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Incidence Rates Table

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Incidence Rate Report for United States by HSA

Melanoma of the Skin (All Stages^), 2018-2022

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

Sorted by Rate

Health Service Area	Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval)	CI*Rank ⋔ (95% Confidence Interval)	Average Annual Count	Recent Trend	Recent 5-Year Trend ‡ in Incidence Rates (95% Confidence Interval)
US (SEER+NPCR) ¹	23.1 (23.0, 23.2)	N/A	91,120	stable	0.2 (-1.1, 1.2)
Washington, UT - Kane, UT ⁷	78.3 (73.1, 83.7)	N/A	201	rising	12.6 (7.1, 20.1)
Marin, CA ⁷	59.1 (55.6, 62.9)	N/A	229	rising	2.6 (1.9, 3.2)
Goodhue, MN ²	55.5 (46.9, 65.4)	N/A	33	stable	-11.6 (-27.0, 4.3)
Blaine, ID - Camas, ID ⁷	55.3 (44.9, 67.8)	N/A	21	rising	3.4 (0.5, 7.9)
Iron, UT - Beaver, UT ⁷	53.5 (45.4, 62.6)	N/A	33	stable	0.2 (-4.8, 2.5)
Olmsted (Rochester), MN - Winona, MN ²	52.8 (49.5, 56.2)	N/A	214	falling	-9.7 (-15.0, -4.4)
Clay, MN - Becker, MN ²	51.8 (46.3, 57.9)	N/A	68	rising	7.3 (5.9, 9.1)
Sioux, IA ⁷	49.7 (39.9, 61.1)	N/A	19	rising	4.4 (2.8, 7.1)
Santa Cruz, CA ⁷	49.5 (46.0, 53.2)	N/A	162	rising	4.8 (3.6, 8.2)
Big Stone, MN - Traverse, MN ²	49.4 (30.1, 76.5)	N/A	5	*	*
Cass (Fargo), ND - Richland, ND ²	49.4 (45.3, 53.7)	N/A	117	rising	20.7 (14.4, 28.3)
Clay, IA - Dickinson, IA ⁷	48.8 (40.3, 58.5)	N/A	28	rising	5.4 (4.5, 6.6)
Mitchell, IA ⁷	48.7 (32.1, 70.8)	N/A	6	*	*
Allamakee, IA ⁷	48.4 (35.0, 65.6)	N/A	10	*	*
Otter Tail, MN - Grant, MN ²	47.6 (40.9, 55.0)	N/A	46	rising	5.1 (3.5, 7.1)
Cache, UT ⁷	46.6 (40.8, 53.0)	N/A	48	rising	4.0 (2.7, 6.2)
Dubuque (Dubuque), IA - Jackson, IA ⁷	46.2 (41.0, 51.9)	N/A	64	rising	5.1 (4.3, 6.1)
Watauga, NC - Ashe, NC ²	46.0 (39.7, 53.0)	N/A	44	rising	5.6 (3.6, 8.2)
Brown, MN - Renville, MN ²	45.6 (38.3, 54.1)	N/A	32	rising	6.1 (4.1, 8.6)
Kent, MD ²	44.5 (33.2, 58.9)	N/A	13	stable	3.5 (-1.3, 9.7)
Pipestone, MN - Rock, MN ²	44.2 (32.1, 59.4)	N/A	10	rising	7.9 (4.1, 13.5)
Kauai, HI ⁷	43.9 (38.1, 50.5)	N/A	46	rising	14.7 (9.6, 23.9)
Carroll, KY - Trimble, KY ⁷	43.6 (31.6, 58.7)	N/A	9	rising	4.0 (2.3, 6.2)
Sonoma (Santa Rosa), CA ⁷	43.0 (40.7, 45.4)	N/A	288	stable	-1.2 (-7.7, 2.2)
Santa Barbara (Santa Barbara), CA - San Luis Obispo, CA ⁷	42.9 (40.9, 44.9)	N/A	386	rising	5.8 (0.2, 14.1)
Hall, GA - Habersham, GA ⁷	42.8 (40.2, 45.6)	N/A	218	stable	-1.2 (-5.5, 1.2)
Davis, UT - Weber (Ogden), UT ⁷	42.7 (40.4, 45.1)	N/A	272	stable	-2.5 (-6.4, 0.1)
Cerro Gordo, IA - Kossuth, IA ⁷	42.4 (37.2, 48.1)	N/A	57	rising	4.6 (3.6, 6.0)
Winneshiek, IA ⁷	42.4 (30.1, 57.9)	N/A	10	*	*
Washoe (Reno), NV - Carson City, NV ²	42.3 (40.4, 44.3)	N/A	389	stable	0.9 (-2.5, 3.9)
Blue Earth, MN - Nicollet, MN ²	42.2 (37.4, 47.3)	N/A	62	stable	-4.1 (-15.2, 3.7)
Nevada, CA - Sierra, CA ⁷	42.2 (37.5, 47.3)	N/A	76	rising	3.5 (2.4, 4.9)
Gallatin and Yellowstone National Park, MT - Madison, MT ²	42.1 (37.2, 47.5)	N/A	56	stable	-1.3 (-11.9, 5.1)
St. Johns (St. Augustine), FL - Putnam, FL ²	41.7 (39.1, 44.6)	N/A	201	stable	-1.1 (-4.4, 3.1)
Teton, WY - Lincoln, WY ²	41.7 (34.6, 49.9)	N/A	26	stable	2.9 (-0.2, 6.7)
Ramsey (St. Paul), MN - Dakota, MN ²	41.1 (39.6, 42.6)	N/A	610	stable	2.8 (-0.9, 4.7)
Brookings, SD - Kingsbury, SD ²	41.1 (32.2, 51.6)	N/A	16	rising	4.2 (1.8, 7.5)
Salt Lake (Salt Lake City), UT - Tooele, UT ⁷	40.8 (39.2, 42.5)	N/A	520	stable	2.6 (-0.2, 5.8)
Adams, IL - Pike, IL ⁷	40.7 (35.0, 47.0)	N/A	42	rising	5.4 (3.8, 7.4)
Floyd, IA - Chickasaw, IA ⁷	40.6 (31.3, 52.0)	N/A	15	rising	4.6 (3.5, 6.2)
Crow Wing, MN - Cass, MN ²	40.4 (36.3, 44.8)	N/A	92	rising	4.4 (2.5, 6.8)
Lyon, MN - Lincoln, MN ²	40.3 (31.5, 50.9)	N/A	15	rising	4.8 (2.9, 7.2)
Kandiyohi, MN - Chippewa, MN ²	39.6 (34.0, 45.9)	N/A	42	stable	3.9 (-4.2, 6.1)
Harford, MD - Cecil, MD ²	39.5 (36.8, 42.3)	N/A	177	rising	2.7 (1.9, 3.7)
Marion, IL - Washington, IL ⁷	39.3 (32.7, 46.9)	N/A	27	rising	2.7 (1.1, 4.7)
Minnehaha (Sioux Falls), SD - Lincoln, SD ²	38.8 (35.8, 42.0)	N/A	133	rising	5.2 (4.3, 6.5)
Manatee, FL ²	38.6 (36.4, 41.0)	N/A	269	stable	-1.0 (-9.0, 4.0)
Iredell (Statesville), NC - Alexander, NC ²	38.6 (35.2, 42.1)	N/A	106	stable	3.5 (-4.2, 6.1)
Rice, MN ²	38.3 (32.2, 45.3)	N/A	30	rising	5.4 (2.8, 9.0)
Brevard (Palm Bay), FL - Indian River, FL ²	38.2 (36.6, 39.9)	N/A	495	rising	3.4 (2.6, 4.5)
Chaffee, CO - Lake, CO ²	38.1 (29.2, 49.1)	N/A	15	rising	3.6 (0.9, 7.0)
Hawaii, HI ⁷	38.0 (34.7, 41.5)	N/A	115	rising	2.7 (1.2, 4.6)
Logan, OH ²	37.9 (30.7, 46.4)	N/A	21	rising	6.1 (3.7, 9.4)
Hancock, IL ⁷	37.7 (27.8, 50.6)	N/A	11	rising	4.1 (1.0, 8.4)
New Hanover (Wilmington), NC - Brunswick, NC ²	37.7 (35.3, 40.1)	N/A	231	rising	5.3 (3.5, 7.8)
Jasper, GA ⁷	37.4 (25.8, 53.0)	N/A	7	*	*
Chittenden (Burlington), VT - Franklin, VT ²	37.3 (34.2, 40.6)	N/A	117	rising	2.2 (0.5, 4.1)
Rabun, GA ⁷	37.2 (26.2, 51.6)	N/A	9	*	*
Polk, MN ²	37.1 (28.3, 47.8)	N/A	13	rising	6.6 (3.6, 10.9)
Emmet, IA ⁷	37.0 (22.6, 57.6)	N/A	5	*	*
Queen Annes, MD - Talbot, MD ²	36.7 (33.1, 40.7)	N/A	84	stable	1.5 (-0.1, 3.2)
OBrien, IA - Osceola, IA ⁷	36.7 (26.2, 50.1)	N/A	9	rising	4.9 (3.4, 7.0)
Catawba (Hickory), NC - Burke, NC ²	36.7 (34.1, 39.4)	N/A	162	rising	3.2 (2.4, 4.2)
Nemaha, NE ²	36.6 (20.7, 60.9)	N/A	3	*	*
Sarasota (Sarasota), FL - Charlotte, FL ²	36.6 (34.9, 38.4)	N/A	515	stable	-0.9 (-4.4, 1.2)
Clinton, IA ⁷	36.5 (29.5, 44.7)	N/A	21	rising	2.7 (1.5, 4.1)
Poweshiek, IA ⁷	36.4 (25.9, 49.9)	N/A	9	*	*
Wicomico, MD - Worcester, MD ²	36.3 (32.9, 40.1)	N/A	89	stable	0.7 (-0.8, 2.4)
Greenville (Greenville), SC - Anderson, SC ²	36.3 (34.7, 37.9)	N/A	414	stable	-5.0 (-10.2, 1.1)
Linn (Cedar Rapids), IA - Johnson, IA ⁷	36.3 (34.0, 38.7)	N/A	200	rising	3.0 (2.3, 4.1)
Douglas, MN - Pope, MN ²	36.2 (30.2, 43.2)	N/A	30	stable	1.3 (-6.5, 4.2)
Martin, MN ²	36.2 (26.3, 49.1)	N/A	10	stable	1.9 (-1.6, 6.0)
Pennington, MN - Marshall, MN ²	36.2 (27.7, 46.6)	N/A	14	rising	5.4 (1.5, 10.5)
Mesa, CO - Garfield, CO ²	36.2 (33.4, 39.2)	N/A	133	rising	20.7 (9.1, 27.8)
Lee (Cape Coral), FL - Collier, FL ²	36.0 (34.8, 37.3)	N/A	795	rising	4.2 (3.1, 7.6)
Grand Traverse, MI - Manistee, MI ²	36.0 (32.7, 39.6)	N/A	104	stable	0.9 (-0.5, 2.5)
Phelps, NE - Furnas, NE ²	35.9 (24.2, 51.3)	N/A	7	stable	3.8 (-1.3, 10.0)
Hennepin (Minneapolis), MN - Anoka, MN ²	35.7 (34.6, 36.8)	N/A	873	rising	3.6 (3.0, 4.4)
Carbon, UT - Emery, UT ⁷	35.6 (27.0, 46.1)	N/A	13	rising	2.4 (0.6, 5.0)
Grafton, NH - Sullivan, NH ²	35.4 (31.6, 39.7)	N/A	71	stable	0.0 (-1.8, 1.9)
St. Louis (Duluth), MN - Itasca, MN ²	35.4 (32.8, 38.2)	N/A	154	rising	4.9 (3.8, 6.2)
Carroll, GA - Haralson, GA ⁷	35.4 (31.3, 39.8)	N/A	57	rising	2.3 (1.0, 4.1)
McCracken, KY - Graves, KY ⁷	35.3 (31.8, 39.1)	N/A	84	rising	2.0 (0.1, 4.2)
Montgomery, IA - Adams, IA ⁷	35.3 (22.9, 52.0)	N/A	6	*	*
Caledonia, VT - Orleans, VT ²	35.2 (30.2, 40.9)	N/A	40	rising	3.0 (1.3, 5.0)
Douglas (Omaha), NE - Sarpy, NE ²	35.2 (33.5, 37.0)	N/A	335	rising	5.3 (4.5, 6.4)
Stearns (St. Cloud), MN - Benton, MN ²	35.1 (32.2, 38.3)	N/A	112	stable	3.0 (-1.1, 8.3)
Yancey, NC - Avery, NC ²	35.1 (29.0, 42.3)	N/A	27	rising	3.7 (1.3, 6.7)
Flathead, MT - Lincoln, MT ²	35.0 (31.0, 39.5)	N/A	63	falling	-6.0 (-13.3, -0.6)
McLean (Bloomington), IL - Woodford, IL ⁷	35.0 (31.7, 38.6)	N/A	84	stable	-3.2 (-11.8, 3.2)
Daviess (Owensboro), KY - Ohio, KY ⁷	35.0 (31.0, 39.4)	N/A	60	rising	3.2 (1.9, 4.9)
Nobles, MN - Cottonwood, MN ²	35.0 (28.5, 42.6)	N/A	23	rising	3.9 (1.4, 6.9)
Beltrami, MN - Clearwater, MN ²	34.9 (28.4, 42.6)	N/A	22	rising	6.0 (3.8, 9.1)
Champaign (Champaign), IL - Coles, IL ⁷	34.8 (31.9, 37.9)	N/A	110	rising	4.3 (2.8, 6.1)
Vermilion, IL - Edgar, IL ⁷	34.8 (30.0, 40.2)	N/A	42	rising	5.1 (2.8, 8.3)
Jackson, NC - Macon, NC ²	34.8 (30.2, 39.8)	N/A	50	rising	4.6 (3.4, 6.1)
Calloway, KY ⁷	34.7 (27.2, 43.7)	N/A	16	stable	1.8 (-0.2, 4.3)
Peoria (Peoria), IL - Tazewell, IL ⁷	34.6 (32.1, 37.2)	N/A	158	rising	5.9 (3.7, 11.4)
Rutland, VT ²	34.5 (28.7, 41.1)	N/A	31	stable	1.1 (-1.1, 3.5)
Clinton, KY - Cumberland, KY ⁷	34.4 (23.7, 48.8)	N/A	7	stable	-3.2 (-16.5, 0.8)
Yankton, SD - Clay, SD ²	34.3 (27.7, 42.1)	N/A	21	rising	7.7 (4.7, 12.1)
Cheshire, NH ²	34.3 (29.3, 40.0)	N/A	37	stable	1.6 (-0.3, 3.8)
Washington, VT - Windsor, VT ²	34.3 (30.6, 38.3)	N/A	74	stable	0.9 (-0.7, 2.7)
Lewis and Clark, MT - Jefferson, MT ²	34.2 (29.3, 39.7)	N/A	40	falling	-16.7 (-28.1, -4.6)
Lee, IA ⁷	34.2 (26.1, 44.0)	N/A	14	rising	2.7 (0.9, 5.0)
Inyo, CA - Mono, CA ⁷	34.2 (26.9, 43.0)	N/A	17	rising	2.9 (0.4, 6.4)
Pima (Tucson), AZ - Cochise, AZ ²	34.1 (32.8, 35.4)	N/A	604	rising	5.2 (1.3, 6.9)
Clayton, IA - Delaware, IA ⁷	34.0 (26.2, 43.4)	N/A	16	rising	4.1 (2.6, 6.4)
Licking (Newark), OH - Knox, OH ²	33.9 (30.8, 37.2)	N/A	97	stable	2.4 (-2.3, 5.4)
Effingham, IL - Fayette, IL ⁷	33.9 (27.9, 40.8)	N/A	24	rising	4.3 (2.5, 6.7)
Maricopa (Phoenix), AZ - Pinal, AZ ²	33.8 (33.2, 34.5)	N/A	2,180	stable	1.7 (0.0, 3.2)
Macon (Decatur), IL - Shelby, IL ⁷	33.8 (30.1, 37.9)	N/A	68	rising	3.6 (2.3, 5.2)
Bennington, VT ²	33.8 (26.8, 42.2)	N/A	19	stable	-2.3 (-5.0, 0.4)
Kootenai, ID - Bonner, ID ⁷	33.7 (30.8, 36.8)	N/A	113	rising	15.4 (9.1, 21.1)
Spalding (Griffin), GA - Butts, GA ⁷	33.6 (28.9, 39.0)	N/A	38	rising	3.7 (2.3, 5.6)
Pasquotank, NC - Dare, NC ²	33.6 (29.1, 38.7)	N/A	45	rising	3.4 (1.8, 5.3)
Scott (Davenport), IA - Muscatine, IA ⁷	33.6 (30.4, 37.1)	N/A	86	rising	3.2 (2.4, 4.3)
Virginia Beach City, VA - Norfolk City, VA ²	33.6 (32.2, 35.1)	N/A	445	rising	3.4 (2.2, 4.9)
Gaston (Gastonia), NC - Cleveland, NC ²	33.6 (31.5, 35.8)	N/A	201	rising	5.2 (4.0, 6.7)
Clallam, WA - Jefferson, WA ⁷	33.6 (29.5, 38.1)	N/A	70	rising	1.9 (1.1, 3.0)
Sangamon (Springfield), IL - Christian, IL ⁷	33.5 (30.9, 36.2)	N/A	136	rising	6.5 (4.6, 10.6)
Buncombe (Asheville), NC - Henderson, NC ²	33.4 (31.4, 35.4)	N/A	246	rising	2.4 (1.3, 3.7)
Ada (Boise City), ID - Canyon, ID ⁷	33.4 (31.7, 35.1)	N/A	302	rising	1.9 (1.2, 2.7)
Cabell (Huntington), WV - Wayne, WV ²	33.2 (29.5, 37.3)	N/A	65	rising	17.8 (7.0, 26.3)
La Crosse (La Crosse), WI - Monroe, WI ²	33.2 (30.1, 36.5)	N/A	91	rising	4.4 (3.4, 5.6)
Madison, MO ²	33.1 (20.8, 50.1)	N/A	5	*	*
Atlantic (Atlantic City), NJ - Cape May, NJ ⁷	33.0 (30.7, 35.3)	N/A	180	stable	1.0 (-1.2, 1.9)
Isanti (Cambridge), MN - Mille Lacs, MN ²	32.9 (28.0, 38.5)	N/A	35	rising	5.1 (3.3, 7.4)
Onslow, NC - Craven, NC ²	32.9 (30.4, 35.6)	N/A	142	rising	2.8 (1.6, 4.0)
Bourbon (Paris), KY - Nicholas, KY ⁷	32.9 (24.4, 43.6)	N/A	11	stable	0.7 (-1.3, 3.0)
Asotin, WA - Garfield, WA ¹	32.9 (24.4, 43.6)	N/A	12	stable	3.7 (0.0, 9.0)
Carroll, IA - Sac, IA ⁷	32.8 (25.8, 41.3)	N/A	18	rising	3.6 (2.4, 5.3)
Hancock, IN - Henry (New Castle), IN ²	32.8 (28.8, 37.1)	N/A	52	rising	3.7 (2.1, 5.9)
Butte (Chico), CA - Tehama, CA ⁷	32.7 (30.1, 35.6)	N/A	124	stable	-2.2 (-9.5, 2.4)
Penobscot (Bangor), ME - Hancock, ME ²	32.7 (29.9, 35.8)	N/A	115	stable	-2.4 (-6.7, 0.0)
Ontario (Geneva), NY - Wayne, NY ⁷	32.7 (29.9, 35.7)	N/A	116	stable	3.0 (0.0, 4.4)
Miami (Piqua), OH - Shelby, OH ²	32.6 (29.0, 36.6)	N/A	63	rising	4.3 (2.6, 6.5)
Latah, ID ⁷	32.6 (24.7, 42.2)	N/A	12	stable	1.9 (-1.0, 5.6)
Taylor, KY - Adair, KY ⁷	32.6 (27.3, 38.6)	N/A	30	stable	-5.4 (-21.1, 1.5)
Kenton (Covington), KY - Campbell, KY ⁷	32.3 (30.0, 34.7)	N/A	162	rising	3.2 (2.6, 4.1)
Jackson, OH - Gallia, OH ²	32.2 (27.4, 37.7)	N/A	35	rising	5.1 (3.0, 7.8)
Sheridan, WY - Johnson, WY ²	32.2 (25.3, 40.4)	N/A	17	stable	12.8 (-1.3, 35.2)
St. Tammany (Slidell), LA - Washington, LA ⁷	32.2 (29.6, 34.9)	N/A	122	rising	3.7 (2.9, 4.7)
Bonneville, ID - Madison, ID ⁷	32.1 (28.8, 35.8)	N/A	69	stable	-7.8 (-15.2, 2.2)
Black Hawk (Waterloo), IA - Bremer, IA ⁷	32.0 (28.9, 35.3)	N/A	88	rising	2.5 (2.0, 3.1)
Henry, GA - Forsyth, GA ⁷	32.0 (30.3, 33.7)	N/A	283	falling	-3.8 (-8.9, -0.9)
Frederick, MD ²	32.0 (29.2, 34.9)	N/A	102	rising	4.3 (2.3, 10.4)
Highland, OH - Clinton, OH ²	31.9 (27.0, 37.5)	N/A	32	rising	5.1 (3.7, 6.8)
Summit (Akron), OH - Portage, OH ²	31.9 (30.4, 33.5)	N/A	354	rising	4.7 (3.6, 8.1)
Brown, SD - Spink, SD ²	31.9 (26.2, 38.5)	N/A	25	rising	4.7 (2.3, 7.6)
Gilmer, GA - Fannin, GA ⁷	31.7 (26.0, 38.4)	N/A	29	rising	2.0 (0.5, 4.0)
Mifflin, PA - Huntingdon, PA ²	31.7 (27.6, 36.2)	N/A	49	rising	2.9 (0.9, 5.4)
Twin Falls, ID - Jerome, ID ⁷	31.6 (27.6, 36.0)	N/A	48	stable	1.5 (-0.5, 4.0)
Grand, UT ⁷	31.6 (18.9, 50.2)	N/A	4	*	*
Newport News City, VA - Hampton City, VA ²	31.5 (29.6, 33.5)	N/A	211	rising	2.3 (0.6, 4.3)
Hamilton (Cincinnati), OH - Butler, OH ²	31.5 (30.4, 32.6)	N/A	638	rising	4.1 (3.4, 4.9)
Pendleton, WV ²	31.4 (17.5, 54.7)	N/A	4	*	*
Williamson, IL - Jackson, IL ⁷	31.4 (28.0, 35.1)	N/A	68	stable	2.8 (-4.4, 4.5)
Shasta (Redding), CA - Trinity, CA ⁷	31.4 (28.3, 34.7)	N/A	90	falling	-3.9 (-12.5, -0.1)
Newport, RI ²	31.3 (27.0, 36.1)	N/A	43	stable	0.9 (-1.3, 3.4)
Polk (Lakeland), FL - Highlands, FL ²	31.2 (29.8, 32.8)	N/A	368	stable	0.4 (-2.7, 1.4)
Washington, OH ²	31.2 (25.7, 37.7)	N/A	25	rising	9.3 (2.6, 25.6)
Lyon, IA ⁷	31.2 (18.9, 48.4)	N/A	4	*	*
Humboldt, CA ⁷	31.1 (27.3, 35.4)	N/A	52	falling	-14.1 (-21.4, -5.8)
Moore, NC - Richmond, NC ²	31.1 (28.2, 34.2)	N/A	92	stable	-0.3 (-5.9, 1.9)
Upson, GA - Lamar, GA ⁷	31.0 (25.6, 37.3)	N/A	25	rising	5.2 (3.6, 7.4)
Montgomery, KY - Bath, KY ⁷	31.0 (24.3, 39.1)	N/A	15	stable	1.4 (-0.2, 3.3)
Goshen, WY - Niobrara, WY ²	30.9 (20.1, 45.8)	N/A	6	rising	5.7 (1.7, 11.4)
Muskingum, OH - Guernsey, OH ²	30.9 (27.9, 34.2)	N/A	86	rising	5.8 (2.5, 13.7)
Howard, IA ⁷	30.8 (17.7, 50.1)	N/A	4	*	*
Crawford, IA ⁷	30.8 (20.5, 44.6)	N/A	6	*	*
Boyle, KY - Lincoln, KY ⁷	30.7 (26.6, 35.4)	N/A	44	rising	2.2 (0.3, 4.5)
Camden, MO ²	30.7 (25.2, 37.3)	N/A	26	rising	4.1 (1.0, 8.4)
York (York), PA - Adams, PA ²	30.7 (28.8, 32.6)	N/A	218	falling	-7.1 (-12.7, -1.5)
Stark (Canton), OH - Wayne, OH ²	30.6 (28.9, 32.5)	N/A	251	rising	2.7 (1.5, 4.1)
Cherokee, GA - Douglas, GA ⁷	30.6 (28.6, 32.6)	N/A	202	falling	-4.1 (-9.0, -1.3)
Monmouth, NJ - Ocean (Brick Township), NJ ⁷	30.5 (29.3, 31.8)	N/A	544	stable	-0.6 (-1.7, 0.1)
Orange, CA ⁷	30.5 (29.7, 31.3)	N/A	1,139	rising	0.7 (0.1, 1.4)
Lawrence, OH ²	30.4 (24.7, 37.2)	N/A	21	rising	2.8 (0.5, 5.3)
Cedar, NE - Knox, NE ²	30.4 (19.7, 44.8)	N/A	6	rising	5.9 (2.5, 10.2)
Cumberland (Portland), ME - Knox, ME ²	30.4 (28.3, 32.5)	N/A	181	rising	1.0 (0.1, 1.9)
Allegany (Cumberland), MD - Garrett, MD ²	30.3 (26.0, 35.1)	N/A	40	stable	6.1 (-0.8, 18.5)
Fayette (Lexington-Fayette), KY - Jessamine, KY ⁷	30.3 (28.4, 32.3)	N/A	196	rising	1.5 (1.0, 2.2)
Des Moines, IA - Henry, IA ⁷	30.3 (24.7, 36.8)	N/A	23	rising	4.2 (2.9, 5.9)
Bannock, ID - Bingham, ID ⁷	30.3 (26.5, 34.4)	N/A	50	rising	3.3 (1.3, 6.2)
Chatham (Savannah), GA - Liberty, GA ⁷	30.3 (28.2, 32.4)	N/A	166	rising	5.0 (3.9, 6.6)
Woodbury (Sioux City), IA - Plymouth, IA ⁷	30.2 (26.8, 33.9)	N/A	63	stable	1.2 (-4.5, 3.1)
Bowman, ND - Hettinger, ND ²	30.2 (16.0, 52.1)	N/A	3	stable	-1.4 (-6.7, 4.0)
Scioto, OH - Ross, OH ²	30.2 (26.9, 33.8)	N/A	65	rising	3.6 (2.2, 5.2)
Buffalo, NE - Dawson, NE ²	30.2 (25.6, 35.4)	N/A	33	rising	5.9 (3.6, 9.3)
Eau Claire (Eau Claire), WI - Chippewa, WI ²	30.1 (27.1, 33.2)	N/A	84	stable	3.6 (-3.3, 6.9)
Beadle, SD - Hand, SD ²	30.1 (21.4, 41.1)	N/A	9	*	*
Franklin, KY - Anderson, KY ⁷	30.0 (25.4, 35.3)	N/A	32	rising	2.3 (0.4, 4.7)
Custer, NE - Valley, NE ²	30.0 (21.3, 41.5)	N/A	9	rising	4.9 (1.1, 10.3)
King (Seattle), WA - Snohomish, WA ⁷	29.9 (29.2, 30.7)	N/A	1,205	stable	0.2 (-0.8, 0.9)
Henderson, IL ⁷	29.9 (16.1, 52.8)	N/A	3	*	*
Park, WY - Big Horn, WY ²	29.8 (23.4, 37.6)	N/A	17	stable	2.2 (-0.9, 5.9)
Madison, KY - Rockcastle, KY ⁷	29.7 (25.8, 34.1)	N/A	44	rising	2.1 (0.9, 3.5)
Polk (Des Moines), IA - Dallas, IA ⁷	29.7 (28.1, 31.5)	N/A	250	rising	6.6 (4.9, 10.2)
Johnson, AR ²	29.7 (21.9, 39.7)	N/A	10	stable	2.6 (-1.1, 7.2)
Utah (Provo), UT - Sanpete, UT ⁷	29.7 (27.6, 31.9)	N/A	158	rising	2.2 (1.6, 3.0)
Windham, VT ²	29.7 (23.4, 37.2)	N/A	19	stable	0.7 (-1.9, 3.5)
Washington (Hagerstown), MD ²	29.6 (26.2, 33.4)	N/A	58	rising	4.6 (2.0, 12.9)
Pulaski (Little Rock), AR - Faulkner, AR ²	29.6 (28.0, 31.3)	N/A	269	rising	2.3 (0.4, 3.6)
Sussex, DE - Kent, DE ²	29.6 (27.6, 31.7)	N/A	188	falling	-4.7 (-8.3, -2.2)
Hillsborough (Tampa), FL - Pinellas, FL ²	29.6 (28.8, 30.3)	N/A	1,293	stable	-2.9 (-6.2, 0.7)
La Salle, IL - Livingston, IL ⁷	29.6 (26.4, 33.0)	N/A	72	stable	1.5 (-4.7, 3.0)
Thurston (Olympia), WA - Grays Harbor, WA ⁷	29.5 (27.5, 31.7)	N/A	166	rising	2.2 (1.6, 3.0)
Chautauqua, NY ⁷	29.5 (25.7, 33.8)	N/A	49	rising	2.9 (1.7, 4.2)
Jefferson, IL - Wayne, IL ⁷	29.5 (23.9, 36.2)	N/A	21	rising	3.5 (1.6, 5.9)
Page, IA - Fremont, IA ⁷	29.5 (21.5, 39.6)	N/A	10	rising	3.4 (1.7, 5.6)
Routt, CO - Moffat, CO ²	29.5 (22.6, 37.9)	N/A	14	rising	10.6 (1.3, 29.2)
Franklin, ID - Bear Lake, ID ⁷	29.5 (19.9, 42.1)	N/A	6	stable	2.9 (-0.9, 9.1)
Douglas, WI ²	29.5 (22.9, 37.4)	N/A	15	stable	-2.9 (-23.2, 7.5)
York, ME ²	29.4 (26.6, 32.4)	N/A	89	stable	-1.8 (-5.3, 0.0)
Story, IA - Boone, IA ⁷	29.4 (25.8, 33.3)	N/A	54	rising	2.3 (1.5, 3.3)
Knox, IL - Warren, IL ⁷	29.4 (24.3, 35.2)	N/A	27	rising	2.2 (0.7, 4.0)
Ventura, CA ⁷	29.3 (27.8, 30.9)	N/A	300	rising	7.3 (0.6, 12.6)
Forrest, MS - Lamar, MS ²	29.3 (26.0, 32.9)	N/A	60	rising	3.3 (1.9, 4.9)
Richland, IL - Clay, IL ⁷	29.3 (23.1, 36.7)	N/A	17	rising	2.8 (1.2, 4.8)
Stutsman, ND - Wells, ND ²	29.3 (21.3, 39.4)	N/A	10	stable	-1.9 (-18.3, 2.3)
Macoupin, IL - Montgomery, IL ⁷	29.3 (24.4, 34.9)	N/A	28	stable	1.9 (0.0, 4.1)
Duval (Jacksonville), FL - Clay, FL ²	29.2 (28.0, 30.5)	N/A	455	stable	1.2 (-3.9, 4.0)
Barren, KY - Hart, KY ⁷	29.2 (24.5, 34.6)	N/A	30	rising	2.4 (0.4, 4.9)
Polk, NC ²	29.2 (20.3, 41.1)	N/A	10	*	*
McDowell, NC ²	29.1 (23.0, 36.4)	N/A	17	stable	1.0 (-2.5, 4.9)
Escambia (Pensacola), FL - Okaloosa, FL ²	29.1 (27.5, 30.7)	N/A	282	stable	-1.4 (-6.4, 1.3)
Erie (Buffalo), NY - Monroe, NY ⁷	29.0 (28.1, 30.0)	N/A	778	stable	1.8 (0.0, 3.1)
Holt, NE - Brown, NE ²	29.0 (18.1, 44.0)	N/A	6	rising	5.0 (0.5, 10.3)
Fairfield (Lancaster), OH - Athens, OH ²	28.9 (26.2, 31.9)	N/A	89	rising	2.8 (1.2, 4.6)
Multnomah (Portland), OR - Washington, OR ²	28.9 (27.9, 30.0)	N/A	640	stable	-1.6 (-5.2, 0.1)
Walworth, WI - Jefferson, WI ²	28.9 (25.8, 32.3)	N/A	71	stable	-2.6 (-9.5, 2.6)
Stephenson, IL - Jo Daviess, IL ⁷	28.9 (23.9, 34.6)	N/A	29	rising	5.0 (3.1, 7.7)
Rock Island (Moline), IL - Henry, IL ⁷	28.9 (25.9, 32.0)	N/A	79	rising	1.8 (0.3, 3.6)
Sullivan (Kingsport), TN - Hawkins, TN ²	28.8 (26.1, 31.8)	N/A	90	stable	-2.8 (-15.0, 7.0)
Jefferson (Louisville), KY - Bullitt, KY ⁷	28.8 (27.5, 30.2)	N/A	372	falling	-3.5 (-6.5, -1.3)
Sheboygan (Sheboygan), WI - Manitowoc, WI ²	28.8 (26.1, 31.7)	N/A	94	rising	1.6 (0.2, 3.2)
Washington (Fayetteville), AR - Benton, AR ²	28.8 (26.8, 30.9)	N/A	157	rising	2.2 (0.6, 3.5)
Rockingham, VA - Harrisonburg City, VA ²	28.7 (25.2, 32.6)	N/A	53	stable	2.0 (0.0, 4.5)
Tompkins, NY - Cortland, NY ⁷	28.7 (25.0, 32.8)	N/A	47	rising	3.0 (1.3, 5.0)
Dane (Madison), WI - Sauk, WI ²	28.6 (27.1, 30.3)	N/A	258	rising	3.4 (2.2, 4.7)
Sacramento (Sacramento), CA - Placer, CA ⁷	28.6 (27.7, 29.5)	N/A	801	rising	1.7 (1.1, 2.4)
San Diego (San Diego), CA - Imperial, CA ⁷	28.6 (27.8, 29.4)	N/A	1,103	stable	0.3 (-0.3, 0.9)
Pierce, WA ⁷	28.6 (27.1, 30.1)	N/A	284	rising	2.3 (1.9, 2.9)
Hunterdon, NJ - Warren (Phillipsburg), NJ ⁷	28.5 (25.9, 31.3)	N/A	97	stable	0.5 (-0.9, 2.2)
Mendocino, CA ⁷	28.5 (24.3, 33.2)	N/A	38	stable	0.6 (-0.9, 2.5)
Silver Bow, MT - Deer Lodge, MT ²	28.5 (22.6, 35.4)	N/A	19	stable	1.0 (-0.8, 2.9)
Laramie (Cheyenne), WY ²	28.4 (24.2, 33.2)	N/A	34	rising	3.3 (0.9, 6.6)
Glynn, GA - Camden, GA ⁷	28.4 (25.2, 31.8)	N/A	64	rising	3.8 (2.2, 5.9)
Alleghany Cnty & Clifton Forge Cty, VA - Covington City, VA ²	28.3 (21.1, 37.6)	N/A	12	rising	4.2 (0.8, 8.7)
Red Willow, NE - Hitchcock, NE ²	28.3 (18.4, 42.2)	N/A	6	stable	4.3 (-1.2, 11.4)
Dauphin (Harrisburg), PA - Cumberland, PA ²	28.3 (26.7, 29.9)	N/A	265	rising	1.6 (0.7, 2.5)
Hall, NE - Hamilton, NE ²	28.2 (23.6, 33.5)	N/A	28	rising	5.9 (4.0, 8.3)
Hamblen (Morristown), TN - Jefferson, TN ²	28.2 (24.8, 32.0)	N/A	54	stable	-1.3 (-3.5, 0.4)
Ottawa (Holland), MI - Allegan, MI ²	28.2 (26.0, 30.5)	N/A	133	rising	1.4 (0.4, 2.6)
Monongalia, WV - Marion, WV ²	28.2 (25.2, 31.5)	N/A	67	rising	9.6 (3.7, 23.1)
Baltimore, MD - Baltimore City, MD ²	28.2 (27.3, 29.0)	N/A	872	rising	1.8 (1.1, 2.6)
Tippecanoe (Lafayette), IN - Clinton, IN ²	28.2 (25.4, 31.2)	N/A	79	rising	3.3 (2.0, 5.0)
Morgan (Decatur), AL - Lawrence, AL ²	28.1 (24.8, 31.8)	N/A	56	stable	-4.6 (-18.0, 2.7)
Guilford (Greensboro), NC - Davidson, NC ²	28.1 (26.7, 29.5)	N/A	324	stable	0.2 (-1.4, 1.3)
St. Clair (Belleville), IL - Clinton, IL ⁷	28.1 (25.8, 30.5)	N/A	123	rising	4.4 (3.5, 5.5)
Montrose, CO - Delta, CO ²	28.0 (24.2, 32.4)	N/A	44	stable	-5.4 (-17.2, 0.9)
Kane (Aurora), IL - DeKalb, IL ⁷	28.0 (26.3, 29.7)	N/A	225	rising	3.9 (3.2, 4.9)
Cassia, ID - Minidoka, ID ⁷	27.9 (21.7, 35.4)	N/A	14	rising	3.7 (1.6, 6.6)
Clark (Springfield), OH - Champaign, OH ²	27.9 (24.8, 31.3)	N/A	64	rising	3.0 (1.8, 4.3)
Rockingham, NH ²	27.9 (25.6, 30.4)	N/A	120	stable	0.2 (-1.5, 2.0)
Nez Perce, ID - Idaho, ID ⁷	27.8 (23.0, 33.4)	N/A	28	rising	2.8 (1.6, 4.3)
Ohio (Wheeling), WV - Marshall, WV ²	27.8 (23.8, 32.4)	N/A	38	rising	3.9 (1.8, 6.5)
Pottawattamie (Council Bluffs), IA - Harrison, IA ⁷	27.8 (24.3, 31.6)	N/A	52	rising	3.9 (3.0, 5.1)
Belmont, OH - Monroe, OH ²	27.7 (23.3, 32.9)	N/A	31	rising	4.3 (1.7, 7.5)
Madison (Alton), IL - Jersey, IL ⁷	27.7 (25.3, 30.3)	N/A	105	rising	3.4 (2.5, 4.6)
White, AR - Cleburne, AR ²	27.7 (23.7, 32.2)	N/A	38	rising	4.4 (2.3, 7.0)
Boone (Columbia), MO - Randolph, MO ²	27.6 (24.9, 30.6)	N/A	79	rising	4.4 (2.6, 6.7)
Palo Pinto, TX - Jack, TX ⁷	27.6 (20.9, 35.9)	N/A	13	rising	3.4 (1.1, 6.4)
Lorain (Lorain), OH - Erie, OH ²	27.6 (25.8, 29.5)	N/A	184	rising	3.0 (2.1, 4.0)
Broome (Binghamton), NY - Tioga, NY ⁷	27.6 (25.0, 30.5)	N/A	91	rising	3.0 (1.9, 4.2)
Yellowstone (Billings), MT - Big Horn, MT ²	27.5 (24.7, 30.7)	N/A	73	stable	-10.7 (-19.1, 0.7)
Marion (Ocala), FL - Citrus, FL ²	27.5 (25.8, 29.3)	N/A	265	rising	2.4 (1.2, 3.8)
Washington (Johnson City), TN - Carter, TN ²	27.5 (24.6, 30.6)	N/A	74	stable	-2.1 (-9.3, 1.2)
Kennebec, ME - Somerset, ME ²	27.5 (24.7, 30.5)	N/A	82	rising	2.4 (0.5, 4.7)
Warren, KY - Logan, KY ⁷	27.4 (24.5, 30.6)	N/A	67	rising	2.1 (1.1, 3.4)
Cumberland, TN - Fentress, TN ²	27.4 (23.5, 31.9)	N/A	44	stable	-0.6 (-3.8, 1.2)
Houston (Dothan), AL - Dale, AL ²	27.4 (24.9, 30.1)	N/A	95	falling	-8.2 (-15.0, -1.4)
Greene, TN - Cocke, TN ²	27.4 (23.6, 31.7)	N/A	41	stable	1.3 (-4.3, 3.0)
Cabarrus (Concord), NC - Rowan, NC ²	27.4 (25.3, 29.5)	N/A	139	stable	2.4 (-0.3, 9.4)
Laurel, KY - Whitley, KY ⁷	27.3 (23.9, 31.1)	N/A	49	rising	3.1 (2.1, 4.3)
Stephens, OK - Jefferson, OK ²	27.3 (21.6, 34.1)	N/A	18	stable	2.8 (-0.5, 6.6)
Natrona (Casper), WY - Converse, WY ²	27.3 (23.0, 32.2)	N/A	31	rising	2.4 (0.3, 5.0)
Knox (Knoxville), TN - Blount, TN ²	27.3 (25.9, 28.7)	N/A	316	stable	0.0 (-2.5, 1.6)
Deschutes, OR - Crook, OR ²	27.2 (24.7, 29.9)	N/A	98	stable	0.0 (-2.0, 2.3)
Wake (Raleigh), NC - Johnston, NC ²	27.1 (26.0, 28.4)	N/A	421	rising	2.5 (1.3, 4.0)
Madison, NE - Wayne, NE ²	27.1 (21.8, 33.3)	N/A	20	rising	3.4 (1.1, 6.1)
Jackson, OK - Greer, OK ²	27.1 (20.0, 36.0)	N/A	10	stable	3.2 (-0.9, 8.2)
Whatcom, WA ⁷	27.1 (24.3, 30.1)	N/A	76	rising	10.5 (1.0, 17.0)
Lincoln, NE - Keith, NE ²	27.1 (21.7, 33.6)	N/A	19	rising	3.4 (0.7, 7.0)
Wilkes, NC ²	27.1 (22.4, 32.6)	N/A	26	rising	2.4 (0.4, 4.7)
Ware, GA - Pierce, GA ⁷	27.1 (22.2, 32.7)	N/A	23	rising	6.6 (3.2, 19.5)
Hillsborough (Manchester), NH - Merrimack, NH ²	27.1 (25.5, 28.7)	N/A	251	falling	-6.5 (-10.6, -3.3)
Boone, IN ²	27.0 (22.0, 32.9)	N/A	21	stable	1.1 (-1.8, 4.7)
Codington, SD - Grant, SD ²	27.0 (21.3, 33.9)	N/A	17	rising	4.1 (0.3, 9.7)
Mecklenburg (Charlotte), NC - Union, NC ²	27.0 (25.7, 28.3)	N/A	366	stable	1.8 (-2.6, 3.4)
Mason, WV ²	27.0 (19.0, 37.3)	N/A	8	stable	1.0 (-2.1, 4.3)
Boulder, CO - Broomfield, CO ²	27.0 (24.8, 29.2)	N/A	121	falling	-4.6 (-10.5, -0.4)
Cattaraugus, NY - Allegany, NY ⁷	26.9 (23.1, 31.2)	N/A	41	rising	2.2 (0.4, 4.2)
Comanche (Lawton), OK - Kiowa, OK ²	26.9 (23.2, 31.1)	N/A	39	rising	9.1 (1.0, 28.3)
Sebastian (Fort Smith), AR - Crawford, AR ²	26.8 (24.2, 29.8)	N/A	78	rising	4.7 (3.2, 10.4)
Lemhi, ID ⁷	26.8 (15.2, 45.7)	N/A	4	*	*
Appanoose, IA - Davis, IA ⁷	26.8 (18.3, 37.9)	N/A	7	stable	2.3 (-0.3, 5.6)
Roanoke City, VA - Roanoke, VA ²	26.7 (25.0, 28.4)	N/A	209	rising	2.2 (0.8, 3.7)
St. Croix, WI - Pierce, WI ²	26.7 (23.0, 30.7)	N/A	42	stable	-0.5 (-11.6, 7.2)
Kanawha (Charleston), WV - Putnam, WV ²	26.6 (24.2, 29.1)	N/A	105	stable	-1.4 (-7.0, 0.8)
Accomack, VA - Northampton, VA ²	26.6 (21.1, 33.2)	N/A	20	stable	-0.2 (-2.5, 2.3)
Albany, WY - Carbon, WY ²	26.5 (20.5, 33.9)	N/A	14	stable	2.7 (0.0, 6.2)
Roseau, MN - Lake of the Woods, MN ²	26.5 (17.9, 38.2)	N/A	7	stable	1.9 (-1.7, 6.0)
Greenbrier, WV - Monroe, WV ²	26.5 (20.8, 33.4)	N/A	17	stable	1.5 (-1.2, 4.6)
Orange (Chapel Hill), NC - Harnett, NC ²	26.5 (24.4, 28.6)	N/A	132	stable	-0.7 (-4.0, 0.7)
Franklin, PA - Fulton, PA ²	26.5 (23.4, 29.8)	N/A	60	stable	-4.9 (-18.5, 0.5)
Marshall, IA - Tama, IA ⁷	26.4 (21.1, 32.8)	N/A	18	rising	2.0 (0.6, 3.7)
Palm Beach (West Palm Beach), FL - St. Lucie, FL ²	26.4 (25.6, 27.2)	N/A	876	falling	-4.2 (-7.9, -2.3)
La Plata, CO - Montezuma, CO ²	26.3 (22.4, 30.8)	N/A	37	stable	0.0 (-2.4, 2.7)
Madison (Huntsville), AL - Limestone, AL ²	26.3 (24.5, 28.2)	N/A	169	stable	-4.6 (-12.4, 3.9)
Hardin, KY - Meade, KY ⁷	26.3 (23.4, 29.5)	N/A	63	rising	1.9 (0.8, 3.4)
Rock (Janesville), WI - Green, WI ²	26.3 (23.5, 29.3)	N/A	71	rising	2.7 (1.1, 4.7)
Mobile (Mobile), AL - Baldwin, AL ²	26.2 (24.7, 27.9)	N/A	232	stable	1.7 (-1.9, 3.2)
Lancaster, PA ²	26.2 (24.5, 28.1)	N/A	184	falling	-3.1 (-7.6, -0.2)
Brown (Green Bay), WI - Oconto, WI ²	26.2 (24.0, 28.6)	N/A	113	stable	-1.7 (-10.7, 0.7)
York (Rock Hill), SC - Chester, SC ²	26.2 (23.8, 28.7)	N/A	94	rising	12.1 (1.9, 21.0)
Spartanburg (Spartanburg), SC - Cherokee, SC ²	26.1 (24.1, 28.3)	N/A	130	stable	0.6 (-2.1, 3.8)
Augusta, VA - Staunton City, VA ²	26.1 (23.0, 29.5)	N/A	59	falling	-6.5 (-15.7, -1.5)
Morris (Parsippany-Troy Hills Township), NJ - Sussex, NJ ⁷	26.1 (24.6, 27.7)	N/A	226	stable	0.1 (-1.4, 0.7)
Otsego, NY - Chenango, NY ⁷	26.1 (23.1, 29.4)	N/A	66	rising	3.2 (1.8, 4.9)
Hughes, SD - Stanley, SD ²	26.1 (18.7, 35.5)	N/A	9	stable	-3.2 (-21.5, 3.7)
Montgomery (Dayton), OH - Greene, OH ²	26.0 (24.6, 27.6)	N/A	260	rising	2.9 (1.4, 4.7)
Columbiana, OH ²	25.9 (22.1, 30.4)	N/A	36	stable	1.8 (-0.5, 4.4)
St. Clair (Port Huron), MI - Sanilac, MI ²	25.9 (23.1, 29.0)	N/A	70	rising	1.9 (0.9, 2.9)
Pulaski, KY - Wayne, KY ⁷	25.8 (22.0, 30.2)	N/A	35	stable	0.2 (-1.4, 1.9)
Hamilton, IN - Madison (Anderson), IN ²	25.8 (23.9, 27.9)	N/A	138	falling	-11.5 (-21.0, -0.6)
Baldwin, GA ⁷	25.8 (19.7, 33.2)	N/A	13	stable	1.4 (-1.5, 4.9)
Burleigh (Bismarck), ND - Morton, ND ²	25.7 (22.5, 29.3)	N/A	51	rising	3.8 (2.9, 5.0)
Centre (State College), PA - Clearfield, PA ²	25.7 (23.3, 28.4)	N/A	88	stable	-0.5 (-9.4, 1.8)
St. Charles (St. Charles), MO - Lincoln, MO ²	25.7 (23.8, 27.6)	N/A	153	stable	0.8 (-0.4, 2.1)
Galveston, TX ⁷	25.7 (23.4, 28.1)	N/A	100	stable	0.2 (-6.4, 7.0)
Mason, KY - Fleming, KY ⁷	25.6 (19.5, 33.1)	N/A	13	stable	0.3 (-2.5, 3.7)
Whiteside, IL - Carroll, IL ⁷	25.6 (21.4, 30.5)	N/A	28	stable	1.8 (-0.2, 4.4)
Marion, MO - Pike, MO ²	25.6 (20.6, 31.4)	N/A	20	stable	2.4 (-0.2, 5.5)
Camden (Camden), NJ - Burlington, NJ ⁷	25.6 (24.5, 26.7)	N/A	427	rising	0.7 (0.2, 1.2)
Marion (Salem), OR - Yamhill, OR ²	25.5 (23.8, 27.4)	N/A	165	stable	0.3 (-1.0, 1.8)
Bartholomew, IN - Jackson, IN ²	25.5 (22.5, 28.7)	N/A	56	stable	0.6 (-1.5, 2.9)
Platte, WY ²	25.5 (13.1, 45.3)	N/A	3	*	*
Albemarle, VA - Charlottesville City, VA ²	25.4 (23.4, 27.6)	N/A	129	stable	0.2 (-1.6, 2.0)
Richland (Mansfield), OH - Ashland, OH ²	25.4 (22.4, 28.7)	N/A	57	rising	3.4 (1.7, 5.4)
Bay (Panama City), FL - Jackson, FL ²	25.4 (23.2, 27.8)	N/A	102	rising	2.3 (0.7, 4.2)
Richmond (South Augusta), GA - Columbia, GA ⁷	25.4 (23.3, 27.6)	N/A	120	rising	4.1 (2.9, 5.7)
Schuylkill, PA - Northumberland, PA ²	25.4 (23.2, 27.6)	N/A	118	stable	-4.1 (-8.0, 1.2)
Jones, MS - Wayne, MS ²	25.3 (21.5, 29.6)	N/A	35	stable	2.5 (0.0, 5.4)
Caswell, NC ²	25.3 (17.6, 35.5)	N/A	8	rising	5.6 (2.9, 9.3)
St. Lawrence, NY - Jefferson, NY ⁷	25.3 (22.7, 28.1)	N/A	73	rising	2.9 (1.2, 5.1)
Wood (Parkersburg), WV - Jackson, WV ²	25.2 (22.1, 28.7)	N/A	53	stable	1.3 (-0.8, 3.5)
Taylor (Abilene), TX - Jones, TX ⁷	25.2 (22.3, 28.3)	N/A	60	rising	20.6 (12.5, 36.0)
Harrison, KY - Robertson, KY ⁷	25.2 (16.9, 36.2)	N/A	6	stable	2.3 (-0.7, 15.6)
Bibb (Macon), GA - Houston, GA ⁷	25.2 (23.3, 27.2)	N/A	136	stable	0.4 (-4.9, 3.3)
Lucas (Toledo), OH - Wood, OH ²	25.2 (23.5, 26.9)	N/A	196	rising	2.0 (1.1, 2.9)
Independence, AR - Sharp, AR ²	25.1 (21.1, 29.7)	N/A	33	rising	3.1 (1.3, 5.3)
Bay (Bay City), MI - Iosco, MI ²	25.1 (22.3, 28.3)	N/A	67	rising	2.9 (1.3, 4.7)
Lycoming (Williamsport), PA - Clinton, PA ²	25.1 (21.9, 28.6)	N/A	50	rising	2.1 (0.7, 3.7)
Horry, SC - Georgetown, SC ²	25.1 (23.2, 27.1)	N/A	170	stable	-0.6 (-2.4, 1.3)
Morgan, GA - Greene, GA ⁷	25.1 (19.4, 32.1)	N/A	15	*	*
Knox, IN - Daviess, IN ²	25.0 (20.8, 29.9)	N/A	27	rising	2.0 (0.5, 3.5)
Alameda (Oakland), CA - Contra Costa, CA ⁷	25.0 (24.3, 25.8)	N/A	825	stable	0.9 (-1.9, 2.5)
Orange (Orlando), FL - Volusia, FL ²	25.0 (24.3, 25.7)	N/A	1,052	rising	1.8 (1.1, 2.7)
Colquitt, GA ⁷	25.0 (19.1, 32.0)	N/A	13	stable	-1.0 (-4.6, 2.9)
Freeborn, MN - Faribault, MN ²	25.0 (19.3, 31.8)	N/A	16	stable	-3.9 (-24.7, 0.9)
Guthrie, IA - Greene, IA ⁷	24.9 (17.4, 35.1)	N/A	8	stable	2.2 (-0.2, 5.2)
Solano (Vallejo), CA - Napa, CA ⁷	24.9 (23.4, 26.5)	N/A	209	rising	5.5 (0.9, 10.7)
Durham (Durham), NC - Granville, NC ²	24.9 (23.0, 26.9)	N/A	139	rising	3.7 (2.8, 4.7)
Calhoun (Anniston), AL - Cleburne, AL ²	24.9 (21.3, 28.9)	N/A	37	stable	2.4 (-0.3, 5.6)
Saratoga, NY - Schenectady (Schenectady), NY ⁷	24.8 (23.2, 26.6)	N/A	173	stable	1.4 (-1.0, 2.5)
Steuben, NY - Chemung (Elmira), NY ⁷	24.8 (22.0, 27.9)	N/A	64	rising	1.7 (0.7, 2.8)
Wayne, IN - Fayette, IN ²	24.8 (20.9, 29.2)	N/A	31	stable	1.8 (-0.8, 4.8)
Winnebago (Rockford), IL - Ogle, IL ⁷	24.8 (22.8, 26.8)	N/A	130	stable	-0.1 (-4.6, 2.0)
San Francisco (San Francisco), CA - San Mateo, CA ⁷	24.7 (23.7, 25.7)	N/A	485	rising	1.6 (0.5, 2.3)
Floyd, KY - Johnson, KY ⁷	24.7 (20.0, 30.2)	N/A	21	stable	1.4 (-0.8, 4.0)
Forsyth (Winston-Salem), NC - Surry, NC ²	24.6 (23.0, 26.4)	N/A	182	falling	-1.7 (-6.8, -0.1)
Hancock, OH - Seneca, OH ²	24.6 (21.2, 28.5)	N/A	40	stable	2.1 (-0.4, 5.1)
Winnebago (Oshkosh), WI - Fond du Lac, WI ²	24.6 (22.7, 26.7)	N/A	129	rising	6.2 (0.9, 11.4)
Morgan, IL - Greene, IL ⁷	24.6 (19.4, 30.9)	N/A	17	rising	3.2 (1.3, 5.6)
Alamance, NC ²	24.6 (21.7, 27.9)	N/A	53	stable	0.2 (-1.6, 2.3)
Grant, WA - Chelan, WA ¹	24.6 (22.2, 27.3)	N/A	80	rising	2.0 (0.4, 3.9)
Beckham, OK - Roger Mills, OK ²	24.6 (17.0, 34.6)	N/A	7	stable	-0.7 (-4.3, 3.0)
Racine (Racine), WI - Kenosha, WI ²	24.6 (22.5, 26.9)	N/A	108	rising	4.9 (2.8, 7.8)
Boyd, KY - Greenup, KY ⁷	24.6 (21.3, 28.3)	N/A	43	rising	1.4 (0.3, 2.6)
Craighead, AR - Greene, AR ²	24.6 (21.9, 27.5)	N/A	64	rising	4.0 (2.3, 6.1)
Webster, IA - Humboldt, IA ⁷	24.6 (19.4, 30.8)	N/A	18	rising	4.0 (2.8, 5.8)
Coos, NH ²	24.4 (18.6, 31.9)	N/A	14	stable	-0.4 (-2.4, 1.8)
Cobb (Marietta), GA ⁷	24.4 (22.9, 26.1)	N/A	196	falling	-5.0 (-7.2, -3.4)
Scotts Bluff, NE - Box Butte, NE ²	24.4 (19.1, 30.8)	N/A	17	stable	1.5 (-1.4, 4.6)
Park, MT - Sweet Grass, MT ²	24.4 (17.2, 34.1)	N/A	9	stable	-3.5 (-18.2, 2.3)
Richland, MT - Dawson, MT ²	24.3 (16.4, 34.9)	N/A	7	stable	-8.9 (-21.3, 3.1)
Dearborn, IN - Jefferson (Madison), IN ²	24.3 (20.9, 28.1)	N/A	39	rising	1.6 (0.2, 3.1)
Barron, WI - Rusk, WI ²	24.2 (19.3, 30.1)	N/A	20	stable	3.6 (-8.8, 8.1)
Pennington (Rapid City), SD - Meade, SD ²	24.2 (21.2, 27.6)	N/A	53	rising	2.3 (0.4, 4.7)
Pearl River, MS ²	24.2 (19.2, 30.2)	N/A	17	stable	2.9 (-0.1, 6.4)
Santa Clara (San Jose), CA - Monterey, CA ⁷	24.2 (23.3, 25.0)	N/A	646	rising	2.1 (1.7, 2.6)
Lucas, IA - Wayne, IA ⁷	24.2 (14.8, 37.4)	N/A	5	*	*
Franklin (Columbus), OH - Delaware, OH ²	24.1 (23.1, 25.2)	N/A	412	stable	1.1 (-0.7, 1.8)
Clarke (Athens), GA - Barrow, GA ⁷	24.1 (22.0, 26.5)	N/A	95	stable	-2.7 (-10.6, 1.4)
Jackson (Jackson), MI - Lenawee, MI ²	24.1 (22.0, 26.4)	N/A	104	rising	1.4 (0.4, 2.4)
Newton (Covington), GA ⁷	24.1 (20.2, 28.6)	N/A	28	falling	-5.4 (-14.3, -0.9)
Jefferson (Steubenville), OH - Harrison, OH ²	24.0 (19.8, 28.8)	N/A	27	rising	3.9 (1.8, 6.2)
Albany (Albany), NY - Rensselaer, NY ⁷	23.9 (22.2, 25.8)	N/A	145	stable	1.6 (-4.9, 3.7)
Cherokee, NC - Clay, NC ²	23.9 (18.5, 30.7)	N/A	17	stable	-2.0 (-5.4, 0.3)
Coweta, GA - Troup (La Grange), GA ⁷	23.9 (21.4, 26.7)	N/A	69	rising	1.5 (0.4, 2.9)
Kankakee (Kankakee), IL - Iroquois, IL ⁷	23.9 (20.5, 27.7)	N/A	39	stable	-7.6 (-17.0, 3.8)
Allen (Lima), OH - Auglaize, OH ²	23.9 (21.5, 26.4)	N/A	84	rising	1.8 (1.0, 2.7)
Suffolk, NY - Nassau, NY ⁷	23.9 (23.1, 24.6)	N/A	908	stable	-0.1 (-1.0, 0.6)
Christian (Hopkinsville), KY - Hopkins, KY ⁷	23.8 (21.0, 26.9)	N/A	56	rising	2.4 (0.9, 4.1)
Lubbock (Lubbock), TX - Hockley, TX ⁷	23.8 (21.6, 26.1)	N/A	91	rising	33.7 (21.1, 42.9)
Wichita (Wichita Falls), TX - Montague, TX ⁷	23.8 (20.9, 26.9)	N/A	55	stable	-11.4 (-21.4, 0.8)
Saline, IL - Gallatin, IL ⁷	23.8 (17.9, 31.1)	N/A	12	stable	1.3 (-1.3, 4.1)
Lewis, WA - Pacific, WA ¹	23.7 (20.1, 27.9)	N/A	36	rising	9.4 (3.2, 20.9)
Cuyahoga (Cleveland), OH - Lake, OH ²	23.7 (22.8, 24.7)	N/A	517	stable	-1.1 (-4.5, 1.1)
Laurens, GA - Toombs, GA ⁷	23.7 (20.4, 27.3)	N/A	41	rising	7.2 (5.9, 9.0)
Payne, OK - Pawnee, OK ²	23.6 (19.6, 28.3)	N/A	26	stable	1.6 (-0.7, 4.3)
Adams, NE - Clay, NE ²	23.6 (18.3, 30.1)	N/A	15	stable	0.6 (-3.3, 4.9)
Randolph, WV - Barbour, WV ²	23.5 (18.7, 29.2)	N/A	20	rising	24.9 (0.7, 46.7)
Polk, WI ²	23.5 (18.0, 30.2)	N/A	15	rising	3.3 (1.0, 6.2)
Charleston (Charleston), SC - Berkeley, SC ²	23.5 (22.1, 24.9)	N/A	235	stable	0.2 (-0.8, 1.4)
Putnam, TN - White, TN ²	23.4 (20.4, 26.9)	N/A	46	stable	0.8 (-2.3, 4.3)
Marathon (Wausau), WI - Wood, WI ²	23.4 (21.2, 25.9)	N/A	89	stable	0.9 (-4.9, 2.7)
Lewis, KY ⁷	23.4 (13.2, 38.5)	N/A	3	*	*
Outagamie (Appleton), WI - Waupaca, WI ²	23.4 (20.9, 26.2)	N/A	67	stable	-2.9 (-9.6, 0.2)
Jefferson Davis, MS - Lawrence, MS ²	23.4 (15.3, 34.2)	N/A	6	*	*
Ouachita (Monroe), LA - Morehouse, LA ⁷	23.4 (20.8, 26.1)	N/A	65	rising	2.5 (1.1, 4.1)
Letcher, KY ⁷	23.4 (15.7, 33.7)	N/A	7	stable	0.9 (-1.0, 3.0)
Henrico (Richmond), VA - Chesterfield, VA ²	23.3 (22.3, 24.5)	N/A	377	stable	0.6 (-3.6, 1.6)
Elbert, GA - Wilkes, GA ⁷	23.3 (16.6, 32.1)	N/A	9	rising	4.1 (1.1, 8.4)
Hancock (Weirton), WV - Brooke, WV ²	23.3 (18.5, 29.2)	N/A	18	rising	4.5 (2.6, 6.8)
Mineral, WV - Hardy, WV ²	23.3 (18.4, 29.2)	N/A	18	stable	5.6 (-2.6, 17.2)
Franklin, IN ²	23.3 (15.9, 33.2)	N/A	7	stable	-28.2 (-46.4, 0.1)
Pike, MS - Marion, MS ²	23.3 (19.3, 27.9)	N/A	26	rising	2.4 (0.4, 4.7)
Davison, SD - Charles Mix, SD ²	23.3 (18.1, 29.5)	N/A	15	rising	4.0 (0.1, 8.9)
Wapello, IA - Mahaska, IA ⁷	23.2 (19.5, 27.5)	N/A	31	stable	1.2 (-3.8, 2.6)
Fountain, IN - Warren, IN ²	23.2 (16.1, 32.5)	N/A	8	rising	6.5 (2.6, 12.4)
Custer, MT - Fallon, MT ²	23.1 (15.0, 34.1)	N/A	6	*	*
Allen (Fort Wayne), IN - Noble, IN ²	23.1 (21.4, 24.8)	N/A	151	falling	-6.9 (-15.0, -1.9)
Wayne, GA - Appling, GA ⁷	23.0 (17.7, 29.6)	N/A	13	rising	3.1 (1.3, 5.7)
Garfield (Enid), OK - Kingfisher, OK ²	23.0 (19.5, 27.0)	N/A	33	stable	1.5 (-0.7, 3.9)
Clinton, NY - Franklin, NY ⁷	23.0 (20.1, 26.2)	N/A	50	rising	1.7 (0.6, 2.9)
Venango, PA - Clarion, PA ²	23.0 (19.2, 27.3)	N/A	31	stable	1.5 (-0.5, 3.8)
Mercer, PA ²	22.9 (19.4, 26.9)	N/A	35	stable	2.7 (-0.1, 5.8)
York, NE - Polk, NE ²	22.9 (14.7, 34.2)	N/A	6	*	*
Coffee, TN - Franklin, TN ²	22.9 (19.5, 26.7)	N/A	36	stable	2.3 (-0.5, 5.6)
Cleveland (Norman), OK - McClain, OK ²	22.9 (20.8, 25.1)	N/A	93	stable	-4.9 (-15.4, 0.8)
Luzerne (Wilkes-Barre), PA - Columbia, PA ²	22.9 (21.0, 24.8)	N/A	128	rising	1.7 (0.9, 2.6)
Cole, MO - Callaway, MO ²	22.8 (20.3, 25.6)	N/A	64	rising	3.7 (2.3, 5.4)
Milwaukee (Milwaukee), WI - Waukesha, WI ²	22.8 (21.8, 23.8)	N/A	419	rising	2.3 (1.9, 2.8)
Crawford, IL - Lawrence, IL ⁷	22.8 (16.8, 30.4)	N/A	10	stable	2.2 (-1.5, 7.1)
Lackawanna (Scranton), PA - Wayne, PA ²	22.8 (20.5, 25.2)	N/A	83	rising	3.1 (1.7, 4.6)
Washtenaw, MI - Livingston, MI ²	22.7 (21.0, 24.4)	N/A	146	stable	-0.8 (-2.1, 0.5)
Pope, AR - Yell, AR ²	22.6 (18.6, 27.3)	N/A	23	stable	-4.1 (-18.5, 2.8)
Jackson (Pascagoula), MS - George, MS ²	22.5 (19.6, 25.8)	N/A	45	rising	8.6 (1.4, 14.5)
Calhoun (Battle Creek), MI - Barry, MI ²	22.5 (19.8, 25.5)	N/A	56	rising	7.0 (1.6, 16.7)
Fergus, MT - Petroleum, MT ²	22.5 (12.5, 37.6)	N/A	4	stable	1.0 (-4.1, 5.8)
Mohave, AZ ²	22.5 (20.1, 25.1)	N/A	90	rising	3.3 (2.1, 4.7)
Grady, OK - Caddo, OK ²	22.5 (18.3, 27.3)	N/A	21	rising	3.8 (1.1, 7.1)
Lauderdale (Florence), AL - Colbert, AL ²	22.5 (19.9, 25.3)	N/A	60	stable	1.0 (-2.2, 4.5)
Boone, AR - Carroll, AR ²	22.4 (18.3, 27.2)	N/A	25	stable	1.9 (-0.6, 4.9)
Lawrence, IN - Orange, IN ²	22.4 (17.9, 27.7)	N/A	19	falling	-5.8 (-16.2, -1.5)
Harrison, WV - Upshur, WV ²	22.3 (19.2, 25.9)	N/A	40	stable	1.8 (-0.2, 4.1)
Berkeley, WV - Jefferson, WV ²	22.3 (19.8, 25.1)	N/A	61	rising	2.4 (0.8, 4.3)
Shawano, WI - Langlade, WI ²	22.3 (17.9, 27.5)	N/A	21	rising	3.3 (1.4, 5.5)
Thomas, GA - Mitchell, GA ⁷	22.3 (18.5, 26.7)	N/A	26	rising	7.3 (3.0, 15.9)
Montgomery, VA - Pulaski, VA ²	22.3 (19.5, 25.4)	N/A	49	stable	-0.7 (-3.8, 2.5)
Denver (Denver), CO - Jefferson, CO ²	22.3 (21.5, 23.1)	N/A	697	rising	1.0 (0.3, 1.8)
Ashland, WI - Sawyer, WI ²	22.2 (17.7, 27.6)	N/A	22	rising	4.7 (2.6, 7.3)
Marinette, WI - Florence, WI ²	22.2 (17.1, 28.5)	N/A	16	stable	2.6 (-0.1, 5.8)
Potter (Amarillo), TX - Randall, TX ⁷	22.1 (20.0, 24.4)	N/A	82	stable	0.1 (-1.0, 1.4)
Clark, WA - Cowlitz, WA ¹	22.1 (20.6, 23.7)	N/A	164	falling	-1.3 (-2.3, -0.2)
Will (Joliet), IL - Grundy, IL ⁷	22.1 (20.6, 23.6)	N/A	181	rising	3.2 (2.6, 3.9)
Lincoln, MS - Copiah, MS ²	22.0 (17.3, 27.7)	N/A	16	stable	0.3 (-1.9, 2.7)
Jackson (Medford), OR - Josephine, OR ²	22.0 (20.0, 24.2)	N/A	101	stable	-1.6 (-3.4, 0.2)
Garland, AR - Hot Spring, AR ²	22.0 (19.3, 25.0)	N/A	54	stable	2.7 (-0.8, 6.8)
Livingston, MO - Carroll, MO ²	21.9 (15.2, 30.9)	N/A	7	stable	2.6 (-1.6, 7.9)
San Bernardino, CA - Riverside (Riverside), CA ⁷	21.9 (21.3, 22.5)	N/A	1,060	rising	0.8 (0.4, 1.4)
Scott, TN ²	21.9 (14.1, 32.5)	N/A	5	stable	0.2 (-2.7, 3.2)
Portage, WI ²	21.9 (17.2, 27.4)	N/A	17	rising	19.2 (4.0, 32.1)
Onondaga (Syracuse), NY - Oswego, NY ⁷	21.9 (20.4, 23.4)	N/A	182	rising	2.7 (1.5, 4.2)
Pettis, MO - Saline, MO ²	21.9 (18.4, 25.8)	N/A	33	rising	2.8 (0.3, 5.8)
Pulaski, MO - Phelps, MO ²	21.8 (18.2, 26.0)	N/A	27	rising	4.3 (2.2, 7.0)
Juneau, WI - Adams, WI ²	21.8 (16.8, 28.1)	N/A	15	stable	-2.8 (-16.1, 3.1)
Grayson (Sherman), TX - Fannin, TX ⁷	21.8 (19.1, 24.9)	N/A	48	rising	1.9 (0.8, 3.3)
Houston, MN ²	21.8 (14.3, 32.4)	N/A	6	falling	-34.6 (-48.0, -21.1)
Johnson, TN ²	21.8 (14.1, 32.7)	N/A	5	*	*
Oneida (Utica), NY - Madison, NY ⁷	21.8 (19.8, 23.8)	N/A	102	stable	1.6 (-1.3, 2.7)
Aroostook, ME ²	21.7 (17.2, 27.1)	N/A	20	rising	3.4 (1.0, 6.3)
Stephens, GA - Hart, GA ⁷	21.7 (17.8, 26.3)	N/A	24	stable	1.9 (-0.3, 4.6)
New Castle (Wilmington), DE ²	21.7 (20.2, 23.4)	N/A	151	falling	-13.4 (-21.3, -7.4)
Jackson, AR ²	21.7 (13.7, 33.0)	N/A	5	*	*
Mercer, NJ ⁷	21.7 (19.8, 23.7)	N/A	99	stable	0.1 (-0.9, 1.2)
Strafford (Rochester), NH ²	21.7 (18.4, 25.4)	N/A	33	stable	1.2 (-1.1, 3.8)
Fulton (Atlanta), GA - DeKalb, GA ⁷	21.6 (20.9, 22.4)	N/A	657	falling	-4.4 (-8.6, -1.7)
San Juan, UT ⁷	21.6 (12.0, 35.7)	N/A	3	*	*
Harrison (Biloxi), MS - Hancock, MS ²	21.6 (19.3, 24.0)	N/A	71	stable	0.2 (-4.6, 2.1)
Vernon, MO - Cedar, MO ²	21.5 (15.6, 29.0)	N/A	10	stable	1.4 (-2.5, 5.9)
Kalamazoo (Kalamazoo), MI - St. Joseph, MI ²	21.5 (19.3, 23.9)	N/A	76	falling	-6.1 (-11.2, -3.3)
Grand Forks (Grand Forks), ND - Walsh, ND ²	21.5 (17.5, 26.1)	N/A	22	rising	2.9 (0.1, 6.2)
St. Louis, MO - St. Louis City, MO ²	21.5 (20.6, 22.4)	N/A	460	stable	0.8 (-0.2, 1.3)
Sweetwater, WY ²	21.4 (15.7, 28.7)	N/A	10	stable	-1.5 (-5.3, 2.5)
East Baton Rouge (Baton Rouge), LA - Livingston, LA ⁷	21.4 (20.0, 22.8)	N/A	192	stable	-1.8 (-7.4, 1.7)
Le Flore, OK - Sequoyah, OK ²	21.4 (17.8, 25.4)	N/A	27	stable	-6.2 (-17.1, 0.3)
Payette, ID - Washington, ID ⁷	21.3 (15.9, 28.2)	N/A	12	stable	1.7 (-1.4, 5.8)
Hamilton (Chattanooga), TN - Marion, TN ²	21.3 (19.5, 23.3)	N/A	109	falling	-2.1 (-4.3, -0.7)
Kent (Grand Rapids), MI - Ionia, MI ²	21.3 (20.0, 22.7)	N/A	202	stable	1.1 (0.0, 2.2)
Etowah (Gadsden), AL - Marshall, AL ²	21.3 (19.1, 23.6)	N/A	79	stable	1.4 (-0.2, 3.1)
Lehigh (Allentown), PA - Northampton, PA ²	21.2 (20.0, 22.5)	N/A	256	falling	-2.2 (-5.5, -0.5)
Missoula, MT - Ravalli, MT ²	21.2 (18.7, 24.0)	N/A	59	stable	0.3 (-1.5, 2.2)
Okmulgee, OK - Okfuskee, OK ²	21.2 (16.1, 27.3)	N/A	13	rising	3.5 (0.5, 7.2)
Washington, OK - Nowata, OK ²	21.1 (16.8, 26.3)	N/A	18	stable	1.0 (-1.4, 3.7)
Defiance, OH - Williams, OH ²	21.1 (17.8, 24.8)	N/A	32	rising	5.3 (2.8, 10.6)
Tift, GA - Ben Hill, GA ⁷	21.1 (16.9, 26.0)	N/A	19	stable	1.4 (-0.4, 3.7)
Otoe, NE - Johnson, NE ²	21.1 (13.7, 31.1)	N/A	6	*	*
Weld, CO - Morgan, CO ²	21.0 (19.0, 23.3)	N/A	81	rising	2.0 (0.2, 4.2)
Monroe, MI ²	21.0 (18.1, 24.3)	N/A	42	stable	2.3 (-0.1, 5.1)
Fulton, NY - Montgomery (Amsterdam), NY ⁷	21.0 (17.5, 25.0)	N/A	28	rising	2.5 (1.2, 3.9)
Klamath, OR - Lake, OR ²	21.0 (16.9, 25.7)	N/A	22	stable	1.5 (-12.5, 15.2)
Oklahoma (Oklahoma City), OK - Canadian, OK ²	21.0 (19.8, 22.2)	N/A	246	stable	1.3 (-0.3, 3.1)
Alachua (Gainesville), FL - Columbia, FL ²	20.9 (19.3, 22.6)	N/A	137	falling	-2.7 (-8.3, -0.2)
Midland (Midland), MI - Isabella, MI ²	20.9 (18.3, 23.8)	N/A	54	stable	0.9 (-0.7, 2.6)
Chippewa, MI - Emmet, MI ²	20.9 (17.9, 24.4)	N/A	41	falling	-4.1 (-9.9, -1.9)
Hinds (Jackson), MS - Rankin, MS ²	20.9 (19.3, 22.5)	N/A	139	rising	2.5 (0.9, 4.3)
Pittsburg, OK - Pushmataha, OK ²	20.9 (16.5, 26.1)	N/A	17	rising	3.2 (1.2, 5.4)
Vanderburgh (Evansville), IN - Warrick, IN ²	20.8 (18.8, 23.0)	N/A	84	rising	4.2 (2.4, 6.3)
Muskogee, OK - Wagoner, OK ²	20.8 (18.5, 23.4)	N/A	60	rising	1.9 (0.5, 3.5)
Currituck, NC ²	20.8 (14.5, 29.2)	N/A	8	stable	-2.5 (-12.8, 2.1)
Rowan, KY - Morgan, KY ⁷	20.8 (15.9, 26.9)	N/A	13	stable	0.7 (-1.3, 3.1)
Honolulu (Honolulu), HI - Maui, HI ⁷	20.8 (19.7, 21.9)	N/A	313	rising	1.3 (0.3, 2.5)
Lawrence, SD ²	20.8 (14.2, 29.6)	N/A	8	stable	1.5 (-3.6, 7.9)
Jefferson (Pine Bluff), AR - Drew, AR ²	20.7 (17.6, 24.3)	N/A	33	rising	5.7 (3.2, 8.9)
Stanislaus (Modesto), CA - Merced, CA ⁷	20.7 (19.4, 22.1)	N/A	194	rising	1.5 (0.7, 2.5)
Alpena, MI - Presque Isle, MI ²	20.7 (16.5, 25.8)	N/A	23	stable	-0.1 (-3.0, 3.0)
Woodward, OK - Dewey, OK ²	20.7 (14.6, 28.5)	N/A	8	stable	-0.5 (-5.3, 4.6)
Lancaster, SC - Kershaw, SC ²	20.6 (17.9, 23.6)	N/A	45	stable	0.6 (-0.7, 2.2)
Dubois, IN ²	20.6 (15.5, 27.0)	N/A	12	stable	1.2 (-1.9, 4.6)
Wexford, MI - Osceola, MI ²	20.6 (16.8, 25.1)	N/A	24	stable	0.8 (-2.5, 4.3)
Marion, OH - Crawford, OH ²	20.6 (18.2, 23.2)	N/A	57	stable	1.9 (-1.9, 10.6)
Mahoning (Youngstown), OH - Trumbull, OH ²	20.6 (18.9, 22.4)	N/A	124	stable	-3.5 (-9.9, 0.0)
Custer, OK - Washita, OK ²	20.6 (14.7, 28.0)	N/A	9	stable	0.8 (-2.3, 4.1)
Sumner (Hendersonville), TN - Wilson, TN ²	20.6 (18.7, 22.6)	N/A	95	stable	-1.2 (-8.9, 0.9)
Anderson (Oak Ridge), TN - Roane, TN ²	20.5 (18.3, 23.1)	N/A	65	stable	-0.8 (-3.8, 1.1)
Carroll, VA - Grayson, VA ²	20.5 (15.7, 26.5)	N/A	15	stable	-0.8 (-5.5, 3.9)
Cambria, PA - Blair (Altoona), PA ²	20.5 (18.7, 22.4)	N/A	112	falling	-4.6 (-11.6, -1.1)
Juneau City and Borough, AK - Sitka City and Borough, AK ²	20.5 (15.1, 27.2)	N/A	10	stable	2.5 (-0.7, 6.2)
Rockland, NY ⁷	20.5 (18.4, 22.7)	N/A	78	rising	4.4 (1.0, 12.3)
Marion (Indianapolis), IN - Johnson, IN ²	20.5 (19.5, 21.5)	N/A	323	falling	-7.1 (-13.4, -4.0)
Bernalillo (Albuquerque), NM - Sandoval, NM ⁷	20.4 (19.3, 21.7)	N/A	247	stable	0.6 (-0.1, 1.5)
Wayne, NC - Lenoir, NC ²	20.4 (18.1, 22.9)	N/A	62	rising	3.1 (1.5, 4.9)
Grenada, MS - Montgomery, MS ²	20.4 (14.9, 27.3)	N/A	10	stable	0.5 (-3.6, 4.6)
Mercer, WV - McDowell, WV ²	20.3 (16.4, 25.0)	N/A	21	stable	0.6 (-0.9, 2.2)
Tulsa (Tulsa), OK - Rogers, OK ²	20.3 (19.1, 21.6)	N/A	211	stable	0.8 (-0.3, 2.1)
Henry, MO - Bates, MO ²	20.3 (15.3, 26.5)	N/A	13	stable	-0.2 (-6.4, 2.5)
Grant, IN - Miami, IN ²	20.3 (17.2, 23.8)	N/A	34	stable	1.7 (-0.2, 3.9)
Sutter (Yuba City), CA - Yuba, CA ⁷	20.3 (17.6, 23.3)	N/A	44	stable	1.1 (-0.7, 3.3)
White, IL - Hamilton, IL ⁷	20.3 (13.5, 29.6)	N/A	7	*	*
Fremont, WY - Washakie, WY ²	20.3 (15.4, 26.2)	N/A	13	stable	1.9 (-0.9, 5.2)
Raleigh, WV - Fayette, WV ²	20.3 (17.5, 23.4)	N/A	42	falling	-6.4 (-13.3, -2.1)
Kerr, TX - Gillespie, TX ⁷	20.2 (17.1, 23.8)	N/A	38	stable	-0.1 (-1.4, 1.2)
Clark, IL ⁷	20.2 (12.1, 32.0)	N/A	4	stable	0.7 (-2.1, 3.8)
Linn, MO ²	20.2 (11.7, 33.2)	N/A	4	*	*
Henderson (Henderson), KY - Union, KY ⁷	20.1 (15.7, 25.5)	N/A	15	stable	-0.2 (-2.0, 1.8)
Bradford, PA - Susquehanna, PA ²	20.1 (17.0, 23.7)	N/A	34	stable	-3.2 (-14.1, 0.1)
Beaufort, SC - Jasper, SC ²	20.0 (17.8, 22.5)	N/A	72	falling	-6.2 (-12.3, -3.9)
Stark, ND - Dunn, ND ²	20.0 (14.3, 27.3)	N/A	9	rising	7.2 (3.5, 13.2)
Howell, MO - Oregon, MO ²	20.0 (15.4, 25.6)	N/A	15	rising	3.1 (0.4, 6.3)
Crawford, WI ²	20.0 (11.9, 31.9)	N/A	5	*	*
Dakota, NE - Thurston, NE ²	20.0 (13.7, 28.1)	N/A	7	stable	2.4 (-0.4, 5.5)
Fairfield, CT ⁷	19.9 (18.7, 21.1)	N/A	239	stable	-1.6 (-2.9, 0.7)
Halifax with South Boston City, VA - Mecklenburg, VA ²	19.9 (16.0, 24.4)	N/A	23	rising	3.5 (0.2, 7.3)
Tarrant (Fort Worth), TX - Johnson, TX ⁷	19.9 (19.1, 20.7)	N/A	505	stable	-4.8 (-9.2, 0.4)
San Joaquin (Stockton), CA - Calaveras, CA ⁷	19.9 (18.6, 21.2)	N/A	190	rising	2.4 (1.6, 3.5)
Lincoln, OR - Tillamook, OR ²	19.8 (16.1, 24.2)	N/A	26	stable	10.7 (-1.3, 27.2)
Erath, TX - Comanche, TX ⁷	19.8 (15.1, 25.6)	N/A	13	stable	-0.4 (-2.8, 2.4)
Siskiyou, CA ⁷	19.8 (14.7, 26.2)	N/A	13	falling	-2.3 (-4.6, -0.1)
Lancaster (Lincoln), NE - Gage, NE ²	19.7 (17.8, 21.8)	N/A	83	falling	-8.9 (-16.7, -4.8)
Wayne (Detroit), MI - Oakland, MI ²	19.7 (19.1, 20.3)	N/A	940	rising	1.4 (0.9, 2.7)
Pontotoc, MS - Union, MS ²	19.7 (15.8, 24.3)	N/A	18	stable	-0.3 (-2.8, 2.3)
Lincoln, TN ²	19.7 (14.1, 26.8)	N/A	9	stable	2.3 (-0.8, 5.9)
Denton (Denton), TX - Wise, TX ⁷	19.6 (18.4, 20.9)	N/A	200	rising	1.7 (0.9, 2.8)
Cook (Chicago), IL - DuPage, IL ⁷	19.6 (19.2, 20.1)	N/A	1,613	rising	2.8 (1.0, 4.1)
Bulloch, GA - Emanuel, GA ⁷	19.6 (16.3, 23.4)	N/A	26	rising	3.1 (1.2, 5.7)
Floyd (New Albany), IN - Harrison, IN ²	19.6 (16.7, 22.8)	N/A	37	stable	1.4 (-0.7, 3.7)
Marion, AL - Fayette, AL ²	19.6 (14.7, 25.7)	N/A	12	stable	1.6 (-0.9, 4.2)
Pike, KY ⁷	19.6 (15.1, 25.0)	N/A	15	stable	1.2 (-0.1, 2.6)
Elk, PA ²	19.5 (13.9, 26.8)	N/A	9	stable	-1.2 (-12.4, 3.2)
Mc Kean, PA - Potter, PA ²	19.5 (15.1, 24.8)	N/A	16	stable	0.8 (-2.4, 4.3)
Angelina, TX - Walker, TX ⁷	19.4 (17.1, 22.0)	N/A	53	stable	0.5 (-0.6, 1.8)
Huntington, IN - Adams, IN ²	19.4 (16.2, 23.1)	N/A	28	falling	-14.6 (-32.7, -0.5)
Columbia, NY - Greene, NY ⁷	19.4 (16.4, 22.9)	N/A	33	stable	-0.6 (-4.1, 0.9)
Baxter, AR - Marion, AR ²	19.4 (15.5, 24.2)	N/A	21	stable	-1.3 (-3.7, 1.2)
Calcasieu (Lake Charles), LA - Vernon, LA ⁷	19.4 (17.4, 21.6)	N/A	71	rising	2.1 (0.9, 3.6)
Muskegon (Muskegon), MI - Newaygo, MI ²	19.4 (17.3, 21.7)	N/A	68	stable	0.8 (-0.7, 2.3)
Stafford, VA - Spotsylvania, VA ²	19.3 (17.4, 21.4)	N/A	78	rising	2.5 (0.6, 8.7)
Hartford (Hartford), CT - Tolland, CT ⁷	19.3 (18.3, 20.4)	N/A	287	falling	-0.9 (-1.6, -0.4)
Lowndes, GA - Brooks, GA ⁷	19.3 (16.5, 22.4)	N/A	36	rising	1.6 (0.4, 3.0)
New Haven (New Haven), CT - Litchfield, CT ⁷	19.3 (18.3, 20.3)	N/A	313	falling	-1.0 (-2.2, -0.3)
Delaware, OK ²	19.2 (14.5, 25.3)	N/A	13	stable	0.6 (-2.1, 3.6)
Floyd, GA - Bartow, GA ⁷	19.2 (17.3, 21.3)	N/A	74	stable	0.8 (-0.6, 2.4)
Oneida, WI - Vilas, WI ²	19.2 (15.7, 23.4)	N/A	26	rising	3.1 (0.4, 6.2)
Lassen, CA - Plumas, CA ⁷	19.2 (14.7, 24.7)	N/A	14	rising	2.3 (0.1, 4.8)
Jasper (Joplin), MO - Newton, MO ²	19.2 (16.8, 21.8)	N/A	49	stable	-7.3 (-13.8, 0.8)
Bryan, OK - Atoka, OK ²	19.2 (14.8, 24.5)	N/A	14	stable	-3.6 (-15.4, 1.3)
Allegheny (Pittsburgh), PA - Westmoreland, PA ²	19.2 (18.4, 20.0)	N/A	533	stable	-1.6 (-5.8, 3.4)
Pitt, NC - Beaufort, NC ²	19.2 (17.0, 21.6)	N/A	60	stable	0.7 (-1.0, 2.6)
Whitfield, GA - Murray, GA ⁷	19.1 (16.2, 22.5)	N/A	31	stable	-1.3 (-5.5, 1.1)
Lafayette, MS - Calhoun, MS ²	19.1 (15.2, 23.8)	N/A	17	stable	1.3 (-6.7, 4.1)
Coffee, GA - Jeff Davis, GA ⁷	19.0 (14.7, 24.2)	N/A	14	stable	2.3 (-0.3, 5.6)
Dewey, SD - Walworth, SD ²	19.0 (10.4, 31.5)	N/A	3	*	*
Wilbarger, TX - Hardeman, TX ⁷	19.0 (11.4, 29.9)	N/A	4	rising	3.5 (0.2, 7.6)
Jefferson (Birmingham), AL - Shelby, AL ²	19.0 (18.0, 20.0)	N/A	279	stable	-0.4 (-2.4, 0.7)
Bedford, TN ²	18.9 (14.0, 25.0)	N/A	10	stable	0.5 (-2.7, 4.1)
Montgomery, IN ²	18.9 (13.7, 25.6)	N/A	9	stable	3.5 (-0.2, 8.3)
Wasco, OR - Hood River, OR ²	18.8 (14.4, 24.3)	N/A	13	stable	-0.9 (-3.4, 1.6)
Santa Fe (Santa Fe), NM - Rio Arriba, NM ⁷	18.8 (16.8, 21.0)	N/A	75	stable	0.6 (-0.2, 1.4)
Kern, CA ⁷	18.8 (17.5, 20.2)	N/A	156	rising	2.3 (0.6, 7.8)
Saginaw (Saginaw), MI - Tuscola, MI ²	18.8 (16.7, 21.0)	N/A	69	stable	0.5 (-0.8, 1.8)
Erie (Erie), PA - Warren, PA ²	18.7 (16.8, 20.9)	N/A	74	stable	1.2 (-0.2, 2.7)
Bradley, TN - Polk, TN ²	18.7 (15.7, 22.2)	N/A	28	stable	1.0 (-0.8, 3.0)
Lincoln, LA - Union, LA ⁷	18.7 (15.1, 22.9)	N/A	21	stable	1.5 (-0.5, 3.9)
Maury, TN - Giles, TN ²	18.7 (16.1, 21.6)	N/A	40	stable	0.3 (-1.8, 2.7)
Hays (San Marcos), TX - Caldwell, TX ⁷	18.7 (16.4, 21.2)	N/A	53	rising	7.0 (0.6, 18.9)
Comal, TX ⁷	18.6 (16.0, 21.6)	N/A	40	rising	11.7 (1.1, 18.8)
Davidson (Nashville-Davidson), TN - Williamson, TN ²	18.6 (17.5, 19.8)	N/A	230	stable	-0.3 (-2.3, 0.9)
Genesee (Flint), MI - Lapeer, MI ²	18.6 (17.0, 20.3)	N/A	112	stable	-0.1 (-1.4, 1.1)
Greene (Springfield), MO - Christian, MO ²	18.6 (17.3, 20.1)	N/A	154	stable	-0.5 (-7.6, 1.3)
Cape Girardeau, MO - Butler, MO ²	18.6 (16.5, 20.8)	N/A	65	rising	3.7 (2.5, 5.1)
Washburn, WI - Burnett, WI ²	18.6 (13.5, 25.3)	N/A	12	falling	-14.6 (-29.2, -0.9)
Fresno (Fresno), CA - Kings, CA ⁷	18.6 (17.5, 19.7)	N/A	239	rising	2.2 (1.7, 2.9)
Worcester (Worcester), MA - Franklin, MA ²	18.6 (17.4, 19.8)	N/A	213	falling	-6.7 (-10.7, -4.4)
Lawrence, TN - Wayne, TN ²	18.5 (14.5, 23.3)	N/A	16	stable	1.4 (-1.5, 4.5)
Laurens, SC - Greenwood, SC ²	18.5 (16.1, 21.1)	N/A	49	stable	0.4 (-1.1, 2.0)
Howard (Kokomo), IN - Cass, IN ²	18.5 (15.6, 21.8)	N/A	32	stable	1.3 (-0.7, 3.4)
Claiborne, TN ²	18.4 (12.8, 25.8)	N/A	8	falling	-5.9 (-28.8, -0.4)
Westchester (Yonkers), NY - Dutchess, NY ⁷	18.4 (17.6, 19.3)	N/A	385	stable	2.1 (-1.9, 6.9)
Walker, GA - Catoosa, GA ⁷	18.4 (15.7, 21.5)	N/A	36	stable	-0.3 (-1.9, 1.5)
Crawford, PA ²	18.4 (14.9, 22.6)	N/A	22	stable	1.0 (-1.6, 3.8)
Lawrence, PA ²	18.4 (14.9, 22.5)	N/A	22	stable	1.9 (-0.3, 4.2)
Clark (Jeffersonville), IN - Scott, IN ²	18.4 (15.6, 21.6)	N/A	32	stable	0.9 (-1.4, 3.6)
Alleghany, NC ²	18.4 (10.7, 31.1)	N/A	4	stable	-0.6 (-6.4, 6.3)
Taney, MO ²	18.3 (14.0, 23.7)	N/A	14	stable	1.5 (-1.3, 4.8)
Putnam, GA - Hancock, GA ⁷	18.3 (13.0, 25.4)	N/A	9	*	*
Fayette, TX - Colorado, TX ⁷	18.3 (13.5, 24.3)	N/A	12	stable	-0.1 (-2.7, 3.0)
Union, IL - Alexander, IL ⁷	18.3 (12.6, 25.9)	N/A	7	stable	2.9 (-1.3, 8.1)
Elko, NV - Lander, NV ²	18.3 (13.8, 23.8)	N/A	12	stable	2.1 (-0.6, 5.7)
Berks, PA ²	18.3 (16.6, 20.0)	N/A	100	stable	-1.0 (-2.1, 0.1)
Frederick, VA - Shenandoah, VA ²	18.3 (16.0, 20.7)	N/A	52	stable	0.0 (-2.1, 2.3)
Arkansas, AR - Monroe, AR ²	18.2 (12.0, 26.8)	N/A	6	rising	5.8 (0.1, 13.9)
Terry, TX - Yoakum, TX ⁷	18.2 (10.3, 29.7)	N/A	3	*	*
Campbell, WY - Crook, WY ²	18.2 (13.4, 24.2)	N/A	11	stable	1.3 (-2.2, 5.4)
Ward, ND - Bottineau, ND ²	18.2 (14.5, 22.5)	N/A	18	stable	-1.4 (-10.0, 1.6)
Lane (Eugene), OR - Douglas, OR ²	18.2 (16.7, 19.8)	N/A	123	falling	-2.3 (-3.7, -0.8)
Polk, AR ²	18.2 (11.5, 27.8)	N/A	5	stable	1.2 (-2.0, 4.7)
Orange (Newburgh), NY - Sullivan, NY ⁷	18.1 (16.5, 19.8)	N/A	99	stable	-1.0 (-9.7, 2.5)
Rutherford (Murfreesboro), TN - Warren, TN ²	18.1 (16.3, 20.1)	N/A	76	stable	0.9 (-1.2, 3.5)
Vigo (Terre Haute), IN - Clay, IN ²	18.1 (15.6, 20.9)	N/A	41	stable	-0.9 (-2.6, 0.8)
Roscommon, MI - Otsego, MI ²	18.1 (14.1, 23.0)	N/A	18	stable	1.1 (-1.1, 3.5)
Leon (Tallahassee), FL - Gadsden, FL ²	18.1 (16.4, 19.8)	N/A	92	stable	-0.5 (-1.8, 0.8)
Audrain, MO - Montgomery, MO ²	18.0 (13.3, 24.0)	N/A	11	stable	-0.1 (-3.7, 3.6)
Bowie (Texarkana), TX ⁷	18.0 (14.6, 22.1)	N/A	20	rising	3.5 (1.7, 6.0)
Tangipahoa, LA - St. Helena, LA ⁷	18.0 (15.1, 21.4)	N/A	28	rising	2.8 (1.1, 5.1)
Brazos (Bryan), TX - Washington, TX ⁷	18.0 (15.9, 20.3)	N/A	57	stable	0.9 (-0.3, 2.3)
Providence (Providence), RI - Kent, RI ²	18.0 (16.9, 19.1)	N/A	228	falling	-5.1 (-8.2, -3.4)
Pike, PA ²	17.9 (14.3, 22.2)	N/A	19	stable	1.0 (-1.7, 4.4)
Ramsey, ND - Benson, ND ²	17.8 (11.2, 27.3)	N/A	5	*	*
Jackson, WI ²	17.8 (11.0, 27.3)	N/A	5	stable	3.5 (-0.1, 8.3)
Travis (Austin), TX - Williamson, TX ⁷	17.7 (16.9, 18.6)	N/A	368	rising	2.6 (0.2, 8.0)
Washington, GA - Jefferson, GA ⁷	17.7 (12.4, 24.6)	N/A	8	rising	3.6 (2.2, 5.6)
Leon, TX - Madison, TX ⁷	17.7 (12.0, 25.3)	N/A	7	stable	1.1 (-2.6, 5.3)
Klickitat, WA - Skamania, WA ¹	17.7 (12.6, 24.3)	N/A	10	stable	0.8 (-2.9, 4.8)
Ingham (Lansing), MI - Eaton, MI ²	17.7 (16.2, 19.3)	N/A	110	stable	-2.4 (-4.9, 2.1)
Delaware (Muncie), IN - Randolph, IN ²	17.7 (14.9, 20.8)	N/A	32	stable	-2.2 (-6.7, 0.3)
Henry, TN - Carroll, TN ²	17.6 (14.0, 22.0)	N/A	19	stable	0.7 (-1.5, 3.1)
Ouachita, AR - Dallas, AR ²	17.6 (12.1, 25.1)	N/A	7	*	*
Elkhart (Elkhart), IN - Kosciusko, IN ²	17.6 (15.6, 19.8)	N/A	57	falling	-9.4 (-18.0, -2.1)
Platte, NE - Boone, NE ²	17.6 (12.8, 23.7)	N/A	10	rising	3.3 (0.5, 6.6)
Lamar, AL ²	17.6 (9.4, 30.2)	N/A	3	*	*
Ketchikan Gateway Borough, AK - Wrangell-Petersburg Cen, AK ²	17.5 (11.4, 26.0)	N/A	6	stable	2.8 (-0.4, 6.8)
Lee, MS - Monroe, MS ²	17.5 (15.0, 20.3)	N/A	38	stable	-0.5 (-2.1, 1.2)
Tazewell, VA - Buchanan, VA ²	17.5 (13.6, 22.2)	N/A	16	stable	-0.2 (-3.0, 2.5)
Gaines, TX - Andrews, TX ⁷	17.5 (11.7, 25.1)	N/A	6	*	*
Cascade (Great Falls), MT - Glacier, MT ²	17.5 (14.5, 20.8)	N/A	28	rising	2.3 (0.1, 4.8)
Yakima (Yakima), WA - Kittitas, WA ¹	17.4 (15.4, 19.7)	N/A	55	stable	0.2 (-1.1, 1.6)
Monroe (Bloomington), IN - Greene, IN ²	17.4 (15.0, 20.2)	N/A	40	falling	-9.4 (-14.5, -6.1)
Chaves, NM - Eddy, NM ⁷	17.4 (14.4, 20.9)	N/A	25	rising	12.8 (3.0, 27.3)
Rapides (Alexandria), LA - Avoyelles, LA ⁷	17.4 (15.2, 19.8)	N/A	48	rising	3.4 (2.1, 5.0)
Curry, NM - Roosevelt, NM ⁷	17.4 (13.5, 21.9)	N/A	15	*	*
Brown, TX - Coleman, TX ⁷	17.4 (13.4, 22.3)	N/A	14	stable	0.7 (-2.0, 3.8)
Logan, WV - Mingo, WV ²	17.3 (13.1, 22.6)	N/A	13	stable	0.6 (-2.3, 3.5)
Washington, PA - Fayette, PA ²	17.3 (15.6, 19.1)	N/A	86	rising	2.8 (0.7, 5.1)
McCurtain, OK ²	17.3 (11.6, 24.8)	N/A	6	stable	2.3 (-1.1, 6.2)
Cumberland (Fayetteville), NC - Sampson, NC ²	17.3 (15.4, 19.3)	N/A	68	stable	0.1 (-1.9, 1.4)
Dunklin, MO ²	17.2 (11.1, 25.5)	N/A	5	*	*
Robeson, NC - Columbus, NC ²	17.1 (15.0, 19.5)	N/A	49	rising	3.4 (1.7, 5.5)
Tioga, PA ²	17.1 (12.6, 22.9)	N/A	11	stable	-4.3 (-21.9, 1.0)
Carter, OK - Marshall, OK ²	17.0 (13.6, 21.1)	N/A	18	falling	-12.3 (-29.7, -3.3)
Dougherty (Albany), GA - Lee, GA ⁷	17.0 (14.5, 19.8)	N/A	36	stable	-4.3 (-14.3, 1.9)
Terrebonne (Houma), LA - Lafourche, LA ⁷	17.0 (14.7, 19.5)	N/A	43	rising	4.4 (2.7, 6.8)
Caddo (Shreveport), LA - Bossier, LA ⁷	16.9 (15.4, 18.5)	N/A	100	rising	1.6 (0.7, 2.7)
Jackson (Kansas City), MO - Clay, MO ²	16.9 (16.0, 17.9)	N/A	254	stable	0.5 (-1.0, 1.6)
Lee (Auburn), AL - Elmore, AL ²	16.9 (15.0, 19.0)	N/A	61	falling	-12.9 (-23.0, -6.6)
Marquette, MI - Delta, MI ²	16.9 (14.1, 20.2)	N/A	30	rising	4.8 (2.1, 8.3)
Harrison (Marshall), TX - Cass, TX ⁷	16.9 (13.7, 20.5)	N/A	22	rising	3.4 (1.0, 6.5)
Del Norte, CA ⁷	16.7 (11.3, 24.0)	N/A	7	*	*
Ashley, AR - Chicot, AR ²	16.7 (11.4, 23.8)	N/A	7	stable	3.1 (-1.4, 8.4)
Escambia, AL - Conecuh, AL ²	16.7 (12.4, 22.1)	N/A	11	stable	2.3 (-0.8, 5.9)
Alcorn, MS - Tishomingo, MS ²	16.6 (12.4, 22.0)	N/A	11	stable	-2.4 (-6.6, 1.5)
Lauderdale, MS - Neshoba, MS ²	16.6 (14.0, 19.6)	N/A	31	falling	-10.0 (-24.3, -1.7)
Nolan, TX - Mitchell, TX ⁷	16.6 (10.7, 24.7)	N/A	5	rising	3.7 (0.5, 7.7)
Larimer, CO ²	16.6 (14.8, 18.5)	N/A	68	falling	-1.7 (-3.1, -0.1)
Linn, OR - Benton, OR ²	16.5 (14.3, 19.0)	N/A	44	falling	-7.9 (-25.4, -3.3)
Buchanan (St. Joseph), MO - Nodaway, MO ²	16.5 (13.9, 19.5)	N/A	30	rising	2.9 (0.6, 5.7)
Cumberland, NJ ⁷	16.4 (13.8, 19.4)	N/A	29	stable	0.9 (-1.0, 3.1)
Sumter, GA - Crisp, GA ⁷	16.4 (13.2, 20.3)	N/A	18	rising	3.2 (0.8, 6.5)
Deaf Smith, TX - Parmer, TX ⁷	16.4 (10.3, 24.7)	N/A	5	*	*
Navajo, AZ ²	16.4 (13.4, 19.9)	N/A	24	stable	2.6 (-0.4, 6.4)
Gray, TX - Wheeler, TX ⁷	16.3 (11.0, 23.4)	N/A	6	stable	-1.6 (-4.8, 1.5)
Henry, VA - Patrick, VA ²	16.3 (13.0, 20.3)	N/A	20	stable	1.4 (-1.3, 4.4)
El Paso (Colorado Springs), CO - Teller, CO ²	16.3 (15.0, 17.6)	N/A	134	falling	-7.3 (-10.8, -5.0)
Essex (Lynn), MA ²	16.3 (15.2, 17.4)	N/A	169	falling	-12.0 (-24.8, -3.1)
Anchorage (Anchorage), AK - Matanuska-Susitna Borough, AK ²	16.3 (14.7, 17.9)	N/A	91	stable	3.7 (-1.0, 13.0)
Berkshire (Pittsfield), MA ²	16.2 (13.5, 19.3)	N/A	31	falling	-2.9 (-5.3, -0.8)
Berrien (Benton Harbor), MI - Van Buren, MI ²	16.2 (14.3, 18.2)	N/A	60	stable	-0.8 (-2.4, 0.7)
Massac, IL - Johnson, IL ⁷	16.1 (10.7, 23.5)	N/A	6	falling	-2.8 (-5.4, -0.4)
Harlan, KY - Bell, KY ⁷	16.1 (12.1, 21.2)	N/A	11	stable	0.6 (-1.8, 3.3)
Tom Green (San Angelo), TX - Runnels, TX ⁷	16.1 (13.6, 19.0)	N/A	31	stable	5.0 (-4.7, 22.7)
Middlesex, MA - Suffolk (Boston), MA ²	16.1 (15.6, 16.6)	N/A	773	falling	-13.0 (-23.4, -6.8)
Victoria (Victoria), TX - Calhoun, TX ⁷	16.1 (13.7, 18.7)	N/A	36	rising	1.6 (0.1, 3.4)
DeSoto, MS - Marshall, MS ²	16.0 (14.1, 18.2)	N/A	52	rising	2.6 (1.1, 4.4)
Midland (Midland), TX - Pecos, TX ⁷	16.0 (13.4, 19.0)	N/A	28	stable	11.4 (-0.3, 25.5)
New London, CT ⁷	16.0 (14.1, 18.1)	N/A	57	falling	-3.6 (-6.4, -2.3)
Pontotoc, OK - Seminole, OK ²	16.0 (12.6, 20.1)	N/A	16	stable	1.8 (-0.3, 4.2)
St. Landry, LA - Evangeline, LA ⁷	16.0 (12.9, 19.5)	N/A	20	rising	4.1 (2.0, 6.8)
Choctaw, AL - Sumter, AL ²	15.9 (10.8, 23.0)	N/A	6	rising	5.1 (1.9, 9.5)
Fremont, CO - Custer, CO ²	15.9 (12.0, 20.8)	N/A	13	stable	-2.1 (-4.9, 0.6)
Talladega, AL - Clay, AL ²	15.9 (13.0, 19.3)	N/A	22	stable	0.4 (-2.1, 2.8)
Montgomery (Montgomery), AL - Autauga, AL ²	15.9 (14.2, 17.7)	N/A	69	falling	-9.6 (-18.9, -4.3)
Lafayette (Lafayette), LA - Iberia, LA ⁷	15.8 (14.3, 17.4)	N/A	85	rising	2.5 (1.7, 3.6)
Howard, TX - Glasscock, TX ⁷	15.8 (10.4, 23.0)	N/A	6	stable	0.5 (-2.4, 3.7)
Hale, TX - Castro, TX ⁷	15.8 (11.2, 21.7)	N/A	8	stable	0.9 (-1.2, 3.2)
Weakley, TN - Obion, TN ²	15.8 (12.1, 20.3)	N/A	13	stable	-7.2 (-26.5, 2.6)
St. Joseph (South Bend), IN - Marshall, IN ²	15.7 (13.9, 17.6)	N/A	63	falling	-14.2 (-22.7, -2.8)
Androscoggin (Lewiston), ME - Oxford, ME ²	15.6 (13.4, 18.0)	N/A	43	stable	-1.3 (-3.0, 0.3)
Dona Ana (Las Cruces), NM - Luna, NM ⁷	15.5 (13.5, 17.7)	N/A	49	stable	3.8 (-0.8, 11.4)
Lamar, TX - Red River, TX ⁷	15.4 (11.9, 19.7)	N/A	14	stable	0.9 (-1.1, 3.1)
Clark (Las Vegas), NV - Nye, NV ²	15.4 (14.7, 16.1)	N/A	410	stable	0.6 (-1.2, 6.7)
Otero, NM - Lincoln, NM ⁷	15.3 (12.3, 19.0)	N/A	19	falling	-1.5 (-3.1, -0.3)
Kay (Ponca City), OK - Osage, OK ²	15.3 (12.1, 19.2)	N/A	17	stable	-1.2 (-3.9, 1.5)
Brazoria (Lake Jackson), TX - Wharton, TX ⁷	15.2 (13.6, 16.9)	N/A	71	stable	-0.7 (-2.0, 0.8)
Dallas (Dallas), TX - Collin, TX ⁷	15.1 (14.5, 15.6)	N/A	614	rising	1.7 (1.0, 2.4)
Nash, NC - Halifax, NC ²	15.0 (13.0, 17.3)	N/A	44	stable	1.0 (-0.3, 2.3)
Harris (Houston), TX - Fort Bend, TX ⁷	15.0 (14.6, 15.5)	N/A	921	stable	-0.1 (-1.0, 1.0)
Butler, AL ²	15.0 (8.9, 23.9)	N/A	4	stable	0.4 (-5.6, 6.7)
Union, OR - Baker, OR ²	14.9 (10.9, 20.0)	N/A	11	stable	-1.3 (-3.7, 1.1)
Smith (Tyler), TX - Henderson, TX ⁷	14.9 (13.5, 16.5)	N/A	83	stable	1.4 (-0.5, 3.7)
Orleans (New Orleans), LA - Jefferson, LA ⁷	14.9 (13.9, 16.0)	N/A	171	stable	2.0 (-1.4, 3.2)
Montgomery, MD - Prince Georges, MD ²	14.8 (14.1, 15.5)	N/A	391	rising	0.7 (0.1, 2.8)
Benton (Kennewick), WA - Franklin, WA ¹	14.8 (12.9, 16.9)	N/A	46	stable	-0.2 (-1.5, 1.3)
Todd, SD - Tripp, SD ²	14.8 (8.5, 23.9)	N/A	4	*	*
Essex (Newark), NJ - Middlesex, NJ ⁷	14.7 (14.1, 15.4)	N/A	451	falling	-0.6 (-2.1, -0.1)
Oktibbeha, MS - Winston, MS ²	14.7 (11.3, 18.8)	N/A	14	falling	-15.6 (-24.5, -4.6)
Perry, IN ²	14.6 (8.4, 24.0)	N/A	4	stable	0.3 (-5.2, 6.6)
Uinta, WY ²	14.6 (8.3, 23.9)	N/A	3	falling	-17.4 (-51.8, -1.5)
Navarro, TX - Freestone, TX ⁷	14.6 (11.2, 18.8)	N/A	13	stable	0.8 (-0.9, 2.8)
Dyer, TN - Lauderdale, TN ²	14.6 (11.0, 19.0)	N/A	12	rising	3.3 (0.1, 7.2)
Philadelphia (Philadelphia), PA - Montgomery, PA ²	14.6 (14.1, 15.1)	N/A	744	falling	-16.7 (-21.5, -13.3)
Bell (Killeen), TX - Coryell, TX ⁷	14.5 (13.0, 16.2)	N/A	69	stable	-0.6 (-1.7, 0.6)
Titus, TX - Morris, TX ⁷	14.5 (10.9, 18.9)	N/A	12	stable	1.5 (-0.9, 4.3)
Madison (Jackson), TN - Gibson, TN ²	14.5 (12.6, 16.5)	N/A	47	rising	2.0 (0.9, 3.2)
Grant, NM - Hidalgo, NM ⁷	14.4 (9.9, 20.6)	N/A	8	stable	0.0 (-1.7, 1.9)
Miller, AR - Hempstead, AR ²	14.4 (11.7, 17.6)	N/A	21	rising	3.2 (0.1, 7.0)
Osceola, FL ²	14.3 (12.7, 16.0)	N/A	59	stable	-0.4 (-1.7, 1.2)
Lea, NM ⁷	14.2 (10.4, 19.0)	N/A	9	rising	55.5 (38.1, 83.6)
Jefferson (Beaumont), TX - Orange, TX ⁷	14.2 (12.8, 15.8)	N/A	74	stable	-0.9 (-1.8, 0.1)
McLennan (Waco), TX - Hill, TX ⁷	14.1 (12.5, 15.8)	N/A	60	stable	10.9 (-1.6, 20.3)
Petersburg City, VA - Prince George, VA ²	14.0 (11.6, 16.9)	N/A	24	stable	1.2 (-0.7, 3.3)
Hertford, NC - Bertie, NC ²	13.9 (10.5, 18.2)	N/A	13	rising	3.3 (0.2, 6.9)
Roosevelt, MT - Valley, MT ²	13.9 (7.7, 23.3)	N/A	3	*	*
Logan, CO - Phillips, CO ²	13.8 (8.9, 20.6)	N/A	5	falling	-7.3 (-26.9, -2.7)
Coos, OR - Curry, OR ²	13.7 (10.9, 17.1)	N/A	22	stable	-2.6 (-5.4, 0.0)
Richland (Columbia), SC - Lexington, SC ²	13.7 (12.6, 14.9)	N/A	118	stable	-0.3 (-1.5, 1.1)
Decatur, GA - Seminole, GA ⁷	13.7 (9.7, 18.9)	N/A	8	stable	-0.6 (-2.6, 1.5)
Lake (Gary), IN - Porter, IN ²	13.7 (12.6, 14.9)	N/A	121	stable	1.2 (0.0, 2.5)
Anderson, TX - Cherokee, TX ⁷	13.7 (11.2, 16.6)	N/A	22	stable	1.1 (-1.2, 3.7)
Miami-Dade (Miami), FL - Broward, FL ²	13.6 (13.2, 14.0)	N/A	813	stable	0.0 (-0.5, 0.6)
Gregg (Longview), TX - Rusk, TX ⁷	13.6 (11.7, 15.7)	N/A	40	rising	1.9 (0.6, 3.4)
Texas, OK - Cimarron, OK ²	13.5 (7.6, 22.1)	N/A	3	stable	-2.7 (-7.5, 1.6)
Mississippi, AR ²	13.5 (9.0, 19.4)	N/A	6	stable	2.8 (-0.5, 6.5)
Muscogee (Columbus), GA - Harris, GA ⁷	13.4 (11.6, 15.4)	N/A	42	falling	-15.0 (-28.4, -7.1)
Los Angeles (Los Angeles), CA ⁷	13.4 (13.1, 13.7)	N/A	1,482	falling	-0.3 (-0.6, -0.1)
Sumter, SC - Clarendon, SC ²	13.4 (11.1, 16.0)	N/A	26	stable	-1.4 (-3.2, 0.2)
Tulare, CA ⁷	13.3 (11.8, 15.0)	N/A	57	stable	0.3 (-1.0, 1.6)
Aiken, SC - Edgefield, SC ²	13.3 (11.4, 15.4)	N/A	39	stable	-1.2 (-3.8, 1.5)
Adair, MO - Sullivan, MO ²	13.3 (9.1, 18.7)	N/A	7	rising	25.6 (1.4, 45.5)
Walla Walla, WA - Columbia, WA ¹	13.2 (9.9, 17.4)	N/A	11	falling	-8.2 (-16.8, -4.2)
Fairbanks North Star Borough, AK - Denali/Yukon-Koyukuk, AK ²	13.1 (10.0, 16.7)	N/A	14	stable	0.2 (-2.4, 3.2)
Tuscaloosa (Tuscaloosa), AL - Pickens, AL ²	13.0 (11.1, 15.0)	N/A	37	stable	-1.3 (-3.1, 0.6)
Union, AR - Columbia, AR ²	12.9 (9.4, 17.3)	N/A	10	stable	1.2 (-2.3, 4.9)
Houghton, MI - Baraga, MI ²	12.9 (8.7, 18.4)	N/A	7	falling	-2.9 (-9.7, -0.3)
Nueces (Corpus Christi), TX - San Patricio, TX ⁷	12.8 (11.6, 14.2)	N/A	79	rising	6.5 (1.7, 17.5)
Pueblo (Pueblo), CO - Las Animas, CO ²	12.8 (10.8, 15.1)	N/A	32	stable	-1.0 (-3.4, 1.5)
Bergen, NJ - Hudson (Jersey City), NJ ⁷	12.7 (12.1, 13.4)	N/A	327	falling	-1.0 (-1.6, -0.4)
Montgomery (Clarksville), TN - Stewart, TN ²	12.7 (10.6, 15.1)	N/A	27	stable	-1.3 (-9.3, 1.4)
Dallas, AL - Marengo, AL ²	12.7 (9.4, 16.8)	N/A	12	stable	0.8 (-2.0, 3.5)
Spokane (Spokane), WA - Stevens, WA ¹	12.7 (11.5, 13.9)	N/A	99	stable	8.4 (-6.3, 26.0)
Chambers, AL - Randolph, AL ²	12.5 (9.0, 17.0)	N/A	10	stable	-0.2 (-4.0, 3.6)
Hardin, TN - McNairy, TN ²	12.5 (9.0, 17.0)	N/A	10	stable	-0.1 (-2.5, 2.3)
Hill, MT - Blaine, MT ²	12.5 (7.6, 19.4)	N/A	4	stable	3.0 (-1.1, 8.1)
Concordia, LA - Tensas, LA ⁷	12.4 (7.1, 20.3)	N/A	4	stable	3.6 (-0.2, 8.6)
Coahoma, MS - Tallahatchie, MS ²	12.2 (8.2, 17.7)	N/A	6	stable	0.5 (-4.8, 6.1)
Apache, AZ ²	12.2 (9.0, 16.3)	N/A	10	rising	6.5 (3.0, 12.2)
Pittsylvania (Danville), VA - Danville City, VA ²	12.1 (9.6, 15.1)	N/A	18	stable	-1.9 (-4.2, 0.3)
Bexar (San Antonio), TX - Guadalupe, TX ⁷	12.1 (11.5, 12.7)	N/A	303	rising	4.0 (1.9, 6.9)
Williams, ND - McKenzie, ND ²	12.0 (7.9, 17.4)	N/A	6	stable	2.0 (-2.7, 8.2)
Crittenden (West Memphis), AR - St. Francis, AR ²	11.9 (9.1, 15.3)	N/A	13	stable	0.2 (-3.1, 3.5)
Yuma, AZ - La Paz, AZ ²	11.9 (10.1, 13.9)	N/A	37	rising	3.9 (1.4, 14.7)
Shelby (Memphis), TN - Tipton, TN ²	11.6 (10.7, 12.6)	N/A	128	stable	-0.1 (-2.0, 1.8)
Fairfax, VA - Arlington, VA ²	11.4 (10.8, 12.1)	N/A	241	falling	-3.0 (-4.2, -1.8)
Hampden (Springfield), MA - Hampshire, MA ²	11.3 (10.3, 12.5)	N/A	89	falling	-1.8 (-3.2, -0.5)
St. Mary, LA ⁷	11.2 (7.7, 16.0)	N/A	7	stable	0.8 (-1.8, 3.7)
La Porte, IN - Starke, IN ²	11.2 (9.0, 13.8)	N/A	20	falling	-8.5 (-26.9, -3.2)
Alamosa, CO - Rio Grande, CO ²	11.1 (7.6, 15.7)	N/A	7	falling	-4.4 (-23.1, -1.1)
Warren, MS - Claiborne, MS ²	11.0 (7.6, 15.5)	N/A	7	stable	0.4 (-3.6, 4.7)
Adams, MS - Jefferson, MS ²	11.0 (7.5, 15.7)	N/A	7	falling	-15.3 (-41.0, -1.0)
Washington, VA - Smyth, VA ²	10.9 (8.8, 13.2)	N/A	24	falling	-5.8 (-14.0, -3.3)
Bolivar, MS - Leflore, MS ²	10.8 (8.0, 14.3)	N/A	11	stable	1.8 (-1.1, 4.8)
Bristol (New Bedford), MA ²	10.8 (9.7, 11.9)	N/A	80	falling	-14.6 (-22.7, -8.1)
Nacogdoches, TX - Shelby, TX ⁷	10.6 (8.1, 13.7)	N/A	13	stable	-0.6 (-2.9, 1.8)
Brunswick, VA - Greensville, VA ²	10.4 (6.8, 15.7)	N/A	5	stable	-0.2 (-4.6, 4.5)
Whitman, WA ¹	10.1 (5.9, 15.9)	N/A	4	rising	53.4 (17.8, 94.9)
Lowndes, MS - Clay, MS ²	9.9 (7.4, 13.1)	N/A	11	falling	-15.1 (-34.2, -0.5)
District of Columbia ²	9.8 (8.7, 10.9)	N/A	66	rising	1.5 (0.2, 3.0)
Malheur, OR ²	9.7 (5.6, 15.6)	N/A	4	*	*
San Juan, NM ⁷	9.5 (7.3, 12.2)	N/A	13	stable	-1.3 (-2.6, 0.1)
Umatilla, OR - Morrow, OR ²	9.3 (6.8, 12.5)	N/A	10	falling	-8.8 (-20.4, -4.9)
Kings (New York), NY - Queens, NY ⁷	9.0 (8.7, 9.3)	N/A	898	falling	-1.7 (-2.7, -0.9)
Bee, TX - Karnes, TX ⁷	8.9 (5.5, 13.8)	N/A	4	*	*
Marion, SC - Dillon, SC ²	8.9 (6.1, 12.6)	N/A	7	falling	-3.5 (-6.7, -0.8)
Gogebic, MI - Ontonagon, MI ²	8.9 (5.1, 15.6)	N/A	4	stable	-0.4 (-5.0, 4.0)
Dickinson, MI - Menominee, MI ²	8.8 (6.1, 12.4)	N/A	8	falling	-20.5 (-39.5, -2.7)
Russell, AL ²	8.8 (5.8, 12.8)	N/A	6	falling	-5.3 (-18.8, -1.8)
Ector (Odessa), TX - Reeves, TX ⁷	8.7 (6.8, 11.0)	N/A	15	falling	-2.0 (-3.8, -0.2)
Prince William (Dale City), VA - Fauquier, VA ²	8.5 (7.4, 9.6)	N/A	51	falling	-4.9 (-6.7, -3.3)
Otero, CO - Prowers, CO ²	8.3 (5.3, 12.5)	N/A	5	stable	-4.7 (-31.9, 3.4)
Florence (Florence), SC - Darlington, SC ²	8.2 (7.0, 9.7)	N/A	32	falling	-2.6 (-4.5, -0.9)
San Miguel, NM - Mora, NM ⁷	7.8 (4.8, 12.3)	N/A	4	*	*
Orangeburg, SC - Bamberg, SC ²	7.4 (5.5, 9.6)	N/A	12	stable	-0.9 (-3.9, 1.9)
Wise, VA - Lee, VA ²	7.3 (5.2, 10.3)	N/A	8	falling	-4.5 (-8.9, -1.0)
Cameron (Brownsville), TX - Willacy, TX ⁷	7.2 (6.1, 8.4)	N/A	33	stable	-1.3 (-2.9, 0.4)
Hidalgo (Mcallen), TX - Starr, TX ⁷	7.1 (6.3, 8.0)	N/A	58	rising	11.8 (2.4, 23.1)
Washington, MS - Sharkey, MS ²	6.7 (4.0, 10.6)	N/A	4	*	*
McKinley, NM ⁷	6.4 (4.1, 9.7)	N/A	5	*	*
Maverick, TX - Val Verde, TX ⁷	5.8 (3.9, 8.4)	N/A	6	stable	-1.1 (-3.9, 1.9)
El Paso (El Paso), TX - Hudspeth, TX ⁷	5.6 (4.9, 6.3)	N/A	47	stable	-1.6 (-3.2, 0.2)
Webb (Laredo), TX - Zapata, TX ⁷	3.9 (2.8, 5.2)	N/A	9	stable	-2.1 (-4.5, 0.6)
Puerto Rico ²	3.3 (3.1, 3.6)	N/A	149	*	*
Alpine, CA ⁷	*	*	3 or fewer	*	*
Atchison, MO - Holt, MO ²	*	*	3 or fewer	*	*
Baca, CO ²	*	*	3 or fewer	*	*
Beaver, OK ²	*	*	3 or fewer	*	*
Boyd, NE ²	*	*	3 or fewer	*	*
Brewster, TX - Presidio, TX ⁷	*	*	3 or fewer	*	*
Chase, NE - Dundy, NE ²	*	*	3 or fewer	*	*
Cherry, NE ²	*	*	3 or fewer	*	*
Cheyenne, NE - Kimball, NE ²	*	*	3 or fewer	*	*
Childress, TX - Hall, TX ⁷	*	*	3 or fewer	*	*
Choctaw, OK ²	*	*	3 or fewer	*	*
Claiborne, LA ⁷	*	*	3 or fewer	*	*
Clark, MO ²	*	*	3 or fewer	*	*
Colfax, NM ⁷	*	*	3 or fewer	*	*
Collingsworth, TX ⁷	*	*	3 or fewer	*	*
Daggett, UT ⁷	*	*	3 or fewer	*	*
Dawes, NE - Sheridan, NE ²	*	*	3 or fewer	*	*
Dickey, ND - LaMoure, ND ²	*	*	3 or fewer	*	*
Dimmit, TX ⁷	*	*	3 or fewer	*	*
Essex, VT ²	*	*	3 or fewer	*	*
Fillmore, NE - Thayer, NE ²	*	*	3 or fewer	*	*
Fulton, KY ⁷	*	*	3 or fewer	*	*
Grant, ND ²	*	*	3 or fewer	*	*
Grant, OR ²	*	*	3 or fewer	*	*
Grundy, MO - Mercer, MO ²	*	*	3 or fewer	*	*
Jackson, CO ²	*	*	3 or fewer	*	*
Lipscomb, TX ⁷	*	*	3 or fewer	*	*
Madison, LA ⁷	*	*	3 or fewer	*	*
McIntosh, ND - Logan, ND ²	*	*	3 or fewer	*	*
Oglala Lakota, SD - Bennett, SD ²	*	*	3 or fewer	*	*
Pemiscot, MO ²	*	*	3 or fewer	*	*
Perkins, SD - Harding, SD ²	*	*	3 or fewer	*	*
Phillips, AR ²	*	*	3 or fewer	*	*
Powell, MT ²	*	*	3 or fewer	*	*
Quitman, GA ⁷	*	*	3 or fewer	*	*
Richardson, NE - Pawnee, NE ²	*	*	3 or fewer	*	*
Roberts, SD ²	*	*	3 or fewer	*	*
Rolette, ND - Pierce, ND ²	*	*	3 or fewer	*	*
Scurry, TX ⁷	*	*	3 or fewer	*	*
Sheridan, MT - Daniels, MT ²	*	*	3 or fewer	*	*
Union, NM ⁷	*	*	3 or fewer	*	*
Uvalde, TX ⁷	*	*	3 or fewer	*	*
Wabash, IL ⁷	*	*	3 or fewer	*	*
Warren, GA - Glascock, GA ⁷	*	*	3 or fewer	*	*
Weston, WY ²	*	*	3 or fewer	*	*
Wheatland, MT - Meagher, MT ²	*	*	3 or fewer	*	*
White Pine, NV ²	*	*	3 or fewer	*	*
Wilkinson, MS ²	*	*	3 or fewer	*	*
Winn, LA ⁷	*	*	3 or fewer	*	*
Yazoo, MS ²	*	*	3 or fewer	*	*
Atchison, KS ²	¶	¶	¶	¶	¶
Barber, KS ²	¶	¶	¶	¶	¶
Barton, KS - Pawnee, KS ²	¶	¶	¶	¶	¶
Cherokee, KS ²	¶	¶	¶	¶	¶
Cheyenne, KS - Rawlins, KS ²	¶	¶	¶	¶	¶
Clay, KS ²	¶	¶	¶	¶	¶
Cloud, KS - Republic, KS ²	¶	¶	¶	¶	¶
Crawford, KS - Bourbon, KS ²	¶	¶	¶	¶	¶
Decatur, KS - Sheridan, KS ²	¶	¶	¶	¶	¶
Doniphan, KS ²	¶	¶	¶	¶	¶
Ellis, KS - Rooks, KS ²	¶	¶	¶	¶	¶
Finney, KS - Scott, KS ²	¶	¶	¶	¶	¶
Ford, KS - Gray, KS ²	¶	¶	¶	¶	¶
Geary, KS - Dickinson, KS ²	¶	¶	¶	¶	¶
Grant, KS - Stanton, KS ²	¶	¶	¶	¶	¶
Johnson (Overland Park), KS - Douglas, KS ²	¶	¶	¶	¶	¶
Kingman, KS - Harper, KS ²	¶	¶	¶	¶	¶
Labette, KS - Neosho, KS ²	¶	¶	¶	¶	¶
Lyon, KS - Coffey, KS ²	¶	¶	¶	¶	¶
Marshall, KS - Washington, KS ²	¶	¶	¶	¶	¶
McPherson, KS ²	¶	¶	¶	¶	¶
Mitchell, KS - Osborne, KS ²	¶	¶	¶	¶	¶
Montgomery, KS - Chautauqua, KS ²	¶	¶	¶	¶	¶
Ness, KS ²	¶	¶	¶	¶	¶
Phillips, KS - Norton, KS ²	¶	¶	¶	¶	¶
Pratt, KS - Kiowa, KS ²	¶	¶	¶	¶	¶
Reno, KS - Rice, KS ²	¶	¶	¶	¶	¶
Russell, KS ²	¶	¶	¶	¶	¶
Saline, KS - Ellsworth, KS ²	¶	¶	¶	¶	¶
Sedgwick (Wichita), KS - Butler, KS ²	¶	¶	¶	¶	¶
Seward, KS - Morton, KS ²	¶	¶	¶	¶	¶
Shawnee (Topeka), KS - Riley, KS ²	¶	¶	¶	¶	¶
Stevens, KS ²	¶	¶	¶	¶	¶
Thomas, KS - Sherman, KS ²	¶	¶	¶	¶	¶
Wichita, KS - Greeley, KS ²	¶	¶	¶	¶	¶
Wilson, KS ²	¶	¶	¶	¶	¶
Wyandotte (Kansas City), KS - Leavenworth, KS ²	¶	¶	¶	¶	¶

Notes:
Created by statecancerprofiles.cancer.gov on 05/16/2026 7:28 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 (SEER areas use 20 age groups and NPCR areas use 19 age groups). 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. Due to changes in stage coding, Combined Summary Stage with Expanded Regional Codes (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.

⋔ 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. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.

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.

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 2024 submission.

² 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 2024 submission).

⁷ Source: SEER November 2024 submission.

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.

¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.

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. Puerto Rico is being treated as a Health Service Area for this data presentation.

Data for United States does not include Puerto Rico.

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State Cancer Profiles

Incidence Rates Table

Incidence Rate Report for United States by HSAMelanoma of the Skin (All Stages^), 2018-2022All Races (includes Hispanic), Both Sexes, All AgesSorted by Rate

Incidence Rate Report for United States by HSA

Melanoma of the Skin (All Stages^), 2018-2022

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

Sorted by Rate