State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for United States by HSA

Melanoma of the Skin (All Stages^), 2016-2020

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

Sorted by Rate

Explanation of Column Headers

Objective - The objective of *** is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

Recent Trends - This is an interpretation of the AAPC/APC:

• Rising when 95% confidence interval of AAPC/APC is above 0.
• Stable when 95% confidence interval of AAPC/APC includes 0.
• Falling when 95% confidence interval of AAPC/APC is below 0.

AAPC/APC (95% Confidence Interval) - the change in rate over time

• Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
• Annual Percent Change - APCs calculated in SEER*Stat.

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

US (SEER+NPCR)¹

• Rate : The incidence rate is 22.5 with a 95% confidence interval from 22.4 to 22.5 and 83,836 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.9 to 2.7.

Webb (Laredo), TX - Zapata, TX⁷

• Rate : The incidence rate is 3.4 with a 95% confidence interval from 2.4 to 4.6 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -6.4 to -0.1.

Puerto Rico⁶

• Rate : The incidence rate is 3.5 with a 95% confidence interval from 3.2 to 3.7 and 135 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 4.9 with a 95% confidence interval from -7.8 to 19.4.

Maverick, TX - Val Verde, TX⁷

• Rate : The incidence rate is 4.5 with a 95% confidence interval from 2.9 to 6.6 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -7.0 to 1.3.

McKinley, NM⁷

• Rate : The incidence rate is 5.3 with a 95% confidence interval from 3.2 to 8.5 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Cameron (Brownsville), TX - Willacy, TX⁷

• Rate : The incidence rate is 5.8 with a 95% confidence interval from 4.8 to 6.9 and 26 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -4.0 to -0.3.

Hidalgo (Mcallen), TX - Starr, TX⁷

• Rate : The incidence rate is 5.8 with a 95% confidence interval from 5.1 to 6.6 and 47 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.0 to -1.5.

El Paso (El Paso), TX - Hudspeth, TX⁷

• Rate : The incidence rate is 6.1 with a 95% confidence interval from 5.4 to 6.9 and 50 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -1.6 to 11.2.

Lea, NM⁷

• Rate : The incidence rate is 6.2 with a 95% confidence interval from 3.8 to 9.7 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Marion, SC - Dillon, SC⁶

• Rate : The incidence rate is 7.8 with a 95% confidence interval from 5.3 to 11.3 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -7.6 to -0.9.

San Miguel, NM - Mora, NM⁷

• Rate : The incidence rate is 7.9 with a 95% confidence interval from 4.7 to 12.7 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

San Juan, NM⁷

• Rate : The incidence rate is 8.0 with a 95% confidence interval from 6.0 to 10.5 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.6 to -0.4.

Washington, MS - Sharkey, MS⁶

• Rate : The incidence rate is 8.6 with a 95% confidence interval from 5.5 to 12.9 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Nacogdoches, TX - Shelby, TX⁷

• Rate : The incidence rate is 8.7 with a 95% confidence interval from 6.6 to 11.4 and 12 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -6.7 with a 95% confidence interval from -17.2 to 6.8.

Florence (Florence), SC - Darlington, SC⁶

• Rate : The incidence rate is 9.0 with a 95% confidence interval from 7.7 to 10.5 and 35 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -5.1 to -0.3.

Adair, MO - Sullivan, MO⁶

• Rate : The incidence rate is 9.0 with a 95% confidence interval from 5.9 to 13.4 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -6.5 to 1.1.

Bee, TX - Karnes, TX⁷

• Rate : The incidence rate is 9.1 with a 95% confidence interval from 5.7 to 13.8 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Apache, AZ⁶

• Rate : The incidence rate is 9.1 with a 95% confidence interval from 6.5 to 12.5 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.4 with a 95% confidence interval from 1.9 to 11.0.

District of Columbia⁶

• Rate : The incidence rate is 9.3 with a 95% confidence interval from 8.3 to 10.4 and 65 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.4 to 2.8.

Orangeburg, SC - Bamberg, SC⁶

• Rate : The incidence rate is 9.4 with a 95% confidence interval from 7.3 to 11.9 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.2 to 2.3.

Kings (New York), NY - Queens, NY⁷

• Rate : The incidence rate is 9.6 with a 95% confidence interval from 9.3 to 9.9 and 911 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -3.1 to -0.2.

Russell, AL⁶

• Rate : The incidence rate is 9.7 with a 95% confidence interval from 6.5 to 13.9 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -4.3 with a 95% confidence interval from -36.1 to 6.3.

Bexar (San Antonio), TX - Guadalupe, TX⁷

• Rate : The incidence rate is 10.2 with a 95% confidence interval from 9.6 to 10.7 and 249 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 4.9 with a 95% confidence interval from -0.5 to 11.1.

Yuma, AZ - La Paz, AZ⁶

• Rate : The incidence rate is 10.2 with a 95% confidence interval from 8.5 to 12.1 and 31 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -1.4 to 16.1.

Anderson, TX - Cherokee, TX⁷

• Rate : The incidence rate is 10.2 with a 95% confidence interval from 8.1 to 12.7 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -2.8 to 3.9.

Malheur, OR⁶

• Rate : The incidence rate is 10.2 with a 95% confidence interval from 6.0 to 16.4 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Otero, CO - Prowers, CO⁶

• Rate : The incidence rate is 10.2 with a 95% confidence interval from 6.7 to 15.0 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -24.9 with a 95% confidence interval from -48.7 to 1.0.

Curry, NM - Roosevelt, NM⁷

• Rate : The incidence rate is 10.2 with a 95% confidence interval from 7.4 to 13.8 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

St. Mary, LA⁷

• Rate : The incidence rate is 10.5 with a 95% confidence interval from 7.0 to 15.1 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.7 to 3.5.

Umatilla, OR - Morrow, OR⁶

• Rate : The incidence rate is 10.5 with a 95% confidence interval from 7.8 to 13.9 and 10 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -29.7 with a 95% confidence interval from -47.7 to -11.2.

Ector (Odessa), TX - Reeves, TX⁷

• Rate : The incidence rate is 10.7 with a 95% confidence interval from 8.6 to 13.1 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.1 to 0.2.

Coahoma, MS - Tallahatchie, MS⁶

• Rate : The incidence rate is 10.8 with a 95% confidence interval from 7.0 to 15.9 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Leon, TX - Madison, TX⁷

• Rate : The incidence rate is 10.9 with a 95% confidence interval from 6.6 to 17.1 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -5.1 to 3.4.

Alamosa, CO - Rio Grande, CO⁶

• Rate : The incidence rate is 10.9 with a 95% confidence interval from 7.6 to 15.4 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.7 with a 95% confidence interval from -16.8 to -2.5.

Crittenden (West Memphis), AR - St. Francis, AR⁶

• Rate : The incidence rate is 11.0 with a 95% confidence interval from 8.4 to 14.3 and 12 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -6.7 to 0.5.

Bolivar, MS - Leflore, MS⁶

• Rate : The incidence rate is 11.1 with a 95% confidence interval from 8.2 to 14.6 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Nueces (Corpus Christi), TX - San Patricio, TX⁷

• Rate : The incidence rate is 11.1 with a 95% confidence interval from 9.9 to 12.4 and 68 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 9.0 with a 95% confidence interval from -1.2 to 16.1.

Dyer, TN - Lauderdale, TN⁶

• Rate : The incidence rate is 11.4 with a 95% confidence interval from 8.3 to 15.3 and 10 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 4.0 with a 95% confidence interval from -0.3 to 9.4.

Shelby (Memphis), TN - Tipton, TN⁶

• Rate : The incidence rate is 11.6 with a 95% confidence interval from 10.7 to 12.5 and 129 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.4 to 2.2.

Spokane (Spokane), WA - Stevens, WA⁶

• Rate : The incidence rate is 11.6 with a 95% confidence interval from 10.5 to 12.8 and 86 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -12.4 with a 95% confidence interval from -29.7 to -6.1.

Aiken, SC - Edgefield, SC⁶

• Rate : The incidence rate is 11.8 with a 95% confidence interval from 10.0 to 13.8 and 34 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.9 to 0.9.

Midland (Midland), TX - Pecos, TX⁷

• Rate : The incidence rate is 11.8 with a 95% confidence interval from 9.6 to 14.3 and 21 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -4.7 to -0.2.

Dickinson, MI - Menominee, MI⁶

• Rate : The incidence rate is 11.8 with a 95% confidence interval from 8.4 to 16.3 and 10 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.0 with a 95% confidence interval from -0.8 to 7.5.

Hertford, NC - Bertie, NC⁶

• Rate : The incidence rate is 11.8 with a 95% confidence interval from 8.8 to 15.7 and 12 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from -1.4 to 7.2.

Gregg (Longview), TX - Rusk, TX⁷

• Rate : The incidence rate is 11.9 with a 95% confidence interval from 10.1 to 13.8 and 35 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 7.0 with a 95% confidence interval from 2.7 to 17.9.

Ketchikan Gateway Borough, AK - Wrangell-Petersburg Cen, AK⁶

• Rate : The incidence rate is 12.0 with a 95% confidence interval from 7.1 to 19.2 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -3.8 to 6.1.

Hardin, TN - McNairy, TN⁶

• Rate : The incidence rate is 12.0 with a 95% confidence interval from 8.5 to 16.6 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -4.6 to 3.4.

Chambers, AL - Randolph, AL⁶

• Rate : The incidence rate is 12.0 with a 95% confidence interval from 8.7 to 16.3 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -3.4 to 5.5.

Gaines, TX - Andrews, TX⁷

• Rate : The incidence rate is 12.1 with a 95% confidence interval from 7.3 to 18.8 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Choctaw, AL - Sumter, AL⁶

• Rate : The incidence rate is 12.2 with a 95% confidence interval from 7.4 to 19.2 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.7 with a 95% confidence interval from -1.0 to 7.3.

Chaves, NM - Eddy, NM⁷

• Rate : The incidence rate is 12.3 with a 95% confidence interval from 9.7 to 15.3 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.7 to -0.3.

McLennan (Waco), TX - Hill, TX⁷

• Rate : The incidence rate is 12.4 with a 95% confidence interval from 10.9 to 14.1 and 51 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -8.1 with a 95% confidence interval from -13.7 to -4.5.

Yazoo, MS⁶

• Rate : The incidence rate is 12.4 with a 95% confidence interval from 7.3 to 19.8 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Dallas, AL - Marengo, AL⁶

• Rate : The incidence rate is 12.4 with a 95% confidence interval from 9.2 to 16.4 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -2.8 to 4.2.

Lowndes, MS - Clay, MS⁶

• Rate : The incidence rate is 12.5 with a 95% confidence interval from 9.6 to 16.0 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Bedford, TN⁶

• Rate : The incidence rate is 12.6 with a 95% confidence interval from 8.8 to 17.6 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -5.5 to 2.2.

Smith (Tyler), TX - Henderson, TX⁷

• Rate : The incidence rate is 12.6 with a 95% confidence interval from 11.3 to 14.1 and 69 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -1.4 to 3.7.

Montgomery (Clarksville), TN - Stewart, TN⁶

• Rate : The incidence rate is 12.7 with a 95% confidence interval from 10.5 to 15.2 and 25 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -14.5 to 2.2.

Logan, CO - Phillips, CO⁶

• Rate : The incidence rate is 12.7 with a 95% confidence interval from 7.9 to 19.6 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -11.9 with a 95% confidence interval from -35.8 to -5.2.

Hale, TX - Castro, TX⁷

• Rate : The incidence rate is 12.8 with a 95% confidence interval from 8.5 to 18.5 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.9 to 2.4.

Los Angeles (Los Angeles), CA⁷

• Rate : The incidence rate is 12.8 with a 95% confidence interval from 12.5 to 13.1 and 1,405 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.3.

McCurtain, OK⁶

• Rate : The incidence rate is 12.8 with a 95% confidence interval from 8.2 to 19.2 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -2.8 to 5.6.

Warren, MS - Claiborne, MS⁶

• Rate : The incidence rate is 12.9 with a 95% confidence interval from 9.2 to 17.6 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Sumter, SC - Clarendon, SC⁶

• Rate : The incidence rate is 12.9 with a 95% confidence interval from 10.7 to 15.5 and 26 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.8 to 0.6.

Tuscaloosa (Tuscaloosa), AL - Pickens, AL⁶

• Rate : The incidence rate is 13.0 with a 95% confidence interval from 11.1 to 15.1 and 36 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -3.9 to 0.4.

Lubbock (Lubbock), TX - Hockley, TX⁷

• Rate : The incidence rate is 13.0 with a 95% confidence interval from 11.4 to 14.8 and 50 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.6 to 3.3.

Deaf Smith, TX - Parmer, TX⁷

• Rate : The incidence rate is 13.1 with a 95% confidence interval from 7.8 to 20.6 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Hampden (Springfield), MA - Hampshire, MA⁷

• Rate : The incidence rate is 13.1 with a 95% confidence interval from 11.9 to 14.3 and 102 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.2 to 0.2.

Coos, OR - Curry, OR⁶

• Rate : The incidence rate is 13.1 with a 95% confidence interval from 10.4 to 16.4 and 21 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -6.3 to 0.6.

Navarro, TX - Freestone, TX⁷

• Rate : The incidence rate is 13.2 with a 95% confidence interval from 9.9 to 17.2 and 12 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.2 to 3.2.

Orleans (New Orleans), LA - Jefferson, LA⁷

• Rate : The incidence rate is 13.2 with a 95% confidence interval from 12.2 to 14.2 and 153 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -4.0 to 3.3.

Howard, TX - Glasscock, TX⁷

• Rate : The incidence rate is 13.2 with a 95% confidence interval from 8.5 to 19.5 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.6 to 3.0.

Mississippi, AR⁶

• Rate : The incidence rate is 13.3 with a 95% confidence interval from 8.9 to 19.2 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -0.4 to 8.5.

Williams, ND - McKenzie, ND⁶

• Rate : The incidence rate is 13.3 with a 95% confidence interval from 9.0 to 18.9 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -2.6 to 8.9.

Bergen, NJ - Hudson (Jersey City), NJ⁷

• Rate : The incidence rate is 13.3 with a 95% confidence interval from 12.6 to 14.0 and 325 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.3.

Hill, MT - Blaine, MT⁶

• Rate : The incidence rate is 13.3 with a 95% confidence interval from 8.2 to 20.5 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.9 with a 95% confidence interval from -0.2 to 9.4.

Pueblo (Pueblo), CO - Las Animas, CO⁶

• Rate : The incidence rate is 13.5 with a 95% confidence interval from 11.4 to 15.8 and 34 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.2 to 2.0.

Brazoria (Lake Jackson), TX - Wharton, TX⁷

• Rate : The incidence rate is 13.5 with a 95% confidence interval from 12.0 to 15.1 and 63 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.3 to 0.6.

Miami-Dade (Miami), FL - Broward, FL⁶

• Rate : The incidence rate is 13.6 with a 95% confidence interval from 13.2 to 14.0 and 802 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -7.5 to -0.2.

Houghton, MI - Baraga, MI⁶

• Rate : The incidence rate is 13.7 with a 95% confidence interval from 9.2 to 19.5 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -16.5 to 1.1.

Navajo, AZ⁶

• Rate : The incidence rate is 13.7 with a 95% confidence interval from 10.9 to 17.0 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -2.4 to 6.1.

St. Landry, LA - Evangeline, LA⁷

• Rate : The incidence rate is 13.7 with a 95% confidence interval from 10.9 to 17.1 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.7 with a 95% confidence interval from 2.2 to 7.7.

Harris (Houston), TX - Fort Bend, TX⁷

• Rate : The incidence rate is 13.8 with a 95% confidence interval from 13.3 to 14.2 and 818 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 6.8 with a 95% confidence interval from -1.0 to 12.6.

Fairbanks North Star Borough, AK - Denali/Yukon-Koyukuk, AK⁶

• Rate : The incidence rate is 13.8 with a 95% confidence interval from 10.6 to 17.7 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -0.9 to 4.9.

Madison (Jackson), TN - Gibson, TN⁶

• Rate : The incidence rate is 13.8 with a 95% confidence interval from 12.0 to 15.8 and 45 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 0.6 to 3.1.

Robeson, NC - Columbus, NC⁶

• Rate : The incidence rate is 13.9 with a 95% confidence interval from 12.0 to 16.0 and 43 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 0.2 to 5.0.

Anchorage (Anchorage), AK - Matanuska-Susitna Borough, AK⁶

• Rate : The incidence rate is 14.0 with a 95% confidence interval from 12.6 to 15.6 and 76 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -9.1 to 1.6.

Phillips, AR⁶

• Rate : The incidence rate is 14.0 with a 95% confidence interval from 7.7 to 23.7 and 3 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Stark, ND - Dunn, ND⁶

• Rate : The incidence rate is 14.1 with a 95% confidence interval from 9.2 to 20.6 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -24.7 with a 95% confidence interval from -39.3 to -5.9.

Concordia, LA - Tensas, LA⁷

• Rate : The incidence rate is 14.1 with a 95% confidence interval from 8.7 to 21.9 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.7 with a 95% confidence interval from 0.2 to 10.9.

Bell (Killeen), TX - Coryell, TX⁷

• Rate : The incidence rate is 14.2 with a 95% confidence interval from 12.6 to 15.8 and 63 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.4.

Otero, NM - Lincoln, NM⁷

• Rate : The incidence rate is 14.2 with a 95% confidence interval from 11.3 to 17.7 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.8 to -0.5.

Comal, TX⁷

• Rate : The incidence rate is 14.4 with a 95% confidence interval from 12.0 to 17.3 and 27 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -4.5 to -1.2.

Dallas (Dallas), TX - Collin, TX⁷

• Rate : The incidence rate is 14.5 with a 95% confidence interval from 13.9 to 15.0 and 574 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 1.0 to 2.7.

Montgomery, MD - Prince Georges, MD⁶

• Rate : The incidence rate is 14.5 with a 95% confidence interval from 13.9 to 15.2 and 367 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.1 to 4.4.

Tom Green (San Angelo), TX - Runnels, TX⁷

• Rate : The incidence rate is 14.6 with a 95% confidence interval from 12.2 to 17.3 and 29 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.0 with a 95% confidence interval from -15.7 to -1.7.

Terrebonne (Houma), LA - Lafourche, LA⁷

• Rate : The incidence rate is 14.6 with a 95% confidence interval from 12.5 to 16.9 and 38 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.0 with a 95% confidence interval from 2.6 to 8.3.

Texas, OK - Cimarron, OK⁶

• Rate : The incidence rate is 14.6 with a 95% confidence interval from 8.3 to 23.8 and 3 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -8.6 to 3.5.

Benton (Kennewick), WA - Franklin, WA⁶

• Rate : The incidence rate is 14.6 with a 95% confidence interval from 12.7 to 16.7 and 44 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.7 to 1.5.

Nash, NC - Halifax, NC⁶

• Rate : The incidence rate is 14.7 with a 95% confidence interval from 12.7 to 16.9 and 44 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -0.5 to 3.1.

Osceola, FL⁶

• Rate : The incidence rate is 14.7 with a 95% confidence interval from 13.0 to 16.5 and 56 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.1 to 1.4.

Lincoln, LA - Union, LA⁷

• Rate : The incidence rate is 14.7 with a 95% confidence interval from 11.6 to 18.4 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -2.7 to 3.1.

Jefferson (Beaumont), TX - Orange, TX⁷

• Rate : The incidence rate is 14.7 with a 95% confidence interval from 13.3 to 16.3 and 78 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.0 to 0.6.

Tulare, CA⁷

• Rate : The incidence rate is 14.8 with a 95% confidence interval from 13.2 to 16.5 and 62 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.8 to 2.3.

Howell, MO - Oregon, MO⁶

• Rate : The incidence rate is 14.8 with a 95% confidence interval from 11.0 to 19.6 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -0.9 to 5.0.

Victoria (Victoria), TX - Calhoun, TX⁷

• Rate : The incidence rate is 14.8 with a 95% confidence interval from 12.6 to 17.3 and 34 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -0.1 to 3.8.

Ouachita, AR - Dallas, AR⁶

• Rate : The incidence rate is 14.8 with a 95% confidence interval from 9.8 to 21.7 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Larimer, CO⁶

• Rate : The incidence rate is 14.8 with a 95% confidence interval from 13.2 to 16.7 and 60 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -4.2 to 0.0.

Taylor (Abilene), TX - Jones, TX⁷

• Rate : The incidence rate is 14.9 with a 95% confidence interval from 12.7 to 17.3 and 37 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 8.2 with a 95% confidence interval from -1.5 to 15.7.

Lincoln, OR - Tillamook, OR⁶

• Rate : The incidence rate is 14.9 with a 95% confidence interval from 11.8 to 18.7 and 20 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -9.0 with a 95% confidence interval from -18.7 to -4.3.

Dona Ana (Las Cruces), NM - Luna, NM⁷

• Rate : The incidence rate is 14.9 with a 95% confidence interval from 12.9 to 17.1 and 45 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -13.9 to 0.5.

Essex (Newark), NJ - Middlesex, NJ⁷

• Rate : The incidence rate is 14.9 with a 95% confidence interval from 14.3 to 15.6 and 436 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -5.6 to -1.4.

Taney, MO⁶

• Rate : The incidence rate is 14.9 with a 95% confidence interval from 11.1 to 19.8 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -30.2 to 7.9.

Kay (Ponca City), OK - Osage, OK⁶

• Rate : The incidence rate is 15.0 with a 95% confidence interval from 11.8 to 18.7 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -4.8 to 2.5.

Caddo (Shreveport), LA - Bossier, LA⁷

• Rate : The incidence rate is 15.0 with a 95% confidence interval from 13.6 to 16.5 and 88 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.1 to 2.9.

Bristol (New Bedford), MA⁷

• Rate : The incidence rate is 15.0 with a 95% confidence interval from 13.7 to 16.4 and 106 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.4 to 1.4.

Coffee, GA - Jeff Davis, GA⁷

• Rate : The incidence rate is 15.1 with a 95% confidence interval from 11.2 to 19.9 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -2.6 to 4.4.

Adams, MS - Jefferson, MS⁶

• Rate : The incidence rate is 15.1 with a 95% confidence interval from 10.9 to 20.5 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Campbell, WY - Crook, WY⁶

• Rate : The incidence rate is 15.2 with a 95% confidence interval from 10.6 to 20.9 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -4.3 to 5.0.

Union, OR - Baker, OR⁶

• Rate : The incidence rate is 15.2 with a 95% confidence interval from 11.1 to 20.4 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.5 to 2.1.

Richland (Columbia), SC - Lexington, SC⁶

• Rate : The incidence rate is 15.3 with a 95% confidence interval from 14.1 to 16.6 and 131 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -9.1 with a 95% confidence interval from -18.8 to -0.1.

Miller, AR - Hempstead, AR⁶

• Rate : The incidence rate is 15.3 with a 95% confidence interval from 12.6 to 18.6 and 23 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.2 with a 95% confidence interval from 1.1 to 8.1.

New London, CT⁷

• Rate : The incidence rate is 15.4 with a 95% confidence interval from 13.5 to 17.4 and 55 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -17.9 with a 95% confidence interval from -29.8 to -7.9.

Lafayette (Lafayette), LA - Iberia, LA⁷

• Rate : The incidence rate is 15.4 with a 95% confidence interval from 13.9 to 17.0 and 82 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 1.8 to 3.8.

Bowie (Texarkana), TX⁷

• Rate : The incidence rate is 15.4 with a 95% confidence interval from 12.2 to 19.3 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -0.7 to 4.8.

Dunklin, MO⁶

• Rate : The incidence rate is 15.5 with a 95% confidence interval from 10.1 to 22.9 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Titus, TX - Morris, TX⁷

• Rate : The incidence rate is 15.6 with a 95% confidence interval from 12.0 to 20.0 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.5 to 4.9.

Livingston, MO - Carroll, MO⁶

• Rate : The incidence rate is 15.6 with a 95% confidence interval from 9.6 to 24.0 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -7.4 to 5.3.

Delaware, OK⁶

• Rate : The incidence rate is 15.6 with a 95% confidence interval from 11.3 to 21.1 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -4.4 to 4.0.

Marion, AL - Fayette, AL⁶

• Rate : The incidence rate is 15.6 with a 95% confidence interval from 11.3 to 21.2 and 10 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.9 with a 95% confidence interval from -26.1 to -0.1.

Gray, TX - Wheeler, TX⁷

• Rate : The incidence rate is 15.6 with a 95% confidence interval from 10.5 to 22.5 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -5.5 to 2.4.

Washington, PA - Fayette, PA⁶

• Rate : The incidence rate is 15.6 with a 95% confidence interval from 14.0 to 17.4 and 77 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -6.6 with a 95% confidence interval from -20.9 to 3.2.

DeSoto, MS - Marshall, MS⁶

• Rate : The incidence rate is 15.7 with a 95% confidence interval from 13.7 to 17.8 and 50 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Putnam, GA - Hancock, GA⁷

• Rate : The incidence rate is 15.7 with a 95% confidence interval from 10.7 to 22.5 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Decatur, GA - Seminole, GA⁷

• Rate : The incidence rate is 15.7 with a 95% confidence interval from 11.0 to 21.8 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.5 to 3.1.

Travis (Austin), TX - Williamson, TX⁷

• Rate : The incidence rate is 15.7 with a 95% confidence interval from 14.9 to 16.5 and 303 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.9 to 7.2.

Androscoggin (Lewiston), ME - Oxford, ME⁶

• Rate : The incidence rate is 15.7 with a 95% confidence interval from 13.6 to 18.2 and 42 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -3.8 to 0.4.

Sumter, GA - Crisp, GA⁷

• Rate : The incidence rate is 15.8 with a 95% confidence interval from 12.7 to 19.5 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.8 with a 95% confidence interval from 1.5 to 6.7.

Randolph, WV - Barbour, WV⁶

• Rate : The incidence rate is 15.8 with a 95% confidence interval from 12.0 to 20.6 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -6.7 to 1.1.

Talladega, AL - Clay, AL⁶

• Rate : The incidence rate is 15.9 with a 95% confidence interval from 12.9 to 19.4 and 21 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.7 to 3.4.

Buchanan (St. Joseph), MO - Nodaway, MO⁶

• Rate : The incidence rate is 15.9 with a 95% confidence interval from 13.3 to 18.8 and 30 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.0 with a 95% confidence interval from -0.5 to 7.2.

Lamar, TX - Red River, TX⁷

• Rate : The incidence rate is 16.0 with a 95% confidence interval from 12.3 to 20.5 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -1.2 to 4.3.

Audrain, MO - Montgomery, MO⁶

• Rate : The incidence rate is 16.0 with a 95% confidence interval from 11.4 to 21.9 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -5.6 to 1.8.

Harrison (Marshall), TX - Cass, TX⁷

• Rate : The incidence rate is 16.0 with a 95% confidence interval from 12.9 to 19.6 and 21 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.2 with a 95% confidence interval from 1.4 to 7.8.

Union, AR - Columbia, AR⁶

• Rate : The incidence rate is 16.0 with a 95% confidence interval from 12.2 to 20.7 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from -1.0 to 6.7.

Todd, SD - Tripp, SD⁶

• Rate : The incidence rate is 16.1 with a 95% confidence interval from 9.7 to 25.3 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Pettis, MO - Saline, MO⁶

• Rate : The incidence rate is 16.1 with a 95% confidence interval from 13.1 to 19.7 and 23 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -2.7 to 6.2.

Cumberland (Fayetteville), NC - Sampson, NC⁶

• Rate : The incidence rate is 16.2 with a 95% confidence interval from 14.4 to 18.1 and 63 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -5.7 to 1.5.

Aroostook, ME⁶

• Rate : The incidence rate is 16.2 with a 95% confidence interval from 12.3 to 21.0 and 15 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -2.3 to 3.8.

Union, IL - Alexander, IL⁷

• Rate : The incidence rate is 16.3 with a 95% confidence interval from 10.9 to 23.6 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.9 with a 95% confidence interval from -1.3 to 10.0.

Greene (Springfield), MO - Christian, MO⁶

• Rate : The incidence rate is 16.3 with a 95% confidence interval from 15.0 to 17.6 and 134 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -8.4 to 0.4.

Berrien (Benton Harbor), MI - Van Buren, MI⁶

• Rate : The incidence rate is 16.5 with a 95% confidence interval from 14.6 to 18.6 and 61 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.3 to 1.3.

Oneida, WI - Vilas, WI⁶

• Rate : The incidence rate is 16.5 with a 95% confidence interval from 13.1 to 20.6 and 21 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -1.1 to 5.9.

Bulloch, GA - Emanuel, GA⁷

• Rate : The incidence rate is 16.5 with a 95% confidence interval from 13.4 to 20.1 and 21 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.6 with a 95% confidence interval from 0.2 to 5.7.

Walla Walla, WA - Columbia, WA⁶

• Rate : The incidence rate is 16.6 with a 95% confidence interval from 12.5 to 21.5 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -9.8 with a 95% confidence interval from -19.9 to -5.2.

Lee, MS - Monroe, MS⁶

• Rate : The incidence rate is 16.6 with a 95% confidence interval from 14.2 to 19.3 and 36 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Maury, TN - Giles, TN⁶

• Rate : The incidence rate is 16.6 with a 95% confidence interval from 14.1 to 19.3 and 35 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.4 to 2.1.

Jackson (Kansas City), MO - Clay, MO⁶

• Rate : The incidence rate is 16.6 with a 95% confidence interval from 15.6 to 17.6 and 240 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -7.2 with a 95% confidence interval from -12.5 to -2.8.

Dougherty (Albany), GA - Lee, GA⁷

• Rate : The incidence rate is 16.6 with a 95% confidence interval from 14.2 to 19.4 and 35 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -0.2 to 5.6.

Dakota, NE - Thurston, NE⁶

• Rate : The incidence rate is 16.8 with a 95% confidence interval from 11.0 to 24.4 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -2.0 to 4.8.

Davidson (Nashville-Davidson), TN - Williamson, TN⁶

• Rate : The incidence rate is 16.8 with a 95% confidence interval from 15.7 to 17.9 and 200 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.6 to 0.8.

Rutherford (Murfreesboro), TN - Warren, TN⁶

• Rate : The incidence rate is 16.8 with a 95% confidence interval from 15.0 to 18.7 and 67 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -1.3 to 4.9.

Pontotoc, OK - Seminole, OK⁶

• Rate : The incidence rate is 16.8 with a 95% confidence interval from 13.3 to 21.0 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -0.5 to 5.5.

Vernon, MO - Cedar, MO⁶

• Rate : The incidence rate is 16.8 with a 95% confidence interval from 11.4 to 24.0 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -13.3 to 2.0.

Oktibbeha, MS - Winston, MS⁶

• Rate : The incidence rate is 16.8 with a 95% confidence interval from 13.2 to 21.3 and 15 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Hays (San Marcos), TX - Caldwell, TX⁷

• Rate : The incidence rate is 16.9 with a 95% confidence interval from 14.6 to 19.4 and 42 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 11.2 with a 95% confidence interval from -1.0 to 19.1.

Lawrence, PA⁶

• Rate : The incidence rate is 17.0 with a 95% confidence interval from 13.6 to 20.9 and 21 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -1.9 to 5.0.

Polk, AR⁶

• Rate : The incidence rate is 17.0 with a 95% confidence interval from 10.5 to 26.3 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from -0.9 to 6.7.

Brazos (Bryan), TX - Washington, TX⁷

• Rate : The incidence rate is 17.0 with a 95% confidence interval from 15.0 to 19.3 and 53 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.5 to 2.3.

Sutter (Yuba City), CA - Yuba, CA⁷

• Rate : The incidence rate is 17.1 with a 95% confidence interval from 14.6 to 19.8 and 36 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.2 to 4.0.

Rapides (Alexandria), LA - Avoyelles, LA⁷

• Rate : The incidence rate is 17.2 with a 95% confidence interval from 15.0 to 19.5 and 49 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.8 with a 95% confidence interval from 2.2 to 5.8.

Tangipahoa, LA - St. Helena, LA⁷

• Rate : The incidence rate is 17.2 with a 95% confidence interval from 14.3 to 20.5 and 27 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 0.6 to 6.0.

Portage, WI⁶

• Rate : The incidence rate is 17.2 with a 95% confidence interval from 13.3 to 21.9 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -7.0 to -0.7.

Pitt, NC - Beaufort, NC⁶

• Rate : The incidence rate is 17.3 with a 95% confidence interval from 15.2 to 19.5 and 55 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.2 to 1.9.

Orange (Newburgh), NY - Sullivan, NY⁷

• Rate : The incidence rate is 17.3 with a 95% confidence interval from 15.7 to 19.0 and 91 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -5.5 with a 95% confidence interval from -15.7 to 1.2.

Crawford, PA⁶

• Rate : The incidence rate is 17.3 with a 95% confidence interval from 13.9 to 21.3 and 20 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -2.8 to 4.2.

Yakima (Yakima), WA - Kittitas, WA⁶

• Rate : The incidence rate is 17.5 with a 95% confidence interval from 15.4 to 19.7 and 55 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.5 to 2.0.

Cumberland, NJ⁷

• Rate : The incidence rate is 17.5 with a 95% confidence interval from 14.8 to 20.6 and 30 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -0.6 to 4.2.

Lincoln, TN⁶

• Rate : The incidence rate is 17.5 with a 95% confidence interval from 12.3 to 24.4 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -2.0 to 7.5.

Pittsburg, OK - Pushmataha, OK⁶

• Rate : The incidence rate is 17.5 with a 95% confidence interval from 13.7 to 22.2 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from 0.0 to 5.6.

Coffee, TN - Franklin, TN⁶

• Rate : The incidence rate is 17.5 with a 95% confidence interval from 14.6 to 20.9 and 28 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -7.1 to 1.6.

Saginaw (Saginaw), MI - Tuscola, MI⁶

• Rate : The incidence rate is 17.6 with a 95% confidence interval from 15.6 to 19.8 and 64 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.5.

Grant, NM - Hidalgo, NM⁷

• Rate : The incidence rate is 17.6 with a 95% confidence interval from 12.3 to 24.5 and 10 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.8 to 2.5.

Linn, OR - Benton, OR⁶

• Rate : The incidence rate is 17.6 with a 95% confidence interval from 15.3 to 20.2 and 46 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -6.7 with a 95% confidence interval from -22.6 to -1.1.

Marquette, MI - Delta, MI⁶

• Rate : The incidence rate is 17.6 with a 95% confidence interval from 14.7 to 21.1 and 30 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -9.9 with a 95% confidence interval from -25.5 to 6.3.

Westchester (Yonkers), NY - Dutchess, NY⁷

• Rate : The incidence rate is 17.7 with a 95% confidence interval from 16.8 to 18.5 and 358 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -10.7 to -0.5.

Klickitat, WA - Skamania, WA⁶

• Rate : The incidence rate is 17.7 with a 95% confidence interval from 12.5 to 24.5 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -3.3 to 7.4.

Henry, MO - Bates, MO⁶

• Rate : The incidence rate is 17.7 with a 95% confidence interval from 12.9 to 23.8 and 10 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.7 with a 95% confidence interval from -25.4 to -0.3.

Lowndes, GA - Brooks, GA⁷

• Rate : The incidence rate is 17.7 with a 95% confidence interval from 15.1 to 20.7 and 34 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.6 to 3.1.

Santa Fe (Santa Fe), NM - Rio Arriba, NM⁷

• Rate : The incidence rate is 17.8 with a 95% confidence interval from 15.8 to 19.9 and 67 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.5 to 1.5.

Muskogee, OK - Wagoner, OK⁶

• Rate : The incidence rate is 17.8 with a 95% confidence interval from 15.6 to 20.2 and 52 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 0.1 to 3.7.

Johnson, TN⁶

• Rate : The incidence rate is 17.8 with a 95% confidence interval from 11.0 to 27.9 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Philadelphia (Philadelphia), PA - Montgomery, PA⁶

• Rate : The incidence rate is 17.8 with a 95% confidence interval from 17.3 to 18.4 and 882 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.9 with a 95% confidence interval from -11.2 to -2.3.

Fresno (Fresno), CA - Kings, CA⁷

• Rate : The incidence rate is 17.8 with a 95% confidence interval from 16.8 to 18.9 and 225 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 1.7 to 3.1.

Grady, OK - Caddo, OK⁶

• Rate : The incidence rate is 17.9 with a 95% confidence interval from 14.3 to 22.2 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -0.9 to 6.1.

Logan, WV - Mingo, WV⁶

• Rate : The incidence rate is 17.9 with a 95% confidence interval from 13.6 to 23.3 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -1.5 to 5.0.

Kerr, TX - Gillespie, TX⁷

• Rate : The incidence rate is 18.0 with a 95% confidence interval from 14.9 to 21.6 and 31 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.4 to 0.3.

Custer, OK - Washita, OK⁶

• Rate : The incidence rate is 18.0 with a 95% confidence interval from 12.7 to 24.8 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -3.8 to 3.5.

Cape Girardeau, MO - Butler, MO⁶

• Rate : The incidence rate is 18.0 with a 95% confidence interval from 16.0 to 20.2 and 62 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.7 with a 95% confidence interval from 2.1 to 5.7.

Kern, CA⁷

• Rate : The incidence rate is 18.0 with a 95% confidence interval from 16.7 to 19.4 and 146 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.1 with a 95% confidence interval from -0.1 to 11.1.

Beaufort, SC - Jasper, SC⁶

• Rate : The incidence rate is 18.1 with a 95% confidence interval from 16.0 to 20.4 and 65 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -10.1 with a 95% confidence interval from -14.6 to -7.2.

Caswell, NC⁶

• Rate : The incidence rate is 18.1 with a 95% confidence interval from 11.7 to 27.0 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.3 with a 95% confidence interval from 2.0 to 9.6.

Henry, TN - Carroll, TN⁶

• Rate : The incidence rate is 18.1 with a 95% confidence interval from 14.4 to 22.5 and 19 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.5 to 3.7.

Washington, GA - Jefferson, GA⁷

• Rate : The incidence rate is 18.1 with a 95% confidence interval from 12.7 to 25.1 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 2.0 to 5.6.

Harrison, WV - Upshur, WV⁶

• Rate : The incidence rate is 18.1 with a 95% confidence interval from 15.4 to 21.3 and 34 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.1 to 3.0.

Ashley, AR - Chicot, AR⁶

• Rate : The incidence rate is 18.1 with a 95% confidence interval from 12.8 to 25.3 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.0 with a 95% confidence interval from 0.1 to 9.2.

Tioga, PA⁶

• Rate : The incidence rate is 18.2 with a 95% confidence interval from 13.4 to 24.3 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -22.1 with a 95% confidence interval from -39.4 to -4.0.

Massac, IL - Johnson, IL⁷

• Rate : The incidence rate is 18.2 with a 95% confidence interval from 12.3 to 26.2 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -5.5 to -0.3.

Pulaski, MO - Phelps, MO⁶

• Rate : The incidence rate is 18.2 with a 95% confidence interval from 14.9 to 22.1 and 22 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.1 with a 95% confidence interval from 0.8 to 5.9.

Muscogee (Columbus), GA - Harris, GA⁷

• Rate : The incidence rate is 18.2 with a 95% confidence interval from 16.0 to 20.6 and 53 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -12.0 with a 95% confidence interval from -28.3 to 5.8.

Juneau City and Borough, AK - Sitka City and Borough, AK⁶

• Rate : The incidence rate is 18.2 with a 95% confidence interval from 13.2 to 24.6 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from -1.3 to 7.5.

Brown, TX - Coleman, TX⁷

• Rate : The incidence rate is 18.2 with a 95% confidence interval from 14.3 to 23.1 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.4 to 4.0.

Wilbarger, TX - Hardeman, TX⁷

• Rate : The incidence rate is 18.3 with a 95% confidence interval from 10.9 to 28.8 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 0.5 to 9.0.

Pike, PA⁶

• Rate : The incidence rate is 18.3 with a 95% confidence interval from 14.6 to 23.0 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.9 to 4.3.

Genesee (Flint), MI - Lapeer, MI⁶

• Rate : The incidence rate is 18.4 with a 95% confidence interval from 16.8 to 20.1 and 110 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.2 to 1.8.

Missoula, MT - Ravalli, MT⁶

• Rate : The incidence rate is 18.5 with a 95% confidence interval from 16.1 to 21.1 and 51 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.2 to 2.9.

Dewey, SD - Walworth, SD⁶

• Rate : The incidence rate is 18.5 with a 95% confidence interval from 10.0 to 30.7 and 3 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Walker, GA - Catoosa, GA⁷

• Rate : The incidence rate is 18.5 with a 95% confidence interval from 15.8 to 21.5 and 35 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.7 to 2.5.

Wayne (Detroit), MI - Oakland, MI⁶

• Rate : The incidence rate is 18.5 with a 95% confidence interval from 17.9 to 19.1 and 863 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 0.4 to 4.4.

Alcorn, MS - Tishomingo, MS⁶

• Rate : The incidence rate is 18.5 with a 95% confidence interval from 14.1 to 24.0 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Ingham (Lansing), MI - Eaton, MI⁶

• Rate : The incidence rate is 18.5 with a 95% confidence interval from 17.0 to 20.2 and 113 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -5.6 to 0.6.

Calhoun (Battle Creek), MI - Barry, MI⁶

• Rate : The incidence rate is 18.6 with a 95% confidence interval from 16.2 to 21.2 and 47 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.7 to 0.9.

Marion, OH - Crawford, OH⁶

• Rate : The incidence rate is 18.6 with a 95% confidence interval from 16.3 to 21.2 and 50 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -11.1 to -1.3.

Leon (Tallahassee), FL - Gadsden, FL⁶

• Rate : The incidence rate is 18.6 with a 95% confidence interval from 16.9 to 20.5 and 92 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 5.7 with a 95% confidence interval from -0.6 to 18.5.

Jefferson (Pine Bluff), AR - Drew, AR⁶

• Rate : The incidence rate is 18.7 with a 95% confidence interval from 15.7 to 22.1 and 30 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 6.8 with a 95% confidence interval from 3.5 to 11.3.

Cook (Chicago), IL - DuPage, IL⁷

• Rate : The incidence rate is 18.7 with a 95% confidence interval from 18.3 to 19.1 and 1,501 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 1.1 to 6.4.

Weakley, TN - Obion, TN⁶

• Rate : The incidence rate is 18.7 with a 95% confidence interval from 14.6 to 23.7 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -13.7 with a 95% confidence interval from -32.4 to 6.7.

Wayne, NC - Lenoir, NC⁶

• Rate : The incidence rate is 18.8 with a 95% confidence interval from 16.6 to 21.1 and 60 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.6 with a 95% confidence interval from 0.7 to 5.0.

New Haven (New Haven), CT - Litchfield, CT⁷

• Rate : The incidence rate is 18.8 with a 95% confidence interval from 17.8 to 19.9 and 299 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.9 to -0.7.

Claiborne, TN⁶

• Rate : The incidence rate is 18.8 with a 95% confidence interval from 13.2 to 26.2 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -8.3 with a 95% confidence interval from -33.9 to -1.5.

Okmulgee, OK - Okfuskee, OK⁶

• Rate : The incidence rate is 18.8 with a 95% confidence interval from 14.1 to 24.7 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.3 with a 95% confidence interval from -0.2 to 7.7.

Fulton, NY - Montgomery (Amsterdam), NY⁷

• Rate : The incidence rate is 18.8 with a 95% confidence interval from 15.5 to 22.7 and 25 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 0.7 to 4.4.

Hancock (Weirton), WV - Brooke, WV⁶

• Rate : The incidence rate is 18.8 with a 95% confidence interval from 14.5 to 24.3 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 0.9 to 6.1.

Linn, MO⁶

• Rate : The incidence rate is 18.9 with a 95% confidence interval from 10.4 to 32.1 and 3 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Grand Forks (Grand Forks), ND - Walsh, ND⁶

• Rate : The incidence rate is 18.9 with a 95% confidence interval from 14.9 to 23.5 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -2.5 to 6.5.

Sumner (Hendersonville), TN - Wilson, TN⁶

• Rate : The incidence rate is 18.9 with a 95% confidence interval from 17.1 to 20.9 and 83 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -13.8 to 0.9.

Fremont, WY - Washakie, WY⁶

• Rate : The incidence rate is 19.0 with a 95% confidence interval from 14.4 to 24.6 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -1.0 to 6.3.

Cascade (Great Falls), MT - Glacier, MT⁶

• Rate : The incidence rate is 19.0 with a 95% confidence interval from 15.9 to 22.5 and 29 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 1.0 to 6.6.

Bradley, TN - Polk, TN⁶

• Rate : The incidence rate is 19.0 with a 95% confidence interval from 16.0 to 22.5 and 29 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -1.2 to 3.6.

Scott, TN⁶

• Rate : The incidence rate is 19.0 with a 95% confidence interval from 11.9 to 28.9 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -4.1 to 4.2.

Jefferson (Birmingham), AL - Shelby, AL⁶

• Rate : The incidence rate is 19.0 with a 95% confidence interval from 18.0 to 20.1 and 276 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -7.3 to 0.2.

Custer, MT - Fallon, MT⁶

• Rate : The incidence rate is 19.1 with a 95% confidence interval from 11.9 to 29.2 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Stephens, GA - Hart, GA⁷

• Rate : The incidence rate is 19.1 with a 95% confidence interval from 15.4 to 23.5 and 20 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -9.6 with a 95% confidence interval from -23.8 to -1.3.

Goshen, WY - Niobrara, WY⁶

• Rate : The incidence rate is 19.1 with a 95% confidence interval from 10.9 to 31.1 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -2.4 to 10.9.

Etowah (Gadsden), AL - Marshall, AL⁶

• Rate : The incidence rate is 19.1 with a 95% confidence interval from 17.1 to 21.3 and 72 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -7.1 to 1.0.

Hartford (Hartford), CT - Tolland, CT⁷

• Rate : The incidence rate is 19.1 with a 95% confidence interval from 18.1 to 20.1 and 281 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.9 to -0.3.

Rockland, NY⁷

• Rate : The incidence rate is 19.1 with a 95% confidence interval from 17.1 to 21.2 and 71 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 9.5 with a 95% confidence interval from 1.9 to 15.1.

Henderson (Henderson), KY - Union, KY⁷

• Rate : The incidence rate is 19.1 with a 95% confidence interval from 14.8 to 24.4 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.4 to 1.9.

Appanoose, IA - Davis, IA⁷

• Rate : The incidence rate is 19.1 with a 95% confidence interval from 12.1 to 28.8 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -2.0 to 5.7.

Jackson (Pascagoula), MS - George, MS⁶

• Rate : The incidence rate is 19.1 with a 95% confidence interval from 16.4 to 22.2 and 37 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Bryan, OK - Atoka, OK⁶

• Rate : The incidence rate is 19.2 with a 95% confidence interval from 14.9 to 24.5 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -9.4 with a 95% confidence interval from -23.7 to 1.8.

Defiance, OH - Williams, OH⁶

• Rate : The incidence rate is 19.2 with a 95% confidence interval from 16.1 to 22.8 and 29 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 6.3 with a 95% confidence interval from 2.8 to 14.1.

Jasper (Joplin), MO - Newton, MO⁶

• Rate : The incidence rate is 19.2 with a 95% confidence interval from 16.8 to 21.9 and 49 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 11.2 with a 95% confidence interval from 6.0 to 21.8.

Harlan, KY - Bell, KY⁷

• Rate : The incidence rate is 19.2 with a 95% confidence interval from 14.8 to 24.7 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.4 to 4.2.

Potter (Amarillo), TX - Randall, TX⁷

• Rate : The incidence rate is 19.2 with a 95% confidence interval from 17.3 to 21.4 and 71 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.0.

Columbia, NY - Greene, NY⁷

• Rate : The incidence rate is 19.3 with a 95% confidence interval from 16.2 to 22.8 and 32 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -8.9 to 1.5.

Lawrence, TN - Wayne, TN⁶

• Rate : The incidence rate is 19.3 with a 95% confidence interval from 15.3 to 24.1 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -1.4 to 5.2.

Tift, GA - Ben Hill, GA⁷

• Rate : The incidence rate is 19.3 with a 95% confidence interval from 15.2 to 24.2 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.7 to 3.6.

Calcasieu (Lake Charles), LA - Vernon, LA⁷

• Rate : The incidence rate is 19.4 with a 95% confidence interval from 17.3 to 21.6 and 69 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.6 with a 95% confidence interval from 1.0 to 4.5.

Cole, MO - Callaway, MO⁶

• Rate : The incidence rate is 19.4 with a 95% confidence interval from 17.0 to 22.0 and 52 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -12.2 to -0.9.

Monroe, MI⁶

• Rate : The incidence rate is 19.5 with a 95% confidence interval from 16.6 to 22.7 and 37 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -1.7 to 5.0.

El Paso (Colorado Springs), CO - Teller, CO⁶

• Rate : The incidence rate is 19.5 with a 95% confidence interval from 18.1 to 20.9 and 152 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -10.5 with a 95% confidence interval from -17.1 to -4.5.

Fairfield, CT⁷

• Rate : The incidence rate is 19.5 with a 95% confidence interval from 18.4 to 20.7 and 230 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -6.2 to -0.4.

Grayson (Sherman), TX - Fannin, TX⁷

• Rate : The incidence rate is 19.5 with a 95% confidence interval from 16.9 to 22.4 and 43 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 0.3 to 3.5.

Stanislaus (Modesto), CA - Merced, CA⁷

• Rate : The incidence rate is 19.6 with a 95% confidence interval from 18.3 to 20.9 and 182 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -8.4 to 1.1.

Baxter, AR - Marion, AR⁶

• Rate : The incidence rate is 19.6 with a 95% confidence interval from 15.6 to 24.5 and 21 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.9 to 2.5.

Butler, AL⁶

• Rate : The incidence rate is 19.6 with a 95% confidence interval from 12.3 to 29.8 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -4.2 to 8.5.

Alpena, MI - Presque Isle, MI⁶

• Rate : The incidence rate is 19.6 with a 95% confidence interval from 15.8 to 24.3 and 22 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -4.1 to 3.1.

Fayette, TX - Colorado, TX⁷

• Rate : The incidence rate is 19.6 with a 95% confidence interval from 14.7 to 25.8 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -3.3 to 2.9.

Jackson (Medford), OR - Josephine, OR⁶

• Rate : The incidence rate is 19.7 with a 95% confidence interval from 17.8 to 21.8 and 89 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -5.2 to -0.6.

Floyd, GA - Bartow, GA⁷

• Rate : The incidence rate is 19.7 with a 95% confidence interval from 17.7 to 21.8 and 75 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.3 to 3.1.

Erie (Erie), PA - Warren, PA⁶

• Rate : The incidence rate is 19.7 with a 95% confidence interval from 17.7 to 21.9 and 77 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 0.1 to 3.7.

Erath, TX - Comanche, TX⁷

• Rate : The incidence rate is 19.7 with a 95% confidence interval from 15.0 to 25.4 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -3.2 to 3.1.

Mohave, AZ⁶

• Rate : The incidence rate is 19.7 with a 95% confidence interval from 17.4 to 22.3 and 73 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 1.2 to 4.7.

Bradford, PA - Susquehanna, PA⁶

• Rate : The incidence rate is 19.7 with a 95% confidence interval from 16.6 to 23.3 and 32 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.4 with a 95% confidence interval from -16.2 to -0.5.

Whitfield, GA - Murray, GA⁷

• Rate : The incidence rate is 19.7 with a 95% confidence interval from 16.7 to 23.1 and 32 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -9.0 to 2.0.

Kent (Grand Rapids), MI - Ionia, MI⁶

• Rate : The incidence rate is 19.7 with a 95% confidence interval from 18.4 to 21.1 and 184 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.8 to 2.5.

San Joaquin (Stockton), CA - Calaveras, CA⁷

• Rate : The incidence rate is 19.7 with a 95% confidence interval from 18.4 to 21.1 and 181 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 1.9 to 4.1.

Lane (Eugene), OR - Douglas, OR⁶

• Rate : The incidence rate is 19.7 with a 95% confidence interval from 18.1 to 21.4 and 129 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.4 to -0.4.

Providence (Providence), RI - Kent, RI⁶

• Rate : The incidence rate is 19.8 with a 95% confidence interval from 18.6 to 21.0 and 238 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.6.

Ramsey, ND - Benson, ND⁶

• Rate : The incidence rate is 19.8 with a 95% confidence interval from 12.8 to 29.5 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Weld, CO - Morgan, CO⁶

• Rate : The incidence rate is 19.8 with a 95% confidence interval from 17.7 to 22.0 and 72 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -0.1 to 3.7.

Roscommon, MI - Otsego, MI⁶

• Rate : The incidence rate is 19.8 with a 95% confidence interval from 15.7 to 24.8 and 20 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.9 to 4.1.

Wapello, IA - Mahaska, IA⁷

• Rate : The incidence rate is 19.8 with a 95% confidence interval from 16.4 to 23.8 and 26 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -6.9 to 2.6.

Angelina, TX - Walker, TX⁷

• Rate : The incidence rate is 19.8 with a 95% confidence interval from 17.5 to 22.4 and 54 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.6 to 2.2.

Muskegon (Muskegon), MI - Newaygo, MI⁶

• Rate : The incidence rate is 19.8 with a 95% confidence interval from 17.7 to 22.2 and 68 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.6 to 2.4.

Berks, PA⁶

• Rate : The incidence rate is 19.9 with a 95% confidence interval from 18.1 to 21.7 and 106 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.7 to 1.0.

Harrison (Biloxi), MS - Hancock, MS⁶

• Rate : The incidence rate is 19.9 with a 95% confidence interval from 17.7 to 22.3 and 63 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Lauderdale, MS - Neshoba, MS⁶

• Rate : The incidence rate is 19.9 with a 95% confidence interval from 17.0 to 23.1 and 36 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Arkansas, AR - Monroe, AR⁶

• Rate : The incidence rate is 19.9 with a 95% confidence interval from 13.3 to 28.8 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 7.4 with a 95% confidence interval from 1.5 to 16.5.

Currituck, NC⁶

• Rate : The incidence rate is 19.9 with a 95% confidence interval from 13.4 to 28.6 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.6 with a 95% confidence interval from -17.9 to 1.5.

Denton (Denton), TX - Wise, TX⁷

• Rate : The incidence rate is 19.9 with a 95% confidence interval from 18.7 to 21.3 and 190 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 1.1 to 3.6.

Lewis, WA - Pacific, WA⁶

• Rate : The incidence rate is 19.9 with a 95% confidence interval from 16.7 to 23.8 and 30 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.3 to 3.2.

Hinds (Jackson), MS - Rankin, MS⁶

• Rate : The incidence rate is 20.0 with a 95% confidence interval from 18.4 to 21.6 and 133 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Platte, NE - Boone, NE⁶

• Rate : The incidence rate is 20.0 with a 95% confidence interval from 14.7 to 26.6 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.9 with a 95% confidence interval from 1.8 to 8.9.

Laurens, SC - Greenwood, SC⁶

• Rate : The incidence rate is 20.0 with a 95% confidence interval from 17.5 to 22.8 and 51 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.5 to 2.9.

Elk, PA⁶

• Rate : The incidence rate is 20.0 with a 95% confidence interval from 13.9 to 28.1 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -8.6 to 5.3.

Letcher, KY⁷

• Rate : The incidence rate is 20.0 with a 95% confidence interval from 12.9 to 29.8 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.2 to 3.0.

Allegheny (Pittsburgh), PA - Westmoreland, PA⁶

• Rate : The incidence rate is 20.0 with a 95% confidence interval from 19.2 to 20.9 and 541 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -10.0 with a 95% confidence interval from -14.3 to -7.2.

Onondaga (Syracuse), NY - Oswego, NY⁷

• Rate : The incidence rate is 20.0 with a 95% confidence interval from 18.6 to 21.6 and 159 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -4.3 with a 95% confidence interval from -12.7 to 1.5.

Calhoun (Anniston), AL - Cleburne, AL⁶

• Rate : The incidence rate is 20.0 with a 95% confidence interval from 16.9 to 23.7 and 31 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -2.1 to 5.0.

Jefferson Davis, MS - Lawrence, MS⁶

• Rate : The incidence rate is 20.1 with a 95% confidence interval from 12.8 to 29.9 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Lancaster, SC - Kershaw, SC⁶

• Rate : The incidence rate is 20.1 with a 95% confidence interval from 17.4 to 23.1 and 43 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -4.5 to 10.5.

Escambia, AL - Conecuh, AL⁶

• Rate : The incidence rate is 20.2 with a 95% confidence interval from 15.5 to 25.9 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.2 with a 95% confidence interval from 0.2 to 6.9.

Midland (Midland), MI - Isabella, MI⁶

• Rate : The incidence rate is 20.3 with a 95% confidence interval from 17.8 to 23.2 and 51 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 4.9 with a 95% confidence interval from -0.8 to 15.8.

Tarrant (Fort Worth), TX - Johnson, TX⁷

• Rate : The incidence rate is 20.3 with a 95% confidence interval from 19.5 to 21.2 and 500 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.5 with a 95% confidence interval from 0.7 to 6.3.

Shawano, WI - Langlade, WI⁶

• Rate : The incidence rate is 20.4 with a 95% confidence interval from 16.1 to 25.4 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 0.8 to 5.7.

St. Louis, MO - St. Louis City, MO⁶

• Rate : The incidence rate is 20.4 with a 95% confidence interval from 19.5 to 21.3 and 429 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.1 to 1.1.

Lafayette, MS - Calhoun, MS⁶

• Rate : The incidence rate is 20.4 with a 95% confidence interval from 16.2 to 25.3 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Laurens, GA - Toombs, GA⁷

• Rate : The incidence rate is 20.4 with a 95% confidence interval from 17.5 to 23.7 and 36 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 7.2 with a 95% confidence interval from 5.8 to 9.2.

Davison, SD - Charles Mix, SD⁶

• Rate : The incidence rate is 20.4 with a 95% confidence interval from 15.6 to 26.3 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -15.9 with a 95% confidence interval from -33.3 to 2.3.

Baldwin, GA⁷

• Rate : The incidence rate is 20.5 with a 95% confidence interval from 15.0 to 27.3 and 10 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -3.3 to 4.9.

Hancock, OH - Seneca, OH⁶

• Rate : The incidence rate is 20.5 with a 95% confidence interval from 17.4 to 24.1 and 33 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -0.9 to 4.5.

Latah, ID⁷

• Rate : The incidence rate is 20.5 with a 95% confidence interval from 14.4 to 28.4 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -5.0 to 3.8.

York (Rock Hill), SC - Chester, SC⁶

• Rate : The incidence rate is 20.7 with a 95% confidence interval from 18.5 to 23.0 and 72 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.4 to 3.1.

Montgomery (Montgomery), AL - Autauga, AL⁶

• Rate : The incidence rate is 20.7 with a 95% confidence interval from 18.8 to 22.7 and 91 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -7.2 with a 95% confidence interval from -14.8 to 2.1.

Christian (Hopkinsville), KY - Hopkins, KY⁷

• Rate : The incidence rate is 20.7 with a 95% confidence interval from 18.1 to 23.6 and 48 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -15.4 to 2.9.

San Bernardino, CA - Riverside (Riverside), CA⁷

• Rate : The incidence rate is 20.8 with a 95% confidence interval from 20.2 to 21.3 and 986 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.1 to 1.4.

Marinette, WI - Florence, WI⁶

• Rate : The incidence rate is 20.8 with a 95% confidence interval from 15.9 to 27.0 and 15 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.1 with a 95% confidence interval from 0.4 to 6.6.

Bernalillo (Albuquerque), NM - Sandoval, NM⁷

• Rate : The incidence rate is 20.9 with a 95% confidence interval from 19.7 to 22.1 and 247 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.1 to 1.5.

Berkeley, WV - Jefferson, WV⁶

• Rate : The incidence rate is 20.9 with a 95% confidence interval from 18.4 to 23.6 and 56 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 7.1 with a 95% confidence interval from 0.0 to 17.6.

Colquitt, GA⁷

• Rate : The incidence rate is 20.9 with a 95% confidence interval from 15.6 to 27.4 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 32.8 with a 95% confidence interval from 1.3 to 66.8.

Fremont, CO - Custer, CO⁶

• Rate : The incidence rate is 21.0 with a 95% confidence interval from 16.4 to 26.6 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.9 to 2.1.

Woodward, OK - Dewey, OK⁶

• Rate : The incidence rate is 21.0 with a 95% confidence interval from 15.0 to 28.7 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -6.1 to 7.6.

Garland, AR - Hot Spring, AR⁶

• Rate : The incidence rate is 21.0 with a 95% confidence interval from 18.4 to 23.9 and 52 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 0.1 to 8.5.

Palo Pinto, TX - Jack, TX⁷

• Rate : The incidence rate is 21.0 with a 95% confidence interval from 15.5 to 28.0 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -2.9 to 5.6.

Oneida (Utica), NY - Madison, NY⁷

• Rate : The incidence rate is 21.0 with a 95% confidence interval from 19.1 to 23.1 and 98 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -3.8 to 3.0.

Uinta, WY⁶

• Rate : The incidence rate is 21.1 with a 95% confidence interval from 13.2 to 31.9 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -5.0 to 10.8.

Mason, WV⁶

• Rate : The incidence rate is 21.1 with a 95% confidence interval from 14.1 to 30.3 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -3.8 to 5.1.

Durham (Durham), NC - Granville, NC⁶

• Rate : The incidence rate is 21.1 with a 95% confidence interval from 19.4 to 22.9 and 117 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -5.1 to 4.0.

Payette, ID - Washington, ID⁷

• Rate : The incidence rate is 21.1 with a 95% confidence interval from 15.6 to 28.1 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -1.5 to 7.7.

Coweta, GA - Troup (La Grange), GA⁷

• Rate : The incidence rate is 21.1 with a 95% confidence interval from 18.7 to 23.8 and 60 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.2 to 3.3.

Chippewa, MI - Emmet, MI⁶

• Rate : The incidence rate is 21.1 with a 95% confidence interval from 18.1 to 24.6 and 41 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.2 with a 95% confidence interval from -14.4 to -2.1.

Essex (Lynn), MA⁷

• Rate : The incidence rate is 21.2 with a 95% confidence interval from 19.9 to 22.5 and 211 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -10.1 to 0.3.

Denver (Denver), CO - Jefferson, CO⁶

• Rate : The incidence rate is 21.2 with a 95% confidence interval from 20.5 to 22.0 and 646 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.1 to 1.6.

Berkshire (Pittsfield), MA⁷

• Rate : The incidence rate is 21.2 with a 95% confidence interval from 18.0 to 24.9 and 37 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.2 to 1.0.

Clinton, NY - Franklin, NY⁷

• Rate : The incidence rate is 21.2 with a 95% confidence interval from 18.5 to 24.3 and 46 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 0.3 to 3.6.

Putnam, TN - White, TN⁶

• Rate : The incidence rate is 21.3 with a 95% confidence interval from 18.4 to 24.6 and 42 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -2.1 to 5.8.

Middlesex, MA - Suffolk (Boston), MA⁷

• Rate : The incidence rate is 21.3 with a 95% confidence interval from 20.7 to 21.9 and 992 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -9.0 with a 95% confidence interval from -17.9 to 0.3.

Mc Kean, PA - Potter, PA⁶

• Rate : The incidence rate is 21.3 with a 95% confidence interval from 16.8 to 26.7 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -2.2 to 5.3.

Galveston, TX⁷

• Rate : The incidence rate is 21.3 with a 95% confidence interval from 19.2 to 23.6 and 80 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 20.7 with a 95% confidence interval from 12.1 to 27.4.

Milwaukee (Milwaukee), WI - Waukesha, WI⁶

• Rate : The incidence rate is 21.3 with a 95% confidence interval from 20.3 to 22.3 and 390 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 1.6 to 2.7.

Grenada, MS - Montgomery, MS⁶

• Rate : The incidence rate is 21.3 with a 95% confidence interval from 16.0 to 28.0 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Juneau, WI - Adams, WI⁶

• Rate : The incidence rate is 21.3 with a 95% confidence interval from 16.3 to 27.6 and 15 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 0.7 to 8.9.

Lehigh (Allentown), PA - Northampton, PA⁶

• Rate : The incidence rate is 21.4 with a 95% confidence interval from 20.2 to 22.6 and 251 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -9.8 to -0.5.

Washington, OK - Nowata, OK⁶

• Rate : The incidence rate is 21.4 with a 95% confidence interval from 17.0 to 26.6 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.8 to 4.7.

Pike, MS - Marion, MS⁶

• Rate : The incidence rate is 21.4 with a 95% confidence interval from 17.6 to 25.8 and 24 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Lackawanna (Scranton), PA - Wayne, PA⁶

• Rate : The incidence rate is 21.4 with a 95% confidence interval from 19.2 to 23.8 and 77 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 1.1 to 4.8.

Will (Joliet), IL - Grundy, IL⁷

• Rate : The incidence rate is 21.4 with a 95% confidence interval from 20.0 to 22.9 and 171 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 2.7 to 4.4.

Alachua (Gainesville), FL - Columbia, FL⁶

• Rate : The incidence rate is 21.5 with a 95% confidence interval from 19.8 to 23.2 and 133 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -6.5 with a 95% confidence interval from -11.2 to -2.8.

Tulsa (Tulsa), OK - Rogers, OK⁶

• Rate : The incidence rate is 21.5 with a 95% confidence interval from 20.2 to 22.8 and 217 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.2 with a 95% confidence interval from -11.3 to -1.0.

Otoe, NE - Johnson, NE⁶

• Rate : The incidence rate is 21.5 with a 95% confidence interval from 14.0 to 31.7 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Pontotoc, MS - Union, MS⁶

• Rate : The incidence rate is 21.5 with a 95% confidence interval from 17.4 to 26.3 and 20 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Wexford, MI - Osceola, MI⁶

• Rate : The incidence rate is 21.5 with a 95% confidence interval from 17.7 to 26.0 and 25 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -1.9 to 4.5.

Del Norte, CA⁷

• Rate : The incidence rate is 21.6 with a 95% confidence interval from 15.5 to 29.6 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -1.9 to 5.5.

Boone, AR - Carroll, AR⁶

• Rate : The incidence rate is 21.6 with a 95% confidence interval from 17.6 to 26.2 and 24 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 0.1 to 6.3.

Polk, WI⁶

• Rate : The incidence rate is 21.6 with a 95% confidence interval from 16.3 to 28.2 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.1 with a 95% confidence interval from -0.2 to 7.2.

Boone (Columbia), MO - Randolph, MO⁶

• Rate : The incidence rate is 21.6 with a 95% confidence interval from 19.1 to 24.3 and 59 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.7 with a 95% confidence interval from 1.6 to 6.3.

Worcester (Worcester), MA - Franklin, MA⁷

• Rate : The incidence rate is 21.6 with a 95% confidence interval from 20.4 to 23.0 and 236 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.0 with a 95% confidence interval from -9.7 to -1.1.

Lamar, AL⁶

• Rate : The incidence rate is 21.7 with a 95% confidence interval from 11.9 to 36.1 and 3 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Ward, ND - Bottineau, ND⁶

• Rate : The incidence rate is 21.7 with a 95% confidence interval from 17.6 to 26.3 and 22 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -13.3 to 3.1.

Siskiyou, CA⁷

• Rate : The incidence rate is 21.7 with a 95% confidence interval from 16.3 to 28.4 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.5 to 0.5.

Wayne, GA - Appling, GA⁷

• Rate : The incidence rate is 21.7 with a 95% confidence interval from 16.5 to 28.1 and 12 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 0.9 to 6.5.

Mercer, NJ⁷

• Rate : The incidence rate is 21.8 with a 95% confidence interval from 19.8 to 23.8 and 96 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.8 to 1.7.

Marathon (Wausau), WI - Wood, WI⁶

• Rate : The incidence rate is 21.8 with a 95% confidence interval from 19.6 to 24.1 and 80 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -12.6 to 6.1.

East Baton Rouge (Baton Rouge), LA - Livingston, LA⁷

• Rate : The incidence rate is 21.8 with a 95% confidence interval from 20.4 to 23.2 and 194 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.6 with a 95% confidence interval from 2.6 to 4.8.

Pike, KY⁷

• Rate : The incidence rate is 21.8 with a 95% confidence interval from 17.1 to 27.6 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from 0.0 to 3.6.

Honolulu (Honolulu), HI - Maui, HI⁷

• Rate : The incidence rate is 21.8 with a 95% confidence interval from 20.7 to 23.0 and 311 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 0.7 to 3.3.

Mahoning (Youngstown), OH - Trumbull, OH⁶

• Rate : The incidence rate is 21.9 with a 95% confidence interval from 20.1 to 23.8 and 127 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -12.0 to 2.5.

Wood (Parkersburg), WV - Jackson, WV⁶

• Rate : The incidence rate is 21.9 with a 95% confidence interval from 19.0 to 25.2 and 46 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -19.0 to 0.7.

Beckham, OK - Roger Mills, OK⁶

• Rate : The incidence rate is 22.0 with a 95% confidence interval from 14.7 to 31.6 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -5.2 to 5.1.

Jackson, AR⁶

• Rate : The incidence rate is 22.0 with a 95% confidence interval from 14.1 to 33.2 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Anderson (Oak Ridge), TN - Roane, TN⁶

• Rate : The incidence rate is 22.0 with a 95% confidence interval from 19.6 to 24.6 and 68 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -8.3 to 2.1.

Johnson, AR⁶

• Rate : The incidence rate is 22.0 with a 95% confidence interval from 15.3 to 30.8 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -4.1 to 7.1.

Glynn, GA - Camden, GA⁷

• Rate : The incidence rate is 22.0 with a 95% confidence interval from 19.2 to 25.1 and 49 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 12.6 with a 95% confidence interval from 1.9 to 21.4.

Ware, GA - Pierce, GA⁷

• Rate : The incidence rate is 22.1 with a 95% confidence interval from 17.7 to 27.2 and 19 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 8.8 with a 95% confidence interval from 3.8 to 24.8.

Pennington (Rapid City), SD - Meade, SD⁶

• Rate : The incidence rate is 22.1 with a 95% confidence interval from 19.2 to 25.4 and 47 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -0.7 to 4.4.

Payne, OK - Pawnee, OK⁶

• Rate : The incidence rate is 22.1 with a 95% confidence interval from 18.2 to 26.6 and 24 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -2.1 to 5.5.

Oklahoma (Oklahoma City), OK - Canadian, OK⁶

• Rate : The incidence rate is 22.1 with a 95% confidence interval from 20.9 to 23.4 and 256 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.6 to 4.0.

Burleigh (Bismarck), ND - Morton, ND⁶

• Rate : The incidence rate is 22.2 with a 95% confidence interval from 19.2 to 25.6 and 42 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 2.2 to 4.9.

Craighead, AR - Greene, AR⁶

• Rate : The incidence rate is 22.3 with a 95% confidence interval from 19.7 to 25.1 and 57 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 14.7 with a 95% confidence interval from 5.3 to 22.5.

Franklin (Columbus), OH - Delaware, OH⁶

• Rate : The incidence rate is 22.3 with a 95% confidence interval from 21.3 to 23.4 and 372 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -3.4 to 1.7.

Comanche (Lawton), OK - Kiowa, OK⁶

• Rate : The incidence rate is 22.4 with a 95% confidence interval from 19.0 to 26.1 and 33 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 16.8 with a 95% confidence interval from 0.9 to 31.1.

Harrison, KY - Robertson, KY⁷

• Rate : The incidence rate is 22.4 with a 95% confidence interval from 14.6 to 33.0 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -1.7 to 21.9.

Luzerne (Wilkes-Barre), PA - Columbia, PA⁶

• Rate : The incidence rate is 22.4 with a 95% confidence interval from 20.6 to 24.3 and 125 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 1.0 to 3.0.

Raleigh, WV - Fayette, WV⁶

• Rate : The incidence rate is 22.4 with a 95% confidence interval from 19.4 to 25.7 and 47 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 7.1 with a 95% confidence interval from 1.7 to 16.8.

Thomas, GA - Mitchell, GA⁷

• Rate : The incidence rate is 22.4 with a 95% confidence interval from 18.5 to 26.9 and 25 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 10.6 with a 95% confidence interval from 5.1 to 22.0.

Washburn, WI - Burnett, WI⁶

• Rate : The incidence rate is 22.4 with a 95% confidence interval from 16.4 to 30.4 and 12 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 9.1 with a 95% confidence interval from 5.4 to 15.1.

Solano (Vallejo), CA - Napa, CA⁷

• Rate : The incidence rate is 22.6 with a 95% confidence interval from 21.1 to 24.1 and 183 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -5.6 to 1.4.

Mercer, WV - McDowell, WV⁶

• Rate : The incidence rate is 22.6 with a 95% confidence interval from 18.4 to 27.5 and 23 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.3 to 3.0.

Richland (Mansfield), OH - Ashland, OH⁶

• Rate : The incidence rate is 22.6 with a 95% confidence interval from 19.8 to 25.8 and 49 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.7 with a 95% confidence interval from 1.7 to 6.2.

Crawford, WI⁶

• Rate : The incidence rate is 22.7 with a 95% confidence interval from 14.0 to 35.0 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

St. Charles (St. Charles), MO - Lincoln, MO⁶

• Rate : The incidence rate is 22.7 with a 95% confidence interval from 21.0 to 24.6 and 130 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -12.7 to 0.0.

Cambria, PA - Blair (Altoona), PA⁶

• Rate : The incidence rate is 22.7 with a 95% confidence interval from 20.8 to 24.8 and 119 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -12.6 to 4.2.

Barron, WI - Rusk, WI⁶

• Rate : The incidence rate is 22.7 with a 95% confidence interval from 17.9 to 28.6 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -13.9 with a 95% confidence interval from -24.4 to 2.5.

Lee (Auburn), AL - Elmore, AL⁶

• Rate : The incidence rate is 22.8 with a 95% confidence interval from 20.5 to 25.3 and 73 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -5.8 with a 95% confidence interval from -16.5 to 4.6.

St. Clair (Port Huron), MI - Sanilac, MI⁶

• Rate : The incidence rate is 22.8 with a 95% confidence interval from 20.2 to 25.7 and 61 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.7 to 2.9.

Columbiana, OH⁶

• Rate : The incidence rate is 22.8 with a 95% confidence interval from 19.2 to 27.0 and 32 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.8 to 4.5.

Wasco, OR - Hood River, OR⁶

• Rate : The incidence rate is 22.9 with a 95% confidence interval from 17.9 to 28.9 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.2 to 2.4.

La Plata, CO - Montezuma, CO⁶

• Rate : The incidence rate is 22.9 with a 95% confidence interval from 19.2 to 27.2 and 30 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -3.4 to 3.2.

Venango, PA - Clarion, PA⁶

• Rate : The incidence rate is 22.9 with a 95% confidence interval from 19.2 to 27.2 and 31 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -3.2 to 2.9.

Monongalia, WV - Marion, WV⁶

• Rate : The incidence rate is 22.9 with a 95% confidence interval from 20.2 to 25.9 and 55 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.7 with a 95% confidence interval from -0.1 to 6.1.

Laramie (Cheyenne), WY⁶

• Rate : The incidence rate is 22.9 with a 95% confidence interval from 19.1 to 27.4 and 27 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -0.1 to 4.8.

Lucas, IA - Wayne, IA⁷

• Rate : The incidence rate is 22.9 with a 95% confidence interval from 13.4 to 36.7 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Lassen, CA - Plumas, CA⁷

• Rate : The incidence rate is 22.9 with a 95% confidence interval from 17.9 to 29.0 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.1 with a 95% confidence interval from 0.3 to 6.3.

Jackson, WI⁶

• Rate : The incidence rate is 22.9 with a 95% confidence interval from 15.5 to 33.0 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 4.0 with a 95% confidence interval from -0.4 to 10.2.

Albany (Albany), NY - Rensselaer, NY⁷

• Rate : The incidence rate is 23.0 with a 95% confidence interval from 21.2 to 24.9 and 132 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -9.0 to 5.1.

Ouachita (Monroe), LA - Morehouse, LA⁷

• Rate : The incidence rate is 23.0 with a 95% confidence interval from 20.5 to 25.8 and 64 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 1.2 to 4.5.

Winnebago (Oshkosh), WI - Fond du Lac, WI⁶

• Rate : The incidence rate is 23.0 with a 95% confidence interval from 21.1 to 25.0 and 118 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -6.6 to -0.1.

Pope, AR - Yell, AR⁶

• Rate : The incidence rate is 23.0 with a 95% confidence interval from 18.9 to 27.8 and 23 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.1 with a 95% confidence interval from 2.5 to 8.4.

Lauderdale (Florence), AL - Colbert, AL⁶

• Rate : The incidence rate is 23.0 with a 95% confidence interval from 20.4 to 26.0 and 60 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -16.1 with a 95% confidence interval from -34.9 to 1.3.

Lincoln, MS - Copiah, MS⁶

• Rate : The incidence rate is 23.0 with a 95% confidence interval from 18.2 to 28.8 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Ashland, WI - Sawyer, WI⁶

• Rate : The incidence rate is 23.1 with a 95% confidence interval from 18.2 to 28.9 and 20 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.9 with a 95% confidence interval from 2.9 to 9.7.

Hamilton (Chattanooga), TN - Marion, TN⁶

• Rate : The incidence rate is 23.1 with a 95% confidence interval from 21.2 to 25.1 and 117 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.8 to 0.1.

Washtenaw, MI - Livingston, MI⁶

• Rate : The incidence rate is 23.1 with a 95% confidence interval from 21.4 to 24.9 and 144 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.1 to 0.3.

Mercer, PA⁶

• Rate : The incidence rate is 23.1 with a 95% confidence interval from 19.5 to 27.1 and 35 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -0.3 to 7.7.

Clark, WA - Cowlitz, WA⁶

• Rate : The incidence rate is 23.1 with a 95% confidence interval from 21.5 to 24.8 and 163 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.6 to 0.3.

St. Clair (Belleville), IL - Clinton, IL⁷

• Rate : The incidence rate is 23.1 with a 95% confidence interval from 21.1 to 25.3 and 102 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.1 with a 95% confidence interval from 2.8 to 5.6.

Orange (Orlando), FL - Volusia, FL⁶

• Rate : The incidence rate is 23.1 with a 95% confidence interval from 22.4 to 23.8 and 924 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -6.8 to 2.0.

Charleston (Charleston), SC - Berkeley, SC⁶

• Rate : The incidence rate is 23.1 with a 95% confidence interval from 21.8 to 24.6 and 224 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.8 to 1.6.

Clarke (Athens), GA - Barrow, GA⁷

• Rate : The incidence rate is 23.2 with a 95% confidence interval from 21.0 to 25.5 and 87 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -7.3 with a 95% confidence interval from -16.3 to -0.5.

Carter, OK - Marshall, OK⁶

• Rate : The incidence rate is 23.2 with a 95% confidence interval from 19.2 to 27.7 and 26 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -15.3 with a 95% confidence interval from -25.0 to -7.2.

Jackson, OK - Greer, OK⁶

• Rate : The incidence rate is 23.2 with a 95% confidence interval from 16.6 to 31.5 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -2.3 to 7.2.

Saratoga, NY - Schenectady (Schenectady), NY⁷

• Rate : The incidence rate is 23.2 with a 95% confidence interval from 21.5 to 25.0 and 157 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -3.1 to 2.5.

Routt, CO - Moffat, CO⁶

• Rate : The incidence rate is 23.2 with a 95% confidence interval from 17.1 to 30.9 and 10 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -5.1 to 0.9.

Sheridan, WY - Johnson, WY⁶

• Rate : The incidence rate is 23.3 with a 95% confidence interval from 17.7 to 30.3 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 5.3 with a 95% confidence interval from -7.2 to 16.4.

Lucas (Toledo), OH - Wood, OH⁶

• Rate : The incidence rate is 23.3 with a 95% confidence interval from 21.7 to 24.9 and 179 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.5 to 2.8.

Natrona (Casper), WY - Converse, WY⁶

• Rate : The incidence rate is 23.3 with a 95% confidence interval from 19.4 to 27.9 and 26 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -1.0 to 4.4.

Fulton (Atlanta), GA - DeKalb, GA⁷

• Rate : The incidence rate is 23.4 with a 95% confidence interval from 22.6 to 24.2 and 691 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.3 with a 95% confidence interval from -7.3 to -2.4.

Suffolk, NY - Nassau, NY⁷

• Rate : The incidence rate is 23.4 with a 95% confidence interval from 22.7 to 24.2 and 864 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -3.0 to 0.7.

Steuben, NY - Chemung (Elmira), NY⁷

• Rate : The incidence rate is 23.4 with a 95% confidence interval from 20.7 to 26.4 and 61 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.5 with a 95% confidence interval from 0.2 to 2.8.

Independence, AR - Sharp, AR⁶

• Rate : The incidence rate is 23.4 with a 95% confidence interval from 19.7 to 27.8 and 32 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.8 with a 95% confidence interval from 1.9 to 6.2.

Bay (Bay City), MI - Iosco, MI⁶

• Rate : The incidence rate is 23.5 with a 95% confidence interval from 20.7 to 26.6 and 60 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 0.4 to 5.6.

Santa Clara (San Jose), CA - Monterey, CA⁷

• Rate : The incidence rate is 23.5 with a 95% confidence interval from 22.7 to 24.4 and 617 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 2.1 to 6.3.

Alameda (Oakland), CA - Contra Costa, CA⁷

• Rate : The incidence rate is 23.5 with a 95% confidence interval from 22.8 to 24.3 and 757 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -4.1 to 1.8.

Alamance, NC⁶

• Rate : The incidence rate is 23.5 with a 95% confidence interval from 20.6 to 26.8 and 48 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -2.0 to 3.2.

Yankton, SD - Clay, SD⁶

• Rate : The incidence rate is 23.6 with a 95% confidence interval from 18.1 to 30.1 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 6.3 with a 95% confidence interval from 1.9 to 12.3.

San Francisco (San Francisco), CA - San Mateo, CA⁷

• Rate : The incidence rate is 23.6 with a 95% confidence interval from 22.6 to 24.6 and 465 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.2 to 2.4.

Outagamie (Appleton), WI - Waupaca, WI⁶

• Rate : The incidence rate is 23.6 with a 95% confidence interval from 21.0 to 26.4 and 65 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -6.5 with a 95% confidence interval from -11.7 to -0.7.

Pearl River, MS⁶

• Rate : The incidence rate is 23.7 with a 95% confidence interval from 18.6 to 29.7 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Marion (Salem), OR - Yamhill, OR⁶

• Rate : The incidence rate is 23.7 with a 95% confidence interval from 22.0 to 25.5 and 149 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.4 to 2.5.

Hardin, KY - Meade, KY⁷

• Rate : The incidence rate is 23.8 with a 95% confidence interval from 21.0 to 26.9 and 56 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.1 to 3.3.

Winnebago (Rockford), IL - Ogle, IL⁷

• Rate : The incidence rate is 23.8 with a 95% confidence interval from 21.9 to 25.9 and 125 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -6.6 to 2.3.

Richmond (South Augusta), GA - Columbia, GA⁷

• Rate : The incidence rate is 23.9 with a 95% confidence interval from 21.9 to 26.0 and 111 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 2.9 to 6.0.

Whatcom, WA⁷

• Rate : The incidence rate is 23.9 with a 95% confidence interval from 21.3 to 26.8 and 65 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.5 with a 95% confidence interval from -10.5 to -3.1.

Clark, IL⁷

• Rate : The incidence rate is 24.0 with a 95% confidence interval from 15.2 to 36.4 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -2.0 to 5.2.

Cuyahoga (Cleveland), OH - Lake, OH⁶

• Rate : The incidence rate is 24.0 with a 95% confidence interval from 23.0 to 25.0 and 516 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 7.1 with a 95% confidence interval from 4.2 to 11.6.

Upson, GA - Lamar, GA⁷

• Rate : The incidence rate is 24.0 with a 95% confidence interval from 19.1 to 29.7 and 19 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.0 with a 95% confidence interval from 1.9 to 6.7.

Morgan, GA - Greene, GA⁷

• Rate : The incidence rate is 24.0 with a 95% confidence interval from 18.5 to 30.9 and 15 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Jackson (Jackson), MI - Lenawee, MI⁶

• Rate : The incidence rate is 24.0 with a 95% confidence interval from 21.8 to 26.3 and 100 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.6 to 3.1.

Mineral, WV - Hardy, WV⁶

• Rate : The incidence rate is 24.0 with a 95% confidence interval from 18.9 to 30.1 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 7.4 with a 95% confidence interval from 3.7 to 19.4.

Allen (Lima), OH - Auglaize, OH⁶

• Rate : The incidence rate is 24.0 with a 95% confidence interval from 21.6 to 26.6 and 83 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 0.8 to 3.2.

Pulaski, KY - Wayne, KY⁷

• Rate : The incidence rate is 24.0 with a 95% confidence interval from 20.3 to 28.3 and 32 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.3 to 2.2.

Kalamazoo (Kalamazoo), MI - St. Joseph, MI⁶

• Rate : The incidence rate is 24.0 with a 95% confidence interval from 21.7 to 26.5 and 85 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -7.1 to 6.1.

Richland, IL - Clay, IL⁷

• Rate : The incidence rate is 24.0 with a 95% confidence interval from 18.5 to 30.8 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.6 with a 95% confidence interval from 0.4 to 5.1.

Kane (Aurora), IL - DeKalb, IL⁷

• Rate : The incidence rate is 24.0 with a 95% confidence interval from 22.5 to 25.6 and 193 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.6 with a 95% confidence interval from 2.4 to 5.1.

Elbert, GA - Wilkes, GA⁷

• Rate : The incidence rate is 24.0 with a 95% confidence interval from 16.9 to 33.3 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.7 with a 95% confidence interval from 2.2 to 10.3.

New Castle (Wilmington), DE⁶

• Rate : The incidence rate is 24.1 with a 95% confidence interval from 22.4 to 25.8 and 162 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -3.3 to 1.1.

Lyon, IA⁷

• Rate : The incidence rate is 24.1 with a 95% confidence interval from 13.6 to 39.6 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Jones, MS - Wayne, MS⁶

• Rate : The incidence rate is 24.1 with a 95% confidence interval from 20.5 to 28.2 and 35 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Forsyth (Winston-Salem), NC - Surry, NC⁶

• Rate : The incidence rate is 24.1 with a 95% confidence interval from 22.5 to 25.9 and 174 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -7.3 to -1.1.

Greenbrier, WV - Monroe, WV⁶

• Rate : The incidence rate is 24.2 with a 95% confidence interval from 19.1 to 30.4 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -1.9 to 4.6.

Richland, MT - Dawson, MT⁶

• Rate : The incidence rate is 24.2 with a 95% confidence interval from 16.2 to 34.8 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 16.0 with a 95% confidence interval from 9.6 to 29.1.

Strafford (Rochester), NH⁶

• Rate : The incidence rate is 24.2 with a 95% confidence interval from 20.6 to 28.3 and 34 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -0.6 to 4.8.

Wake (Raleigh), NC - Johnston, NC⁶

• Rate : The incidence rate is 24.2 with a 95% confidence interval from 23.1 to 25.4 and 361 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -11.6 to 4.6.

Bibb (Macon), GA - Houston, GA⁷

• Rate : The incidence rate is 24.2 with a 95% confidence interval from 22.4 to 26.3 and 127 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -8.8 to 3.6.

Brown (Green Bay), WI - Oconto, WI⁶

• Rate : The incidence rate is 24.3 with a 95% confidence interval from 22.1 to 26.6 and 99 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.9 with a 95% confidence interval from -13.6 to -0.7.

Pottawattamie (Council Bluffs), IA - Harrison, IA⁷

• Rate : The incidence rate is 24.3 with a 95% confidence interval from 21.0 to 27.9 and 44 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.8 with a 95% confidence interval from 2.7 to 5.2.

Marion, MO - Pike, MO⁶

• Rate : The incidence rate is 24.4 with a 95% confidence interval from 19.4 to 30.2 and 19 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -1.1 to 7.5.

Ventura, CA⁷

• Rate : The incidence rate is 24.4 with a 95% confidence interval from 23.0 to 25.8 and 245 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -8.0 with a 95% confidence interval from -12.6 to -2.5.

Racine (Racine), WI - Kenosha, WI⁶

• Rate : The incidence rate is 24.4 with a 95% confidence interval from 22.3 to 26.7 and 104 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.4 with a 95% confidence interval from 2.5 to 9.5.

Ohio (Wheeling), WV - Marshall, WV⁶

• Rate : The incidence rate is 24.4 with a 95% confidence interval from 20.6 to 28.8 and 34 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 0.5 to 6.9.

Klamath, OR - Lake, OR⁶

• Rate : The incidence rate is 24.4 with a 95% confidence interval from 19.9 to 29.7 and 24 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -22.5 with a 95% confidence interval from -32.4 to -12.7.

Nez Perce, ID - Idaho, ID⁷

• Rate : The incidence rate is 24.5 with a 95% confidence interval from 20.0 to 29.7 and 25 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 0.9 to 4.1.

Garfield (Enid), OK - Kingfisher, OK⁶

• Rate : The incidence rate is 24.5 with a 95% confidence interval from 20.9 to 28.5 and 35 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -1.0 to 5.1.

Page, IA - Fremont, IA⁷

• Rate : The incidence rate is 24.6 with a 95% confidence interval from 17.6 to 33.5 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 1.3 to 6.3.

Madison (Alton), IL - Jersey, IL⁷

• Rate : The incidence rate is 24.6 with a 95% confidence interval from 22.3 to 27.1 and 92 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 2.3 to 4.7.

Saline, IL - Gallatin, IL⁷

• Rate : The incidence rate is 24.6 with a 95% confidence interval from 18.6 to 32.2 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -1.0 to 5.3.

Park, MT - Sweet Grass, MT⁶

• Rate : The incidence rate is 24.6 with a 95% confidence interval from 17.4 to 34.4 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -8.1 with a 95% confidence interval from -21.6 to 0.4.

Holt, NE - Brown, NE⁶

• Rate : The incidence rate is 24.6 with a 95% confidence interval from 14.9 to 38.5 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 4.4 with a 95% confidence interval from -0.8 to 11.0.

Grant, WA - Chelan, WA⁶

• Rate : The incidence rate is 24.7 with a 95% confidence interval from 22.2 to 27.4 and 77 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.6 with a 95% confidence interval from 0.9 to 4.8.

Lancaster (Lincoln), NE - Gage, NE⁶

• Rate : The incidence rate is 24.7 with a 95% confidence interval from 22.5 to 27.1 and 98 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 6.6 with a 95% confidence interval from -5.3 to 18.8.

Kootenai, ID - Bonner, ID⁷

• Rate : The incidence rate is 24.7 with a 95% confidence interval from 22.2 to 27.5 and 77 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.7 to 3.5.

Cherokee, NC - Clay, NC⁶

• Rate : The incidence rate is 24.8 with a 95% confidence interval from 18.9 to 32.1 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -6.8 to 0.5.

Cleveland (Norman), OK - McClain, OK⁶

• Rate : The incidence rate is 24.8 with a 95% confidence interval from 22.6 to 27.2 and 96 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.2 with a 95% confidence interval from 1.0 to 5.9.

Horry, SC - Georgetown, SC⁶

• Rate : The incidence rate is 24.9 with a 95% confidence interval from 23.0 to 26.8 and 158 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.3 to 1.7.

Boyd, KY - Greenup, KY⁷

• Rate : The incidence rate is 24.9 with a 95% confidence interval from 21.5 to 28.7 and 42 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.4 with a 95% confidence interval from 0.1 to 2.7.

Bay (Panama City), FL - Jackson, FL⁶

• Rate : The incidence rate is 24.9 with a 95% confidence interval from 22.6 to 27.3 and 97 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from 0.0 to 4.6.

Jackson, OH - Gallia, OH⁶

• Rate : The incidence rate is 24.9 with a 95% confidence interval from 20.6 to 29.9 and 26 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 1.1 to 6.1.

Camden (Camden), NJ - Burlington, NJ⁷

• Rate : The incidence rate is 24.9 with a 95% confidence interval from 23.8 to 26.1 and 400 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from 0.0 to 1.4.

Centre (State College), PA - Clearfield, PA⁶

• Rate : The incidence rate is 25.0 with a 95% confidence interval from 22.6 to 27.6 and 86 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -9.9 to 3.2.

Otsego, NY - Chenango, NY⁷

• Rate : The incidence rate is 25.0 with a 95% confidence interval from 22.0 to 28.2 and 63 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.2 with a 95% confidence interval from 1.4 to 5.3.

St. Lawrence, NY - Jefferson, NY⁷

• Rate : The incidence rate is 25.0 with a 95% confidence interval from 22.3 to 27.9 and 70 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 1.5 to 5.9.

Mecklenburg (Charlotte), NC - Union, NC⁶

• Rate : The incidence rate is 25.0 with a 95% confidence interval from 23.8 to 26.2 and 332 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -3.5 to 3.8.

Laurel, KY - Whitley, KY⁷

• Rate : The incidence rate is 25.0 with a 95% confidence interval from 21.7 to 28.7 and 44 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.1 with a 95% confidence interval from 1.9 to 4.6.

Lewis, KY⁷

• Rate : The incidence rate is 25.1 with a 95% confidence interval from 14.7 to 40.1 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

White, IL - Hamilton, IL⁷

• Rate : The incidence rate is 25.2 with a 95% confidence interval from 17.3 to 35.6 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Codington, SD - Grant, SD⁶

• Rate : The incidence rate is 25.2 with a 95% confidence interval from 19.6 to 31.9 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 8.7 with a 95% confidence interval from 4.6 to 26.0.

Knox, IL - Warren, IL⁷

• Rate : The incidence rate is 25.2 with a 95% confidence interval from 20.7 to 30.5 and 24 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.2 with a 95% confidence interval from 0.5 to 4.0.

Fillmore, NE - Thayer, NE⁶

• Rate : The incidence rate is 25.2 with a 95% confidence interval from 13.8 to 42.6 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -4.4 to 6.8.

Story, IA - Boone, IA⁷

• Rate : The incidence rate is 25.2 with a 95% confidence interval from 21.9 to 28.9 and 46 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 0.9 to 2.9.

Le Flore, OK - Sequoyah, OK⁶

• Rate : The incidence rate is 25.2 with a 95% confidence interval from 21.3 to 29.7 and 32 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 4.5 with a 95% confidence interval from -10.9 to 21.9.

Polk (Des Moines), IA - Dallas, IA⁷

• Rate : The incidence rate is 25.4 with a 95% confidence interval from 23.8 to 27.0 and 207 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 2.8 to 8.5.

Rowan, KY - Morgan, KY⁷

• Rate : The incidence rate is 25.4 with a 95% confidence interval from 19.7 to 32.3 and 15 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -1.2 to 4.3.

Greene, TN - Cocke, TN⁶

• Rate : The incidence rate is 25.4 with a 95% confidence interval from 21.6 to 29.7 and 36 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -2.9 to 3.2.

Lycoming (Williamsport), PA - Clinton, PA⁶

• Rate : The incidence rate is 25.4 with a 95% confidence interval from 22.2 to 29.0 and 51 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.2 with a 95% confidence interval from 0.4 to 4.3.

Bourbon (Paris), KY - Nicholas, KY⁷

• Rate : The incidence rate is 25.5 with a 95% confidence interval from 18.1 to 34.9 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -3.8 to 2.8.

Jefferson (Steubenville), OH - Harrison, OH⁶

• Rate : The incidence rate is 25.5 with a 95% confidence interval from 21.1 to 30.6 and 28 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.0 with a 95% confidence interval from 2.5 to 7.9.

Stutsman, ND - Wells, ND⁶

• Rate : The incidence rate is 25.5 with a 95% confidence interval from 17.9 to 35.3 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -40.9 to 8.2.

Coos, NH⁶

• Rate : The incidence rate is 25.5 with a 95% confidence interval from 19.5 to 33.2 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.4 to 2.7.

Tompkins, NY - Cortland, NY⁷

• Rate : The incidence rate is 25.5 with a 95% confidence interval from 22.0 to 29.4 and 41 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -0.1 to 5.6.

Kanawha (Charleston), WV - Putnam, WV⁶

• Rate : The incidence rate is 25.5 with a 95% confidence interval from 23.2 to 28.0 and 101 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -8.9 to -0.1.

Sebastian (Fort Smith), AR - Crawford, AR⁶

• Rate : The incidence rate is 25.6 with a 95% confidence interval from 22.9 to 28.5 and 73 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.7 with a 95% confidence interval from 4.3 to 8.7.

Orange (Chapel Hill), NC - Harnett, NC⁶

• Rate : The incidence rate is 25.7 with a 95% confidence interval from 23.6 to 27.8 and 123 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -6.5 to 0.6.

Camden, MO⁶

• Rate : The incidence rate is 25.7 with a 95% confidence interval from 20.5 to 32.0 and 21 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -3.0 to 5.9.

Cabell (Huntington), WV - Wayne, WV⁶

• Rate : The incidence rate is 25.7 with a 95% confidence interval from 22.4 to 29.3 and 50 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -0.3 to 4.2.

Wichita (Wichita Falls), TX - Montague, TX⁷

• Rate : The incidence rate is 25.7 with a 95% confidence interval from 22.8 to 29.0 and 60 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.6 with a 95% confidence interval from 1.1 to 4.2.

Madison, MO⁶

• Rate : The incidence rate is 25.7 with a 95% confidence interval from 15.4 to 40.8 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Lorain (Lorain), OH - Erie, OH⁶

• Rate : The incidence rate is 25.8 with a 95% confidence interval from 24.0 to 27.7 and 170 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 1.5 to 4.4.

Kankakee (Kankakee), IL - Iroquois, IL⁷

• Rate : The incidence rate is 25.8 with a 95% confidence interval from 22.3 to 29.8 and 42 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.6 with a 95% confidence interval from 2.8 to 6.8.

Hughes, SD - Stanley, SD⁶

• Rate : The incidence rate is 25.9 with a 95% confidence interval from 18.5 to 35.4 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -8.8 with a 95% confidence interval from -37.6 to 4.2.

Mobile (Mobile), AL - Baldwin, AL⁶

• Rate : The incidence rate is 25.9 with a 95% confidence interval from 24.3 to 27.5 and 225 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -8.5 to 3.1.

Washington (Fayetteville), AR - Benton, AR⁶

• Rate : The incidence rate is 25.9 with a 95% confidence interval from 24.0 to 27.9 and 136 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.5 with a 95% confidence interval from 0.1 to 4.1.

Sheboygan (Sheboygan), WI - Manitowoc, WI⁶

• Rate : The incidence rate is 25.9 with a 95% confidence interval from 23.3 to 28.7 and 81 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.1 to 2.9.

Crawford, IL - Lawrence, IL⁷

• Rate : The incidence rate is 25.9 with a 95% confidence interval from 19.7 to 33.7 and 12 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -1.9 to 8.1.

Dane (Madison), WI - Sauk, WI⁶

• Rate : The incidence rate is 26.0 with a 95% confidence interval from 24.4 to 27.6 and 226 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -7.7 with a 95% confidence interval from -15.8 to -0.6.

Fairfield (Lancaster), OH - Athens, OH⁶

• Rate : The incidence rate is 26.0 with a 95% confidence interval from 23.4 to 28.8 and 78 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -0.3 to 4.3.

Chatham (Savannah), GA - Liberty, GA⁷

• Rate : The incidence rate is 26.0 with a 95% confidence interval from 24.1 to 28.1 and 138 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.2 with a 95% confidence interval from 3.5 to 7.5.

Madison, KY - Rockcastle, KY⁷

• Rate : The incidence rate is 26.0 with a 95% confidence interval from 22.4 to 30.1 and 38 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.3 to 3.4.

Alleghany, NC⁶

• Rate : The incidence rate is 26.1 with a 95% confidence interval from 16.4 to 40.7 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -5.5 to 12.0.

Red Willow, NE - Hitchcock, NE⁶

• Rate : The incidence rate is 26.1 with a 95% confidence interval from 17.0 to 38.9 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 39.1 with a 95% confidence interval from 12.0 to 72.0.

Webster, IA - Humboldt, IA⁷

• Rate : The incidence rate is 26.1 with a 95% confidence interval from 20.7 to 32.4 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.6 with a 95% confidence interval from 3.4 to 6.3.

Wilkes, NC⁶

• Rate : The incidence rate is 26.1 with a 95% confidence interval from 21.4 to 31.5 and 25 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 0.7 to 5.4.

Kennebec, ME - Somerset, ME⁶

• Rate : The incidence rate is 26.1 with a 95% confidence interval from 23.4 to 29.1 and 76 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -0.1 to 5.1.

Lincoln, NE - Keith, NE⁶

• Rate : The incidence rate is 26.1 with a 95% confidence interval from 20.6 to 32.7 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 16.7 with a 95% confidence interval from 7.1 to 32.8.

Forrest, MS - Lamar, MS⁶

• Rate : The incidence rate is 26.2 with a 95% confidence interval from 23.1 to 29.6 and 53 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Rock (Janesville), WI - Green, WI⁶

• Rate : The incidence rate is 26.2 with a 95% confidence interval from 23.4 to 29.2 and 70 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.6 with a 95% confidence interval from 0.5 to 5.1.

Highland, OH - Clinton, OH⁶

• Rate : The incidence rate is 26.3 with a 95% confidence interval from 21.9 to 31.3 and 28 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.0 with a 95% confidence interval from 2.5 to 5.9.

Broome (Binghamton), NY - Tioga, NY⁷

• Rate : The incidence rate is 26.3 with a 95% confidence interval from 23.7 to 29.2 and 82 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 2.1 to 4.9.

Pierce, WA⁷

• Rate : The incidence rate is 26.4 with a 95% confidence interval from 24.9 to 27.9 and 253 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 6.9 with a 95% confidence interval from 2.1 to 10.6.

Lawrence, SD⁶

• Rate : The incidence rate is 26.4 with a 95% confidence interval from 18.6 to 36.7 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -2.4 to 10.1.

Montgomery (Dayton), OH - Greene, OH⁶

• Rate : The incidence rate is 26.5 with a 95% confidence interval from 25.0 to 28.0 and 260 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.6 with a 95% confidence interval from 1.4 to 6.2.

Cobb (Marietta), GA⁷

• Rate : The incidence rate is 26.5 with a 95% confidence interval from 24.9 to 28.2 and 211 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -7.0 with a 95% confidence interval from -11.8 to -4.0.

Cedar, NE - Knox, NE⁶

• Rate : The incidence rate is 26.5 with a 95% confidence interval from 17.0 to 39.6 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 6.0 with a 95% confidence interval from 1.2 to 12.2.

Hall, NE - Hamilton, NE⁶

• Rate : The incidence rate is 26.5 with a 95% confidence interval from 22.0 to 31.7 and 26 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 6.1 with a 95% confidence interval from 3.7 to 9.7.

Washington, OH⁶

• Rate : The incidence rate is 26.6 with a 95% confidence interval from 21.4 to 32.8 and 21 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -2.5 to 4.4.

Floyd, KY - Johnson, KY⁷

• Rate : The incidence rate is 26.7 with a 95% confidence interval from 21.9 to 32.4 and 23 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 8.2 with a 95% confidence interval from 3.1 to 22.4.

Morris (Parsippany-Troy Hills Township), NJ - Sussex, NJ⁷

• Rate : The incidence rate is 26.7 with a 95% confidence interval from 25.1 to 28.4 and 219 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.3 to 0.7.

Newton (Covington), GA⁷

• Rate : The incidence rate is 26.8 with a 95% confidence interval from 22.6 to 31.5 and 30 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.6 to 3.5.

Morgan, IL - Greene, IL⁷

• Rate : The incidence rate is 26.8 with a 95% confidence interval from 21.4 to 33.2 and 19 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 0.4 to 7.0.

Cassia, ID - Minidoka, ID⁷

• Rate : The incidence rate is 26.8 with a 95% confidence interval from 20.7 to 34.3 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.6 with a 95% confidence interval from 2.5 to 7.5.

Madison (Huntsville), AL - Limestone, AL⁶

• Rate : The incidence rate is 26.8 with a 95% confidence interval from 25.0 to 28.8 and 162 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 2.5 to 5.8.

Belmont, OH - Monroe, OH⁶

• Rate : The incidence rate is 26.9 with a 95% confidence interval from 22.5 to 31.9 and 30 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.1 with a 95% confidence interval from 1.3 to 9.9.

Washington (Hagerstown), MD⁶

• Rate : The incidence rate is 26.9 with a 95% confidence interval from 23.6 to 30.5 and 51 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.7 with a 95% confidence interval from 1.5 to 12.3.

Cumberland, TN - Fentress, TN⁶

• Rate : The incidence rate is 26.9 with a 95% confidence interval from 23.0 to 31.4 and 42 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -3.4 to 2.0.

Beadle, SD - Hand, SD⁶

• Rate : The incidence rate is 26.9 with a 95% confidence interval from 18.8 to 37.4 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

St. Croix, WI - Pierce, WI⁶

• Rate : The incidence rate is 26.9 with a 95% confidence interval from 23.2 to 31.1 and 40 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 8.2 with a 95% confidence interval from 6.2 to 11.3.

Guilford (Greensboro), NC - Davidson, NC⁶

• Rate : The incidence rate is 27.0 with a 95% confidence interval from 25.6 to 28.4 and 307 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.4 to 1.2.

Onslow, NC - Craven, NC⁶

• Rate : The incidence rate is 27.0 with a 95% confidence interval from 24.7 to 29.4 and 116 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 0.6 to 3.2.

Barren, KY - Hart, KY⁷

• Rate : The incidence rate is 27.0 with a 95% confidence interval from 22.4 to 32.3 and 26 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from 0.0 to 5.2.

Hamilton (Cincinnati), OH - Butler, OH⁶

• Rate : The incidence rate is 27.0 with a 95% confidence interval from 26.0 to 28.1 and 529 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 2.7 to 4.5.

Silver Bow, MT - Deer Lodge, MT⁶

• Rate : The incidence rate is 27.1 with a 95% confidence interval from 21.4 to 33.9 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.7 to 3.9.

Deschutes, OR - Crook, OR⁶

• Rate : The incidence rate is 27.1 with a 95% confidence interval from 24.5 to 29.8 and 92 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -7.8 with a 95% confidence interval from -19.1 to 0.1.

Mendocino, CA⁷

• Rate : The incidence rate is 27.1 with a 95% confidence interval from 22.9 to 31.9 and 34 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.9 to 3.0.

Cabarrus (Concord), NC - Rowan, NC⁶

• Rate : The incidence rate is 27.1 with a 95% confidence interval from 25.0 to 29.3 and 130 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.8 with a 95% confidence interval from 1.1 to 11.8.

Scotts Bluff, NE - Box Butte, NE⁶

• Rate : The incidence rate is 27.1 with a 95% confidence interval from 21.4 to 33.9 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -1.4 to 6.4.

Schuylkill, PA - Northumberland, PA⁶

• Rate : The incidence rate is 27.1 with a 95% confidence interval from 25.0 to 29.5 and 126 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.2 with a 95% confidence interval from 1.5 to 3.1.

Franklin, PA - Fulton, PA⁶

• Rate : The incidence rate is 27.2 with a 95% confidence interval from 24.1 to 30.6 and 60 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -0.3 to 4.8.

Mesa, CO - Garfield, CO⁶

• Rate : The incidence rate is 27.2 with a 95% confidence interval from 24.7 to 29.9 and 94 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.6 to 1.6.

Eau Claire (Eau Claire), WI - Chippewa, WI⁶

• Rate : The incidence rate is 27.2 with a 95% confidence interval from 24.4 to 30.2 and 75 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -5.7 to 6.8.

Palm Beach (West Palm Beach), FL - St. Lucie, FL⁶

• Rate : The incidence rate is 27.3 with a 95% confidence interval from 26.4 to 28.2 and 877 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -8.5 to -1.1.

Ottawa (Holland), MI - Allegan, MI⁶

• Rate : The incidence rate is 27.3 with a 95% confidence interval from 25.1 to 29.6 and 124 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.2 to 3.3.

Macoupin, IL - Montgomery, IL⁷

• Rate : The incidence rate is 27.5 with a 95% confidence interval from 22.8 to 32.9 and 26 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -1.5 to 4.0.

Scioto, OH - Ross, OH⁶

• Rate : The incidence rate is 27.5 with a 95% confidence interval from 24.4 to 31.0 and 59 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.2 with a 95% confidence interval from 1.3 to 5.5.

Muskingum, OH - Guernsey, OH⁶

• Rate : The incidence rate is 27.5 with a 95% confidence interval from 24.7 to 30.6 and 79 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -0.3 to 3.0.

Allegany (Cumberland), MD - Garrett, MD⁶

• Rate : The incidence rate is 27.6 with a 95% confidence interval from 23.5 to 32.2 and 37 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 6.7 with a 95% confidence interval from -7.7 to 22.8.

Crawford, IA⁷

• Rate : The incidence rate is 27.6 with a 95% confidence interval from 18.3 to 40.2 and 6 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Dauphin (Harrisburg), PA - Cumberland, PA⁶

• Rate : The incidence rate is 27.6 with a 95% confidence interval from 26.1 to 29.3 and 249 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 0.8 to 3.0.

Whiteside, IL - Carroll, IL⁷

• Rate : The incidence rate is 27.6 with a 95% confidence interval from 23.0 to 33.0 and 28 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -0.3 to 5.4.

Asotin, WA - Garfield, WA⁶

• Rate : The incidence rate is 27.7 with a 95% confidence interval from 20.4 to 37.1 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 4.2 with a 95% confidence interval from -0.7 to 11.6.

Marion (Ocala), FL - Citrus, FL⁶

• Rate : The incidence rate is 27.7 with a 95% confidence interval from 26.0 to 29.5 and 255 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 1.5 to 4.3.

Warren, KY - Logan, KY⁷

• Rate : The incidence rate is 27.7 with a 95% confidence interval from 24.7 to 31.0 and 66 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 1.5 to 4.2.

Marshall, IA - Tama, IA⁷

• Rate : The incidence rate is 27.7 with a 95% confidence interval from 22.1 to 34.3 and 19 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 0.6 to 4.3.

Montgomery, KY - Bath, KY⁷

• Rate : The incidence rate is 27.7 with a 95% confidence interval from 21.5 to 35.3 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.3 to 3.3.

Montgomery, IA - Adams, IA⁷

• Rate : The incidence rate is 27.8 with a 95% confidence interval from 16.4 to 43.9 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Stephenson, IL - Jo Daviess, IL⁷

• Rate : The incidence rate is 27.8 with a 95% confidence interval from 22.9 to 33.4 and 28 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.6 with a 95% confidence interval from 3.1 to 8.8.

Sacramento (Sacramento), CA - Placer, CA⁷

• Rate : The incidence rate is 27.8 with a 95% confidence interval from 26.9 to 28.7 and 752 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.8 to 2.7.

Baltimore, MD - Baltimore City, MD⁶

• Rate : The incidence rate is 27.8 with a 95% confidence interval from 26.9 to 28.7 and 842 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.0 with a 95% confidence interval from 1.1 to 3.0.

Pulaski (Little Rock), AR - Faulkner, AR⁶

• Rate : The incidence rate is 27.8 with a 95% confidence interval from 26.3 to 29.4 and 252 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.6 with a 95% confidence interval from 0.2 to 5.6.

Fayette (Lexington-Fayette), KY - Jessamine, KY⁷

• Rate : The incidence rate is 27.9 with a 95% confidence interval from 26.0 to 29.8 and 178 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.2 with a 95% confidence interval from 0.5 to 2.0.

Lawrence, OH⁶

• Rate : The incidence rate is 27.9 with a 95% confidence interval from 22.7 to 34.0 and 21 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.8 to 5.2.

York, NE - Polk, NE⁶

• Rate : The incidence rate is 27.9 with a 95% confidence interval from 18.5 to 40.5 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Pasquotank, NC - Dare, NC⁶

• Rate : The incidence rate is 28.0 with a 95% confidence interval from 23.9 to 32.6 and 37 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.4 to 4.9.

Boulder, CO - Broomfield, CO⁶

• Rate : The incidence rate is 28.0 with a 95% confidence interval from 25.8 to 30.4 and 122 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -0.2 to 7.0.

Lancaster, PA⁶

• Rate : The incidence rate is 28.0 with a 95% confidence interval from 26.2 to 30.0 and 191 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -9.7 to 1.9.

Stark (Canton), OH - Wayne, OH⁶

• Rate : The incidence rate is 28.1 with a 95% confidence interval from 26.4 to 29.8 and 230 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.2 with a 95% confidence interval from 0.6 to 4.0.

Thurston (Olympia), WA - Grays Harbor, WA⁷

• Rate : The incidence rate is 28.2 with a 95% confidence interval from 26.1 to 30.4 and 152 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 1.9 to 3.2.

Bannock, ID - Bingham, ID⁷

• Rate : The incidence rate is 28.2 with a 95% confidence interval from 24.5 to 32.3 and 45 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.7 with a 95% confidence interval from -0.2 to 6.3.

Sweetwater, WY⁶

• Rate : The incidence rate is 28.3 with a 95% confidence interval from 21.5 to 36.6 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -5.0 to 4.4.

San Diego (San Diego), CA - Imperial, CA⁷

• Rate : The incidence rate is 28.4 with a 95% confidence interval from 27.6 to 29.2 and 1,091 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.5 to 1.0.

Summit (Akron), OH - Portage, OH⁶

• Rate : The incidence rate is 28.4 with a 95% confidence interval from 27.0 to 29.9 and 311 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.2 with a 95% confidence interval from 3.0 to 7.1.

Boyle, KY - Lincoln, KY⁷

• Rate : The incidence rate is 28.4 with a 95% confidence interval from 24.4 to 32.9 and 40 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -13.2 to 2.8.

Sullivan (Kingsport), TN - Hawkins, TN⁶

• Rate : The incidence rate is 28.4 with a 95% confidence interval from 25.7 to 31.4 and 88 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.6 with a 95% confidence interval from -14.9 to 4.7.

Albany, WY - Carbon, WY⁶

• Rate : The incidence rate is 28.5 with a 95% confidence interval from 22.2 to 36.0 and 15 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -0.1 to 7.9.

Buffalo, NE - Dawson, NE⁶

• Rate : The incidence rate is 28.5 with a 95% confidence interval from 24.0 to 33.7 and 31 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 9.7 with a 95% confidence interval from 7.0 to 21.5.

Brookings, SD - Kingsbury, SD⁶

• Rate : The incidence rate is 28.6 with a 95% confidence interval from 21.4 to 37.5 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -1.1 to 5.1.

Franklin, KY - Anderson, KY⁷

• Rate : The incidence rate is 28.6 with a 95% confidence interval from 24.0 to 33.8 and 30 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -9.6 with a 95% confidence interval from -22.1 to 2.0.

Jefferson, IL - Wayne, IL⁷

• Rate : The incidence rate is 28.6 with a 95% confidence interval from 23.0 to 35.2 and 20 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.6 with a 95% confidence interval from 0.4 to 7.5.

Madison, NE - Wayne, NE⁶

• Rate : The incidence rate is 28.6 with a 95% confidence interval from 23.1 to 35.0 and 21 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 2.3 to 6.7.

Washington (Johnson City), TN - Carter, TN⁶

• Rate : The incidence rate is 28.6 with a 95% confidence interval from 25.7 to 31.8 and 77 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -11.8 to 2.8.

Hillsborough (Tampa), FL - Pinellas, FL⁶

• Rate : The incidence rate is 28.7 with a 95% confidence interval from 28.0 to 29.5 and 1,222 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.2 with a 95% confidence interval from 2.5 to 4.0.

Erie (Buffalo), NY - Monroe, NY⁷

• Rate : The incidence rate is 28.8 with a 95% confidence interval from 27.8 to 29.8 and 755 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -1.3 to 3.7.

Duval (Jacksonville), FL - Clay, FL⁶

• Rate : The incidence rate is 28.8 with a 95% confidence interval from 27.6 to 30.1 and 423 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -4.5 to 2.4.

Frederick, MD⁶

• Rate : The incidence rate is 28.9 with a 95% confidence interval from 26.2 to 31.8 and 87 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.1 with a 95% confidence interval from 2.4 to 11.7.

Gilmer, GA - Fannin, GA⁷

• Rate : The incidence rate is 28.9 with a 95% confidence interval from 23.8 to 34.9 and 27 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -0.3 to 4.2.

St. Tammany (Slidell), LA - Washington, LA⁷

• Rate : The incidence rate is 28.9 with a 95% confidence interval from 26.4 to 31.6 and 106 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.6 with a 95% confidence interval from 2.4 to 5.1.

Clark (Springfield), OH - Champaign, OH⁶

• Rate : The incidence rate is 29.1 with a 95% confidence interval from 25.8 to 32.6 and 64 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 2.1 to 5.0.

York, ME⁶

• Rate : The incidence rate is 29.1 with a 95% confidence interval from 26.2 to 32.2 and 85 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -2.4 to 4.8.

Mason, KY - Fleming, KY⁷

• Rate : The incidence rate is 29.1 with a 95% confidence interval from 22.5 to 37.1 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -3.1 to 5.2.

Hamblen (Morristown), TN - Jefferson, TN⁶

• Rate : The incidence rate is 29.1 with a 95% confidence interval from 25.6 to 33.0 and 55 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.1 to 1.1.

Multnomah (Portland), OR - Washington, OR⁶

• Rate : The incidence rate is 29.1 with a 95% confidence interval from 28.1 to 30.2 and 630 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -6.0 to 1.1.

White, AR - Cleburne, AR⁶

• Rate : The incidence rate is 29.1 with a 95% confidence interval from 25.0 to 33.8 and 39 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.1 with a 95% confidence interval from 2.3 to 8.7.

Cumberland (Portland), ME - Knox, ME⁶

• Rate : The incidence rate is 29.3 with a 95% confidence interval from 27.2 to 31.5 and 164 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -12.2 to 2.5.

Cattaraugus, NY - Allegany, NY⁷

• Rate : The incidence rate is 29.3 with a 95% confidence interval from 25.4 to 33.7 and 45 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 7.7 with a 95% confidence interval from 1.4 to 22.0.

Moore, NC - Richmond, NC⁶

• Rate : The incidence rate is 29.4 with a 95% confidence interval from 26.6 to 32.4 and 87 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 1.4 to 4.8.

Henderson, IL⁷

• Rate : The incidence rate is 29.4 with a 95% confidence interval from 16.1 to 51.2 and 3 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Jefferson (Louisville), KY - Bullitt, KY⁷

• Rate : The incidence rate is 29.4 with a 95% confidence interval from 28.0 to 30.8 and 372 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.6 with a 95% confidence interval from 2.6 to 7.9.

Sangamon (Springfield), IL - Christian, IL⁷

• Rate : The incidence rate is 29.4 with a 95% confidence interval from 27.0 to 32.0 and 119 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 1.9 to 4.8.

Inyo, CA - Mono, CA⁷

• Rate : The incidence rate is 29.5 with a 95% confidence interval from 22.6 to 38.0 and 14 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.0 with a 95% confidence interval from -0.5 to 7.5.

Knox (Knoxville), TN - Blount, TN⁶

• Rate : The incidence rate is 29.5 with a 95% confidence interval from 28.0 to 31.0 and 330 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.7 to 2.4.

Effingham, IL - Fayette, IL⁷

• Rate : The incidence rate is 29.6 with a 95% confidence interval from 23.9 to 36.3 and 20 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.7 with a 95% confidence interval from 0.4 to 7.7.

Montrose, CO - Delta, CO⁶

• Rate : The incidence rate is 29.6 with a 95% confidence interval from 25.5 to 34.3 and 43 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.0 with a 95% confidence interval from -0.1 to 7.0.

Rockingham, NH⁶

• Rate : The incidence rate is 29.6 with a 95% confidence interval from 27.2 to 32.2 and 123 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.0 to 2.4.

Rock Island (Moline), IL - Henry, IL⁷

• Rate : The incidence rate is 29.6 with a 95% confidence interval from 26.7 to 32.8 and 82 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 0.7 to 4.2.

Polk (Lakeland), FL - Highlands, FL⁶

• Rate : The incidence rate is 29.6 with a 95% confidence interval from 28.2 to 31.1 and 348 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -4.4 to 1.7.

Houston (Dothan), AL - Dale, AL⁶

• Rate : The incidence rate is 29.6 with a 95% confidence interval from 27.0 to 32.4 and 103 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.4 with a 95% confidence interval from 4.2 to 7.1.

Orange, CA⁷

• Rate : The incidence rate is 29.7 with a 95% confidence interval from 28.9 to 30.5 and 1,086 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 1.4 to 5.2.

Chautauqua, NY⁷

• Rate : The incidence rate is 29.7 with a 95% confidence interval from 25.8 to 34.0 and 48 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 1.6 to 4.6.

Adams, NE - Clay, NE⁶

• Rate : The incidence rate is 29.7 with a 95% confidence interval from 23.5 to 37.2 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -3.0 to 6.5.

Hillsborough (Manchester), NH - Merrimack, NH⁶

• Rate : The incidence rate is 29.8 with a 95% confidence interval from 28.1 to 31.5 and 265 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.6 to 4.7.

King (Seattle), WA - Snohomish, WA⁷

• Rate : The incidence rate is 29.9 with a 95% confidence interval from 29.2 to 30.7 and 1,178 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.9 to 1.4.

Escambia (Pensacola), FL - Okaloosa, FL⁶

• Rate : The incidence rate is 30.0 with a 95% confidence interval from 28.4 to 31.6 and 280 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -3.5 to 4.1.

Guthrie, IA - Greene, IA⁷

• Rate : The incidence rate is 30.0 with a 95% confidence interval from 21.1 to 41.7 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -0.5 to 5.4.

Chaffee, CO - Lake, CO⁶

• Rate : The incidence rate is 30.0 with a 95% confidence interval from 22.1 to 40.1 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -0.8 to 7.5.

Kenton (Covington), KY - Campbell, KY⁷

• Rate : The incidence rate is 30.1 with a 95% confidence interval from 27.9 to 32.4 and 147 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 2.4 to 4.3.

La Salle, IL - Livingston, IL⁷

• Rate : The incidence rate is 30.1 with a 95% confidence interval from 26.9 to 33.6 and 71 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -8.6 to 4.1.

OBrien, IA - Osceola, IA⁷

• Rate : The incidence rate is 30.1 with a 95% confidence interval from 20.9 to 42.2 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.0 with a 95% confidence interval from 3.2 to 7.5.

Douglas, WI⁶

• Rate : The incidence rate is 30.2 with a 95% confidence interval from 23.6 to 38.0 and 16 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 10.2 with a 95% confidence interval from 6.9 to 15.9.

La Crosse (La Crosse), WI - Monroe, WI⁶

• Rate : The incidence rate is 30.2 with a 95% confidence interval from 27.2 to 33.5 and 80 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.8 with a 95% confidence interval from 3.6 to 6.2.

Clinton, KY - Cumberland, KY⁷

• Rate : The incidence rate is 30.3 with a 95% confidence interval from 20.4 to 43.4 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -6.1 with a 95% confidence interval from -27.5 to -0.7.

Maricopa (Phoenix), AZ - Pinal, AZ⁶

• Rate : The incidence rate is 30.3 with a 95% confidence interval from 29.6 to 30.9 and 1,888 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.7 with a 95% confidence interval from 3.5 to 7.6.

Twin Falls, ID - Jerome, ID⁷

• Rate : The incidence rate is 30.3 with a 95% confidence interval from 26.3 to 34.7 and 43 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.1 to 4.1.

Logan, OH⁶

• Rate : The incidence rate is 30.3 with a 95% confidence interval from 23.9 to 38.0 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 1.1 to 8.1.

Walworth, WI - Jefferson, WI⁶

• Rate : The incidence rate is 30.4 with a 95% confidence interval from 27.2 to 33.8 and 72 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 2.3 to 6.0.

Utah (Provo), UT - Sanpete, UT⁷

• Rate : The incidence rate is 30.4 with a 95% confidence interval from 28.2 to 32.6 and 156 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 1.7 to 3.2.

Gaston (Gastonia), NC - Cleveland, NC⁶

• Rate : The incidence rate is 30.4 with a 95% confidence interval from 28.4 to 32.6 and 179 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.2 with a 95% confidence interval from 3.8 to 7.1.

McDowell, NC⁶

• Rate : The incidence rate is 30.6 with a 95% confidence interval from 24.5 to 37.8 and 19 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -2.8 to 6.1.

Sussex, DE - Kent, DE⁶

• Rate : The incidence rate is 30.6 with a 95% confidence interval from 28.5 to 32.8 and 184 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -10.8 to 2.8.

Ontario (Geneva), NY - Wayne, NY⁷

• Rate : The incidence rate is 30.6 with a 95% confidence interval from 27.9 to 33.6 and 104 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -3.9 to 4.4.

Jackson, NC - Macon, NC⁶

• Rate : The incidence rate is 30.6 with a 95% confidence interval from 26.4 to 35.3 and 44 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 2.2 to 5.9.

Hunterdon, NJ - Warren (Phillipsburg), NJ⁷

• Rate : The incidence rate is 30.7 with a 95% confidence interval from 27.8 to 33.7 and 97 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.2 to 3.1.

Monmouth, NJ - Ocean (Brick Township), NJ⁷

• Rate : The incidence rate is 30.8 with a 95% confidence interval from 29.6 to 32.1 and 519 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.6 to 0.3.

Black Hawk (Waterloo), IA - Bremer, IA⁷

• Rate : The incidence rate is 30.9 with a 95% confidence interval from 27.9 to 34.2 and 83 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.6 with a 95% confidence interval from 2.1 to 3.2.

Stephens, OK - Jefferson, OK⁶

• Rate : The incidence rate is 30.9 with a 95% confidence interval from 24.9 to 38.1 and 21 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.1 with a 95% confidence interval from -1.2 to 8.4.

Windham, VT⁶

• Rate : The incidence rate is 31.0 with a 95% confidence interval from 24.0 to 39.3 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -1.5 to 5.1.

Williamson, IL - Jackson, IL⁷

• Rate : The incidence rate is 31.0 with a 95% confidence interval from 27.7 to 34.6 and 69 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -9.4 to 8.4.

New Hanover (Wilmington), NC - Brunswick, NC⁶

• Rate : The incidence rate is 31.0 with a 95% confidence interval from 29.0 to 33.2 and 191 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.7 with a 95% confidence interval from 2.4 to 8.2.

Spartanburg (Spartanburg), SC - Cherokee, SC⁶

• Rate : The incidence rate is 31.0 with a 95% confidence interval from 28.8 to 33.4 and 148 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -0.7 to 5.1.

Polk, NC⁶

• Rate : The incidence rate is 31.1 with a 95% confidence interval from 22.2 to 42.9 and 11 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Buncombe (Asheville), NC - Henderson, NC⁶

• Rate : The incidence rate is 31.2 with a 95% confidence interval from 29.3 to 33.2 and 223 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.0 with a 95% confidence interval from 0.5 to 3.7.

Pima (Tucson), AZ - Cochise, AZ⁶

• Rate : The incidence rate is 31.2 with a 95% confidence interval from 30.0 to 32.5 and 532 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 7.7 with a 95% confidence interval from 6.2 to 10.9.

Scott (Davenport), IA - Muscatine, IA⁷

• Rate : The incidence rate is 31.3 with a 95% confidence interval from 28.2 to 34.7 and 79 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.2 with a 95% confidence interval from 2.2 to 4.5.

Yellowstone (Billings), MT - Big Horn, MT⁶

• Rate : The incidence rate is 31.3 with a 95% confidence interval from 28.2 to 34.7 and 80 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 0.9 to 9.8.

Rabun, GA⁷

• Rate : The incidence rate is 31.3 with a 95% confidence interval from 21.9 to 44.2 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Brown, SD - Spink, SD⁶

• Rate : The incidence rate is 31.4 with a 95% confidence interval from 25.7 to 37.9 and 25 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.2 with a 95% confidence interval from 2.4 to 8.7.

Mifflin, PA - Huntingdon, PA⁶

• Rate : The incidence rate is 31.4 with a 95% confidence interval from 27.4 to 35.9 and 48 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 1.4 to 6.0.

Douglas (Omaha), NE - Sarpy, NE⁶

• Rate : The incidence rate is 31.4 with a 95% confidence interval from 29.8 to 33.1 and 287 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.3 with a 95% confidence interval from 4.2 to 6.6.

Park, WY - Big Horn, WY⁶

• Rate : The incidence rate is 31.5 with a 95% confidence interval from 24.8 to 39.6 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.1 with a 95% confidence interval from 0.1 to 7.0.

Lee, IA⁷

• Rate : The incidence rate is 31.5 with a 95% confidence interval from 23.9 to 40.9 and 13 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 0.9 to 5.6.

Des Moines, IA - Henry, IA⁷

• Rate : The incidence rate is 31.6 with a 95% confidence interval from 25.8 to 38.3 and 24 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.8 with a 95% confidence interval from 3.5 to 6.6.

Licking (Newark), OH - Knox, OH⁶

• Rate : The incidence rate is 31.7 with a 95% confidence interval from 28.7 to 34.9 and 89 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 8.2 with a 95% confidence interval from 4.7 to 15.4.

Cherokee, GA - Douglas, GA⁷

• Rate : The incidence rate is 31.8 with a 95% confidence interval from 29.8 to 33.9 and 200 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.8 with a 95% confidence interval from -13.3 to -0.5.

Peoria (Peoria), IL - Tazewell, IL⁷

• Rate : The incidence rate is 31.8 with a 95% confidence interval from 29.4 to 34.3 and 146 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 9.3 with a 95% confidence interval from 4.4 to 17.7.

Woodbury (Sioux City), IA - Plymouth, IA⁷

• Rate : The incidence rate is 31.8 with a 95% confidence interval from 28.3 to 35.7 and 64 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -11.3 to 3.8.

Macon (Decatur), IL - Shelby, IL⁷

• Rate : The incidence rate is 32.0 with a 95% confidence interval from 28.4 to 36.0 and 64 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 2.2 to 6.0.

Carroll, KY - Trimble, KY⁷

• Rate : The incidence rate is 32.0 with a 95% confidence interval from 21.9 to 45.3 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 0.6 to 6.0.

Lee (Cape Coral), FL - Collier, FL⁶

• Rate : The incidence rate is 32.1 with a 95% confidence interval from 30.9 to 33.3 and 696 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.4 with a 95% confidence interval from 2.5 to 9.1.

Ada (Boise City), ID - Canyon, ID⁷

• Rate : The incidence rate is 32.2 with a 95% confidence interval from 30.5 to 34.0 and 269 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.0 with a 95% confidence interval from 1.1 to 3.1.

York (York), PA - Adams, PA⁶

• Rate : The incidence rate is 32.2 with a 95% confidence interval from 30.3 to 34.2 and 226 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.2 with a 95% confidence interval from 1.4 to 3.2.

Morgan (Decatur), AL - Lawrence, AL⁶

• Rate : The incidence rate is 32.3 with a 95% confidence interval from 28.6 to 36.3 and 61 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.8 with a 95% confidence interval from 1.7 to 6.5.

Catawba (Hickory), NC - Burke, NC⁶

• Rate : The incidence rate is 32.4 with a 95% confidence interval from 29.9 to 34.9 and 142 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.2 with a 95% confidence interval from 2.1 to 4.3.

Hancock, IL⁷

• Rate : The incidence rate is 32.4 with a 95% confidence interval from 22.7 to 45.3 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.9 with a 95% confidence interval from -0.9 to 9.9.

Linn (Cedar Rapids), IA - Johnson, IA⁷

• Rate : The incidence rate is 32.5 with a 95% confidence interval from 30.3 to 34.8 and 174 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 1.9 to 4.0.

Champaign (Champaign), IL - Coles, IL⁷

• Rate : The incidence rate is 32.7 with a 95% confidence interval from 29.9 to 35.8 and 105 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 2.8 to 6.1.

Taylor, KY - Adair, KY⁷

• Rate : The incidence rate is 32.7 with a 95% confidence interval from 27.4 to 38.8 and 30 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -0.1 to 5.0.

Poweshiek, IA⁷

• Rate : The incidence rate is 32.9 with a 95% confidence interval from 22.5 to 46.5 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Clallam, WA - Jefferson, WA⁷

• Rate : The incidence rate is 32.9 with a 95% confidence interval from 28.9 to 37.3 and 67 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.0 with a 95% confidence interval from 1.1 to 3.2.

Hawaii, HI⁷

• Rate : The incidence rate is 32.9 with a 95% confidence interval from 29.8 to 36.3 and 94 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from 0.0 to 4.2.

Teton, WY - Lincoln, WY⁶

• Rate : The incidence rate is 32.9 with a 95% confidence interval from 26.6 to 40.3 and 20 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -1.6 to 7.0.

Daviess (Owensboro), KY - Ohio, KY⁷

• Rate : The incidence rate is 32.9 with a 95% confidence interval from 29.1 to 37.2 and 57 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 0.9 to 5.2.

Grand, UT⁷

• Rate : The incidence rate is 33.0 with a 95% confidence interval from 19.5 to 52.6 and 4 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Floyd, IA - Chickasaw, IA⁷

• Rate : The incidence rate is 33.0 with a 95% confidence interval from 24.6 to 43.5 and 12 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 2.8 to 6.2.

McCracken, KY - Graves, KY⁷

• Rate : The incidence rate is 33.1 with a 95% confidence interval from 29.7 to 36.8 and 78 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -0.8 to 4.3.

Franklin, ID - Bear Lake, ID⁷

• Rate : The incidence rate is 33.1 with a 95% confidence interval from 22.9 to 46.4 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.7 with a 95% confidence interval from -0.8 to 10.7.

Carroll, GA - Haralson, GA⁷

• Rate : The incidence rate is 33.1 with a 95% confidence interval from 29.2 to 37.5 and 53 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 1.3 to 4.6.

Miami (Piqua), OH - Shelby, OH⁶

• Rate : The incidence rate is 33.2 with a 95% confidence interval from 29.4 to 37.3 and 62 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.3 with a 95% confidence interval from 2.9 to 8.5.

Custer, NE - Valley, NE⁶

• Rate : The incidence rate is 33.4 with a 95% confidence interval from 23.4 to 46.3 and 9 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 7.1 with a 95% confidence interval from 2.4 to 14.7.

Spalding (Griffin), GA - Butts, GA⁷

• Rate : The incidence rate is 33.4 with a 95% confidence interval from 28.6 to 38.8 and 37 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.1 with a 95% confidence interval from 2.2 to 6.6.

Vermilion, IL - Edgar, IL⁷

• Rate : The incidence rate is 33.6 with a 95% confidence interval from 28.9 to 38.8 and 41 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.8 with a 95% confidence interval from 2.6 to 10.0.

Penobscot (Bangor), ME - Hancock, ME⁶

• Rate : The incidence rate is 33.8 with a 95% confidence interval from 30.9 to 36.9 and 118 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -2.7 to 9.9.

Butte (Chico), CA - Tehama, CA⁷

• Rate : The incidence rate is 33.9 with a 95% confidence interval from 31.2 to 36.7 and 134 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.5 with a 95% confidence interval from -10.4 to 3.5.

Atlantic (Atlantic City), NJ - Cape May, NJ⁷

• Rate : The incidence rate is 33.9 with a 95% confidence interval from 31.6 to 36.4 and 172 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -3.2 to 2.5.

Cass (Fargo), ND - Richland, ND⁶

• Rate : The incidence rate is 34.1 with a 95% confidence interval from 30.8 to 37.8 and 79 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -9.8 to 3.1.

Humboldt, CA⁷

• Rate : The incidence rate is 34.1 with a 95% confidence interval from 30.1 to 38.6 and 57 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.8 with a 95% confidence interval from 2.5 to 5.3.

Bonneville, ID - Madison, ID⁷

• Rate : The incidence rate is 34.1 with a 95% confidence interval from 30.6 to 38.0 and 70 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 1.8 to 5.1.

Caledonia, VT - Orleans, VT⁶

• Rate : The incidence rate is 34.5 with a 95% confidence interval from 29.5 to 40.1 and 39 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 1.0 to 5.1.

Sarasota (Sarasota), FL - Charlotte, FL⁶

• Rate : The incidence rate is 34.7 with a 95% confidence interval from 33.0 to 36.5 and 473 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -8.4 to 2.3.

Clayton, IA - Delaware, IA⁷

• Rate : The incidence rate is 34.7 with a 95% confidence interval from 26.6 to 44.6 and 15 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.1 with a 95% confidence interval from 2.5 to 6.3.

Henry, GA - Forsyth, GA⁷

• Rate : The incidence rate is 34.9 with a 95% confidence interval from 33.0 to 36.7 and 290 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -5.6 with a 95% confidence interval from -12.1 to 0.7.

Allamakee, IA⁷

• Rate : The incidence rate is 34.9 with a 95% confidence interval from 22.7 to 51.4 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Yancey, NC - Avery, NC⁶

• Rate : The incidence rate is 35.2 with a 95% confidence interval from 29.0 to 42.5 and 26 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.6 with a 95% confidence interval from 2.0 to 8.0.

Santa Barbara (Santa Barbara), CA - San Luis Obispo, CA⁷

• Rate : The incidence rate is 35.4 with a 95% confidence interval from 33.6 to 37.3 and 314 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -5.9 to 0.8.

Carroll, IA - Sac, IA⁷

• Rate : The incidence rate is 35.5 with a 95% confidence interval from 27.8 to 44.7 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 2.5 to 5.8.

Minnehaha (Sioux Falls), SD - Lincoln, SD⁶

• Rate : The incidence rate is 35.5 with a 95% confidence interval from 32.5 to 38.6 and 115 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.5 with a 95% confidence interval from 4.4 to 7.0.

Kauai, HI⁷

• Rate : The incidence rate is 35.5 with a 95% confidence interval from 30.2 to 41.5 and 36 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 31.7 with a 95% confidence interval from 12.5 to 44.9.

Carbon, UT - Emery, UT⁷

• Rate : The incidence rate is 35.7 with a 95% confidence interval from 26.9 to 46.4 and 12 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 28.2 with a 95% confidence interval from 3.9 to 48.0.

Brevard (Palm Bay), FL - Indian River, FL⁶

• Rate : The incidence rate is 35.8 with a 95% confidence interval from 34.2 to 37.5 and 440 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -5.3 to 0.4.

Cheshire, NH⁶

• Rate : The incidence rate is 35.9 with a 95% confidence interval from 30.7 to 41.9 and 38 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.4 to 5.0.

Chittenden (Burlington), VT - Franklin, VT⁶

• Rate : The incidence rate is 36.1 with a 95% confidence interval from 33.0 to 39.4 and 110 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from 0.0 to 3.9.

Shasta (Redding), CA - Trinity, CA⁷

• Rate : The incidence rate is 36.2 with a 95% confidence interval from 32.8 to 39.8 and 97 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -18.4 to 4.7.

Grand Traverse, MI - Manistee, MI⁶

• Rate : The incidence rate is 36.4 with a 95% confidence interval from 33.0 to 40.0 and 101 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 10.7 with a 95% confidence interval from 0.8 to 19.6.

Adams, IL - Pike, IL⁷

• Rate : The incidence rate is 36.5 with a 95% confidence interval from 31.3 to 42.5 and 39 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.9 with a 95% confidence interval from 3.5 to 8.9.

Clinton, IA⁷

• Rate : The incidence rate is 36.7 with a 95% confidence interval from 29.7 to 44.9 and 22 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 1.6 to 4.5.

Newport, RI⁶

• Rate : The incidence rate is 36.9 with a 95% confidence interval from 32.0 to 42.3 and 46 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -0.2 to 5.1.

Manatee, FL⁶

• Rate : The incidence rate is 36.9 with a 95% confidence interval from 34.6 to 39.3 and 242 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.7 with a 95% confidence interval from 4.1 to 7.9.

McLean (Bloomington), IL - Woodford, IL⁷

• Rate : The incidence rate is 37.0 with a 95% confidence interval from 33.5 to 40.8 and 87 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 1.6 to 4.6.

Greenville (Greenville), SC - Anderson, SC⁶

• Rate : The incidence rate is 37.2 with a 95% confidence interval from 35.6 to 38.9 and 417 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 1.1 to 3.6.

Jasper, GA⁷

• Rate : The incidence rate is 37.3 with a 95% confidence interval from 25.8 to 52.6 and 7 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Washington, VT - Windsor, VT⁶

• Rate : The incidence rate is 37.4 with a 95% confidence interval from 33.5 to 41.6 and 77 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.1 to 3.6.

Queen Annes, MD - Talbot, MD⁶

• Rate : The incidence rate is 37.5 with a 95% confidence interval from 33.8 to 41.6 and 83 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -14.4 to 3.3.

Marion, IL - Washington, IL⁷

• Rate : The incidence rate is 37.7 with a 95% confidence interval from 31.0 to 45.4 and 25 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 0.3 to 4.7.

Phelps, NE - Furnas, NE⁶

• Rate : The incidence rate is 37.8 with a 95% confidence interval from 26.2 to 52.9 and 8 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 4.6 with a 95% confidence interval from -0.8 to 11.8.

Wicomico, MD - Worcester, MD⁶

• Rate : The incidence rate is 38.0 with a 95% confidence interval from 34.3 to 41.9 and 91 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -0.5 to 3.2.

Nevada, CA - Sierra, CA⁷

• Rate : The incidence rate is 38.0 with a 95% confidence interval from 33.5 to 43.1 and 64 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 1.5 to 4.9.

Watauga, NC - Ashe, NC⁶

• Rate : The incidence rate is 38.1 with a 95% confidence interval from 32.5 to 44.3 and 39 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.0 with a 95% confidence interval from 2.6 to 8.1.

Iredell (Statesville), NC - Alexander, NC⁶

• Rate : The incidence rate is 38.2 with a 95% confidence interval from 34.8 to 41.8 and 101 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.3 with a 95% confidence interval from 3.7 to 7.4.

Calloway, KY⁷

• Rate : The incidence rate is 38.4 with a 95% confidence interval from 30.1 to 48.2 and 17 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -0.2 to 5.6.

Flathead, MT - Lincoln, MT⁶

• Rate : The incidence rate is 38.5 with a 95% confidence interval from 34.0 to 43.4 and 61 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -9.5 to 6.9.

Harford, MD - Cecil, MD⁶

• Rate : The incidence rate is 38.5 with a 95% confidence interval from 35.9 to 41.4 and 167 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.1 with a 95% confidence interval from 2.2 to 4.2.

Salt Lake (Salt Lake City), UT - Tooele, UT⁷

• Rate : The incidence rate is 39.0 with a 95% confidence interval from 37.4 to 40.6 and 481 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -6.0 to 0.6.

Grafton, NH - Sullivan, NH⁶

• Rate : The incidence rate is 39.0 with a 95% confidence interval from 34.9 to 43.5 and 74 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.3 to 3.0.

Rutland, VT⁶

• Rate : The incidence rate is 39.1 with a 95% confidence interval from 32.8 to 46.4 and 32 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -1.5 to 5.2.

St. Johns (St. Augustine), FL - Putnam, FL⁶

• Rate : The incidence rate is 39.2 with a 95% confidence interval from 36.5 to 42.0 and 179 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.5 with a 95% confidence interval from 3.6 to 5.8.

Kent, MD⁶

• Rate : The incidence rate is 40.4 with a 95% confidence interval from 29.6 to 54.3 and 12 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -4.0 to 10.8.

Lewis and Clark, MT - Jefferson, MT⁶

• Rate : The incidence rate is 40.9 with a 95% confidence interval from 35.5 to 47.0 and 46 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 9.4 with a 95% confidence interval from 6.8 to 13.8.

Dubuque (Dubuque), IA - Jackson, IA⁷

• Rate : The incidence rate is 41.5 with a 95% confidence interval from 36.5 to 46.9 and 57 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.2 with a 95% confidence interval from 4.4 to 6.4.

Sonoma (Santa Rosa), CA⁷

• Rate : The incidence rate is 42.6 with a 95% confidence interval from 40.4 to 45.0 and 287 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -8.1 to 2.6.

Santa Cruz, CA⁷

• Rate : The incidence rate is 42.7 with a 95% confidence interval from 39.5 to 46.2 and 138 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.8 with a 95% confidence interval from 3.3 to 11.0.

Hall, GA - Habersham, GA⁷

• Rate : The incidence rate is 42.8 with a 95% confidence interval from 40.1 to 45.5 and 211 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -7.7 to 2.4.

Mitchell, IA⁷

• Rate : The incidence rate is 42.9 with a 95% confidence interval from 27.2 to 64.5 and 5 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Gallatin and Yellowstone National Park, MT - Madison, MT⁶

• Rate : The incidence rate is 42.9 with a 95% confidence interval from 37.8 to 48.6 and 53 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 6.1 with a 95% confidence interval from 3.9 to 9.3.

Bennington, VT⁶

• Rate : The incidence rate is 44.1 with a 95% confidence interval from 35.7 to 54.1 and 23 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 7.2 with a 95% confidence interval from -1.6 to 30.0.

Cerro Gordo, IA - Kossuth, IA⁷

• Rate : The incidence rate is 44.5 with a 95% confidence interval from 39.0 to 50.5 and 57 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.0 with a 95% confidence interval from 3.8 to 6.7.

Davis, UT - Weber (Ogden), UT⁷

• Rate : The incidence rate is 45.2 with a 95% confidence interval from 42.8 to 47.7 and 276 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -4.3 to 4.8.

Winneshiek, IA⁷

• Rate : The incidence rate is 45.2 with a 95% confidence interval from 32.5 to 61.2 and 10 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Iron, UT - Beaver, UT⁷

• Rate : The incidence rate is 45.6 with a 95% confidence interval from 37.7 to 54.6 and 25 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -8.4 to 2.0.

Clay, IA - Dickinson, IA⁷

• Rate : The incidence rate is 48.0 with a 95% confidence interval from 39.5 to 57.8 and 27 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.6 with a 95% confidence interval from 4.7 to 6.8.

Cache, UT⁷

• Rate : The incidence rate is 49.8 with a 95% confidence interval from 43.6 to 56.6 and 48 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.8 with a 95% confidence interval from 3.4 to 7.0.

Blaine, ID - Camas, ID⁷

• Rate : The incidence rate is 52.0 with a 95% confidence interval from 41.3 to 64.8 and 18 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 4.4 with a 95% confidence interval from 0.4 to 10.3.

Marin, CA⁷

• Rate : The incidence rate is 55.9 with a 95% confidence interval from 52.4 to 59.6 and 215 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 1.8 to 3.4.

Sioux, IA⁷

• Rate : The incidence rate is 56.1 with a 95% confidence interval from 45.2 to 68.7 and 20 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.1 with a 95% confidence interval from 3.5 to 7.5.

Washington, UT - Kane, UT⁷

• Rate : The incidence rate is 58.4 with a 95% confidence interval from 53.9 to 63.2 and 142 average annual cases over 2016-2020.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is rising because the trend is 17.2 with a 95% confidence interval from 12.5 to 21.8.

Accomack, VA - Northampton, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Albemarle, VA - Charlottesville City, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Alleghany Cnty & Clifton Forge Cty, VA - Covington City, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Allen (Fort Wayne), IN - Noble, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Alpine, CA⁷

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

Atchison, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Atchison, MO - Holt, MO⁶

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

Augusta, VA - Staunton City, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Baca, CO⁶

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

Barber, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Bartholomew, IN - Jackson, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Barton, KS - Pawnee, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Beaver, OK⁶

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

Beltrami, MN - Clearwater, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Big Stone, MN - Traverse, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Blue Earth, MN - Nicollet, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Boone, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Bowman, ND - Hettinger, ND⁶

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

Boyd, NE⁶

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

Brewster, TX - Presidio, TX⁷

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

Brown, MN - Renville, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Brunswick, VA - Greensville, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Carroll, VA - Grayson, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Chase, NE - Dundy, NE⁶

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

Cherokee, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Cherry, NE⁶

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

Cheyenne, KS - Rawlins, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Cheyenne, NE - Kimball, NE⁶

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

Childress, TX - Hall, TX⁷

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

Choctaw, OK⁶

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

Claiborne, LA⁷

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

Clark (Jeffersonville), IN - Scott, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Clark (Las Vegas), NV - Nye, NV⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Clark, MO⁶

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

Clay, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Clay, MN - Becker, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Cloud, KS - Republic, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Colfax, NM⁷

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

Collingsworth, TX⁷

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

Crawford, KS - Bourbon, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Crow Wing, MN - Cass, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Daggett, UT⁷

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

Dawes, NE - Sheridan, NE⁶

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

Dearborn, IN - Jefferson (Madison), IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Decatur, KS - Sheridan, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Delaware (Muncie), IN - Randolph, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Dickey, ND - LaMoure, ND⁶

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

Dimmit, TX⁷

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

Doniphan, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Douglas, MN - Pope, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Dubois, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Elkhart (Elkhart), IN - Kosciusko, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Elko, NV - Lander, NV⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Ellis, KS - Rooks, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Emmet, IA⁷

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

Essex, VT⁶

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

Fairfax, VA - Arlington, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Fergus, MT - Petroleum, MT⁶

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

Finney, KS - Scott, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Floyd (New Albany), IN - Harrison, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Ford, KS - Gray, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Fountain, IN - Warren, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Franklin, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Frederick, VA - Shenandoah, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Freeborn, MN - Faribault, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Fulton, KY⁷

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

Geary, KS - Dickinson, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Gogebic, MI - Ontonagon, MI⁶

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

Goodhue, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Grant, IN - Miami, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Grant, KS - Stanton, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Grant, ND⁶

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

Grant, OR⁶

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

Grundy, MO - Mercer, MO⁶

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

Halifax with South Boston City, VA - Mecklenburg, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Hamilton, IN - Madison (Anderson), IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Hancock, IN - Henry (New Castle), IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Hennepin (Minneapolis), MN - Anoka, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Henrico (Richmond), VA - Chesterfield, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Henry, VA - Patrick, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Houston, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Howard (Kokomo), IN - Cass, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Howard, IA⁷

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

Huntington, IN - Adams, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Isanti (Cambridge), MN - Mille Lacs, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Jackson, CO⁶

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

Johnson (Overland Park), KS - Douglas, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Kandiyohi, MN - Chippewa, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Kingman, KS - Harper, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Knox, IN - Daviess, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

La Porte, IN - Starke, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Labette, KS - Neosho, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Lake (Gary), IN - Porter, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Lawrence, IN - Orange, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Lemhi, ID⁷

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

Lipscomb, TX⁷

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

Lyon, KS - Coffey, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Lyon, MN - Lincoln, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Madison, LA⁷

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

Marion (Indianapolis), IN - Johnson, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Marshall, KS - Washington, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Martin, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

McIntosh, ND - Logan, ND⁶

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

McPherson, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Mitchell, KS - Osborne, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Monroe (Bloomington), IN - Greene, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Montgomery, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Montgomery, KS - Chautauqua, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Montgomery, VA - Pulaski, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Nemaha, NE⁶

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

Ness, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Newport News City, VA - Hampton City, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Nobles, MN - Cottonwood, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Nolan, TX - Mitchell, TX⁷

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

Oglala Lakota, SD - Bennett, SD⁶

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

Olmsted (Rochester), MN - Winona, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Otter Tail, MN - Grant, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Pemiscot, MO⁶

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

Pendleton, WV⁶

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

Pennington, MN - Marshall, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Perkins, SD - Harding, SD⁶

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

Perry, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Petersburg City, VA - Prince George, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Phillips, KS - Norton, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Pipestone, MN - Rock, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Pittsylvania (Danville), VA - Danville City, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Platte, WY⁶

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

Polk, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Powell, MT⁶

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

Pratt, KS - Kiowa, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Prince William (Dale City), VA - Fauquier, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Quitman, GA⁷

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

Ramsey (St. Paul), MN - Dakota, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Reno, KS - Rice, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Rice, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Richardson, NE - Pawnee, NE⁶

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

Roanoke City, VA - Roanoke, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Roberts, SD⁶

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

Rockingham, VA - Harrisonburg City, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Rolette, ND - Pierce, ND⁶

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

Roosevelt, MT - Valley, MT⁶

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

Roseau, MN - Lake of the Woods, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Russell, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Saline, KS - Ellsworth, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

San Juan, UT⁷

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

Scurry, TX⁷

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

Sedgwick (Wichita), KS - Butler, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Seward, KS - Morton, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Shawnee (Topeka), KS - Riley, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Sheridan, MT - Daniels, MT⁶

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

St. Joseph (South Bend), IN - Marshall, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

St. Louis (Duluth), MN - Itasca, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Stafford, VA - Spotsylvania, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Stearns (St. Cloud), MN - Benton, MN⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Stevens, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Tazewell, VA - Buchanan, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Terry, TX - Yoakum, TX⁷

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

Thomas, KS - Sherman, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Tippecanoe (Lafayette), IN - Clinton, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Union, NM⁷

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

Uvalde, TX⁷

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

Vanderburgh (Evansville), IN - Warrick, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Vigo (Terre Haute), IN - Clay, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Virginia Beach City, VA - Norfolk City, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Wabash, IL⁷

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

Warren, GA - Glascock, GA⁷

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

Washington, VA - Smyth, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Washoe (Reno), NV - Carson City, NV⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Wayne, IN - Fayette, IN⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Weston, WY⁶

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

Wheatland, MT - Meagher, MT⁶

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

White Pine, NV⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Whitman, WA⁶

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

Wichita, KS - Greeley, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Wilkinson, MS⁶

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

Wilson, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Winn, LA⁷

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

Wise, VA - Lee, VA⁶

• Rate : Data not available for this combination of data selections.
• CI*Rank⋔ : N/A
• Recent Trend : Data not available for this combination of data selections.

Wyandotte (Kansas City), KS - Leavenworth, KS⁶

• Rate : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
• CI*Rank⋔ : N/A
• Recent Trend : ¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

Notes:
Created by statecancerprofiles.cancer.gov on 06/10/2024 7:50 am.

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

† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used for SEER and NPCR incidence rates.
‡ Incidence data come from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.

Rates and trends are computed using different standards for malignancy. For more information see malignant.html.

^ All Stages refers to any stage in the Surveillance, Epidemiology, and End Results (SEER) summary stage.
⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

Health Service Areas are a single county or cluster of contiguous counties which are relatively self-contained with respect to hospital care. For more detailed information, please see the Health Service Area information page at http://statecancerprofiles.cancer.gov/hsa.php . Puerto Rico is being treated as a Health Service Area for this data presentation.
¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
Data not available for this combination of data selections.

¹ Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2022 submission.
⁶ Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2022 submission).
⁷ Source: SEER November 2022 submission.
⁸ Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modifed by NCI. The US Population Data File is used with SEER November 2022 data.
Data not available for this combination of geography, cancer site, age, and race/ethnicity.

Data for the United States does not include data from Nevada.
Data for the United States does not include Puerto Rico.