6) N/A 7 stable stable trend -0.2 (-2.3, 1.8)
Camp County, Texas Rural No 184.4 (155.2, 217.7) N/A 30 stable stable trend -0.8 (-2.1, 0.6)
Dade County, Georgia Urban No 184.3 (159.6, 212.2) N/A 42 falling falling trend -1.5 (-2.3, -0.6)
Upson County, Georgia Rural No 184.3 (165.2, 205.2) N/A 71 falling falling trend -1.0 (-1.9, -0.1)
Cleveland County, North Carolina Rural No 184.2 (173.8, 195.1) N/A 251 falling falling trend -0.6 (-1.0, -0.2)
Greenbrier County, West Virginia Rural No 184.2 (167.9, 201.9) N/A 102 stable stable trend -0.8 (-1.6, 0.0)
Piscataquis County, Maine Rural No 184.2 (162.4, 208.7) N/A 58 stable stable trend -0.8 (-1.7, 0.2)
Warren County, Illinois Rural No 184.1 (159.6, 211.8) N/A 43 stable stable trend -0.9 (-2.1, 0.4)
Orange County, Virginia Rural No 184.1 (167.9, 201.6) N/A 100 falling falling trend -1.1 (-1.8, -0.3)
Alfalfa County, Oklahoma Rural No 184.1 (144.7, 232.6) N/A 15 stable stable trend 1.0 (-1.0, 2.9)
Mercer County, West Virginia Rural No 184.1 (171.4, 197.5) N/A 169 stable stable trend -0.6 (-1.3, 0.0)
Kittson County, Minnesota Rural No 184.0 (140.8, 239.0) N/A 14 stable stable trend 0.5 (-1.5, 2.6)
Wayne County, West Virginia Urban No 184.0 (168.5, 200.6) N/A 111 stable stable trend 0.9 (-0.6, 4.0)
Phillips County, Kansas Rural No 183.9 (142.7, 235.2) N/A 15 stable stable trend 0.2 (-1.7, 1.9)
Franklin County, Georgia Rural No 183.9 (163.2, 206.7) N/A 61 stable stable trend -0.2 (-1.1, 0.8)
Southeast Fairbanks Census Area, Alaska Rural No 183.8 (136.6, 241.5) N/A 13 stable stable trend -0.6 (-2.3, 1.4)
Wilkinson County, Mississippi Rural No 183.7 (149.7, 224.0) N/A 22 falling falling trend -1.5 (-2.9, -0.2)
Surry County, North Carolina Rural No 183.7 (172.2, 195.9) N/A 199 falling falling trend -0.5 (-1.0, -0.1)
Bristol City, Virginia Urban No 183.7 (161.0, 209.2) N/A 50 stable stable trend -0.8 (-2.4, 0.6)
Jackson County, Alabama Rural No 183.7 (170.1, 198.2) N/A 144 falling falling trend -1.0 (-1.7, -0.4)
New Kent County, Virginia Urban No 183.7 (161.3, 208.5) N/A 56 stable stable trend -0.9 (-2.1, 0.6)
Lincoln County, Oklahoma Urban No 183.6 (166.5, 202.1) N/A 89 falling falling trend -0.9 (-1.6, -0.2)
Ringgold County, Iowa Rural No 183.6 (142.3, 235.2) N/A 14 stable stable trend -18.8 (-38.2, 0.7)
Meigs County, Ohio Rural No 183.5 (162.7, 206.6) N/A 60 falling falling trend -1.2 (-2.2, -0.3)
Calhoun County, Georgia Rural No 183.5 (141.1, 235.9) N/A 13 stable stable trend 1.9 (-2.1, 18.4)
Del Norte County, California Rural No 183.5 (164.2, 204.7) N/A 70 stable stable trend 1.8 (-1.4, 8.0)
Cherokee County, Alabama Rural No 183.5 (164.7, 204.2) N/A 76 stable stable trend -0.3 (-1.3, 0.6)
Scott County, Virginia Urban No 183.4 (163.8, 205.2) N/A 69 stable stable trend -0.7 (-1.9, 0.4)
Walker County, Alabama Urban No 183.4 (170.9, 196.7) N/A 169 falling falling trend -3.3 (-8.2, -1.4)
Baltimore City, Maryland Urban No 183.4 (178.6, 188.2) N/A 1,208 falling falling trend -1.7 (-2.0, -1.4)
Winn Parish, Louisiana Rural No 183.4 (156.4, 214.1) N/A 34 falling falling trend -1.6 (-3.0, -0.4)
Isabella County, Michigan Rural No 183.2 (168.2, 199.3) N/A 115 stable stable trend -0.8 (-1.9, 0.3)
Forrest County, Mississippi Urban No 183.2 (170.1, 197.1) N/A 150 falling falling trend -0.8 (-1.2, -0.3)
Chattooga County, Georgia Rural No 183.2 (163.2, 205.2) N/A 63 falling falling trend -0.7 (-1.2, -0.1)
Butts County, Georgia Urban No 183.2 (162.3, 206.2) N/A 58 stable stable trend -0.8 (-1.9, 0.5)
Crawford County, Ohio Rural No 183.2 (168.2, 199.4) N/A 116 stable stable trend -0.5 (-1.1, 0.1)
Salem City, Virginia Urban No 183.2 (163.4, 204.9) N/A 66 stable stable trend -0.6 (-1.7, 0.4)
Gallia County, Ohio Rural No 183.0 (164.6, 203.1) N/A 76 falling falling trend -4.0 (-11.4, -0.4)
Monroe County, Mississippi Rural No 183.0 (165.9, 201.5) N/A 89 stable stable trend -0.4 (-1.3, 0.5)
Etowah County, Alabama Urban No 183.0 (173.0, 193.4) N/A 266 falling falling trend -0.9 (-1.3, -0.5)
Clarendon County, South Carolina Rural No 182.9 (166.0, 201.4) N/A 95 falling falling trend -1.2 (-2.0, -0.5)
Edwards County, Illinois Rural No 182.9 (145.3, 228.5) N/A 18 stable stable trend -1.4 (-3.3, 0.3)
Jefferson County, West Virginia Urban No 182.9 (168.9, 197.7) N/A 136 stable stable trend -1.0 (-2.0, 0.1)
Robertson County, Tennessee Urban No 182.8 (169.7, 196.7) N/A 156 falling falling trend -1.0 (-1.6, -0.3)
San Jacinto County, Texas Urban No 182.8 (164.3, 203.0) N/A 80 stable stable trend -0.1 (-1.1, 1.0)
Jefferson County, Ohio Urban No 182.8 (170.7, 195.6) N/A 186 falling falling trend -1.1 (-1.5, -0.7)
Bath County, Virginia Rural No 182.7 (141.6, 235.8) N/A 15 stable stable trend -0.8 (-3.1, 1.5)
La Salle County, Illinois Rural No 182.7 (173.1, 192.7) N/A 289 falling falling trend -0.8 (-1.2, -0.4)
Saline County, Illinois Rural No 182.6 (163.2, 204.0) N/A 67 falling falling trend -1.1 (-2.2, -0.1)
Gladwin County, Michigan Rural No 182.5 (164.3, 202.6) N/A 85 stable stable trend -0.3 (-1.5, 1.0)
Lafayette County, Florida Rural No 182.5 (147.6, 224.0) N/A 20 stable stable trend -0.8 (-2.5, 1.0)
Staunton City, Virginia Urban No 182.4 (163.4, 203.3) N/A 70 stable stable trend -0.3 (-1.3, 0.8)
Martin County, North Carolina Rural No 182.4 (162.6, 204.4) N/A 68 rising rising trend 9.4 (5.0, 15.0)
Chemung County, New York Urban No 182.4 (171.4, 193.9) N/A 219 stable stable trend 0.3 (-2.3, 4.3)
Little River County, Arkansas Urban No 182.4 (154.4, 214.5) N/A 33 stable stable trend -1.1 (-2.5, 0.2)
Knox County, Indiana Rural No 182.4 (165.5, 200.6) N/A 90 stable stable trend -0.4 (-1.0, 0.3)
Ford County, Illinois Urban No 182.3 (156.2, 212.1) N/A 36 stable stable trend -0.1 (-1.0, 0.9)
La Salle Parish, Louisiana Rural No 182.3 (154.9, 213.5) N/A 32 stable stable trend -1.0 (-2.2, 0.2)
Scott County, Tennessee Rural No 182.3 (160.4, 206.6) N/A 52 falling falling trend -6.9 (-17.3, -1.6)
Paulding County, Ohio Rural No 182.3 (159.3, 208.0) N/A 47 stable stable trend -1.0 (-2.2, 0.1)
Linn County, Kansas Urban No 182.2 (152.4, 217.0) N/A 28 stable stable trend 0.0 (-1.7, 1.6)
Rush County, Kansas Rural No 182.2 (131.0, 250.8) N/A 10 stable stable trend -0.5 (-3.2, 1.9)
Ritchie County, West Virginia Rural No 182.2 (150.2, 220.1) N/A 25 stable stable trend -0.5 (-1.6, 0.6)
Warren County, Georgia Rural No 182.1 (143.7, 229.8) N/A 16 stable stable trend -1.5 (-3.7, 0.7)
Humphreys County, Tennessee Rural No 182.1 (160.1, 206.6) N/A 52 falling falling trend -1.4 (-2.3, -0.4)
St. Mary Parish, Louisiana Rural No 182.1 (167.4, 197.8) N/A 120 stable stable trend -0.7 (-1.4, 0.1)
Pointe Coupee Parish, Louisiana Urban No 182.0 (160.9, 205.5) N/A 59 falling falling trend -1.4 (-2.7, -0.2)
Curry County, Oregon Rural No 182.0 (164.8, 201.2) N/A 99 falling falling trend -1.1 (-1.7, -0.4)
Wapello County, Iowa Rural No 181.9 (164.8, 200.3) N/A 87 stable stable trend -0.7 (-1.4, 0.0)
Calhoun County, Michigan Urban No 181.9 (172.9, 191.2) N/A 326 falling falling trend -0.7 (-1.1, -0.3)
Trigg County, Kentucky Urban No 181.8 (157.2, 209.8) N/A 43 falling falling trend -1.4 (-2.5, -0.3)
Huerfano County, Colorado Rural No 181.7 (147.8, 223.3) N/A 25 stable stable trend -1.1 (-2.7, 0.5)
Wood County, West Virginia Urban No 181.7 (171.1, 193.0) N/A 229 stable stable trend -0.3 (-0.8, 0.3)
Greene County, Alabama Urban No 181.7 (146.6, 223.6) N/A 22 stable stable trend 1.7 (-0.8, 11.6)
Coryell County, Texas Urban No 181.7 (167.7, 196.6) N/A 129 falling falling trend -0.8 (-1.5, -0.1)
Morgan County, Indiana Urban No 181.7 (169.4, 194.7) N/A 173 falling falling trend -0.8 (-1.5, -0.1)
Howard County, Indiana Urban No 181.7 (170.7, 193.3) N/A 214 stable stable trend 0.6 (-0.5, 4.2)
McMinn County, Tennessee Rural No 181.6 (168.3, 195.9) N/A 145 falling falling trend -0.9 (-1.6, -0.2)
Klamath County, Oregon Rural No 181.6 (169.7, 194.2) N/A 188 stable stable trend 0.4 (-0.5, 3.3)
Muskingum County, Ohio Rural No 181.6 (170.7, 193.1) N/A 215 falling falling trend -1.1 (-1.6, -0.6)
Cannon County, Tennessee Urban No 181.6 (154.9, 211.9) N/A 35 stable stable trend -0.3 (-1.5, 0.9)
Calhoun County, Illinois Urban No 181.5 (140.7, 233.5) N/A 14 stable stable trend -1.6 (-3.2, 0.0)
Madison County, Mississippi Urban No 181.5 (170.7, 192.8) N/A 223 falling falling trend -5.4 (-9.6, -4.7)
Garrard County, Kentucky Rural No 181.5 (157.5, 208.4) N/A 44 stable stable trend -0.2 (-1.3, 1.1)
Ben Hill County, Georgia Rural No 181.3 (156.8, 208.9) N/A 41 falling falling trend -1.8 (-2.8, -0.8)
Perry County, Pennsylvania Urban No 181.3 (166.4, 197.2) N/A 118 falling falling trend -0.9 (-1.5, -0.3)
Benton County, Indiana Urban No 181.2 (148.3, 220.0) N/A 22 stable stable trend -0.3 (-1.5, 0.8)
Taylor County, West Virginia Rural No 181.2 (157.8, 207.5) N/A 45 stable stable trend -0.2 (-1.0, 1.6)
Chilton County, Alabama Urban No 181.1 (165.5, 197.9) N/A 104 falling falling trend -1.0 (-2.0, -0.1)
Tucker County, West Virginia Rural No 181.1 (147.6, 222.1) N/A 23 stable stable trend -0.5 (-2.1, 1.1)
Unicoi County, Tennessee Urban No 181.1 (159.4, 205.5) N/A 53 falling falling trend -0.8 (-1.7, -0.1)
Jersey County, Illinois Urban No 181.1 (160.5, 203.9) N/A 59 stable stable trend -0.2 (-1.0, 0.7)
Van Buren County, Arkansas Rural No 181.0 (158.4, 206.6) N/A 52 stable stable trend -0.9 (-1.9, 0.1)
Allen County, Kentucky Urban No 181.0 (159.0, 205.4) N/A 52 stable stable trend -1.2 (-2.5, 0.1)
Richardson County, Nebraska Rural No 181.0 (149.4, 218.6) N/A 26 falling falling trend -1.3 (-2.6, -0.1)
Coos County, Oregon Rural No 180.9 (169.5, 193.1) N/A 214 falling falling trend -1.0 (-1.4, -0.5)
Jim Wells County, Texas Rural No 180.9 (163.6, 199.6) N/A 83 stable stable trend 0.7 (-0.6, 5.5)
Ouachita County, Arkansas Rural No 180.9 (160.2, 203.7) N/A 61 stable stable trend -0.7 (-2.0, 0.4)
Jack County, Texas Rural No 180.9 (146.5, 221.4) N/A 20 stable stable trend -1.1 (-2.5, 0.2)
Holmes County, Florida Rural No 180.9 (159.2, 205.0) N/A 53 stable stable trend -0.6 (-1.8, 0.7)
Bracken County, Kentucky Urban No 180.8 (145.7, 222.4) N/A 19 stable stable trend -1.3 (-3.0, 0.4)
Muhlenberg County, Kentucky Rural No 180.8 (163.2, 200.0) N/A 81 falling falling trend -1.4 (-2.3, -0.5)
Lancaster County, Virginia Rural No 180.8 (154.1, 212.3) N/A 48 stable stable trend -1.2 (-2.4, 0.0)
Hot Springs County, Wyoming Rural No 180.7 (142.7, 228.9) N/A 17 stable stable trend -0.7 (-2.2, 0.8)
Covington County, Alabama Rural No 180.7 (165.3, 197.3) N/A 108 falling falling trend -1.1 (-2.0, -0.4)
Randolph County, West Virginia Rural No 180.6 (162.7, 200.2) N/A 79 stable stable trend 0.8 (-3.4, 8.2)
Bertie County, North Carolina Rural No 180.6 (157.9, 206.2) N/A 52 falling falling trend -1.7 (-2.7, -0.7)
Buckingham County, Virginia Rural No 180.6 (157.5, 206.6) N/A 46 falling falling trend -1.6 (-2.8, -0.4)
West Carroll Parish, Louisiana Rural No 180.6 (149.7, 216.7) N/A 26 stable stable trend -0.5 (-2.0, 0.8)
Mississippi County, Missouri Rural No 180.6 (152.8, 212.4) N/A 31 stable stable trend -1.2 (-2.7, 0.2)
Drew County, Arkansas Rural No 180.5 (155.9, 208.2) N/A 41 stable stable trend -0.6 (-1.6, 0.3)
White County, Indiana Rural No 180.5 (161.1, 201.9) N/A 67 stable stable trend -0.9 (-1.9, 0.0)
Marion County, Missouri Rural No 180.5 (161.5, 201.2) N/A 69 falling falling trend -1.0 (-2.1, -0.1)
Crane County, Texas Rural No 180.5 (128.2, 246.6) N/A 8 stable stable trend -0.6 (-2.7, 1.6)
Hillsdale County, Michigan Rural No 180.4 (166.0, 195.9) N/A 123 stable stable trend -0.3 (-0.9, 0.4)
Carroll County, Mississippi Rural No 180.4 (150.9, 214.9) N/A 29 stable stable trend -0.9 (-2.1, 0.3)
Wrangell Borough, Alaska Rural No 180.4 (124.0, 261.3) N/A 7 stable stable trend -0.7 (-5.5, 4.2)
Tillman County, Oklahoma Rural No 180.3 (144.9, 222.9) N/A 19 stable stable trend 0.9 (-1.1, 5.3)
Clark County, Kentucky Urban No 180.3 (163.6, 198.4) N/A 89 stable stable trend -0.6 (-1.5, 0.3)
Union County, Illinois Rural No 180.3 (157.7, 205.7) N/A 49 stable stable trend -0.7 (-1.7, 0.3)
Emmet County, Iowa Rural No 180.3 (149.4, 216.4) N/A 27 stable stable trend -0.1 (-1.4, 1.2)
Lincoln County, Tennessee Rural No 180.3 (163.7, 198.2) N/A 92 falling falling trend -1.1 (-2.0, -0.3)
Atoka County, Oklahoma Rural No 180.3 (154.2, 209.9) N/A 35 stable stable trend 0.6 (-0.6, 1.9)
Henderson County, Kentucky Rural No 180.3 (165.0, 196.7) N/A 109 stable stable trend -0.6 (-1.2, 0.1)
Dewey County, Oklahoma Rural No 180.2 (134.7, 237.4) N/A 11 stable stable trend 0.5 (-2.8, 8.2)
Minnehaha County, South Dakota Urban No 180.2 (171.6, 189.1) N/A 357 falling falling trend -0.5 (-0.8, -0.1)
Jefferson County, Montana Urban No 180.1 (151.7, 212.8) N/A 34 stable stable trend -1.3 (-2.5, 0.1)
Madison County, Kentucky Rural No 180.1 (168.3, 192.4) N/A 183 falling falling trend -1.1 (-2.2, -0.4)
Goshen County, Wyoming Rural No 180.0 (154.1, 209.7) N/A 37 stable stable trend 0.8 (-0.6, 2.4)
North Slope Borough, Alaska Rural No 180.0 (128.5, 243.2) N/A 11 stable stable trend -1.5 (-5.2, 2.8)
Elliott County, Kentucky Rural No 180.0 (146.4, 220.3) N/A 20 falling falling trend -2.9 (-4.7, -1.1)
Huntington County, Indiana Rural No 179.9 (163.3, 197.8) N/A 91 stable stable trend -0.5 (-1.3, 0.2)
Williamsburg County, South Carolina Rural No 179.9 (162.6, 198.8) N/A 85 falling falling trend -2.1 (-8.0, -1.1)
Bryan County, Oklahoma Rural No 179.9 (164.7, 196.2) N/A 108 falling falling trend -0.9 (-1.5, -0.2)
Marion County, Alabama Rural No 179.9 (162.7, 198.7) N/A 83 stable stable trend -0.7 (-1.6, 0.1)
Hamilton County, Kansas Rural No 179.9 (111.1, 275.3) N/A 5 stable stable trend -0.4 (-4.2, 2.9)
Norfolk City, Virginia Urban No 179.8 (171.8, 188.1) N/A 408 falling falling trend -1.4 (-1.8, -1.0)
Cloud County, Kansas Rural No 179.8 (147.3, 217.9) N/A 24 stable stable trend 0.4 (-1.5, 2.3)
Monroe County, Tennessee Rural No 179.8 (165.5, 195.1) N/A 129 falling falling trend -1.0 (-1.8, -0.2)
Morgan County, Missouri Rural No 179.8 (160.0, 201.7) N/A 65 stable stable trend -0.8 (-1.8, 0.1)
Leake County, Mississippi Rural No 179.8 (157.6, 204.4) N/A 50 falling falling trend -2.8 (-8.3, -1.6)
Cabell County, West Virginia Urban No 179.7 (169.3, 190.7) N/A 234 falling falling trend -0.9 (-1.3, -0.6)
Barry County, Missouri Rural No 179.7 (163.6, 197.2) N/A 97 falling falling trend -0.7 (-1.3, -0.1)
Grayson County, Texas Urban No 179.7 (170.9, 188.9) N/A 327 falling falling trend -0.7 (-1.2, -0.2)
Osceola County, Michigan Rural No 179.7 (159.8, 201.7) N/A 64 falling falling trend -0.7 (-1.3, -0.1)
Alpena County, Michigan Rural No 179.6 (162.8, 198.1) N/A 91 stable stable trend -0.4 (-1.0, 0.3)
Morehouse Parish, Louisiana Urban No 179.6 (159.8, 201.4) N/A 63 falling falling trend -1.1 (-1.9, -0.3)
Crawford County, Arkansas Urban No 179.6 (166.5, 193.6) N/A 144 falling falling trend -0.9 (-1.3, -0.3)
Bryan County, Georgia Urban No 179.6 (160.7, 199.9) N/A 71 falling falling trend -1.3 (-2.4, -0.1)
Marion County, Mississippi Rural No 179.5 (159.3, 201.8) N/A 60 falling falling trend -1.4 (-2.3, -0.6)
Stone County, Mississippi Urban No 179.5 (154.3, 207.8) N/A 40 falling falling trend -1.9 (-2.9, -0.7)
Larue County, Kentucky Urban No 179.5 (152.6, 209.9) N/A 34 stable stable trend -0.7 (-2.1, 0.5)
Ottawa County, Ohio Urban No 179.4 (165.2, 194.7) N/A 131 falling falling trend -0.9 (-2.0, -0.5)
Vermilion Parish, Louisiana Urban No 179.4 (165.3, 194.3) N/A 126 stable stable trend 1.2 (-0.6, 5.6)
Warren County, Virginia Urban No 179.3 (163.1, 196.8) N/A 96 stable stable trend -0.7 (-1.4, 0.0)
Franklin County, Alabama Rural No 179.3 (161.2, 199.1) N/A 73 falling falling trend -1.4 (-2.3, -0.5)
Caroline County, Maryland Rural No 179.3 (161.6, 198.5) N/A 79 falling falling trend -1.5 (-2.2, -0.9)
Morgan County, Ohio Rural No 179.3 (154.4, 207.7) N/A 40 stable stable trend 0.0 (-1.3, 3.9)
Harnett County, North Carolina Rural No 179.3 (169.3, 189.7) N/A 253 falling falling trend -1.0 (-1.4, -0.5)
Clarion County, Pennsylvania Rural No 179.3 (163.2, 196.7) N/A 97 stable stable trend -0.5 (-1.3, 0.3)
Scott County, Mississippi Urban No 179.2 (159.0, 201.4) N/A 59 stable stable trend -0.5 (-1.8, 0.9)
Lawrence County, Alabama Urban No 179.2 (162.1, 197.9) N/A 84 stable stable trend -0.8 (-9.3, 4.9)
Darlington County, South Carolina Urban No 179.2 (166.3, 192.9) N/A 155 falling falling trend -1.0 (-1.5, -0.6)
Langlade County, Wisconsin Rural No 179.2 (159.0, 201.7) N/A 63 stable stable trend -0.8 (-2.2, 0.6)
Madison County, Georgia Urban No 179.1 (160.5, 199.5) N/A 71 stable stable trend -1.0 (-2.2, 0.3)
Sullivan County, Tennessee Urban No 179.1 (171.5, 187.0) N/A 447 falling falling trend -1.0 (-1.3, -0.7)
Lincoln County, Arkansas Rural No 179.1 (150.1, 212.4) N/A 27 stable stable trend 0.2 (-1.1, 1.4)
Red River Parish, Louisiana Rural No 179.1 (145.1, 219.7) N/A 20 stable stable trend -0.2 (-2.3, 1.8)
Pike County, Arkansas Rural No 179.1 (149.2, 213.8) N/A 27 stable stable trend -1.2 (-2.6, 0.2)
Greenup County, Kentucky Urban No 179.1 (163.3, 196.2) N/A 99 falling falling trend -1.5 (-2.5, -0.6)
Lee County, Georgia Urban No 179.1 (158.3, 201.7) N/A 59 stable stable trend -0.4 (-1.3, 0.6)
Washington County, Georgia Rural No 179.0 (156.4, 204.3) N/A 48 falling falling trend -1.4 (-2.5, -0.3)
Hale County, Alabama Urban No 179.0 (153.4, 208.1) N/A 38 falling falling trend -1.7 (-3.1, -0.5)
Sabine Parish, Louisiana Rural No 179.0 (158.4, 201.8) N/A 59 stable stable trend -0.8 (-1.9, 0.1)
Coshocton County, Ohio Rural No 179.0 (162.8, 196.6) N/A 94 stable stable trend -0.7 (-1.5, 0.0)
Rusk County, Texas Urban No 179.0 (164.6, 194.4) N/A 119 stable stable trend 1.5 (-1.1, 6.6)
Marion County, Kentucky Rural No 179.0 (155.9, 204.7) N/A 45 stable stable trend -1.2 (-2.5, 0.1)
Cleveland County, Arkansas Rural No 179.0 (146.0, 218.4) N/A 21 stable stable trend -0.5 (-2.9, 1.9)
Barbour County, Alabama Rural No 178.9 (159.3, 200.4) N/A 64 stable stable trend -0.5 (-7.7, 6.0)
Wythe County, Virginia Rural No 178.9 (161.0, 198.4) N/A 78 stable stable trend -0.7 (-1.6, 0.1)
Lincoln County, Missouri Urban No 178.8 (164.3, 194.3) N/A 120 stable stable trend -0.8 (-1.7, 0.1)
Garza County, Texas Urban No 178.8 (130.3, 239.7) N/A 9 stable stable trend -0.8 (-2.8, 1.2)
Daviess County, Kentucky Urban No 178.8 (168.5, 189.6) N/A 235 stable stable trend 5.4 (-0.9, 9.0)
Knox County, Illinois Rural No 178.7 (165.3, 193.1) N/A 140 stable stable trend -0.6 (-1.2, 0.0)
Noxubee County, Mississippi Rural No 178.7 (146.0, 216.8) N/A 23 stable stable trend 0.3 (-1.2, 1.8)
Vernon Parish, Louisiana Rural No 178.7 (162.1, 196.5) N/A 88 stable stable trend -0.9 (-2.1, 0.3)
Dinwiddie County, Virginia Urban No 178.5 (159.7, 199.2) N/A 70 falling falling trend -1.8 (-2.6, -1.0)
Uvalde County, Texas Rural No 178.5 (157.6, 201.6) N/A 54 stable stable trend -0.1 (-1.5, 1.3)
Miller County, Georgia Rural No 178.5 (140.4, 225.0) N/A 16 stable stable trend -1.5 (-3.3, 0.2)
Union County, Indiana Rural No 178.5 (142.2, 222.2) N/A 18 stable stable trend -1.0 (-2.5, 0.6)
Ross County, Ohio Rural No 178.5 (166.7, 190.9) N/A 180 falling falling trend -1.1 (-1.8, -0.5)
Fannin County, Texas Rural No 178.5 (161.9, 196.4) N/A 88 stable stable trend -0.5 (-1.4, 0.4)
Clinton County, Ohio Rural No 178.4 (162.8, 195.3) N/A 101 falling falling trend -2.2 (-6.9, -1.2)
Jackson County, Mississippi Urban No 178.4 (169.6, 187.7) N/A 320 falling falling trend -1.0 (-1.4, -0.6)
Claiborne County, Mississippi Rural No 178.4 (143.6, 219.6) N/A 20 stable stable trend -0.4 (-2.2, 1.4)
Rains County, Texas Rural No 178.4 (152.6, 208.0) N/A 38 falling falling trend -1.4 (-2.7, -0.1)
Schuylkill County, Pennsylvania Rural No 178.3 (170.4, 186.7) N/A 393 falling falling trend -2.5 (-4.2, -1.7)
Wayne County, Kentucky Rural No 178.3 (157.0, 202.2) N/A 54 stable stable trend -0.9 (-1.7, 0.0)
Liberty County, Georgia Urban No 178.3 (161.4, 196.5) N/A 90 stable stable trend 4.4 (-0.7, 13.2)
Edmonson County, Kentucky Urban No 178.2 (151.7, 208.8) N/A 34 stable stable trend -0.8 (-1.6, 0.1)
Hickman County, Kentucky Rural No 178.2 (139.2, 227.8) N/A 15 stable stable trend 0.5 (-1.4, 2.7)
Escambia County, Florida Urban No 178.2 (172.4, 184.2) N/A 746 falling falling trend -1.0 (-1.2, -0.7)
Marion County, Tennessee Urban No 178.2 (160.2, 197.9) N/A 76 falling falling trend -1.8 (-3.1, -0.7)
Matagorda County, Texas Rural No 178.2 (161.1, 196.7) N/A 84 stable stable trend -1.0 (-2.3, 0.3)
Greene County, Iowa Rural No 178.2 (147.5, 214.3) N/A 26 stable stable trend 0.0 (-1.4, 1.3)
Jackson County, Tennessee Rural No 178.1 (151.8, 208.6) N/A 36 stable stable trend -0.9 (-2.4, 0.6)
Chariton County, Missouri Rural No 178.1 (144.5, 218.3) N/A 23 stable stable trend -0.4 (-2.0, 1.0)
Natchitoches Parish, Louisiana Rural No 178.1 (160.5, 197.1) N/A 80 falling falling trend -0.7 (-1.4, -0.1)
Pike County, Alabama Rural No 178.0 (158.9, 198.9) N/A 66 stable stable trend -0.4 (-1.3, 0.5)
DeSoto County, Mississippi Urban No 178.0 (169.4, 186.9) N/A 340 falling falling trend -1.1 (-1.5, -0.6)
Vernon County, Missouri Rural No 178.0 (156.1, 202.3) N/A 51 stable stable trend -0.8 (-1.7, 0.1)
Orange County, Texas Urban No 177.9 (166.3, 190.1) N/A 184 falling falling trend -1.2 (-1.8, -0.6)
Morgan County, Illinois Rural No 177.9 (161.2, 196.0) N/A 88 falling falling trend -0.9 (-1.5, -0.3)
Douglas County, Oregon Rural No 177.8 (169.2, 186.8) N/A 356 falling falling trend -4.0 (-7.1, -0.5)
Carroll County, Illinois Rural No 177.8 (155.2, 203.3) N/A 48 falling falling trend -1.1 (-2.0, -0.2)
Josephine County, Oregon Urban No 177.7 (168.2, 187.8) N/A 289 falling falling trend -0.9 (-1.4, -0.5)
Grays Harbor County, Washington Rural No 177.6 (166.6, 189.3) N/A 213 falling falling trend -1.4 (-1.9, -0.9)
Maries County, Missouri Rural No 177.6 (146.8, 214.1) N/A 24 stable stable trend -1.5 (-3.2, 0.2)
Crawford County, Illinois Rural No 177.6 (155.6, 202.2) N/A 49 stable stable trend -0.4 (-1.0, 0.3)
St. Francis County, Arkansas Rural No 177.6 (156.0, 201.5) N/A 51 falling falling trend -1.9 (-2.7, -1.2)
Payne County, Oklahoma Rural No 177.5 (164.3, 191.5) N/A 139 stable stable trend -0.4 (-1.2, 0.3)
Adams County, Wisconsin Rural No 177.5 (158.1, 199.3) N/A 75 stable stable trend -1.0 (-2.0, 0.0)
Brooks County, Texas Rural No 177.5 (138.8, 224.0) N/A 15 stable stable trend 1.1 (-0.4, 2.7)
McLean County, Kentucky Urban No 177.5 (146.1, 214.4) N/A 24 falling falling trend -1.3 (-2.7, -0.1)
Lawrence County, Tennessee Rural No 177.5 (162.2, 193.8) N/A 104 falling falling trend -0.9 (-1.5, -0.3)
Hunt County, Texas Urban No 177.4 (166.9, 188.5) N/A 222 falling falling trend -1.6 (-4.4, -0.8)
Mason County, Michigan Rural No 177.4 (160.0, 196.5) N/A 87 stable stable trend -0.2 (-1.6, 5.1)
Clinton County, Missouri Urban No 177.4 (156.3, 200.9) N/A 53 stable stable trend -0.7 (-1.4, 0.2)
Pickaway County, Ohio Urban No 177.4 (163.7, 191.9) N/A 129 falling falling trend -0.8 (-1.5, -0.2)
Washington County, Ohio Rural No 177.3 (165.0, 190.4) N/A 165 falling falling trend -0.9 (-1.4, -0.5)
Dade County, Missouri Rural No 177.3 (145.4, 215.4) N/A 23 stable stable trend -1.3 (-2.6, 0.0)
Richland Parish, Louisiana Urban No 177.3 (154.6, 202.5) N/A 47 stable stable trend 0.9 (-5.2, 9.1)
Mitchell County, Texas Rural No 177.3 (141.3, 219.8) N/A 17 stable stable trend -0.3 (-2.5, 1.6)
Coffee County, Tennessee Rural No 177.3 (163.9, 191.5) N/A 136 falling falling trend -1.2 (-1.9, -0.6)
Hocking County, Ohio Urban No 177.3 (158.7, 197.5) N/A 72 falling falling trend -1.2 (-2.0, -0.5)
Schoolcraft County, Michigan Rural No 177.2 (147.6, 212.9) N/A 28 stable stable trend -0.7 (-1.6, 0.3)
Madison County, Arkansas Urban No 177.2 (153.7, 203.7) N/A 43 falling falling trend -0.8 (-1.4, -0.2)
Pawnee County, Oklahoma Urban No 177.2 (153.1, 204.5) N/A 40 falling falling trend -1.3 (-2.3, -0.4)
Murray County, Oklahoma Rural No 177.2 (151.8, 206.1) N/A 37 stable stable trend -1.0 (-2.6, 0.4)
Assumption Parish, Louisiana Urban No 177.2 (155.7, 201.2) N/A 52 falling falling trend -1.1 (-2.0, -0.3)
Tippah County, Mississippi Rural No 177.2 (155.2, 201.6) N/A 49 stable stable trend -0.2 (-1.4, 1.0)
Dearborn County, Indiana Urban No 177.2 (163.0, 192.4) N/A 122 falling falling trend -1.2 (-2.0, -0.3)
Mercer County, Illinois Urban No 177.2 (153.9, 203.5) N/A 44 stable stable trend 0.2 (-0.8, 1.2)
Lincoln County, Oregon Rural No 177.2 (164.4, 190.9) N/A 172 falling falling trend -0.9 (-1.5, -0.3)
Oldham County, Texas Urban No 177.2 (101.7, 289.3) N/A 3
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Dougherty County, Georgia Urban No 177.1 (165.5, 189.3) N/A 183 falling falling trend -1.1 (-1.8, -0.5)
Emporia City, Virginia Rural No 177.1 (136.0, 227.5) N/A 14 falling falling trend -2.0 (-3.9, -0.3)
Shenandoah County, Virginia Rural No 177.1 (162.8, 192.3) N/A 122 stable stable trend -0.5 (-1.2, 0.1)
Grundy County, Illinois Urban No 177.1 (162.0, 193.2) N/A 105 falling falling trend -1.2 (-1.8, -0.6)
Gordon County, Georgia Rural No 177.0 (163.1, 192.0) N/A 124 falling falling trend -0.8 (-1.4, -0.2)
Tattnall County, Georgia Rural No 177.0 (155.5, 200.8) N/A 51 falling falling trend -1.9 (-2.7, -1.0)
Clearwater County, Minnesota Rural No 177.0 (144.7, 215.0) N/A 23 stable stable trend -0.1 (-1.4, 1.2)
Calhoun County, Alabama Urban No 176.8 (167.3, 186.9) N/A 270 falling falling trend -1.2 (-1.7, -0.6)
Wilson County, Kansas Rural No 176.8 (145.8, 213.5) N/A 24 stable stable trend 0.3 (-1.1, 1.6)
Mercer County, Missouri Rural No 176.8 (129.6, 238.1) N/A 10 stable stable trend -0.1 (-2.0, 1.8)
Pike County, Mississippi Rural No 176.7 (160.3, 194.4) N/A 90 stable stable trend -1.0 (-2.3, 0.2)
Madison County, Indiana Urban No 176.7 (167.9, 185.9) N/A 313 falling falling trend -0.8 (-1.2, -0.3)
Sumter County, South Carolina Urban No 176.7 (166.5, 187.3) N/A 237 falling falling trend -1.4 (-1.9, -0.8)
Grant County, Minnesota Rural No 176.7 (139.4, 222.1) N/A 17 stable stable trend 0.5 (-0.9, 1.9)
Chesterfield County, South Carolina Rural No 176.7 (161.5, 193.0) N/A 106 falling falling trend -0.9 (-1.5, -0.3)
Pulaski County, Missouri Rural No 176.6 (158.3, 196.3) N/A 72 falling falling trend -1.3 (-2.3, -0.3)
Page County, Virginia Rural No 176.5 (157.8, 197.3) N/A 68 stable stable trend -0.3 (-1.3, 0.8)
Hampshire County, West Virginia Urban No 176.5 (157.5, 197.6) N/A 68 stable stable trend -1.4 (-7.5, 0.3)
Itawamba County, Mississippi Rural No 176.4 (156.0, 199.0) N/A 56 stable stable trend 4.3 (-1.6, 9.0)
Washington County, Indiana Urban No 176.4 (157.2, 197.4) N/A 66 falling falling trend -1.1 (-1.7, -0.4)
Winston County, Mississippi Rural No 176.4 (153.2, 202.4) N/A 45 stable stable trend -1.1 (-2.3, 0.0)
Pickens County, Alabama Urban No 176.3 (154.4, 200.9) N/A 49 falling falling trend -2.1 (-3.1, -1.1)
Linn County, Oregon Urban No 176.3 (167.4, 185.6) N/A 311 falling falling trend -0.8 (-1.2, -0.3)
Perry County, Arkansas Urban No 176.3 (147.3, 210.1) N/A 28 stable stable trend -1.1 (-2.2, 0.0)
Baker County, Florida Urban No 176.2 (155.7, 198.8) N/A 56 falling falling trend -1.4 (-2.4, -0.3)
Ashley County, Arkansas Rural No 176.1 (154.7, 200.1) N/A 52 stable stable trend -0.8 (-1.8, 0.1)
Mahaska County, Iowa Rural No 176.1 (155.3, 199.3) N/A 55 stable stable trend -0.2 (-0.8, 0.5)
Mills County, Texas Rural No 176.0 (135.6, 227.7) N/A 15 stable stable trend -1.3 (-3.4, 0.6)
Reeves County, Texas Rural No 175.9 (144.1, 212.5) N/A 22 stable stable trend -0.5 (-1.9, 0.8)
Jackson County, Kentucky Rural No 175.9 (148.4, 207.4) N/A 31 stable stable trend -5.2 (-11.0, 2.9)
Crawford County, Wisconsin Rural No 175.8 (153.3, 201.4) N/A 48 falling falling trend -1.0 (-1.9, -0.1)
Ware County, Georgia Rural No 175.8 (158.9, 194.2) N/A 82 stable stable trend -0.8 (-1.7, 0.0)
Pocahontas County, Iowa Rural No 175.8 (142.9, 215.5) N/A 22 stable stable trend -0.6 (-2.0, 0.8)
Hoke County, North Carolina Urban No 175.8 (158.3, 194.7) N/A 82 falling falling trend -1.7 (-2.8, -0.5)
Jasper County, Missouri Urban No 175.8 (166.2, 185.8) N/A 260 stable stable trend -0.4 (-1.0, 0.1)
Lee County, South Carolina Rural No 175.8 (151.5, 203.2) N/A 41 falling falling trend -3.5 (-10.9, -1.8)
Barrow County, Georgia Urban No 175.8 (163.1, 189.2) N/A 153 stable stable trend -0.6 (-1.4, 0.3)
Grundy County, Missouri Rural No 175.8 (146.2, 210.2) N/A 27 stable stable trend -0.9 (-2.7, 0.7)
Sumner County, Kansas Urban No 175.7 (155.5, 198.2) N/A 58 falling falling trend -0.9 (-1.8, -0.1)
Rutherford County, North Carolina Rural No 175.7 (164.0, 188.2) N/A 178 falling falling trend -0.7 (-1.3, -0.2)
Talladega County, Alabama Rural No 175.7 (164.6, 187.4) N/A 198 falling falling trend -0.9 (-1.3, -0.5)
Petersburg Census Area, Alaska Rural No 175.7 (124.5, 243.1) N/A 8 stable stable trend 2.7 (-10.3, 20.4)
Howard County, Texas Rural No 175.6 (156.1, 196.9) N/A 62 stable stable trend -0.3 (-1.2, 0.6)
Cherokee County, South Carolina Rural No 175.5 (161.7, 190.3) N/A 126 falling falling trend -1.7 (-2.2, -1.1)
Lunenburg County, Virginia Rural No 175.5 (149.4, 205.5) N/A 35 stable stable trend -1.3 (-2.5, 0.0)
Pennington County, Minnesota Rural No 175.5 (149.3, 205.3) N/A 34 stable stable trend -0.7 (-2.1, 0.6)
Texas County, Missouri Rural No 175.5 (156.7, 196.1) N/A 67 stable stable trend -0.5 (-1.4, 0.4)
Miami County, Indiana Rural No 175.5 (158.7, 193.6) N/A 83 falling falling trend -1.0 (-1.6, -0.4)
Allen County, Kansas Rural No 175.4 (148.4, 206.5) N/A 32 stable stable trend -1.0 (-2.6, 0.4)
Nemaha County, Kansas Rural No 175.4 (146.5, 209.1) N/A 29 rising rising trend 1.3 (0.1, 2.6)
Citrus County, Florida Urban No 175.4 (168.4, 182.7) N/A 635 falling falling trend -0.8 (-1.1, -0.4)
Taylor County, Florida Rural No 175.4 (154.8, 198.1) N/A 57 falling falling trend -1.7 (-2.5, -0.9)
Lewis County, Missouri Rural No 175.3 (143.8, 212.3) N/A 24 stable stable trend -1.6 (-3.9, 0.4)
Muskegon County, Michigan Urban No 175.3 (167.5, 183.4) N/A 403 falling falling trend -0.8 (-1.1, -0.5)
Pickett County, Tennessee Rural No 175.3 (137.0, 223.7) N/A 17 stable stable trend -0.2 (-1.7, 1.3)
Wicomico County, Maryland Urban No 175.3 (164.8, 186.3) N/A 219 falling falling trend -1.2 (-1.9, -0.6)
Humboldt County, California Rural No 175.3 (166.4, 184.5) N/A 315 stable stable trend -0.1 (-1.0, 3.2)
Delta County, Texas Rural No 175.2 (137.4, 222.0) N/A 15 stable stable trend 0.0 (-2.0, 2.2)
Hockley County, Texas Urban No 175.2 (152.3, 200.8) N/A 43 stable stable trend 0.0 (-1.1, 1.0)
Davidson County, North Carolina Urban No 175.2 (167.6, 183.1) N/A 419 falling falling trend -0.7 (-1.2, -0.1)
Boone County, Arkansas Rural No 175.2 (159.9, 191.8) N/A 100 falling falling trend -0.6 (-1.2, -0.1)
Ralls County, Missouri Rural No 175.2 (147.3, 207.8) N/A 30 stable stable trend -0.4 (-1.7, 0.9)
Montgomery County, Illinois Rural No 175.2 (157.6, 194.5) N/A 77 falling falling trend -1.2 (-1.8, -0.5)
Clinton County, Indiana Rural No 175.2 (157.2, 194.7) N/A 72 stable stable trend -0.4 (-1.5, 0.8)
Ferry County, Washington Rural No 175.2 (143.6, 213.5) N/A 25 stable stable trend -1.2 (-3.1, 0.9)
Haralson County, Georgia Urban No 175.1 (156.3, 195.7) N/A 66 stable stable trend -1.1 (-2.4, 0.2)
Newaygo County, Michigan Rural No 175.1 (161.2, 190.1) N/A 126 falling falling trend -1.1 (-1.8, -0.3)
Sargent County, North Dakota Rural No 175.1 (131.4, 231.5) N/A 11 stable stable trend -1.0 (-2.9, 0.9)
Franklin County, Iowa Rural No 175.1 (146.2, 208.8) N/A 28 stable stable trend 0.3 (-1.6, 2.1)
Stone County, Arkansas Rural No 175.0 (150.7, 203.0) N/A 42 stable stable trend -0.4 (-1.4, 0.7)
Sevier County, Tennessee Rural No 175.0 (164.9, 185.6) N/A 244 stable stable trend -0.5 (-1.0, 0.0)
Newton County, Missouri Urban No 175.0 (162.2, 188.7) N/A 143 stable stable trend -0.6 (-1.2, 0.0)
Okanogan County, Washington Rural No 175.0 (160.5, 190.6) N/A 118 stable stable trend -0.1 (-0.6, 0.3)
Madison County, Iowa Urban No 175.0 (150.4, 202.8) N/A 37 stable stable trend 0.0 (-1.4, 1.5)
Orangeburg County, South Carolina Rural No 175.0 (164.2, 186.4) N/A 212 falling falling trend -0.9 (-1.4, -0.5)
Miller County, Missouri Rural No 175.0 (155.7, 196.2) N/A 63 falling falling trend -1.0 (-2.1, -0.1)
Aransas County, Texas Urban No 174.9 (156.8, 195.0) N/A 80 falling falling trend -1.2 (-2.2, -0.2)
Essex County, Virginia Rural No 174.9 (146.2, 208.4) N/A 29 stable stable trend -1.1 (-2.6, 0.3)
Neosho County, Kansas Rural No 174.9 (151.0, 202.0) N/A 40 stable stable trend -0.6 (-1.6, 0.4)
Wabash County, Illinois Rural No 174.9 (146.9, 207.3) N/A 30 stable stable trend -1.0 (-2.1, 0.0)
Northampton County, North Carolina Rural No 174.9 (153.5, 199.1) N/A 58 falling falling trend -1.1 (-1.9, -0.4)
Bradford County, Florida Rural No 174.9 (156.4, 195.2) N/A 67 stable stable trend -0.8 (-1.7, 0.0)
Marion County, Indiana Urban No 174.8 (171.0, 178.7) N/A 1,694 falling falling trend -1.3 (-1.5, -1.1)
Hopkins County, Kentucky Rural No 174.8 (160.1, 190.7) N/A 109 falling falling trend -1.3 (-2.1, -0.5)
La Paz County, Arizona Rural No 174.8 (151.5, 201.5) N/A 66 rising rising trend 1.8 (0.3, 3.3)
Jones County, North Carolina Rural No 174.8 (145.3, 209.6) N/A 27 stable stable trend -0.8 (-2.4, 0.8)
Preble County, Ohio Rural No 174.8 (159.6, 191.3) N/A 103 stable stable trend -0.5 (-1.2, 0.2)
Montcalm County, Michigan Urban No 174.8 (162.4, 187.9) N/A 156 falling falling trend -0.8 (-1.4, -0.1)
Mecosta County, Michigan Rural No 174.8 (159.1, 191.8) N/A 99 falling falling trend -9.4 (-15.3, -1.7)
Huron County, Ohio Rural No 174.7 (161.5, 188.8) N/A 136 falling falling trend -0.7 (-1.2, -0.1)
Lafayette County, Missouri Urban No 174.7 (157.8, 193.1) N/A 82 falling falling trend -0.8 (-1.5, -0.2)
Morrow County, Ohio Urban No 174.7 (158.0, 192.8) N/A 85 stable stable trend -0.8 (-1.5, 0.1)
Pottawattamie County, Iowa Urban No 174.7 (164.2, 185.7) N/A 218 falling falling trend -1.0 (-1.5, -0.5)
Kaufman County, Texas Urban No 174.7 (164.5, 185.3) N/A 240 stable stable trend -0.2 (-1.1, 2.0)
Floyd County, Texas Rural No 174.7 (133.4, 225.8) N/A 13 stable stable trend 0.0 (-2.2, 2.0)
Decatur County, Indiana Rural No 174.6 (154.9, 196.3) N/A 59 falling falling trend -0.9 (-1.6, -0.2)
Putnam County, Missouri Rural No 174.6 (135.1, 224.4) N/A 14 stable stable trend -0.9 (-2.4, 0.7)
Hancock County, Kentucky Rural No 174.6 (142.7, 212.3) N/A 22 stable stable trend -1.4 (-3.2, 0.4)
Gloucester County, Virginia Urban No 174.6 (159.2, 191.3) N/A 101 falling falling trend -1.2 (-2.2, -0.3)
Mecklenburg County, Virginia Rural No 174.6 (158.8, 191.9) N/A 98 falling falling trend -0.9 (-1.6, -0.2)
DeKalb County, Missouri Urban No 174.6 (146.5, 207.2) N/A 28 stable stable trend -0.1 (-2.0, 1.8)
Chickasaw County, Mississippi Rural No 174.6 (151.0, 201.2) N/A 41 stable stable trend -0.8 (-1.7, 0.2)
Greene County, Arkansas Rural No 174.6 (159.5, 190.8) N/A 101 falling falling trend -1.6 (-4.0, -0.8)
Macon County, Illinois Urban No 174.6 (165.1, 184.6) N/A 268 falling falling trend -1.4 (-2.7, -1.0)
Wise County, Texas Urban No 174.5 (161.6, 188.2) N/A 146 stable stable trend -0.6 (-1.2, 0.2)
Monroe County, Iowa Rural No 174.5 (141.1, 214.5) N/A 20 stable stable trend -0.3 (-1.7, 1.1)
Scott County, Illinois Rural No 174.5 (133.4, 226.1) N/A 13 stable stable trend -0.6 (-2.4, 1.2)
Fulton County, New York Rural No 174.4 (161.1, 188.7) N/A 136 falling falling trend -0.9 (-1.7, -0.2)
Newport News City, Virginia Urban No 174.4 (166.0, 183.1) N/A 340 falling falling trend -1.1 (-1.6, -0.7)
Garfield County, Oklahoma Urban No 174.4 (161.1, 188.5) N/A 134 falling falling trend -0.7 (-1.2, -0.1)
Jefferson County, Missouri Urban No 174.4 (167.2, 181.8) N/A 481 falling falling trend -1.3 (-1.6, -1.0)
Wayne County, Indiana Rural No 174.3 (162.3, 187.0) N/A 165 falling falling trend -1.3 (-1.8, -0.8)
Hamilton County, Illinois Rural No 174.3 (142.6, 212.0) N/A 22 stable stable trend -0.8 (-2.2, 0.7)
Gratiot County, Michigan Rural No 174.3 (158.7, 191.0) N/A 95 stable stable trend -0.1 (-0.9, 0.8)
Bartow County, Georgia Urban No 174.2 (163.7, 185.3) N/A 218 falling falling trend -1.1 (-1.7, -0.4)
Stanly County, North Carolina Rural No 174.2 (161.7, 187.5) N/A 151 falling falling trend -0.8 (-1.4, -0.2)
Yukon-Koyukuk Census Area, Alaska Rural No 174.1 (130.1, 229.1) N/A 12 stable stable trend -1.4 (-3.7, 1.2)
Columbia County, Arkansas Rural No 174.1 (152.7, 197.9) N/A 50 falling falling trend -1.6 (-2.6, -0.6)
Audrain County, Missouri Rural No 174.1 (154.5, 195.7) N/A 59 falling falling trend -1.3 (-4.5, -0.5)
White County, Georgia Rural No 174.1 (156.7, 193.1) N/A 80 stable stable trend 9.6 (-0.6, 16.3)
Washington County, Oklahoma Rural No 174.1 (160.7, 188.4) N/A 133 stable stable trend -0.5 (-1.2, 0.2)
Craighead County, Arkansas Urban No 174.0 (163.4, 185.1) N/A 205 falling falling trend -1.0 (-1.5, -0.4)
Meriwether County, Georgia Urban No 174.0 (153.6, 196.6) N/A 56 stable stable trend -0.3 (-1.2, 0.6)
Jackson County, Indiana Rural No 173.9 (158.9, 190.1) N/A 101 falling falling trend -1.1 (-1.8, -0.3)
Burleson County, Texas Urban No 173.9 (151.7, 198.8) N/A 48 stable stable trend -0.6 (-1.4, 0.3)
Wheatland County, Montana Rural No 173.9 (109.1, 266.4) N/A 5 stable stable trend -0.3 (-3.1, 2.4)
Anderson County, Kansas Rural No 173.9 (140.4, 213.8) N/A 20 stable stable trend -0.2 (-2.1, 1.6)
Dodge County, Georgia Rural No 173.9 (152.7, 197.5) N/A 50 stable stable trend -1.3 (-2.5, 0.0)
Caldwell County, Kentucky Rural No 173.9 (148.0, 203.5) N/A 34 falling falling trend -1.7 (-2.9, -0.6)
Wyandotte County, Kansas Urban No 173.8 (164.8, 183.2) N/A 295 falling falling trend -1.7 (-2.3, -1.2)
Cumberland County, North Carolina Urban No 173.8 (167.3, 180.5) N/A 565 falling falling trend -1.0 (-1.3, -0.7)
Livingston County, Missouri Rural No 173.7 (148.8, 201.9) N/A 37 falling falling trend -1.8 (-9.4, -0.1)
Lumpkin County, Georgia Urban No 173.7 (155.5, 193.6) N/A 73 stable stable trend -1.1 (-2.3, 0.3)
Kinney County, Texas Rural No 173.7 (124.7, 238.9) N/A 10 stable stable trend 1.0 (-1.1, 3.4)
Clark County, Indiana Urban No 173.6 (164.1, 183.6) N/A 262 stable stable trend -0.1 (-1.7, 4.1)
Marion County, Arkansas Rural No 173.6 (152.4, 197.7) N/A 58 falling falling trend -2.4 (-9.8, -0.6)
Craig County, Oklahoma Rural No 173.6 (148.5, 202.2) N/A 36 falling falling trend -1.5 (-2.6, -0.5)
Geary County, Kansas Urban No 173.6 (150.6, 198.9) N/A 42 stable stable trend -1.1 (-2.2, 0.0)
Potter County, Pennsylvania Rural No 173.5 (151.4, 198.6) N/A 49 falling falling trend -1.2 (-2.1, -0.4)
Howard County, Arkansas Rural No 173.4 (146.3, 204.6) N/A 30 falling falling trend -2.3 (-3.7, -1.0)
Berrien County, Georgia Rural No 173.4 (150.6, 199.0) N/A 43 falling falling trend -1.1 (-1.8, -0.3)
Sullivan County, Indiana Urban No 173.4 (152.1, 197.2) N/A 49 falling falling trend -1.5 (-2.6, -0.5)
Arenac County, Michigan Rural No 173.4 (149.6, 200.6) N/A 45 falling falling trend -1.3 (-2.4, -0.2)
Colorado County, Texas Rural No 173.4 (152.8, 196.3) N/A 56 stable stable trend -0.7 (-1.8, 0.4)
Allendale County, South Carolina Rural No 173.4 (139.4, 214.1) N/A 20 stable stable trend -0.7 (-2.3, 0.9)
Hill County, Montana Rural No 173.4 (146.9, 203.4) N/A 32 stable stable trend -0.8 (-1.7, 0.0)
Kleberg County, Texas Rural No 173.4 (152.9, 195.9) N/A 53 stable stable trend -0.5 (-1.6, 0.7)
Knox County, Missouri Rural No 173.4 (127.2, 233.1) N/A 10 stable stable trend -1.1 (-3.1, 0.7)
Nacogdoches County, Texas Rural No 173.4 (159.8, 187.8) N/A 128 falling falling trend -1.3 (-2.0, -0.7)
Morrow County, Oregon Rural No 173.3 (142.7, 208.6) N/A 24 stable stable trend -1.1 (-3.0, 0.8)
Jackson County, West Virginia Rural No 173.3 (155.7, 192.5) N/A 75 falling falling trend -1.3 (-2.3, -0.3)
Delaware County, Indiana Urban No 173.2 (163.5, 183.4) N/A 248 falling falling trend -1.1 (-1.6, -0.7)
Bladen County, North Carolina Rural No 173.2 (156.2, 191.8) N/A 83 stable stable trend -0.9 (-1.9, 0.0)
Calhoun County, Mississippi Rural No 173.2 (146.5, 203.8) N/A 32 falling falling trend -6.0 (-15.1, -2.2)
Effingham County, Georgia Urban No 173.2 (158.5, 188.8) N/A 113 falling falling trend -1.1 (-1.9, -0.3)
Caddo Parish, Louisiana Urban No 173.2 (166.5, 180.0) N/A 539 falling falling trend -1.3 (-1.6, -1.0)
Henry County, Ohio Rural No 173.1 (154.7, 193.3) N/A 68 stable stable trend -0.6 (-1.4, 0.2)
Grant County, Arkansas Urban No 173.0 (150.6, 198.3) N/A 44 stable stable trend -1.2 (-2.6, 0.2)
Baraga County, Michigan Rural No 173.0 (142.3, 209.7) N/A 23 stable stable trend 0.1 (-1.3, 1.6)
Wright County, Missouri Rural No 173.0 (150.6, 198.1) N/A 45 stable stable trend -0.7 (-1.8, 0.3)
Big Horn County, Montana Rural No 173.0 (141.4, 209.6) N/A 22 stable stable trend -1.1 (-2.5, 0.3)
Bienville Parish, Louisiana Rural No 173.0 (146.8, 203.1) N/A 34 falling falling trend -1.6 (-2.9, -0.4)
Comanche County, Oklahoma Urban No 173.0 (162.6, 183.8) N/A 216 falling falling trend -1.3 (-1.8, -0.8)
Lee County, Illinois Rural No 173.0 (156.9, 190.4) N/A 90 falling falling trend -1.3 (-2.2, -0.5)
Waldo County, Maine Rural No 173.0 (158.2, 188.9) N/A 112 falling falling trend -0.9 (-1.4, -0.3)
Carson County, Texas Urban No 172.9 (134.2, 220.5) N/A 14 stable stable trend -0.4 (-2.9, 1.9)
Franklin County, Indiana Urban No 172.9 (152.4, 195.6) N/A 55 stable stable trend -0.7 (-1.7, 0.3)
Oklahoma County, Oklahoma Urban No 172.9 (168.8, 176.9) N/A 1,466 falling falling trend -0.7 (-0.9, -0.5)
Warren County, Kentucky Urban No 172.8 (163.0, 183.1) N/A 239 falling falling trend -1.3 (-1.8, -0.8)
Cheyenne County, Nebraska Rural No 172.8 (143.0, 207.8) N/A 26 stable stable trend 4.0 (-0.7, 20.0)
Hot Spring County, Arkansas Rural No 172.8 (156.1, 191.0) N/A 82 falling falling trend -1.2 (-1.6, -0.7)
Franklin County, New York Rural No 172.8 (158.4, 188.2) N/A 113 falling falling trend -0.8 (-1.4, -0.3)
Amelia County, Virginia Urban No 172.7 (147.5, 201.7) N/A 36 falling falling trend -1.6 (-2.7, -0.4)
Gray County, Texas Rural No 172.7 (150.7, 197.3) N/A 45 stable stable trend -0.3 (-1.3, 0.7)
Upshur County, West Virginia Rural No 172.7 (153.4, 194.1) N/A 62 stable stable trend -0.9 (-2.0, 0.2)
Lonoke County, Arkansas Urban No 172.6 (159.9, 186.0) N/A 142 falling falling trend -1.1 (-1.8, -0.3)
Carson City, Nevada Urban No 172.6 (160.1, 185.8) N/A 149 falling falling trend -1.4 (-2.1, -0.8)
Siskiyou County, California Rural No 172.5 (158.6, 187.6) N/A 131 falling falling trend -0.9 (-1.5, -0.3)
Houghton County, Michigan Rural No 172.5 (155.7, 190.9) N/A 82 stable stable trend -0.6 (-1.3, 0.0)
Shelby County, Indiana Urban No 172.5 (157.9, 188.2) N/A 107 falling falling trend -1.0 (-1.9, -0.2)
Jackson County, Michigan Urban No 172.5 (164.6, 180.7) N/A 380 falling falling trend -1.0 (-1.5, -0.6)
Nevada County, Arkansas Rural No 172.5 (141.6, 209.2) N/A 23 stable stable trend -0.2 (-1.7, 1.3)
Kane County, Utah Rural No 172.4 (138.4, 213.0) N/A 20 rising rising trend 1.9 (0.6, 4.0)
Grayson County, Virginia Rural No 172.4 (150.3, 197.6) N/A 47 falling falling trend -1.2 (-2.3, -0.2)
Giles County, Tennessee Rural No 172.4 (155.2, 191.1) N/A 79 falling falling trend -1.2 (-2.2, -0.3)
Clayton County, Iowa Rural No 172.3 (150.5, 197.0) N/A 51 stable stable trend -0.6 (-1.5, 0.3)
Missaukee County, Michigan Rural No 172.3 (148.1, 199.9) N/A 39 stable stable trend -0.7 (-2.0, 0.6)
Lanier County, Georgia Urban No 172.3 (139.1, 211.2) N/A 20 stable stable trend -1.0 (-2.5, 0.5)
Rockingham County, North Carolina Urban No 172.3 (162.4, 182.7) N/A 241 falling falling trend -1.3 (-1.7, -0.9)
Columbiana County, Ohio Rural No 172.3 (163.0, 182.1) N/A 273 falling falling trend -0.9 (-1.4, -0.4)
Geneva County, Alabama Urban No 172.3 (153.9, 192.5) N/A 68 stable stable trend -0.6 (-2.0, 0.7)
Ouachita Parish, Louisiana Urban No 172.3 (163.8, 181.1) N/A 319 falling falling trend -3.5 (-8.3, -0.7)
Floyd County, Georgia Urban No 172.2 (161.8, 183.1) N/A 213 falling falling trend -1.0 (-1.4, -0.6)
Des Moines County, Iowa Rural No 172.2 (157.1, 188.6) N/A 100 stable stable trend -0.8 (-1.7, 0.1)
St. James Parish, Louisiana Urban No 172.2 (150.6, 196.4) N/A 48 falling falling trend -1.4 (-2.6, -0.2)
Coffee County, Georgia Rural No 172.2 (155.6, 190.1) N/A 82 stable stable trend -0.9 (-1.9, 0.1)
Copiah County, Mississippi Urban No 172.1 (153.3, 192.8) N/A 65 falling falling trend -0.8 (-1.5, -0.1)
Terry County, Texas Rural No 172.1 (141.5, 207.6) N/A 23 stable stable trend 0.2 (-1.4, 1.7)
Stewart County, Tennessee Urban No 172.1 (147.1, 200.7) N/A 36 falling falling trend -1.3 (-2.5, -0.1)
Candler County, Georgia Rural No 172.1 (142.0, 207.0) N/A 25 stable stable trend -1.1 (-2.8, 0.6)
Johnson County, Missouri Rural No 172.0 (156.4, 188.8) N/A 93 stable stable trend -0.9 (-1.7, 0.0)
Hancock County, Mississippi Urban No 172.0 (158.1, 187.1) N/A 122 falling falling trend -0.8 (-1.4, -0.2)
Greene County, New York Rural No 172.0 (159.0, 186.0) N/A 138 falling falling trend -1.7 (-2.5, -0.9)
Jasper County, Illinois Rural No 172.0 (142.6, 206.6) N/A 25 stable stable trend 11.2 (-0.9, 20.3)
Anderson County, Kentucky Rural No 172.0 (151.2, 195.1) N/A 52 stable stable trend -1.1 (-2.3, 0.2)
Richland County, Ohio Urban No 172.0 (163.3, 181.0) N/A 311 falling falling trend -0.7 (-1.1, -0.3)
Sanilac County, Michigan Rural No 172.0 (157.4, 187.7) N/A 112 stable stable trend -0.4 (-1.2, 0.3)
Moniteau County, Missouri Urban No 171.9 (146.5, 200.7) N/A 33 stable stable trend -0.5 (-1.9, 0.8)
Hinds County, Mississippi Urban No 171.9 (164.6, 179.3) N/A 451 stable stable trend -0.1 (-0.5, 0.3)
Radford City, Virginia Urban No 171.9 (139.2, 209.8) N/A 20 falling falling trend -1.4 (-2.7, -0.1)
Kankakee County, Illinois Urban No 171.9 (162.1, 182.1) N/A 239 stable stable trend -1.0 (-4.0, 1.9)
Faribault County, Minnesota Rural No 171.8 (148.4, 198.6) N/A 42 stable stable trend 0.3 (-0.8, 1.4)
De Soto Parish, Louisiana Urban No 171.8 (153.1, 192.3) N/A 64 falling falling trend -1.8 (-2.7, -1.0)
Bradley County, Tennessee Urban No 171.8 (162.0, 182.0) N/A 242 falling falling trend -0.8 (-1.4, -0.2)
Lake County, California Rural No 171.7 (160.4, 183.7) N/A 190 falling falling trend -1.4 (-2.0, -0.8)
Decatur County, Georgia Rural No 171.7 (153.0, 192.2) N/A 64 falling falling trend -1.1 (-1.9, -0.4)
Lewis County, Idaho Rural No 171.7 (125.7, 232.4) N/A 11 stable stable trend -0.5 (-2.5, 1.4)
Cecil County, Maryland Urban No 171.7 (161.4, 182.5) N/A 222 falling falling trend -1.4 (-1.8, -1.1)
Monroe County, West Virginia Rural No 171.7 (146.9, 200.2) N/A 38 stable stable trend -0.4 (-1.7, 0.8)
Richmond County, Virginia Rural No 171.7 (142.1, 206.5) N/A 25 stable stable trend -0.6 (-1.8, 0.6)
Chattahoochee County, Georgia Urban No 171.6 (116.7, 241.1) N/A 6 stable stable trend -0.9 (-3.4, 1.8)
Benton County, Mississippi Urban No 171.6 (136.3, 214.0) N/A 18 falling falling trend -1.8 (-3.2, -0.4)
Meade County, Kentucky Urban No 171.6 (152.1, 193.0) N/A 61 falling falling trend -2.3 (-3.6, -1.4)
Shelby County, Missouri Rural No 171.6 (136.1, 215.0) N/A 17 stable stable trend -1.8 (-3.9, 0.1)
Perry County, Illinois Rural No 171.5 (150.5, 194.9) N/A 51 falling falling trend -1.1 (-2.0, -0.2)
Peoria County, Illinois Urban No 171.5 (164.0, 179.4) N/A 404 falling falling trend -1.1 (-1.5, -0.7)
Bond County, Illinois Urban No 171.5 (147.5, 198.6) N/A 38 falling falling trend -1.5 (-3.0, -0.1)
Montgomery County, Tennessee Urban No 171.5 (162.6, 180.7) N/A 304 falling falling trend -1.2 (-1.8, -0.5)
Salem County, New Jersey Urban No 171.5 (159.4, 184.2) N/A 158 falling falling trend -1.3 (-2.0, -0.6)
Traverse County, Minnesota Rural No 171.4 (127.2, 230.0) N/A 11 stable stable trend -0.5 (-2.6, 1.6)
Luce County, Michigan Rural No 171.4 (137.5, 212.9) N/A 18 stable stable trend -1.7 (-3.5, 0.1)
Washington County, New York Urban No 171.4 (159.4, 184.2) N/A 161 falling falling trend -1.1 (-1.8, -0.4)
Andrew County, Missouri Urban No 171.4 (149.3, 196.2) N/A 45 falling falling trend -1.4 (-2.6, -0.1)
Tehama County, California Rural No 171.4 (159.4, 184.2) N/A 160 falling falling trend -1.2 (-1.9, -0.5)
Johnson County, Texas Urban No 171.4 (163.1, 179.9) N/A 343 falling falling trend -0.9 (-1.4, -0.4)
Mason County, Washington Rural No 171.4 (159.9, 183.5) N/A 184 falling falling trend -1.0 (-1.7, -0.3)
Caldwell County, Missouri Urban No 171.4 (139.2, 209.3) N/A 21 stable stable trend -0.2 (-2.1, 1.7)
Haskell County, Texas Rural No 171.4 (133.6, 218.3) N/A 15 stable stable trend -0.5 (-2.9, 1.8)
Golden Valley County, Montana Rural No 171.3 (97.8, 319.7) N/A 3
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Lawrence County, Illinois Rural No 171.3 (146.9, 199.1) N/A 36 stable stable trend -0.7 (-2.0, 0.6)
Fayette County, Alabama Rural No 171.3 (148.0, 197.6) N/A 42 stable stable trend -0.5 (-1.5, 0.5)
Accomack County, Virginia Rural No 171.3 (155.9, 188.0) N/A 100 falling falling trend -1.6 (-2.1, -1.0)
Wirt County, West Virginia Urban No 171.2 (132.9, 219.3) N/A 15 falling falling trend -3.6 (-14.4, -1.8)
Cheyenne County, Kansas Rural No 171.2 (115.3, 247.5) N/A 7 stable stable trend 0.1 (-2.2, 2.3)
Clark County, Illinois Rural No 171.2 (147.3, 198.3) N/A 39 stable stable trend -0.4 (-1.6, 0.8)
Hancock County, West Virginia Urban No 171.2 (154.6, 189.4) N/A 84 falling falling trend -1.2 (-2.1, -0.3)
Braxton County, West Virginia Rural No 171.2 (146.4, 199.7) N/A 36 falling falling trend -1.4 (-2.6, -0.2)
Rice County, Kansas Rural No 171.1 (139.6, 208.2) N/A 22 stable stable trend -1.4 (-3.2, 0.2)
Navarro County, Texas Rural No 171.1 (156.8, 186.3) N/A 111 falling falling trend -1.5 (-2.6, -0.6)
Clark County, Ohio Urban No 170.9 (162.6, 179.6) N/A 336 falling falling trend -1.2 (-1.6, -0.9)
Butte County, South Dakota Rural No 170.9 (141.8, 204.9) N/A 26 stable stable trend -1.8 (-3.9, 0.4)
Christian County, Illinois Rural No 170.9 (154.7, 188.6) N/A 85 falling falling trend -1.4 (-2.2, -0.6)
Wilcox County, Alabama Rural No 170.9 (141.1, 205.7) N/A 25 stable stable trend -0.3 (-1.8, 1.2)
Alamance County, North Carolina Urban No 170.9 (163.2, 178.9) N/A 381 falling falling trend -0.9 (-1.3, -0.5)
St. Martin Parish, Louisiana Urban No 170.9 (156.4, 186.4) N/A 109 falling falling trend -1.5 (-2.3, -0.8)
Tift County, Georgia Rural No 170.8 (154.6, 188.4) N/A 84 stable stable trend -0.7 (-1.5, 0.2)
Randolph County, Illinois Rural No 170.8 (154.0, 189.2) N/A 79 stable stable trend -0.8 (-1.6, 0.0)
Clark County, Wisconsin Rural No 170.8 (153.5, 189.6) N/A 75 stable stable trend 0.4 (-0.6, 1.4)
Marion County, Ohio Rural No 170.7 (158.5, 183.7) N/A 151 falling falling trend -1.3 (-2.0, -0.7)
Jefferson County, Kansas Urban No 170.7 (148.5, 195.5) N/A 46 stable stable trend -0.7 (-1.5, 0.2)
King William County, Virginia Urban No 170.6 (146.7, 197.4) N/A 39 falling falling trend -2.0 (-3.1, -0.8)
Gallatin County, Illinois Rural No 170.6 (131.9, 219.5) N/A 15 falling falling trend -2.3 (-10.7, -0.9)
Washington County, Virginia Urban No 170.6 (158.1, 183.9) N/A 152 stable stable trend 1.7 (-1.2, 7.1)
Lucas County, Ohio Urban No 170.5 (165.5, 175.7) N/A 927 falling falling trend -2.6 (-4.2, -1.4)
Fayette County, Pennsylvania Urban No 170.5 (162.3, 179.1) N/A 346 falling falling trend -0.8 (-1.4, -0.2)
Richland County, Illinois Rural No 170.5 (147.3, 196.7) N/A 41 falling falling trend -1.0 (-3.1, -0.2)
Summers County, West Virginia Rural No 170.5 (145.1, 199.9) N/A 36 stable stable trend -0.4 (-1.4, 0.6)
Newton County, Mississippi Rural No 170.4 (148.7, 194.7) N/A 46 stable stable trend -0.5 (-1.6, 0.6)
Gregg County, Texas Urban No 170.4 (161.0, 180.3) N/A 252 falling falling trend -1.3 (-1.6, -1.0)
Tuscarawas County, Ohio Rural No 170.4 (160.3, 181.1) N/A 224 stable stable trend -0.5 (-1.0, 0.1)
Cass County, Michigan Urban No 170.4 (157.4, 184.4) N/A 136 falling falling trend -4.1 (-7.8, -1.6)
Belmont County, Ohio Urban No 170.4 (158.8, 182.6) N/A 174 falling falling trend -1.2 (-1.6, -0.8)
Bleckley County, Georgia Rural No 170.4 (143.1, 201.8) N/A 29 stable stable trend -0.3 (-1.8, 5.2)
Mineral County, Montana Urban No 170.4 (132.3, 219.0) N/A 16 stable stable trend -0.8 (-2.7, 1.2)
Henry County, Virginia Rural No 170.4 (157.6, 184.1) N/A 147 stable stable trend -0.6 (-1.4, 0.2)
Duplin County, North Carolina Rural No 170.4 (156.3, 185.4) N/A 116 falling falling trend -0.9 (-1.6, -0.2)
Caledonia County, Vermont Rural No 170.4 (153.3, 189.0) N/A 79 stable stable trend -0.6 (-1.3, 0.1)
Kenton County, Kentucky Urban No 170.3 (162.0, 179.0) N/A 330 falling falling trend -1.6 (-1.9, -1.3)
Lamar County, Alabama Rural No 170.3 (146.1, 198.0) N/A 37 falling falling trend -1.5 (-2.1, -0.8)
Carroll County, Georgia Urban No 170.3 (160.1, 180.9) N/A 219 falling falling trend -1.0 (-1.6, -0.3)
Mifflin County, Pennsylvania Rural No 170.2 (156.8, 184.7) N/A 125 stable stable trend -0.5 (-1.2, 0.3)
Baxter County, Arkansas Rural No 170.2 (157.1, 184.3) N/A 150 falling falling trend -1.0 (-1.6, -0.5)
Comanche County, Kansas Rural No 170.1 (111.8, 258.4) N/A 5 stable stable trend -1.2 (-5.6, 2.7)
Foster County, North Dakota Rural No 170.1 (123.6, 231.4) N/A 10 stable stable trend -1.6 (-4.2, 0.8)
Mohave County, Arizona Urban No 170.1 (164.3, 176.2) N/A 778 falling falling trend -1.4 (-2.8, -1.1)
Greenwood County, Kansas Rural No 170.1 (134.7, 213.9) N/A 18 stable stable trend -1.1 (-2.7, 0.3)
Ashtabula County, Ohio Urban No 170.1 (160.3, 180.4) N/A 239 falling falling trend -1.2 (-1.7, -0.8)
Tuscola County, Michigan Rural No 170.1 (157.3, 183.8) N/A 140 falling falling trend -1.0 (-1.6, -0.4)
Carroll County, Ohio Urban No 170.0 (152.1, 189.8) N/A 71 stable stable trend -0.2 (-1.4, 1.0)
Harlan County, Nebraska Rural No 170.0 (125.4, 230.5) N/A 10 stable stable trend 0.3 (-2.4, 2.9)
Randolph County, North Carolina Urban No 170.0 (161.7, 178.7) N/A 330 falling falling trend -0.7 (-1.2, -0.2)
Whiteside County, Illinois Rural No 170.0 (157.7, 183.1) N/A 149 falling falling trend -0.9 (-1.6, -0.1)
St. Charles Parish, Louisiana Urban No 170.0 (154.5, 186.6) N/A 96 falling falling trend -1.1 (-1.9, -0.2)
Pine County, Minnesota Rural No 169.9 (153.2, 188.3) N/A 80 falling falling trend -0.9 (-1.7, -0.1)
Grant County, South Dakota Rural No 169.9 (139.0, 207.0) N/A 23 stable stable trend 11.6 (-0.3, 25.4)
Lewis County, Washington Rural No 169.9 (159.5, 180.9) N/A 211 falling falling trend -1.2 (-1.6, -0.8)
Potter County, Texas Urban No 169.9 (159.7, 180.5) N/A 214 falling falling trend -1.5 (-1.9, -1.1)
Brown County, Minnesota Rural No 169.9 (151.6, 189.9) N/A 70 stable stable trend -0.4 (-1.3, 0.5)
Shelby County, Illinois Rural No 169.8 (151.0, 190.9) N/A 62 stable stable trend -0.7 (-1.8, 0.3)
Clay County, Alabama Rural No 169.8 (145.9, 197.1) N/A 38 stable stable trend -1.2 (-2.4, 0.0)
Madison County, Ohio Urban No 169.8 (154.5, 186.4) N/A 93 falling falling trend -1.2 (-1.9, -0.5)
Thayer County, Nebraska Rural No 169.8 (130.1, 219.7) N/A 14 stable stable trend 0.2 (-2.1, 2.4)
Cumberland County, New Jersey Urban No 169.8 (161.3, 178.6) N/A 309 falling falling trend -1.2 (-1.6, -0.9)
Lavaca County, Texas Rural No 169.8 (150.1, 191.7) N/A 59 stable stable trend -0.7 (-1.7, 0.2)
Blair County, Pennsylvania Urban No 169.7 (161.1, 178.6) N/A 313 stable stable trend 1.2 (-1.2, 4.8)
Montague County, Texas Rural No 169.7 (150.0, 191.6) N/A 57 falling falling trend -1.0 (-1.9, -0.1)
Cass County, Iowa Rural No 169.6 (144.8, 198.2) N/A 37 stable stable trend -1.9 (-12.7, 0.2)
Falls Church City, Virginia Urban No 169.6 (142.2, 201.0) N/A 28 stable stable trend 11.8 (-2.6, 31.1)
Kiowa County, Kansas Rural No 169.6 (113.7, 247.1) N/A 6 stable stable trend 1.5 (-1.6, 4.5)
Stephens County, Texas Rural No 169.6 (139.3, 205.2) N/A 23 falling falling trend -1.2 (-2.1, -0.2)
Craven County, North Carolina Rural No 169.5 (159.9, 179.6) N/A 248 falling falling trend -1.3 (-1.5, -1.0)
Butler County, Alabama Rural No 169.5 (147.9, 193.8) N/A 47 falling falling trend -1.1 (-2.1, -0.1)
Fredericksburg City, Virginia Urban No 169.5 (146.9, 194.6) N/A 42 falling falling trend -2.4 (-3.5, -1.3)
Harrison County, Indiana Urban No 169.5 (153.9, 186.3) N/A 92 falling falling trend -1.1 (-2.0, -0.1)
Kennebec County, Maine Rural No 169.5 (161.0, 178.3) N/A 321 falling falling trend -1.0 (-1.4, -0.6)
Vanderburgh County, Indiana Urban No 169.5 (161.9, 177.3) N/A 401 falling falling trend -1.2 (-1.5, -1.0)
Taylor County, Georgia Rural No 169.5 (136.0, 209.5) N/A 20 falling falling trend -2.0 (-3.5, -0.5)
Chambers County, Alabama Rural No 169.5 (153.3, 187.0) N/A 86 falling falling trend -1.3 (-2.1, -0.6)
Warren County, Pennsylvania Rural No 169.4 (155.1, 184.9) N/A 112 stable stable trend -0.5 (-1.5, 0.4)
Wilkinson County, Georgia Rural No 169.4 (137.7, 206.9) N/A 22 stable stable trend -1.3 (-2.9, 0.3)
Newton County, Georgia Urban No 169.4 (158.7, 180.6) N/A 201 falling falling trend -0.8 (-1.4, -0.2)
Pacific County, Washington Rural No 169.4 (151.9, 188.9) N/A 82 falling falling trend -1.2 (-2.2, -0.1)
Wilson County, North Carolina Rural No 169.3 (158.3, 181.0) N/A 183 falling falling trend -1.2 (-1.9, -0.6)
Clinton County, New York Rural No 169.3 (158.3, 181.0) N/A 184 falling falling trend -1.0 (-1.6, -0.5)
Hughes County, South Dakota Rural No 169.3 (146.0, 195.5) N/A 40 stable stable trend 0.0 (-1.5, 1.6)
Hutchinson County, South Dakota Rural No 169.3 (137.6, 207.3) N/A 21 stable stable trend -0.1 (-2.2, 1.8)
Cleburne County, Arkansas Rural No 169.3 (152.2, 188.2) N/A 80 stable stable trend -0.4 (-1.2, 0.4)
St. Joseph County, Indiana Urban No 169.3 (162.9, 175.8) N/A 564 falling falling trend -0.9 (-1.2, -0.7)
DeKalb County, Illinois Urban No 169.3 (158.0, 181.1) N/A 174 stable stable trend -0.1 (-2.3, 2.7)
Walthall County, Mississippi Rural No 169.2 (144.2, 197.7) N/A 34 stable stable trend -0.7 (-1.9, 0.4)
Wood County, Ohio Urban No 169.1 (159.9, 178.7) N/A 265 falling falling trend -0.7 (-1.1, -0.3)
Lane County, Kansas Rural No 169.1 (104.5, 267.5) N/A 4 stable stable trend -0.3 (-3.0, 2.3)
Essex County, Vermont Rural No 169.1 (136.9, 209.2) N/A 20 stable stable trend -1.0 (-2.6, 0.8)
Hernando County, Florida Urban No 169.1 (162.9, 175.5) N/A 625 falling falling trend -1.1 (-1.4, -0.8)
Adair County, Missouri Rural No 169.1 (148.5, 192.0) N/A 50 stable stable trend -0.4 (-1.4, 0.7)
Douglas County, Illinois Rural No 169.1 (147.1, 193.7) N/A 45 stable stable trend -0.9 (-1.9, 0.1)
St. Clair County, Michigan Urban No 169.0 (161.4, 176.9) N/A 394 falling falling trend -1.1 (-1.4, -0.8)
Lowndes County, Alabama Urban No 169.0 (140.0, 203.0) N/A 25 falling falling trend -1.4 (-2.7, -0.2)
Clinch County, Georgia Rural No 169.0 (131.8, 214.3) N/A 15 stable stable trend -2.0 (-4.0, 0.0)
Pender County, North Carolina Urban No 168.9 (156.2, 182.4) N/A 140 falling falling trend -0.7 (-1.4, -0.1)
Carroll County, Arkansas Rural No 168.9 (152.0, 187.5) N/A 79 stable stable trend -0.7 (-1.8, 0.3)
Callahan County, Texas Urban No 168.9 (144.1, 197.1) N/A 36 stable stable trend -1.2 (-2.5, 0.2)
East Feliciana Parish, Louisiana Urban No 168.8 (147.5, 192.7) N/A 48 falling falling trend -1.4 (-2.7, -0.2)
Butte County, California Urban No 168.8 (161.8, 176.1) N/A 457 falling falling trend -0.7 (-1.1, -0.4)
Granville County, North Carolina Rural No 168.8 (156.1, 182.3) N/A 138 stable stable trend -0.9 (-1.8, 1.4)
Macon County, Alabama Urban No 168.8 (146.6, 193.8) N/A 46 falling falling trend -1.9 (-2.9, -1.0)
Weston County, Wyoming Rural No 168.7 (134.3, 210.6) N/A 18 falling falling trend -1.8 (-3.3, -0.3)
Butler County, Nebraska Rural No 168.7 (137.4, 205.8) N/A 22 stable stable trend 0.4 (-1.8, 2.6)
Bay County, Michigan Urban No 168.6 (159.4, 178.4) N/A 264 falling falling trend -1.0 (-1.3, -0.7)
Raleigh County, West Virginia Urban No 168.6 (157.7, 180.2) N/A 187 falling falling trend -0.7 (-1.3, -0.2)
White County, Arkansas Rural No 168.6 (157.0, 180.9) N/A 163 falling falling trend -0.9 (-1.4, -0.4)
St. Marys County, Maryland Urban No 168.6 (158.4, 179.4) N/A 211 falling falling trend -1.1 (-1.6, -0.6)
Carlton County, Minnesota Urban No 168.6 (152.6, 186.0) N/A 85 stable stable trend -0.9 (-1.9, 0.2)
Camden County, North Carolina Urban No 168.6 (138.3, 204.1) N/A 23 stable stable trend 1.4 (-5.3, 9.0)
Isle of Wight County, Virginia Urban No 168.6 (153.3, 185.2) N/A 95 falling falling trend -1.7 (-2.6, -0.7)
McIntosh County, Georgia Urban No 168.6 (142.9, 198.6) N/A 36 stable stable trend -1.0 (-2.4, 0.5)
Tillamook County, Oregon Rural No 168.5 (151.9, 186.8) N/A 85 stable stable trend -0.4 (-1.3, 0.5)
Clay County, Nebraska Rural No 168.5 (130.5, 215.0) N/A 15 stable stable trend -1.2 (-4.2, 1.5)
Alexander County, North Carolina Urban No 168.5 (153.0, 185.3) N/A 91 stable stable trend -0.6 (-1.4, 0.1)
Baker County, Oregon Rural No 168.5 (146.9, 192.8) N/A 50 stable stable trend -0.5 (-1.8, 0.6)
Talbot County, Georgia Urban No 168.4 (131.2, 214.8) N/A 17 falling falling trend -2.3 (-4.1, -0.7)
Lenoir County, North Carolina Rural No 168.4 (155.7, 181.9) N/A 140 falling falling trend -1.5 (-2.3, -0.8)
Grady County, Oklahoma Urban No 168.4 (154.8, 182.9) N/A 120 falling falling trend -1.0 (-1.7, -0.4)
White County, Illinois Rural No 168.4 (144.2, 196.0) N/A 39 falling falling trend -1.5 (-2.8, -0.3)
Haakon County, South Dakota Rural No 168.3 (109.7, 254.8) N/A 6 stable stable trend -0.5 (-7.2, 17.2)
Long County, Georgia Urban No 168.3 (137.2, 204.0) N/A 23 stable stable trend -1.7 (-3.7, 0.6)
Hancock County, Georgia Rural No 168.3 (138.4, 204.1) N/A 25 stable stable trend -1.2 (-2.8, 0.4)
Thomas County, Georgia Rural No 168.3 (153.8, 183.8) N/A 105 falling falling trend -7.6 (-14.5, -1.4)
Juniata County, Pennsylvania Rural No 168.2 (149.0, 189.6) N/A 59 stable stable trend -0.5 (-1.6, 0.6)
Custer County, Oklahoma Rural No 168.2 (148.0, 190.5) N/A 52 stable stable trend -0.6 (-1.7, 0.4)
Wahkiakum County, Washington Rural No 168.2 (132.0, 215.7) N/A 17 stable stable trend -2.0 (-4.0, 0.1)
Dodge County, Nebraska Rural No 168.2 (152.3, 185.4) N/A 86 stable stable trend -0.2 (-1.0, 0.6)
Toole County, Montana Rural No 168.1 (124.7, 222.5) N/A 11 stable stable trend -1.8 (-4.0, 0.1)
Portage County, Ohio Urban No 168.1 (160.1, 176.5) N/A 351 falling falling trend -0.9 (-1.3, -0.5)
Muscogee County, Georgia Urban No 168.1 (160.5, 176.0) N/A 379 falling falling trend -1.3 (-1.7, -0.9)
Burt County, Nebraska Rural No 168.1 (134.3, 209.2) N/A 20 stable stable trend -0.5 (-2.2, 1.0)
Hopkins County, Texas Rural No 168.1 (152.2, 185.3) N/A 86 falling falling trend -1.4 (-2.3, -0.4)
Hampton City, Virginia Urban No 168.1 (159.1, 177.5) N/A 276 falling falling trend -1.4 (-1.9, -0.8)
Kanawha County, West Virginia Urban No 168.1 (161.0, 175.3) N/A 462 falling falling trend -1.6 (-1.9, -1.3)
Anderson County, Tennessee Urban No 168.0 (157.3, 179.4) N/A 192 falling falling trend -1.1 (-1.7, -0.5)
Prairie County, Arkansas Rural No 168.0 (137.9, 204.0) N/A 24 falling falling trend -2.3 (-4.1, -0.7)
Sutton County, Texas Rural No 168.0 (119.5, 232.1) N/A 8 stable stable trend -1.5 (-4.1, 0.9)
Tyler County, Texas Rural No 167.9 (147.4, 190.9) N/A 52 falling falling trend -1.2 (-2.0, -0.4)
Washington County, Kentucky Rural No 167.9 (140.9, 199.1) N/A 29 stable stable trend 0.1 (-1.8, 2.1)
Franklin County, Missouri Urban No 167.9 (158.2, 178.0) N/A 240 falling falling trend -1.1 (-1.7, -0.5)
Tipton County, Indiana Urban No 167.8 (145.1, 193.7) N/A 41 stable stable trend -0.7 (-1.6, 0.3)
San Patricio County, Texas Urban No 167.8 (155.1, 181.4) N/A 133 falling falling trend -1.6 (-2.3, -0.9)
Boone County, Iowa Urban No 167.8 (149.2, 188.4) N/A 63 stable stable trend -0.4 (-1.2, 0.3)
Person County, North Carolina Urban No 167.7 (152.9, 183.8) N/A 100 falling falling trend -1.2 (-2.2, -0.2)
Auglaize County, Ohio Rural No 167.7 (153.6, 183.0) N/A 109 falling falling trend -1.0 (-1.8, -0.2)
Mobile County, Alabama Urban No 167.7 (162.7, 172.9) N/A 872 falling falling trend -1.6 (-1.8, -1.4)
Milam County, Texas Rural No 167.7 (149.5, 187.8) N/A 66 stable stable trend -1.0 (-2.0, 0.0)
Gadsden County, Florida Urban No 167.7 (153.1, 183.4) N/A 104 falling falling trend -1.8 (-2.6, -1.0)
DeKalb County, Indiana Rural No 167.7 (152.4, 184.2) N/A 93 stable stable trend -0.7 (-1.5, 0.1)
Bennett County, South Dakota Rural No 167.7 (111.6, 242.3) N/A 6 stable stable trend -0.9 (-4.0, 2.3)
White County, Tennessee Rural No 167.6 (150.2, 186.8) N/A 70 falling falling trend -1.3 (-2.4, -0.2)
Madison County, Illinois Urban No 167.6 (161.5, 173.9) N/A 596 falling falling trend -1.0 (-1.4, -0.7)
Yellow Medicine County, Minnesota Rural No 167.6 (137.4, 203.1) N/A 24 stable stable trend -0.7 (-2.1, 0.5)
DeWitt County, Texas Rural No 167.6 (147.1, 190.5) N/A 50 stable stable trend -0.4 (-1.3, 0.4)
Oglethorpe County, Georgia Urban No 167.6 (143.5, 195.0) N/A 36 stable stable trend -1.1 (-2.7, 0.6)
Clinton County, Iowa Rural No 167.6 (153.9, 182.3) N/A 115 falling falling trend -0.8 (-1.5, -0.1)
Seneca County, Ohio Rural No 167.6 (154.4, 181.7) N/A 127 falling falling trend -0.8 (-1.6, -0.1)
Orleans County, Vermont Rural No 167.6 (150.0, 186.9) N/A 72 falling falling trend -0.7 (-1.2, -0.2)
Calhoun County, Florida Rural No 167.6 (142.8, 195.9) N/A 33 stable stable trend -0.5 (-2.1, 1.1)
San Saba County, Texas Rural No 167.5 (132.2, 211.3) N/A 16 stable stable trend -0.7 (-2.6, 1.2)
Clay County, Texas Urban No 167.5 (139.8, 200.0) N/A 29 stable stable trend -0.5 (-1.6, 0.6)
Sierra County, New Mexico Rural No 167.5 (142.6, 196.9) N/A 46 stable stable trend -0.9 (-1.8, 0.0)
Stokes County, North Carolina Urban No 167.5 (153.9, 182.1) N/A 121 falling falling trend -1.1 (-1.9, -0.3)
Wabaunsee County, Kansas Urban No 167.5 (133.1, 209.1) N/A 18 stable stable trend -0.5 (-2.9, 1.9)
Marion County, Florida Urban No 167.5 (162.9, 172.1) N/A 1,225 stable stable trend 0.8 (-1.0, 2.7)
Marion County, Iowa Rural No 167.5 (151.2, 185.1) N/A 81 stable stable trend -0.5 (-1.0, 0.0)
Pend Oreille County, Washington Rural No 167.5 (144.0, 194.5) N/A 42 falling falling trend -1.8 (-2.9, -0.7)
Hertford County, North Carolina Rural No 167.4 (147.1, 190.1) N/A 53 falling falling trend -2.0 (-2.8, -1.2)
Noble County, Indiana Rural No 167.4 (152.5, 183.4) N/A 99 falling falling trend -1.2 (-1.9, -0.5)
Adams County, Indiana Rural No 167.4 (150.2, 186.0) N/A 73 stable stable trend -0.3 (-1.1, 0.4)
Chickasaw County, Iowa Rural No 167.3 (140.8, 197.9) N/A 31 stable stable trend -0.2 (-1.4, 0.9)
Henry County, Missouri Rural No 167.3 (148.8, 187.9) N/A 62 falling falling trend -2.9 (-9.7, -1.4)
Cameron County, Pennsylvania Rural No 167.3 (127.0, 219.4) N/A 14 stable stable trend -0.7 (-2.9, 1.3)
Marshall County, Alabama Rural No 167.3 (157.0, 178.1) N/A 207 falling falling trend -1.2 (-1.7, -0.7)
Calhoun County, South Carolina Urban No 167.2 (144.1, 193.8) N/A 41 stable stable trend -0.9 (-1.9, 0.2)
Louisa County, Iowa Rural No 167.2 (138.5, 200.7) N/A 25 falling falling trend -1.8 (-3.2, -0.3)
Ogle County, Illinois Rural No 167.2 (154.0, 181.4) N/A 123 falling falling trend -0.6 (-1.1, -0.2)
Jefferson County, New York Urban No 167.2 (157.1, 177.8) N/A 213 falling falling trend -1.3 (-1.8, -0.8)
Elmore County, Alabama Urban No 167.2 (156.2, 178.7) N/A 182 falling falling trend -1.0 (-1.6, -0.5)
Sevier County, Arkansas Rural No 167.1 (140.5, 197.5) N/A 29 stable stable trend -1.0 (-2.1, 0.1)
LaFourche Parish, Louisiana Urban No 167.1 (156.8, 178.0) N/A 202 falling falling trend -1.0 (-1.6, -0.4)
Rogers County, Oklahoma Urban No 167.1 (156.8, 177.9) N/A 206 stable stable trend -0.6 (-1.1, 0.0)
Athens County, Ohio Rural No 167.0 (152.8, 182.3) N/A 109 falling falling trend -1.6 (-2.5, -0.7)
Monroe County, Ohio Rural No 167.0 (142.8, 194.9) N/A 37 stable stable trend -0.4 (-1.7, 0.9)
Monroe County, Michigan Urban No 167.0 (159.2, 175.1) N/A 364 falling falling trend -1.2 (-1.5, -0.8)
Madison County, Tennessee Urban No 167.0 (156.8, 177.6) N/A 214 falling falling trend -1.0 (-1.7, -0.3)
Pope County, Arkansas Rural No 167.0 (154.2, 180.5) N/A 131 falling falling trend -1.2 (-1.9, -0.5)
Shiawassee County, Michigan Rural No 167.0 (155.3, 179.4) N/A 161 falling falling trend -0.8 (-1.4, -0.3)
Caswell County, North Carolina Rural No 166.9 (148.3, 187.7) N/A 62 falling falling trend -1.2 (-1.9, -0.5)
Jones County, Mississippi Rural No 166.9 (154.6, 180.0) N/A 143 falling falling trend -1.1 (-1.8, -0.3)
Van Zandt County, Texas Rural No 166.9 (154.8, 179.8) N/A 150 falling falling trend -1.1 (-1.9, -0.3)
Aroostook County, Maine Rural No 166.9 (156.4, 178.0) N/A 204 falling falling trend -1.1 (-1.8, -0.5)
Champaign County, Ohio Rural No 166.9 (151.6, 183.4) N/A 91 falling falling trend -1.4 (-2.1, -0.7)
Genesee County, Michigan Urban No 166.8 (161.9, 171.9) N/A 917 falling falling trend -1.3 (-1.7, -1.0)
Howard County, Iowa Rural No 166.8 (137.6, 201.1) N/A 25 stable stable trend -0.4 (-1.8, 0.9)
Jefferson County, Tennessee Urban No 166.8 (154.4, 180.2) N/A 140 falling falling trend -1.1 (-1.9, -0.4)
Shoshone County, Idaho Rural No 166.8 (142.6, 194.7) N/A 37 falling falling trend -1.3 (-2.5, -0.2)
Latimer County, Oklahoma Rural No 166.8 (138.7, 199.8) N/A 26 stable stable trend -0.8 (-2.2, 0.7)
Sullivan County, Pennsylvania Rural No 166.8 (134.1, 208.9) N/A 20 falling falling trend -17.1 (-32.0, -0.2)
Yell County, Arkansas Rural No 166.8 (145.2, 190.9) N/A 45 falling falling trend -1.2 (-2.0, -0.5)
Taney County, Missouri Rural No 166.7 (154.3, 180.0) N/A 144 stable stable trend 4.1 (-1.4, 8.0)
Smith County, Mississippi Rural No 166.7 (142.8, 194.0) N/A 36 falling falling trend -2.3 (-4.1, -0.7)
Washington County, Tennessee Urban No 166.7 (158.3, 175.5) N/A 308 falling falling trend -0.9 (-1.2, -0.6)
Lafayette County, Wisconsin Rural No 166.7 (143.6, 192.7) N/A 40 falling falling trend -11.7 (-21.8, -0.1)
Stark County, Illinois Urban No 166.7 (129.3, 213.2) N/A 15 stable stable trend -0.9 (-2.5, 0.6)
Franklin County, Texas Rural No 166.7 (138.5, 199.5) N/A 27 stable stable trend 0.2 (-0.9, 4.6)
Macoupin County, Illinois Urban No 166.6 (152.8, 181.5) N/A 114 stable stable trend -0.6 (-1.2, 0.0)
Yadkin County, North Carolina Urban No 166.6 (151.4, 183.2) N/A 93 falling falling trend -1.0 (-1.6, -0.4)
Shelby County, Ohio Rural No 166.6 (152.2, 182.1) N/A 104 stable stable trend -0.4 (-1.0, 0.3)
Fremont County, Iowa Rural No 166.6 (132.8, 207.8) N/A 19 stable stable trend 0.9 (-1.5, 8.6)
Woodford County, Kentucky Urban No 166.5 (148.3, 186.7) N/A 64 falling falling trend -2.0 (-2.8, -1.1)
Vernon County, Wisconsin Urban No 166.5 (149.3, 185.4) N/A 74 stable stable trend -0.5 (-1.2, 0.3)
Conecuh County, Alabama Rural No 166.5 (140.0, 197.2) N/A 32 stable stable trend -1.2 (-2.4, 0.0)
Chisago County, Minnesota Urban No 166.5 (153.0, 180.9) N/A 118 stable stable trend -7.6 (-13.2, 0.7)
Woodruff County, Arkansas Rural No 166.4 (132.4, 208.2) N/A 18 stable stable trend -1.9 (-4.2, 0.1)
Scott County, Missouri Rural No 166.4 (150.7, 183.4) N/A 86 falling falling trend -1.4 (-2.1, -0.7)
Fulton County, Ohio Urban No 166.4 (151.7, 182.3) N/A 99 falling falling trend -3.0 (-6.8, -0.7)
Blount County, Alabama Urban No 166.3 (153.8, 179.7) N/A 136 falling falling trend -0.9 (-1.6, -0.2)
McCracken County, Kentucky Urban No 166.3 (154.8, 178.5) N/A 164 falling falling trend -0.8 (-1.3, -0.2)
Steuben County, New York Rural No 166.3 (156.6, 176.4) N/A 232 falling falling trend -1.1 (-1.6, -0.5)
Nelson County, Virginia Urban No 166.3 (144.1, 191.6) N/A 47 stable stable trend -0.8 (-1.9, 0.2)
Bibb County, Alabama Urban No 166.2 (145.8, 189.0) N/A