State Cancer Profiles > Interpretation of Incidence Rates Data

Incidence > Table > Interpret

Interpretation of Incidence Rates Data

Incidence Rate Report for United States by HSA

Melanoma of the Skin (All Stages^), 2017-2021

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 22.7 with a 95% confidence interval from 22.6 to 22.8 and 86,630 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.5 to 1.5.

Puerto Rico⁶

Rate : The incidence rate is 3.3 with a 95% confidence interval from 3.1 to 3.6 and 132 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -27.1 to 26.0.

Webb (Laredo), TX - Zapata, TX⁷

Rate : The incidence rate is 3.6 with a 95% confidence interval from 2.6 to 4.9 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -5.8 to 0.4.

El Paso (El Paso), TX - Hudspeth, TX⁷

Rate : The incidence rate is 5.5 with a 95% confidence interval from 4.8 to 6.3 and 46 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -3.6 to 0.0.

Maverick, TX - Val Verde, TX⁷

Rate : The incidence rate is 5.9 with a 95% confidence interval from 4.0 to 8.4 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -4.6 to 2.5.

Hidalgo (Mcallen), TX - Starr, TX⁷

Rate : The incidence rate is 6.3 with a 95% confidence interval from 5.5 to 7.1 and 50 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -3.4 to 15.9.

McKinley, NM⁷

Rate : The incidence rate is 6.4 with a 95% confidence interval from 4.0 to 9.7 and 5 average annual cases over 2017-2021.
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 7.0 with a 95% confidence interval from 5.9 to 8.2 and 31 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 9.0 with a 95% confidence interval from -1.3 to 20.4.

Orangeburg, SC - Bamberg, SC⁶

Rate : The incidence rate is 8.0 with a 95% confidence interval from 6.1 to 10.4 and 13 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -26.7 with a 95% confidence interval from -49.3 to 0.2.

Florence (Florence), SC - Darlington, SC⁶

Rate : The incidence rate is 8.0 with a 95% confidence interval from 6.8 to 9.5 and 30 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.9 to -0.7.

Umatilla, OR - Morrow, OR⁶

Rate : The incidence rate is 8.5 with a 95% confidence interval from 6.1 to 11.5 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -10.0 with a 95% confidence interval from -27.0 to -5.0.

Wise, VA - Lee, VA⁶

Rate : The incidence rate is 8.5 with a 95% confidence interval from 6.1 to 11.7 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -8.4 to 0.1.

Otero, CO - Prowers, CO⁶

Rate : The incidence rate is 8.6 with a 95% confidence interval from 5.5 to 13.0 and 5 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -23.7 to 0.8.

Washington, MS - Sharkey, MS⁶

Rate : The incidence rate is 8.7 with a 95% confidence interval from 5.6 to 13.0 and 5 average annual cases over 2017-2021.
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).

Bee, TX - Karnes, TX⁷

Rate : The incidence rate is 8.7 with a 95% confidence interval from 5.3 to 13.6 and 4 average annual cases over 2017-2021.
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).

Lea, NM⁷

Rate : The incidence rate is 8.8 with a 95% confidence interval from 5.9 to 12.8 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.5 to 0.8.

Prince William (Dale City), VA - Fauquier, VA⁶

Rate : The incidence rate is 8.9 with a 95% confidence interval from 7.8 to 10.0 and 52 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -5.3 with a 95% confidence interval from -7.7 to -3.0.

Kings (New York), NY - Queens, NY⁷

Rate : The incidence rate is 9.1 with a 95% confidence interval from 8.8 to 9.4 and 903 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.0 to -0.7.

San Juan, NM⁷

Rate : The incidence rate is 9.2 with a 95% confidence interval from 7.0 to 11.8 and 13 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.1 to 0.0.

Marion, SC - Dillon, SC⁶

Rate : The incidence rate is 9.2 with a 95% confidence interval from 6.4 to 13.0 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -6.3 to -0.6.

Russell, AL⁶

Rate : The incidence rate is 9.4 with a 95% confidence interval from 6.3 to 13.5 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -5.3 with a 95% confidence interval from -25.3 to -1.2.

San Miguel, NM - Mora, NM⁷

Rate : The incidence rate is 9.7 with a 95% confidence interval from 6.2 to 14.7 and 5 average annual cases over 2017-2021.
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).

Alamosa, CO - Rio Grande, CO⁶

Rate : The incidence rate is 10.0 with a 95% confidence interval from 6.8 to 14.4 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -29.7 to -0.9.

District of Columbia⁶

Rate : The incidence rate is 10.0 with a 95% confidence interval from 9.0 to 11.2 and 68 average annual cases over 2017-2021.
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 3.2.

Bolivar, MS - Leflore, MS⁶

Rate : The incidence rate is 10.1 with a 95% confidence interval from 7.4 to 13.5 and 10 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -1.8 to 4.8.

Adair, MO - Sullivan, MO⁶

Rate : The incidence rate is 10.3 with a 95% confidence interval from 6.7 to 15.1 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -6.4 to 2.8.

St. Mary, LA⁷

Rate : The incidence rate is 10.5 with a 95% confidence interval from 7.1 to 15.1 and 6 average annual cases over 2017-2021.
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 2.6.

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

Rate : The incidence rate is 10.6 with a 95% confidence interval from 8.0 to 13.8 and 12 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -7.1 to -0.4.

Ector (Odessa), TX - Reeves, TX⁷

Rate : The incidence rate is 10.7 with a 95% confidence interval from 8.5 to 13.2 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -3.8 to 0.2.

Williams, ND - McKenzie, ND⁶

Rate : The incidence rate is 10.7 with a 95% confidence interval from 6.9 to 15.7 and 5 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -20.0 with a 95% confidence interval from -56.4 to -1.8.

Fairfax, VA - Arlington, VA⁶

Rate : The incidence rate is 11.0 with a 95% confidence interval from 10.4 to 11.7 and 228 average annual cases over 2017-2021.
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 -1.7.

Malheur, OR⁶

Rate : The incidence rate is 11.1 with a 95% confidence interval from 6.6 to 17.3 and 4 average annual cases over 2017-2021.
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).

Dickinson, MI - Menominee, MI⁶

Rate : The incidence rate is 11.1 with a 95% confidence interval from 7.9 to 15.4 and 10 average annual cases over 2017-2021.
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 6.3.

Nacogdoches, TX - Shelby, TX⁷

Rate : The incidence rate is 11.2 with a 95% confidence interval from 8.6 to 14.3 and 14 average annual cases over 2017-2021.
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 2.7.

Washington, VA - Smyth, VA⁶

Rate : The incidence rate is 11.2 with a 95% confidence interval from 9.2 to 13.6 and 24 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -5.7 with a 95% confidence interval from -15.9 to -2.7.

Nolan, TX - Mitchell, TX⁷

Rate : The incidence rate is 11.4 with a 95% confidence interval from 6.5 to 18.4 and 4 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -1.3 to 6.2.

Bexar (San Antonio), TX - Guadalupe, TX⁷

Rate : The incidence rate is 11.4 with a 95% confidence interval from 10.8 to 12.0 and 280 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.7 with a 95% confidence interval from 0.8 to 8.6.

Yuma, AZ - La Paz, AZ⁶

Rate : The incidence rate is 11.4 with a 95% confidence interval from 9.7 to 13.4 and 34 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 3.3 with a 95% confidence interval from -14.6 to 18.7.

Curry, NM - Roosevelt, NM⁷

Rate : The incidence rate is 11.5 with a 95% confidence interval from 8.5 to 15.2 and 10 average annual cases over 2017-2021.
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 11.5 with a 95% confidence interval from 8.4 to 15.3 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -13.9 to 1.4.

Shelby (Memphis), TN - Tipton, TN⁶

Rate : The incidence rate is 11.7 with a 95% confidence interval from 10.8 to 12.6 and 129 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.6 to 1.8.

Spokane (Spokane), WA - Stevens, WA⁶

Rate : The incidence rate is 11.7 with a 95% confidence interval from 10.6 to 12.9 and 89 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 9.8 with a 95% confidence interval from -11.4 to 25.5.

Anderson, TX - Cherokee, TX⁷

Rate : The incidence rate is 11.8 with a 95% confidence interval from 9.5 to 14.4 and 20 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -2.4 to 3.5.

Warren, MS - Claiborne, MS⁶

Rate : The incidence rate is 11.8 with a 95% confidence interval from 8.3 to 16.4 and 8 average annual cases over 2017-2021.
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 6.1.

Yazoo, MS⁶

Rate : The incidence rate is 12.0 with a 95% confidence interval from 6.9 to 19.4 and 3 average annual cases over 2017-2021.
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).

Lowndes, MS - Clay, MS⁶

Rate : The incidence rate is 12.1 with a 95% confidence interval from 9.3 to 15.5 and 13 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -14.8 with a 95% confidence interval from -37.7 to 5.8.

Apache, AZ⁶

Rate : The incidence rate is 12.2 with a 95% confidence interval from 8.9 to 16.3 and 10 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 11.0 with a 95% confidence interval from -6.4 to 30.8.

Bristol (New Bedford), MA⁷

Rate : The incidence rate is 12.2 with a 95% confidence interval from 11.1 to 13.5 and 89 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -21.0 with a 95% confidence interval from -31.5 to -9.1.

Logan, CO - Phillips, CO⁶

Rate : The incidence rate is 12.3 with a 95% confidence interval from 7.7 to 18.8 and 5 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -8.8 with a 95% confidence interval from -32.4 to -4.0.

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

Rate : The incidence rate is 12.4 with a 95% confidence interval from 11.2 to 13.8 and 75 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 9.6 with a 95% confidence interval from 2.6 to 19.5.

Coos, OR - Curry, OR⁶

Rate : The incidence rate is 12.5 with a 95% confidence interval from 9.8 to 15.7 and 20 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -6.2 to 0.0.

Hampden (Springfield), MA - Hampshire, MA⁷

Rate : The incidence rate is 12.5 with a 95% confidence interval from 11.4 to 13.7 and 98 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -3.0 to -0.2.

Chambers, AL - Randolph, AL⁶

Rate : The incidence rate is 12.5 with a 95% confidence interval from 9.1 to 16.9 and 10 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -4.9 to 4.9.

Hardin, TN - McNairy, TN⁶

Rate : The incidence rate is 12.5 with a 95% confidence interval from 9.0 to 17.1 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -3.1 to 2.5.

Montgomery (Clarksville), TN - Stewart, TN⁶

Rate : The incidence rate is 12.5 with a 95% confidence interval from 10.4 to 15.0 and 25 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -15.0 to 0.5.

Aiken, SC - Edgefield, SC⁶

Rate : The incidence rate is 12.6 with a 95% confidence interval from 10.8 to 14.6 and 37 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.4 to 0.1.

Bergen, NJ - Hudson (Jersey City), NJ⁷

Rate : The incidence rate is 12.6 with a 95% confidence interval from 12.0 to 13.3 and 321 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.6.

Hertford, NC - Bertie, NC⁶

Rate : The incidence rate is 12.6 with a 95% confidence interval from 9.5 to 16.6 and 12 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -0.9 to 6.1.

Houghton, MI - Baraga, MI⁶

Rate : The incidence rate is 12.7 with a 95% confidence interval from 8.4 to 18.5 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -16.9 to 0.2.

Los Angeles (Los Angeles), CA⁷

Rate : The incidence rate is 12.7 with a 95% confidence interval from 12.4 to 13.1 and 1,397 average annual cases over 2017-2021.
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.

Tuscaloosa (Tuscaloosa), AL - Pickens, AL⁶

Rate : The incidence rate is 12.8 with a 95% confidence interval from 11.0 to 14.9 and 37 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.3 to 0.9.

Coahoma, MS - Tallahatchie, MS⁶

Rate : The incidence rate is 12.9 with a 95% confidence interval from 8.6 to 18.6 and 6 average annual cases over 2017-2021.
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).

Pittsylvania (Danville), VA - Danville City, VA⁶

Rate : The incidence rate is 12.9 with a 95% confidence interval from 10.3 to 16.1 and 19 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.8 to 0.5.

Polk, AR⁶

Rate : The incidence rate is 13.0 with a 95% confidence interval from 7.3 to 21.8 and 3 average annual cases over 2017-2021.
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 4.9.

Deaf Smith, TX - Parmer, TX⁷

Rate : The incidence rate is 13.0 with a 95% confidence interval from 7.8 to 20.5 and 4 average annual cases over 2017-2021.
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 13.0 with a 95% confidence interval from 10.8 to 15.7 and 25 average annual cases over 2017-2021.
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 0.5.

Gregg (Longview), TX - Rusk, TX⁷

Rate : The incidence rate is 13.1 with a 95% confidence interval from 11.2 to 15.1 and 38 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 6.5 with a 95% confidence interval from 3.0 to 15.1.

Adams, MS - Jefferson, MS⁶

Rate : The incidence rate is 13.1 with a 95% confidence interval from 9.2 to 18.2 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -1.3 to 6.2.

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

Rate : The incidence rate is 13.1 with a 95% confidence interval from 10.0 to 16.8 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.9 to 4.0.

Smith (Tyler), TX - Henderson, TX⁷

Rate : The incidence rate is 13.2 with a 95% confidence interval from 11.8 to 14.7 and 73 average annual cases over 2017-2021.
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 3.3.

Navarro, TX - Freestone, TX⁷

Rate : The incidence rate is 13.3 with a 95% confidence interval from 10.0 to 17.2 and 12 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.9 to 2.9.

Howard, TX - Glasscock, TX⁷

Rate : The incidence rate is 13.3 with a 95% confidence interval from 8.5 to 19.8 and 5 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -3.5 to 2.7.

Madison (Jackson), TN - Gibson, TN⁶

Rate : The incidence rate is 13.3 with a 95% confidence interval from 11.5 to 15.3 and 44 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -6.9 with a 95% confidence interval from -13.6 to 0.9.

Dyer, TN - Lauderdale, TN⁶

Rate : The incidence rate is 13.4 with a 95% confidence interval from 10.0 to 17.5 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -1.1 to 8.9.

Mississippi, AR⁶

Rate : The incidence rate is 13.4 with a 95% confidence interval from 8.9 to 19.3 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -1.2 to 7.5.

Petersburg City, VA - Prince George, VA⁶

Rate : The incidence rate is 13.4 with a 95% confidence interval from 11.0 to 16.2 and 23 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.5 to 3.2.

Decatur, GA - Seminole, GA⁷

Rate : The incidence rate is 13.4 with a 95% confidence interval from 9.5 to 18.6 and 8 average annual cases over 2017-2021.
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 1.8.

Brunswick, VA - Greensville, VA⁶

Rate : The incidence rate is 13.5 with a 95% confidence interval from 9.1 to 19.5 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -4.3 to 6.3.

McLennan (Waco), TX - Hill, TX⁷

Rate : The incidence rate is 13.6 with a 95% confidence interval from 12.0 to 15.3 and 57 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 10.2 with a 95% confidence interval from 1.0 to 19.1.

Miami-Dade (Miami), FL - Broward, FL⁶

Rate : The incidence rate is 13.6 with a 95% confidence interval from 13.1 to 14.0 and 805 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -7.5 to 0.1.

Pueblo (Pueblo), CO - Las Animas, CO⁶

Rate : The incidence rate is 13.6 with a 95% confidence interval from 11.5 to 16.0 and 33 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.9 to 1.7.

Bell (Killeen), TX - Coryell, TX⁷

Rate : The incidence rate is 13.7 with a 95% confidence interval from 12.2 to 15.3 and 63 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.2 to 0.1.

Miller, AR - Hempstead, AR⁶

Rate : The incidence rate is 13.8 with a 95% confidence interval from 11.1 to 16.9 and 20 average annual cases over 2017-2021.
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 7.6.

Tulare, CA⁷

Rate : The incidence rate is 13.8 with a 95% confidence interval from 12.2 to 15.5 and 58 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.8 to 1.9.

Gaines, TX - Andrews, TX⁷

Rate : The incidence rate is 13.8 with a 95% confidence interval from 8.7 to 20.8 and 5 average annual cases over 2017-2021.
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 13.9 with a 95% confidence interval from 9.8 to 19.2 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -5.2 to 2.3.

Orleans (New Orleans), LA - Jefferson, LA⁷

Rate : The incidence rate is 13.9 with a 95% confidence interval from 13.0 to 15.0 and 161 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -2.7 to 3.1.

Jefferson (Beaumont), TX - Orange, TX⁷

Rate : The incidence rate is 13.9 with a 95% confidence interval from 12.5 to 15.5 and 73 average annual cases over 2017-2021.
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 0.3.

Union, AR - Columbia, AR⁶

Rate : The incidence rate is 14.1 with a 95% confidence interval from 10.4 to 18.6 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -1.9 to 5.6.

Midland (Midland), TX - Pecos, TX⁷

Rate : The incidence rate is 14.2 with a 95% confidence interval from 11.7 to 17.0 and 24 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.9 to 1.0.

Hale, TX - Castro, TX⁷

Rate : The incidence rate is 14.3 with a 95% confidence interval from 9.9 to 19.9 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.8 to 3.2.

Richland (Columbia), SC - Lexington, SC⁶

Rate : The incidence rate is 14.3 with a 95% confidence interval from 13.2 to 15.6 and 122 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -9.2 with a 95% confidence interval from -18.0 to -0.7.

Montgomery, MD - Prince Georges, MD⁶

Rate : The incidence rate is 14.4 with a 95% confidence interval from 13.7 to 15.1 and 377 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.6 to 3.7.

Brazoria (Lake Jackson), TX - Wharton, TX⁷

Rate : The incidence rate is 14.4 with a 95% confidence interval from 12.9 to 16.1 and 66 average annual cases over 2017-2021.
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 1.1.

Androscoggin (Lewiston), ME - Oxford, ME⁶

Rate : The incidence rate is 14.4 with a 95% confidence interval from 12.4 to 16.8 and 39 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.6 to 0.3.

New London, CT⁷

Rate : The incidence rate is 14.5 with a 95% confidence interval from 12.7 to 16.5 and 52 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -7.2 to -2.6.

Harris (Houston), TX - Fort Bend, TX⁷

Rate : The incidence rate is 14.5 with a 95% confidence interval from 14.1 to 15.0 and 873 average annual cases over 2017-2021.
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 11.2.

Osceola, FL⁶

Rate : The incidence rate is 14.7 with a 95% confidence interval from 13.0 to 16.5 and 58 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.1 to 0.9.

Essex (Newark), NJ - Middlesex, NJ⁷

Rate : The incidence rate is 14.7 with a 95% confidence interval from 14.1 to 15.3 and 447 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -2.7 to -0.2.

Ouachita, AR - Dallas, AR⁶

Rate : The incidence rate is 14.7 with a 95% confidence interval from 9.6 to 21.8 and 6 average annual cases over 2017-2021.
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 13.1 to 16.6 and 60 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -4.0 to -0.5.

Choctaw, AL - Sumter, AL⁶

Rate : The incidence rate is 14.8 with a 95% confidence interval from 9.5 to 22.4 and 5 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 0.3 to 8.5.

Dakota, NE - Thurston, NE⁶

Rate : The incidence rate is 14.9 with a 95% confidence interval from 9.6 to 22.1 and 5 average annual cases over 2017-2021.
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 4.3.

Benton (Kennewick), WA - Franklin, WA⁶

Rate : The incidence rate is 14.9 with a 95% confidence interval from 13.0 to 17.0 and 46 average annual cases over 2017-2021.
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 1.3.

DeSoto, MS - Marshall, MS⁶

Rate : The incidence rate is 15.0 with a 95% confidence interval from 13.1 to 17.0 and 48 average annual cases over 2017-2021.
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 4.7.

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

Rate : The incidence rate is 15.0 with a 95% confidence interval from 13.5 to 16.6 and 83 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 0.3 to 4.4.

Dallas (Dallas), TX - Collin, TX⁷

Rate : The incidence rate is 15.0 with a 95% confidence interval from 14.4 to 15.5 and 599 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 1.2 to 2.6.

Oktibbeha, MS - Winston, MS⁶

Rate : The incidence rate is 15.0 with a 95% confidence interval from 11.6 to 19.2 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -11.0 to 1.3.

Chaves, NM - Eddy, NM⁷

Rate : The incidence rate is 15.1 with a 95% confidence interval from 12.3 to 18.4 and 21 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 17.7 with a 95% confidence interval from 0.7 to 28.5.

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

Rate : The incidence rate is 15.1 with a 95% confidence interval from 9.3 to 23.4 and 5 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -0.9 to 7.2.

St. Landry, LA - Evangeline, LA⁷

Rate : The incidence rate is 15.2 with a 95% confidence interval from 12.3 to 18.7 and 19 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 2.0 to 7.1.

Victoria (Victoria), TX - Calhoun, TX⁷

Rate : The incidence rate is 15.3 with a 95% confidence interval from 13.0 to 17.8 and 34 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.3 to 3.6.

Texas, OK - Cimarron, OK⁶

Rate : The incidence rate is 15.3 with a 95% confidence interval from 9.0 to 24.3 and 4 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -8.3 to 1.6.

Union, OR - Baker, OR⁶

Rate : The incidence rate is 15.3 with a 95% confidence interval from 11.3 to 20.5 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.9 to 1.5.

Ashley, AR - Chicot, AR⁶

Rate : The incidence rate is 15.4 with a 95% confidence interval from 10.6 to 21.8 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -1.6 to 8.9.

Lamar, TX - Red River, TX⁷

Rate : The incidence rate is 15.4 with a 95% confidence interval from 11.8 to 19.8 and 14 average annual cases over 2017-2021.
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 3.4.

Washington, GA - Jefferson, GA⁷

Rate : The incidence rate is 15.4 with a 95% confidence interval from 10.5 to 21.9 and 7 average annual cases over 2017-2021.
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 5.1.

Nash, NC - Halifax, NC⁶

Rate : The incidence rate is 15.4 with a 95% confidence interval from 13.4 to 17.7 and 45 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from 0.0 to 2.9.

Otero, NM - Lincoln, NM⁷

Rate : The incidence rate is 15.4 with a 95% confidence interval from 12.3 to 19.1 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -3.3 to -0.3.

Walla Walla, WA - Columbia, WA⁶

Rate : The incidence rate is 15.4 with a 95% confidence interval from 11.7 to 20.0 and 13 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -7.5 with a 95% confidence interval from -20.6 to -3.1.

Clark (Las Vegas), NV - Nye, NV⁶

Rate : The incidence rate is 15.5 with a 95% confidence interval from 14.8 to 16.2 and 402 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -4.9 to 6.8.

Grant, NM - Hidalgo, NM⁷

Rate : The incidence rate is 15.5 with a 95% confidence interval from 10.6 to 21.9 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.7 to 2.1.

Terrebonne (Houma), LA - Lafourche, LA⁷

Rate : The incidence rate is 15.5 with a 95% confidence interval from 13.4 to 17.9 and 40 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.5 with a 95% confidence interval from 2.4 to 7.3.

Audrain, MO - Montgomery, MO⁶

Rate : The incidence rate is 15.5 with a 95% confidence interval from 11.0 to 21.3 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -5.3 to 1.3.

Tioga, PA⁶

Rate : The incidence rate is 15.5 with a 95% confidence interval from 11.1 to 21.2 and 10 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -14.9 with a 95% confidence interval from -40.1 to -2.2.

Taney, MO⁶

Rate : The incidence rate is 15.6 with a 95% confidence interval from 11.5 to 20.6 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -3.2 to 3.6.

Muscogee (Columbus), GA - Harris, GA⁷

Rate : The incidence rate is 15.6 with a 95% confidence interval from 13.6 to 17.8 and 47 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -22.0 with a 95% confidence interval from -41.6 to -1.5.

Delaware, OK⁶

Rate : The incidence rate is 15.6 with a 95% confidence interval from 11.3 to 21.2 and 10 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -3.5 to 3.1.

Concordia, LA - Tensas, LA⁷

Rate : The incidence rate is 15.6 with a 95% confidence interval from 9.8 to 23.9 and 5 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.1 with a 95% confidence interval from 0.8 to 8.5.

Marquette, MI - Delta, MI⁶

Rate : The incidence rate is 15.7 with a 95% confidence interval from 12.9 to 18.9 and 27 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -10.1 with a 95% confidence interval from -28.7 to 2.8.

Kay (Ponca City), OK - Osage, OK⁶

Rate : The incidence rate is 15.7 with a 95% confidence interval from 12.4 to 19.6 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.2 to 2.1.

Dona Ana (Las Cruces), NM - Luna, NM⁷

Rate : The incidence rate is 15.7 with a 95% confidence interval from 13.7 to 17.9 and 49 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -11.3 to 0.9.

Leon, TX - Madison, TX⁷

Rate : The incidence rate is 15.7 with a 95% confidence interval from 10.2 to 23.2 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -3.2 to 5.1.

Cumberland, NJ⁷

Rate : The incidence rate is 15.7 with a 95% confidence interval from 13.2 to 18.6 and 28 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -1.3 to 3.6.

Pitt, NC - Beaufort, NC⁶

Rate : The incidence rate is 15.7 with a 95% confidence interval from 13.7 to 17.9 and 49 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.2 to 1.3.

Philadelphia (Philadelphia), PA - Montgomery, PA⁶

Rate : The incidence rate is 15.8 with a 95% confidence interval from 15.3 to 16.3 and 799 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -11.7 with a 95% confidence interval from -20.8 to -6.9.

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

Rate : The incidence rate is 15.8 with a 95% confidence interval from 14.0 to 17.9 and 59 average annual cases over 2017-2021.
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 1.2.

Hill, MT - Blaine, MT⁶

Rate : The incidence rate is 15.9 with a 95% confidence interval from 10.2 to 23.6 and 5 average annual cases over 2017-2021.
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.

Stark, ND - Dunn, ND⁶

Rate : The incidence rate is 15.9 with a 95% confidence interval from 11.0 to 22.4 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 6.3 with a 95% confidence interval from 1.2 to 13.9.

Caddo (Shreveport), LA - Bossier, LA⁷

Rate : The incidence rate is 15.9 with a 95% confidence interval from 14.5 to 17.5 and 94 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.5 with a 95% confidence interval from 0.4 to 2.7.

Union, IL - Alexander, IL⁷

Rate : The incidence rate is 16.0 with a 95% confidence interval from 10.8 to 23.1 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -7.9 with a 95% confidence interval from -39.8 to 2.5.

Talladega, AL - Clay, AL⁶

Rate : The incidence rate is 16.1 with a 95% confidence interval from 13.1 to 19.5 and 23 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.6 to 2.7.

Coffee, GA - Jeff Davis, GA⁷

Rate : The incidence rate is 16.1 with a 95% confidence interval from 12.1 to 21.0 and 12 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -0.8 to 6.0.

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

Rate : The incidence rate is 16.2 with a 95% confidence interval from 13.6 to 19.0 and 31 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -23.8 to -0.7.

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

Rate : The incidence rate is 16.2 with a 95% confidence interval from 13.6 to 19.1 and 30 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 0.4 to 5.9.

Navajo, AZ⁶

Rate : The incidence rate is 16.2 with a 95% confidence interval from 13.2 to 19.7 and 22 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -1.0 to 7.3.

Lafayette (Lafayette), LA - Iberia, LA⁷

Rate : The incidence rate is 16.2 with a 95% confidence interval from 14.7 to 17.9 and 86 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 2.0 to 3.8.

Jackson (Kansas City), MO - Clay, MO⁶

Rate : The incidence rate is 16.3 with a 95% confidence interval from 15.3 to 17.2 and 240 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.8 to 1.0.

Gray, TX - Wheeler, TX⁷

Rate : The incidence rate is 16.3 with a 95% confidence interval from 11.0 to 23.3 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -5.9 to 1.6.

Comal, TX⁷

Rate : The incidence rate is 16.3 with a 95% confidence interval from 13.8 to 19.2 and 32 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.3 to -0.5.

Washington, PA - Fayette, PA⁶

Rate : The incidence rate is 16.3 with a 95% confidence interval from 14.7 to 18.1 and 80 average annual cases over 2017-2021.
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 5.5.

Uinta, WY⁶

Rate : The incidence rate is 16.4 with a 95% confidence interval from 9.6 to 26.2 and 4 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -20.6 with a 95% confidence interval from -47.1 to -1.5.

Weakley, TN - Obion, TN⁶

Rate : The incidence rate is 16.4 with a 95% confidence interval from 12.6 to 21.1 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -11.4 with a 95% confidence interval from -35.9 to 3.0.

Dunklin, MO⁶

Rate : The incidence rate is 16.4 with a 95% confidence interval from 10.7 to 24.3 and 6 average annual cases over 2017-2021.
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).

Travis (Austin), TX - Williamson, TX⁷

Rate : The incidence rate is 16.4 with a 95% confidence interval from 15.6 to 17.3 and 329 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -1.1 to 7.2.

Logan, WV - Mingo, WV⁶

Rate : The incidence rate is 16.5 with a 95% confidence interval from 12.3 to 21.7 and 12 average annual cases over 2017-2021.
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 4.3.

Titus, TX - Morris, TX⁷

Rate : The incidence rate is 16.5 with a 95% confidence interval from 12.7 to 21.2 and 13 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.7 to 5.1.

Linn, OR - Benton, OR⁶

Rate : The incidence rate is 16.6 with a 95% confidence interval from 14.3 to 19.0 and 44 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -8.9 with a 95% confidence interval from -31.3 to -3.1.

Lawrence, PA⁶

Rate : The incidence rate is 16.6 with a 95% confidence interval from 13.4 to 20.5 and 21 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -1.2 to 4.3.

Harrison (Marshall), TX - Cass, TX⁷

Rate : The incidence rate is 16.7 with a 95% confidence interval from 13.5 to 20.3 and 22 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.1 with a 95% confidence interval from 1.6 to 7.1.

Crawford, PA⁶

Rate : The incidence rate is 16.7 with a 95% confidence interval from 13.4 to 20.6 and 20 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -2.7 to 3.6.

Maury, TN - Giles, TN⁶

Rate : The incidence rate is 16.7 with a 95% confidence interval from 14.3 to 19.5 and 36 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -3.1 to 2.5.

Bowie (Texarkana), TX⁷

Rate : The incidence rate is 16.7 with a 95% confidence interval from 13.3 to 20.7 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from 0.0 to 4.9.

Portage, WI⁶

Rate : The incidence rate is 16.7 with a 95% confidence interval from 12.8 to 21.6 and 13 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -6.3 to -0.5.

Lee, MS - Monroe, MS⁶

Rate : The incidence rate is 16.8 with a 95% confidence interval from 14.4 to 19.5 and 37 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.4 to 1.2.

Rutherford (Murfreesboro), TN - Warren, TN⁶

Rate : The incidence rate is 16.8 with a 95% confidence interval from 15.1 to 18.8 and 70 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.8 to 4.0.

Henry, VA - Patrick, VA⁶

Rate : The incidence rate is 16.9 with a 95% confidence interval from 13.4 to 21.0 and 20 average annual cases over 2017-2021.
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 5.3.

Dougherty (Albany), GA - Lee, GA⁷

Rate : The incidence rate is 16.9 with a 95% confidence interval from 14.4 to 19.7 and 36 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.3 to 4.8.

Bulloch, GA - Emanuel, GA⁷

Rate : The incidence rate is 16.9 with a 95% confidence interval from 13.8 to 20.4 and 23 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 0.5 to 4.8.

Pontotoc, OK - Seminole, OK⁶

Rate : The incidence rate is 16.9 with a 95% confidence interval from 13.4 to 21.2 and 17 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -0.9 to 4.9.

Robeson, NC - Columbus, NC⁶

Rate : The incidence rate is 17.0 with a 95% confidence interval from 14.8 to 19.3 and 48 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 1.4 to 5.6.

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

Rate : The incidence rate is 17.0 with a 95% confidence interval from 12.2 to 23.1 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -2.0 to 6.3.

McCurtain, OK⁶

Rate : The incidence rate is 17.0 with a 95% confidence interval from 11.5 to 24.5 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -1.4 to 7.8.

Cumberland (Fayetteville), NC - Sampson, NC⁶

Rate : The incidence rate is 17.1 with a 95% confidence interval from 15.3 to 19.1 and 66 average annual cases over 2017-2021.
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 1.3.

Alcorn, MS - Tishomingo, MS⁶

Rate : The incidence rate is 17.2 with a 95% confidence interval from 12.8 to 22.6 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -6.7 to 1.7.

Lawrence, TN - Wayne, TN⁶

Rate : The incidence rate is 17.2 with a 95% confidence interval from 13.3 to 21.8 and 15 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -2.2 to 4.9.

Montgomery (Montgomery), AL - Autauga, AL⁶

Rate : The incidence rate is 17.2 with a 95% confidence interval from 15.4 to 19.0 and 77 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -17.4 with a 95% confidence interval from -25.7 to -8.0.

Rapides (Alexandria), LA - Avoyelles, LA⁷

Rate : The incidence rate is 17.2 with a 95% confidence interval from 15.0 to 19.6 and 48 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 1.7 to 5.3.

Lincoln, OR - Tillamook, OR⁶

Rate : The incidence rate is 17.2 with a 95% confidence interval from 13.9 to 21.2 and 23 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -6.9 with a 95% confidence interval from -18.0 to -3.0.

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

Rate : The incidence rate is 17.2 with a 95% confidence interval from 15.9 to 18.6 and 138 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -10.9 with a 95% confidence interval from -18.5 to -6.4.

Sumter, GA - Crisp, GA⁷

Rate : The incidence rate is 17.2 with a 95% confidence interval from 13.9 to 21.3 and 19 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.7 with a 95% confidence interval from 1.1 to 6.9.

Yakima (Yakima), WA - Kittitas, WA⁶

Rate : The incidence rate is 17.3 with a 95% confidence interval from 15.2 to 19.5 and 54 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.2 to 2.0.

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

Rate : The incidence rate is 17.3 with a 95% confidence interval from 16.3 to 18.4 and 212 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.8 to 0.5.

Custer, OK - Washita, OK⁶

Rate : The incidence rate is 17.3 with a 95% confidence interval from 12.0 to 24.3 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -3.9 to 3.3.

Saginaw (Saginaw), MI - Tuscola, MI⁶

Rate : The incidence rate is 17.3 with a 95% confidence interval from 15.4 to 19.5 and 65 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.3 to 1.4.

Randolph, WV - Barbour, WV⁶

Rate : The incidence rate is 17.4 with a 95% confidence interval from 13.4 to 22.3 and 15 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -5.1 to 1.4.

Lincoln, TN⁶

Rate : The incidence rate is 17.4 with a 95% confidence interval from 12.1 to 24.3 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -1.5 to 6.1.

Alleghany, NC⁶

Rate : The incidence rate is 17.4 with a 95% confidence interval from 9.9 to 30.2 and 3 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -6.0 to 8.7.

Lincoln, LA - Union, LA⁷

Rate : The incidence rate is 17.4 with a 95% confidence interval from 14.1 to 21.4 and 20 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.1 to 3.9.

Henry, TN - Carroll, TN⁶

Rate : The incidence rate is 17.4 with a 95% confidence interval from 13.9 to 21.7 and 19 average annual cases over 2017-2021.
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 3.1.

Elko, NV - Lander, NV⁶

Rate : The incidence rate is 17.5 with a 95% confidence interval from 13.0 to 23.0 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -1.8 to 6.1.

Tazewell, VA - Buchanan, VA⁶

Rate : The incidence rate is 17.5 with a 95% confidence interval from 13.7 to 22.1 and 17 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -3.3 to 3.0.

Orange (Newburgh), NY - Sullivan, NY⁷

Rate : The incidence rate is 17.5 with a 95% confidence interval from 15.9 to 19.2 and 95 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -17.6 to 3.1.

Cascade (Great Falls), MT - Glacier, MT⁶

Rate : The incidence rate is 17.6 with a 95% confidence interval from 14.7 to 21.0 and 28 average annual cases over 2017-2021.
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 5.6.

Baxter, AR - Marion, AR⁶

Rate : The incidence rate is 17.6 with a 95% confidence interval from 13.9 to 22.3 and 19 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -20.1 with a 95% confidence interval from -43.0 to 0.2.

Westchester (Yonkers), NY - Dutchess, NY⁷

Rate : The incidence rate is 17.6 with a 95% confidence interval from 16.8 to 18.5 and 365 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -9.0 to -0.6.

Lauderdale, MS - Neshoba, MS⁶

Rate : The incidence rate is 17.6 with a 95% confidence interval from 14.9 to 20.7 and 32 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.9 to 2.4.

Ingham (Lansing), MI - Eaton, MI⁶

Rate : The incidence rate is 17.6 with a 95% confidence interval from 16.1 to 19.3 and 107 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -6.2 to 1.2.

Campbell, WY - Crook, WY⁶

Rate : The incidence rate is 17.7 with a 95% confidence interval from 12.9 to 23.7 and 10 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -2.9 to 5.9.

Greene (Springfield), MO - Christian, MO⁶

Rate : The incidence rate is 17.7 with a 95% confidence interval from 16.4 to 19.1 and 145 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -7.5 to 0.8.

Sutter (Yuba City), CA - Yuba, CA⁷

Rate : The incidence rate is 17.8 with a 95% confidence interval from 15.3 to 20.6 and 38 average annual cases over 2017-2021.
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 3.4.

Henry, MO - Bates, MO⁶

Rate : The incidence rate is 17.9 with a 95% confidence interval from 13.1 to 23.8 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -12.7 to 2.0.

Butler, AL⁶

Rate : The incidence rate is 17.9 with a 95% confidence interval from 11.0 to 27.6 and 5 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -4.1 to 7.5.

Lubbock (Lubbock), TX - Hockley, TX⁷

Rate : The incidence rate is 17.9 with a 95% confidence interval from 16.0 to 20.0 and 68 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 18.7 with a 95% confidence interval from 7.1 to 30.5.

Oneida, WI - Vilas, WI⁶

Rate : The incidence rate is 17.9 with a 95% confidence interval from 14.6 to 22.0 and 24 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -0.1 to 6.1.

Klickitat, WA - Skamania, WA⁶

Rate : The incidence rate is 18.0 with a 95% confidence interval from 12.8 to 24.9 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -3.6 to 5.7.

Pike, PA⁶

Rate : The incidence rate is 18.0 with a 95% confidence interval from 14.4 to 22.5 and 19 average annual cases over 2017-2021.
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 3.5.

Putnam, GA - Hancock, GA⁷

Rate : The incidence rate is 18.0 with a 95% confidence interval from 12.7 to 25.2 and 9 average annual cases over 2017-2021.
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).

Howell, MO - Oregon, MO⁶

Rate : The incidence rate is 18.0 with a 95% confidence interval from 13.8 to 23.3 and 13 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 0.6 to 5.7.

Hays (San Marcos), TX - Caldwell, TX⁷

Rate : The incidence rate is 18.1 with a 95% confidence interval from 15.8 to 20.6 and 48 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 8.2 with a 95% confidence interval from -0.3 to 20.4.

Providence (Providence), RI - Kent, RI⁶

Rate : The incidence rate is 18.2 with a 95% confidence interval from 17.2 to 19.4 and 227 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -6.0 with a 95% confidence interval from -12.9 to -3.2.

Lane (Eugene), OR - Douglas, OR⁶

Rate : The incidence rate is 18.3 with a 95% confidence interval from 16.8 to 19.9 and 122 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.9 to -0.6.

Brown, TX - Coleman, TX⁷

Rate : The incidence rate is 18.3 with a 95% confidence interval from 14.2 to 23.2 and 15 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -1.7 to 3.8.

Escambia, AL - Conecuh, AL⁶

Rate : The incidence rate is 18.3 with a 95% confidence interval from 13.8 to 24.0 and 12 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -1.2 to 6.5.

Fresno (Fresno), CA - Kings, CA⁷

Rate : The incidence rate is 18.3 with a 95% confidence interval from 17.3 to 19.4 and 233 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 1.8 to 3.0.

Halifax with South Boston City, VA - Mecklenburg, VA⁶

Rate : The incidence rate is 18.3 with a 95% confidence interval from 14.6 to 22.8 and 21 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -1.4 to 6.6.

Brazos (Bryan), TX - Washington, TX⁷

Rate : The incidence rate is 18.4 with a 95% confidence interval from 16.2 to 20.7 and 56 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from 0.0 to 2.5.

Walker, GA - Catoosa, GA⁷

Rate : The incidence rate is 18.4 with a 95% confidence interval from 15.7 to 21.4 and 35 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.9 to 1.9.

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 2017-2021.
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 1.1.

Elk, PA⁶

Rate : The incidence rate is 18.4 with a 95% confidence interval from 12.8 to 25.8 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -12.0 to 3.2.

Lowndes, GA - Brooks, GA⁷

Rate : The incidence rate is 18.4 with a 95% confidence interval from 15.7 to 21.5 and 35 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from 0.0 to 2.9.

Davison, SD - Charles Mix, SD⁶

Rate : The incidence rate is 18.5 with a 95% confidence interval from 14.0 to 24.0 and 12 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -1.1 to 9.2.

Todd, SD - Tripp, SD⁶

Rate : The incidence rate is 18.5 with a 95% confidence interval from 11.6 to 28.3 and 5 average annual cases over 2017-2021.
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).

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

Rate : The incidence rate is 18.5 with a 95% confidence interval from 17.6 to 19.6 and 297 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.5 to -0.7.

Okmulgee, OK - Okfuskee, OK⁶

Rate : The incidence rate is 18.5 with a 95% confidence interval from 13.8 to 24.5 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -1.0 to 7.2.

Fremont, CO - Custer, CO⁶

Rate : The incidence rate is 18.6 with a 95% confidence interval from 14.3 to 23.8 and 15 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -20.5 with a 95% confidence interval from -41.0 to -1.8.

Alpena, MI - Presque Isle, MI⁶

Rate : The incidence rate is 18.6 with a 95% confidence interval from 14.9 to 23.1 and 21 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -4.4 to 2.2.

Kern, CA⁷

Rate : The incidence rate is 18.6 with a 95% confidence interval from 17.3 to 20.0 and 152 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from -0.7 to 10.4.

Jefferson (Birmingham), AL - Shelby, AL⁶

Rate : The incidence rate is 18.6 with a 95% confidence interval from 17.6 to 19.7 and 275 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -8.2 to 0.7.

Garland, AR - Hot Spring, AR⁶

Rate : The incidence rate is 18.6 with a 95% confidence interval from 16.2 to 21.4 and 45 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -1.4 to 6.9.

Cape Girardeau, MO - Butler, MO⁶

Rate : The incidence rate is 18.7 with a 95% confidence interval from 16.6 to 20.9 and 64 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.8 with a 95% confidence interval from 2.4 to 5.5.

Essex (Lynn), MA⁷

Rate : The incidence rate is 18.7 with a 95% confidence interval from 17.5 to 19.9 and 191 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -15.7 with a 95% confidence interval from -31.1 to -1.6.

Middlesex, MA - Suffolk (Boston), MA⁷

Rate : The incidence rate is 18.7 with a 95% confidence interval from 18.1 to 19.3 and 892 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -16.6 with a 95% confidence interval from -25.6 to -7.6.

Tangipahoa, LA - St. Helena, LA⁷

Rate : The incidence rate is 18.7 with a 95% confidence interval from 15.7 to 22.1 and 29 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 1.0 to 5.7.

Monroe, MI⁶

Rate : The incidence rate is 18.7 with a 95% confidence interval from 16.0 to 21.8 and 37 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.8 to 4.6.

Grenada, MS - Montgomery, MS⁶

Rate : The incidence rate is 18.7 with a 95% confidence interval from 13.6 to 25.2 and 10 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -4.0 to 4.5.

Whitfield, GA - Murray, GA⁷

Rate : The incidence rate is 18.7 with a 95% confidence interval from 15.8 to 22.0 and 30 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -6.3 to 1.4.

Pettis, MO - Saline, MO⁶

Rate : The incidence rate is 18.7 with a 95% confidence interval from 15.5 to 22.5 and 27 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -1.5 to 6.3.

Muskegon (Muskegon), MI - Newaygo, MI⁶

Rate : The incidence rate is 18.8 with a 95% confidence interval from 16.7 to 21.0 and 66 average annual cases over 2017-2021.
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.

Allegheny (Pittsburgh), PA - Westmoreland, PA⁶

Rate : The incidence rate is 18.8 with a 95% confidence interval from 18.0 to 19.6 and 518 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -8.4 with a 95% confidence interval from -12.6 to -6.1.

Cook (Chicago), IL - DuPage, IL⁷

Rate : The incidence rate is 18.8 with a 95% confidence interval from 18.4 to 19.2 and 1,541 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -0.9 to 4.5.

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

Rate : The incidence rate is 18.9 with a 95% confidence interval from 16.8 to 21.1 and 73 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.3 to 1.5.

Leon (Tallahassee), FL - Gadsden, FL⁶

Rate : The incidence rate is 18.9 with a 95% confidence interval from 17.1 to 20.7 and 94 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from -0.5 to 11.5.

Jefferson (Pine Bluff), AR - Drew, AR⁶

Rate : The incidence rate is 18.9 with a 95% confidence interval from 15.9 to 22.3 and 30 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.7 with a 95% confidence interval from 2.7 to 9.7.

Weld, CO - Morgan, CO⁶

Rate : The incidence rate is 18.9 with a 95% confidence interval from 17.0 to 21.0 and 71 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.8 to 3.4.

Beaufort, SC - Jasper, SC⁶

Rate : The incidence rate is 18.9 with a 95% confidence interval from 16.8 to 21.3 and 68 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -7.0 with a 95% confidence interval from -12.5 to -4.4.

Muskogee, OK - Wagoner, OK⁶

Rate : The incidence rate is 19.0 with a 95% confidence interval from 16.7 to 21.5 and 54 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.3 to 3.5.

Calcasieu (Lake Charles), LA - Vernon, LA⁷

Rate : The incidence rate is 19.0 with a 95% confidence interval from 17.0 to 21.1 and 70 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.2 with a 95% confidence interval from 0.9 to 3.7.

Floyd, GA - Bartow, GA⁷

Rate : The incidence rate is 19.0 with a 95% confidence interval from 17.0 to 21.1 and 72 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.7 to 2.7.

Hartford (Hartford), CT - Tolland, CT⁷

Rate : The incidence rate is 19.0 with a 95% confidence interval from 18.0 to 20.1 and 276 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.1 to -1.4.

Defiance, OH - Williams, OH⁶

Rate : The incidence rate is 19.0 with a 95% confidence interval from 16.0 to 22.5 and 30 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.4 with a 95% confidence interval from 2.6 to 11.3.

Marion, OH - Crawford, OH⁶

Rate : The incidence rate is 19.1 with a 95% confidence interval from 16.8 to 21.6 and 53 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -10.2 to -0.7.

Erie (Erie), PA - Warren, PA⁶

Rate : The incidence rate is 19.1 with a 95% confidence interval from 17.1 to 21.3 and 75 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from 0.0 to 2.9.

Marion, AL - Fayette, AL⁶

Rate : The incidence rate is 19.1 with a 95% confidence interval from 14.2 to 25.3 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 22.6 with a 95% confidence interval from 9.1 to 39.3.

Columbia, NY - Greene, NY⁷

Rate : The incidence rate is 19.1 with a 95% confidence interval from 16.1 to 22.6 and 33 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -5.3 to 1.0.

Harlan, KY - Bell, KY⁷

Rate : The incidence rate is 19.1 with a 95% confidence interval from 14.7 to 24.6 and 13 average annual cases over 2017-2021.
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 3.6.

Erath, TX - Comanche, TX⁷

Rate : The incidence rate is 19.2 with a 95% confidence interval from 14.6 to 24.8 and 13 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -3.1 to 2.6.

Jackson (Medford), OR - Josephine, OR⁶

Rate : The incidence rate is 19.2 with a 95% confidence interval from 17.3 to 21.2 and 87 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -5.1 to -0.9.

Fairfield, CT⁷

Rate : The incidence rate is 19.2 with a 95% confidence interval from 18.1 to 20.4 and 228 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -3.4 to 1.1.

Harrison, WV - Upshur, WV⁶

Rate : The incidence rate is 19.2 with a 95% confidence interval from 16.4 to 22.5 and 36 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.4 to 3.2.

Siskiyou, CA⁷

Rate : The incidence rate is 19.2 with a 95% confidence interval from 14.4 to 25.3 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -4.9 to 0.1.

Pittsburg, OK - Pushmataha, OK⁶

Rate : The incidence rate is 19.3 with a 95% confidence interval from 15.1 to 24.3 and 16 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 1.0 to 5.9.

Roscommon, MI - Otsego, MI⁶

Rate : The incidence rate is 19.3 with a 95% confidence interval from 15.1 to 24.4 and 19 average annual cases over 2017-2021.
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 3.9.

Laurens, SC - Greenwood, SC⁶

Rate : The incidence rate is 19.3 with a 95% confidence interval from 16.8 to 22.0 and 50 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.3 to 2.5.

San Joaquin (Stockton), CA - Calaveras, CA⁷

Rate : The incidence rate is 19.3 with a 95% confidence interval from 18.1 to 20.6 and 182 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.5 with a 95% confidence interval from 1.6 to 3.6.

Berks, PA⁶

Rate : The incidence rate is 19.3 with a 95% confidence interval from 17.6 to 21.1 and 105 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.6.

Stafford, VA - Spotsylvania, VA⁶

Rate : The incidence rate is 19.3 with a 95% confidence interval from 17.4 to 21.4 and 76 average annual cases over 2017-2021.
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 8.6.

Aroostook, ME⁶

Rate : The incidence rate is 19.4 with a 95% confidence interval from 15.0 to 24.6 and 17 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from 0.0 to 5.8.

Sumner (Hendersonville), TN - Wilson, TN⁶

Rate : The incidence rate is 19.4 with a 95% confidence interval from 17.6 to 21.4 and 88 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -13.1 to 0.5.

Jackson, WI⁶

Rate : The incidence rate is 19.4 with a 95% confidence interval from 12.5 to 29.0 and 5 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -0.5 to 9.2.

Lee (Auburn), AL - Elmore, AL⁶

Rate : The incidence rate is 19.4 with a 95% confidence interval from 17.4 to 21.7 and 67 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -14.8 with a 95% confidence interval from -24.5 to -6.0.

Ramsey, ND - Benson, ND⁶

Rate : The incidence rate is 19.4 with a 95% confidence interval from 12.2 to 29.6 and 5 average annual cases over 2017-2021.
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 19.5 with a 95% confidence interval from 12.8 to 28.5 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 6.6 with a 95% confidence interval from 0.4 to 15.2.

Fulton, NY - Montgomery (Amsterdam), NY⁷

Rate : The incidence rate is 19.5 with a 95% confidence interval from 16.1 to 23.3 and 26 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 0.8 to 4.2.

Woodward, OK - Dewey, OK⁶

Rate : The incidence rate is 19.5 with a 95% confidence interval from 13.6 to 27.1 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -5.8 to 5.4.

Appanoose, IA - Davis, IA⁷

Rate : The incidence rate is 19.6 with a 95% confidence interval from 12.8 to 29.0 and 6 average annual cases over 2017-2021.
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 5.3.

Worcester (Worcester), MA - Franklin, MA⁷

Rate : The incidence rate is 19.6 with a 95% confidence interval from 18.4 to 20.8 and 221 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -8.3 with a 95% confidence interval from -16.1 to -4.5.

Bradley, TN - Polk, TN⁶

Rate : The incidence rate is 19.6 with a 95% confidence interval from 16.5 to 23.1 and 30 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.7 to 3.6.

Jasper (Joplin), MO - Newton, MO⁶

Rate : The incidence rate is 19.6 with a 95% confidence interval from 17.2 to 22.3 and 50 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 7.6 with a 95% confidence interval from 3.3 to 18.3.

Berkshire (Pittsfield), MA⁷

Rate : The incidence rate is 19.6 with a 95% confidence interval from 16.6 to 23.1 and 36 average annual cases over 2017-2021.
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 0.3.

Wayne (Detroit), MI - Oakland, MI⁶

Rate : The incidence rate is 19.6 with a 95% confidence interval from 19.1 to 20.2 and 931 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.5 with a 95% confidence interval from 1.0 to 2.4.

Fergus, MT - Petroleum, MT⁶

Rate : The incidence rate is 19.7 with a 95% confidence interval from 10.6 to 34.0 and 3 average annual cases over 2017-2021.
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).

Massac, IL - Johnson, IL⁷

Rate : The incidence rate is 19.8 with a 95% confidence interval from 13.8 to 27.6 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.9 to -0.3.

Grady, OK - Caddo, OK⁶

Rate : The incidence rate is 19.8 with a 95% confidence interval from 15.9 to 24.3 and 19 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 0.1 to 7.2.

Angelina, TX - Walker, TX⁷

Rate : The incidence rate is 19.8 with a 95% confidence interval from 17.4 to 22.4 and 53 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.6 to 1.9.

Kerr, TX - Gillespie, TX⁷

Rate : The incidence rate is 19.8 with a 95% confidence interval from 16.6 to 23.5 and 35 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.9 to 1.3.

Wayne, NC - Lenoir, NC⁶

Rate : The incidence rate is 19.9 with a 95% confidence interval from 17.6 to 22.4 and 59 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 1.8 to 5.2.

Currituck, NC⁶

Rate : The incidence rate is 19.9 with a 95% confidence interval from 13.4 to 28.5 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.3 to 2.8.

Bradford, PA - Susquehanna, PA⁶

Rate : The incidence rate is 19.9 with a 95% confidence interval from 16.8 to 23.5 and 32 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -15.9 to 0.0.

Lafayette, MS - Calhoun, MS⁶

Rate : The incidence rate is 19.9 with a 95% confidence interval from 15.8 to 24.8 and 17 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -26.2 to 2.3.

Denton (Denton), TX - Wise, TX⁷

Rate : The incidence rate is 19.9 with a 95% confidence interval from 18.7 to 21.3 and 196 average annual cases over 2017-2021.
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 3.3.

Hancock (Weirton), WV - Brooke, WV⁶

Rate : The incidence rate is 19.9 with a 95% confidence interval from 15.6 to 25.3 and 16 average annual cases over 2017-2021.
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.

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

Rate : The incidence rate is 19.9 with a 95% confidence interval from 16.0 to 24.5 and 20 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from -0.5 to 6.2.

Bryan, OK - Atoka, OK⁶

Rate : The incidence rate is 19.9 with a 95% confidence interval from 15.4 to 25.4 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -18.3 to 2.1.

Payette, ID - Washington, ID⁷

Rate : The incidence rate is 20.0 with a 95% confidence interval from 14.6 to 26.8 and 10 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -2.1 to 6.7.

Missoula, MT - Ravalli, MT⁶

Rate : The incidence rate is 20.0 with a 95% confidence interval from 17.5 to 22.7 and 56 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -2.6 to 2.9.

Stanislaus (Modesto), CA - Merced, CA⁷

Rate : The incidence rate is 20.1 with a 95% confidence interval from 18.8 to 21.5 and 188 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.5 with a 95% confidence interval from 0.5 to 2.6.

Mc Kean, PA - Potter, PA⁶

Rate : The incidence rate is 20.1 with a 95% confidence interval from 15.7 to 25.5 and 17 average annual cases over 2017-2021.
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 4.5.

Lancaster, SC - Kershaw, SC⁶

Rate : The incidence rate is 20.2 with a 95% confidence interval from 17.5 to 23.2 and 43 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.3 to 2.8.

Calhoun (Battle Creek), MI - Barry, MI⁶

Rate : The incidence rate is 20.2 with a 95% confidence interval from 17.6 to 23.0 and 50 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.9 to 1.4.

Tulsa (Tulsa), OK - Rogers, OK⁶

Rate : The incidence rate is 20.2 with a 95% confidence interval from 18.9 to 21.5 and 209 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -7.8 to -0.2.

Claiborne, TN⁶

Rate : The incidence rate is 20.2 with a 95% confidence interval from 14.3 to 27.9 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -6.2 with a 95% confidence interval from -42.5 to 3.1.

Chippewa, MI - Emmet, MI⁶

Rate : The incidence rate is 20.2 with a 95% confidence interval from 17.3 to 23.5 and 40 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -5.2 with a 95% confidence interval from -10.7 to -2.7.

Rockland, NY⁷

Rate : The incidence rate is 20.2 with a 95% confidence interval from 18.2 to 22.4 and 77 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 7.9 with a 95% confidence interval from 2.9 to 14.9.

Bernalillo (Albuquerque), NM - Sandoval, NM⁷

Rate : The incidence rate is 20.2 with a 95% confidence interval from 19.1 to 21.4 and 240 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.3 to 1.5.

Henderson (Henderson), KY - Union, KY⁷

Rate : The incidence rate is 20.3 with a 95% confidence interval from 15.8 to 25.6 and 15 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.0 to 1.7.

Honolulu (Honolulu), HI - Maui, HI⁷

Rate : The incidence rate is 20.3 with a 95% confidence interval from 19.2 to 21.3 and 303 average annual cases over 2017-2021.
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 2.9.

Tift, GA - Ben Hill, GA⁷

Rate : The incidence rate is 20.3 with a 95% confidence interval from 16.1 to 25.2 and 17 average annual cases over 2017-2021.
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 3.7.

St. Louis, MO - St. Louis City, MO⁶

Rate : The incidence rate is 20.3 with a 95% confidence interval from 19.4 to 21.2 and 431 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.9 to 1.0.

Jackson, AR⁶

Rate : The incidence rate is 20.3 with a 95% confidence interval from 12.5 to 31.5 and 4 average annual cases over 2017-2021.
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).

Kent (Grand Rapids), MI - Ionia, MI⁶

Rate : The incidence rate is 20.3 with a 95% confidence interval from 19.0 to 21.7 and 191 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.5 to 2.4.

Frederick, VA - Shenandoah, VA⁶

Rate : The incidence rate is 20.3 with a 95% confidence interval from 18.0 to 23.0 and 57 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.0 to 2.7.

Cole, MO - Callaway, MO⁶

Rate : The incidence rate is 20.4 with a 95% confidence interval from 18.0 to 23.1 and 56 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 1.8 to 5.6.

Tarrant (Fort Worth), TX - Johnson, TX⁷

Rate : The incidence rate is 20.4 with a 95% confidence interval from 19.6 to 21.3 and 510 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -3.4 to 6.3.

Johnson, TN⁶

Rate : The incidence rate is 20.4 with a 95% confidence interval from 12.9 to 31.3 and 5 average annual cases over 2017-2021.
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).

Crawford, WI⁶

Rate : The incidence rate is 20.4 with a 95% confidence interval from 12.1 to 32.7 and 4 average annual cases over 2017-2021.
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).

Alachua (Gainesville), FL - Columbia, FL⁶

Rate : The incidence rate is 20.5 with a 95% confidence interval from 18.9 to 22.2 and 130 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -10.2 to -0.4.

Wasco, OR - Hood River, OR⁶

Rate : The incidence rate is 20.5 with a 95% confidence interval from 15.9 to 26.1 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -4.0 to 1.9.

Pike, KY⁷

Rate : The incidence rate is 20.5 with a 95% confidence interval from 15.9 to 26.0 and 15 average annual cases over 2017-2021.
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 3.0.

Mercer, WV - McDowell, WV⁶

Rate : The incidence rate is 20.5 with a 95% confidence interval from 16.5 to 25.2 and 21 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.8 to 2.2.

Etowah (Gadsden), AL - Marshall, AL⁶

Rate : The incidence rate is 20.5 with a 95% confidence interval from 18.4 to 22.8 and 76 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.7 to 3.6.

Hancock, OH - Seneca, OH⁶

Rate : The incidence rate is 20.6 with a 95% confidence interval from 17.4 to 24.1 and 33 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.9 to 3.8.

Jackson (Pascagoula), MS - George, MS⁶

Rate : The incidence rate is 20.6 with a 95% confidence interval from 17.8 to 23.8 and 40 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -6.7 to -0.1.

Wilbarger, TX - Hardeman, TX⁷

Rate : The incidence rate is 20.6 with a 95% confidence interval from 12.5 to 32.1 and 4 average annual cases over 2017-2021.
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 8.4.

Boone, AR - Carroll, AR⁶

Rate : The incidence rate is 20.6 with a 95% confidence interval from 16.7 to 25.2 and 23 average annual cases over 2017-2021.
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 5.6.

Venango, PA - Clarion, PA⁶

Rate : The incidence rate is 20.6 with a 95% confidence interval from 17.1 to 24.8 and 28 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -16.2 with a 95% confidence interval from -27.0 to 0.8.

Lauderdale (Florence), AL - Colbert, AL⁶

Rate : The incidence rate is 20.6 with a 95% confidence interval from 18.2 to 23.4 and 56 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -2.6 to 5.0.

Letcher, KY⁷

Rate : The incidence rate is 20.7 with a 95% confidence interval from 13.5 to 30.5 and 6 average annual cases over 2017-2021.
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 3.3.

Vernon, MO - Cedar, MO⁶

Rate : The incidence rate is 20.7 with a 95% confidence interval from 14.9 to 28.3 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -3.0 to 7.2.

Lassen, CA - Plumas, CA⁷

Rate : The incidence rate is 20.8 with a 95% confidence interval from 16.2 to 26.5 and 15 average annual cases over 2017-2021.
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 5.4.

Onondaga (Syracuse), NY - Oswego, NY⁷

Rate : The incidence rate is 20.8 with a 95% confidence interval from 19.4 to 22.3 and 169 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -7.2 to 2.8.

Scott, TN⁶

Rate : The incidence rate is 20.9 with a 95% confidence interval from 13.4 to 31.2 and 5 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -4.4 to 3.9.

Ward, ND - Bottineau, ND⁶

Rate : The incidence rate is 20.9 with a 95% confidence interval from 17.0 to 25.5 and 21 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -11.2 to 2.3.

Richardson, NE - Pawnee, NE⁶

Rate : The incidence rate is 21.0 with a 95% confidence interval from 11.1 to 36.7 and 3 average annual cases over 2017-2021.
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).

Caswell, NC⁶

Rate : The incidence rate is 21.0 with a 95% confidence interval from 14.4 to 30.2 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.6 with a 95% confidence interval from 2.2 to 7.7.

Grayson (Sherman), TX - Fannin, TX⁷

Rate : The incidence rate is 21.1 with a 95% confidence interval from 18.4 to 24.1 and 46 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.0 with a 95% confidence interval from 0.8 to 3.5.

Roseau, MN - Lake of the Woods, MN⁶

Rate : The incidence rate is 21.1 with a 95% confidence interval from 13.5 to 31.6 and 5 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -2.8 to 6.7.

Carter, OK - Marshall, OK⁶

Rate : The incidence rate is 21.1 with a 95% confidence interval from 17.3 to 25.6 and 23 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -14.4 with a 95% confidence interval from -30.4 to -2.8.

Otoe, NE - Johnson, NE⁶

Rate : The incidence rate is 21.2 with a 95% confidence interval from 13.8 to 31.2 and 6 average annual cases over 2017-2021.
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, OK - Nowata, OK⁶

Rate : The incidence rate is 21.2 with a 95% confidence interval from 16.8 to 26.4 and 17 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -1.7 to 4.3.

Coffee, TN - Franklin, TN⁶

Rate : The incidence rate is 21.2 with a 95% confidence interval from 17.9 to 24.9 and 33 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.7 to 5.2.

Lehigh (Allentown), PA - Northampton, PA⁶

Rate : The incidence rate is 21.2 with a 95% confidence interval from 20.0 to 22.5 and 252 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -9.8 to 1.1.

Midland (Midland), MI - Isabella, MI⁶

Rate : The incidence rate is 21.2 with a 95% confidence interval from 18.6 to 24.1 and 53 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 4.1 with a 95% confidence interval from -0.1 to 13.3.

Oneida (Utica), NY - Madison, NY⁷

Rate : The incidence rate is 21.2 with a 95% confidence interval from 19.3 to 23.3 and 100 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -2.2 to 2.7.

Fremont, WY - Washakie, WY⁶

Rate : The incidence rate is 21.2 with a 95% confidence interval from 16.3 to 27.3 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -0.3 to 5.4.

Oklahoma (Oklahoma City), OK - Canadian, OK⁶

Rate : The incidence rate is 21.3 with a 95% confidence interval from 20.1 to 22.5 and 247 average annual cases over 2017-2021.
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 3.4.

Holt, NE - Brown, NE⁶

Rate : The incidence rate is 21.3 with a 95% confidence interval from 12.7 to 33.8 and 5 average annual cases over 2017-2021.
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 8.8.

Juneau, WI - Adams, WI⁶

Rate : The incidence rate is 21.3 with a 95% confidence interval from 16.2 to 27.6 and 15 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -28.2 to 6.5.

Wexford, MI - Osceola, MI⁶

Rate : The incidence rate is 21.3 with a 95% confidence interval from 17.4 to 25.8 and 24 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -2.3 to 4.5.

Raleigh, WV - Fayette, WV⁶

Rate : The incidence rate is 21.3 with a 95% confidence interval from 18.4 to 24.5 and 44 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -10.4 with a 95% confidence interval from -16.5 to -4.3.

Carroll, VA - Grayson, VA⁶

Rate : The incidence rate is 21.3 with a 95% confidence interval from 16.5 to 27.3 and 16 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -6.3 to 3.9.

Hinds (Jackson), MS - Rankin, MS⁶

Rate : The incidence rate is 21.4 with a 95% confidence interval from 19.8 to 23.1 and 142 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 1.0 to 4.5.

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

Rate : The incidence rate is 21.4 with a 95% confidence interval from 19.2 to 23.8 and 75 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -10.6 with a 95% confidence interval from -18.3 to -6.5.

Del Norte, CA⁷

Rate : The incidence rate is 21.4 with a 95% confidence interval from 15.1 to 29.6 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -2.0 to 4.8.

Saline, IL - Gallatin, IL⁷

Rate : The incidence rate is 21.4 with a 95% confidence interval from 15.9 to 28.4 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.6 to 4.4.

Livingston, MO - Carroll, MO⁶

Rate : The incidence rate is 21.4 with a 95% confidence interval from 14.5 to 30.6 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -3.6 to 6.9.

Pulaski, MO - Phelps, MO⁶

Rate : The incidence rate is 21.4 with a 95% confidence interval from 17.8 to 25.6 and 26 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 18.6 with a 95% confidence interval from 4.3 to 31.5.

Will (Joliet), IL - Grundy, IL⁷

Rate : The incidence rate is 21.4 with a 95% confidence interval from 20.0 to 22.9 and 173 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.2 with a 95% confidence interval from 2.4 to 4.1.

Cambria, PA - Blair (Altoona), PA⁶

Rate : The incidence rate is 21.5 with a 95% confidence interval from 19.7 to 23.5 and 116 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -12.8 to 0.8.

Harrison (Biloxi), MS - Hancock, MS⁶

Rate : The incidence rate is 21.5 with a 95% confidence interval from 19.2 to 24.0 and 70 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -7.1 to 1.9.

Marinette, WI - Florence, WI⁶

Rate : The incidence rate is 21.5 with a 95% confidence interval from 16.5 to 27.8 and 15 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -0.9 to 6.6.

Mahoning (Youngstown), OH - Trumbull, OH⁶

Rate : The incidence rate is 21.6 with a 95% confidence interval from 19.8 to 23.5 and 126 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -11.1 to 1.8.

Beckham, OK - Roger Mills, OK⁶

Rate : The incidence rate is 21.6 with a 95% confidence interval from 14.5 to 31.0 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -5.2 to 3.5.

San Bernardino, CA - Riverside (Riverside), CA⁷

Rate : The incidence rate is 21.6 with a 95% confidence interval from 21.0 to 22.2 and 1,023 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 0.8 with a 95% confidence interval from 0.2 to 1.4.

Mohave, AZ⁶

Rate : The incidence rate is 21.6 with a 95% confidence interval from 19.2 to 24.3 and 81 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 1.5 to 4.7.

Pike, MS - Marion, MS⁶

Rate : The incidence rate is 21.7 with a 95% confidence interval from 17.9 to 26.1 and 25 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -0.4 to 5.5.

Wayne, GA - Appling, GA⁷

Rate : The incidence rate is 21.7 with a 95% confidence interval from 16.5 to 28.0 and 12 average annual cases over 2017-2021.
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 5.9.

Shawano, WI - Langlade, WI⁶

Rate : The incidence rate is 21.7 with a 95% confidence interval from 17.4 to 26.8 and 20 average annual cases over 2017-2021.
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 5.8.

Warren, GA - Glascock, GA⁷

Rate : The incidence rate is 21.7 with a 95% confidence interval from 12.0 to 37.2 and 3 average annual cases over 2017-2021.
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).

Wapello, IA - Mahaska, IA⁷

Rate : The incidence rate is 21.7 with a 95% confidence interval from 18.1 to 25.9 and 28 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -4.8 to 2.6.

Pontotoc, MS - Union, MS⁶

Rate : The incidence rate is 21.7 with a 95% confidence interval from 17.6 to 26.6 and 20 average annual cases over 2017-2021.
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 2.1.

Stephens, GA - Hart, GA⁷

Rate : The incidence rate is 21.8 with a 95% confidence interval from 17.8 to 26.4 and 23 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 0.2 to 5.0.

Payne, OK - Pawnee, OK⁶

Rate : The incidence rate is 21.8 with a 95% confidence interval from 17.9 to 26.3 and 23 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -1.6 to 4.9.

Marathon (Wausau), WI - Wood, WI⁶

Rate : The incidence rate is 21.8 with a 95% confidence interval from 19.6 to 24.1 and 82 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -13.6 to 3.4.

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 195 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -6.9 with a 95% confidence interval from -12.1 to 0.4.

Taylor (Abilene), TX - Jones, TX⁷

Rate : The incidence rate is 21.8 with a 95% confidence interval from 19.2 to 24.7 and 52 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 34.0 with a 95% confidence interval from 23.0 to 41.1.

Christian (Hopkinsville), KY - Hopkins, KY⁷

Rate : The incidence rate is 21.8 with a 95% confidence interval from 19.1 to 24.8 and 51 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -15.0 to 1.9.

Mercer, NJ⁷

Rate : The incidence rate is 21.8 with a 95% confidence interval from 19.9 to 23.9 and 100 average annual cases over 2017-2021.
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 1.4.

Polk, WI⁶

Rate : The incidence rate is 21.9 with a 95% confidence interval from 16.7 to 28.3 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 0.2 to 6.4.

Barron, WI - Rusk, WI⁶

Rate : The incidence rate is 21.9 with a 95% confidence interval from 17.3 to 27.4 and 19 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.7 with a 95% confidence interval from -8.7 to 6.3.

Denver (Denver), CO - Jefferson, CO⁶

Rate : The incidence rate is 21.9 with a 95% confidence interval from 21.1 to 22.7 and 672 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 0.9 with a 95% confidence interval from 0.1 to 1.7.

Klamath, OR - Lake, OR⁶

Rate : The incidence rate is 21.9 with a 95% confidence interval from 17.7 to 26.8 and 22 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -17.2 with a 95% confidence interval from -32.2 to -7.8.

Lewis, WA - Pacific, WA⁶

Rate : The incidence rate is 21.9 with a 95% confidence interval from 18.4 to 25.9 and 32 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 9.4 with a 95% confidence interval from 0.7 to 22.5.

Potter (Amarillo), TX - Randall, TX⁷

Rate : The incidence rate is 22.0 with a 95% confidence interval from 19.8 to 24.2 and 82 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.3 to 1.3.

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

Rate : The incidence rate is 22.0 with a 95% confidence interval from 20.2 to 23.9 and 124 average annual cases over 2017-2021.
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 2.8.

Lawrence, SD⁶

Rate : The incidence rate is 22.0 with a 95% confidence interval from 15.0 to 31.3 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -30.2 with a 95% confidence interval from -50.6 to -1.6.

Harrison, KY - Robertson, KY⁷

Rate : The incidence rate is 22.0 with a 95% confidence interval from 14.3 to 32.5 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -3.2 to 19.4.

Milwaukee (Milwaukee), WI - Waukesha, WI⁶

Rate : The incidence rate is 22.0 with a 95% confidence interval from 21.0 to 23.0 and 402 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.2 with a 95% confidence interval from 1.7 to 2.7.

Berkeley, WV - Jefferson, WV⁶

Rate : The incidence rate is 22.1 with a 95% confidence interval from 19.5 to 24.8 and 59 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 0.8 to 4.2.

Mercer, PA⁶

Rate : The incidence rate is 22.1 with a 95% confidence interval from 18.6 to 26.0 and 33 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.7 with a 95% confidence interval from -0.6 to 6.5.

Clark, WA - Cowlitz, WA⁶

Rate : The incidence rate is 22.1 with a 95% confidence interval from 20.6 to 23.7 and 161 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -2.7 to 0.0.

Washtenaw, MI - Livingston, MI⁶

Rate : The incidence rate is 22.1 with a 95% confidence interval from 20.5 to 23.9 and 141 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.9 to 0.6.

Le Flore, OK - Sequoyah, OK⁶

Rate : The incidence rate is 22.2 with a 95% confidence interval from 18.5 to 26.4 and 28 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -7.4 with a 95% confidence interval from -25.6 to 3.7.

Thomas, GA - Mitchell, GA⁷

Rate : The incidence rate is 22.3 with a 95% confidence interval from 18.4 to 26.7 and 26 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -13.7 with a 95% confidence interval from -31.2 to 3.6.

Ashland, WI - Sawyer, WI⁶

Rate : The incidence rate is 22.3 with a 95% confidence interval from 17.7 to 27.8 and 21 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.7 with a 95% confidence interval from 1.9 to 8.1.

Washburn, WI - Burnett, WI⁶

Rate : The incidence rate is 22.3 with a 95% confidence interval from 16.5 to 29.8 and 13 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 7.3 with a 95% confidence interval from 2.8 to 14.0.

Lackawanna (Scranton), PA - Wayne, PA⁶

Rate : The incidence rate is 22.3 with a 95% confidence interval from 20.1 to 24.7 and 82 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 1.7 to 5.0.

Fulton (Atlanta), GA - DeKalb, GA⁷

Rate : The incidence rate is 22.3 with a 95% confidence interval from 21.6 to 23.1 and 671 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -5.9 with a 95% confidence interval from -9.8 to -3.5.

Lancaster (Lincoln), NE - Gage, NE⁶

Rate : The incidence rate is 22.4 with a 95% confidence interval from 20.3 to 24.6 and 91 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -7.1 with a 95% confidence interval from -19.1 to 2.1.

Lucas, IA - Wayne, IA⁷

Rate : The incidence rate is 22.4 with a 95% confidence interval from 13.3 to 35.5 and 4 average annual cases over 2017-2021.
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 22.4 with a 95% confidence interval from 15.3 to 32.1 and 7 average annual cases over 2017-2021.
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).

Independence, AR - Sharp, AR⁶

Rate : The incidence rate is 22.5 with a 95% confidence interval from 18.7 to 26.9 and 29 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 1.1 to 5.3.

Hamilton (Chattanooga), TN - Marion, TN⁶

Rate : The incidence rate is 22.5 with a 95% confidence interval from 20.6 to 24.5 and 114 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -11.6 with a 95% confidence interval from -21.4 to -1.9.

Clinton, NY - Franklin, NY⁷

Rate : The incidence rate is 22.5 with a 95% confidence interval from 19.7 to 25.7 and 49 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 0.5 to 3.2.

Burleigh (Bismarck), ND - Morton, ND⁶

Rate : The incidence rate is 22.5 with a 95% confidence interval from 19.6 to 25.9 and 44 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 2.3 to 4.6.

Jefferson Davis, MS - Lawrence, MS⁶

Rate : The incidence rate is 22.6 with a 95% confidence interval from 14.7 to 33.2 and 6 average annual cases over 2017-2021.
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).

Colquitt, GA⁷

Rate : The incidence rate is 22.6 with a 95% confidence interval from 17.2 to 29.3 and 12 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -5.5 to 2.4.

Coweta, GA - Troup (La Grange), GA⁷

Rate : The incidence rate is 22.7 with a 95% confidence interval from 20.2 to 25.4 and 64 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.2 to 3.1.

Strafford (Rochester), NH⁶

Rate : The incidence rate is 22.7 with a 95% confidence interval from 19.3 to 26.5 and 34 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.6 to 4.5.

Franklin (Columbus), OH - Delaware, OH⁶

Rate : The incidence rate is 22.7 with a 95% confidence interval from 21.7 to 23.8 and 384 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -1.4 to 1.7.

Pope, AR - Yell, AR⁶

Rate : The incidence rate is 22.7 with a 95% confidence interval from 18.6 to 27.5 and 22 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.0 with a 95% confidence interval from 1.2 to 7.6.

Anderson (Oak Ridge), TN - Roane, TN⁶

Rate : The incidence rate is 22.7 with a 95% confidence interval from 20.3 to 25.4 and 70 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -3.9 to 1.9.

Platte, NE - Boone, NE⁶

Rate : The incidence rate is 22.8 with a 95% confidence interval from 17.2 to 29.7 and 12 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.3 with a 95% confidence interval from 2.5 to 8.7.

Solano (Vallejo), CA - Napa, CA⁷

Rate : The incidence rate is 22.8 with a 95% confidence interval from 21.3 to 24.4 and 191 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -4.4 to 1.6.

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

Rate : The incidence rate is 22.8 with a 95% confidence interval from 20.9 to 24.8 and 119 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -5.4 to 1.7.

Fayette, TX - Colorado, TX⁷

Rate : The incidence rate is 22.9 with a 95% confidence interval from 17.4 to 29.6 and 15 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -2.0 to 3.3.

New Castle (Wilmington), DE⁶

Rate : The incidence rate is 22.9 with a 95% confidence interval from 21.3 to 24.6 and 158 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -12.8 to 0.6.

Allen (Lima), OH - Auglaize, OH⁶

Rate : The incidence rate is 22.9 with a 95% confidence interval from 20.6 to 25.4 and 80 average annual cases over 2017-2021.
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 2.9.

Wood (Parkersburg), WV - Jackson, WV⁶

Rate : The incidence rate is 22.9 with a 95% confidence interval from 20.0 to 26.2 and 48 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.3 to 2.8.

Galveston, TX⁷

Rate : The incidence rate is 22.9 with a 95% confidence interval from 20.8 to 25.2 and 89 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 10.3 with a 95% confidence interval from 3.2 to 22.8.

Putnam, TN - White, TN⁶

Rate : The incidence rate is 22.9 with a 95% confidence interval from 19.9 to 26.3 and 45 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.8 to 4.7.

York (Rock Hill), SC - Chester, SC⁶

Rate : The incidence rate is 23.0 with a 95% confidence interval from 20.7 to 25.4 and 79 average annual cases over 2017-2021.
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 3.5.

Mason, WV⁶

Rate : The incidence rate is 23.0 with a 95% confidence interval from 15.6 to 32.7 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -3.5 to 4.7.

Custer, MT - Fallon, MT⁶

Rate : The incidence rate is 23.0 with a 95% confidence interval from 14.9 to 34.0 and 6 average annual cases over 2017-2021.
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).

Lyon, IA⁷

Rate : The incidence rate is 23.0 with a 95% confidence interval from 13.2 to 37.7 and 4 average annual cases over 2017-2021.
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).

Durham (Durham), NC - Granville, NC⁶

Rate : The incidence rate is 23.1 with a 95% confidence interval from 21.3 to 25.0 and 128 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 2.5 to 4.7.

Pennington (Rapid City), SD - Meade, SD⁶

Rate : The incidence rate is 23.1 with a 95% confidence interval from 20.2 to 26.5 and 49 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.5 to 3.9.

Lemhi, ID⁷

Rate : The incidence rate is 23.1 with a 95% confidence interval from 12.3 to 41.8 and 4 average annual cases over 2017-2021.
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 23.3 with a 95% confidence interval from 20.1 to 26.8 and 40 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 7.6 with a 95% confidence interval from 6.3 to 9.6.

Marion, MO - Pike, MO⁶

Rate : The incidence rate is 23.3 with a 95% confidence interval from 18.5 to 28.9 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -0.8 to 6.0.

Henrico (Richmond), VA - Chesterfield, VA⁶

Rate : The incidence rate is 23.3 with a 95% confidence interval from 22.2 to 24.4 and 369 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -6.2 to 1.9.

Richland (Mansfield), OH - Ashland, OH⁶

Rate : The incidence rate is 23.4 with a 95% confidence interval from 20.4 to 26.6 and 52 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 1.9 to 5.4.

Albany (Albany), NY - Rensselaer, NY⁷

Rate : The incidence rate is 23.4 with a 95% confidence interval from 21.6 to 25.2 and 139 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.7 with a 95% confidence interval from 2.7 to 5.0.

Suffolk, NY - Nassau, NY⁷

Rate : The incidence rate is 23.4 with a 95% confidence interval from 22.7 to 24.1 and 885 average annual cases over 2017-2021.
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.

Outagamie (Appleton), WI - Waupaca, WI⁶

Rate : The incidence rate is 23.4 with a 95% confidence interval from 20.9 to 26.2 and 67 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -9.5 to 2.2.

Ouachita (Monroe), LA - Morehouse, LA⁷

Rate : The incidence rate is 23.4 with a 95% confidence interval from 20.9 to 26.2 and 66 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.6 with a 95% confidence interval from 1.4 to 4.0.

Jackson (Jackson), MI - Lenawee, MI⁶

Rate : The incidence rate is 23.4 with a 95% confidence interval from 21.3 to 25.7 and 100 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.4 with a 95% confidence interval from 0.3 to 2.6.

Clark, IL⁷

Rate : The incidence rate is 23.5 with a 95% confidence interval from 14.6 to 36.1 and 5 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -1.9 to 4.2.

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 623 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 1.7 to 2.6.

Richmond (South Augusta), GA - Columbia, GA⁷

Rate : The incidence rate is 23.5 with a 95% confidence interval from 21.6 to 25.6 and 113 average annual cases over 2017-2021.
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 5.2.

Pottawattamie (Council Bluffs), IA - Harrison, IA⁷

Rate : The incidence rate is 23.6 with a 95% confidence interval from 20.4 to 27.1 and 44 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.6 with a 95% confidence interval from 2.5 to 5.1.

Cuyahoga (Cleveland), OH - Lake, OH⁶

Rate : The incidence rate is 23.6 with a 95% confidence interval from 22.6 to 24.5 and 515 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -4.7 to 1.9.

Rowan, KY - Morgan, KY⁷

Rate : The incidence rate is 23.6 with a 95% confidence interval from 18.2 to 30.2 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.6 to 3.4.

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

Rate : The incidence rate is 23.7 with a 95% confidence interval from 22.7 to 24.7 and 466 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.2 to 2.3.

Saratoga, NY - Schenectady (Schenectady), NY⁷

Rate : The incidence rate is 23.7 with a 95% confidence interval from 22.0 to 25.5 and 163 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -2.4 to 2.5.

Pulaski, KY - Wayne, KY⁷

Rate : The incidence rate is 23.7 with a 95% confidence interval from 20.0 to 28.0 and 31 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.9 to 2.1.

Page, IA - Fremont, IA⁷

Rate : The incidence rate is 23.7 with a 95% confidence interval from 16.8 to 32.7 and 9 average annual cases over 2017-2021.
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 6.2.

Montgomery, VA - Pulaski, VA⁶

Rate : The incidence rate is 23.7 with a 95% confidence interval from 20.8 to 27.0 and 52 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -4.1 to 3.3.

Cleveland (Norman), OK - McClain, OK⁶

Rate : The incidence rate is 23.8 with a 95% confidence interval from 21.6 to 26.1 and 95 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -13.8 to 2.6.

Orange (Orlando), FL - Volusia, FL⁶

Rate : The incidence rate is 23.9 with a 95% confidence interval from 23.2 to 24.6 and 978 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -6.9 to 1.7.

Whiteside, IL - Carroll, IL⁷

Rate : The incidence rate is 23.9 with a 95% confidence interval from 19.8 to 28.8 and 26 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.8 to 4.1.

Morgan, GA - Greene, GA⁷

Rate : The incidence rate is 24.0 with a 95% confidence interval from 18.5 to 30.8 and 15 average annual cases over 2017-2021.
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).

Craighead, AR - Greene, AR⁶

Rate : The incidence rate is 24.0 with a 95% confidence interval from 21.3 to 26.9 and 62 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.1 with a 95% confidence interval from 2.0 to 6.7.

Park, MT - Sweet Grass, MT⁶

Rate : The incidence rate is 24.0 with a 95% confidence interval from 16.9 to 33.6 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -16.2 to 1.0.

Laramie (Cheyenne), WY⁶

Rate : The incidence rate is 24.0 with a 95% confidence interval from 20.0 to 28.5 and 28 average annual cases over 2017-2021.
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 4.1.

Centre (State College), PA - Clearfield, PA⁶

Rate : The incidence rate is 24.0 with a 95% confidence interval from 21.6 to 26.5 and 82 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -11.2 to 1.0.

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

Rate : The incidence rate is 24.0 with a 95% confidence interval from 22.4 to 25.7 and 174 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -6.8 to -0.4.

Charleston (Charleston), SC - Berkeley, SC⁶

Rate : The incidence rate is 24.0 with a 95% confidence interval from 22.6 to 25.5 and 234 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.5 to 1.5.

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

Rate : The incidence rate is 24.0 with a 95% confidence interval from 21.3 to 27.0 and 64 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.3 with a 95% confidence interval from 0.1 to 2.6.

Alameda (Oakland), CA - Contra Costa, CA⁷

Rate : The incidence rate is 24.0 with a 95% confidence interval from 23.3 to 24.8 and 787 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -3.4 to 1.9.

Mineral, WV - Hardy, WV⁶

Rate : The incidence rate is 24.0 with a 95% confidence interval from 19.0 to 30.1 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 6.4 with a 95% confidence interval from -3.6 to 18.4.

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

Rate : The incidence rate is 24.1 with a 95% confidence interval from 22.3 to 26.0 and 139 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -10.3 to 1.2.

Marion (Salem), OR - Yamhill, OR⁶

Rate : The incidence rate is 24.1 with a 95% confidence interval from 22.4 to 25.9 and 153 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.7 to 2.2.

Palo Pinto, TX - Jack, TX⁷

Rate : The incidence rate is 24.1 with a 95% confidence interval from 17.8 to 31.9 and 11 average annual cases over 2017-2021.
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 6.7.

Baldwin, GA⁷

Rate : The incidence rate is 24.1 with a 95% confidence interval from 18.2 to 31.4 and 12 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -1.5 to 5.6.

Jackson, OK - Greer, OK⁶

Rate : The incidence rate is 24.1 with a 95% confidence interval from 17.4 to 32.7 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -1.4 to 8.9.

Lucas (Toledo), OH - Wood, OH⁶

Rate : The incidence rate is 24.2 with a 95% confidence interval from 22.6 to 25.8 and 187 average annual cases over 2017-2021.
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 3.0.

Bay (Bay City), MI - Iosco, MI⁶

Rate : The incidence rate is 24.2 with a 95% confidence interval from 21.4 to 27.3 and 64 average annual cases over 2017-2021.
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.

Johnson, AR⁶

Rate : The incidence rate is 24.2 with a 95% confidence interval from 17.0 to 33.6 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -3.3 to 6.3.

Fillmore, NE - Thayer, NE⁶

Rate : The incidence rate is 24.3 with a 95% confidence interval from 13.2 to 41.2 and 3 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -5.4 to 5.9.

Crawford, IL - Lawrence, IL⁷

Rate : The incidence rate is 24.3 with a 95% confidence interval from 18.1 to 32.1 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -1.5 to 7.1.

Elbert, GA - Wilkes, GA⁷

Rate : The incidence rate is 24.3 with a 95% confidence interval from 17.4 to 33.3 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.4 with a 95% confidence interval from 2.7 to 8.9.

Clarke (Athens), GA - Barrow, GA⁷

Rate : The incidence rate is 24.4 with a 95% confidence interval from 22.2 to 26.8 and 93 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -15.2 to 1.9.

St. Lawrence, NY - Jefferson, NY⁷

Rate : The incidence rate is 24.5 with a 95% confidence interval from 21.9 to 27.3 and 71 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 0.8 to 5.4.

Lamar, AL⁶

Rate : The incidence rate is 24.5 with a 95% confidence interval from 14.1 to 39.5 and 4 average annual cases over 2017-2021.
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).

Lincoln, MS - Copiah, MS⁶

Rate : The incidence rate is 24.5 with a 95% confidence interval from 19.5 to 30.4 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.8 to 3.2.

La Plata, CO - Montezuma, CO⁶

Rate : The incidence rate is 24.5 with a 95% confidence interval from 20.7 to 28.9 and 33 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -16.7 to 0.0.

Grant, WA - Chelan, WA⁶

Rate : The incidence rate is 24.5 with a 95% confidence interval from 22.1 to 27.2 and 79 average annual cases over 2017-2021.
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 4.4.

Washington (Fayetteville), AR - Benton, AR⁶

Rate : The incidence rate is 24.5 with a 95% confidence interval from 22.7 to 26.5 and 131 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -2.1 to 3.1.

Bibb (Macon), GA - Houston, GA⁷

Rate : The incidence rate is 24.6 with a 95% confidence interval from 22.7 to 26.6 and 131 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -8.3 to 3.9.

Columbiana, OH⁶

Rate : The incidence rate is 24.6 with a 95% confidence interval from 20.9 to 28.8 and 35 average annual cases over 2017-2021.
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 4.6.

Lycoming (Williamsport), PA - Clinton, PA⁶

Rate : The incidence rate is 24.6 with a 95% confidence interval from 21.5 to 28.1 and 50 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.0 with a 95% confidence interval from 0.2 to 3.9.

Boone (Columbia), MO - Randolph, MO⁶

Rate : The incidence rate is 24.6 with a 95% confidence interval from 22.0 to 27.5 and 67 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 2.0 to 6.2.

Brown (Green Bay), WI - Oconto, WI⁶

Rate : The incidence rate is 24.6 with a 95% confidence interval from 22.5 to 26.9 and 105 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -9.8 to -0.2.

Calhoun (Anniston), AL - Cleburne, AL⁶

Rate : The incidence rate is 24.6 with a 95% confidence interval from 21.1 to 28.6 and 37 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -1.1 to 5.5.

Richland, MT - Dawson, MT⁶

Rate : The incidence rate is 24.7 with a 95% confidence interval from 16.8 to 35.2 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 11.7 with a 95% confidence interval from 0.4 to 26.3.

Racine (Racine), WI - Kenosha, WI⁶

Rate : The incidence rate is 24.7 with a 95% confidence interval from 22.6 to 27.0 and 107 average annual cases over 2017-2021.
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 9.3.

Sweetwater, WY⁶

Rate : The incidence rate is 24.8 with a 95% confidence interval from 18.5 to 32.5 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -5.7 to 3.5.

Nez Perce, ID - Idaho, ID⁷

Rate : The incidence rate is 24.8 with a 95% confidence interval from 20.3 to 30.0 and 26 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 1.0 to 3.7.

Otsego, NY - Chenango, NY⁷

Rate : The incidence rate is 24.8 with a 95% confidence interval from 21.9 to 28.1 and 61 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 1.3 to 4.8.

Montgomery (Dayton), OH - Greene, OH⁶

Rate : The incidence rate is 24.9 with a 95% confidence interval from 23.4 to 26.4 and 246 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -12.3 to 2.4.

Jones, MS - Wayne, MS⁶

Rate : The incidence rate is 24.9 with a 95% confidence interval from 21.2 to 29.1 and 34 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.1 with a 95% confidence interval from 0.7 to 6.0.

Albemarle, VA - Charlottesville City, VA⁶

Rate : The incidence rate is 24.9 with a 95% confidence interval from 22.9 to 27.1 and 123 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.9 to 1.3.

Morgan, IL - Greene, IL⁷

Rate : The incidence rate is 24.9 with a 95% confidence interval from 19.7 to 31.2 and 17 average annual cases over 2017-2021.
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.

Ware, GA - Pierce, GA⁷

Rate : The incidence rate is 25.0 with a 95% confidence interval from 20.3 to 30.4 and 21 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 7.7 with a 95% confidence interval from 3.6 to 20.9.

Codington, SD - Grant, SD⁶

Rate : The incidence rate is 25.0 with a 95% confidence interval from 19.5 to 31.6 and 16 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -13.8 with a 95% confidence interval from -29.8 to 1.9.

Steuben, NY - Chemung (Elmira), NY⁷

Rate : The incidence rate is 25.1 with a 95% confidence interval from 22.2 to 28.2 and 64 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 0.5 to 3.1.

Garfield (Enid), OK - Kingfisher, OK⁶

Rate : The incidence rate is 25.2 with a 95% confidence interval from 21.5 to 29.3 and 36 average annual cases over 2017-2021.
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.

Sebastian (Fort Smith), AR - Crawford, AR⁶

Rate : The incidence rate is 25.2 with a 95% confidence interval from 22.6 to 28.1 and 72 average annual cases over 2017-2021.
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 9.4.

Winnebago (Rockford), IL - Ogle, IL⁷

Rate : The incidence rate is 25.2 with a 95% confidence interval from 23.3 to 27.3 and 133 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -6.5 to 2.6.

Cherokee, NC - Clay, NC⁶

Rate : The incidence rate is 25.4 with a 95% confidence interval from 19.5 to 32.7 and 17 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -6.4 to 0.7.

Stutsman, ND - Wells, ND⁶

Rate : The incidence rate is 25.4 with a 95% confidence interval from 18.1 to 34.7 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -37.7 to 5.5.

Camden (Camden), NJ - Burlington, NJ⁷

Rate : The incidence rate is 25.5 with a 95% confidence interval from 24.3 to 26.6 and 422 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from 0.0 to 1.2.

Kanawha (Charleston), WV - Putnam, WV⁶

Rate : The incidence rate is 25.5 with a 95% confidence interval from 23.2 to 27.9 and 102 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -8.9 to 0.6.

Wake (Raleigh), NC - Johnston, NC⁶

Rate : The incidence rate is 25.5 with a 95% confidence interval from 24.3 to 26.7 and 386 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.6 with a 95% confidence interval from 1.2 to 4.3.

Boyd, KY - Greenup, KY⁷

Rate : The incidence rate is 25.5 with a 95% confidence interval from 22.1 to 29.3 and 44 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.4 to 2.8.

Kankakee (Kankakee), IL - Iroquois, IL⁷

Rate : The incidence rate is 25.5 with a 95% confidence interval from 22.0 to 29.4 and 41 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.1 with a 95% confidence interval from 2.1 to 6.5.

Webster, IA - Humboldt, IA⁷

Rate : The incidence rate is 25.5 with a 95% confidence interval from 20.3 to 31.7 and 19 average annual cases over 2017-2021.
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 6.0.

Goshen, WY - Niobrara, WY⁶

Rate : The incidence rate is 25.5 with a 95% confidence interval from 15.9 to 39.0 and 5 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 4.8 with a 95% confidence interval from -0.5 to 11.8.

Floyd, KY - Johnson, KY⁷

Rate : The incidence rate is 25.5 with a 95% confidence interval from 20.8 to 31.1 and 22 average annual cases over 2017-2021.
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 4.5.

Lawrence, OH⁶

Rate : The incidence rate is 25.5 with a 95% confidence interval from 20.4 to 31.6 and 19 average annual cases over 2017-2021.
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 4.9.

Cobb (Marietta), GA⁷

Rate : The incidence rate is 25.6 with a 95% confidence interval from 24.0 to 27.2 and 205 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -6.4 with a 95% confidence interval from -9.9 to -4.0.

Laurel, KY - Whitley, KY⁷

Rate : The incidence rate is 25.6 with a 95% confidence interval from 22.2 to 29.3 and 45 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.1 with a 95% confidence interval from 2.0 to 4.4.

Latah, ID⁷

Rate : The incidence rate is 25.6 with a 95% confidence interval from 18.6 to 34.4 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -2.2 to 4.8.

Deschutes, OR - Crook, OR⁶

Rate : The incidence rate is 25.6 with a 95% confidence interval from 23.2 to 28.3 and 88 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -12.0 with a 95% confidence interval from -25.9 to -3.8.

Glynn, GA - Camden, GA⁷

Rate : The incidence rate is 25.7 with a 95% confidence interval from 22.6 to 29.0 and 56 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.6 with a 95% confidence interval from 1.8 to 5.9.

Accomack, VA - Northampton, VA⁶

Rate : The incidence rate is 25.7 with a 95% confidence interval from 20.6 to 31.9 and 20 average annual cases over 2017-2021.
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 2.6.

Schuylkill, PA - Northumberland, PA⁶

Rate : The incidence rate is 25.7 with a 95% confidence interval from 23.6 to 27.9 and 120 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 0.9 to 2.9.

Hardin, KY - Meade, KY⁷

Rate : The incidence rate is 25.7 with a 95% confidence interval from 22.8 to 28.9 and 61 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.0 with a 95% confidence interval from 0.6 to 3.7.

Newton (Covington), GA⁷

Rate : The incidence rate is 25.7 with a 95% confidence interval from 21.6 to 30.3 and 29 average annual cases over 2017-2021.
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 2.9.

Lewis, KY⁷

Rate : The incidence rate is 25.7 with a 95% confidence interval from 15.0 to 41.1 and 4 average annual cases over 2017-2021.
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).

Whatcom, WA⁷

Rate : The incidence rate is 25.7 with a 95% confidence interval from 23.0 to 28.7 and 71 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 8.1 with a 95% confidence interval from -0.8 to 15.8.

Horry, SC - Georgetown, SC⁶

Rate : The incidence rate is 25.7 with a 95% confidence interval from 23.8 to 27.7 and 167 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.7 to 1.5.

Marshall, IA - Tama, IA⁷

Rate : The incidence rate is 25.7 with a 95% confidence interval from 20.5 to 32.0 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 0.7 to 3.9.

Rock (Janesville), WI - Green, WI⁶

Rate : The incidence rate is 25.8 with a 95% confidence interval from 23.1 to 28.8 and 70 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 0.2 to 4.7.

Bay (Panama City), FL - Jackson, FL⁶

Rate : The incidence rate is 25.9 with a 95% confidence interval from 23.6 to 28.3 and 102 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 0.2 to 4.3.

Pearl River, MS⁶

Rate : The incidence rate is 25.9 with a 95% confidence interval from 20.7 to 32.2 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 3.1 with a 95% confidence interval from -0.6 to 7.6.

Jefferson (Steubenville), OH - Harrison, OH⁶

Rate : The incidence rate is 26.0 with a 95% confidence interval from 21.5 to 31.1 and 28 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 2.0 to 7.0.

Hughes, SD - Stanley, SD⁶

Rate : The incidence rate is 26.0 with a 95% confidence interval from 18.4 to 35.6 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.7 with a 95% confidence interval from 0.9 to 12.9.

Richland, IL - Clay, IL⁷

Rate : The incidence rate is 26.0 with a 95% confidence interval from 20.3 to 32.8 and 16 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.5 with a 95% confidence interval from 0.6 to 4.6.

Wichita (Wichita Falls), TX - Montague, TX⁷

Rate : The incidence rate is 26.0 with a 95% confidence interval from 23.0 to 29.3 and 60 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 0.7 to 3.7.

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

Rate : The incidence rate is 26.0 with a 95% confidence interval from 23.8 to 28.3 and 113 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.2 with a 95% confidence interval from 3.1 to 5.4.

Kane (Aurora), IL - DeKalb, IL⁷

Rate : The incidence rate is 26.0 with a 95% confidence interval from 24.4 to 27.7 and 206 average annual cases over 2017-2021.
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 5.0.

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

Rate : The incidence rate is 26.0 with a 95% confidence interval from 24.5 to 27.7 and 222 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.0 to 0.5.

Alamance, NC⁶

Rate : The incidence rate is 26.1 with a 95% confidence interval from 23.0 to 29.5 and 55 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.4 to 2.8.

Natrona (Casper), WY - Converse, WY⁶

Rate : The incidence rate is 26.1 with a 95% confidence interval from 22.0 to 30.9 and 29 average annual cases over 2017-2021.
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 5.3.

Broome (Binghamton), NY - Tioga, NY⁷

Rate : The incidence rate is 26.2 with a 95% confidence interval from 23.6 to 29.0 and 86 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 1.7 to 4.4.

Camden, MO⁶

Rate : The incidence rate is 26.2 with a 95% confidence interval from 21.1 to 32.6 and 22 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -1.6 to 6.3.

Roanoke City, VA - Roanoke, VA⁶

Rate : The incidence rate is 26.3 with a 95% confidence interval from 24.6 to 28.0 and 206 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -6.1 with a 95% confidence interval from -20.3 to 5.0.

Comanche (Lawton), OK - Kiowa, OK⁶

Rate : The incidence rate is 26.3 with a 95% confidence interval from 22.6 to 30.4 and 38 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 17.3 with a 95% confidence interval from 2.5 to 34.0.

Mobile (Mobile), AL - Baldwin, AL⁶

Rate : The incidence rate is 26.3 with a 95% confidence interval from 24.7 to 27.9 and 230 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -3.2 to 3.4.

Monongalia, WV - Marion, WV⁶

Rate : The incidence rate is 26.3 with a 95% confidence interval from 23.3 to 29.5 and 62 average annual cases over 2017-2021.
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 6.7.

Albany, WY - Carbon, WY⁶

Rate : The incidence rate is 26.3 with a 95% confidence interval from 20.2 to 33.7 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -0.4 to 7.0.

Clark (Springfield), OH - Champaign, OH⁶

Rate : The incidence rate is 26.3 with a 95% confidence interval from 23.3 to 29.7 and 60 average annual cases over 2017-2021.
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 4.4.

Mecklenburg (Charlotte), NC - Union, NC⁶

Rate : The incidence rate is 26.4 with a 95% confidence interval from 25.1 to 27.7 and 353 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -2.3 to 3.4.

Orange (Chapel Hill), NC - Harnett, NC⁶

Rate : The incidence rate is 26.4 with a 95% confidence interval from 24.4 to 28.6 and 129 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -4.2 to 0.9.

Lancaster, PA⁶

Rate : The incidence rate is 26.4 with a 95% confidence interval from 24.7 to 28.3 and 183 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -5.5 with a 95% confidence interval from -13.4 to -0.5.

Ohio (Wheeling), WV - Marshall, WV⁶

Rate : The incidence rate is 26.4 with a 95% confidence interval from 22.5 to 30.9 and 37 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.0 with a 95% confidence interval from 1.2 to 7.2.

Scotts Bluff, NE - Box Butte, NE⁶

Rate : The incidence rate is 26.4 with a 95% confidence interval from 20.9 to 33.0 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -0.9 to 5.8.

Pulaski (Little Rock), AR - Faulkner, AR⁶

Rate : The incidence rate is 26.5 with a 95% confidence interval from 25.0 to 28.1 and 240 average annual cases over 2017-2021.
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 4.6.

York, NE - Polk, NE⁶

Rate : The incidence rate is 26.5 with a 95% confidence interval from 17.7 to 38.3 and 7 average annual cases over 2017-2021.
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).

Adams, NE - Clay, NE⁶

Rate : The incidence rate is 26.5 with a 95% confidence interval from 20.8 to 33.4 and 16 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -2.3 to 4.7.

Alleghany Cnty & Clifton Forge Cty, VA - Covington City, VA⁶

Rate : The incidence rate is 26.5 with a 95% confidence interval from 19.7 to 35.3 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 4.7 with a 95% confidence interval from -0.1 to 11.1.

Greenbrier, WV - Monroe, WV⁶

Rate : The incidence rate is 26.6 with a 95% confidence interval from 20.9 to 33.5 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.9 to 5.3.

Lorain (Lorain), OH - Erie, OH⁶

Rate : The incidence rate is 26.6 with a 95% confidence interval from 24.8 to 28.5 and 178 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 1.8 to 4.1.

Sheboygan (Sheboygan), WI - Manitowoc, WI⁶

Rate : The incidence rate is 26.6 with a 95% confidence interval from 24.0 to 29.4 and 86 average annual cases over 2017-2021.
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 3.0.

Lincoln, NE - Keith, NE⁶

Rate : The incidence rate is 26.7 with a 95% confidence interval from 21.3 to 33.2 and 19 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 1.2 to 7.3.

Dane (Madison), WI - Sauk, WI⁶

Rate : The incidence rate is 26.7 with a 95% confidence interval from 25.2 to 28.3 and 238 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -9.5 to 3.6.

Warren, KY - Logan, KY⁷

Rate : The incidence rate is 26.7 with a 95% confidence interval from 23.8 to 29.9 and 65 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.2 with a 95% confidence interval from 1.1 to 3.5.

Madison (Alton), IL - Jersey, IL⁷

Rate : The incidence rate is 26.8 with a 95% confidence interval from 24.4 to 29.3 and 101 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.7 with a 95% confidence interval from 2.7 to 4.9.

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 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.4 with a 95% confidence interval from 2.6 to 6.8.

Crawford, IA⁷

Rate : The incidence rate is 26.8 with a 95% confidence interval from 17.6 to 39.5 and 6 average annual cases over 2017-2021.
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).

Franklin, PA - Fulton, PA⁶

Rate : The incidence rate is 26.9 with a 95% confidence interval from 23.8 to 30.2 and 61 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.8 to 3.9.

Madison (Huntsville), AL - Limestone, AL⁶

Rate : The incidence rate is 26.9 with a 95% confidence interval from 25.1 to 28.8 and 169 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 2.2 to 5.1.

Ottawa (Holland), MI - Allegan, MI⁶

Rate : The incidence rate is 26.9 with a 95% confidence interval from 24.8 to 29.2 and 126 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -0.2 to 2.7.

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 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.8 to 1.6.

Fairfield (Lancaster), OH - Athens, OH⁶

Rate : The incidence rate is 26.9 with a 95% confidence interval from 24.3 to 29.8 and 82 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 0.5 to 4.3.

St. Croix, WI - Pierce, WI⁶

Rate : The incidence rate is 27.0 with a 95% confidence interval from 23.3 to 31.1 and 41 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 7.1 with a 95% confidence interval from 4.8 to 10.5.

Emmet, IA⁷

Rate : The incidence rate is 27.1 with a 95% confidence interval from 15.3 to 45.1 and 4 average annual cases over 2017-2021.
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).

Pennington, MN - Marshall, MN⁶

Rate : The incidence rate is 27.1 with a 95% confidence interval from 19.8 to 36.3 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -1.9 to 9.4.

Story, IA - Boone, IA⁷

Rate : The incidence rate is 27.1 with a 95% confidence interval from 23.7 to 30.9 and 50 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 1.4 to 3.4.

Coos, NH⁶

Rate : The incidence rate is 27.2 with a 95% confidence interval from 21.0 to 35.0 and 15 average annual cases over 2017-2021.
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.

Madison, MO⁶

Rate : The incidence rate is 27.2 with a 95% confidence interval from 16.3 to 42.9 and 4 average annual cases over 2017-2021.
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).

Ventura, CA⁷

Rate : The incidence rate is 27.3 with a 95% confidence interval from 25.8 to 28.8 and 276 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 10.6 with a 95% confidence interval from 6.2 to 15.6.

White, AR - Cleburne, AR⁶

Rate : The incidence rate is 27.3 with a 95% confidence interval from 23.2 to 31.8 and 36 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.2 with a 95% confidence interval from 1.5 to 7.5.

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 883 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -4.9 with a 95% confidence interval from -10.4 to -2.3.

Cabarrus (Concord), NC - Rowan, NC⁶

Rate : The incidence rate is 27.3 with a 95% confidence interval from 25.2 to 29.5 and 136 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.7 with a 95% confidence interval from -0.7 to 10.4.

Red Willow, NE - Hitchcock, NE⁶

Rate : The incidence rate is 27.3 with a 95% confidence interval from 18.0 to 40.5 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 4.7 with a 95% confidence interval from -0.9 to 12.3.

Cedar, NE - Knox, NE⁶

Rate : The incidence rate is 27.3 with a 95% confidence interval from 17.1 to 41.3 and 6 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 6.2 with a 95% confidence interval from 1.4 to 12.0.

Kennebec, ME - Somerset, ME⁶

Rate : The incidence rate is 27.3 with a 95% confidence interval from 24.5 to 30.3 and 80 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 0.3 to 4.9.

Marion (Ocala), FL - Citrus, FL⁶

Rate : The incidence rate is 27.3 with a 95% confidence interval from 25.6 to 29.1 and 259 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.5 with a 95% confidence interval from 1.2 to 4.1.

Wilkes, NC⁶

Rate : The incidence rate is 27.4 with a 95% confidence interval from 22.5 to 33.1 and 25 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 0.6 to 5.0.

Boyle, KY - Lincoln, KY⁷

Rate : The incidence rate is 27.4 with a 95% confidence interval from 23.5 to 31.8 and 38 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -7.5 to 1.7.

Montrose, CO - Delta, CO⁶

Rate : The incidence rate is 27.6 with a 95% confidence interval from 23.7 to 32.0 and 41 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -11.7 with a 95% confidence interval from -25.8 to -0.2.

Windham, VT⁶

Rate : The incidence rate is 27.6 with a 95% confidence interval from 21.4 to 35.1 and 16 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -2.4 to 4.0.

Tompkins, NY - Cortland, NY⁷

Rate : The incidence rate is 27.7 with a 95% confidence interval from 24.1 to 31.7 and 45 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 0.7 to 5.0.

Franklin, KY - Anderson, KY⁷

Rate : The incidence rate is 27.7 with a 95% confidence interval from 23.2 to 32.8 and 29 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -7.0 with a 95% confidence interval from -24.1 to 1.1.

Sacramento (Sacramento), CA - Placer, CA⁷

Rate : The incidence rate is 27.7 with a 95% confidence interval from 26.8 to 28.6 and 765 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.9 to 2.5.

Pierce, WA⁷

Rate : The incidence rate is 27.7 with a 95% confidence interval from 26.2 to 29.3 and 273 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.2 with a 95% confidence interval from 1.7 to 3.0.

Onslow, NC - Craven, NC⁶

Rate : The incidence rate is 27.7 with a 95% confidence interval from 25.4 to 30.1 and 119 average annual cases over 2017-2021.
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 3.1.

Polk (Des Moines), IA - Dallas, IA⁷

Rate : The incidence rate is 27.7 with a 95% confidence interval from 26.1 to 29.4 and 229 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 6.8 with a 95% confidence interval from 4.5 to 11.2.

Mason, KY - Fleming, KY⁷

Rate : The incidence rate is 27.8 with a 95% confidence interval from 21.3 to 35.6 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -3.0 to 4.1.

Jackson, OH - Gallia, OH⁶

Rate : The incidence rate is 27.8 with a 95% confidence interval from 23.3 to 32.9 and 30 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 2.1 to 7.0.

Erie (Buffalo), NY - Monroe, NY⁷

Rate : The incidence rate is 27.8 with a 95% confidence interval from 26.9 to 28.8 and 746 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -0.8 to 2.7.

Bourbon (Paris), KY - Nicholas, KY⁷

Rate : The incidence rate is 27.8 with a 95% confidence interval from 20.0 to 37.8 and 9 average annual cases over 2017-2021.
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.

Dauphin (Harrisburg), PA - Cumberland, PA⁶

Rate : The incidence rate is 27.9 with a 95% confidence interval from 26.3 to 29.5 and 257 average annual cases over 2017-2021.
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 2.8.

Guilford (Greensboro), NC - Davidson, NC⁶

Rate : The incidence rate is 27.9 with a 95% confidence interval from 26.5 to 29.3 and 319 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.8 to 1.3.

Boulder, CO - Broomfield, CO⁶

Rate : The incidence rate is 28.0 with a 95% confidence interval from 25.7 to 30.3 and 124 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -6.9 with a 95% confidence interval from -12.7 to -1.2.

Freeborn, MN - Faribault, MN⁶

Rate : The incidence rate is 28.0 with a 95% confidence interval from 21.9 to 35.3 and 17 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -22.6 with a 95% confidence interval from -43.3 to 0.9.

Cattaraugus, NY - Allegany, NY⁷

Rate : The incidence rate is 28.0 with a 95% confidence interval from 24.1 to 32.3 and 43 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 0.1 to 4.3.

Jefferson, IL - Wayne, IL⁷

Rate : The incidence rate is 28.0 with a 95% confidence interval from 22.5 to 34.6 and 20 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.6 with a 95% confidence interval from 1.0 to 6.6.

Baltimore, MD - Baltimore City, MD⁶

Rate : The incidence rate is 28.0 with a 95% confidence interval from 27.2 to 28.9 and 867 average annual cases over 2017-2021.
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 2.8.

Routt, CO - Moffat, CO⁶

Rate : The incidence rate is 28.1 with a 95% confidence interval from 21.2 to 36.6 and 12 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 16.9 with a 95% confidence interval from -1.0 to 36.5.

Madison, NE - Wayne, NE⁶

Rate : The incidence rate is 28.1 with a 95% confidence interval from 22.8 to 34.4 and 21 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 1.9 to 6.2.

Augusta, VA - Staunton City, VA⁶

Rate : The incidence rate is 28.1 with a 95% confidence interval from 24.9 to 31.6 and 63 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -7.9 with a 95% confidence interval from -18.6 to -0.9.

Mendocino, CA⁷

Rate : The incidence rate is 28.1 with a 95% confidence interval from 24.0 to 32.9 and 37 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.6 to 2.6.

Bannock, ID - Bingham, ID⁷

Rate : The incidence rate is 28.2 with a 95% confidence interval from 24.5 to 32.2 and 46 average annual cases over 2017-2021.
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 5.8.

Chatham (Savannah), GA - Liberty, GA⁷

Rate : The incidence rate is 28.2 with a 95% confidence interval from 26.2 to 30.3 and 153 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.0 with a 95% confidence interval from 3.5 to 6.9.

Silver Bow, MT - Deer Lodge, MT⁶

Rate : The incidence rate is 28.2 with a 95% confidence interval from 22.3 to 35.2 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.5 to 3.6.

Greene, TN - Cocke, TN⁶

Rate : The incidence rate is 28.2 with a 95% confidence interval from 24.3 to 32.6 and 41 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -4.6 to 3.7.

Chautauqua, NY⁷

Rate : The incidence rate is 28.4 with a 95% confidence interval from 24.6 to 32.6 and 47 average annual cases over 2017-2021.
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.

Kootenai, ID - Bonner, ID⁷

Rate : The incidence rate is 28.4 with a 95% confidence interval from 25.7 to 31.3 and 93 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 12.3 with a 95% confidence interval from 0.4 to 28.2.

Houston (Dothan), AL - Dale, AL⁶

Rate : The incidence rate is 28.4 with a 95% confidence interval from 25.9 to 31.1 and 100 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -5.7 with a 95% confidence interval from -17.1 to 4.7.

Multnomah (Portland), OR - Washington, OR⁶

Rate : The incidence rate is 28.5 with a 95% confidence interval from 27.4 to 29.5 and 623 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -6.7 to -0.7.

Muskingum, OH - Guernsey, OH⁶

Rate : The incidence rate is 28.5 with a 95% confidence interval from 25.6 to 31.6 and 81 average annual cases over 2017-2021.
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 3.2.

Washington, OH⁶

Rate : The incidence rate is 28.5 with a 95% confidence interval from 23.2 to 34.8 and 23 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -1.1 to 4.9.

Duval (Jacksonville), FL - Clay, FL⁶

Rate : The incidence rate is 28.6 with a 95% confidence interval from 27.3 to 29.8 and 438 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -7.8 to 3.4.

Hall, NE - Hamilton, NE⁶

Rate : The incidence rate is 28.6 with a 95% confidence interval from 23.9 to 34.0 and 28 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 6.5 with a 95% confidence interval from 4.5 to 9.2.

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

Rate : The incidence rate is 28.6 with a 95% confidence interval from 26.8 to 30.6 and 184 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.3 with a 95% confidence interval from 0.7 to 2.0.

Macoupin, IL - Montgomery, IL⁷

Rate : The incidence rate is 28.7 with a 95% confidence interval from 23.9 to 34.2 and 28 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -1.0 to 4.5.

Montgomery, KY - Bath, KY⁷

Rate : The incidence rate is 28.7 with a 95% confidence interval from 22.3 to 36.5 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.8 to 3.0.

Hillsborough (Manchester), NH - Merrimack, NH⁶

Rate : The incidence rate is 28.7 with a 95% confidence interval from 27.1 to 30.4 and 261 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -6.1 with a 95% confidence interval from -10.1 to -1.7.

Washington (Johnson City), TN - Carter, TN⁶

Rate : The incidence rate is 28.9 with a 95% confidence interval from 25.9 to 32.0 and 78 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -9.5 to 2.2.

Stark (Canton), OH - Wayne, OH⁶

Rate : The incidence rate is 28.9 with a 95% confidence interval from 27.2 to 30.7 and 237 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 0.8 to 4.0.

Rockingham, VA - Harrisonburg City, VA⁶

Rate : The incidence rate is 29.0 with a 95% confidence interval from 25.5 to 32.8 and 53 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 0.2 to 4.9.

Madison, KY - Rockcastle, KY⁷

Rate : The incidence rate is 29.0 with a 95% confidence interval from 25.1 to 33.3 and 42 average annual cases over 2017-2021.
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 3.6.

Spartanburg (Spartanburg), SC - Cherokee, SC⁶

Rate : The incidence rate is 29.0 with a 95% confidence interval from 26.8 to 31.3 and 142 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.5 to 4.5.

Belmont, OH - Monroe, OH⁶

Rate : The incidence rate is 29.0 with a 95% confidence interval from 24.4 to 34.3 and 32 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.8 with a 95% confidence interval from 1.3 to 9.0.

Forrest, MS - Lamar, MS⁶

Rate : The incidence rate is 29.0 with a 95% confidence interval from 25.7 to 32.6 and 59 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.7 with a 95% confidence interval from 2.3 to 5.3.

Rock Island (Moline), IL - Henry, IL⁷

Rate : The incidence rate is 29.0 with a 95% confidence interval from 26.1 to 32.2 and 80 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 0.1 to 3.9.

Inyo, CA - Mono, CA⁷

Rate : The incidence rate is 29.0 with a 95% confidence interval from 22.3 to 37.5 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.7 with a 95% confidence interval from -0.5 to 6.7.

York, ME⁶

Rate : The incidence rate is 29.0 with a 95% confidence interval from 26.2 to 32.1 and 86 average annual cases over 2017-2021.
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 1.8.

Hamilton (Cincinnati), OH - Butler, OH⁶

Rate : The incidence rate is 29.1 with a 95% confidence interval from 28.0 to 30.2 and 584 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 3.1 to 4.9.

Escambia (Pensacola), FL - Okaloosa, FL⁶

Rate : The incidence rate is 29.1 with a 95% confidence interval from 27.5 to 30.7 and 278 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -6.9 with a 95% confidence interval from -12.2 to -1.3.

Upson, GA - Lamar, GA⁷

Rate : The incidence rate is 29.1 with a 95% confidence interval from 23.7 to 35.3 and 22 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.2 with a 95% confidence interval from 3.1 to 7.8.

Beadle, SD - Hand, SD⁶

Rate : The incidence rate is 29.1 with a 95% confidence interval from 20.7 to 39.8 and 9 average annual cases over 2017-2021.
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).

Sheridan, WY - Johnson, WY⁶

Rate : The incidence rate is 29.1 with a 95% confidence interval from 22.6 to 37.0 and 16 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 17.8 with a 95% confidence interval from 1.2 to 37.5.

Douglas, WI⁶

Rate : The incidence rate is 29.1 with a 95% confidence interval from 22.6 to 37.0 and 15 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 6.4 with a 95% confidence interval from -7.8 to 11.1.

Washington (Hagerstown), MD⁶

Rate : The incidence rate is 29.1 with a 95% confidence interval from 25.7 to 32.9 and 56 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.4 with a 95% confidence interval from 2.6 to 12.2.

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

Rate : The incidence rate is 29.1 with a 95% confidence interval from 28.4 to 29.9 and 1,115 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.3 to 1.0.

Yellowstone (Billings), MT - Big Horn, MT⁶

Rate : The incidence rate is 29.2 with a 95% confidence interval from 26.2 to 32.4 and 76 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.7 to 3.7.

Cumberland (Portland), ME - Knox, ME⁶

Rate : The incidence rate is 29.2 with a 95% confidence interval from 27.2 to 31.4 and 169 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.2 to 2.2.

Scioto, OH - Ross, OH⁶

Rate : The incidence rate is 29.2 with a 95% confidence interval from 26.0 to 32.8 and 63 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 1.8 to 5.3.

Cabell (Huntington), WV - Wayne, WV⁶

Rate : The incidence rate is 29.3 with a 95% confidence interval from 25.8 to 33.1 and 57 average annual cases over 2017-2021.
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 5.1.

Stephenson, IL - Jo Daviess, IL⁷

Rate : The incidence rate is 29.3 with a 95% confidence interval from 24.3 to 35.2 and 29 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.3 with a 95% confidence interval from 3.3 to 7.8.

Allegany (Cumberland), MD - Garrett, MD⁶

Rate : The incidence rate is 29.3 with a 95% confidence interval from 25.1 to 34.1 and 39 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 6.1 with a 95% confidence interval from -10.1 to 20.5.

Knox, IL - Warren, IL⁷

Rate : The incidence rate is 29.4 with a 95% confidence interval from 24.3 to 35.2 and 27 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.5 with a 95% confidence interval from 1.0 to 4.2.

Barren, KY - Hart, KY⁷

Rate : The incidence rate is 29.5 with a 95% confidence interval from 24.7 to 34.9 and 30 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 0.8 to 5.2.

Hunterdon, NJ - Warren (Phillipsburg), NJ⁷

Rate : The incidence rate is 29.5 with a 95% confidence interval from 26.8 to 32.4 and 98 average annual cases over 2017-2021.
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.

Yankton, SD - Clay, SD⁶

Rate : The incidence rate is 29.5 with a 95% confidence interval from 23.4 to 36.8 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 7.5 with a 95% confidence interval from 3.6 to 12.7.

Thurston (Olympia), WA - Grays Harbor, WA⁷

Rate : The incidence rate is 29.5 with a 95% confidence interval from 27.5 to 31.7 and 163 average annual cases over 2017-2021.
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.

Hillsborough (Tampa), FL - Pinellas, FL⁶

Rate : The incidence rate is 29.6 with a 95% confidence interval from 28.8 to 30.3 and 1,262 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -7.3 to 2.2.

Knox (Knoxville), TN - Blount, TN⁶

Rate : The incidence rate is 29.6 with a 95% confidence interval from 28.2 to 31.1 and 336 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -2.0 to 2.2.

Jefferson (Louisville), KY - Bullitt, KY⁷

Rate : The incidence rate is 29.6 with a 95% confidence interval from 28.3 to 31.1 and 380 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.2 with a 95% confidence interval from 1.6 to 2.9.

Summit (Akron), OH - Portage, OH⁶

Rate : The incidence rate is 29.7 with a 95% confidence interval from 28.2 to 31.2 and 327 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.1 with a 95% confidence interval from 3.0 to 6.6.

Mesa, CO - Garfield, CO⁶

Rate : The incidence rate is 29.7 with a 95% confidence interval from 27.1 to 32.4 and 105 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 9.0 with a 95% confidence interval from 1.2 to 16.9.

Morgan (Decatur), AL - Lawrence, AL⁶

Rate : The incidence rate is 29.7 with a 95% confidence interval from 26.3 to 33.5 and 58 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 1.7 to 5.4.

Frederick, MD⁶

Rate : The incidence rate is 29.8 with a 95% confidence interval from 27.1 to 32.7 and 93 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 2.0 to 11.2.

Montgomery, IA - Adams, IA⁷

Rate : The incidence rate is 29.8 with a 95% confidence interval from 18.5 to 45.5 and 5 average annual cases over 2017-2021.
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. Tammany (Slidell), LA - Washington, LA⁷

Rate : The incidence rate is 29.8 with a 95% confidence interval from 27.3 to 32.5 and 112 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 2.6 to 4.7.

Orange, CA⁷

Rate : The incidence rate is 29.9 with a 95% confidence interval from 29.1 to 30.7 and 1,102 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.1 to 1.3.

King (Seattle), WA - Snohomish, WA⁷

Rate : The incidence rate is 29.9 with a 95% confidence interval from 29.2 to 30.7 and 1,191 average annual cases over 2017-2021.
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 1.0.

Walworth, WI - Jefferson, WI⁶

Rate : The incidence rate is 29.9 with a 95% confidence interval from 26.8 to 33.4 and 72 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 2.1 to 5.2.

Sussex, DE - Kent, DE⁶

Rate : The incidence rate is 30.0 with a 95% confidence interval from 27.9 to 32.2 and 184 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -5.1 with a 95% confidence interval from -10.0 to -1.6.

Twin Falls, ID - Jerome, ID⁷

Rate : The incidence rate is 30.1 with a 95% confidence interval from 26.2 to 34.4 and 44 average annual cases over 2017-2021.
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.

Utah (Provo), UT - Sanpete, UT⁷

Rate : The incidence rate is 30.2 with a 95% confidence interval from 28.1 to 32.4 and 156 average annual cases over 2017-2021.
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.

Moore, NC - Richmond, NC⁶

Rate : The incidence rate is 30.3 with a 95% confidence interval from 27.4 to 33.4 and 89 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -8.0 to 2.5.

Woodbury (Sioux City), IA - Plymouth, IA⁷

Rate : The incidence rate is 30.3 with a 95% confidence interval from 26.9 to 34.0 and 62 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -7.7 to 3.1.

Logan, OH⁶

Rate : The incidence rate is 30.3 with a 95% confidence interval from 24.1 to 37.7 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.4 with a 95% confidence interval from 2.8 to 8.8.

Houston, MN⁶

Rate : The incidence rate is 30.4 with a 95% confidence interval from 21.1 to 42.7 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -24.2 with a 95% confidence interval from -53.7 to 5.3.

Williamson, IL - Jackson, IL⁷

Rate : The incidence rate is 30.4 with a 95% confidence interval from 27.1 to 34.1 and 66 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -9.8 to 5.1.

Rockingham, NH⁶

Rate : The incidence rate is 30.5 with a 95% confidence interval from 28.0 to 33.1 and 129 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.2 to 2.2.

Sullivan (Kingsport), TN - Hawkins, TN⁶

Rate : The incidence rate is 30.5 with a 95% confidence interval from 27.6 to 33.6 and 93 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -14.9 to 6.2.

Miami (Piqua), OH - Shelby, OH⁶

Rate : The incidence rate is 30.6 with a 95% confidence interval from 27.1 to 34.5 and 59 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -5.9 with a 95% confidence interval from -16.1 to 3.2.

Monmouth, NJ - Ocean (Brick Township), NJ⁷

Rate : The incidence rate is 30.8 with a 95% confidence interval from 29.5 to 32.0 and 539 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.1 to 0.3.

Beltrami, MN - Clearwater, MN⁶

Rate : The incidence rate is 30.8 with a 95% confidence interval from 24.6 to 38.0 and 19 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.3 with a 95% confidence interval from 2.8 to 8.8.

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

Rate : The incidence rate is 30.8 with a 95% confidence interval from 27.7 to 34.0 and 83 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 3.0 to 5.9.

Isanti (Cambridge), MN - Mille Lacs, MN⁶

Rate : The incidence rate is 30.8 with a 95% confidence interval from 26.0 to 36.3 and 32 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.1 with a 95% confidence interval from 3.1 to 7.8.

La Salle, IL - Livingston, IL⁷

Rate : The incidence rate is 30.8 with a 95% confidence interval from 27.6 to 34.4 and 74 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -7.6 to 3.5.

Highland, OH - Clinton, OH⁶

Rate : The incidence rate is 30.8 with a 95% confidence interval from 26.0 to 36.3 and 32 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.2 with a 95% confidence interval from 3.6 to 7.3.

Black Hawk (Waterloo), IA - Bremer, IA⁷

Rate : The incidence rate is 30.8 with a 95% confidence interval from 27.8 to 34.1 and 83 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.5 with a 95% confidence interval from 2.0 to 3.1.

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

Rate : The incidence rate is 30.9 with a 95% confidence interval from 27.9 to 34.1 and 85 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 5.1 with a 95% confidence interval from -3.1 to 8.7.

Nobles, MN - Cottonwood, MN⁶

Rate : The incidence rate is 30.9 with a 95% confidence interval from 24.7 to 38.2 and 20 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.8 with a 95% confidence interval from 0.8 to 7.4.

Gilmer, GA - Fannin, GA⁷

Rate : The incidence rate is 30.9 with a 95% confidence interval from 25.5 to 37.3 and 28 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 0.1 to 4.1.

Hamblen (Morristown), TN - Jefferson, TN⁶

Rate : The incidence rate is 31.1 with a 95% confidence interval from 27.5 to 35.1 and 59 average annual cases over 2017-2021.
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 1.1.

Kenton (Covington), KY - Campbell, KY⁷

Rate : The incidence rate is 31.2 with a 95% confidence interval from 28.9 to 33.5 and 154 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 2.6 to 4.2.

Ontario (Geneva), NY - Wayne, NY⁷

Rate : The incidence rate is 31.2 with a 95% confidence interval from 28.4 to 34.1 and 109 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -1.5 to 3.9.

Gaston (Gastonia), NC - Cleveland, NC⁶

Rate : The incidence rate is 31.2 with a 95% confidence interval from 29.2 to 33.4 and 185 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.9 with a 95% confidence interval from 3.4 to 6.8.

McDowell, NC⁶

Rate : The incidence rate is 31.3 with a 95% confidence interval from 24.9 to 38.9 and 18 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -2.3 to 6.1.

Pasquotank, NC - Dare, NC⁶

Rate : The incidence rate is 31.3 with a 95% confidence interval from 26.9 to 36.2 and 41 average annual cases over 2017-2021.
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 5.2.

Asotin, WA - Garfield, WA⁶

Rate : The incidence rate is 31.3 with a 95% confidence interval from 23.3 to 41.4 and 12 average annual cases over 2017-2021.
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 9.2.

Stephens, OK - Jefferson, OK⁶

Rate : The incidence rate is 31.4 with a 95% confidence interval from 25.2 to 38.6 and 20 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -0.9 to 7.7.

Sangamon (Springfield), IL - Christian, IL⁷

Rate : The incidence rate is 31.4 with a 95% confidence interval from 28.9 to 34.0 and 127 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 6.6 with a 95% confidence interval from 4.7 to 10.0.

Buncombe (Asheville), NC - Henderson, NC⁶

Rate : The incidence rate is 31.5 with a 95% confidence interval from 29.6 to 33.5 and 229 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 0.8 to 3.6.

Cherokee, GA - Douglas, GA⁷

Rate : The incidence rate is 31.6 with a 95% confidence interval from 29.6 to 33.7 and 202 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -4.7 with a 95% confidence interval from -12.9 to -0.8.

Buffalo, NE - Dawson, NE⁶

Rate : The incidence rate is 31.9 with a 95% confidence interval from 27.1 to 37.2 and 35 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 9.2 with a 95% confidence interval from 6.3 to 18.4.

Des Moines, IA - Henry, IA⁷

Rate : The incidence rate is 31.9 with a 95% confidence interval from 26.1 to 38.6 and 24 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.5 with a 95% confidence interval from 3.2 to 6.3.

OBrien, IA - Osceola, IA⁷

Rate : The incidence rate is 31.9 with a 95% confidence interval from 22.4 to 44.2 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.8 with a 95% confidence interval from 3.2 to 6.9.

Franklin, ID - Bear Lake, ID⁷

Rate : The incidence rate is 32.0 with a 95% confidence interval from 22.0 to 45.0 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -2.6 to 10.8.

Hancock, IL⁷

Rate : The incidence rate is 32.0 with a 95% confidence interval from 22.7 to 44.3 and 9 average annual cases over 2017-2021.
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 8.7.

York (York), PA - Adams, PA⁶

Rate : The incidence rate is 32.0 with a 95% confidence interval from 30.1 to 34.0 and 227 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -7.3 to 5.4.

Polk (Lakeland), FL - Highlands, FL⁶

Rate : The incidence rate is 32.1 with a 95% confidence interval from 30.6 to 33.7 and 372 average annual cases over 2017-2021.
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 1.8.

Taylor, KY - Adair, KY⁷

Rate : The incidence rate is 32.3 with a 95% confidence interval from 27.0 to 38.3 and 30 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.2 to 4.6.

Stearns (St. Cloud), MN - Benton, MN⁶

Rate : The incidence rate is 32.4 with a 95% confidence interval from 29.5 to 35.4 and 102 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.5 with a 95% confidence interval from 0.4 to 8.2.

Guthrie, IA - Greene, IA⁷

Rate : The incidence rate is 32.4 with a 95% confidence interval from 23.0 to 44.6 and 9 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 0.5 to 5.7.

Shasta (Redding), CA - Trinity, CA⁷

Rate : The incidence rate is 32.4 with a 95% confidence interval from 29.3 to 35.8 and 92 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -20.4 to 1.5.

Teton, WY - Lincoln, WY⁶

Rate : The incidence rate is 32.4 with a 95% confidence interval from 26.2 to 39.8 and 20 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -24.2 to 2.6.

Polk, MN⁶

Rate : The incidence rate is 32.5 with a 95% confidence interval from 24.4 to 42.5 and 12 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 6.6 with a 95% confidence interval from 3.0 to 11.6.

Licking (Newark), OH - Knox, OH⁶

Rate : The incidence rate is 32.5 with a 95% confidence interval from 29.5 to 35.8 and 91 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 6.5 with a 95% confidence interval from 2.9 to 13.5.

Mifflin, PA - Huntingdon, PA⁶

Rate : The incidence rate is 32.5 with a 95% confidence interval from 28.4 to 37.1 and 50 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 1.3 to 5.7.

Pima (Tucson), AZ - Cochise, AZ⁶

Rate : The incidence rate is 32.6 with a 95% confidence interval from 31.3 to 33.9 and 560 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -3.4 to 5.6.

Daviess (Owensboro), KY - Ohio, KY⁷

Rate : The incidence rate is 32.6 with a 95% confidence interval from 28.8 to 36.8 and 57 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 1.4 to 4.5.

Henry, GA - Forsyth, GA⁷

Rate : The incidence rate is 32.7 with a 95% confidence interval from 30.9 to 34.5 and 281 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -5.0 with a 95% confidence interval from -11.2 to -1.7.

Effingham, IL - Fayette, IL⁷

Rate : The incidence rate is 32.8 with a 95% confidence interval from 26.9 to 39.7 and 23 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.0 with a 95% confidence interval from 1.4 to 7.1.

Park, WY - Big Horn, WY⁶

Rate : The incidence rate is 32.8 with a 95% confidence interval from 25.9 to 41.1 and 19 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 0.1 to 6.3.

Ada (Boise City), ID - Canyon, ID⁷

Rate : The incidence rate is 32.9 with a 95% confidence interval from 31.2 to 34.7 and 287 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 1.9 with a 95% confidence interval from 1.1 to 2.9.

Virginia Beach City, VA - Norfolk City, VA⁶

Rate : The incidence rate is 33.0 with a 95% confidence interval from 31.6 to 34.5 and 432 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 2.1 to 5.3.

Macon (Decatur), IL - Shelby, IL⁷

Rate : The incidence rate is 33.1 with a 95% confidence interval from 29.4 to 37.1 and 66 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 2.4 to 5.6.

Penobscot (Bangor), ME - Hancock, ME⁶

Rate : The incidence rate is 33.1 with a 95% confidence interval from 30.2 to 36.1 and 114 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -9.8 to 1.0.

Maricopa (Phoenix), AZ - Pinal, AZ⁶

Rate : The incidence rate is 33.1 with a 95% confidence interval from 32.5 to 33.8 and 2,059 average annual cases over 2017-2021.
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 3.3.

Douglas (Omaha), NE - Sarpy, NE⁶

Rate : The incidence rate is 33.1 with a 95% confidence interval from 31.5 to 34.9 and 311 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.2 with a 95% confidence interval from 4.3 to 6.3.

Polk, NC⁶

Rate : The incidence rate is 33.2 with a 95% confidence interval from 23.7 to 45.8 and 11 average annual cases over 2017-2021.
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).

Peoria (Peoria), IL - Tazewell, IL⁷

Rate : The incidence rate is 33.2 with a 95% confidence interval from 30.8 to 35.8 and 153 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 7.8 with a 95% confidence interval from 3.6 to 16.4.

Yancey, NC - Avery, NC⁶

Rate : The incidence rate is 33.3 with a 95% confidence interval from 27.5 to 40.1 and 26 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 1.5 to 6.9.

Bonneville, ID - Madison, ID⁷

Rate : The incidence rate is 33.4 with a 95% confidence interval from 29.9 to 37.1 and 70 average annual cases over 2017-2021.
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.

Brown, SD - Spink, SD⁶

Rate : The incidence rate is 33.4 with a 95% confidence interval from 27.5 to 40.1 and 27 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.3 with a 95% confidence interval from 2.8 to 8.4.

Scott (Davenport), IA - Muscatine, IA⁷

Rate : The incidence rate is 33.5 with a 95% confidence interval from 30.3 to 36.9 and 86 average annual cases over 2017-2021.
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 4.5.

Custer, NE - Valley, NE⁶

Rate : The incidence rate is 33.5 with a 95% confidence interval from 24.0 to 45.8 and 10 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 6.8 with a 95% confidence interval from 2.7 to 12.7.

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

Rate : The incidence rate is 33.5 with a 95% confidence interval from 31.2 to 35.9 and 180 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -2.8 to 2.0.

Newport News City, VA - Hampton City, VA⁶

Rate : The incidence rate is 33.5 with a 95% confidence interval from 31.5 to 35.6 and 221 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 0.9 to 4.8.

Butte (Chico), CA - Tehama, CA⁷

Rate : The incidence rate is 33.6 with a 95% confidence interval from 30.9 to 36.4 and 130 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -11.3 to 4.0.

Humboldt, CA⁷

Rate : The incidence rate is 33.6 with a 95% confidence interval from 29.6 to 38.0 and 56 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 2.1 to 4.8.

Clayton, IA - Delaware, IA⁷

Rate : The incidence rate is 33.6 with a 95% confidence interval from 25.9 to 43.0 and 15 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.6 with a 95% confidence interval from 2.9 to 6.9.

McCracken, KY - Graves, KY⁷

Rate : The incidence rate is 33.7 with a 95% confidence interval from 30.4 to 37.4 and 80 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.3 to 4.5.

Jackson, NC - Macon, NC⁶

Rate : The incidence rate is 33.9 with a 95% confidence interval from 29.4 to 39.0 and 47 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.3 with a 95% confidence interval from 2.7 to 6.3.

Poweshiek, IA⁷

Rate : The incidence rate is 34.0 with a 95% confidence interval from 23.7 to 47.5 and 8 average annual cases over 2017-2021.
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).

Vermilion, IL - Edgar, IL⁷

Rate : The incidence rate is 34.0 with a 95% confidence interval from 29.2 to 39.4 and 40 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.7 with a 95% confidence interval from 3.0 to 9.0.

Carroll, IA - Sac, IA⁷

Rate : The incidence rate is 34.0 with a 95% confidence interval from 26.9 to 42.5 and 19 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.7 with a 95% confidence interval from 2.4 to 5.4.

Spalding (Griffin), GA - Butts, GA⁷

Rate : The incidence rate is 34.1 with a 95% confidence interval from 29.3 to 39.5 and 38 average annual cases over 2017-2021.
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 6.2.

Linn (Cedar Rapids), IA - Johnson, IA⁷

Rate : The incidence rate is 34.2 with a 95% confidence interval from 32.0 to 36.6 and 186 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 2.1 to 4.2.

Carroll, GA - Haralson, GA⁷

Rate : The incidence rate is 34.2 with a 95% confidence interval from 30.2 to 38.7 and 54 average annual cases over 2017-2021.
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 4.3.

St. Louis (Duluth), MN - Itasca, MN⁶

Rate : The incidence rate is 34.3 with a 95% confidence interval from 31.7 to 37.0 and 150 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.3 with a 95% confidence interval from 3.9 to 6.8.

Clinton, KY - Cumberland, KY⁷

Rate : The incidence rate is 34.4 with a 95% confidence interval from 23.6 to 48.7 and 7 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -5.0 with a 95% confidence interval from -20.3 to -0.6.

Rabun, GA⁷

Rate : The incidence rate is 34.4 with a 95% confidence interval from 24.0 to 48.2 and 9 average annual cases over 2017-2021.
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).

Hennepin (Minneapolis), MN - Anoka, MN⁶

Rate : The incidence rate is 34.4 with a 95% confidence interval from 33.4 to 35.5 and 831 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 2.8 to 4.4.

Rutland, VT⁶

Rate : The incidence rate is 34.5 with a 95% confidence interval from 28.8 to 41.1 and 31 average annual cases over 2017-2021.
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 3.9.

Queen Annes, MD - Talbot, MD⁶

Rate : The incidence rate is 34.5 with a 95% confidence interval from 31.0 to 38.4 and 77 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -7.2 with a 95% confidence interval from -14.1 to -2.7.

Washington, VT - Windsor, VT⁶

Rate : The incidence rate is 34.6 with a 95% confidence interval from 30.9 to 38.6 and 74 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -0.6 to 3.0.

Caledonia, VT - Orleans, VT⁶

Rate : The incidence rate is 34.6 with a 95% confidence interval from 29.7 to 40.2 and 39 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 0.5 to 4.5.

Phelps, NE - Furnas, NE⁶

Rate : The incidence rate is 34.6 with a 95% confidence interval from 23.7 to 49.1 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 4.0 with a 95% confidence interval from -1.5 to 10.8.

Crow Wing, MN - Cass, MN⁶

Rate : The incidence rate is 34.7 with a 95% confidence interval from 30.9 to 38.7 and 78 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 1.1 to 5.9.

Newport, RI⁶

Rate : The incidence rate is 34.8 with a 95% confidence interval from 30.2 to 39.9 and 46 average annual cases over 2017-2021.
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 4.2.

Nemaha, NE⁶

Rate : The incidence rate is 34.8 with a 95% confidence interval from 19.0 to 59.0 and 3 average annual cases over 2017-2021.
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 34.8 with a 95% confidence interval from 30.6 to 39.4 and 70 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 1.3 to 3.2.

New Hanover (Wilmington), NC - Brunswick, NC⁶

Rate : The incidence rate is 34.9 with a 95% confidence interval from 32.6 to 37.2 and 211 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.0 with a 95% confidence interval from 2.8 to 8.1.

Lee, IA⁷

Rate : The incidence rate is 34.9 with a 95% confidence interval from 26.8 to 44.7 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 0.8 to 5.2.

Catawba (Hickory), NC - Burke, NC⁶

Rate : The incidence rate is 34.9 with a 95% confidence interval from 32.4 to 37.6 and 153 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 2.4 to 4.5.

Brookings, SD - Kingsbury, SD⁶

Rate : The incidence rate is 35.0 with a 95% confidence interval from 26.9 to 44.8 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.4 with a 95% confidence interval from 1.0 to 6.2.

Lee (Cape Coral), FL - Collier, FL⁶

Rate : The incidence rate is 35.0 with a 95% confidence interval from 33.7 to 36.3 and 745 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.2 with a 95% confidence interval from 2.9 to 8.0.

Champaign (Champaign), IL - Coles, IL⁷

Rate : The incidence rate is 35.3 with a 95% confidence interval from 32.3 to 38.4 and 111 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.9 with a 95% confidence interval from 3.6 to 6.5.

Dickey, ND - LaMoure, ND⁶

Rate : The incidence rate is 35.7 with a 95% confidence interval from 19.9 to 58.7 and 3 average annual cases over 2017-2021.
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).

Chaffee, CO - Lake, CO⁶

Rate : The incidence rate is 35.8 with a 95% confidence interval from 27.1 to 46.7 and 13 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -0.5 to 6.9.

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

Rate : The incidence rate is 35.9 with a 95% confidence interval from 34.3 to 37.6 and 451 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -6.5 to 2.4.

Douglas, MN - Pope, MN⁶

Rate : The incidence rate is 36.0 with a 95% confidence interval from 29.8 to 43.1 and 29 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.1 with a 95% confidence interval from 1.2 to 7.6.

Adams, IL - Pike, IL⁷

Rate : The incidence rate is 36.1 with a 95% confidence interval from 30.8 to 42.1 and 37 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.2 with a 95% confidence interval from 3.3 to 7.6.

Hawaii, HI⁷

Rate : The incidence rate is 36.2 with a 95% confidence interval from 32.9 to 39.7 and 104 average annual cases over 2017-2021.
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 4.5.

Calloway, KY⁷

Rate : The incidence rate is 36.2 with a 95% confidence interval from 28.2 to 45.8 and 16 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -0.4 to 5.3.

Cheshire, NH⁶

Rate : The incidence rate is 36.2 with a 95% confidence interval from 31.0 to 42.2 and 38 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from 0.0 to 4.5.

Chittenden (Burlington), VT - Franklin, VT⁶

Rate : The incidence rate is 36.4 with a 95% confidence interval from 33.3 to 39.7 and 112 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 0.2 to 4.4.

Sarasota (Sarasota), FL - Charlotte, FL⁶

Rate : The incidence rate is 36.7 with a 95% confidence interval from 35.0 to 38.6 and 501 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -5.1 to 1.8.

Flathead, MT - Lincoln, MT⁶

Rate : The incidence rate is 36.8 with a 95% confidence interval from 32.6 to 41.6 and 62 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -9.0 with a 95% confidence interval from -16.1 to -1.4.

Greenville (Greenville), SC - Anderson, SC⁶

Rate : The incidence rate is 36.8 with a 95% confidence interval from 35.2 to 38.5 and 415 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.1 with a 95% confidence interval from 1.0 to 3.4.

Grafton, NH - Sullivan, NH⁶

Rate : The incidence rate is 37.0 with a 95% confidence interval from 33.1 to 41.4 and 73 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.1 to 2.6.

Kandiyohi, MN - Chippewa, MN⁶

Rate : The incidence rate is 37.3 with a 95% confidence interval from 31.8 to 43.4 and 39 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -6.0 to 3.7.

Wicomico, MD - Worcester, MD⁶

Rate : The incidence rate is 37.4 with a 95% confidence interval from 33.9 to 41.3 and 90 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.9 to 2.7.

Minnehaha (Sioux Falls), SD - Lincoln, SD⁶

Rate : The incidence rate is 37.5 with a 95% confidence interval from 34.5 to 40.6 and 126 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.4 with a 95% confidence interval from 4.5 to 6.6.

Carbon, UT - Emery, UT⁷

Rate : The incidence rate is 37.6 with a 95% confidence interval from 28.6 to 48.6 and 13 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 0.9 to 5.5.

Rice, MN⁶

Rate : The incidence rate is 37.6 with a 95% confidence interval from 31.5 to 44.6 and 29 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.6 with a 95% confidence interval from 2.5 to 10.1.

Grand Traverse, MI - Manistee, MI⁶

Rate : The incidence rate is 37.8 with a 95% confidence interval from 34.4 to 41.5 and 108 average annual cases over 2017-2021.
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 3.3.

McLean (Bloomington), IL - Woodford, IL⁷

Rate : The incidence rate is 37.8 with a 95% confidence interval from 34.3 to 41.6 and 90 average annual cases over 2017-2021.
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 4.1.

Harford, MD - Cecil, MD⁶

Rate : The incidence rate is 38.3 with a 95% confidence interval from 35.7 to 41.0 and 170 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.7 with a 95% confidence interval from 1.7 to 3.9.

Nevada, CA - Sierra, CA⁷

Rate : The incidence rate is 38.3 with a 95% confidence interval from 33.8 to 43.2 and 68 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 1.5 to 4.4.

Iredell (Statesville), NC - Alexander, NC⁶

Rate : The incidence rate is 38.4 with a 95% confidence interval from 35.1 to 42.0 and 103 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.7 with a 95% confidence interval from 3.3 to 6.5.

Kauai, HI⁷

Rate : The incidence rate is 38.5 with a 95% confidence interval from 33.0 to 44.7 and 40 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 11.8 with a 95% confidence interval from 5.5 to 28.0.

Manatee, FL⁶

Rate : The incidence rate is 38.6 with a 95% confidence interval from 36.3 to 41.1 and 257 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.5 with a 95% confidence interval from 4.0 to 7.6.

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

Rate : The incidence rate is 38.9 with a 95% confidence interval from 37.0 to 40.8 and 345 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -3.7 to 1.4.

Floyd, IA - Chickasaw, IA⁷

Rate : The incidence rate is 39.1 with a 95% confidence interval from 29.8 to 50.5 and 14 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.5 with a 95% confidence interval from 3.2 to 6.2.

Chase, NE - Dundy, NE⁶

Rate : The incidence rate is 39.2 with a 95% confidence interval from 21.4 to 66.6 and 3 average annual cases over 2017-2021.
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).

Lyon, MN - Lincoln, MN⁶

Rate : The incidence rate is 39.4 with a 95% confidence interval from 30.6 to 49.8 and 15 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.5 with a 95% confidence interval from 3.4 to 8.1.

Jasper, GA⁷

Rate : The incidence rate is 39.4 with a 95% confidence interval from 27.2 to 55.7 and 7 average annual cases over 2017-2021.
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).

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

Rate : The incidence rate is 39.6 with a 95% confidence interval from 38.0 to 41.2 and 498 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.8 with a 95% confidence interval from 0.5 to 6.4.

Allamakee, IA⁷

Rate : The incidence rate is 39.7 with a 95% confidence interval from 27.8 to 55.4 and 9 average annual cases over 2017-2021.
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).

Carroll, KY - Trimble, KY⁷

Rate : The incidence rate is 39.7 with a 95% confidence interval from 28.2 to 54.4 and 8 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.0 with a 95% confidence interval from 2.1 to 6.5.

Ramsey (St. Paul), MN - Dakota, MN⁶

Rate : The incidence rate is 40.0 with a 95% confidence interval from 38.5 to 41.5 and 586 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.4 with a 95% confidence interval from 4.7 to 6.2.

Bennington, VT⁶

Rate : The incidence rate is 40.0 with a 95% confidence interval from 32.4 to 49.1 and 22 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -5.1 to 1.2.

Marion, IL - Washington, IL⁷

Rate : The incidence rate is 40.0 with a 95% confidence interval from 33.2 to 47.9 and 27 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 1.0 to 5.0.

Clinton, IA⁷

Rate : The incidence rate is 40.1 with a 95% confidence interval from 32.7 to 48.7 and 23 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.0 with a 95% confidence interval from 1.9 to 4.5.

Cass (Fargo), ND - Richland, ND⁶

Rate : The incidence rate is 40.5 with a 95% confidence interval from 36.9 to 44.5 and 95 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.8 with a 95% confidence interval from 4.0 to 8.1.

Lewis and Clark, MT - Jefferson, MT⁶

Rate : The incidence rate is 40.8 with a 95% confidence interval from 35.3 to 46.8 and 46 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 7.9 with a 95% confidence interval from 4.5 to 13.2.

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

Rate : The incidence rate is 41.1 with a 95% confidence interval from 38.4 to 43.9 and 195 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -5.1 to 4.2.

Gallatin and Yellowstone National Park, MT - Madison, MT⁶

Rate : The incidence rate is 41.6 with a 95% confidence interval from 36.6 to 47.1 and 54 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.7 with a 95% confidence interval from 3.8 to 8.2.

Kent, MD⁶

Rate : The incidence rate is 41.7 with a 95% confidence interval from 30.7 to 55.8 and 12 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -2.5 to 10.2.

Watauga, NC - Ashe, NC⁶

Rate : The incidence rate is 41.8 with a 95% confidence interval from 35.8 to 48.6 and 40 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.5 with a 95% confidence interval from 3.0 to 8.7.

Brown, MN - Renville, MN⁶

Rate : The incidence rate is 41.9 with a 95% confidence interval from 34.8 to 50.0 and 29 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.9 with a 95% confidence interval from 3.7 to 8.6.

Dubuque (Dubuque), IA - Jackson, IA⁷

Rate : The incidence rate is 42.2 with a 95% confidence interval from 37.2 to 47.6 and 58 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -5.7 to 4.0.

Sonoma (Santa Rosa), CA⁷

Rate : The incidence rate is 42.2 with a 95% confidence interval from 39.9 to 44.6 and 283 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -9.2 to 3.1.

Washoe (Reno), NV - Carson City, NV⁶

Rate : The incidence rate is 42.3 with a 95% confidence interval from 40.3 to 44.3 and 379 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -1.6 to 6.9.

Martin, MN⁶

Rate : The incidence rate is 42.5 with a 95% confidence interval from 31.1 to 56.8 and 11 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -1.0 to 7.2.

Blue Earth, MN - Nicollet, MN⁶

Rate : The incidence rate is 42.5 with a 95% confidence interval from 37.7 to 47.8 and 61 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -11.5 with a 95% confidence interval from -20.9 to -3.2.

Pipestone, MN - Rock, MN⁶

Rate : The incidence rate is 42.9 with a 95% confidence interval from 31.2 to 57.8 and 10 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 8.7 with a 95% confidence interval from 4.3 to 14.9.

Davis, UT - Weber (Ogden), UT⁷

Rate : The incidence rate is 43.2 with a 95% confidence interval from 40.9 to 45.6 and 270 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -8.1 to 0.5.

Otter Tail, MN - Grant, MN⁶

Rate : The incidence rate is 43.3 with a 95% confidence interval from 36.8 to 50.6 and 40 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.9 with a 95% confidence interval from 2.8 to 7.3.

Hall, GA - Habersham, GA⁷

Rate : The incidence rate is 44.7 with a 95% confidence interval from 42.0 to 47.5 and 219 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -6.9 to 2.1.

Cerro Gordo, IA - Kossuth, IA⁷

Rate : The incidence rate is 45.0 with a 95% confidence interval from 39.6 to 51.0 and 59 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.8 with a 95% confidence interval from 3.7 to 6.4.

Santa Cruz, CA⁷

Rate : The incidence rate is 46.3 with a 95% confidence interval from 43.0 to 49.9 and 151 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.0 with a 95% confidence interval from 3.6 to 9.3.

Winneshiek, IA⁷

Rate : The incidence rate is 46.5 with a 95% confidence interval from 33.6 to 62.8 and 10 average annual cases over 2017-2021.
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).

Clay, MN - Becker, MN⁶

Rate : The incidence rate is 47.7 with a 95% confidence interval from 42.3 to 53.5 and 62 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 7.2 with a 95% confidence interval from 5.5 to 9.4.

Cache, UT⁷

Rate : The incidence rate is 47.7 with a 95% confidence interval from 41.8 to 54.2 and 48 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.2 with a 95% confidence interval from 2.9 to 6.4.

Iron, UT - Beaver, UT⁷

Rate : The incidence rate is 48.5 with a 95% confidence interval from 40.6 to 57.5 and 28 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -5.4 to 2.1.

Mitchell, IA⁷

Rate : The incidence rate is 49.7 with a 95% confidence interval from 32.5 to 72.9 and 6 average annual cases over 2017-2021.
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).

Sioux, IA⁷

Rate : The incidence rate is 49.8 with a 95% confidence interval from 39.8 to 61.6 and 19 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 4.5 with a 95% confidence interval from 2.7 to 7.4.

Clay, IA - Dickinson, IA⁷

Rate : The incidence rate is 50.3 with a 95% confidence interval from 41.7 to 60.3 and 28 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 5.7 with a 95% confidence interval from 4.9 to 6.8.

Blaine, ID - Camas, ID⁷

Rate : The incidence rate is 52.8 with a 95% confidence interval from 42.3 to 65.4 and 19 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 3.9 with a 95% confidence interval from 0.6 to 8.7.

Olmsted (Rochester), MN - Winona, MN⁶

Rate : The incidence rate is 53.4 with a 95% confidence interval from 50.2 to 56.9 and 213 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is falling because the trend is -11.5 with a 95% confidence interval from -17.5 to -7.4.

Goodhue, MN⁶

Rate : The incidence rate is 54.1 with a 95% confidence interval from 45.5 to 63.8 and 32 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 6.1 with a 95% confidence interval from 3.6 to 9.4.

Big Stone, MN - Traverse, MN⁶

Rate : The incidence rate is 56.6 with a 95% confidence interval from 36.3 to 84.3 and 6 average annual cases over 2017-2021.
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).

Marin, CA⁷

Rate : The incidence rate is 57.1 with a 95% confidence interval from 53.6 to 60.8 and 221 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 2.6 with a 95% confidence interval from 1.9 to 3.3.

Washington, UT - Kane, UT⁷

Rate : The incidence rate is 68.4 with a 95% confidence interval from 63.5 to 73.5 and 169 average annual cases over 2017-2021.
CI*Rank ⋔ : N/A
Recent Trend : The trend is rising because the trend is 13.3 with a 95% confidence interval from 5.9 to 21.7.

Allen (Fort Wayne), IN - Noble, IN⁶

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.

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).

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 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.

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).

Boone, IN⁶

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.

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).

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 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.

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.

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 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.

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 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.

Dewey, SD - Walworth, 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).

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.

Dubois, IN⁶

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.

Elkhart (Elkhart), IN - Kosciusko, IN⁶

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.

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).

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 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.

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 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.

Franklin, IN⁶

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).

Grand, 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).

Grant, IN - Miami, IN⁶

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, 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).

Hamilton, IN - Madison (Anderson), IN⁶

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.

Hancock, IN - Henry (New Castle), IN⁶

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.

Henderson, 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).

Howard (Kokomo), IN - Cass, IN⁶

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, 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 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.

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 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.

La Porte, IN - Starke, IN⁶

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.

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 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.

Lawrence, IN - Orange, IN⁶

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.

Linn, 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).

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.

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 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.

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.

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 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, IN⁶

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, 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.

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.

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).

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).

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 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.

Phillips, AR⁶

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).

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.

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).

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.

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).

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.

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).

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).

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 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.

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 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.

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 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.

Vigo (Terre Haute), IN - Clay, IN⁶

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.

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).

Wayne, IN - Fayette, IN⁶

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.

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 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).

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).

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 07/13/2025 5:37 am.

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

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

† 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. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

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/Historic Combined Summary Stage (2004+).
⋔ 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).
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 2023 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 2023 submission).
⁷ Source: SEER November 2023 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 modified by NCI. The US Population Data File is used with SEER November 2023 data.

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

Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.

State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for United States by HSAMelanoma of the Skin (All Stages^), 2017-2021All Races (includes Hispanic), Both Sexes, All AgesSorted by Rate

US (SEER+NPCR)1

Puerto Rico6

Webb (Laredo), TX - Zapata, TX7

El Paso (El Paso), TX - Hudspeth, TX7

Maverick, TX - Val Verde, TX7

Hidalgo (Mcallen), TX - Starr, TX7

McKinley, NM7

Cameron (Brownsville), TX - Willacy, TX7

Orangeburg, SC - Bamberg, SC6

Florence (Florence), SC - Darlington, SC6

Umatilla, OR - Morrow, OR6

Wise, VA - Lee, VA6

Otero, CO - Prowers, CO6

Washington, MS - Sharkey, MS6

Bee, TX - Karnes, TX7

Lea, NM7

Prince William (Dale City), VA - Fauquier, VA6

Kings (New York), NY - Queens, NY7

San Juan, NM7

Marion, SC - Dillon, SC6

Russell, AL6

San Miguel, NM - Mora, NM7

Alamosa, CO - Rio Grande, CO6

District of Columbia6

Bolivar, MS - Leflore, MS6

Adair, MO - Sullivan, MO6

St. Mary, LA7

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

Ector (Odessa), TX - Reeves, TX7

Williams, ND - McKenzie, ND6

Fairfax, VA - Arlington, VA6

Malheur, OR6

Dickinson, MI - Menominee, MI6

Nacogdoches, TX - Shelby, TX7

Washington, VA - Smyth, VA6

Nolan, TX - Mitchell, TX7

Bexar (San Antonio), TX - Guadalupe, TX7

Yuma, AZ - La Paz, AZ6

Curry, NM - Roosevelt, NM7

Dallas, AL - Marengo, AL6

Shelby (Memphis), TN - Tipton, TN6

Spokane (Spokane), WA - Stevens, WA6

Anderson, TX - Cherokee, TX7

Warren, MS - Claiborne, MS6

Yazoo, MS6

Lowndes, MS - Clay, MS6

Apache, AZ6

Bristol (New Bedford), MA7

Logan, CO - Phillips, CO6

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

Coos, OR - Curry, OR6

Hampden (Springfield), MA - Hampshire, MA7

Chambers, AL - Randolph, AL6

Hardin, TN - McNairy, TN6

Montgomery (Clarksville), TN - Stewart, TN6

Aiken, SC - Edgefield, SC6

Bergen, NJ - Hudson (Jersey City), NJ7

Hertford, NC - Bertie, NC6

Houghton, MI - Baraga, MI6

Los Angeles (Los Angeles), CA7

Tuscaloosa (Tuscaloosa), AL - Pickens, AL6

Coahoma, MS - Tallahatchie, MS6

Pittsylvania (Danville), VA - Danville City, VA6

Polk, AR6

Deaf Smith, TX - Parmer, TX7

Sumter, SC - Clarendon, SC6

Gregg (Longview), TX - Rusk, TX7

Adams, MS - Jefferson, MS6

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

Smith (Tyler), TX - Henderson, TX7

Navarro, TX - Freestone, TX7

Howard, TX - Glasscock, TX7

Madison (Jackson), TN - Gibson, TN6

Dyer, TN - Lauderdale, TN6

Mississippi, AR6

Petersburg City, VA - Prince George, VA6

Decatur, GA - Seminole, GA7