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Death Rates Table

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Death Rate Report for United States by County

All Cancer Sites, 2018-2022

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

Sorted by Rate

County
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 146.0 (145.8, 146.2) N/A 602,955 falling falling trend -1.5 (-1.6, -1.4)
Union County, Florida Rural No 387.8 (348.9, 430.1) N/A 76 stable stable trend -0.3 (-1.4, 0.4)
Kingman County, Kansas Rural No 378.1 (326.0, 437.2) N/A 42 rising rising trend 13.0 (5.8, 30.2)
Thurston County, Nebraska Rural No 303.7 (242.9, 374.6) N/A 18 stable stable trend 0.8 (-0.6, 2.1)
Galax City, Virginia Rural No 285.8 (236.7, 342.8) N/A 25 falling falling trend -9.6 (-22.5, -2.1)
Todd County, South Dakota Rural No 285.6 (218.4, 364.9) N/A 14 rising rising trend 2.0 (0.3, 10.5)
Issaquena County, Mississippi Rural No 274.8 (165.4, 445.5) N/A 4 stable stable trend 1.3 (-1.0, 3.7)
Mellette County, South Dakota Rural No 274.8 (181.1, 401.3) N/A 6 stable stable trend 0.4 (-1.3, 2.3)
Elk County, Kansas Rural No 272.6 (201.3, 366.2) N/A 12 stable stable trend -0.4 (-2.0, 1.1)
Quitman County, Mississippi Rural No 271.5 (221.1, 330.6) N/A 22 stable stable trend -0.5 (-1.3, 0.3)
Owsley County, Kentucky Rural No 265.9 (207.6, 337.0) N/A 15 stable stable trend 0.1 (-0.7, 1.1)
Hanson County, South Dakota Rural No 264.6 (174.6, 380.5) N/A 7 rising rising trend 2.1 (0.4, 3.9)
Hudspeth County, Texas Urban No 258.3 (175.6, 365.3) N/A 6
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Polk County, Texas Rural No 257.2 (237.1, 278.6) N/A 151 stable stable trend 0.1 (-0.5, 0.7)
Okfuskee County, Oklahoma Rural No 256.6 (221.4, 296.4) N/A 39 rising rising trend 1.5 (0.6, 6.5)
East Carroll Parish, Louisiana Rural No 254.8 (207.4, 310.0) N/A 21 stable stable trend -0.1 (-1.2, 0.9)
Ripley County, Missouri Rural No 252.8 (217.6, 292.5) N/A 40 stable stable trend 0.6 (0.0, 1.3)
Carlisle County, Kentucky Urban No 250.0 (199.9, 310.3) N/A 18 rising rising trend 1.7 (0.1, 12.2)
Crockett County, Texas Rural No 248.1 (181.9, 332.2) N/A 10 stable stable trend -0.3 (-1.9, 1.2)
Clay County, Kentucky Rural No 247.5 (220.1, 277.6) N/A 63 stable stable trend 0.4 (-0.2, 1.0)
Petersburg City, Virginia Urban No 246.8 (225.2, 269.9) N/A 104 falling falling trend -1.0 (-1.4, -0.5)
Humphreys County, Mississippi Rural No 245.6 (202.5, 295.8) N/A 25 rising rising trend 19.9 (3.2, 32.1)
Perry County, Kentucky Rural No 245.2 (222.4, 269.9) N/A 90 stable stable trend -0.2 (-0.7, 0.4)
Clinton County, Kentucky Rural No 245.1 (208.4, 287.1) N/A 33 stable stable trend 0.0 (-0.8, 0.9)
Baylor County, Texas Rural No 244.5 (187.9, 315.4) N/A 14 stable stable trend -0.2 (-1.5, 1.0)
Norton City, Virginia Rural No 243.5 (185.6, 315.5) N/A 12 stable stable trend -0.6 (-1.9, 0.7)
Leflore County, Mississippi Rural No 243.3 (219.0, 269.7) N/A 76 stable stable trend 0.0 (-0.5, 0.5)
Knox County, Kentucky Rural No 242.3 (220.8, 265.5) N/A 96 stable stable trend 0.1 (-0.3, 0.6)
Powell County, Kentucky Rural No 242.1 (207.8, 280.6) N/A 38 stable stable trend -0.7 (-1.5, 0.1)
Holmes County, Mississippi Urban No 242.0 (212.0, 275.4) N/A 49 stable stable trend -0.1 (-0.9, 0.6)
Tunica County, Mississippi Urban No 242.0 (198.3, 292.2) N/A 24 stable stable trend -0.6 (-1.2, 0.1)
Adams County, Ohio Rural No 241.9 (219.4, 266.3) N/A 90 stable stable trend -0.3 (-0.9, 0.3)
Edwards County, Kansas Rural No 241.9 (173.0, 330.8) N/A 10 stable stable trend 1.0 (-0.7, 2.7)
Yazoo County, Mississippi Urban No 241.8 (216.6, 269.2) N/A 69 stable stable trend -0.1 (-0.7, 0.6)
Leslie County, Kentucky Rural No 241.2 (206.3, 281.0) N/A 36 stable stable trend 0.1 (-0.5, 0.9)
Alexander County, Illinois Urban No 240.6 (196.1, 294.3) N/A 22 stable stable trend -0.4 (-1.5, 0.5)
Grant County, Oklahoma Rural No 240.4 (186.4, 306.9) N/A 15 stable stable trend 0.9 (-0.3, 2.0)
Lincoln County, West Virginia Rural No 240.2 (214.7, 268.2) N/A 70 stable stable trend -0.4 (-0.9, 0.3)
Harlan County, Kentucky Rural No 240.2 (217.7, 264.6) N/A 89 stable stable trend -1.4 (-8.6, 0.0)
Fairfax City, Virginia Urban No 239.2 (213.3, 267.4) N/A 64 stable stable trend 4.6 (-0.6, 19.7)
Martinsville City, Virginia Rural No 238.7 (207.3, 274.0) N/A 43 rising rising trend 2.1 (0.3, 10.1)
Real County, Texas Rural No 238.7 (181.7, 313.9) N/A 14 rising rising trend 4.2 (0.6, 17.8)
Sharkey County, Mississippi Rural No 238.7 (181.3, 310.4) N/A 13 falling falling trend -1.4 (-2.7, -0.3)
Jefferson County, Oklahoma Rural No 237.9 (190.7, 294.5) N/A 19 stable stable trend 0.6 (-0.2, 1.5)
Overton County, Tennessee Rural No 237.8 (213.8, 264.0) N/A 77 stable stable trend 0.0 (-0.5, 0.6)
Buffalo County, South Dakota Rural No 237.6 (131.4, 389.4) N/A 3
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Wolfe County, Kentucky Rural No 235.8 (191.4, 288.3) N/A 21 stable stable trend -0.4 (-1.5, 0.9)
Dewey County, South Dakota Rural No 235.8 (172.0, 314.4) N/A 10 stable stable trend -0.3 (-1.6, 1.1)
Lawrence County, Kentucky Urban No 235.3 (206.1, 267.9) N/A 50 stable stable trend -0.2 (-0.6, 0.3)
Oldham County, Texas Urban No 234.5 (143.4, 363.2) N/A 4
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Hitchcock County, Nebraska Rural No 234.4 (171.3, 317.4) N/A 11 stable stable trend 0.5 (-0.6, 1.6)
Caddo County, Oklahoma Rural No 233.5 (210.4, 258.5) N/A 76 stable stable trend 0.4 (-0.3, 1.1)
New Madrid County, Missouri Rural No 232.9 (206.1, 262.7) N/A 57 stable stable trend 0.0 (-0.5, 0.6)
Stewart County, Georgia Urban No 232.5 (178.9, 299.2) N/A 13 stable stable trend 0.6 (-0.3, 1.4)
Swain County, North Carolina Rural No 232.4 (202.7, 265.6) N/A 47 stable stable trend 0.3 (-0.4, 1.1)
Kiowa County, Oklahoma Rural No 232.0 (193.7, 276.4) N/A 28 stable stable trend 0.5 (-0.4, 1.3)
Coahoma County, Mississippi Rural No 230.8 (204.6, 259.6) N/A 60 stable stable trend -0.2 (-3.7, 0.3)
Lee County, Kentucky Rural No 230.7 (188.3, 280.6) N/A 22 stable stable trend -0.3 (-1.3, 0.7)
Nance County, Nebraska Rural No 230.6 (170.3, 307.3) N/A 11 stable stable trend 0.3 (-1.1, 1.7)
Cumberland County, Kentucky Rural No 230.0 (189.5, 278.4) N/A 23 stable stable trend 0.4 (-0.7, 1.6)
Garvin County, Oklahoma Rural No 229.0 (206.2, 253.7) N/A 77 stable stable trend 0.4 (-0.1, 0.9)
Oglala Lakota, South Dakota Rural No 228.8 (180.5, 284.7) N/A 19
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Nome Census Area, Alaska Rural No 228.5 (172.1, 295.7) N/A 14 stable stable trend 0.3 (-1.1, 2.0)
Coal County, Oklahoma Rural No 228.5 (183.5, 282.7) N/A 19 stable stable trend 15.6 (-0.1, 28.6)
Butler County, Kentucky Urban No 227.9 (196.0, 263.9) N/A 38 stable stable trend -0.6 (-1.3, 0.1)
Lawrence County, Ohio Urban No 227.7 (213.0, 243.3) N/A 186 rising rising trend 1.4 (0.5, 3.1)
Sequoyah County, Oklahoma Urban No 227.1 (209.1, 246.3) N/A 122 stable stable trend -0.4 (-0.9, 0.1)
Rolette County, North Dakota Rural No 226.4 (188.8, 269.2) N/A 27 stable stable trend -0.6 (-1.5, 0.3)
Coleman County, Texas Rural No 225.7 (190.8, 266.7) N/A 32 stable stable trend 0.2 (-0.7, 1.1)
Bolivar County, Mississippi Rural No 225.5 (204.0, 248.7) N/A 85 stable stable trend -0.5 (-1.0, 0.0)
Livingston County, Kentucky Urban No 225.4 (191.1, 265.1) N/A 33 stable stable trend 0.1 (-0.8, 1.0)
Poinsett County, Arkansas Urban No 225.4 (201.9, 251.0) N/A 70 stable stable trend -0.4 (-0.9, 0.1)
Oregon County, Missouri Rural No 225.2 (190.7, 265.3) N/A 32 stable stable trend 5.8 (-0.6, 15.9)
Floyd County, Kentucky Rural No 225.2 (206.2, 245.7) N/A 111 falling falling trend -0.6 (-1.0, -0.2)
Fountain County, Indiana Rural No 225.1 (199.1, 254.0) N/A 56 stable stable trend -0.3 (-0.9, 0.3)
Kalkaska County, Michigan Urban No 224.8 (197.9, 254.5) N/A 57 stable stable trend 8.1 (-0.3, 14.1)
Lewis County, Kentucky Rural No 224.6 (194.0, 259.0) N/A 41 stable stable trend -0.2 (-0.8, 0.5)
Chicot County, Arkansas Rural No 224.5 (191.7, 262.0) N/A 36 stable stable trend -0.1 (-0.9, 0.7)
Cheyenne County, Colorado Rural No 224.1 (151.0, 326.8) N/A 6 stable stable trend -0.1 (-2.0, 1.8)
Reagan County, Texas Rural No 223.8 (144.7, 327.3) N/A 6 stable stable trend 0.3 (-1.9, 2.6)
McCreary County, Kentucky Rural No 223.5 (195.0, 255.2) N/A 46 falling falling trend -0.8 (-1.5, -0.1)
Gentry County, Missouri Rural No 223.4 (180.3, 274.6) N/A 20 stable stable trend 0.3 (-0.8, 1.4)
Franklin City, Virginia Rural No 223.1 (186.3, 266.0) N/A 27 falling falling trend -0.7 (-1.4, -0.1)
Bell County, Kentucky Rural No 222.2 (200.1, 246.3) N/A 78 falling falling trend -0.7 (-1.2, -0.1)
Martin County, Texas Urban No 222.0 (165.5, 291.2) N/A 11 stable stable trend 0.1 (-1.4, 1.7)
Sunflower County, Mississippi Rural No 221.8 (197.9, 247.9) N/A 65 stable stable trend -0.3 (-0.7, 0.1)
Arkansas County, Arkansas Rural No 221.7 (195.8, 250.4) N/A 56 stable stable trend -0.5 (-1.0, 0.0)
Lee County, Arkansas Rural No 221.2 (185.5, 262.6) N/A 28 falling falling trend -0.8 (-1.6, -0.2)
Nowata County, Oklahoma Rural No 220.9 (186.7, 260.3) N/A 31 stable stable trend -0.2 (-1.1, 0.8)
Roane County, West Virginia Rural No 220.9 (192.4, 253.0) N/A 48 stable stable trend -0.2 (-0.8, 0.4)
Whitley County, Kentucky Rural No 220.7 (201.1, 241.7) N/A 97 stable stable trend -0.3 (-1.0, 0.5)
Shannon County, Missouri Rural No 220.0 (181.9, 265.1) N/A 25 stable stable trend -0.3 (-1.2, 0.7)
Ottawa County, Oklahoma Rural No 219.9 (199.5, 242.0) N/A 89 falling falling trend -0.5 (-0.9, -0.2)
Prairie County, Montana Rural No 219.6 (133.9, 358.8) N/A 5
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Stonewall County, Texas Rural No 219.1 (130.2, 355.2) N/A 4 stable stable trend -0.4 (-2.3, 1.2)
Anderson County, Texas Rural No 218.8 (203.3, 235.3) N/A 151 falling falling trend -1.9 (-3.0, -1.2)
Houston County, Tennessee Rural No 218.4 (182.4, 260.4) N/A 27 stable stable trend 0.3 (-0.5, 1.1)
McCulloch County, Texas Rural No 218.2 (181.5, 261.4) N/A 27 stable stable trend -0.5 (-1.2, 0.3)
McCurtain County, Oklahoma Rural No 218.2 (197.8, 240.2) N/A 88 stable stable trend -0.4 (-0.9, 0.0)
Menifee County, Kentucky Rural No 218.0 (176.2, 268.2) N/A 20 stable stable trend -0.7 (-2.1, 0.9)
Scott County, Indiana Rural No 217.8 (194.9, 243.0) N/A 69 stable stable trend -0.7 (-1.3, 0.1)
Prince of Wales-Hyder Census Area, Alaska Rural No 217.8 (169.0, 277.0) N/A 16 stable stable trend 4.9 (-5.8, 20.4)
Hopewell City, Virginia Urban No 217.8 (193.3, 244.6) N/A 59 stable stable trend -0.4 (-0.9, 0.1)
Calhoun County, Arkansas Rural No 217.4 (171.7, 273.7) N/A 17 stable stable trend 0.0 (-1.0, 1.0)
Blaine County, Oklahoma Rural No 216.9 (180.4, 259.4) N/A 27 stable stable trend -0.1 (-0.9, 0.7)
Lawrence County, Arkansas Rural No 216.7 (190.2, 246.1) N/A 51 stable stable trend 0.0 (-0.6, 0.6)
Waynesboro City, Virginia Urban No 216.6 (193.4, 242.0) N/A 66 stable stable trend -0.2 (-0.7, 0.4)
Greensville County, Virginia Rural No 216.5 (181.0, 257.3) N/A 28 stable stable trend -0.1 (-1.1, 0.9)
Trinity County, Texas Rural No 216.1 (189.7, 246.0) N/A 54 stable stable trend 0.2 (-0.5, 0.9)
Love County, Oklahoma Rural No 215.9 (181.7, 255.3) N/A 29 stable stable trend 0.3 (-0.4, 1.1)
Wise County, Virginia Rural No 215.9 (197.5, 235.8) N/A 107 stable stable trend -0.5 (-0.9, 0.0)
Gibson County, Tennessee Urban No 215.8 (200.1, 232.4) N/A 146 stable stable trend -0.4 (-0.9, 0.1)
Harper County, Kansas Rural No 215.6 (172.2, 268.2) N/A 18 stable stable trend 0.0 (-1.1, 1.2)
Vinton County, Ohio Rural No 215.6 (184.8, 250.5) N/A 37 stable stable trend -0.5 (-1.0, 0.2)
Pulaski County, Illinois Rural No 215.5 (172.7, 267.7) N/A 19 stable stable trend -0.4 (-1.7, 0.8)
Jackson County, South Dakota Rural No 215.5 (145.6, 307.7) N/A 6 stable stable trend -0.2 (-1.9, 1.7)
Dunklin County, Missouri Rural No 215.4 (194.5, 238.0) N/A 82 stable stable trend -0.4 (-0.9, 0.1)
Dallas County, Arkansas Rural No 215.3 (176.4, 261.7) N/A 24 stable stable trend -0.6 (-1.5, 0.3)
Atkinson County, Georgia Rural No 215.0 (173.7, 263.3) N/A 20 stable stable trend -0.3 (-1.5, 1.1)
Monroe County, Kentucky Rural No 214.8 (182.7, 251.4) N/A 34 stable stable trend -0.1 (-0.8, 0.6)
Cross County, Arkansas Rural No 214.6 (188.1, 244.2) N/A 49 falling falling trend -0.9 (-6.3, -0.2)
Jefferson County, Georgia Rural No 214.3 (186.6, 245.4) N/A 45 stable stable trend -0.3 (-1.0, 0.4)
Seminole County, Oklahoma Rural No 214.1 (191.7, 238.6) N/A 69 stable stable trend 0.1 (-0.3, 0.4)
Estill County, Kentucky Rural No 213.9 (185.0, 246.5) N/A 42 stable stable trend 0.0 (-0.7, 0.7)
Fulton County, Kentucky Rural No 213.6 (171.7, 263.5) N/A 20 stable stable trend -0.7 (-1.4, 0.0)
Gallatin County, Kentucky Urban No 213.5 (165.8, 270.0) N/A 18 stable stable trend -0.8 (-1.8, 0.3)
Randolph County, Missouri Rural No 213.4 (191.0, 238.0) N/A 68 stable stable trend -0.3 (-0.8, 0.2)
Hickman County, Tennessee Urban No 213.4 (191.1, 237.8) N/A 70 stable stable trend -0.3 (-1.0, 0.5)
Fleming County, Kentucky Rural No 213.3 (184.8, 245.3) N/A 43 stable stable trend -0.1 (-0.8, 0.7)
Washington County, Mississippi Rural No 213.3 (195.8, 231.9) N/A 119 stable stable trend -0.4 (-0.9, 0.0)
Wilkes County, Georgia Rural No 213.3 (180.6, 251.0) N/A 34 stable stable trend -0.5 (-1.2, 0.2)
Morton County, Kansas Rural No 213.2 (154.7, 290.6) N/A 9 stable stable trend 0.3 (-1.0, 1.7)
Pleasants County, West Virginia Rural No 213.1 (174.8, 258.2) N/A 23 stable stable trend 0.0 (-1.1, 1.2)
Pemiscot County, Missouri Rural No 213.0 (185.1, 244.3) N/A 44 stable stable trend -0.2 (-0.8, 0.4)
Jackson Parish, Louisiana Rural No 212.8 (185.9, 243.1) N/A 48 stable stable trend -0.6 (-1.3, 0.2)
Martin County, Kentucky Rural No 212.5 (179.2, 250.7) N/A 30 stable stable trend -0.5 (-1.3, 0.4)
Mingo County, West Virginia Rural No 212.5 (189.8, 237.5) N/A 69 falling falling trend -0.7 (-1.1, -0.3)
Marshall County, Mississippi Urban No 211.7 (192.8, 232.1) N/A 98 falling falling trend -0.7 (-1.1, -0.3)
Sussex County, Virginia Urban No 211.7 (178.6, 249.8) N/A 31 falling falling trend -1.3 (-2.0, -0.7)
Lauderdale County, Tennessee Rural No 211.6 (188.9, 236.5) N/A 66 stable stable trend -0.5 (-0.9, 0.0)
Lewis County, West Virginia Rural No 211.6 (186.4, 239.6) N/A 54 stable stable trend -0.5 (-0.9, 0.0)
Breathitt County, Kentucky Rural No 211.5 (181.3, 245.7) N/A 38 stable stable trend -0.7 (-1.6, 0.2)
Chester County, Tennessee Urban No 211.5 (184.7, 241.4) N/A 47 stable stable trend 0.3 (-0.5, 1.2)
Monroe County, Arkansas Rural No 211.4 (173.6, 256.4) N/A 24 stable stable trend -0.5 (-1.4, 0.3)
Pike County, Ohio Rural No 211.0 (190.3, 233.6) N/A 79 stable stable trend -0.1 (-0.6, 0.5)
Todd County, Kentucky Rural No 211.0 (179.4, 246.9) N/A 33 stable stable trend -0.5 (-1.4, 0.5)
Grayson County, Kentucky Rural No 211.0 (189.5, 234.4) N/A 75 stable stable trend 0.2 (-0.2, 0.6)
Logan County, West Virginia Rural No 210.8 (192.3, 230.8) N/A 104 falling falling trend -1.0 (-1.5, -0.6)
Washington County, Missouri Rural No 210.7 (188.0, 235.5) N/A 66 stable stable trend -0.2 (-0.8, 0.5)
Covington City, Virginia Rural No 210.7 (167.6, 262.6) N/A 18 stable stable trend 0.3 (-0.9, 1.5)
Gilmer County, West Virginia Rural No 210.5 (171.6, 256.7) N/A 21 stable stable trend -0.1 (-1.0, 0.9)
Benton County, Tennessee Rural No 210.3 (184.6, 239.0) N/A 54 stable stable trend -8.5 (-18.1, 0.2)
Hardin County, Ohio Rural No 210.0 (189.2, 232.6) N/A 78 stable stable trend -0.3 (-0.9, 0.3)
Webster County, Nebraska Rural No 209.6 (157.8, 276.2) N/A 12 stable stable trend 2.2 (-0.6, 14.7)
Van Buren County, Tennessee Rural No 209.6 (170.5, 256.6) N/A 22 stable stable trend -0.1 (-1.2, 1.2)
Clarke County, Alabama Rural No 209.5 (187.8, 233.3) N/A 72 stable stable trend -0.7 (-1.5, 0.0)
Lawrence County, Mississippi Rural No 209.5 (177.5, 245.9) N/A 33 stable stable trend -0.2 (-0.9, 0.6)
Colleton County, South Carolina Rural No 209.4 (192.1, 227.9) N/A 116 stable stable trend -0.4 (-0.8, 0.1)
Magoffin County, Kentucky Rural No 209.3 (177.2, 246.0) N/A 32 stable stable trend -0.7 (-1.7, 0.3)
Grenada County, Mississippi Rural No 209.2 (185.8, 235.0) N/A 61 stable stable trend -0.2 (-0.8, 0.4)
Mississippi County, Arkansas Rural No 209.2 (190.6, 229.2) N/A 98 falling falling trend -0.6 (-1.0, -0.1)
Phillips County, Arkansas Rural No 209.2 (183.0, 238.4) N/A 49 falling falling trend -1.2 (-1.8, -0.6)
Rockcastle County, Kentucky Rural No 209.1 (182.4, 239.1) N/A 47 stable stable trend -0.3 (-1.0, 0.5)
Montgomery County, Georgia Rural No 208.8 (170.5, 253.5) N/A 22 stable stable trend -0.9 (-1.9, 0.2)
Lincoln County, Kentucky Rural No 208.7 (187.0, 232.6) N/A 70 falling falling trend -0.4 (-1.9, -0.1)
Le Flore County, Oklahoma Rural No 208.6 (192.8, 225.5) N/A 133 stable stable trend -0.3 (-0.6, 0.1)
Crockett County, Tennessee Urban No 208.5 (179.7, 241.0) N/A 40 stable stable trend 0.2 (-0.5, 1.0)
Crittenden County, Kentucky Rural No 208.4 (173.9, 248.6) N/A 27 stable stable trend -0.3 (-1.3, 0.7)
Hickory County, Missouri Rural No 208.4 (174.7, 248.3) N/A 36 stable stable trend -0.6 (-1.3, 0.2)
Madison County, Missouri Rural No 208.3 (179.4, 241.0) N/A 39 falling falling trend -0.9 (-1.4, -0.3)
Knox County, Texas Rural No 208.2 (153.4, 278.5) N/A 10 stable stable trend 0.2 (-1.0, 1.3)
Jackson County, Ohio Rural No 208.2 (188.6, 229.4) N/A 87 falling falling trend -0.6 (-1.1, -0.2)
Republic County, Kansas Rural No 208.1 (163.5, 263.6) N/A 18 rising rising trend 3.9 (1.3, 15.5)
Montgomery County, Kentucky Rural No 207.8 (186.6, 230.8) N/A 73 falling falling trend -0.7 (-1.3, -0.1)
Rush County, Kansas Rural No 207.7 (154.4, 278.0) N/A 11 stable stable trend 0.0 (-1.3, 1.4)
Iron County, Missouri Rural No 207.7 (176.0, 244.4) N/A 32 falling falling trend -1.0 (-1.7, -0.3)
Carter County, Missouri Rural No 207.6 (164.4, 260.3) N/A 16 stable stable trend 0.1 (-1.0, 1.2)
Tishomingo County, Mississippi Rural No 207.6 (184.0, 233.7) N/A 59 stable stable trend -0.5 (-1.2, 0.1)
Kusilvak Census Area, Alaska Rural No 207.6 (139.7, 292.7) N/A 8
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Johnson County, Kentucky Rural No 207.5 (184.5, 232.9) N/A 63 stable stable trend -0.5 (-1.2, 0.1)
Russell County, Kentucky Rural No 207.5 (182.8, 234.9) N/A 55 stable stable trend -0.2 (-0.8, 0.5)
Crittenden County, Arkansas Urban No 207.4 (190.1, 226.0) N/A 111 stable stable trend -1.1 (-8.8, 0.3)
Lyman County, South Dakota Rural No 207.2 (151.6, 277.8) N/A 10 stable stable trend -0.7 (-2.2, 1.0)
Montgomery County, Missouri Rural No 207.2 (177.1, 241.6) N/A 36 stable stable trend -0.4 (-1.2, 0.4)
St. Francois County, Missouri Rural No 207.2 (193.7, 221.5) N/A 179 falling falling trend -0.5 (-0.8, -0.1)
Wayne County, Georgia Rural No 207.1 (186.4, 229.5) N/A 76 stable stable trend 6.4 (-0.2, 10.5)
Metcalfe County, Kentucky Rural No 207.1 (175.4, 243.5) N/A 31 stable stable trend -0.2 (-1.1, 0.8)
Carroll County, Kentucky Rural No 207.0 (173.7, 245.2) N/A 28 stable stable trend -0.6 (-1.3, 0.1)
Clay County, Arkansas Rural No 206.9 (181.1, 236.0) N/A 48 stable stable trend -0.2 (-0.8, 0.4)
Butler County, Missouri Rural No 206.8 (190.6, 224.2) N/A 124 falling falling trend -0.6 (-1.0, -0.2)
Ohio County, Kentucky Rural No 206.7 (184.8, 230.8) N/A 67 falling falling trend -0.7 (-1.1, -0.2)
Nolan County, Texas Rural No 206.6 (178.7, 237.9) N/A 41 stable stable trend -0.3 (-0.9, 0.3)
Henry County, Kentucky Urban No 206.2 (178.9, 236.7) N/A 44 stable stable trend -0.3 (-0.9, 0.2)
St. Landry Parish, Louisiana Rural No 206.1 (193.4, 219.3) N/A 210 falling falling trend -0.7 (-1.0, -0.4)
Webster County, Kentucky Rural No 206.0 (175.5, 240.6) N/A 34 stable stable trend -0.6 (-1.2, 0.0)
Russell County, Kansas Rural No 205.9 (166.2, 253.3) N/A 22 stable stable trend -0.3 (-1.5, 0.9)
Dillon County, South Carolina Rural No 205.6 (184.7, 228.4) N/A 75 falling falling trend -0.8 (-1.3, -0.2)
Fulton County, Illinois Rural No 205.6 (188.0, 224.6) N/A 106 falling falling trend -0.5 (-0.9, -0.1)
Montmorency County, Michigan Rural No 205.5 (174.3, 242.4) N/A 39 stable stable trend -0.6 (-1.4, 0.3)
Mahnomen County, Minnesota Rural No 205.3 (159.1, 261.6) N/A 14 stable stable trend -0.2 (-0.9, 0.6)
Fayette County, West Virginia Urban No 205.2 (189.3, 222.3) N/A 132 falling falling trend -0.5 (-0.8, -0.2)
Haskell County, Oklahoma Rural No 205.2 (175.3, 239.3) N/A 36 stable stable trend -0.5 (-1.1, 0.2)
Hill County, Texas Rural No 205.2 (187.9, 223.7) N/A 111 stable stable trend -0.4 (-1.0, 0.2)
Covington County, Mississippi Rural No 205.1 (179.6, 233.4) N/A 48 stable stable trend -0.1 (-0.7, 0.5)
Clare County, Michigan Rural No 205.1 (187.0, 224.7) N/A 105 falling falling trend -0.7 (-1.1, -0.2)
Faulk County, South Dakota Rural No 205.0 (141.1, 293.2) N/A 8 stable stable trend -0.5 (-2.4, 1.4)
Hamilton County, Texas Rural No 204.8 (170.2, 245.5) N/A 29 stable stable trend 0.1 (-0.6, 0.8)
Chattahoochee County, Georgia Urban No 204.8 (143.7, 280.5) N/A 8 falling falling trend -1.9 (-3.0, -0.7)
Colonial Heights City, Virginia Urban No 204.8 (180.3, 231.9) N/A 54 rising rising trend 3.3 (0.2, 11.1)
Young County, Texas Rural No 204.6 (180.0, 232.0) N/A 53 stable stable trend -0.4 (-1.0, 0.2)
Marion County, Illinois Rural No 204.5 (187.5, 222.8) N/A 113 stable stable trend -0.2 (-0.8, 0.3)
McDowell County, West Virginia Rural No 204.2 (181.7, 229.3) N/A 64 falling falling trend -0.8 (-1.3, -0.3)
Tallahatchie County, Mississippi Rural No 204.1 (173.3, 239.2) N/A 32 stable stable trend -0.3 (-1.0, 0.3)
Polk County, Tennessee Urban No 204.1 (179.8, 231.2) N/A 54 falling falling trend -0.8 (-1.5, -0.1)
Hardeman County, Tennessee Rural No 203.9 (182.8, 227.0) N/A 70 stable stable trend -0.4 (-0.9, 0.2)
Crenshaw County, Alabama Rural No 203.9 (174.9, 236.7) N/A 38 stable stable trend -0.3 (-1.0, 0.5)
McIntosh County, Oklahoma Rural No 203.8 (181.9, 228.0) N/A 69 stable stable trend -0.4 (-1.0, 0.3)
Carter County, Kentucky Urban No 203.8 (183.8, 225.6) N/A 79 falling falling trend -0.9 (-1.5, -0.4)
Carroll County, Tennessee Rural No 203.6 (184.1, 224.8) N/A 84 stable stable trend -0.3 (-0.7, 0.0)
Lewis County, Tennessee Rural No 203.6 (174.9, 236.2) N/A 39 falling falling trend -0.7 (-1.3, -0.2)
Fisher County, Texas Rural No 203.5 (150.7, 271.0) N/A 12 rising rising trend 22.1 (0.5, 39.3)
Palo Alto County, Iowa Rural No 203.5 (170.6, 241.8) N/A 30 stable stable trend -0.4 (-1.3, 0.4)
Pike County, Georgia Urban No 203.4 (177.8, 232.0) N/A 47 stable stable trend -0.6 (-1.3, 0.3)
Baca County, Colorado Rural No 203.4 (154.6, 266.2) N/A 13 stable stable trend -0.3 (-1.5, 0.9)
Trousdale County, Tennessee Urban No 203.4 (167.2, 245.0) N/A 23 stable stable trend -0.5 (-1.5, 0.7)
Claiborne County, Mississippi Rural No 203.3 (165.7, 247.2) N/A 22 stable stable trend -0.7 (-1.6, 0.2)
Wetzel County, West Virginia Rural No 203.3 (177.9, 231.9) N/A 49 stable stable trend -0.2 (-0.9, 0.5)
Perry County, Mississippi Urban No 203.2 (172.4, 238.5) N/A 32 stable stable trend -0.2 (-1.0, 0.7)
Jones County, South Dakota Rural No 203.0 (119.2, 346.9) N/A 4
*
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Pontotoc County, Mississippi Rural No 203.0 (182.4, 225.3) N/A 74 stable stable trend 2.0 (-0.1, 11.6)
Brantley County, Georgia Urban No 203.0 (177.0, 231.9) N/A 47 stable stable trend -0.4 (-1.1, 0.4)
Orange County, Indiana Rural No 203.0 (179.6, 228.8) N/A 58 stable stable trend -0.3 (-0.8, 0.3)
Scioto County, Ohio Rural No 202.8 (190.3, 216.0) N/A 203 falling falling trend -0.7 (-1.0, -0.4)
Smyth County, Virginia Rural No 202.8 (184.6, 222.5) N/A 98 stable stable trend -0.2 (-0.6, 1.5)
Pittsburg County, Oklahoma Rural No 202.7 (187.1, 219.4) N/A 131 stable stable trend -0.4 (-0.8, 0.0)
Gallatin County, Illinois Rural No 202.6 (159.1, 256.4) N/A 16 falling falling trend -0.9 (-1.7, -0.2)
Scott County, Arkansas Rural No 202.5 (171.1, 238.8) N/A 31 stable stable trend -0.5 (-1.4, 0.4)
Taylor County, Kentucky Rural No 202.5 (181.4, 225.5) N/A 71 stable stable trend 0.0 (-0.5, 0.5)
George County, Mississippi Rural No 202.5 (177.8, 229.6) N/A 54 stable stable trend -0.8 (-1.5, 0.0)
McDonald County, Missouri Rural No 202.5 (178.9, 228.3) N/A 57 stable stable trend -0.6 (-1.2, 0.1)
Barbour County, West Virginia Rural No 202.4 (175.8, 232.3) N/A 45 stable stable trend -0.5 (-1.1, 0.2)
Danville City, Virginia Rural No 202.4 (186.5, 219.4) N/A 130 stable stable trend 6.5 (-0.8, 11.8)
Morgan County, West Virginia Urban No 202.3 (178.5, 228.9) N/A 58 stable stable trend -0.4 (-1.0, 0.3)
Pottawatomie County, Oklahoma Rural No 202.2 (189.0, 216.0) N/A 182 stable stable trend -0.3 (-0.6, 0.1)
Greene County, Indiana Rural No 201.9 (183.3, 222.1) N/A 91 stable stable trend 0.1 (-0.4, 0.7)
Morgan County, Kentucky Rural No 201.9 (172.3, 235.5) N/A 35 stable stable trend 0.2 (-0.6, 1.1)
Webster Parish, Louisiana Rural No 201.8 (184.6, 220.3) N/A 108 falling falling trend -0.9 (-1.2, -0.5)
Green County, Kentucky Rural No 201.6 (172.3, 235.1) N/A 35 stable stable trend 0.2 (-0.7, 1.2)
Pushmataha County, Oklahoma Rural No 201.5 (172.5, 235.0) N/A 37 stable stable trend -0.5 (-1.3, 0.4)
Sharp County, Arkansas Rural No 201.5 (178.9, 226.6) N/A 64 stable stable trend 0.0 (-0.7, 0.7)
Lee County, Mississippi Rural No 201.5 (188.8, 214.8) N/A 194 stable stable trend -3.1 (-4.9, 0.3)
Mineral County, Nevada Rural No 201.4 (156.6, 257.3) N/A 16 stable stable trend -0.6 (-1.7, 0.5)
Desha County, Arkansas Rural No 201.3 (169.7, 237.6) N/A 31 stable stable trend 6.1 (-0.9, 15.1)
Crawford County, Georgia Urban No 201.2 (170.6, 236.2) N/A 34 stable stable trend 0.0 (-1.0, 1.1)
Wayne County, Missouri Rural No 201.2 (172.4, 234.4) N/A 39 stable stable trend -0.1 (-0.8, 0.6)
Letcher County, Kentucky Rural No 201.1 (178.6, 226.1) N/A 63 falling falling trend -0.7 (-1.4, -0.1)
Crawford County, Missouri Rural No 201.1 (179.5, 224.9) N/A 67 stable stable trend -0.3 (-0.8, 0.2)
Mason County, West Virginia Rural No 201.1 (181.5, 222.6) N/A 81 falling falling trend -1.1 (-1.6, -0.6)
Johnson County, Tennessee Rural No 201.1 (177.9, 226.9) N/A 59 stable stable trend -0.1 (-1.0, 0.8)
Rhea County, Tennessee Rural No 201.0 (182.4, 221.0) N/A 91 stable stable trend -0.5 (-0.9, 0.0)
Okmulgee County, Oklahoma Urban No 200.9 (183.4, 219.8) N/A 101 stable stable trend -0.2 (-0.5, 0.2)
Tensas Parish, Louisiana Rural No 200.9 (155.7, 258.2) N/A 15 stable stable trend -1.3 (-2.8, 0.1)
Pulaski County, Indiana Rural No 200.8 (172.2, 233.5) N/A 38 stable stable trend -0.4 (-1.0, 0.2)
Vermillion County, Indiana Urban No 200.7 (174.2, 230.6) N/A 44 falling falling trend -0.9 (-1.6, -0.1)
Somerset County, Maryland Urban No 200.7 (179.0, 224.6) N/A 65 falling falling trend -1.5 (-2.0, -1.0)
Adair County, Oklahoma Rural No 200.7 (175.8, 228.2) N/A 49 falling falling trend -0.7 (-1.2, -0.2)
McCook County, South Dakota Urban No 200.5 (158.1, 251.8) N/A 16 stable stable trend 0.7 (-0.5, 1.9)
Pike County, Kentucky Rural No 200.5 (186.7, 215.1) N/A 167 falling falling trend -2.2 (-5.5, -1.0)
Attala County, Mississippi Rural No 200.4 (176.1, 227.5) N/A 51 stable stable trend -0.2 (-0.9, 0.5)
Jennings County, Indiana Rural No 200.4 (179.5, 223.1) N/A 71 falling falling trend -1.0 (-2.3, -0.5)
Allen Parish, Louisiana Rural No 200.3 (176.3, 226.9) N/A 51 stable stable trend -0.7 (-1.7, 0.3)
Clay County, West Virginia Urban No 200.3 (166.0, 240.7) N/A 25 falling falling trend -1.3 (-1.9, -0.6)
Randolph County, Arkansas Rural No 200.2 (175.8, 227.2) N/A 52 stable stable trend -0.2 (-0.7, 0.4)
Nottoway County, Virginia Rural No 200.2 (174.2, 229.2) N/A 44 falling falling trend -0.9 (-1.4, -0.3)
Mason County, Kentucky Rural No 200.0 (174.0, 229.0) N/A 45 stable stable trend -0.6 (-1.2, 0.0)
Treutlen County, Georgia Rural No 199.9 (158.8, 249.2) N/A 17 stable stable trend 0.3 (-0.4, 1.0)
Catahoula Parish, Louisiana Rural No 199.9 (164.4, 241.3) N/A 24 stable stable trend 0.1 (-0.7, 1.0)
Cherokee County, Oklahoma Rural No 199.8 (183.8, 217.0) N/A 120 stable stable trend -0.2 (-0.6, 0.3)
Mason County, Illinois Rural No 199.8 (173.0, 230.2) N/A 43 stable stable trend -0.6 (-1.4, 0.2)
Richmond County, North Carolina Rural No 199.7 (183.3, 217.4) N/A 114 stable stable trend -0.4 (-0.9, 0.0)
Clay County, Tennessee Rural No 199.7 (166.4, 239.3) N/A 27 stable stable trend -0.7 (-1.6, 0.2)
Searcy County, Arkansas Rural No 199.7 (166.7, 238.8) N/A 28 stable stable trend -0.6 (-1.3, 0.1)
Vermilion County, Illinois Rural No 199.6 (187.6, 212.3) N/A 216 falling falling trend -0.5 (-0.8, -0.2)
Macon County, Missouri Rural No 199.5 (173.4, 228.8) N/A 46 stable stable trend -0.5 (-1.2, 0.2)
Stoddard County, Missouri Rural No 199.3 (180.3, 219.9) N/A 85 stable stable trend -0.5 (-1.0, 0.0)
Emanuel County, Georgia Rural No 199.2 (176.0, 224.7) N/A 56 stable stable trend -0.5 (-1.2, 0.2)
Henderson County, Tennessee Rural No 199.2 (179.2, 220.9) N/A 76 stable stable trend -0.3 (-0.8, 0.2)
Van Buren County, Iowa Rural No 199.2 (163.2, 242.0) N/A 23 stable stable trend 0.2 (-0.8, 1.3)
Cheatham County, Tennessee Urban No 199.1 (180.9, 218.8) N/A 97 falling falling trend -0.8 (-1.4, -0.1)
Ray County, Missouri Urban No 198.9 (177.5, 222.5) N/A 65 stable stable trend -0.3 (-1.0, 0.4)
Fayette County, Indiana Rural No 198.8 (177.3, 222.5) N/A 66 falling falling trend -0.7 (-1.2, -0.1)
Pulaski County, Kentucky Rural No 198.8 (185.8, 212.6) N/A 182 falling falling trend -0.4 (-0.7, -0.1)
Baraga County, Michigan Rural No 198.8 (165.4, 238.2) N/A 26 stable stable trend -0.4 (-1.1, 0.4)
Stephens County, Georgia Rural No 198.8 (179.0, 220.3) N/A 79 stable stable trend -0.5 (-1.0, 0.1)
Robeson County, North Carolina Rural No 198.8 (188.1, 209.8) N/A 276 falling falling trend -0.6 (-3.1, -0.2)
Red River County, Texas Rural No 198.7 (170.7, 230.7) N/A 40 stable stable trend -0.4 (-1.2, 0.3)
Hamilton County, Kansas Rural No 198.6 (127.4, 295.1) N/A 5 stable stable trend -0.2 (-1.7, 1.1)
Madison Parish, Louisiana Rural No 198.6 (164.2, 238.4) N/A 25 falling falling trend -1.3 (-2.3, -0.4)
Pendleton County, Kentucky Urban No 198.5 (169.6, 231.2) N/A 36 falling falling trend -0.8 (-1.3, -0.2)
Blackford County, Indiana Rural No 198.5 (170.9, 230.0) N/A 38 stable stable trend -0.6 (-1.2, 0.0)
Atchison County, Missouri Rural No 198.5 (158.2, 248.1) N/A 18 stable stable trend 0.0 (-1.1, 1.1)
Ringgold County, Iowa Rural No 198.5 (156.2, 251.1) N/A 16 stable stable trend 0.9 (-0.2, 2.0)
Calloway County, Kentucky Rural No 198.5 (180.4, 218.0) N/A 92 stable stable trend 0.0 (-0.3, 0.4)
Carter County, Oklahoma Rural No 198.4 (182.7, 215.2) N/A 122 falling falling trend -0.5 (-0.8, -0.2)
Brown County, Kansas Rural No 198.3 (165.7, 236.3) N/A 28 stable stable trend 0.3 (-0.7, 1.4)
Washington County, Florida Urban No 198.2 (177.1, 221.3) N/A 68 stable stable trend -0.3 (-0.9, 0.2)
Hamilton County, Florida Rural No 198.2 (170.4, 229.6) N/A 38 falling falling trend -1.5 (-2.0, -1.0)
Mason County, Texas Rural No 198.1 (150.0, 259.9) N/A 14 stable stable trend 14.4 (-0.7, 30.8)
Adams County, Mississippi Rural No 198.1 (179.1, 218.8) N/A 85 falling falling trend -0.6 (-1.0, -0.2)
Knott County, Kentucky Rural No 198.0 (170.2, 229.4) N/A 40 stable stable trend -0.3 (-1.0, 0.4)
Casey County, Kentucky Rural No 197.8 (172.5, 226.2) N/A 46 stable stable trend -0.3 (-1.0, 0.4)
Calhoun County, West Virginia Rural No 197.8 (160.1, 243.6) N/A 21 stable stable trend -0.7 (-1.7, 0.3)
Hart County, Kentucky Rural No 197.8 (172.9, 225.5) N/A 48 stable stable trend -9.6 (-20.7, 0.0)
Luce County, Michigan Rural No 197.8 (158.0, 246.8) N/A 19 stable stable trend -1.1 (-2.1, 0.0)
Madison County, Mississippi Urban No 197.8 (186.4, 209.7) N/A 238 falling falling trend -5.0 (-5.8, -4.3)
King and Queen County, Virginia Urban No 197.7 (159.3, 244.1) N/A 21 stable stable trend -0.7 (-1.6, 0.2)
Hancock County, Tennessee Rural No 197.6 (159.8, 242.9) N/A 21 stable stable trend 0.0 (-1.0, 1.0)
Wilkinson County, Mississippi Rural No 197.6 (161.8, 239.7) N/A 23 falling falling trend -0.9 (-1.7, -0.1)
Halifax County, North Carolina Rural No 197.6 (183.1, 213.1) N/A 148 falling falling trend -0.6 (-0.9, -0.3)
Jefferson County, Mississippi Rural No 197.4 (157.9, 244.4) N/A 19 stable stable trend -0.7 (-1.6, 0.2)
Traverse County, Minnesota Rural No 197.4 (150.6, 258.3) N/A 13 stable stable trend -0.3 (-1.7, 1.1)
Creek County, Oklahoma Urban No 197.3 (184.8, 210.4) N/A 193 falling falling trend -0.4 (-0.6, -0.1)
Lee County, Virginia Rural No 197.2 (176.6, 219.9) N/A 70 stable stable trend -0.4 (-0.9, 0.2)
Zavala County, Texas Rural No 197.2 (159.9, 240.6) N/A 20 stable stable trend -0.1 (-1.1, 0.9)
Muskogee County, Oklahoma Rural No 197.2 (183.8, 211.3) N/A 169 falling falling trend -0.4 (-0.7, -0.1)
Okeechobee County, Florida Rural No 197.1 (180.9, 214.5) N/A 115 falling falling trend -0.6 (-1.1, -0.1)
Bamberg County, South Carolina Rural No 196.8 (170.0, 227.5) N/A 42 stable stable trend -0.6 (-1.3, 0.2)
Acadia Parish, Louisiana Urban No 196.8 (182.0, 212.5) N/A 137 falling falling trend -0.9 (-1.3, -0.6)
Tyrrell County, North Carolina Rural No 196.7 (148.0, 260.1) N/A 12 stable stable trend -0.7 (-2.2, 0.8)
Scotland County, North Carolina Rural No 196.7 (178.5, 216.4) N/A 90 stable stable trend -0.5 (-1.1, 0.1)
Jackson County, Arkansas Rural No 196.6 (171.0, 225.3) N/A 44 stable stable trend 0.1 (-0.6, 0.9)
Delta County, Texas Rural No 196.5 (154.3, 248.3) N/A 16 stable stable trend -0.4 (-1.5, 0.8)
Macon County, Tennessee Urban No 196.5 (174.3, 220.8) N/A 60 falling falling trend -1.6 (-5.8, -0.7)
Columbia County, Florida Rural No 196.4 (183.9, 209.6) N/A 196 falling falling trend -0.6 (-1.0, -0.2)
Union Parish, Louisiana Urban No 196.3 (174.5, 220.5) N/A 64 falling falling trend -1.0 (-1.6, -0.4)
Roosevelt County, Montana Rural No 196.3 (158.0, 241.0) N/A 20 stable stable trend 0.1 (-1.0, 1.2)
Aurora County, South Dakota Rural No 196.3 (140.6, 270.2) N/A 9 stable stable trend 0.2 (-1.4, 1.7)
Breckinridge County, Kentucky Rural No 196.1 (173.7, 220.9) N/A 59 falling falling trend -1.1 (-1.5, -0.6)
Harmon County, Oklahoma Rural No 196.1 (131.7, 283.3) N/A 7 stable stable trend 0.2 (-1.7, 2.0)
Franklin County, Georgia Rural No 196.0 (174.5, 219.7) N/A 64 stable stable trend 0.1 (-0.4, 0.7)
Evans County, Georgia Rural No 196.0 (163.0, 234.1) N/A 26 stable stable trend -0.5 (-1.4, 0.6)
Rush County, Indiana Rural No 196.0 (170.9, 224.0) N/A 46 falling falling trend -0.7 (-1.3, -0.1)
Jim Hogg County, Texas Rural No 195.9 (146.6, 257.2) N/A 11 stable stable trend -0.5 (-1.9, 0.9)
Adair County, Kentucky Rural No 195.9 (171.8, 222.8) N/A 51 stable stable trend -0.6 (-1.3, 0.1)
Newton County, Texas Rural No 195.9 (167.3, 228.6) N/A 38 stable stable trend -0.6 (-1.3, 0.2)
Dickson County, Tennessee Urban No 195.8 (180.8, 211.9) N/A 132 falling falling trend -0.4 (-0.8, -0.1)
Chase County, Kansas Rural No 195.8 (135.1, 277.7) N/A 8 stable stable trend -0.1 (-1.5, 1.2)
Mercer County, Missouri Rural No 195.8 (145.3, 260.8) N/A 11 stable stable trend 1.0 (-0.2, 2.2)
Smith County, Tennessee Urban No 195.8 (171.7, 222.6) N/A 51 stable stable trend -0.2 (-0.8, 0.5)
Franklin County, Illinois Rural No 195.7 (179.3, 213.4) N/A 110 falling falling trend -0.8 (-1.2, -0.4)
Union County, Tennessee Urban No 195.7 (172.3, 221.8) N/A 54 falling falling trend -0.8 (-1.3, -0.2)
Meigs County, Tennessee Rural No 195.7 (166.9, 228.6) N/A 36 stable stable trend 0.3 (-0.6, 1.5)
Mayes County, Oklahoma Rural No 195.7 (178.8, 213.8) N/A 104 falling falling trend -0.6 (-1.1, -0.1)
Jasper County, Mississippi Rural No 195.6 (170.1, 224.2) N/A 46 stable stable trend 12.5 (-0.4, 20.4)
Henry County, Indiana Rural No 195.5 (180.7, 211.3) N/A 135 stable stable trend -0.3 (-0.7, 0.1)
Warren County, Tennessee Rural No 195.5 (178.8, 213.4) N/A 105 stable stable trend -0.3 (-0.8, 0.2)
Shelby County, Texas Rural No 195.4 (174.0, 219.0) N/A 62 falling falling trend -0.9 (-1.3, -0.4)
Pierce County, Georgia Rural No 195.4 (170.9, 222.6) N/A 48 stable stable trend -0.6 (-1.2, 0.1)
Terrell County, Georgia Urban No 195.4 (161.9, 234.4) N/A 25 falling falling trend -1.2 (-2.1, -0.5)
Lafayette County, Florida Rural No 195.3 (158.8, 238.5) N/A 20 stable stable trend -0.1 (-1.1, 1.2)
Iberville Parish, Louisiana Urban No 195.3 (175.8, 216.4) N/A 77 falling falling trend -0.9 (-1.3, -0.4)
Runnels County, Texas Rural No 195.2 (164.2, 231.2) N/A 29 stable stable trend -0.5 (-1.3, 0.3)
Iosco County, Michigan Rural No 195.2 (176.6, 215.8) N/A 97 stable stable trend 4.4 (-0.9, 10.9)
Crawford County, Michigan Rural No 195.2 (170.5, 223.4) N/A 49 stable stable trend -0.5 (-7.0, 0.9)
Ashley County, Arkansas Rural No 195.2 (172.5, 220.4) N/A 57 falling falling trend -0.7 (-1.3, -0.2)
Stewart County, Tennessee Urban No 195.1 (167.9, 225.9) N/A 39 stable stable trend -0.3 (-1.2, 0.8)
Hampton County, South Carolina Rural No 195.0 (171.3, 221.5) N/A 51 stable stable trend -0.4 (-1.0, 0.3)
Scott County, Illinois Rural No 194.9 (150.6, 249.8) N/A 14 stable stable trend 0.0 (-0.9, 1.0)
Ouachita County, Arkansas Rural No 194.9 (173.6, 218.4) N/A 66 stable stable trend -0.4 (-1.0, 0.2)
Beauregard Parish, Louisiana Rural No 194.7 (176.3, 214.7) N/A 85 stable stable trend -0.6 (-1.1, 0.0)
Claiborne County, Tennessee Rural No 194.7 (176.3, 214.6) N/A 88 falling falling trend -1.4 (-6.8, -0.6)
Newberry County, South Carolina Rural No 194.7 (177.8, 212.8) N/A 105 stable stable trend -0.5 (-1.0, 0.0)
Miller County, Arkansas Urban No 194.6 (178.1, 212.4) N/A 105 falling falling trend -0.6 (-1.0, -0.1)
Union County, Mississippi Rural No 194.6 (174.1, 217.0) N/A 67 stable stable trend 1.9 (-0.3, 9.9)
Cannon County, Tennessee Urban No 194.5 (166.9, 225.9) N/A 37 stable stable trend -11.6 (-21.6, 0.1)
Yalobusha County, Mississippi Rural No 194.5 (166.7, 226.2) N/A 37 falling falling trend -0.8 (-1.4, -0.2)
Dixie County, Florida Rural No 194.5 (171.6, 220.2) N/A 56 stable stable trend -0.6 (-1.1, 0.0)
Panola County, Mississippi Rural No 194.5 (175.7, 214.8) N/A 83 falling falling trend -0.7 (-1.1, -0.2)
Boone County, West Virginia Urban No 194.4 (172.9, 218.2) N/A 65 falling falling trend -1.5 (-2.2, -1.0)
Lake County, Tennessee Rural No 194.4 (154.5, 242.4) N/A 17 stable stable trend -0.9 (-1.8, 0.0)
Lawrence County, Illinois Rural No 194.3 (168.1, 223.9) N/A 41 stable stable trend -0.7 (-1.5, 0.0)
Fayette County, Ohio Rural No 194.3 (174.3, 216.1) N/A 73 stable stable trend -0.4 (-1.0, 0.2)
Gilchrist County, Florida Urban No 194.2 (171.2, 219.8) N/A 55 stable stable trend -0.6 (-1.4, 0.2)
Chester County, South Carolina Urban No 194.2 (175.9, 214.0) N/A 87 falling falling trend -0.6 (-1.0, -0.2)
Putnam County, Indiana Rural No 194.1 (176.7, 213.0) N/A 94 stable stable trend -0.4 (-0.8, 0.1)
Harrison County, West Virginia Rural No 194.0 (181.5, 207.3) N/A 187 falling falling trend -0.9 (-3.2, -0.6)
Kay County, Oklahoma Rural No 194.0 (178.4, 210.7) N/A 120 stable stable trend -0.1 (-0.5, 0.2)
Pearl River County, Mississippi Rural No 194.0 (180.0, 208.9) N/A 152 falling falling trend -0.7 (-1.1, -0.4)
Union County, Kentucky Rural No 194.0 (165.9, 225.9) N/A 36 stable stable trend -0.7 (-1.4, 0.0)
Logan County, Kentucky Rural No 194.0 (174.0, 215.8) N/A 72 stable stable trend -0.7 (-1.3, 0.0)
McDowell County, North Carolina Rural No 194.0 (179.0, 210.0) N/A 131 stable stable trend 0.0 (-0.4, 0.4)
Wayne County, Tennessee Rural No 194.0 (169.4, 221.6) N/A 46 stable stable trend -0.1 (-0.7, 0.6)
Onslow County, North Carolina Urban No 193.9 (183.9, 204.3) N/A 295 stable stable trend -3.4 (-7.9, 0.1)
Ford County, Illinois Urban No 193.9 (166.8, 224.6) N/A 39 stable stable trend -0.1 (-0.8, 0.5)
Highland County, Ohio Rural No 193.9 (178.0, 210.8) N/A 116 stable stable trend -0.6 (-1.1, 0.0)
Cochran County, Texas Urban No 193.7 (132.0, 276.3) N/A 6 stable stable trend -0.5 (-2.1, 1.0)
Grant County, Indiana Rural No 193.5 (180.8, 206.9) N/A 182 stable stable trend -0.4 (-0.8, 0.0)
Nelson County, Kentucky Urban No 193.5 (177.2, 210.9) N/A 110 stable stable trend 1.8 (-0.8, 7.3)
Madison County, Texas Rural No 193.5 (163.3, 227.8) N/A 30 stable stable trend -0.6 (-1.4, 0.1)
Pike County, Illinois Rural No 193.4 (168.4, 221.6) N/A 46 stable stable trend -0.2 (-0.9, 0.5)
Dickenson County, Virginia Rural No 193.4 (167.8, 222.5) N/A 44 stable stable trend -0.2 (-0.9, 0.6)
Bath County, Kentucky Rural No 193.2 (164.1, 226.4) N/A 33 falling falling trend -3.5 (-11.5, -0.7)
Benton County, Missouri Rural No 193.2 (173.2, 215.6) N/A 79 falling falling trend -1.1 (-1.6, -0.6)
Tipton County, Tennessee Urban No 193.2 (178.5, 208.7) N/A 136 falling falling trend -0.5 (-0.9, -0.1)
Johnston County, Oklahoma Rural No 193.2 (161.0, 230.4) N/A 27 falling falling trend -0.8 (-1.5, -0.1)
Campbell County, Tennessee Urban No 193.1 (177.0, 210.4) N/A 113 falling falling trend -0.7 (-1.0, -0.3)
Union County, Arkansas Rural No 193.1 (176.3, 211.2) N/A 102 falling falling trend -0.7 (-1.1, -0.4)
Chippewa County, Michigan Rural No 193.1 (176.0, 211.6) N/A 98 stable stable trend -0.3 (-0.8, 0.3)
Vance County, North Carolina Rural No 193.1 (176.8, 210.5) N/A 112 falling falling trend -0.9 (-1.3, -0.5)
Harrison County, Kentucky Rural No 193.0 (169.6, 219.1) N/A 51 stable stable trend -0.5 (-1.2, 0.2)
Red River Parish, Louisiana Rural No 193.0 (157.6, 234.8) N/A 22 stable stable trend 0.0 (-1.3, 1.4)
Humphreys County, Tennessee Rural No 192.9 (170.3, 218.2) N/A 55 stable stable trend -0.7 (-1.3, 0.0)
Lake County, Michigan Rural No 192.9 (166.4, 223.6) N/A 44 stable stable trend -0.3 (-1.7, 7.0)
DeKalb County, Tennessee Rural No 192.9 (170.3, 218.0) N/A 55 stable stable trend -0.3 (-0.9, 0.3)
Morris County, Kansas Rural No 192.9 (151.1, 244.3) N/A 18 stable stable trend -0.5 (-1.5, 0.5)
Liberty County, Texas Urban No 192.8 (179.9, 206.4) N/A 177 falling falling trend -1.4 (-1.8, -1.0)
Morris County, Texas Rural No 192.8 (164.7, 225.0) N/A 36 stable stable trend -0.8 (-1.5, 0.0)
Marshall County, Kentucky Rural No 192.8 (175.4, 211.7) N/A 96 stable stable trend -0.4 (-0.8, 0.0)
Phillips County, Kansas Rural No 192.8 (149.7, 246.2) N/A 16 stable stable trend -0.5 (-1.6, 0.5)
Toombs County, Georgia Rural No 192.6 (171.8, 215.4) N/A 65 falling falling trend -0.8 (-1.4, -0.2)
Ozark County, Missouri Rural No 192.6 (162.1, 228.8) N/A 33 falling falling trend -0.9 (-1.6, -0.2)
Bienville Parish, Louisiana Rural No 192.5 (165.1, 223.7) N/A 39 falling falling trend -0.7 (-1.5, -0.1)
Hughes County, Oklahoma Rural No 192.5 (164.8, 224.0) N/A 35 stable stable trend -0.2 (-0.8, 0.5)
Chattooga County, Georgia Rural No 192.5 (171.8, 215.2) N/A 65 falling falling trend -0.9 (-1.3, -0.4)
Columbus County, North Carolina Rural No 192.3 (178.1, 207.5) N/A 143 falling falling trend -0.8 (-1.2, -0.4)
Putnam County, Missouri Rural No 192.2 (150.6, 244.1) N/A 16 stable stable trend 0.1 (-0.9, 1.2)
Unicoi County, Tennessee Urban No 192.2 (169.8, 217.3) N/A 57 stable stable trend -0.2 (-0.7, 0.3)
Wayne County, North Carolina Urban No 192.2 (182.0, 202.8) N/A 280 falling falling trend -0.9 (-1.2, -0.5)
Polk County, Georgia Rural No 192.2 (175.1, 210.5) N/A 97 falling falling trend -0.8 (-1.3, -0.4)
Marlboro County, South Carolina Rural No 192.1 (171.9, 214.1) N/A 70 falling falling trend -1.0 (-1.9, -0.6)
Harrison County, Ohio Rural No 192.1 (166.4, 221.1) N/A 43 stable stable trend -0.6 (-1.3, 0.2)
Escambia County, Alabama Rural No 192.0 (175.0, 210.5) N/A 97 falling falling trend -0.9 (-1.3, -0.5)
McNairy County, Tennessee Rural No 191.9 (172.4, 213.2) N/A 75 stable stable trend -0.4 (-0.8, 0.1)
Oscoda County, Michigan Rural No 191.9 (160.7, 229.0) N/A 30 stable stable trend -0.4 (-1.5, 0.7)
Perry County, Ohio Urban No 191.8 (173.7, 211.4) N/A 88 falling falling trend -0.8 (-1.4, -0.1)
Webster County, Mississippi Rural No 191.8 (159.6, 229.3) N/A 26 stable stable trend -0.4 (-1.2, 0.6)
Vernon Parish, Louisiana Rural No 191.8 (174.5, 210.4) N/A 92 stable stable trend -0.2 (-0.8, 0.5)
Trimble County, Kentucky Rural No 191.7 (156.1, 233.7) N/A 21 stable stable trend -0.4 (-1.7, 1.0)
Atoka County, Oklahoma Rural No 191.7 (164.5, 222.6) N/A 37 stable stable trend 0.3 (-0.5, 1.2)
Grundy County, Tennessee Rural No 191.7 (164.9, 222.2) N/A 39 stable stable trend 0.3 (-0.6, 1.3)
Jasper County, Texas Rural No 191.7 (173.8, 211.1) N/A 91 falling falling trend -1.0 (-1.6, -0.5)
Wadena County, Minnesota Rural No 191.7 (165.8, 221.0) N/A 42 stable stable trend 0.1 (-0.6, 0.8)
Halifax County with South Boston City, Virginia Rural No 191.7 (175.3, 209.4) N/A 113 falling falling trend -0.8 (-1.2, -0.3)
Cocke County, Tennessee Rural No 191.7 (175.1, 209.5) N/A 107 falling falling trend -0.8 (-1.2, -0.3)
Starke County, Indiana Rural No 191.6 (170.7, 214.7) N/A 65 falling falling trend -1.9 (-7.7, -0.6)
Marshall County, Oklahoma Rural No 191.5 (167.2, 218.9) N/A 47 stable stable trend 0.0 (-0.6, 0.6)
Madison County, Georgia Urban No 191.5 (172.0, 212.7) N/A 75 stable stable trend -0.5 (-1.1, 0.2)
Forrest County, Mississippi Urban No 191.4 (178.1, 205.6) N/A 157 falling falling trend -0.8 (-1.1, -0.5)
Wilcox County, Alabama Rural No 191.4 (159.6, 228.3) N/A 28 stable stable trend -0.4 (-1.4, 0.7)
Swisher County, Texas Rural No 191.4 (152.5, 238.0) N/A 17 stable stable trend -0.1 (-0.9, 0.7)
Russell County, Alabama Urban No 191.4 (176.5, 207.2) N/A 129 falling falling trend -1.3 (-5.5, -0.8)
Washington County, Maine Rural No 191.3 (174.1, 210.1) N/A 101 falling falling trend -0.8 (-1.1, -0.4)
Iroquois County, Illinois Rural No 191.3 (172.9, 211.4) N/A 85 stable stable trend -0.2 (-0.6, 0.2)
Bosque County, Texas Urban No 191.2 (169.6, 215.4) N/A 62 falling falling trend -0.5 (-0.9, -0.1)
Hardin County, Illinois Rural No 191.2 (146.5, 249.6) N/A 13 stable stable trend -0.3 (-1.2, 0.7)
Jackson County, Alabama Rural No 191.2 (177.3, 206.0) N/A 149 falling falling trend -0.7 (-1.0, -0.3)
Anson County, North Carolina Urban No 191.2 (169.4, 215.3) N/A 60 stable stable trend -0.4 (-0.9, 0.1)
Sheridan County, Montana Rural No 191.2 (145.6, 250.3) N/A 13 stable stable trend -0.5 (-1.8, 0.7)
Pocahontas County, West Virginia Rural No 191.1 (157.4, 231.2) N/A 26 stable stable trend -0.7 (-1.8, 0.4)
Cass County, Texas Rural No 191.0 (173.0, 210.7) N/A 88 falling falling trend -0.6 (-1.1, -0.1)
Neosho County, Kansas Rural No 191.0 (165.7, 219.4) N/A 44 stable stable trend -0.3 (-0.8, 0.2)
Beckham County, Oklahoma Rural No 190.9 (167.2, 217.1) N/A 48 stable stable trend -0.4 (-1.0, 0.2)
Dyer County, Tennessee Rural No 190.9 (173.7, 209.4) N/A 94 stable stable trend -0.3 (-0.7, 0.2)
Mercer County, Kentucky Rural No 190.9 (169.7, 214.2) N/A 62 falling falling trend -1.0 (-1.6, -0.3)
Lamar County, Texas Rural No 190.8 (176.2, 206.4) N/A 133 falling falling trend -0.9 (-1.3, -0.6)
Fairfield County, South Carolina Urban No 190.8 (168.9, 215.1) N/A 62 falling falling trend -0.9 (-1.5, -0.3)
Brown County, Ohio Urban No 190.7 (175.1, 207.3) N/A 116 falling falling trend -0.8 (-1.2, -0.4)
Buchanan County, Virginia Rural No 190.4 (169.5, 213.7) N/A 64 stable stable trend -0.5 (-1.0, 0.1)
Levy County, Florida Urban No 190.4 (175.9, 206.0) N/A 143 falling falling trend -2.0 (-6.5, -0.7)
Mercer County, West Virginia Rural No 190.4 (177.3, 204.3) N/A 172 falling falling trend -0.6 (-1.0, -0.3)
Butts County, Georgia Urban No 190.3 (168.7, 214.2) N/A 58 stable stable trend -0.5 (-1.1, 0.4)
Howell County, Missouri Rural No 190.3 (174.4, 207.5) N/A 110 falling falling trend -0.6 (-1.0, -0.2)
Fulton County, Indiana Rural No 190.3 (167.7, 215.4) N/A 55 falling falling trend -0.7 (-1.2, -0.2)
Guernsey County, Ohio Rural No 190.3 (173.9, 208.0) N/A 105 falling falling trend -0.8 (-1.2, -0.4)
Lincoln County, Mississippi Rural No 190.3 (172.3, 209.7) N/A 86 falling falling trend -0.7 (-1.3, -0.2)
Monroe County, Tennessee Rural No 190.2 (175.3, 206.2) N/A 132 falling falling trend -0.6 (-1.1, -0.1)
Cherokee County, Kansas Urban No 190.2 (167.4, 215.5) N/A 53 falling falling trend -0.7 (-1.1, -0.2)
Tate County, Mississippi Urban No 190.2 (169.6, 212.6) N/A 66 stable stable trend -0.6 (-1.0, 0.0)
Marquette County, Wisconsin Rural No 190.1 (166.9, 216.5) N/A 53 stable stable trend -0.2 (-0.8, 0.5)
Fulton County, Arkansas Rural No 190.1 (163.5, 220.7) N/A 41 stable stable trend 0.0 (-0.8, 0.9)
Greene County, Pennsylvania Rural No 190.1 (173.1, 208.6) N/A 96 falling falling trend -0.5 (-0.9, -0.1)
Jefferson County, Montana Urban No 190.1 (160.6, 224.1) N/A 34 stable stable trend -0.9 (-1.7, 0.2)
Edgecombe County, North Carolina Urban No 189.9 (175.6, 205.3) N/A 139 stable stable trend -1.1 (-3.1, 0.4)
Lynn County, Texas Urban No 189.9 (146.0, 243.6) N/A 13 stable stable trend -0.1 (-1.4, 1.2)
Washington Parish, Louisiana Rural No 189.9 (174.5, 206.3) N/A 119 falling falling trend -1.1 (-1.5, -0.6)
Marion County, South Carolina Rural No 189.8 (171.0, 210.4) N/A 80 falling falling trend -0.9 (-1.4, -0.3)
Scott County, Tennessee Rural No 189.8 (167.5, 214.4) N/A 54 falling falling trend -13.9 (-20.9, -6.9)
Union County, South Carolina Urban No 189.8 (170.5, 210.8) N/A 77 falling falling trend -0.5 (-0.9, -0.1)
Mills County, Texas Rural No 189.7 (147.7, 243.1) N/A 16 stable stable trend -0.3 (-1.6, 1.0)
Barren County, Kentucky Rural No 189.7 (174.0, 206.5) N/A 112 stable stable trend -0.5 (-1.0, 0.0)
Sampson County, North Carolina Rural No 189.7 (176.1, 204.2) N/A 149 stable stable trend -0.4 (-0.8, 0.0)
Stephens County, Oklahoma Rural No 189.7 (174.3, 206.2) N/A 121 falling falling trend -0.6 (-1.9, -0.2)
Coke County, Texas Rural No 189.6 (143.1, 250.8) N/A 12 falling falling trend -1.3 (-2.5, -0.1)
Neshoba County, Mississippi Rural No 189.6 (169.2, 211.9) N/A 65 rising rising trend 1.1 (0.1, 4.3)
Bourbon County, Kentucky Urban No 189.4 (167.5, 213.6) N/A 56 falling falling trend -1.3 (-2.0, -0.6)
McMinn County, Tennessee Rural No 189.3 (175.6, 203.9) N/A 149 falling falling trend -0.8 (-3.6, -0.3)
Putnam County, Florida Rural No 189.3 (177.9, 201.3) N/A 229 falling falling trend -0.7 (-1.2, -0.3)
Berkeley County, West Virginia Urban No 189.3 (178.8, 200.2) N/A 264 falling falling trend -1.0 (-1.3, -0.6)
Morgan County, Tennessee Urban No 189.2 (166.6, 214.3) N/A 53 stable stable trend -0.7 (-1.3, 0.0)
Murray County, Georgia Urban No 189.1 (171.6, 208.0) N/A 90 falling falling trend -0.8 (-1.3, -0.2)
Jackson County, Tennessee Rural No 189.1 (161.7, 220.8) N/A 37 stable stable trend -0.8 (-1.7, 0.3)
Choctaw County, Oklahoma Rural No 189.1 (163.2, 218.5) N/A 40 stable stable trend -0.2 (-0.9, 0.6)
Twiggs County, Georgia Urban No 189.1 (154.8, 229.9) N/A 24 stable stable trend -0.8 (-1.5, 0.0)
Christian County, Kentucky Urban No 189.0 (174.6, 204.3) N/A 131 falling falling trend -0.8 (-1.2, -0.4)
Pettis County, Missouri Rural No 189.0 (172.8, 206.3) N/A 105 falling falling trend -0.6 (-1.0, -0.1)
Bacon County, Georgia Rural No 188.9 (157.0, 225.6) N/A 26 falling falling trend -1.3 (-2.1, -0.5)
Edwards County, Texas Rural No 188.9 (116.7, 299.5) N/A 5 stable stable trend 0.0 (-2.0, 2.1)
Clarke County, Iowa Rural No 188.8 (156.7, 226.3) N/A 26 stable stable trend 0.1 (-1.0, 1.3)
Anderson County, Kansas Rural No 188.8 (154.8, 229.2) N/A 23 stable stable trend -1.0 (-2.0, 0.0)
Jefferson County, Indiana Rural No 188.8 (170.9, 208.2) N/A 86 stable stable trend -0.6 (-1.1, 0.0)
Elbert County, Georgia Rural No 188.7 (166.7, 213.2) N/A 57 falling falling trend -0.9 (-1.4, -0.3)
Hyde County, South Dakota Rural No 188.7 (115.8, 303.8) N/A 5
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Cowley County, Kansas Rural No 188.7 (171.0, 207.9) N/A 88 stable stable trend -0.4 (-0.8, 0.0)
Morgan County, Ohio Rural No 188.7 (163.1, 217.7) N/A 42 stable stable trend -0.6 (-1.3, 0.2)
Tazewell County, Virginia Rural No 188.6 (173.4, 205.0) N/A 122 falling falling trend -0.7 (-1.1, -0.2)
Mississippi County, Missouri Rural No 188.6 (160.3, 221.0) N/A 32 stable stable trend -0.6 (-1.5, 0.2)
Fannin County, Texas Rural No 188.5 (171.5, 207.0) N/A 93 falling falling trend -0.8 (-1.2, -0.3)
Prentiss County, Mississippi Rural No 188.5 (167.7, 211.4) N/A 62 stable stable trend 0.1 (-0.6, 0.8)
Jefferson Davis Parish, Louisiana Urban No 188.4 (169.6, 208.9) N/A 76 falling falling trend -0.8 (-1.2, -0.4)
Lancaster County, Virginia Rural No 188.4 (160.3, 221.6) N/A 49 falling falling trend -1.6 (-2.3, -0.9)
Cotton County, Oklahoma Urban No 188.3 (147.9, 237.9) N/A 16 stable stable trend 0.0 (-0.8, 0.8)
Sumter County, Georgia Rural No 188.3 (168.5, 210.0) N/A 69 stable stable trend -0.6 (-1.1, 0.0)
Lowndes County, Mississippi Rural No 188.3 (174.1, 203.3) N/A 138 falling falling trend -0.6 (-1.1, -0.2)
Fentress County, Tennessee Rural No 188.2 (165.7, 213.5) N/A 55 falling falling trend -0.8 (-1.4, -0.1)
Clark County, Arkansas Rural No 188.2 (164.7, 214.4) N/A 48 stable stable trend -0.3 (-1.0, 0.3)
Morgan County, Missouri Rural No 188.0 (167.4, 210.9) N/A 66 falling falling trend -0.7 (-1.3, -0.1)
Haywood County, Tennessee Rural No 188.0 (164.2, 214.7) N/A 48 falling falling trend -0.9 (-1.6, -0.2)
Gallia County, Ohio Rural No 188.0 (169.4, 208.3) N/A 79 stable stable trend -0.4 (-1.0, 0.1)
Greene County, Illinois Rural No 187.9 (160.3, 219.6) N/A 35 stable stable trend -0.6 (-1.4, 0.2)
Alpine County, California Rural No 187.9 (108.9, 316.4) N/A 4
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Prince Edward County, Virginia Rural No 187.9 (164.2, 214.3) N/A 49 falling falling trend -0.8 (-1.2, -0.3)
Grant County, Kentucky Urban No 187.8 (164.8, 213.2) N/A 51 falling falling trend -1.0 (-1.6, -0.3)
Laurens County, South Carolina Urban No 187.8 (175.2, 201.0) N/A 176 stable stable trend -0.4 (-0.8, 0.0)
Nicholas County, Kentucky Rural No 187.8 (150.8, 231.8) N/A 19 stable stable trend -0.6 (-1.5, 0.2)
Palo Pinto County, Texas Rural No 187.7 (168.9, 208.3) N/A 77 falling falling trend -1.0 (-1.7, -0.4)
Doniphan County, Kansas Urban No 187.7 (152.0, 230.2) N/A 20 stable stable trend -0.4 (-1.2, 0.5)
Wayne County, Mississippi Rural No 187.7 (164.1, 213.8) N/A 48 stable stable trend -0.7 (-1.3, 0.0)
Walker County, Alabama Urban No 187.6 (175.0, 200.9) N/A 174 falling falling trend -3.4 (-8.2, -1.2)
Greeley County, Nebraska Rural No 187.5 (122.1, 278.8) N/A 7 stable stable trend -0.3 (-2.5, 1.9)
Giles County, Virginia Urban No 187.5 (164.4, 213.5) N/A 50 falling falling trend -1.0 (-1.6, -0.4)
Avoyelles Parish, Louisiana Rural No 187.5 (170.9, 205.3) N/A 98 falling falling trend -1.8 (-7.1, -0.9)
Ogemaw County, Michigan Rural No 187.4 (167.2, 210.0) N/A 72 falling falling trend -1.1 (-1.7, -0.6)
Russell County, Virginia Rural No 187.4 (168.6, 208.1) N/A 78 stable stable trend -0.4 (-0.9, 0.1)
Warren County, Illinois Rural No 187.4 (162.8, 215.0) N/A 45 stable stable trend -0.8 (-1.8, 0.0)
Concordia Parish, Louisiana Rural No 187.3 (162.9, 214.6) N/A 45 falling falling trend -0.8 (-1.2, -0.3)
Eastland County, Texas Rural No 187.3 (164.1, 213.2) N/A 52 falling falling trend -0.9 (-1.5, -0.2)
Stone County, Mississippi Urban No 187.1 (161.0, 216.4) N/A 40 falling falling trend -1.2 (-1.9, -0.4)
Leake County, Mississippi Rural No 187.1 (164.4, 212.3) N/A 51 falling falling trend -3.0 (-10.7, -1.0)
Pike County, Indiana Rural No 187.1 (159.0, 219.2) N/A 34 stable stable trend -0.4 (-1.3, 0.6)
Crawford County, Kansas Rural No 187.0 (169.5, 205.9) N/A 88 stable stable trend -0.4 (-0.9, 0.1)
Matagorda County, Texas Rural No 187.0 (169.4, 206.0) N/A 87 falling falling trend -0.7 (-1.2, -0.1)
Laclede County, Missouri Rural No 187.0 (169.9, 205.5) N/A 91 falling falling trend -0.7 (-1.1, -0.3)
Murray County, Oklahoma Rural No 186.9 (160.8, 216.5) N/A 39 falling falling trend -0.9 (-1.7, -0.1)
Evangeline Parish, Louisiana Rural No 186.9 (168.0, 207.3) N/A 74 falling falling trend -0.9 (-1.4, -0.4)
Ross County, Ohio Rural No 186.8 (174.8, 199.5) N/A 187 falling falling trend -0.9 (-1.3, -0.5)
Charlotte County, Virginia Rural No 186.8 (159.2, 218.7) N/A 35 stable stable trend 0.6 (-0.9, 5.5)
Whitley County, Indiana Urban No 186.8 (169.3, 205.8) N/A 88 falling falling trend -0.6 (-1.0, -0.1)
Graves County, Kentucky Rural No 186.8 (170.0, 205.0) N/A 95 falling falling trend -0.5 (-0.9, -0.1)
Greene County, Iowa Rural No 186.8 (155.1, 224.1) N/A 27 stable stable trend 0.1 (-0.9, 1.1)
Mitchell County, Texas Rural No 186.8 (150.0, 230.1) N/A 18 stable stable trend -0.7 (-1.9, 0.4)
Surry County, North Carolina Rural No 186.7 (175.2, 199.0) N/A 202 stable stable trend -0.3 (-0.6, 0.1)
Tillman County, Oklahoma Rural No 186.7 (150.8, 229.8) N/A 20 falling falling trend -1.1 (-2.1, -0.1)
Hawkins County, Tennessee Urban No 186.7 (173.6, 200.6) N/A 163 stable stable trend -0.1 (-0.5, 0.3)
Larue County, Kentucky Urban No 186.6 (159.3, 217.4) N/A 35 stable stable trend -0.7 (-1.5, 0.1)
Schuyler County, New York Rural No 186.6 (163.9, 212.0) N/A 53 stable stable trend -0.5 (-1.1, 0.2)
Decatur County, Tennessee Rural No 186.5 (158.8, 218.5) N/A 35 stable stable trend -0.5 (-1.2, 0.2)
Marshall County, Tennessee Rural No 186.5 (168.2, 206.4) N/A 80 falling falling trend -0.7 (-1.1, -0.2)
Franklin County, Kansas Rural No 186.5 (165.9, 209.0) N/A 63 stable stable trend -0.3 (-0.8, 0.2)
St. Francis County, Arkansas Rural No 186.4 (164.2, 210.8) N/A 53 falling falling trend -2.0 (-4.3, -1.4)
Iberia Parish, Louisiana Rural No 186.3 (173.0, 200.5) N/A 153 falling falling trend -1.2 (-1.6, -0.7)
Jeff Davis County, Georgia Rural No 186.3 (158.4, 217.9) N/A 33 falling falling trend -1.8 (-2.7, -0.8)
Saline County, Missouri Rural No 186.2 (164.6, 210.1) N/A 57 stable stable trend -0.4 (-1.1, 0.4)
Laurel County, Kentucky Rural No 186.2 (172.6, 200.6) N/A 145 falling falling trend -0.6 (-1.1, -0.1)
Allendale County, South Carolina Rural No 186.2 (150.9, 228.1) N/A 21 falling falling trend -1.3 (-2.2, -0.4)
Logan County, Arkansas Rural No 186.1 (165.1, 209.4) N/A 60 falling falling trend -0.7 (-1.2, -0.2)
Putnam County, Tennessee Rural No 186.1 (173.9, 199.0) N/A 179 stable stable trend -0.4 (-0.9, 0.1)
Upson County, Georgia Rural No 186.1 (166.9, 207.0) N/A 72 stable stable trend -0.5 (-1.0, 0.1)
Washington County, North Carolina Rural No 186.1 (156.5, 220.4) N/A 34 falling falling trend -1.2 (-2.2, -0.2)
Portsmouth City, Virginia Urban No 186.1 (174.7, 198.0) N/A 208 falling falling trend -1.2 (-1.5, -0.9)
Natchitoches Parish, Louisiana Rural No 186.1 (168.2, 205.4) N/A 84 falling falling trend -0.9 (-1.5, -0.3)
St. Clair County, Missouri Rural No 186.0 (156.2, 221.0) N/A 32 falling falling trend -1.0 (-1.7, -0.2)
Dent County, Missouri Rural No 186.0 (160.6, 214.8) N/A 42 stable stable trend -0.5 (-1.0, 0.0)
Baltimore City, Maryland Urban No 186.0 (181.3, 190.8) N/A 1,245 falling falling trend -1.7 (-1.9, -1.5)
Henry County, Tennessee Rural No 186.0 (169.5, 203.9) N/A 100 falling falling trend -0.7 (-1.1, -0.3)
Peach County, Georgia Urban No 185.9 (165.6, 208.2) N/A 65 falling falling trend -1.2 (-1.7, -0.6)
Screven County, Georgia Rural No 185.9 (159.9, 215.4) N/A 39 falling falling trend -0.7 (-1.2, -0.1)
Freestone County, Texas Rural No 185.9 (163.6, 210.7) N/A 53 stable stable trend -0.4 (-1.0, 0.3)
Piscataquis County, Maine Rural No 185.8 (164.3, 210.2) N/A 59 falling falling trend -0.9 (-1.4, -0.5)
Alcona County, Michigan Rural No 185.8 (160.0, 216.9) N/A 45 falling falling trend -0.7 (-1.2, -0.2)
Spalding County, Georgia Urban No 185.8 (173.0, 199.4) N/A 165 falling falling trend -0.6 (-1.0, -0.2)
Ector County, Texas Urban No 185.8 (175.1, 197.0) N/A 236 stable stable trend 3.5 (-0.8, 6.7)
Holmes County, Florida Rural No 185.8 (163.8, 210.3) N/A 54 stable stable trend -0.8 (-1.5, 0.0)
Gladwin County, Michigan Rural No 185.7 (167.3, 206.0) N/A 86 falling falling trend -0.7 (-1.3, -0.1)
Knox County, Missouri Rural No 185.6 (136.3, 248.9) N/A 10 stable stable trend 0.2 (-1.2, 1.5)
Clinton County, Ohio Rural No 185.6 (169.7, 202.8) N/A 105 falling falling trend -0.7 (-1.1, -0.3)
Chesterfield County, South Carolina Rural No 185.6 (170.0, 202.2) N/A 112 falling falling trend -1.0 (-5.0, -0.3)
Hillsdale County, Michigan Rural No 185.5 (170.8, 201.3) N/A 125 falling falling trend -0.6 (-1.0, -0.1)
Cowlitz County, Washington Urban No 185.5 (175.8, 195.7) N/A 285 falling falling trend -0.6 (-0.9, -0.2)
Lincoln County, Oklahoma Urban No 185.5 (168.3, 204.1) N/A 89 stable stable trend -0.4 (-0.8, 0.0)
Schoolcraft County, Michigan Rural No 185.5 (155.2, 221.9) N/A 29 stable stable trend -0.3 (-0.9, 0.3)
Lampasas County, Texas Urban No 185.5 (164.3, 209.0) N/A 58 falling falling trend -1.1 (-1.7, -0.4)
Grant Parish, Louisiana Urban No 185.4 (162.4, 210.9) N/A 49 falling falling trend -1.2 (-1.8, -0.5)
Wichita County, Texas Urban No 185.3 (175.4, 195.6) N/A 275 falling falling trend -0.9 (-1.1, -0.6)
Hardin County, Kentucky Urban No 185.2 (174.6, 196.4) N/A 233 falling falling trend -0.7 (-0.9, -0.4)
Pawnee County, Oklahoma Urban No 185.2 (160.2, 213.4) N/A 41 falling falling trend -1.0 (-5.3, -0.3)
Hancock County, Kentucky Rural No 185.2 (151.9, 224.2) N/A 22 stable stable trend -0.8 (-1.9, 0.3)
Meigs County, Ohio Rural No 185.2 (164.1, 208.5) N/A 60 falling falling trend -1.1 (-1.7, -0.6)
Harrison County, Mississippi Urban No 185.1 (177.5, 193.0) N/A 464 falling falling trend -1.3 (-2.3, -1.0)
Wyoming County, West Virginia Rural No 185.1 (163.4, 209.3) N/A 59 falling falling trend -0.7 (-1.2, -0.1)
Henderson County, Texas Rural No 185.1 (174.4, 196.4) N/A 240 falling falling trend -1.0 (-1.3, -0.6)
Henderson County, Kentucky Rural No 185.1 (169.7, 201.6) N/A 112 falling falling trend -0.6 (-1.1, -0.2)
Franklin County, Nebraska Rural No 185.1 (134.2, 253.4) N/A 10 stable stable trend 9.2 (-1.4, 40.3)
Lynchburg City, Virginia Urban No 185.0 (172.0, 198.9) N/A 158 falling falling trend -0.8 (-1.2, -0.5)
Warren County, Mississippi Rural No 185.0 (169.2, 202.0) N/A 107 falling falling trend -0.9 (-1.3, -0.6)
Grainger County, Tennessee Urban No 185.0 (164.8, 207.2) N/A 66 falling falling trend -1.7 (-8.8, -0.5)
Butte County, Idaho Urban No 185.0 (126.2, 265.1) N/A 7 stable stable trend -0.7 (-2.2, 0.7)
Radford City, Virginia Urban No 184.9 (151.2, 223.9) N/A 22 falling falling trend -0.8 (-1.6, -0.1)
Winn Parish, Louisiana Rural No 184.9 (158.1, 215.3) N/A 35 falling falling trend -1.2 (-2.0, -0.4)
Terrebonne Parish, Louisiana Urban No 184.9 (174.2, 196.0) N/A 235 falling falling trend -1.0 (-1.3, -0.7)
De Witt County, Illinois Rural No 184.8 (160.2, 212.7) N/A 42 falling falling trend -0.9 (-1.5, -0.3)
Chickasaw County, Mississippi Rural No 184.8 (160.2, 212.4) N/A 42 stable stable trend -0.6 (-1.2, 0.0)
Richmond County, Georgia Urban No 184.8 (176.7, 193.2) N/A 417 falling falling trend -1.0 (-1.3, -0.8)
Columbia County, Arkansas Rural No 184.8 (162.8, 209.1) N/A 54 falling falling trend -0.7 (-1.3, -0.2)
Owen County, Indiana Urban No 184.7 (163.1, 208.8) N/A 57 stable stable trend -1.9 (-3.5, 0.9)
Robertson County, Texas Urban No 184.7 (160.4, 212.0) N/A 45 falling falling trend -1.1 (-1.6, -0.5)
Jim Wells County, Texas Rural No 184.7 (167.2, 203.5) N/A 85 stable stable trend 3.4 (-0.6, 11.0)
Covington County, Alabama Rural No 184.6 (169.1, 201.4) N/A 111 stable stable trend -0.5 (-1.0, 0.0)
Roanoke City, Virginia Urban No 184.5 (173.9, 195.6) N/A 241 falling falling trend -0.9 (-1.1, -0.7)
Jackson County, Colorado Rural No 184.5 (111.6, 299.1) N/A 4
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Wyoming County, Pennsylvania Urban No 184.4 (165.5, 205.2) N/A 75 stable stable trend -0.3 (-1.0, 0.4)
Pickaway County, Ohio Urban No 184.4 (170.4, 199.3) N/A 133 falling falling trend -0.6 (-1.0, -0.3)
Vigo County, Indiana Urban No 184.4 (174.0, 195.3) N/A 245 falling falling trend -0.8 (-1.1, -0.4)
Jefferson County, Ohio Urban No 184.4 (172.4, 197.1) N/A 189 falling falling trend -1.0 (-1.3, -0.8)
Bedford County, Tennessee Rural No 184.3 (168.6, 201.2) N/A 106 stable stable trend -0.6 (-1.1, 0.0)
Brunswick County, Virginia Rural No 184.3 (160.8, 210.7) N/A 47 falling falling trend -1.7 (-2.4, -1.1)
La Salle County, Illinois Rural No 184.2 (174.7, 194.2) N/A 292 falling falling trend -0.7 (-0.9, -0.5)
Randolph County, Indiana Rural No 184.2 (164.6, 205.7) N/A 68 stable stable trend -0.4 (-1.0, 0.2)
Washburn County, Wisconsin Rural No 184.2 (162.0, 209.3) N/A 57 falling falling trend -0.9 (-1.5, -0.1)
Rowan County, Kentucky Rural No 184.2 (161.3, 209.5) N/A 48 stable stable trend 0.0 (-0.7, 0.8)
Jefferson County, Arkansas Rural No 184.1 (171.4, 197.6) N/A 164 falling falling trend -1.0 (-1.3, -0.7)
Mille Lacs County, Minnesota Urban No 184.1 (164.3, 205.8) N/A 66 stable stable trend -0.5 (-1.0, 0.1)
McLean County, Kentucky Urban No 184.1 (152.4, 221.2) N/A 25 falling falling trend -0.9 (-1.7, -0.2)
Taliaferro County, Georgia Rural No 184.1 (121.8, 279.5) N/A 6
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Maries County, Missouri Rural No 184.0 (152.4, 221.4) N/A 25 stable stable trend -0.6 (-1.6, 0.5)
Wood County, Texas Rural No 184.0 (170.2, 198.8) N/A 152 stable stable trend 4.5 (-0.2, 11.7)
Richmond County, Virginia Rural No 183.9 (153.6, 219.7) N/A 27 falling falling trend -0.9 (-1.7, -0.1)
Leon County, Texas Rural No 183.9 (160.8, 210.0) N/A 50 falling falling trend -1.0 (-1.7, -0.3)
Wood County, West Virginia Urban No 183.9 (173.2, 195.1) N/A 234 falling falling trend -0.6 (-0.9, -0.2)
Calhoun County, Michigan Urban No 183.9 (174.9, 193.2) N/A 329 falling falling trend -0.8 (-1.0, -0.5)
Hocking County, Ohio Urban No 183.9 (165.0, 204.5) N/A 74 falling falling trend -1.3 (-5.1, -0.8)
Franklin County, Alabama Rural No 183.8 (165.5, 203.7) N/A 76 falling falling trend -1.0 (-1.6, -0.4)
Cleveland County, North Carolina Rural No 183.7 (173.4, 194.6) N/A 250 stable stable trend -0.3 (-0.6, 0.1)
Marion County, Arkansas Rural No 183.7 (161.1, 209.3) N/A 59 falling falling trend -0.8 (-1.4, -0.2)
Linn County, Missouri Rural No 183.7 (156.2, 215.4) N/A 34 stable stable trend -0.4 (-1.2, 0.3)
Salem City, Virginia Urban No 183.6 (163.9, 205.4) N/A 66 stable stable trend -0.6 (-1.2, 0.0)
Obion County, Tennessee Rural No 183.6 (166.2, 202.6) N/A 85 falling falling trend -1.0 (-5.1, -0.5)
Switzerland County, Indiana Rural No 183.6 (151.6, 220.8) N/A 24 stable stable trend -0.8 (-1.8, 0.3)
Clark County, Illinois Rural No 183.6 (158.7, 211.7) N/A 41 stable stable trend -0.1 (-0.8, 0.6)
Wapello County, Iowa Rural No 183.5 (166.3, 202.1) N/A 87 falling falling trend -0.8 (-1.2, -0.4)
Fayette County, Alabama Rural No 183.5 (159.2, 210.9) N/A 45 stable stable trend -0.5 (-1.1, 0.1)
Jackson County, Florida Rural No 183.5 (169.5, 198.5) N/A 133 falling falling trend -0.5 (-0.8, -0.1)
Meade County, Kentucky Urban No 183.5 (163.4, 205.5) N/A 65 falling falling trend -1.1 (-1.7, -0.4)
Weakley County, Tennessee Rural No 183.4 (165.5, 202.9) N/A 81 stable stable trend -0.3 (-0.7, 0.0)
Orange County, Virginia Rural No 183.4 (167.2, 201.0) N/A 99 falling falling trend -1.1 (-1.5, -0.6)
Johnson County, Arkansas Rural No 183.4 (162.6, 206.2) N/A 59 stable stable trend -0.2 (-0.7, 0.4)
Kershaw County, South Carolina Urban No 183.3 (170.7, 196.7) N/A 166 falling falling trend -1.0 (-1.3, -0.6)
Edwards County, Illinois Rural No 183.3 (145.7, 229.1) N/A 18 stable stable trend -0.7 (-1.6, 0.2)
Wabash County, Indiana Rural No 183.2 (166.0, 201.9) N/A 92 stable stable trend 0.3 (-0.6, 4.6)
Logan County, Illinois Rural No 183.2 (164.6, 203.5) N/A 74 stable stable trend -0.5 (-1.0, 0.0)
Mecosta County, Michigan Rural No 183.1 (166.9, 200.6) N/A 102 falling falling trend -0.5 (-0.9, -0.1)
Benton County, Indiana Urban No 183.1 (150.0, 222.0) N/A 22 stable stable trend -0.3 (-1.2, 0.6)
Calhoun County, Florida Rural No 183.0 (157.4, 212.2) N/A 37 stable stable trend -0.7 (-1.6, 0.2)
Jackson County, Mississippi Urban No 183.0 (174.0, 192.4) N/A 325 falling falling trend -1.2 (-1.4, -0.9)
Lawrence County, Missouri Rural No 183.0 (166.6, 200.7) N/A 95 falling falling trend -0.7 (-1.1, -0.2)
Lawrence County, Tennessee Rural No 183.0 (167.6, 199.5) N/A 108 falling falling trend -0.9 (-1.3, -0.4)
Corson County, South Dakota Rural No 182.9 (122.1, 262.5) N/A 6 stable stable trend -0.2 (-1.4, 1.0)
Boyd County, Kentucky Urban No 182.9 (168.7, 198.2) N/A 128 falling falling trend -1.6 (-3.4, -1.2)
Jefferson County, Illinois Rural No 182.9 (166.7, 200.3) N/A 98 falling falling trend -0.7 (-1.1, -0.3)
Panola County, Texas Rural No 182.9 (162.2, 205.7) N/A 60 falling falling trend -0.9 (-1.5, -0.3)
Tucker County, West Virginia Rural No 182.8 (148.7, 224.6) N/A 23 stable stable trend -0.8 (-1.7, 0.2)
Roscommon County, Michigan Rural No 182.8 (164.5, 203.3) N/A 91 stable stable trend -0.2 (-0.8, 0.3)
Wheeler County, Texas Rural No 182.8 (141.0, 234.8) N/A 14 stable stable trend -0.3 (-1.2, 0.6)
Sabine Parish, Louisiana Rural No 182.7 (161.8, 206.0) N/A 59 falling falling trend -0.9 (-1.6, -0.3)
Geneva County, Alabama Urban No 182.7 (163.8, 203.5) N/A 72 stable stable trend -0.5 (-1.1, 0.1)
Haskell County, Texas Rural No 182.7 (143.0, 231.9) N/A 16 stable stable trend -0.3 (-1.6, 0.9)
Hopkins County, Kentucky Rural No 182.7 (167.6, 198.9) N/A 113 falling falling trend -0.9 (-1.3, -0.4)
Paulding County, Ohio Rural No 182.7 (159.8, 208.3) N/A 48 falling falling trend -0.9 (-1.5, -0.3)
Hempstead County, Arkansas Rural No 182.7 (160.1, 207.9) N/A 50 falling falling trend -0.9 (-1.5, -0.2)
Jersey County, Illinois Urban No 182.6 (161.7, 205.8) N/A 58 falling falling trend -0.7 (-1.3, -0.1)
Webster County, Missouri Urban No 182.5 (165.2, 201.2) N/A 84 stable stable trend 1.3 (-0.4, 7.0)
Montgomery County, Iowa Rural No 182.5 (153.2, 216.6) N/A 30 stable stable trend -0.6 (-1.3, 0.0)
Huerfano County, Colorado Rural No 182.5 (149.0, 223.6) N/A 25 stable stable trend -0.4 (-1.4, 0.7)
Crawford County, Ohio Rural No 182.5 (167.6, 198.5) N/A 116 falling falling trend -0.9 (-1.2, -0.5)
Lane County, Kansas Rural No 182.4 (115.9, 282.2) N/A 5 stable stable trend 0.5 (-1.0, 2.0)
Camp County, Texas Rural No 182.3 (153.2, 215.7) N/A 30 falling falling trend -1.4 (-2.3, -0.5)
Morgan County, Illinois Rural No 182.3 (165.4, 200.6) N/A 90 falling falling trend -0.6 (-1.0, -0.1)
Cumberland County, Virginia Rural No 182.3 (151.5, 218.3) N/A 28 falling falling trend -1.0 (-1.7, -0.2)
Nemaha County, Nebraska Rural No 182.3 (145.7, 226.2) N/A 19 stable stable trend 0.0 (-1.0, 1.0)
Linn County, Kansas Urban No 182.2 (152.5, 217.0) N/A 28 stable stable trend 0.0 (-0.9, 0.9)
Mitchell County, Georgia Rural No 182.2 (160.5, 206.3) N/A 53 falling falling trend -1.1 (-1.7, -0.5)
Tangipahoa Parish, Louisiana Urban No 182.2 (172.3, 192.4) N/A 271 falling falling trend -1.3 (-1.5, -1.0)
Barnwell County, South Carolina Rural No 182.1 (159.9, 206.8) N/A 52 falling falling trend -0.5 (-0.9, -0.1)
Marion County, Missouri Rural No 182.1 (163.0, 202.9) N/A 70 falling falling trend -0.6 (-1.2, -0.1)
Prowers County, Colorado Rural No 182.0 (152.9, 215.5) N/A 29 stable stable trend -0.6 (-1.4, 0.3)
Hill County, Montana Rural No 181.9 (154.7, 212.7) N/A 34 stable stable trend -0.5 (-1.1, 0.1)
Williamsburg County, South Carolina Rural No 181.9 (164.5, 200.9) N/A 86 stable stable trend -0.7 (-1.3, 0.0)
Taylor County, West Virginia Rural No 181.8 (158.5, 208.1) N/A 46 falling falling trend -1.2 (-1.8, -0.5)
Menominee County, Wisconsin Rural No 181.8 (128.6, 250.1) N/A 8 falling falling trend -2.6 (-4.0, -1.2)
Gulf County, Florida Rural No 181.8 (157.4, 209.5) N/A 44 falling falling trend -1.3 (-2.0, -0.5)
Alfalfa County, Oklahoma Rural No 181.8 (142.4, 230.3) N/A 15 stable stable trend 0.0 (-1.1, 1.1)
Marion County, Alabama Rural No 181.7 (164.5, 200.6) N/A 84 falling falling trend -0.6 (-4.9, -0.1)
Miami County, Indiana Rural No 181.7 (164.7, 200.1) N/A 87 falling falling trend -0.8 (-1.2, -0.4)
Reynolds County, Missouri Rural No 181.7 (145.6, 225.9) N/A 19 falling falling trend -1.8 (-4.6, -0.6)
Nemaha County, Kansas Rural No 181.7 (151.3, 217.0) N/A 29 rising rising trend 1.7 (0.1, 10.0)
Gloucester County, Virginia Urban No 181.7 (165.8, 198.9) N/A 102 falling falling trend -1.2 (-1.6, -0.6)
Greene County, Alabama Urban No 181.7 (147.6, 222.3) N/A 22 falling falling trend -1.0 (-1.9, -0.1)
Greene County, Tennessee Rural No 181.6 (170.2, 193.7) N/A 199 falling falling trend -1.6 (-4.9, -0.8)
Logan County, Kansas Rural No 181.6 (124.4, 258.6) N/A 7 stable stable trend -0.4 (-2.0, 1.2)
Monroe County, Mississippi Rural No 181.6 (164.6, 200.0) N/A 89 stable stable trend -0.5 (-1.0, 0.1)
Dallas County, Missouri Urban No 181.5 (158.4, 207.5) N/A 47 falling falling trend -0.8 (-1.3, -0.3)
Wakulla County, Florida Urban No 181.5 (162.3, 202.4) N/A 72 stable stable trend -0.3 (-1.1, 3.6)
Sioux County, North Dakota Rural No 181.5 (117.0, 267.0) N/A 6 stable stable trend -1.9 (-4.7, 1.5)
Taylor County, Georgia Rural No 181.4 (147.0, 222.5) N/A 21 stable stable trend -0.7 (-1.7, 0.4)
Lawrence County, Alabama Urban No 181.3 (164.2, 200.0) N/A 86 stable stable trend -0.6 (-1.2, 0.0)
Ellsworth County, Kansas Rural No 181.3 (144.2, 226.5) N/A 18 stable stable trend 0.0 (-1.1, 1.2)
Wise County, Texas Urban No 181.3 (168.0, 195.4) N/A 146 stable stable trend -0.3 (-0.7, 0.1)
Dickens County, Texas Rural No 181.3 (114.6, 280.0) N/A 5 stable stable trend -0.9 (-2.7, 0.7)
Somerset County, Maine Rural No 181.3 (167.8, 195.6) N/A 145 falling falling trend -1.0 (-1.3, -0.6)
Gordon County, Georgia Rural No 181.1 (166.9, 196.3) N/A 124 falling falling trend -0.9 (-1.2, -0.4)
Goshen County, Wyoming Rural No 181.1 (154.8, 211.3) N/A 37 stable stable trend -0.1 (-0.8, 0.7)
Knox County, Indiana Rural No 181.0 (164.3, 199.1) N/A 90 falling falling trend -0.8 (-1.3, -0.4)
Tift County, Georgia Rural No 181.0 (164.3, 199.0) N/A 89 stable stable trend -0.5 (-0.9, 0.0)
Meade County, Kansas Rural No 181.0 (134.7, 239.9) N/A 11 stable stable trend 0.3 (-1.1, 1.6)
Macon County, Alabama Urban No 181.0 (158.0, 206.8) N/A 49 falling falling trend -1.3 (-1.8, -0.8)
Clarendon County, South Carolina Rural No 181.0 (164.0, 199.5) N/A 93 falling falling trend -0.9 (-1.4, -0.4)
Page County, Virginia Rural No 181.0 (161.9, 202.0) N/A 69 stable stable trend -0.3 (-0.9, 0.3)
Greenbrier County, West Virginia Rural No 180.9 (164.8, 198.5) N/A 100 falling falling trend -0.9 (-1.3, -0.4)
Clay County, Indiana Urban No 180.9 (161.5, 202.2) N/A 66 falling falling trend -0.8 (-1.3, -0.2)
Claiborne Parish, Louisiana Rural No 180.7 (155.2, 209.8) N/A 39 stable stable trend 10.7 (-0.3, 17.3)
Comanche County, Oklahoma Urban No 180.7 (170.1, 191.9) N/A 224 falling falling trend -1.1 (-2.7, -0.8)
Grant County, Arkansas Urban No 180.7 (157.5, 206.7) N/A 45 stable stable trend -0.3 (-1.1, 0.5)
Newton County, Missouri Urban No 180.7 (167.6, 194.6) N/A 147 falling falling trend -0.6 (-1.0, -0.2)
Franklin Parish, Louisiana Rural No 180.7 (158.2, 205.8) N/A 49 falling falling trend -1.2 (-2.0, -0.5)
Cabell County, West Virginia Urban No 180.7 (170.2, 191.7) N/A 235 falling falling trend -1.0 (-1.2, -0.7)
Randolph County, West Virginia Rural No 180.7 (162.8, 200.2) N/A 79 falling falling trend -0.6 (-1.1, -0.1)
Barbour County, Alabama Rural No 180.6 (161.2, 202.1) N/A 65 falling falling trend -1.1 (-1.8, -0.4)
Darlington County, South Carolina Urban No 180.6 (167.7, 194.3) N/A 156 falling falling trend -0.9 (-1.2, -0.6)
Talladega County, Alabama Rural No 180.6 (169.3, 192.5) N/A 201 falling falling trend -0.8 (-1.1, -0.5)
Benson County, North Dakota Rural No 180.6 (135.3, 236.4) N/A 12 stable stable trend 0.8 (-0.5, 2.0)
Barber County, Kansas Rural No 180.5 (135.7, 237.7) N/A 12 stable stable trend -0.9 (-2.0, 0.0)
Muhlenberg County, Kentucky Rural No 180.5 (162.9, 199.6) N/A 80 falling falling trend -0.9 (-1.5, -0.3)
Tattnall County, Georgia Rural No 180.4 (158.4, 204.7) N/A 50 falling falling trend -2.1 (-7.8, -1.0)
Lanier County, Georgia Urban No 180.4 (146.5, 220.0) N/A 21 stable stable trend -0.8 (-1.7, 0.2)
Lawrence County, Indiana Rural No 180.4 (165.9, 195.9) N/A 120 falling falling trend -0.6 (-1.0, -0.3)
Orleans County, New York Urban No 180.3 (164.4, 197.6) N/A 99 falling falling trend -0.7 (-1.3, -0.2)
Bowie County, Texas Urban No 180.3 (169.5, 191.7) N/A 214 falling falling trend -1.0 (-1.4, -0.6)
Jefferson County, West Virginia Urban No 180.3 (166.4, 195.1) N/A 132 falling falling trend -0.9 (-1.4, -0.3)
Linn County, Oregon Urban No 180.3 (171.3, 189.7) N/A 315 falling falling trend -0.6 (-0.9, -0.3)
Haralson County, Georgia Urban No 180.2 (161.1, 201.1) N/A 67 stable stable trend -0.5 (-1.2, 0.2)
Bertie County, North Carolina Rural No 180.1 (157.6, 205.5) N/A 52 falling falling trend -1.7 (-2.3, -1.0)
Grayson County, Virginia Rural No 180.1 (157.4, 205.9) N/A 49 stable stable trend -0.4 (-1.1, 0.3)
Klamath County, Oregon Rural No 180.0 (168.2, 192.5) N/A 186 falling falling trend -0.6 (-0.9, -0.3)
Norman County, Minnesota Rural No 180.0 (144.7, 222.7) N/A 19 stable stable trend -0.7 (-1.6, 0.2)
Pipestone County, Minnesota Rural No 180.0 (149.9, 215.2) N/A 27 stable stable trend -0.3 (-1.2, 0.6)
Isabella County, Michigan Rural No 180.0 (165.1, 195.9) N/A 113 stable stable trend -0.7 (-1.2, 0.0)
Caroline County, Maryland Rural No 180.0 (162.3, 199.2) N/A 79 falling falling trend -1.4 (-1.8, -0.9)
Crawford County, Arkansas Urban No 179.9 (166.7, 193.9) N/A 142 falling falling trend -0.9 (-1.2, -0.6)
Saline County, Illinois Rural No 179.9 (160.6, 201.2) N/A 66 falling falling trend -0.9 (-1.3, -0.4)
Sumner County, Kansas Urban No 179.9 (159.4, 202.5) N/A 60 falling falling trend -1.0 (-1.4, -0.5)
Lee County, Georgia Urban No 179.9 (159.0, 202.7) N/A 59 stable stable trend -0.7 (-1.3, 0.1)
West Carroll Parish, Louisiana Rural No 179.7 (149.3, 215.3) N/A 26 falling falling trend -1.1 (-1.9, -0.4)
Etowah County, Alabama Urban No 179.7 (169.9, 190.0) N/A 263 falling falling trend -1.0 (-1.5, -0.8)
Trigg County, Kentucky Urban No 179.7 (155.1, 207.6) N/A 42 falling falling trend -1.3 (-1.9, -0.6)
Mitchell County, North Carolina Rural No 179.6 (156.1, 206.4) N/A 46 stable stable trend 6.7 (-0.9, 11.4)
Curry County, Oregon Rural No 179.6 (162.7, 198.6) N/A 98 falling falling trend -0.6 (-1.1, -0.2)
Toole County, Montana Rural No 179.6 (136.0, 233.9) N/A 12 stable stable trend -0.6 (-1.6, 0.4)
Chemung County, New York Urban No 179.6 (168.8, 190.9) N/A 219 falling falling trend -1.0 (-1.3, -0.7)
Morehouse Parish, Louisiana Urban No 179.5 (159.8, 201.2) N/A 64 falling falling trend -0.8 (-1.3, -0.4)
Marion County, West Virginia Rural No 179.5 (166.3, 193.7) N/A 143 falling falling trend -0.6 (-1.1, -0.2)
Wayne County, Kentucky Rural No 179.5 (158.1, 203.5) N/A 54 stable stable trend -10.3 (-20.8, 0.0)
Plaquemines Parish, Louisiana Urban No 179.5 (156.8, 204.7) N/A 46 falling falling trend -1.5 (-2.3, -0.7)
Clay County, Illinois Rural No 179.5 (153.1, 209.7) N/A 35 stable stable trend -0.5 (-1.3, 0.3)
Aransas County, Texas Urban No 179.5 (160.4, 200.6) N/A 78 falling falling trend -1.0 (-1.5, -0.4)
Douglas County, Oregon Rural No 179.5 (170.8, 188.5) N/A 359 falling falling trend -0.7 (-0.9, -0.4)
Coffee County, Tennessee Rural No 179.4 (166.0, 193.8) N/A 136 falling falling trend -0.9 (-1.3, -0.4)
Josephine County, Oregon Urban No 179.4 (169.8, 189.5) N/A 291 falling falling trend -0.8 (-1.1, -0.5)
Sumter County, Alabama Rural No 179.3 (148.7, 214.8) N/A 28 stable stable trend -0.6 (-1.4, 0.2)
Cherokee County, South Carolina Rural No 179.3 (165.3, 194.1) N/A 128 falling falling trend -1.6 (-2.5, -1.0)
Crawford County, Illinois Rural No 179.2 (157.4, 203.7) N/A 50 falling falling trend -0.6 (-1.2, -0.3)
Washington County, Oklahoma Rural No 179.2 (165.6, 193.8) N/A 136 stable stable trend -0.3 (-0.7, 0.1)
Kittson County, Minnesota Rural No 179.1 (136.6, 233.7) N/A 14 stable stable trend -0.5 (-1.6, 0.6)
Franklin County, Arkansas Rural No 179.1 (155.8, 205.3) N/A 45 falling falling trend -0.7 (-1.3, -0.1)
Bracken County, Kentucky Urban No 179.1 (144.2, 220.4) N/A 19 stable stable trend -0.9 (-1.9, 0.2)
Pendleton County, West Virginia Rural No 179.1 (145.0, 221.1) N/A 22 stable stable trend -0.5 (-1.7, 0.8)
Clinton County, Missouri Urban No 179.0 (157.6, 202.9) N/A 53 stable stable trend -0.4 (-0.9, 0.1)
Alpena County, Michigan Rural No 179.0 (162.2, 197.4) N/A 91 falling falling trend -0.8 (-1.2, -0.4)
Barry County, Missouri Rural No 179.0 (162.9, 196.5) N/A 96 stable stable trend -0.4 (-0.8, 0.1)
Schuylkill County, Pennsylvania Rural No 179.0 (171.0, 187.3) N/A 395 falling falling trend -3.8 (-6.6, -0.7)
Lincoln County, Missouri Urban No 179.0 (164.4, 194.5) N/A 118 stable stable trend -0.6 (-1.2, 0.0)
Clark County, Kentucky Urban No 179.0 (162.3, 197.0) N/A 88 falling falling trend -0.7 (-1.2, -0.2)
Karnes County, Texas Rural No 178.9 (150.3, 211.5) N/A 29 stable stable trend -0.5 (-1.3, 0.4)
Marion County, Tennessee Urban No 178.9 (160.8, 198.8) N/A 75 falling falling trend -2.1 (-9.4, -0.9)
Butler County, Nebraska Rural No 178.9 (146.2, 217.6) N/A 23 stable stable trend 2.3 (-1.1, 16.7)
Coshocton County, Ohio Rural No 178.9 (162.6, 196.5) N/A 94 falling falling trend -0.6 (-1.1, -0.1)
Butte County, South Dakota Rural No 178.9 (149.1, 213.6) N/A 27 stable stable trend -0.5 (-1.7, 0.9)
Coos County, Oregon Rural No 178.9 (167.6, 190.8) N/A 212 falling falling trend -1.0 (-1.3, -0.8)
Robertson County, Tennessee Urban No 178.9 (166.0, 192.5) N/A 153 falling falling trend -0.8 (-1.2, -0.4)
Greer County, Oklahoma Rural No 178.8 (137.8, 229.4) N/A 13 stable stable trend -0.4 (-1.2, 0.4)
Cherokee County, Alabama Rural No 178.8 (160.4, 199.2) N/A 74 stable stable trend -0.4 (-1.0, 0.2)
Madison County, Florida Rural No 178.8 (156.9, 203.4) N/A 50 stable stable trend -0.7 (-1.5, 0.2)
Chautauqua County, Kansas Rural No 178.8 (131.3, 241.3) N/A 11 stable stable trend -0.1 (-1.7, 1.4)
Wright County, Missouri Rural No 178.7 (155.9, 204.2) N/A 47 stable stable trend -0.5 (-1.1, 0.1)
Montgomery County, Illinois Rural No 178.6 (160.9, 198.1) N/A 79 falling falling trend -1.1 (-1.5, -0.7)
Dillingham Census Area, Alaska 3 Rural No 178.6 (121.8, 251.7) N/A 8 stable stable trend -0.5 (-2.4, 1.7)
Huntington County, Indiana Rural No 178.6 (162.2, 196.3) N/A 91 falling falling trend -0.7 (-1.1, -0.3)
Wilson County, Kansas Rural No 178.5 (147.4, 215.3) N/A 25 stable stable trend -0.2 (-1.1, 0.6)
Hale County, Alabama Urban No 178.5 (153.1, 207.3) N/A 38 stable stable trend -0.9 (-1.9, 0.0)
Forest County, Pennsylvania Rural No 178.5 (143.9, 234.1) N/A 20 stable stable trend -0.8 (-1.8, 0.2)
Suwannee County, Florida Rural No 178.4 (164.2, 193.7) N/A 124 falling falling trend -0.7 (-1.1, -0.2)
Upshur County, Texas Urban No 178.4 (162.7, 195.3) N/A 101 falling falling trend -1.3 (-1.8, -0.7)
Sullivan County, Missouri Rural No 178.4 (140.4, 224.7) N/A 16 stable stable trend -0.3 (-1.4, 0.7)
Miller County, Georgia Rural No 178.3 (139.7, 225.5) N/A 16 stable stable trend -0.4 (-1.5, 0.8)
Summers County, West Virginia Rural No 178.3 (152.9, 207.8) N/A 39 falling falling trend -0.9 (-1.5, -0.3)
Duval County, Texas Rural No 178.3 (145.7, 216.4) N/A 22 stable stable trend -0.3 (-1.1, 0.6)
Mason County, Michigan Rural No 178.2 (161.0, 197.1) N/A 87 falling falling trend -0.7 (-1.2, -0.3)
Caldwell County, North Carolina Urban No 178.2 (167.4, 189.6) N/A 214 falling falling trend -0.7 (-1.0, -0.3)
Preble County, Ohio Rural No 178.2 (162.9, 194.8) N/A 105 stable stable trend -0.5 (-0.9, 0.0)
Jefferson Davis County, Mississippi Rural No 178.2 (150.1, 210.7) N/A 32 falling falling trend -1.1 (-1.9, -0.4)
McClain County, Oklahoma Urban No 178.2 (161.4, 196.3) N/A 86 falling falling trend -0.7 (-1.2, -0.2)
Washington County, Georgia Rural No 178.1 (155.5, 203.4) N/A 47 stable stable trend -0.8 (-1.6, 0.1)
Clarion County, Pennsylvania Rural No 178.1 (162.0, 195.5) N/A 97 stable stable trend -0.3 (-0.8, 0.2)
Jay County, Indiana Rural No 178.1 (155.8, 202.8) N/A 48 stable stable trend -0.2 (-1.0, 0.6)
Amelia County, Virginia Urban No 178.1 (152.3, 207.5) N/A 36 falling falling trend -1.1 (-1.8, -0.2)
DeSoto County, Mississippi Urban No 178.1 (169.5, 187.0) N/A 337 falling falling trend -0.9 (-1.2, -0.6)
Norfolk City, Virginia Urban No 178.0 (170.1, 186.2) N/A 407 falling falling trend -1.6 (-1.8, -1.4)
Washington County, Kentucky Rural No 178.0 (150.1, 210.1) N/A 30 stable stable trend -0.5 (-1.5, 0.7)
Schuyler County, Missouri Rural No 178.0 (130.6, 238.4) N/A 10 stable stable trend -0.3 (-1.5, 0.9)
Hamlin County, South Dakota Rural No 177.9 (136.0, 229.2) N/A 13 stable stable trend -0.1 (-0.9, 0.7)
Moultrie County, Illinois Rural No 177.9 (152.3, 206.9) N/A 36 stable stable trend -0.1 (-0.8, 0.5)
Christian County, Illinois Rural No 177.8 (161.4, 195.7) N/A 90 falling falling trend -0.9 (-1.3, -0.4)
Jackson County, Oklahoma Rural No 177.8 (156.4, 201.5) N/A 51 stable stable trend 0.0 (-0.5, 0.5)
Garrard County, Kentucky Rural No 177.8 (154.1, 204.5) N/A 43 stable stable trend -0.7 (-1.3, 0.0)
Ware County, Georgia Rural No 177.8 (160.8, 196.3) N/A 83 falling falling trend -0.8 (-1.3, -0.2)
Muskegon County, Michigan Urban No 177.7 (169.9, 185.8) N/A 410 falling falling trend -0.7 (-0.9, -0.5)
Burleson County, Texas Urban No 177.7 (155.1, 203.1) N/A 49 falling falling trend -1.0 (-1.5, -0.5)
Bartow County, Georgia Urban No 177.7 (167.0, 188.9) N/A 219 falling falling trend -1.1 (-1.5, -0.6)
Dade County, Georgia Urban No 177.6 (153.6, 204.7) N/A 41 stable stable trend -0.7 (-1.4, 0.0)
Howard County, Indiana Urban No 177.6 (166.8, 189.0) N/A 210 falling falling trend -0.8 (-1.1, -0.5)
Anderson County, Kentucky Rural No 177.6 (156.2, 201.1) N/A 52 stable stable trend -0.5 (-1.3, 0.4)
Wayne County, West Virginia Urban No 177.5 (162.5, 193.8) N/A 108 falling falling trend -1.5 (-2.8, -1.1)
Schley County, Georgia Rural No 177.5 (132.7, 234.2) N/A 11 falling falling trend -2.3 (-3.5, -1.0)
Ottawa County, Ohio Urban No 177.4 (163.4, 192.6) N/A 130 stable stable trend -0.5 (-0.9, 0.0)
Early County, Georgia Rural No 177.4 (147.4, 212.2) N/A 26 stable stable trend -0.7 (-1.4, 0.0)
Lexington City, Virginia Rural No 177.3 (137.6, 226.9) N/A 14 falling falling trend -1.4 (-2.7, -0.2)
Ida County, Iowa Rural No 177.3 (144.4, 217.1) N/A 22 stable stable trend -0.4 (-1.5, 0.7)
Monroe County, West Virginia Rural No 177.3 (151.8, 206.7) N/A 38 stable stable trend -0.3 (-0.9, 0.4)
Stephens County, Texas Rural No 177.3 (145.8, 214.3) N/A 23 falling falling trend -1.0 (-1.6, -0.5)
Montcalm County, Michigan Urban No 177.3 (164.9, 190.5) N/A 157 falling falling trend -1.0 (-1.4, -0.6)
San Augustine County, Texas Rural No 177.3 (148.2, 212.2) N/A 28 falling falling trend -0.9 (-1.6, -0.1)
Iron County, Michigan Rural No 177.2 (151.1, 207.8) N/A 41 falling falling trend -1.2 (-2.0, -0.6)
Coryell County, Texas Urban No 177.2 (163.3, 192.0) N/A 123 falling falling trend -0.7 (-1.1, -0.2)
Del Norte County, California Rural No 177.2 (158.3, 198.0) N/A 68 falling falling trend -1.2 (-1.8, -0.6)
Washington County, Indiana Urban No 177.2 (157.9, 198.3) N/A 65 falling falling trend -1.2 (-3.4, -0.8)
Glascock County, Georgia Rural No 177.2 (121.7, 251.8) N/A 7 stable stable trend 0.8 (-0.8, 2.7)
Van Buren County, Arkansas Rural No 177.1 (155.4, 201.8) N/A 52 falling falling trend -0.8 (-1.3, -0.2)
Payne County, Oklahoma Rural No 177.1 (163.9, 191.2) N/A 137 stable stable trend -0.4 (-0.9, 0.0)
Hamblen County, Tennessee Urban No 177.0 (164.6, 190.3) N/A 154 falling falling trend -0.9 (-1.4, -0.4)
Sumter County, South Carolina Urban No 177.0 (166.8, 187.7) N/A 235 falling falling trend -1.4 (-4.4, -1.0)
Sanilac County, Michigan Rural No 176.9 (162.0, 192.9) N/A 115 falling falling trend -0.7 (-1.2, -0.3)
Wayne County, Indiana Rural No 176.9 (164.8, 189.7) N/A 168 falling falling trend -1.8 (-6.7, -0.9)
Warren County, Georgia Rural No 176.9 (138.3, 225.0) N/A 16 stable stable trend -0.4 (-1.5, 0.9)
Kleberg County, Texas Rural No 176.9 (155.9, 199.9) N/A 53 stable stable trend -0.4 (-1.0, 0.3)
Meriwether County, Georgia Urban No 176.8 (156.1, 199.8) N/A 56 falling falling trend -1.0 (-1.6, -0.4)
Kimble County, Texas Rural No 176.7 (133.7, 232.0) N/A 14 stable stable trend -1.0 (-1.9, 0.0)
La Salle Parish, Louisiana Rural No 176.7 (149.9, 207.3) N/A 32 falling falling trend -1.1 (-1.9, -0.2)
Tillamook County, Oregon Rural No 176.7 (159.6, 195.5) N/A 88 falling falling trend -0.6 (-1.1, -0.1)
Jackson County, Kentucky Rural No 176.6 (149.0, 208.4) N/A 31 stable stable trend -0.7 (-1.5, 0.1)
Perry County, Missouri Rural No 176.6 (154.5, 201.3) N/A 48 stable stable trend -0.6 (-1.4, 0.2)
Orangeburg County, South Carolina Rural No 176.5 (165.6, 188.0) N/A 212 falling falling trend -0.9 (-1.2, -0.6)
Mercer County, Illinois Urban No 176.5 (153.4, 202.6) N/A 44 stable stable trend -0.3 (-1.0, 0.4)
White County, Tennessee Rural No 176.5 (158.5, 196.3) N/A 73 falling falling trend -0.9 (-1.3, -0.3)
Bethel Census Area, Alaska Rural No 176.5 (138.6, 220.4) N/A 20 stable stable trend -0.7 (-1.7, 0.5)
Floyd County, Georgia Urban No 176.5 (166.0, 187.5) N/A 219 falling falling trend -1.1 (-1.4, -0.8)
Minnehaha County, South Dakota Urban No 176.4 (168.0, 185.2) N/A 351 falling falling trend -0.7 (-0.9, -0.4)
Rice County, Kansas Rural No 176.4 (145.1, 213.2) N/A 24 stable stable trend -0.3 (-1.4, 0.8)
Sullivan County, Tennessee Urban No 176.4 (168.9, 184.2) N/A 438 falling falling trend -0.8 (-1.0, -0.5)
Greene County, North Carolina Rural No 176.3 (153.7, 201.5) N/A 46 stable stable trend -1.1 (-11.6, 0.7)
Mineral County, West Virginia Rural No 176.3 (158.1, 196.2) N/A 74 falling falling trend -0.8 (-1.3, -0.2)
Elliott County, Kentucky Rural No 176.2 (142.7, 216.6) N/A 20 falling falling trend -1.6 (-2.7, -0.4)
Greenup County, Kentucky Urban No 176.2 (160.7, 193.1) N/A 98 falling falling trend -1.1 (-1.6, -0.6)
Telfair County, Georgia Rural No 176.2 (148.6, 208.1) N/A 30 falling falling trend -1.4 (-2.2, -0.6)
Morgan County, Indiana Urban No 176.2 (164.2, 189.0) N/A 168 falling falling trend -1.0 (-3.1, -0.4)
Buena Vista City, Virginia Rural No 176.2 (138.7, 221.7) N/A 16 falling falling trend -1.6 (-2.6, -0.6)
Madison County, Arkansas Urban No 176.2 (153.0, 202.3) N/A 43 stable stable trend -0.6 (-1.2, 0.0)
Calhoun County, Illinois Urban No 176.2 (136.3, 227.1) N/A 14 stable stable trend -0.8 (-1.9, 0.3)
Gratiot County, Michigan Rural No 176.2 (160.5, 193.1) N/A 96 stable stable trend -0.5 (-1.0, 0.1)
Pike County, Mississippi Rural No 176.2 (159.9, 193.7) N/A 90 stable stable trend -0.8 (-1.4, 0.0)
Perry County, Pennsylvania Urban No 176.2 (161.5, 191.9) N/A 113 falling falling trend -0.8 (-1.1, -0.4)
Drew County, Arkansas Rural No 176.1 (152.1, 203.2) N/A 40 falling falling trend -0.7 (-1.3, -0.1)
Pulaski County, Missouri Rural No 176.1 (157.8, 195.9) N/A 70 falling falling trend -1.1 (-1.7, -0.5)
Dearborn County, Indiana Urban No 176.1 (161.9, 191.3) N/A 120 falling falling trend -1.0 (-1.5, -0.4)
Lincoln County, Minnesota Rural No 176.1 (138.7, 222.2) N/A 18 falling falling trend -1.7 (-2.8, -0.8)
Grayson County, Texas Urban No 176.1 (167.3, 185.2) N/A 319 falling falling trend -0.8 (-1.1, -0.6)
San Jacinto County, Texas Urban No 176.0 (157.9, 195.9) N/A 77 stable stable trend -0.6 (-1.3, 0.1)
Martin County, North Carolina Rural No 176.0 (156.7, 197.4) N/A 66 falling falling trend -1.6 (-2.2, -1.1)
Audrain County, Missouri Rural No 176.0 (156.1, 197.9) N/A 59 stable stable trend -0.5 (-1.1, 0.1)
Assumption Parish, Louisiana Urban No 176.0 (154.4, 199.9) N/A 51 falling falling trend -1.3 (-1.9, -0.8)
Thomas County, Georgia Rural No 176.0 (161.1, 191.9) N/A 108 falling falling trend -1.0 (-1.4, -0.5)
Buchanan County, Missouri Urban No 175.9 (164.7, 187.8) N/A 188 falling falling trend -0.8 (-1.2, -0.4)
Greenwood County, Kansas Rural No 175.9 (140.5, 219.6) N/A 19 falling falling trend -1.0 (-2.0, -0.1)
Latimer County, Oklahoma Rural No 175.9 (146.9, 209.9) N/A 27 falling falling trend -1.1 (-1.9, -0.2)
Howard County, Iowa Rural No 175.9 (146.3, 210.6) N/A 27 stable stable trend -0.3 (-1.1, 0.6)
Massac County, Illinois Urban No 175.9 (151.1, 204.1) N/A 39 falling falling trend -0.9 (-1.6, -0.2)
Sevier County, Tennessee Rural No 175.9 (165.9, 186.4) N/A 249 falling falling trend -5.7 (-9.4, -0.8)
Simpson County, Kentucky Rural No 175.9 (152.5, 202.0) N/A 43 falling falling trend -2.7 (-10.4, -0.3)
Bladen County, North Carolina Rural No 175.8 (158.6, 194.7) N/A 84 falling falling trend -1.0 (-1.6, -0.3)
Jefferson County, Nebraska Rural No 175.8 (144.5, 213.6) N/A 23 stable stable trend -0.5 (-1.6, 0.5)
Fall River County, South Dakota Rural No 175.8 (143.9, 215.1) N/A 24 stable stable trend -0.9 (-1.7, 0.0)
Calhoun County, Alabama Urban No 175.8 (166.3, 185.8) N/A 269 falling falling trend -1.5 (-4.1, -1.2)
Hot Spring County, Arkansas Rural No 175.8 (158.9, 194.1) N/A 83 falling falling trend -0.7 (-1.1, -0.3)
DeKalb County, Missouri Urban No 175.7 (147.2, 208.6) N/A 28 stable stable trend -0.8 (-2.1, 0.5)
Caddo Parish, Louisiana Urban No 175.7 (169.0, 182.6) N/A 551 falling falling trend -1.5 (-3.3, -1.1)
Escambia County, Florida Urban No 175.7 (169.9, 181.6) N/A 735 falling falling trend -1.0 (-1.2, -0.8)
Emmet County, Iowa Rural No 175.7 (145.2, 211.4) N/A 27 stable stable trend -0.1 (-0.9, 0.6)
Carroll County, Mississippi Rural No 175.6 (146.7, 209.6) N/A 29 stable stable trend -0.5 (-1.3, 0.4)
Staunton City, Virginia Urban No 175.6 (157.0, 196.2) N/A 68 stable stable trend -0.5 (-1.1, 0.2)
St. Martin Parish, Louisiana Urban No 175.6 (160.9, 191.3) N/A 111 falling falling trend -1.3 (-1.8, -0.8)
Calhoun County, Mississippi Rural No 175.5 (148.9, 206.1) N/A 33 stable stable trend 0.0 (-0.8, 0.9)
White County, Indiana Rural No 175.5 (156.3, 196.7) N/A 65 falling falling trend -0.7 (-1.3, -0.2)
Scott County, Virginia Urban No 175.5 (156.1, 197.1) N/A 65 falling falling trend -0.7 (-1.3, -0.1)
Allen County, Kentucky Urban No 175.5 (153.8, 199.7) N/A 49 stable stable trend -0.6 (-1.4, 0.2)
Clinton County, Indiana Rural No 175.5 (157.6, 194.9) N/A 74 stable stable trend -0.3 (-0.9, 0.3)
Baxter County, Arkansas Rural No 175.5 (162.0, 190.1) N/A 152 falling falling trend -0.7 (-1.0, -0.5)
Grays Harbor County, Washington Rural No 175.4 (164.6, 187.0) N/A 209 falling falling trend -1.2 (-1.5, -0.8)
Wrangell Borough, Alaska Rural No 175.4 (114.7, 262.9) N/A 6 stable stable trend -1.8 (-7.6, 4.9)
Liberty County, Florida Rural No 175.4 (139.1, 219.0) N/A 17 falling falling trend -1.2 (-2.2, -0.1)
Wicomico County, Maryland Urban No 175.3 (164.9, 186.3) N/A 221 falling falling trend -1.2 (-1.6, -0.8)
Uvalde County, Texas Rural No 175.3 (154.6, 198.2) N/A 53 falling falling trend -0.9 (-1.5, -0.2)
Dimmit County, Texas Rural No 175.3 (140.7, 216.3) N/A 18 rising rising trend 13.6 (0.2, 24.9)
Newport News City, Virginia Urban No 175.3 (166.9, 184.0) N/A 341 falling falling trend -1.2 (-1.5, -1.0)
Bryan County, Oklahoma Rural No 175.3 (160.3, 191.3) N/A 105 falling falling trend -1.2 (-1.7, -0.7)
Warren County, Virginia Urban No 175.3 (159.3, 192.5) N/A 94 falling falling trend -1.1 (-1.5, -0.6)
St. Bernard Parish, Louisiana Urban No 175.3 (157.4, 194.6) N/A 76 falling falling trend -3.2 (-6.4, -1.8)
Ouachita Parish, Louisiana Urban No 175.2 (166.7, 184.1) N/A 328 falling falling trend -1.1 (-1.3, -0.8)
Ashtabula County, Ohio Urban No 175.2 (165.2, 185.6) N/A 246 falling falling trend -1.6 (-5.3, -0.9)
La Paz County, Arizona 3 Rural No 175.1 (151.3, 202.4) N/A 63 rising rising trend 2.6 (0.4, 12.4)
Cooper County, Missouri Urban No 175.1 (150.8, 202.5) N/A 40 stable stable trend -0.5 (-1.2, 0.2)
Franklin County, Texas Rural No 175.1 (145.6, 209.5) N/A 27 stable stable trend -0.5 (-1.3, 0.3)
Noble County, Oklahoma Rural No 175.1 (147.6, 206.8) N/A 30 falling falling trend -0.8 (-1.5, -0.1)
Arenac County, Michigan Rural No 175.0 (151.3, 202.2) N/A 45 falling falling trend -1.0 (-1.5, -0.4)
Noxubee County, Mississippi Rural No 175.0 (142.9, 212.6) N/A 22 stable stable trend -0.7 (-1.7, 0.4)
San Patricio County, Texas Urban No 175.0 (161.9, 189.0) N/A 135 falling falling trend -1.2 (-1.5, -0.8)
Jasper County, Missouri Urban No 175.0 (165.4, 185.0) N/A 258 falling falling trend -0.9 (-1.2, -0.5)
Decatur County, Georgia Rural No 175.0 (156.1, 195.6) N/A 65 falling falling trend -1.3 (-1.8, -0.8)
Citrus County, Florida Urban No 174.8 (167.7, 182.3) N/A 616 falling falling trend -0.7 (-1.0, -0.5)
Pottawattamie County, Iowa Urban No 174.8 (164.3, 185.9) N/A 216 falling falling trend -1.0 (-4.0, -0.4)
Yukon-Koyukuk Census Area, Alaska Rural No 174.8 (129.5, 231.3) N/A 11 stable stable trend -0.2 (-1.8, 1.6)
Bryan County, Georgia Urban No 174.8 (156.0, 195.1) N/A 67 falling falling trend -1.3 (-1.9, -0.6)
Effingham County, Georgia Urban No 174.7 (159.7, 190.7) N/A 109 falling falling trend -0.7 (-1.2, -0.1)
Columbia County, Washington Rural No 174.7 (135.0, 226.6) N/A 14 stable stable trend -1.8 (-8.5, 0.6)
Montgomery County, Mississippi Rural No 174.7 (145.5, 208.7) N/A 27 stable stable trend -0.6 (-1.2, 0.0)
Randolph County, Illinois Rural No 174.6 (157.6, 193.2) N/A 81 stable stable trend -0.6 (-1.1, 0.0)
Sullivan County, Pennsylvania Rural No 174.6 (141.5, 217.2) N/A 22 stable stable trend -0.7 (-1.9, 0.4)
Jack County, Texas Rural No 174.6 (141.2, 214.1) N/A 19 falling falling trend -1.1 (-2.0, -0.2)
DeWitt County, Texas Rural No 174.6 (153.6, 198.0) N/A 52 stable stable trend -0.4 (-1.0, 0.1)
Orange County, Texas Urban No 174.5 (163.1, 186.5) N/A 181 falling falling trend -1.3 (-1.7, -1.0)
Labette County, Kansas Rural No 174.5 (153.5, 197.9) N/A 53 stable stable trend -0.4 (-1.1, 0.3)
Decatur County, Indiana Rural No 174.5 (154.8, 196.1) N/A 59 falling falling trend -0.7 (-1.3, -0.1)
McDuffie County, Georgia Urban No 174.5 (152.9, 198.5) N/A 50 falling falling trend -1.9 (-3.7, -1.0)
Monroe County, Ohio Rural No 174.5 (149.8, 202.7) N/A 38 stable stable trend -0.3 (-1.0, 0.3)
Graham County, North Carolina Rural No 174.4 (143.6, 211.1) N/A 24 stable stable trend -0.8 (-1.7, 0.2)
Appling County, Georgia Rural No 174.4 (151.1, 200.5) N/A 42 falling falling trend -0.9 (-1.6, -0.2)
Newton County, Arkansas Rural No 174.4 (142.7, 212.7) N/A 24 stable stable trend -0.6 (-1.5, 0.3)
Stone County, Arkansas Rural No 174.4 (150.0, 202.6) N/A 41 falling falling trend -1.1 (-1.8, -0.3)
Vermilion Parish, Louisiana Urban No 174.3 (160.5, 189.0) N/A 123 stable stable trend 0.8 (-1.8, 6.2)
Berrien County, Georgia Rural No 174.3 (151.5, 199.9) N/A 43 falling falling trend -1.3 (-1.8, -0.7)
Hamilton County, Illinois Rural No 174.2 (142.8, 211.6) N/A 23 stable stable trend -0.4 (-1.3, 0.5)
Ben Hill County, Georgia Rural No 174.1 (150.1, 201.2) N/A 40 stable stable trend -0.8 (-1.6, 0.0)
Dinwiddie County, Virginia Urban No 174.1 (155.6, 194.5) N/A 68 falling falling trend -1.2 (-1.8, -0.4)
Osceola County, Michigan Rural No 174.1 (154.6, 195.7) N/A 62 falling falling trend -0.8 (-1.3, -0.3)
Scotland County, Missouri Rural No 174.1 (130.2, 229.2) N/A 11 stable stable trend 0.0 (-1.2, 1.2)
Lewis County, Washington Rural No 174.0 (163.5, 185.1) N/A 216 falling falling trend -0.9 (-1.1, -0.6)
Pike County, Arkansas Rural No 174.0 (144.9, 207.9) N/A 27 stable stable trend -0.4 (-1.3, 0.5)
Mecklenburg County, Virginia Rural No 174.0 (158.2, 191.3) N/A 98 falling falling trend -1.0 (-1.4, -0.6)
Fayette County, Pennsylvania Urban No 173.9 (165.7, 182.6) N/A 356 falling falling trend -0.9 (-1.2, -0.6)
Douglas County, Missouri Rural No 173.9 (149.0, 202.7) N/A 37 falling falling trend -1.3 (-2.0, -0.5)
Montgomery County, Tennessee Urban No 173.9 (164.8, 183.2) N/A 299 falling falling trend -1.3 (-4.3, -0.9)
Hampshire County, West Virginia Urban No 173.9 (154.8, 195.0) N/A 66 stable stable trend -0.6 (-1.3, 0.2)
Lucas County, Ohio Urban No 173.8 (168.7, 179.0) N/A 940 falling falling trend -3.2 (-4.4, -1.5)
Washington County, Ohio Rural No 173.7 (161.6, 186.7) N/A 162 falling falling trend -0.6 (-0.9, -0.3)
St. Mary Parish, Louisiana Rural No 173.7 (159.5, 189.0) N/A 116 falling falling trend -1.3 (-1.7, -0.9)
Lonoke County, Arkansas Urban No 173.7 (160.9, 187.3) N/A 141 falling falling trend -0.9 (-1.4, -0.4)
Ritchie County, West Virginia Rural No 173.7 (143.1, 210.2) N/A 24 stable stable trend -0.5 (-1.3, 0.4)
Colbert County, Alabama Urban No 173.6 (160.9, 187.2) N/A 145 falling falling trend -1.0 (-1.3, -0.6)
Huron County, Ohio Rural No 173.6 (160.4, 187.7) N/A 134 falling falling trend -0.5 (-0.8, -0.2)
Jefferson County, Missouri Urban No 173.5 (166.4, 180.9) N/A 477 falling falling trend -1.8 (-4.1, -1.2)
Davidson County, North Carolina Urban No 173.5 (165.9, 181.4) N/A 409 falling falling trend -0.5 (-0.9, -0.2)
Chariton County, Missouri Rural No 173.5 (140.3, 213.5) N/A 23 stable stable trend -0.3 (-1.1, 0.5)
Greene County, Arkansas Rural No 173.5 (158.5, 189.6) N/A 100 stable stable trend -0.6 (-1.1, 0.0)
Grundy County, Illinois Urban No 173.4 (158.5, 189.4) N/A 103 falling falling trend -1.0 (-1.4, -0.6)
Franklin County, Indiana Urban No 173.4 (152.8, 196.2) N/A 55 stable stable trend -0.4 (-1.0, 0.3)
Harnett County, North Carolina Rural No 173.4 (163.5, 183.6) N/A 241 falling falling trend -1.2 (-1.5, -0.8)
Kaufman County, Texas Urban No 173.3 (163.1, 184.0) N/A 232 falling falling trend -1.4 (-1.7, -1.1)
Lafayette County, Wisconsin Rural No 173.3 (149.8, 199.9) N/A 42 stable stable trend -0.7 (-1.4, 0.1)
Tehama County, California Rural No 173.3 (161.2, 186.1) N/A 162 stable stable trend 2.3 (-1.5, 8.3)
Alamance County, North Carolina Urban No 173.3 (165.5, 181.4) N/A 384 falling falling trend -0.8 (-1.0, -0.5)
Rutherford County, North Carolina Rural No 173.3 (161.6, 185.7) N/A 174 stable stable trend 0.2 (-1.2, 3.3)
Marion County, Mississippi Rural No 173.2 (153.5, 195.0) N/A 59 stable stable trend -1.6 (-4.1, 2.8)
Chippewa County, Minnesota Rural No 173.2 (147.1, 203.2) N/A 35 stable stable trend -0.1 (-0.9, 0.6)
Delaware County, Indiana Urban No 173.2 (163.4, 183.4) N/A 248 falling falling trend -0.9 (-1.1, -0.6)
Martin County, Indiana Rural No 173.1 (143.6, 207.8) N/A 26 stable stable trend -0.7 (-1.7, 0.3)
Crane County, Texas Rural No 173.1 (122.5, 237.5) N/A 8 stable stable trend -1.3 (-2.8, 0.1)
Patrick County, Virginia Rural No 173.1 (152.5, 196.5) N/A 57 stable stable trend -0.6 (-1.2, 0.1)
Warren County, Kentucky Urban No 173.1 (163.2, 183.4) N/A 238 falling falling trend -1.2 (-1.5, -0.9)
Scott County, Missouri Rural No 173.1 (157.1, 190.4) N/A 89 falling falling trend -0.7 (-1.1, -0.3)
Caswell County, North Carolina Rural No 173.0 (154.0, 194.2) N/A 64 falling falling trend -1.0 (-1.5, -0.5)
Macoupin County, Illinois Urban No 173.0 (158.9, 188.2) N/A 119 falling falling trend -0.7 (-1.0, -0.3)
Baker County, Florida Urban No 173.0 (152.6, 195.4) N/A 54 falling falling trend -1.5 (-2.1, -0.8)
Sullivan County, Indiana Urban No 173.0 (151.5, 196.9) N/A 48 falling falling trend -0.8 (-1.5, -0.2)
Sutton County, Texas Rural No 173.0 (123.9, 237.6) N/A 9 stable stable trend -1.1 (-2.6, 0.5)
Greene County, New York Rural No 172.9 (159.8, 187.0) N/A 138 falling falling trend -1.3 (-1.8, -0.8)
Franklin County, New York Rural No 172.9 (158.6, 188.3) N/A 113 falling falling trend -1.2 (-1.6, -0.8)
Childress County, Texas Rural No 172.9 (134.1, 220.0) N/A 14 stable stable trend -0.9 (-2.1, 0.2)
Barrow County, Georgia Urban No 172.8 (160.1, 186.2) N/A 147 stable stable trend -0.5 (-1.0, 0.2)
Hampton City, Virginia Urban No 172.8 (163.7, 182.3) N/A 283 falling falling trend -1.3 (-1.5, -1.0)
Copiah County, Mississippi Urban No 172.8 (153.9, 193.5) N/A 65 falling falling trend -1.1 (-1.6, -0.6)
Columbiana County, Ohio Rural No 172.7 (163.4, 182.6) N/A 271 falling falling trend -0.8 (-1.1, -0.6)
Craven County, North Carolina Rural No 172.7 (162.9, 183.0) N/A 249 falling falling trend -1.0 (-1.2, -0.7)
Brooks County, Texas Rural No 172.7 (134.6, 218.6) N/A 15 stable stable trend -0.5 (-1.7, 0.7)
Crawford County, Indiana Rural No 172.7 (144.2, 205.9) N/A 28 stable stable trend -0.7 (-1.4, 0.1)
Wythe County, Virginia Rural No 172.7 (155.3, 191.7) N/A 76 falling falling trend -0.9 (-1.4, -0.5)
Bradford County, Florida Rural No 172.7 (154.3, 192.8) N/A 66 falling falling trend -1.4 (-1.9, -0.8)
Callaway County, Missouri Urban No 172.6 (157.4, 189.0) N/A 99 falling falling trend -0.8 (-1.2, -0.4)
Grant County, Oregon Rural No 172.6 (141.7, 210.3) N/A 26 stable stable trend 7.5 (-1.8, 21.5)
Steuben County, New York Rural No 172.6 (162.8, 183.0) N/A 241 falling falling trend -1.0 (-1.3, -0.7)
Knox County, Illinois Rural No 172.6 (159.4, 186.8) N/A 135 falling falling trend -0.7 (-1.1, -0.3)
Vernon County, Missouri Rural No 172.6 (151.0, 196.6) N/A 49 stable stable trend -0.6 (-1.2, 0.1)
Boyle County, Kentucky Rural No 172.6 (155.0, 191.8) N/A 73 falling falling trend -1.2 (-1.9, -0.6)
Houghton County, Michigan Rural No 172.6 (155.7, 191.0) N/A 81 falling falling trend -0.9 (-1.3, -0.4)
Dade County, Missouri Rural No 172.6 (141.4, 210.1) N/A 23 stable stable trend -0.4 (-1.1, 0.3)
Morrow County, Ohio Urban No 172.6 (155.8, 190.8) N/A 82 falling falling trend -0.8 (-1.2, -0.3)
Jackson County, Michigan Urban No 172.5 (164.7, 180.7) N/A 379 falling falling trend -0.9 (-1.2, -0.6)
Cass County, Michigan Urban No 172.5 (159.4, 186.6) N/A 138 falling falling trend -0.9 (-1.3, -0.5)
Polk County, Arkansas Rural No 172.5 (151.9, 195.6) N/A 55 falling falling trend -12.7 (-21.7, -1.8)
Mohave County, Arizona Urban No 172.5 (166.6, 178.7) N/A 769 falling falling trend -1.4 (-3.4, -1.0)
Petersburg Census Area, Alaska Rural No 172.5 (122.0, 239.1) N/A 8 stable stable trend 3.4 (-14.6, 31.7)
Hot Springs County, Wyoming Rural No 172.4 (134.7, 220.6) N/A 16 falling falling trend -0.9 (-1.7, -0.1)
Marshall County, Kansas Rural No 172.4 (143.5, 206.2) N/A 28 stable stable trend -0.5 (-1.3, 0.3)
Lincoln County, Tennessee Rural No 172.3 (156.2, 189.9) N/A 88 falling falling trend -1.0 (-1.6, -0.3)
Dawes County, Nebraska Rural No 172.3 (137.7, 213.7) N/A 19 stable stable trend -0.8 (-1.9, 0.3)
Madison County, Kentucky Rural No 172.2 (160.7, 184.4) N/A 173 falling falling trend -1.1 (-1.6, -0.5)
White County, Arkansas Rural No 172.2 (160.5, 184.5) N/A 167 falling falling trend -1.1 (-1.4, -0.8)
Livingston County, Missouri Rural No 172.2 (147.4, 200.3) N/A 37 stable stable trend 0.1 (-0.6, 0.8)
Pike County, Alabama Rural No 172.1 (153.3, 192.7) N/A 64 falling falling trend -1.0 (-1.6, -0.4)
Vanderburgh County, Indiana Urban No 172.1 (164.5, 180.0) N/A 407 falling falling trend -1.1 (-1.3, -0.9)
Hansford County, Texas Rural No 172.1 (128.4, 226.5) N/A 11 stable stable trend -0.3 (-1.5, 0.9)
Richland Parish, Louisiana Urban No 172.1 (149.9, 196.8) N/A 46 falling falling trend -1.6 (-2.2, -1.0)
Juneau County, Wisconsin Rural No 172.1 (154.4, 191.6) N/A 72 falling falling trend -1.7 (-4.6, -1.0)
Clark County, Ohio Urban No 172.1 (163.8, 180.8) N/A 338 falling falling trend -1.0 (-1.3, -0.7)
Tippah County, Mississippi Rural No 172.1 (150.4, 196.2) N/A 47 stable stable trend -0.4 (-1.0, 0.2)
Clark County, Indiana Urban No 172.1 (162.6, 182.0) N/A 257 falling falling trend -1.4 (-1.7, -1.1)
Oklahoma County, Oklahoma Urban No 172.0 (168.0, 176.1) N/A 1,465 falling falling trend -0.8 (-0.9, -0.7)
Randolph County, North Carolina Urban No 172.0 (163.7, 180.7) N/A 335 falling falling trend -0.6 (-0.9, -0.3)
Essex County, Virginia Rural No 172.0 (144.2, 204.5) N/A 30 falling falling trend -1.0 (-1.8, -0.2)
Crisp County, Georgia Rural No 172.0 (150.2, 196.3) N/A 48 falling falling trend -1.0 (-1.8, -0.2)
Hunt County, Texas Urban No 172.0 (161.6, 182.9) N/A 212 falling falling trend -0.8 (-1.2, -0.4)
Nacogdoches County, Texas Rural No 172.0 (158.5, 186.3) N/A 126 stable stable trend 4.3 (-1.0, 9.6)
Chilton County, Alabama Urban No 171.9 (156.8, 188.1) N/A 100 falling falling trend -0.7 (-1.2, -0.2)
Tuscola County, Michigan Rural No 171.9 (159.0, 185.7) N/A 140 falling falling trend -0.7 (-1.1, -0.3)
Dougherty County, Georgia Urban No 171.9 (160.5, 183.9) N/A 179 falling falling trend -1.0 (-1.5, -0.6)
Grady County, Oklahoma Urban No 171.9 (158.0, 186.6) N/A 119 falling falling trend -1.4 (-7.3, -0.5)
Cleburne County, Alabama Rural No 171.8 (147.8, 199.1) N/A 38 falling falling trend -1.1 (-1.9, -0.2)
Big Stone County, Minnesota Rural No 171.8 (132.4, 221.2) N/A 16 falling falling trend -1.4 (-2.3, -0.6)
Wilbarger County, Texas Rural No 171.8 (144.8, 202.8) N/A 30 stable stable trend -0.6 (-1.4, 0.1)
Rusk County, Texas Urban No 171.8 (157.8, 186.7) N/A 116 falling falling trend -1.0 (-1.4, -0.6)
Sabine County, Texas Rural No 171.8 (144.9, 203.6) N/A 35 falling falling trend -1.0 (-1.7, -0.2)
Henry County, Alabama Urban No 171.8 (149.9, 196.5) N/A 48 falling falling trend -0.8 (-1.3, -0.2)
Bath County, Virginia Rural No 171.8 (133.3, 222.1) N/A 14 stable stable trend -1.1 (-2.4, 0.2)
Humboldt County, California Rural No 171.8 (163.0, 180.9) N/A 311 falling falling trend -1.2 (-1.5, -0.9)
Cumberland County, North Carolina Urban No 171.8 (165.3, 178.4) N/A 556 falling falling trend -1.2 (-1.4, -1.0)
Union County, Indiana Rural No 171.8 (136.6, 214.2) N/A 17 stable stable trend -0.3 (-1.3, 0.8)
Refugio County, Texas Rural No 171.7 (138.4, 212.2) N/A 19 stable stable trend -1.1 (-9.6, 0.6)
St. Charles Parish, Louisiana Urban No 171.7 (156.2, 188.4) N/A 97 falling falling trend -1.0 (-1.4, -0.5)
Livingston County, Illinois Rural No 171.6 (155.7, 188.9) N/A 90 falling falling trend -0.8 (-1.2, -0.4)
Union County, New Mexico Rural No 171.6 (126.2, 229.9) N/A 10 stable stable trend -1.0 (-2.2, 0.3)
Baker County, Oregon Rural No 171.6 (149.6, 196.4) N/A 50 stable stable trend -0.7 (-1.4, 0.0)
Yoakum County, Texas Rural No 171.6 (130.7, 221.1) N/A 12 stable stable trend 0.6 (-0.8, 2.3)
New Kent County, Virginia Urban No 171.6 (149.9, 195.6) N/A 51 falling falling trend -1.5 (-2.1, -0.7)
Accomack County, Virginia Rural No 171.5 (156.1, 188.3) N/A 100 falling falling trend -3.3 (-8.4, -1.5)
Blanco County, Texas Rural No 171.5 (146.2, 201.0) N/A 36 stable stable trend 0.0 (-0.8, 1.0)
Miller County, Missouri Rural No 171.5 (152.4, 192.6) N/A 61 stable stable trend -0.6 (-1.1, 0.0)
Abbeville County, South Carolina Rural No 171.4 (152.6, 192.2) N/A 65 falling falling trend -0.7 (-1.2, -0.1)
Okanogan County, Washington Rural No 171.4 (156.9, 187.1) N/A 112 falling falling trend -0.5 (-0.9, -0.1)
Calhoun County, Georgia Rural No 171.4 (130.0, 222.9) N/A 12 stable stable trend -1.3 (-2.7, 0.2)
Kankakee County, Illinois Urban No 171.4 (161.6, 181.6) N/A 240 falling falling trend -1.2 (-1.5, -0.8)
Cecil County, Maryland Urban No 171.3 (161.1, 182.1) N/A 221 falling falling trend -1.5 (-3.1, -1.2)
Kiowa County, Kansas Rural No 171.3 (117.9, 245.6) N/A 7 stable stable trend 0.2 (-1.5, 1.7)
Cheyenne County, Nebraska Rural No 171.3 (140.8, 207.2) N/A 24 stable stable trend -0.5 (-1.7, 0.8)
Marion County, Indiana Urban No 171.3 (167.6, 175.1) N/A 1,681 falling falling trend -1.5 (-2.4, -1.3)
Faribault County, Minnesota Rural No 171.3 (147.9, 198.0) N/A 42 stable stable trend 0.0 (-0.6, 0.7)
Wilson County, North Carolina Rural No 171.3 (160.1, 183.0) N/A 185 falling falling trend -1.1 (-1.4, -0.7)
Waldo County, Maine Rural No 171.2 (156.4, 187.3) N/A 109 falling falling trend -1.2 (-1.6, -0.8)
Cameron County, Pennsylvania Rural No 171.2 (132.9, 220.9) N/A 15 stable stable trend -1.1 (-2.4, 0.2)
Lafayette County, Missouri Urban No 171.2 (154.5, 189.4) N/A 80 falling falling trend -0.5 (-1.0, -0.1)
Ralls County, Missouri Rural No 171.1 (143.1, 203.9) N/A 28 stable stable trend -0.4 (-1.1, 0.4)
Warren County, Pennsylvania Rural No 171.1 (156.7, 186.8) N/A 112 falling falling trend -0.7 (-1.1, -0.3)
Butte County, California Urban No 171.1 (164.1, 178.3) N/A 478 falling falling trend -1.0 (-1.3, -0.7)
Johnson County, Missouri Rural No 171.0 (155.5, 187.8) N/A 92 stable stable trend 0.1 (-0.5, 0.8)
Henry County, Virginia Rural No 171.0 (158.1, 184.9) N/A 148 stable stable trend -0.2 (-0.7, 0.3)
Manistee County, Michigan Rural No 171.0 (153.7, 190.2) N/A 79 falling falling trend -1.1 (-1.5, -0.7)
Van Wert County, Ohio Rural No 171.0 (153.3, 190.5) N/A 71 stable stable trend -0.3 (-0.9, 0.2)
Itawamba County, Mississippi Rural No 171.0 (150.8, 193.3) N/A 54 falling falling trend -0.8 (-1.3, -0.3)
Charles City County, Virginia Urban No 171.0 (139.7, 209.6) N/A 22 falling falling trend -1.5 (-2.4, -0.5)
Hinds County, Mississippi Urban No 171.0 (163.8, 178.4) N/A 451 stable stable trend 0.0 (-0.3, 0.4)
Kanawha County, West Virginia Urban No 170.9 (163.9, 178.3) N/A 472 falling falling trend -1.6 (-3.8, -1.3)
Muskingum County, Ohio Rural No 170.9 (160.3, 182.0) N/A 202 falling falling trend -2.2 (-4.8, -1.3)
Perry County, Arkansas Urban No 170.9 (142.2, 204.5) N/A 26 stable stable trend -0.3 (-1.0, 0.5)
Henry County, Missouri Rural No 170.9 (152.1, 191.7) N/A 63 falling falling trend -3.4 (-10.7, -0.8)
Person County, North Carolina Urban No 170.8 (155.8, 187.0) N/A 101 falling falling trend -0.8 (-1.4, -0.2)
Pointe Coupee Parish, Louisiana Urban No 170.8 (150.5, 193.3) N/A 55 falling falling trend -1.3 (-2.0, -0.7)
Craig County, Oklahoma Rural No 170.7 (146.1, 198.8) N/A 36 falling falling trend -1.0 (-1.7, -0.4)
Moniteau County, Missouri Urban No 170.6 (145.3, 199.4) N/A 33 stable stable trend -0.7 (-1.6, 0.3)
Garfield County, Oklahoma Urban No 170.6 (157.6, 184.5) N/A 133 stable stable trend -0.4 (-0.8, 0.0)
Pontotoc County, Oklahoma Rural No 170.6 (154.3, 188.4) N/A 83 falling falling trend -0.7 (-1.2, -0.1)
Madison County, Indiana Urban No 170.6 (161.9, 179.6) N/A 303 falling falling trend -0.9 (-1.2, -0.7)
Scott County, Mississippi Urban No 170.6 (151.0, 192.0) N/A 57 falling falling trend -0.7 (-1.3, -0.1)
Caldwell County, Kentucky Rural No 170.5 (145.0, 199.9) N/A 33 falling falling trend -4.1 (-14.3, -1.3)
Douglas County, Illinois Rural No 170.5 (148.6, 195.1) N/A 46 falling falling trend -0.7 (-1.3, -0.2)
Clinton County, Iowa Rural No 170.5 (156.7, 185.4) N/A 118 falling falling trend -0.9 (-1.3, -0.5)
Big Horn County, Montana Rural No 170.5 (139.0, 206.9) N/A 22 falling falling trend -1.7 (-2.7, -0.8)
Noble County, Indiana Rural No 170.5 (155.4, 186.7) N/A 100 falling falling trend -0.7 (-1.2, -0.2)
Crook County, Wyoming Rural No 170.4 (136.0, 212.1) N/A 19 stable stable trend -0.6 (-1.7, 0.5)
Clay County, Mississippi Rural No 170.4 (148.3, 195.3) N/A 45 stable stable trend -0.5 (-1.1, 0.1)
Harper County, Oklahoma Rural No 170.4 (121.7, 235.1) N/A 8 stable stable trend -0.6 (-2.2, 0.8)
Ballard County, Kentucky Urban No 170.3 (138.6, 208.4) N/A 21 falling falling trend -1.5 (-2.5, -0.5)
Macon County, Illinois Urban No 170.3 (160.9, 180.2) N/A 263 falling falling trend -1.5 (-3.4, -1.0)
Lamar County, Alabama Rural No 170.3 (146.2, 197.8) N/A 38 falling falling trend -1.1 (-2.4, -0.6)
Texas County, Missouri Rural No 170.3 (151.8, 190.6) N/A 66 stable stable trend -0.5 (-1.1, 0.1)
Genesee County, Michigan Urban No 170.3 (165.3, 175.4) N/A 937 falling falling trend -1.5 (-3.0, -1.1)
Monroe County, Iowa Rural No 170.3 (137.4, 209.7) N/A 19 stable stable trend 0.2 (-0.8, 1.1)
Portage County, Ohio Urban No 170.3 (162.2, 178.6) N/A 354 falling falling trend -0.8 (-1.1, -0.5)
Gadsden County, Florida Urban No 170.2 (155.5, 186.1) N/A 104 falling falling trend -1.4 (-1.8, -0.9)
Clay County, Alabama Rural No 170.2 (146.3, 197.4) N/A 38 stable stable trend -0.7 (-1.5, 0.2)
Henry County, Ohio Rural No 170.2 (151.9, 190.3) N/A 66 falling falling trend -0.9 (-1.4, -0.4)
Cass County, Indiana Rural No 170.1 (154.4, 187.2) N/A 89 falling falling trend -1.1 (-1.5, -0.6)
Harrison County, Indiana Urban No 170.1 (154.5, 187.1) N/A 92 falling falling trend -0.8 (-1.3, -0.3)
Mifflin County, Pennsylvania Rural No 170.1 (156.9, 184.3) N/A 127 falling falling trend -0.5 (-1.0, -0.1)
Gregg County, Texas Urban No 170.1 (160.7, 180.0) N/A 251 falling falling trend -1.3 (-1.5, -1.1)
Richland County, Ohio Urban No 170.1 (161.5, 179.1) N/A 308 falling falling trend -0.9 (-1.1, -0.6)
Bibb County, Alabama Urban No 170.1 (149.2, 193.2) N/A 49 falling falling trend -1.1 (-1.6, -0.5)
Braxton County, West Virginia Rural No 170.0 (145.3, 198.6) N/A 36 stable stable trend -1.0 (-1.9, 0.0)
McIntosh County, Georgia Urban No 170.0 (144.3, 200.3) N/A 36 falling falling trend -1.7 (-2.4, -0.8)
Liberty County, Georgia Urban No 169.9 (153.3, 187.8) N/A 84 falling falling trend -1.7 (-2.2, -1.0)
Tama County, Iowa Rural No 169.9 (146.7, 196.1) N/A 41 stable stable trend -0.4 (-0.9, 0.1)
Jackson County, Illinois Rural No 169.9 (155.3, 185.7) N/A 106 falling falling trend -0.7 (-1.2, -0.3)
Adams County, Illinois Rural No 169.9 (158.2, 182.4) N/A 167 falling falling trend -1.4 (-1.8, -1.0)
Lincoln County, Oregon Rural No 169.9 (157.3, 183.4) N/A 163 falling falling trend -1.0 (-1.3, -0.6)
Banks County, Georgia Rural No 169.9 (146.4, 196.3) N/A 40 stable stable trend -0.4 (-1.3, 0.7)
Blount County, Alabama Urban No 169.9 (157.2, 183.4) N/A 138 falling falling trend -1.0 (-1.4, -0.5)
Tuscarawas County, Ohio Rural No 169.8 (159.8, 180.4) N/A 226 falling falling trend -0.7 (-1.0, -0.3)
Craighead County, Arkansas Urban No 169.8 (159.2, 180.8) N/A 199 falling falling trend -1.0 (-2.0, -0.6)
Hoke County, North Carolina Urban No 169.8 (152.3, 188.5) N/A 77 falling falling trend -1.6 (-2.2, -0.9)
Potter County, Pennsylvania Rural No 169.7 (148.0, 194.4) N/A 48 falling falling trend -0.8 (-1.4, -0.2)
Ferry County, Washington Rural No 169.7 (138.0, 208.6) N/A 23 stable stable trend -0.9 (-2.2, 0.7)
Lake County, California Rural No 169.7 (158.5, 181.6) N/A 187 falling falling trend -1.3 (-1.6, -0.9)
St. James Parish, Louisiana Urban No 169.6 (148.1, 193.7) N/A 47 falling falling trend -1.3 (-2.0, -0.6)
Seneca County, Ohio Rural No 169.6 (156.4, 183.7) N/A 129 falling falling trend -0.6 (-1.1, -0.2)
Tallapoosa County, Alabama Rural No 169.6 (154.9, 185.5) N/A 109 falling falling trend -0.7 (-1.3, -0.1)
Champaign County, Ohio Rural No 169.6 (154.1, 186.3) N/A 92 falling falling trend -0.8 (-1.2, -0.3)
Newton County, Georgia Urban No 169.6 (158.8, 180.8) N/A 197 falling falling trend -0.9 (-1.2, -0.4)
Rosebud County, Montana Rural No 169.6 (133.6, 212.5) N/A 16 falling falling trend -1.4 (-2.6, -0.1)
Geary County, Kansas Urban No 169.5 (146.8, 194.6) N/A 41 falling falling trend -0.9 (-1.7, -0.2)
Elmore County, Alabama Urban No 169.4 (158.3, 181.2) N/A 180 falling falling trend -1.2 (-1.4, -0.9)
Andrew County, Missouri Urban No 169.4 (147.2, 194.4) N/A 43 stable stable trend -0.7 (-1.4, 0.1)
Langlade County, Wisconsin Rural No 169.4 (149.8, 191.4) N/A 59 stable stable trend -0.6 (-1.3, 0.2)
Carson City, Nevada Urban No 169.4 (157.1, 182.5) N/A 147 falling falling trend -1.3 (-1.7, -0.9)
Walker County, Georgia Urban No 169.4 (157.7, 181.8) N/A 163 falling falling trend -1.9 (-3.1, -1.4)
Woodson County, Kansas Rural No 169.4 (124.5, 230.2) N/A 10 falling falling trend -5.3 (-21.5, -0.7)
St. Marys County, Maryland Urban No 169.4 (159.0, 180.2) N/A 209 falling falling trend -1.0 (-1.3, -0.7)
Coffee County, Georgia Rural No 169.3 (152.8, 187.2) N/A 80 falling falling trend -0.7 (-1.2, -0.1)
Granville County, North Carolina Rural No 169.3 (156.6, 182.9) N/A 137 falling falling trend -2.4 (-6.3, -1.4)
Calhoun County, Texas Rural No 169.3 (147.8, 193.3) N/A 47 falling falling trend -1.0 (-1.6, -0.3)
Musselshell County, Montana Rural No 169.2 (129.3, 220.1) N/A 14 stable stable trend -1.0 (-2.2, 0.2)
Nassau County, Florida Urban No 169.2 (159.5, 179.5) N/A 245 falling falling trend -1.2 (-1.6, -0.8)
Shelby County, Indiana Urban No 169.2 (154.7, 184.8) N/A 105 falling falling trend -0.7 (-1.2, -0.1)
Richland County, Illinois Rural No 169.2 (146.0, 195.4) N/A 41 falling falling trend -0.8 (-1.3, -0.2)
Nye County, Nevada Rural No 169.1 (157.0, 182.2) N/A 173 falling falling trend -1.9 (-5.1, -1.0)
Anderson County, Tennessee Urban No 169.1 (158.4, 180.5) N/A 192 falling falling trend -0.9 (-1.3, -0.5)
Shenandoah County, Virginia Rural No 169.1 (155.4, 184.0) N/A 117 falling falling trend -0.8 (-1.1, -0.5)
Allen County, Kansas Rural No 169.1 (142.6, 199.7) N/A 31 stable stable trend -0.8 (-1.6, 0.0)
Yell County, Arkansas Rural No 169.1 (147.5, 193.2) N/A 46 falling falling trend -1.2 (-1.7, -0.7)
De Soto Parish, Louisiana Urban No 169.1 (150.3, 189.8) N/A 61 falling falling trend -1.4 (-2.0, -0.8)
Taylor County, Florida Rural No 169.1 (148.8, 191.6) N/A 54 falling falling trend -1.7 (-2.1, -1.2)
Madison County, Illinois Urban No 169.0 (163.0, 175.3) N/A 607 falling falling trend -0.9 (-1.1, -0.7)
Carroll County, Illinois Rural No 169.0 (146.7, 194.3) N/A 45 falling falling trend -1.1 (-1.7, -0.5)
Izard County, Arkansas Rural No 169.0 (145.7, 195.7) N/A 42 falling falling trend -1.3 (-2.1, -0.4)
Mobile County, Alabama Urban No 169.0 (163.9, 174.2) N/A 875 falling falling trend -2.1 (-3.7, -1.4)
Polk County, Minnesota Urban No 169.0 (151.9, 187.7) N/A 76 falling falling trend -1.0 (-1.6, -0.5)
Cherokee County, Texas Rural No 169.0 (155.0, 183.9) N/A 112 stable stable trend 1.8 (-1.4, 8.4)
Lyon County, Kentucky Rural No 168.9 (139.6, 204.2) N/A 25 falling falling trend -1.1 (-2.0, -0.1)
Wichita County, Kansas Rural No 168.9 (104.5, 260.8) N/A 5 stable stable trend -0.3 (-2.2, 1.5)
Edgar County, Illinois Rural No 168.9 (147.5, 193.1) N/A 49 falling falling trend -1.0 (-1.5, -0.4)
Beaufort County, North Carolina Rural No 168.9 (155.5, 183.4) N/A 127 falling falling trend -1.0 (-1.4, -0.6)
Dodge County, Georgia Rural No 168.9 (148.1, 192.2) N/A 48 falling falling trend -1.2 (-1.9, -0.4)
Mahaska County, Iowa Rural No 168.9 (148.4, 191.6) N/A 52 stable stable trend -0.2 (-0.6, 0.3)
Muscogee County, Georgia Urban No 168.9 (161.2, 176.8) N/A 378 falling falling trend -1.7 (-4.7, -1.2)
Stanly County, North Carolina Rural No 168.8 (156.6, 181.9) N/A 147 falling falling trend -0.9 (-1.4, -0.6)
Kane County, Utah Rural No 168.8 (135.3, 209.1) N/A 20 stable stable trend -0.5 (-1.8, 0.9)
Dickinson County, Kansas Rural No 168.8 (147.4, 192.9) N/A 48 stable stable trend -0.5 (-1.1, 0.0)
Brown County, Texas Rural No 168.8 (153.6, 185.3) N/A 95 falling falling trend -0.9 (-1.3, -0.5)
Glacier County, Montana Rural No 168.8 (138.7, 203.5) N/A 23 stable stable trend -0.9 (-1.8, 0.2)
Butler County, Alabama Rural No 168.8 (147.1, 193.0) N/A 47 falling falling trend -0.8 (-1.4, -0.1)
Hickman County, Kentucky Rural No 168.8 (132.2, 215.8) N/A 15 stable stable trend -0.5 (-1.7, 0.8)
Simpson County, Mississippi Urban No 168.7 (149.5, 190.0) N/A 59 falling falling trend -0.9 (-1.5, -0.2)
Trego County, Kansas Rural No 168.7 (123.7, 231.2) N/A 10 stable stable trend -0.2 (-1.4, 0.9)
Lewis County, Idaho Rural No 168.7 (122.9, 229.3) N/A 11 stable stable trend -0.4 (-1.6, 0.9)
Bay County, Michigan Urban No 168.7 (159.5, 178.4) N/A 265 falling falling trend -0.9 (-1.1, -0.7)
Logan County, Ohio Rural No 168.7 (154.4, 184.1) N/A 109 falling falling trend -4.4 (-9.9, -1.1)
Union County, Iowa Rural No 168.7 (141.7, 199.8) N/A 30 stable stable trend -0.7 (-1.6, 0.1)
Terry County, Texas Rural No 168.7 (138.7, 203.4) N/A 23 stable stable trend -0.5 (-1.4, 0.3)
Penobscot County, Maine Urban No 168.7 (160.9, 176.8) N/A 370 falling falling trend -1.3 (-1.5, -1.1)
Boone County, Arkansas Rural No 168.7 (153.6, 185.0) N/A 96 falling falling trend -0.7 (-1.1, -0.4)
Jones County, North Carolina Rural No 168.7 (139.5, 203.3) N/A 26 stable stable trend -0.4 (-1.4, 0.7)
Grand Isle County, Vermont Urban No 168.7 (132.6, 212.5) N/A 18 stable stable trend -1.4 (-2.6, 0.0)
Madison County, Ohio Urban No 168.7 (153.3, 185.2) N/A 91 falling falling trend -1.3 (-1.7, -0.8)
Pondera County, Montana Rural No 168.6 (131.2, 214.8) N/A 16 stable stable trend -1.0 (-2.0, 0.0)
Gage County, Nebraska Rural No 168.6 (148.9, 190.7) N/A 57 stable stable trend -0.4 (-1.0, 0.2)
Nuckolls County, Nebraska Rural No 168.6 (128.8, 220.4) N/A 14 falling falling trend -1.4 (-2.6, -0.3)
Colorado County, Texas Rural No 168.6 (148.4, 191.1) N/A 54 falling falling trend -0.9 (-1.5, -0.3)
Rockingham County, North Carolina Urban No 168.6 (158.9, 178.8) N/A 237 falling falling trend -1.4 (-2.2, -1.1)
Cass County, Iowa Rural No 168.6 (144.0, 196.9) N/A 37 falling falling trend -3.4 (-9.1, -1.0)
Hancock County, West Virginia Urban No 168.6 (152.3, 186.5) N/A 84 falling falling trend -1.1 (-1.6, -0.5)
Milam County, Texas Rural No 168.6 (149.9, 189.2) N/A 63 stable stable trend -0.5 (-1.1, 0.2)
Giles County, Tennessee Rural No 168.5 (151.5, 187.2) N/A 76 falling falling trend -1.0 (-1.6, -0.4)
Glenn County, California Rural No 168.5 (149.6, 189.3) N/A 59 falling falling trend -1.2 (-1.9, -0.6)
Limestone County, Texas Rural No 168.5 (148.3, 191.0) N/A 54 falling falling trend -1.3 (-1.8, -0.7)
Pickett County, Tennessee Rural No 168.5 (130.9, 216.5) N/A 16 stable stable trend -0.4 (-1.4, 0.6)
Dorchester County, Maryland Rural No 168.5 (152.4, 186.1) N/A 87 stable stable trend -1.4 (-2.7, 0.5)
Charlton County, Georgia Rural No 168.5 (140.6, 200.7) N/A 26 falling falling trend -1.7 (-2.8, -0.3)
St. Clair County, Michigan Urban No 168.5 (160.9, 176.4) N/A 388 falling falling trend -1.1 (-1.3, -0.9)
Lee County, South Carolina Rural No 168.5 (145.0, 195.1) N/A 40 falling falling trend -3.9 (-11.5, -1.4)
Walton County, Georgia Urban No 168.5 (158.1, 179.4) N/A 202 falling falling trend -0.9 (-1.2, -0.4)
Craig County, Virginia Urban No 168.5 (129.5, 218.1) N/A 14 stable stable trend -0.5 (-1.7, 1.0)
Montague County, Texas Rural No 168.5 (148.7, 190.6) N/A 55 falling falling trend -1.1 (-1.7, -0.5)
Lyon County, Kansas Rural No 168.4 (149.7, 189.0) N/A 62 stable stable trend -0.4 (-1.0, 0.2)
Sargent County, North Dakota Rural No 168.4 (125.0, 225.0) N/A 11 stable stable trend -0.4 (-1.5, 0.7)
Newton County, Indiana Urban No 168.4 (144.0, 196.4) N/A 36 falling falling trend -2.3 (-11.1, -1.3)
Decatur County, Iowa Rural No 168.3 (135.4, 207.9) N/A 20 stable stable trend -0.4 (-1.5, 0.6)
Red Lake County, Minnesota Rural No 168.3 (123.4, 226.4) N/A 10 stable stable trend -0.1 (-1.2, 1.0)
Essex County, Vermont Rural No 168.2 (136.1, 208.4) N/A 20 falling falling trend -1.5 (-2.4, -0.4)
Dallas County, Alabama Rural No 168.2 (152.4, 185.4) N/A 89 falling falling trend -5.7 (-12.1, -1.7)
Auglaize County, Ohio Rural No 168.2 (154.0, 183.5) N/A 109 falling falling trend -1.0 (-1.5, -0.5)
Harlan County, Nebraska Rural No 168.2 (124.3, 228.0) N/A 10 stable stable trend 0.1 (-1.2, 1.6)
Cumberland County, New Jersey Urban No 168.1 (159.8, 176.9) N/A 310 falling falling trend -5.2 (-8.4, -1.2)
Appanoose County, Iowa Rural No 168.1 (144.1, 195.9) N/A 37 stable stable trend -0.1 (-1.1, 1.0)
Monroe County, Alabama Rural No 168.1 (147.3, 191.5) N/A 50 falling falling trend -0.9 (-1.6, -0.2)
LaFourche Parish, Louisiana Urban No 168.1 (157.8, 179.0) N/A 203 falling falling trend -0.9 (-1.2, -0.5)
Mason County, Washington Rural No 168.1 (156.8, 180.2) N/A 179 falling falling trend -1.1 (-1.4, -0.6)
Montgomery County, Kansas Rural No 168.1 (151.5, 186.2) N/A 79 falling falling trend -2.1 (-9.4, -0.9)
Kent County, Delaware Urban No 168.1 (160.6, 175.9) N/A 394 falling falling trend -1.1 (-1.4, -0.9)
Emporia City, Virginia Rural No 168.1 (129.2, 216.0) N/A 14 falling falling trend -2.1 (-3.2, -1.1)
Van Zandt County, Texas Rural No 168.0 (155.8, 181.1) N/A 147 falling falling trend -1.1 (-1.6, -0.6)
Clinton County, New York Rural No 168.0 (157.1, 179.6) N/A 184 falling falling trend -0.9 (-1.2, -0.6)
Rogers County, Oklahoma Urban No 168.0 (157.6, 178.8) N/A 203 falling falling trend -0.9 (-1.2, -0.5)
Williams County, Ohio Rural No 167.9 (152.5, 184.7) N/A 91 falling falling trend -0.7 (-1.1, -0.3)
Wirt County, West Virginia Urban No 167.9 (129.0, 216.8) N/A 14 stable stable trend -0.7 (-1.8, 0.4)
DeKalb County, Indiana Rural No 167.9 (152.6, 184.5) N/A 92 falling falling trend -0.6 (-1.1, -0.1)
Adair County, Missouri Rural No 167.9 (147.4, 190.7) N/A 49 stable stable trend -0.6 (-1.2, 0.0)
Laurens County, Georgia Rural No 167.8 (153.9, 182.8) N/A 111 falling falling trend -0.7 (-1.3, -0.2)
Daviess County, Kentucky Urban No 167.8 (157.9, 178.3) N/A 222 falling falling trend -1.1 (-1.4, -0.8)
Spencer County, Kentucky Urban No 167.8 (143.2, 195.6) N/A 37 falling falling trend -1.2 (-1.9, -0.4)
Yadkin County, North Carolina Urban No 167.8 (152.6, 184.3) N/A 94 falling falling trend -0.6 (-1.0, -0.2)
Lincoln County, Arkansas Rural No 167.8 (139.9, 200.1) N/A 26 stable stable trend -0.1 (-0.8, 0.6)
Woodruff County, Arkansas Rural No 167.8 (134.4, 208.7) N/A 18 falling falling trend -1.1 (-2.1, -0.2)
Alcorn County, Mississippi Rural No 167.8 (151.3, 185.6) N/A 79 falling falling trend -0.8 (-1.3, -0.3)
Walthall County, Mississippi Rural No 167.7 (142.6, 196.4) N/A 33 stable stable trend -0.6 (-1.3, 0.1)
Oxford County, Maine Rural No 167.7 (155.9, 180.4) N/A 162 falling falling trend -1.2 (-1.4, -0.9)
Dawson County, Texas Rural No 167.7 (137.9, 202.0) N/A 23 stable stable trend -0.2 (-1.1, 0.6)
Comanche County, Kansas Rural No 167.7 (110.0, 255.7) N/A 5 stable stable trend 0.1 (-2.1, 2.3)
Potter County, Texas Urban No 167.6 (157.5, 178.3) N/A 210 falling falling trend -1.3 (-1.6, -1.0)
Lawrence County, Pennsylvania Urban No 167.6 (157.9, 177.9) N/A 239 falling falling trend -0.9 (-1.1, -0.7)
Columbia County, Oregon Urban No 167.6 (154.5, 181.6) N/A 128 falling falling trend -1.4 (-1.8, -0.9)
Bradley County, Tennessee Urban No 167.6 (158.0, 177.7) N/A 236 falling falling trend -1.0 (-1.3, -0.6)
Floyd County, Indiana Urban No 167.6 (156.3, 179.5) N/A 173 falling falling trend -1.3 (-1.6, -0.9)
Lycoming County, Pennsylvania Urban No 167.5 (158.6, 176.9) N/A 281 falling falling trend -0.7 (-0.9, -0.5)
Louisa County, Iowa Rural No 167.5 (138.6, 201.3) N/A 25 stable stable trend -0.6 (-1.6, 0.4)
Davis County, Iowa Rural No 167.5 (134.4, 206.7) N/A 19 stable stable trend -0.1 (-1.2, 0.9)
Shelby County, Missouri Rural No 167.5 (132.9, 210.1) N/A 17 falling falling trend -1.1 (-2.1, -0.1)
Douglas County, Wisconsin Urban No 167.4 (152.9, 183.1) N/A 104 falling falling trend -1.5 (-1.8, -1.1)
Suffolk City, Virginia Urban No 167.4 (156.5, 178.9) N/A 183 falling falling trend -1.6 (-2.0, -1.2)
Platte County, Wyoming Rural No 167.3 (139.5, 200.6) N/A 27 stable stable trend 7.3 (-1.6, 18.4)
Union County, Illinois Rural No 167.3 (145.8, 191.7) N/A 47 falling falling trend -1.2 (-7.1, -0.5)
Wabash County, Illinois Rural No 167.3 (140.1, 198.9) N/A 30 falling falling trend -1.2 (-1.9, -0.6)
Whiteside County, Illinois Rural No 167.3 (155.2, 180.3) N/A 148 stable stable trend -0.5 (-1.0, 0.0)
Oglethorpe County, Georgia Urban No 167.3 (143.3, 194.6) N/A 36 stable stable trend -0.7 (-1.6, 0.3)
Conecuh County, Alabama Rural No 167.3 (140.5, 198.4) N/A 31 stable stable trend -1.8 (-15.8, 1.0)
Bates County, Missouri Urban No 167.3 (143.5, 194.1) N/A 38 falling falling trend -1.0 (-1.6, -0.3)
Susquehanna County, Pennsylvania Rural No 167.2 (153.3, 182.4) N/A 113 falling falling trend -1.1 (-1.5, -0.7)
Adams County, Wisconsin Rural No 167.2 (148.5, 188.3) N/A 70 falling falling trend -0.8 (-1.3, -0.2)
DeKalb County, Illinois Urban No 167.2 (156.1, 178.9) N/A 173 falling falling trend -0.6 (-1.0, -0.3)
Worth County, Missouri Rural No 167.2 (109.9, 251.0) N/A 6 stable stable trend 0.0 (-1.8, 1.7)
Marion County, Ohio Rural No 167.1 (155.0, 179.9) N/A 148 falling falling trend -1.0 (-1.4, -0.6)
Carroll County, Ohio Urban No 167.1 (149.3, 186.7) N/A 69 stable stable trend -0.4 (-1.1, 0.3)
Stark County, Illinois Urban No 167.0 (130.5, 212.7) N/A 15 stable stable trend -0.9 (-1.8, 0.0)
Shelby County, Ohio Rural No 167.0 (152.6, 182.5) N/A 104 stable stable trend -0.5 (-0.9, 0.0)
Clinch County, Georgia Rural No 167.0 (130.0, 211.9) N/A 15 stable stable trend -0.7 (-1.7, 0.4)
Watonwan County, Minnesota Rural No 166.9 (139.2, 199.2) N/A 28 stable stable trend -0.6 (-1.6, 0.4)
Stokes County, North Carolina Urban No 166.9 (153.3, 181.6) N/A 119 falling falling trend -1.0 (-1.4, -0.5)
Pembina County, North Dakota Rural No 166.9 (134.1, 206.9) N/A 21 falling falling trend -1.7 (-2.6, -0.8)
Woodbury County, Iowa Urban No 166.8 (156.6, 177.6) N/A 204 falling falling trend -0.7 (-1.0, -0.4)
Hancock County, Georgia Rural No 166.8 (136.6, 203.2) N/A 23 stable stable trend -1.1 (-2.1, 0.0)
Custer County, Oklahoma Rural No 166.8 (146.6, 189.1) N/A 51 stable stable trend -0.3 (-1.0, 0.5)
Pacific County, Washington Rural No 166.8 (149.7, 186.0) N/A 82 falling falling trend -0.9 (-1.6, -0.3)
Quay County, New Mexico Rural No 166.8 (137.6, 201.5) N/A 25 falling falling trend -1.1 (-1.9, -0.2)
Wyandotte County, Kansas Urban No 166.7 (158.0, 175.8) N/A 289 falling falling trend -3.4 (-6.0, -2.2)
Chisago County, Minnesota Urban No 166.7 (153.1, 181.3) N/A 116 falling falling trend -1.5 (-2.1, -0.8)
Washington County, Tennessee Urban No 166.7 (158.2, 175.5) N/A 303 falling falling trend -1.1 (-1.6, -0.9)
Monroe County, Missouri Rural No 166.7 (136.6, 202.5) N/A 24 falling falling trend -1.1 (-2.0, -0.3)
Westmoreland County, Virginia Rural No 166.7 (146.8, 189.2) N/A 56 falling falling trend -1.6 (-2.2, -0.9)
Jenkins County, Georgia Rural No 166.7 (133.7, 205.9) N/A 18 stable stable trend -1.0 (-2.0, 0.0)
Sweetwater County, Wyoming Rural No 166.7 (149.2, 185.7) N/A 72 stable stable trend -0.5 (-1.0, 0.1)
Madison County, Iowa Urban No 166.6 (142.6, 193.7) N/A 36 falling falling trend -1.1 (-1.8, -0.3)
Sevier County, Arkansas Rural No 166.6 (140.1, 196.7) N/A 29 falling falling trend -1.2 (-2.0, -0.4)
Calhoun County, South Carolina Urban No 166.6 (143.6, 193.0) N/A 40 stable stable trend -0.4 (-1.3, 0.5)
Smith County, Kansas Rural No 166.6 (121.3, 227.0) N/A 11 stable stable trend -0.6 (-1.8, 0.5)
Kenton County, Kentucky Urban No 166.6 (158.3, 175.2) N/A 321 falling falling trend -2.0 (-3.4, -1.6)
Raleigh County, West Virginia Urban No 166.6 (155.7, 178.1) N/A 186 falling falling trend -0.8 (-1.2, -0.5)
Dale County, Alabama Rural No 166.6 (152.6, 181.6) N/A 108 falling falling trend -1.8 (-6.4, -1.0)
Gonzales County, Texas Rural No 166.6 (144.3, 191.5) N/A 42 falling falling trend -0.9 (-1.5, -0.3)
Richardson County, Nebraska Rural No 166.5 (136.8, 202.4) N/A 24 stable stable trend -0.7 (-1.5, 0.2)
Perry County, Illinois Rural No 166.5 (145.8, 189.7) N/A 49 falling falling trend -1.0 (-1.5, -0.4)
Pickens County, Alabama Urban No 166.5 (145.3, 190.3) N/A 46 falling falling trend -1.8 (-4.7, -1.1)
Mathews County, Virginia Urban No 166.5 (137.7, 201.4) N/A 29 falling falling trend -1.7 (-2.7, -0.9)
Wood County, Ohio Urban No 166.5 (157.4, 176.1) N/A 259 stable stable trend 2.1 (-0.9, 4.4)
Wilkin County, Minnesota Rural No 166.4 (130.8, 209.9) N/A 16 stable stable trend -0.5 (-1.6, 0.5)
St. Louis City, Missouri Urban No 166.4 (160.1, 172.9) N/A 563 falling falling trend -2.7 (-3.6, -2.3)
Belmont County, Ohio Urban No 166.4 (155.1, 178.5) N/A 171 falling falling trend -1.2 (-1.5, -0.9)
Cooke County, Texas Rural No 166.4 (151.4, 182.5) N/A 96 falling falling trend -0.9 (-1.4, -0.3)
Hockley County, Texas Urban No 166.4 (144.0, 191.4) N/A 41 stable stable trend -0.8 (-1.6, 0.0)
Fulton County, Ohio Urban No 166.4 (151.6, 182.3) N/A 98 stable stable trend -0.3 (-0.6, 0.2)
Jackson County, West Virginia Rural No 166.4 (149.3, 185.2) N/A 72 falling falling trend -0.8 (-1.4, -0.2)
Hopkins County, Texas Rural No 166.3 (150.5, 183.5) N/A 84 falling falling trend -1.2 (-1.7, -0.7)
Bollinger County, Missouri Urban No 166.3 (138.7, 198.6) N/A 27 stable stable trend -0.5 (-1.3, 0.3)
Shelby County, Illinois Rural No 166.3 (147.8, 187.0) N/A 61 falling falling trend -0.8 (-1.5, -0.1)
Peoria County, Illinois Urban No 166.3 (158.9, 174.0)