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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^), 2016-2020

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	22.5 (22.4, 22.5)	N/A	83,836	stable	1.5 (-0.9, 2.7)
Washington, UT - Kane, UT ⁷	58.4 (53.9, 63.2)	N/A	142	rising	17.2 (12.5, 21.8)
Sioux, IA ⁷	56.1 (45.2, 68.7)	N/A	20	rising	5.1 (3.5, 7.5)
Marin, CA ⁷	55.9 (52.4, 59.6)	N/A	215	rising	2.7 (1.8, 3.4)
Blaine, ID - Camas, ID ⁷	52.0 (41.3, 64.8)	N/A	18	rising	4.4 (0.4, 10.3)
Cache, UT ⁷	49.8 (43.6, 56.6)	N/A	48	rising	4.8 (3.4, 7.0)
Clay, IA - Dickinson, IA ⁷	48.0 (39.5, 57.8)	N/A	27	rising	5.6 (4.7, 6.8)
Iron, UT - Beaver, UT ⁷	45.6 (37.7, 54.6)	N/A	25	stable	-1.1 (-8.4, 2.0)
Winneshiek, IA ⁷	45.2 (32.5, 61.2)	N/A	10	*	*
Davis, UT - Weber (Ogden), UT ⁷	45.2 (42.8, 47.7)	N/A	276	stable	0.0 (-4.3, 4.8)
Cerro Gordo, IA - Kossuth, IA ⁷	44.5 (39.0, 50.5)	N/A	57	rising	5.0 (3.8, 6.7)
Bennington, VT ⁶	44.1 (35.7, 54.1)	N/A	23	stable	7.2 (-1.6, 30.0)
Gallatin and Yellowstone National Park, MT - Madison, MT ⁶	42.9 (37.8, 48.6)	N/A	53	rising	6.1 (3.9, 9.3)
Mitchell, IA ⁷	42.9 (27.2, 64.5)	N/A	5	*	*
Hall, GA - Habersham, GA ⁷	42.8 (40.1, 45.5)	N/A	211	stable	-2.0 (-7.7, 2.4)
Santa Cruz, CA ⁷	42.7 (39.5, 46.2)	N/A	138	rising	4.8 (3.3, 11.0)
Sonoma (Santa Rosa), CA ⁷	42.6 (40.4, 45.0)	N/A	287	stable	-3.1 (-8.1, 2.6)
Dubuque (Dubuque), IA - Jackson, IA ⁷	41.5 (36.5, 46.9)	N/A	57	rising	5.2 (4.4, 6.4)
Lewis and Clark, MT - Jefferson, MT ⁶	40.9 (35.5, 47.0)	N/A	46	rising	9.4 (6.8, 13.8)
Kent, MD ⁶	40.4 (29.6, 54.3)	N/A	12	stable	2.4 (-4.0, 10.8)
St. Johns (St. Augustine), FL - Putnam, FL ⁶	39.2 (36.5, 42.0)	N/A	179	rising	4.5 (3.6, 5.8)
Rutland, VT ⁶	39.1 (32.8, 46.4)	N/A	32	stable	1.6 (-1.5, 5.2)
Grafton, NH - Sullivan, NH ⁶	39.0 (34.9, 43.5)	N/A	74	stable	0.2 (-2.3, 3.0)
Salt Lake (Salt Lake City), UT - Tooele, UT ⁷	39.0 (37.4, 40.6)	N/A	481	stable	-2.2 (-6.0, 0.6)
Harford, MD - Cecil, MD ⁶	38.5 (35.9, 41.4)	N/A	167	rising	3.1 (2.2, 4.2)
Flathead, MT - Lincoln, MT ⁶	38.5 (34.0, 43.4)	N/A	61	stable	-1.6 (-9.5, 6.9)
Calloway, KY ⁷	38.4 (30.1, 48.2)	N/A	17	stable	2.5 (-0.2, 5.6)
Iredell (Statesville), NC - Alexander, NC ⁶	38.2 (34.8, 41.8)	N/A	101	rising	5.3 (3.7, 7.4)
Watauga, NC - Ashe, NC ⁶	38.1 (32.5, 44.3)	N/A	39	rising	5.0 (2.6, 8.1)
Nevada, CA - Sierra, CA ⁷	38.0 (33.5, 43.1)	N/A	64	rising	3.0 (1.5, 4.9)
Wicomico, MD - Worcester, MD ⁶	38.0 (34.3, 41.9)	N/A	91	stable	1.2 (-0.5, 3.2)
Phelps, NE - Furnas, NE ⁶	37.8 (26.2, 52.9)	N/A	8	stable	4.6 (-0.8, 11.8)
Marion, IL - Washington, IL ⁷	37.7 (31.0, 45.4)	N/A	25	rising	2.3 (0.3, 4.7)
Queen Annes, MD - Talbot, MD ⁶	37.5 (33.8, 41.6)	N/A	83	stable	-4.8 (-14.4, 3.3)
Washington, VT - Windsor, VT ⁶	37.4 (33.5, 41.6)	N/A	77	rising	1.7 (0.1, 3.6)
Jasper, GA ⁷	37.3 (25.8, 52.6)	N/A	7	*	*
Greenville (Greenville), SC - Anderson, SC ⁶	37.2 (35.6, 38.9)	N/A	417	rising	2.3 (1.1, 3.6)
McLean (Bloomington), IL - Woodford, IL ⁷	37.0 (33.5, 40.8)	N/A	87	rising	3.0 (1.6, 4.6)
Manatee, FL ⁶	36.9 (34.6, 39.3)	N/A	242	rising	5.7 (4.1, 7.9)
Newport, RI ⁶	36.9 (32.0, 42.3)	N/A	46	stable	2.2 (-0.2, 5.1)
Clinton, IA ⁷	36.7 (29.7, 44.9)	N/A	22	rising	2.9 (1.6, 4.5)
Adams, IL - Pike, IL ⁷	36.5 (31.3, 42.5)	N/A	39	rising	5.9 (3.5, 8.9)
Grand Traverse, MI - Manistee, MI ⁶	36.4 (33.0, 40.0)	N/A	101	rising	10.7 (0.8, 19.6)
Shasta (Redding), CA - Trinity, CA ⁷	36.2 (32.8, 39.8)	N/A	97	stable	-2.7 (-18.4, 4.7)
Chittenden (Burlington), VT - Franklin, VT ⁶	36.1 (33.0, 39.4)	N/A	110	stable	1.8 (0.0, 3.9)
Cheshire, NH ⁶	35.9 (30.7, 41.9)	N/A	38	stable	2.0 (-0.4, 5.0)
Brevard (Palm Bay), FL - Indian River, FL ⁶	35.8 (34.2, 37.5)	N/A	440	stable	-2.0 (-5.3, 0.4)
Carbon, UT - Emery, UT ⁷	35.7 (26.9, 46.4)	N/A	12	rising	28.2 (3.9, 48.0)
Kauai, HI ⁷	35.5 (30.2, 41.5)	N/A	36	rising	31.7 (12.5, 44.9)
Minnehaha (Sioux Falls), SD - Lincoln, SD ⁶	35.5 (32.5, 38.6)	N/A	115	rising	5.5 (4.4, 7.0)
Carroll, IA - Sac, IA ⁷	35.5 (27.8, 44.7)	N/A	18	rising	3.9 (2.5, 5.8)
Santa Barbara (Santa Barbara), CA - San Luis Obispo, CA ⁷	35.4 (33.6, 37.3)	N/A	314	stable	-1.3 (-5.9, 0.8)
Yancey, NC - Avery, NC ⁶	35.2 (29.0, 42.5)	N/A	26	rising	4.6 (2.0, 8.0)
Allamakee, IA ⁷	34.9 (22.7, 51.4)	N/A	7	*	*
Henry, GA - Forsyth, GA ⁷	34.9 (33.0, 36.7)	N/A	290	stable	-5.6 (-12.1, 0.7)
Clayton, IA - Delaware, IA ⁷	34.7 (26.6, 44.6)	N/A	15	rising	4.1 (2.5, 6.3)
Sarasota (Sarasota), FL - Charlotte, FL ⁶	34.7 (33.0, 36.5)	N/A	473	stable	-1.6 (-8.4, 2.3)
Caledonia, VT - Orleans, VT ⁶	34.5 (29.5, 40.1)	N/A	39	rising	2.9 (1.0, 5.1)
Bonneville, ID - Madison, ID ⁷	34.1 (30.6, 38.0)	N/A	70	rising	3.3 (1.8, 5.1)
Humboldt, CA ⁷	34.1 (30.1, 38.6)	N/A	57	rising	3.8 (2.5, 5.3)
Cass (Fargo), ND - Richland, ND ⁶	34.1 (30.8, 37.8)	N/A	79	stable	-1.8 (-9.8, 3.1)
Atlantic (Atlantic City), NJ - Cape May, NJ ⁷	33.9 (31.6, 36.4)	N/A	172	stable	1.4 (-3.2, 2.5)
Butte (Chico), CA - Tehama, CA ⁷	33.9 (31.2, 36.7)	N/A	134	stable	-3.5 (-10.4, 3.5)
Penobscot (Bangor), ME - Hancock, ME ⁶	33.8 (30.9, 36.9)	N/A	118	stable	3.6 (-2.7, 9.9)
Vermilion, IL - Edgar, IL ⁷	33.6 (28.9, 38.8)	N/A	41	rising	5.8 (2.6, 10.0)
Spalding (Griffin), GA - Butts, GA ⁷	33.4 (28.6, 38.8)	N/A	37	rising	4.1 (2.2, 6.6)
Custer, NE - Valley, NE ⁶	33.4 (23.4, 46.3)	N/A	9	rising	7.1 (2.4, 14.7)
Miami (Piqua), OH - Shelby, OH ⁶	33.2 (29.4, 37.3)	N/A	62	rising	5.3 (2.9, 8.5)
Carroll, GA - Haralson, GA ⁷	33.1 (29.2, 37.5)	N/A	53	rising	2.7 (1.3, 4.6)
Franklin, ID - Bear Lake, ID ⁷	33.1 (22.9, 46.4)	N/A	7	stable	3.7 (-0.8, 10.7)
McCracken, KY - Graves, KY ⁷	33.1 (29.7, 36.8)	N/A	78	stable	1.6 (-0.8, 4.3)
Floyd, IA - Chickasaw, IA ⁷	33.0 (24.6, 43.5)	N/A	12	rising	4.3 (2.8, 6.2)
Grand, UT ⁷	33.0 (19.5, 52.6)	N/A	4	*	*
Daviess (Owensboro), KY - Ohio, KY ⁷	32.9 (29.1, 37.2)	N/A	57	rising	2.9 (0.9, 5.2)
Teton, WY - Lincoln, WY ⁶	32.9 (26.6, 40.3)	N/A	20	stable	2.2 (-1.6, 7.0)
Hawaii, HI ⁷	32.9 (29.8, 36.3)	N/A	94	stable	1.9 (0.0, 4.2)
Clallam, WA - Jefferson, WA ⁷	32.9 (28.9, 37.3)	N/A	67	rising	2.0 (1.1, 3.2)
Poweshiek, IA ⁷	32.9 (22.5, 46.5)	N/A	8	*	*
Taylor, KY - Adair, KY ⁷	32.7 (27.4, 38.8)	N/A	30	stable	2.3 (-0.1, 5.0)
Champaign (Champaign), IL - Coles, IL ⁷	32.7 (29.9, 35.8)	N/A	105	rising	4.3 (2.8, 6.1)
Linn (Cedar Rapids), IA - Johnson, IA ⁷	32.5 (30.3, 34.8)	N/A	174	rising	2.9 (1.9, 4.0)
Hancock, IL ⁷	32.4 (22.7, 45.3)	N/A	8	stable	3.9 (-0.9, 9.9)
Catawba (Hickory), NC - Burke, NC ⁶	32.4 (29.9, 34.9)	N/A	142	rising	3.2 (2.1, 4.3)
Morgan (Decatur), AL - Lawrence, AL ⁶	32.3 (28.6, 36.3)	N/A	61	rising	3.8 (1.7, 6.5)
York (York), PA - Adams, PA ⁶	32.2 (30.3, 34.2)	N/A	226	rising	2.2 (1.4, 3.2)
Ada (Boise City), ID - Canyon, ID ⁷	32.2 (30.5, 34.0)	N/A	269	rising	2.0 (1.1, 3.1)
Lee (Cape Coral), FL - Collier, FL ⁶	32.1 (30.9, 33.3)	N/A	696	rising	4.4 (2.5, 9.1)
Carroll, KY - Trimble, KY ⁷	32.0 (21.9, 45.3)	N/A	7	rising	3.0 (0.6, 6.0)
Macon (Decatur), IL - Shelby, IL ⁷	32.0 (28.4, 36.0)	N/A	64	rising	3.9 (2.2, 6.0)
Woodbury (Sioux City), IA - Plymouth, IA ⁷	31.8 (28.3, 35.7)	N/A	64	stable	1.3 (-11.3, 3.8)
Peoria (Peoria), IL - Tazewell, IL ⁷	31.8 (29.4, 34.3)	N/A	146	rising	9.3 (4.4, 17.7)
Cherokee, GA - Douglas, GA ⁷	31.8 (29.8, 33.9)	N/A	200	falling	-5.8 (-13.3, -0.5)
Licking (Newark), OH - Knox, OH ⁶	31.7 (28.7, 34.9)	N/A	89	rising	8.2 (4.7, 15.4)
Des Moines, IA - Henry, IA ⁷	31.6 (25.8, 38.3)	N/A	24	rising	4.8 (3.5, 6.6)
Lee, IA ⁷	31.5 (23.9, 40.9)	N/A	13	rising	3.0 (0.9, 5.6)
Park, WY - Big Horn, WY ⁶	31.5 (24.8, 39.6)	N/A	18	rising	3.1 (0.1, 7.0)
Douglas (Omaha), NE - Sarpy, NE ⁶	31.4 (29.8, 33.1)	N/A	287	rising	5.3 (4.2, 6.6)
Mifflin, PA - Huntingdon, PA ⁶	31.4 (27.4, 35.9)	N/A	48	rising	3.5 (1.4, 6.0)
Brown, SD - Spink, SD ⁶	31.4 (25.7, 37.9)	N/A	25	rising	5.2 (2.4, 8.7)
Rabun, GA ⁷	31.3 (21.9, 44.2)	N/A	8	*	*
Yellowstone (Billings), MT - Big Horn, MT ⁶	31.3 (28.2, 34.7)	N/A	80	rising	3.5 (0.9, 9.8)
Scott (Davenport), IA - Muscatine, IA ⁷	31.3 (28.2, 34.7)	N/A	79	rising	3.2 (2.2, 4.5)
Pima (Tucson), AZ - Cochise, AZ ⁶	31.2 (30.0, 32.5)	N/A	532	rising	7.7 (6.2, 10.9)
Buncombe (Asheville), NC - Henderson, NC ⁶	31.2 (29.3, 33.2)	N/A	223	rising	2.0 (0.5, 3.7)
Polk, NC ⁶	31.1 (22.2, 42.9)	N/A	11	*	*
Spartanburg (Spartanburg), SC - Cherokee, SC ⁶	31.0 (28.8, 33.4)	N/A	148	stable	1.8 (-0.7, 5.1)
New Hanover (Wilmington), NC - Brunswick, NC ⁶	31.0 (29.0, 33.2)	N/A	191	rising	4.7 (2.4, 8.2)
Williamson, IL - Jackson, IL ⁷	31.0 (27.7, 34.6)	N/A	69	stable	3.2 (-9.4, 8.4)
Windham, VT ⁶	31.0 (24.0, 39.3)	N/A	17	stable	1.6 (-1.5, 5.1)
Stephens, OK - Jefferson, OK ⁶	30.9 (24.9, 38.1)	N/A	21	stable	3.1 (-1.2, 8.4)
Black Hawk (Waterloo), IA - Bremer, IA ⁷	30.9 (27.9, 34.2)	N/A	83	rising	2.6 (2.1, 3.2)
Monmouth, NJ - Ocean (Brick Township), NJ ⁷	30.8 (29.6, 32.1)	N/A	519	stable	-0.8 (-2.6, 0.3)
Hunterdon, NJ - Warren (Phillipsburg), NJ ⁷	30.7 (27.8, 33.7)	N/A	97	stable	1.3 (-0.2, 3.1)
Jackson, NC - Macon, NC ⁶	30.6 (26.4, 35.3)	N/A	44	rising	3.9 (2.2, 5.9)
Ontario (Geneva), NY - Wayne, NY ⁷	30.6 (27.9, 33.6)	N/A	104	stable	2.0 (-3.9, 4.4)
Sussex, DE - Kent, DE ⁶	30.6 (28.5, 32.8)	N/A	184	stable	-3.4 (-10.8, 2.8)
McDowell, NC ⁶	30.6 (24.5, 37.8)	N/A	19	stable	1.3 (-2.8, 6.1)
Gaston (Gastonia), NC - Cleveland, NC ⁶	30.4 (28.4, 32.6)	N/A	179	rising	5.2 (3.8, 7.1)
Utah (Provo), UT - Sanpete, UT ⁷	30.4 (28.2, 32.6)	N/A	156	rising	2.3 (1.7, 3.2)
Walworth, WI - Jefferson, WI ⁶	30.4 (27.2, 33.8)	N/A	72	rising	3.9 (2.3, 6.0)
Logan, OH ⁶	30.3 (23.9, 38.0)	N/A	17	rising	4.3 (1.1, 8.1)
Twin Falls, ID - Jerome, ID ⁷	30.3 (26.3, 34.7)	N/A	43	stable	1.3 (-1.1, 4.1)
Maricopa (Phoenix), AZ - Pinal, AZ ⁶	30.3 (29.6, 30.9)	N/A	1,888	rising	5.7 (3.5, 7.6)
Clinton, KY - Cumberland, KY ⁷	30.3 (20.4, 43.4)	N/A	7	falling	-6.1 (-27.5, -0.7)
La Crosse (La Crosse), WI - Monroe, WI ⁶	30.2 (27.2, 33.5)	N/A	80	rising	4.8 (3.6, 6.2)
Douglas, WI ⁶	30.2 (23.6, 38.0)	N/A	16	rising	10.2 (6.9, 15.9)
OBrien, IA - Osceola, IA ⁷	30.1 (20.9, 42.2)	N/A	8	rising	5.0 (3.2, 7.5)
La Salle, IL - Livingston, IL ⁷	30.1 (26.9, 33.6)	N/A	71	stable	1.8 (-8.6, 4.1)
Kenton (Covington), KY - Campbell, KY ⁷	30.1 (27.9, 32.4)	N/A	147	rising	3.3 (2.4, 4.3)
Chaffee, CO - Lake, CO ⁶	30.0 (22.1, 40.1)	N/A	11	stable	2.9 (-0.8, 7.5)
Guthrie, IA - Greene, IA ⁷	30.0 (21.1, 41.7)	N/A	9	stable	2.2 (-0.5, 5.4)
Escambia (Pensacola), FL - Okaloosa, FL ⁶	30.0 (28.4, 31.6)	N/A	280	stable	-0.1 (-3.5, 4.1)
King (Seattle), WA - Snohomish, WA ⁷	29.9 (29.2, 30.7)	N/A	1,178	stable	0.6 (-0.9, 1.4)
Hillsborough (Manchester), NH - Merrimack, NH ⁶	29.8 (28.1, 31.5)	N/A	265	rising	1.7 (0.6, 4.7)
Adams, NE - Clay, NE ⁶	29.7 (23.5, 37.2)	N/A	17	stable	1.4 (-3.0, 6.5)
Chautauqua, NY ⁷	29.7 (25.8, 34.0)	N/A	48	rising	3.0 (1.6, 4.6)
Orange, CA ⁷	29.7 (28.9, 30.5)	N/A	1,086	rising	2.7 (1.4, 5.2)
Houston (Dothan), AL - Dale, AL ⁶	29.6 (27.0, 32.4)	N/A	103	rising	5.4 (4.2, 7.1)
Polk (Lakeland), FL - Highlands, FL ⁶	29.6 (28.2, 31.1)	N/A	348	stable	0.4 (-4.4, 1.7)
Rock Island (Moline), IL - Henry, IL ⁷	29.6 (26.7, 32.8)	N/A	82	rising	2.4 (0.7, 4.2)
Rockingham, NH ⁶	29.6 (27.2, 32.2)	N/A	123	stable	0.6 (-1.0, 2.4)
Montrose, CO - Delta, CO ⁶	29.6 (25.5, 34.3)	N/A	43	stable	3.0 (-0.1, 7.0)
Effingham, IL - Fayette, IL ⁷	29.6 (23.9, 36.3)	N/A	20	rising	3.7 (0.4, 7.7)
Knox (Knoxville), TN - Blount, TN ⁶	29.5 (28.0, 31.0)	N/A	330	stable	0.6 (-1.7, 2.4)
Inyo, CA - Mono, CA ⁷	29.5 (22.6, 38.0)	N/A	14	stable	3.0 (-0.5, 7.5)
Sangamon (Springfield), IL - Christian, IL ⁷	29.4 (27.0, 32.0)	N/A	119	rising	3.3 (1.9, 4.8)
Jefferson (Louisville), KY - Bullitt, KY ⁷	29.4 (28.0, 30.8)	N/A	372	rising	4.6 (2.6, 7.9)
Henderson, IL ⁷	29.4 (16.1, 51.2)	N/A	3	*	*
Moore, NC - Richmond, NC ⁶	29.4 (26.6, 32.4)	N/A	87	rising	2.9 (1.4, 4.8)
Cattaraugus, NY - Allegany, NY ⁷	29.3 (25.4, 33.7)	N/A	45	rising	7.7 (1.4, 22.0)
Cumberland (Portland), ME - Knox, ME ⁶	29.3 (27.2, 31.5)	N/A	164	stable	-4.1 (-12.2, 2.5)
White, AR - Cleburne, AR ⁶	29.1 (25.0, 33.8)	N/A	39	rising	5.1 (2.3, 8.7)
Multnomah (Portland), OR - Washington, OR ⁶	29.1 (28.1, 30.2)	N/A	630	stable	-2.1 (-6.0, 1.1)
Hamblen (Morristown), TN - Jefferson, TN ⁶	29.1 (25.6, 33.0)	N/A	55	stable	-0.4 (-2.1, 1.1)
Mason, KY - Fleming, KY ⁷	29.1 (22.5, 37.1)	N/A	14	stable	0.7 (-3.1, 5.2)
York, ME ⁶	29.1 (26.2, 32.2)	N/A	85	stable	1.4 (-2.4, 4.8)
Clark (Springfield), OH - Champaign, OH ⁶	29.1 (25.8, 32.6)	N/A	64	rising	3.4 (2.1, 5.0)
St. Tammany (Slidell), LA - Washington, LA ⁷	28.9 (26.4, 31.6)	N/A	106	rising	3.6 (2.4, 5.1)
Gilmer, GA - Fannin, GA ⁷	28.9 (23.8, 34.9)	N/A	27	stable	1.7 (-0.3, 4.2)
Frederick, MD ⁶	28.9 (26.2, 31.8)	N/A	87	rising	5.1 (2.4, 11.7)
Duval (Jacksonville), FL - Clay, FL ⁶	28.8 (27.6, 30.1)	N/A	423	stable	-1.3 (-4.5, 2.4)
Erie (Buffalo), NY - Monroe, NY ⁷	28.8 (27.8, 29.8)	N/A	755	stable	1.9 (-1.3, 3.7)
Hillsborough (Tampa), FL - Pinellas, FL ⁶	28.7 (28.0, 29.5)	N/A	1,222	rising	3.2 (2.5, 4.0)
Washington (Johnson City), TN - Carter, TN ⁶	28.6 (25.7, 31.8)	N/A	77	stable	-1.3 (-11.8, 2.8)
Madison, NE - Wayne, NE ⁶	28.6 (23.1, 35.0)	N/A	21	rising	4.3 (2.3, 6.7)
Jefferson, IL - Wayne, IL ⁷	28.6 (23.0, 35.2)	N/A	20	rising	3.6 (0.4, 7.5)
Franklin, KY - Anderson, KY ⁷	28.6 (24.0, 33.8)	N/A	30	stable	-9.6 (-22.1, 2.0)
Brookings, SD - Kingsbury, SD ⁶	28.6 (21.4, 37.5)	N/A	11	stable	1.7 (-1.1, 5.1)
Buffalo, NE - Dawson, NE ⁶	28.5 (24.0, 33.7)	N/A	31	rising	9.7 (7.0, 21.5)
Albany, WY - Carbon, WY ⁶	28.5 (22.2, 36.0)	N/A	15	stable	3.4 (-0.1, 7.9)
Sullivan (Kingsport), TN - Hawkins, TN ⁶	28.4 (25.7, 31.4)	N/A	88	stable	-3.6 (-14.9, 4.7)
Boyle, KY - Lincoln, KY ⁷	28.4 (24.4, 32.9)	N/A	40	stable	0.1 (-13.2, 2.8)
Summit (Akron), OH - Portage, OH ⁶	28.4 (27.0, 29.9)	N/A	311	rising	4.2 (3.0, 7.1)
San Diego (San Diego), CA - Imperial, CA ⁷	28.4 (27.6, 29.2)	N/A	1,091	stable	0.3 (-0.5, 1.0)
Sweetwater, WY ⁶	28.3 (21.5, 36.6)	N/A	13	stable	-0.7 (-5.0, 4.4)
Bannock, ID - Bingham, ID ⁷	28.2 (24.5, 32.3)	N/A	45	stable	2.7 (-0.2, 6.3)
Thurston (Olympia), WA - Grays Harbor, WA ⁷	28.2 (26.1, 30.4)	N/A	152	rising	2.4 (1.9, 3.2)
Stark (Canton), OH - Wayne, OH ⁶	28.1 (26.4, 29.8)	N/A	230	rising	2.2 (0.6, 4.0)
Lancaster, PA ⁶	28.0 (26.2, 30.0)	N/A	191	stable	-3.1 (-9.7, 1.9)
Boulder, CO - Broomfield, CO ⁶	28.0 (25.8, 30.4)	N/A	122	stable	2.5 (-0.2, 7.0)
Pasquotank, NC - Dare, NC ⁶	28.0 (23.9, 32.6)	N/A	37	stable	2.0 (-0.4, 4.9)
York, NE - Polk, NE ⁶	27.9 (18.5, 40.5)	N/A	7	*	*
Lawrence, OH ⁶	27.9 (22.7, 34.0)	N/A	21	stable	2.0 (-0.8, 5.2)
Fayette (Lexington-Fayette), KY - Jessamine, KY ⁷	27.9 (26.0, 29.8)	N/A	178	rising	1.2 (0.5, 2.0)
Pulaski (Little Rock), AR - Faulkner, AR ⁶	27.8 (26.3, 29.4)	N/A	252	rising	3.6 (0.2, 5.6)
Baltimore, MD - Baltimore City, MD ⁶	27.8 (26.9, 28.7)	N/A	842	rising	2.0 (1.1, 3.0)
Sacramento (Sacramento), CA - Placer, CA ⁷	27.8 (26.9, 28.7)	N/A	752	rising	1.7 (0.8, 2.7)
Stephenson, IL - Jo Daviess, IL ⁷	27.8 (22.9, 33.4)	N/A	28	rising	5.6 (3.1, 8.8)
Montgomery, IA - Adams, IA ⁷	27.8 (16.4, 43.9)	N/A	4	*	*
Montgomery, KY - Bath, KY ⁷	27.7 (21.5, 35.3)	N/A	14	stable	0.9 (-1.3, 3.3)
Marshall, IA - Tama, IA ⁷	27.7 (22.1, 34.3)	N/A	19	rising	2.3 (0.6, 4.3)
Warren, KY - Logan, KY ⁷	27.7 (24.7, 31.0)	N/A	66	rising	2.7 (1.5, 4.2)
Marion (Ocala), FL - Citrus, FL ⁶	27.7 (26.0, 29.5)	N/A	255	rising	2.8 (1.5, 4.3)
Asotin, WA - Garfield, WA ⁶	27.7 (20.4, 37.1)	N/A	11	stable	4.2 (-0.7, 11.6)
Whiteside, IL - Carroll, IL ⁷	27.6 (23.0, 33.0)	N/A	28	stable	2.3 (-0.3, 5.4)
Dauphin (Harrisburg), PA - Cumberland, PA ⁶	27.6 (26.1, 29.3)	N/A	249	rising	1.8 (0.8, 3.0)
Crawford, IA ⁷	27.6 (18.3, 40.2)	N/A	6	*	*
Allegany (Cumberland), MD - Garrett, MD ⁶	27.6 (23.5, 32.2)	N/A	37	stable	6.7 (-7.7, 22.8)
Muskingum, OH - Guernsey, OH ⁶	27.5 (24.7, 30.6)	N/A	79	stable	1.2 (-0.3, 3.0)
Scioto, OH - Ross, OH ⁶	27.5 (24.4, 31.0)	N/A	59	rising	3.2 (1.3, 5.5)
Macoupin, IL - Montgomery, IL ⁷	27.5 (22.8, 32.9)	N/A	26	stable	1.1 (-1.5, 4.0)
Ottawa (Holland), MI - Allegan, MI ⁶	27.3 (25.1, 29.6)	N/A	124	stable	1.4 (-0.2, 3.3)
Palm Beach (West Palm Beach), FL - St. Lucie, FL ⁶	27.3 (26.4, 28.2)	N/A	877	falling	-4.0 (-8.5, -1.1)
Eau Claire (Eau Claire), WI - Chippewa, WI ⁶	27.2 (24.4, 30.2)	N/A	75	stable	2.1 (-5.7, 6.8)
Mesa, CO - Garfield, CO ⁶	27.2 (24.7, 29.9)	N/A	94	stable	-0.1 (-1.6, 1.6)
Franklin, PA - Fulton, PA ⁶	27.2 (24.1, 30.6)	N/A	60	stable	2.1 (-0.3, 4.8)
Schuylkill, PA - Northumberland, PA ⁶	27.1 (25.0, 29.5)	N/A	126	rising	2.2 (1.5, 3.1)
Scotts Bluff, NE - Box Butte, NE ⁶	27.1 (21.4, 33.9)	N/A	18	stable	2.2 (-1.4, 6.4)
Cabarrus (Concord), NC - Rowan, NC ⁶	27.1 (25.0, 29.3)	N/A	130	rising	4.8 (1.1, 11.8)
Mendocino, CA ⁷	27.1 (22.9, 31.9)	N/A	34	stable	1.0 (-0.9, 3.0)
Deschutes, OR - Crook, OR ⁶	27.1 (24.5, 29.8)	N/A	92	stable	-7.8 (-19.1, 0.1)
Silver Bow, MT - Deer Lodge, MT ⁶	27.1 (21.4, 33.9)	N/A	18	stable	1.5 (-0.7, 3.9)
Hamilton (Cincinnati), OH - Butler, OH ⁶	27.0 (26.0, 28.1)	N/A	529	rising	3.5 (2.7, 4.5)
Barren, KY - Hart, KY ⁷	27.0 (22.4, 32.3)	N/A	26	stable	2.4 (0.0, 5.2)
Onslow, NC - Craven, NC ⁶	27.0 (24.7, 29.4)	N/A	116	rising	1.8 (0.6, 3.2)
Guilford (Greensboro), NC - Davidson, NC ⁶	27.0 (25.6, 28.4)	N/A	307	stable	-0.5 (-3.4, 1.2)
St. Croix, WI - Pierce, WI ⁶	26.9 (23.2, 31.1)	N/A	40	rising	8.2 (6.2, 11.3)
Beadle, SD - Hand, SD ⁶	26.9 (18.8, 37.4)	N/A	8	*	*
Cumberland, TN - Fentress, TN ⁶	26.9 (23.0, 31.4)	N/A	42	stable	0.0 (-3.4, 2.0)
Washington (Hagerstown), MD ⁶	26.9 (23.6, 30.5)	N/A	51	rising	4.7 (1.5, 12.3)
Belmont, OH - Monroe, OH ⁶	26.9 (22.5, 31.9)	N/A	30	rising	5.1 (1.3, 9.9)
Madison (Huntsville), AL - Limestone, AL ⁶	26.8 (25.0, 28.8)	N/A	162	rising	3.9 (2.5, 5.8)
Cassia, ID - Minidoka, ID ⁷	26.8 (20.7, 34.3)	N/A	14	rising	4.6 (2.5, 7.5)
Morgan, IL - Greene, IL ⁷	26.8 (21.4, 33.2)	N/A	19	rising	3.3 (0.4, 7.0)
Newton (Covington), GA ⁷	26.8 (22.6, 31.5)	N/A	30	stable	1.1 (-0.6, 3.5)
Morris (Parsippany-Troy Hills Township), NJ - Sussex, NJ ⁷	26.7 (25.1, 28.4)	N/A	219	stable	0.2 (-1.3, 0.7)
Floyd, KY - Johnson, KY ⁷	26.7 (21.9, 32.4)	N/A	23	rising	8.2 (3.1, 22.4)
Washington, OH ⁶	26.6 (21.4, 32.8)	N/A	21	stable	0.7 (-2.5, 4.4)
Hall, NE - Hamilton, NE ⁶	26.5 (22.0, 31.7)	N/A	26	rising	6.1 (3.7, 9.7)
Cedar, NE - Knox, NE ⁶	26.5 (17.0, 39.6)	N/A	6	rising	6.0 (1.2, 12.2)
Cobb (Marietta), GA ⁷	26.5 (24.9, 28.2)	N/A	211	falling	-7.0 (-11.8, -4.0)
Montgomery (Dayton), OH - Greene, OH ⁶	26.5 (25.0, 28.0)	N/A	260	rising	3.6 (1.4, 6.2)
Lawrence, SD ⁶	26.4 (18.6, 36.7)	N/A	9	stable	2.8 (-2.4, 10.1)
Pierce, WA ⁷	26.4 (24.9, 27.9)	N/A	253	rising	6.9 (2.1, 10.6)
Broome (Binghamton), NY - Tioga, NY ⁷	26.3 (23.7, 29.2)	N/A	82	rising	3.4 (2.1, 4.9)
Highland, OH - Clinton, OH ⁶	26.3 (21.9, 31.3)	N/A	28	rising	4.0 (2.5, 5.9)
Rock (Janesville), WI - Green, WI ⁶	26.2 (23.4, 29.2)	N/A	70	rising	2.6 (0.5, 5.1)
Forrest, MS - Lamar, MS ⁶	26.2 (23.1, 29.6)	N/A	53	*	*
Lincoln, NE - Keith, NE ⁶	26.1 (20.6, 32.7)	N/A	18	rising	16.7 (7.1, 32.8)
Kennebec, ME - Somerset, ME ⁶	26.1 (23.4, 29.1)	N/A	76	stable	2.2 (-0.1, 5.1)
Wilkes, NC ⁶	26.1 (21.4, 31.5)	N/A	25	rising	2.8 (0.7, 5.4)
Webster, IA - Humboldt, IA ⁷	26.1 (20.7, 32.4)	N/A	18	rising	4.6 (3.4, 6.3)
Red Willow, NE - Hitchcock, NE ⁶	26.1 (17.0, 38.9)	N/A	6	rising	39.1 (12.0, 72.0)
Alleghany, NC ⁶	26.1 (16.4, 40.7)	N/A	5	stable	2.0 (-5.5, 12.0)
Madison, KY - Rockcastle, KY ⁷	26.0 (22.4, 30.1)	N/A	38	stable	1.4 (-0.3, 3.4)
Chatham (Savannah), GA - Liberty, GA ⁷	26.0 (24.1, 28.1)	N/A	138	rising	5.2 (3.5, 7.5)
Fairfield (Lancaster), OH - Athens, OH ⁶	26.0 (23.4, 28.8)	N/A	78	stable	1.8 (-0.3, 4.3)
Dane (Madison), WI - Sauk, WI ⁶	26.0 (24.4, 27.6)	N/A	226	falling	-7.7 (-15.8, -0.6)
Crawford, IL - Lawrence, IL ⁷	25.9 (19.7, 33.7)	N/A	12	stable	2.5 (-1.9, 8.1)
Sheboygan (Sheboygan), WI - Manitowoc, WI ⁶	25.9 (23.3, 28.7)	N/A	81	stable	0.8 (-1.1, 2.9)
Washington (Fayetteville), AR - Benton, AR ⁶	25.9 (24.0, 27.9)	N/A	136	rising	2.5 (0.1, 4.1)
Mobile (Mobile), AL - Baldwin, AL ⁶	25.9 (24.3, 27.5)	N/A	225	stable	-3.0 (-8.5, 3.1)
Hughes, SD - Stanley, SD ⁶	25.9 (18.5, 35.4)	N/A	9	stable	-8.8 (-37.6, 4.2)
Kankakee (Kankakee), IL - Iroquois, IL ⁷	25.8 (22.3, 29.8)	N/A	42	rising	4.6 (2.8, 6.8)
Lorain (Lorain), OH - Erie, OH ⁶	25.8 (24.0, 27.7)	N/A	170	rising	2.8 (1.5, 4.4)
Madison, MO ⁶	25.7 (15.4, 40.8)	N/A	4	*	*
Wichita (Wichita Falls), TX - Montague, TX ⁷	25.7 (22.8, 29.0)	N/A	60	rising	2.6 (1.1, 4.2)
Cabell (Huntington), WV - Wayne, WV ⁶	25.7 (22.4, 29.3)	N/A	50	stable	1.8 (-0.3, 4.2)
Camden, MO ⁶	25.7 (20.5, 32.0)	N/A	21	stable	0.9 (-3.0, 5.9)
Orange (Chapel Hill), NC - Harnett, NC ⁶	25.7 (23.6, 27.8)	N/A	123	stable	-1.3 (-6.5, 0.6)
Sebastian (Fort Smith), AR - Crawford, AR ⁶	25.6 (22.9, 28.5)	N/A	73	rising	5.7 (4.3, 8.7)
Kanawha (Charleston), WV - Putnam, WV ⁶	25.5 (23.2, 28.0)	N/A	101	falling	-2.9 (-8.9, -0.1)
Tompkins, NY - Cortland, NY ⁷	25.5 (22.0, 29.4)	N/A	41	stable	2.5 (-0.1, 5.6)
Coos, NH ⁶	25.5 (19.5, 33.2)	N/A	14	stable	0.0 (-2.4, 2.7)
Stutsman, ND - Wells, ND ⁶	25.5 (17.9, 35.3)	N/A	8	stable	-3.2 (-40.9, 8.2)
Jefferson (Steubenville), OH - Harrison, OH ⁶	25.5 (21.1, 30.6)	N/A	28	rising	5.0 (2.5, 7.9)
Bourbon (Paris), KY - Nicholas, KY ⁷	25.5 (18.1, 34.9)	N/A	9	stable	-0.7 (-3.8, 2.8)
Lycoming (Williamsport), PA - Clinton, PA ⁶	25.4 (22.2, 29.0)	N/A	51	rising	2.2 (0.4, 4.3)
Greene, TN - Cocke, TN ⁶	25.4 (21.6, 29.7)	N/A	36	stable	1.4 (-2.9, 3.2)
Rowan, KY - Morgan, KY ⁷	25.4 (19.7, 32.3)	N/A	15	stable	1.4 (-1.2, 4.3)
Polk (Des Moines), IA - Dallas, IA ⁷	25.4 (23.8, 27.0)	N/A	207	rising	4.3 (2.8, 8.5)
Le Flore, OK - Sequoyah, OK ⁶	25.2 (21.3, 29.7)	N/A	32	stable	4.5 (-10.9, 21.9)
Story, IA - Boone, IA ⁷	25.2 (21.9, 28.9)	N/A	46	rising	1.9 (0.9, 2.9)
Fillmore, NE - Thayer, NE ⁶	25.2 (13.8, 42.6)	N/A	4	stable	1.1 (-4.4, 6.8)
Knox, IL - Warren, IL ⁷	25.2 (20.7, 30.5)	N/A	24	rising	2.2 (0.5, 4.0)
Codington, SD - Grant, SD ⁶	25.2 (19.6, 31.9)	N/A	16	rising	8.7 (4.6, 26.0)
White, IL - Hamilton, IL ⁷	25.2 (17.3, 35.6)	N/A	8	*	*
Lewis, KY ⁷	25.1 (14.7, 40.1)	N/A	4	*	*
Laurel, KY - Whitley, KY ⁷	25.0 (21.7, 28.7)	N/A	44	rising	3.1 (1.9, 4.6)
Mecklenburg (Charlotte), NC - Union, NC ⁶	25.0 (23.8, 26.2)	N/A	332	stable	1.6 (-3.5, 3.8)
St. Lawrence, NY - Jefferson, NY ⁷	25.0 (22.3, 27.9)	N/A	70	rising	3.5 (1.5, 5.9)
Otsego, NY - Chenango, NY ⁷	25.0 (22.0, 28.2)	N/A	63	rising	3.2 (1.4, 5.3)
Centre (State College), PA - Clearfield, PA ⁶	25.0 (22.6, 27.6)	N/A	86	stable	-0.4 (-9.9, 3.2)
Camden (Camden), NJ - Burlington, NJ ⁷	24.9 (23.8, 26.1)	N/A	400	stable	0.8 (0.0, 1.4)
Jackson, OH - Gallia, OH ⁶	24.9 (20.6, 29.9)	N/A	26	rising	3.3 (1.1, 6.1)
Bay (Panama City), FL - Jackson, FL ⁶	24.9 (22.6, 27.3)	N/A	97	stable	2.1 (0.0, 4.6)
Boyd, KY - Greenup, KY ⁷	24.9 (21.5, 28.7)	N/A	42	rising	1.4 (0.1, 2.7)
Horry, SC - Georgetown, SC ⁶	24.9 (23.0, 26.8)	N/A	158	stable	-1.0 (-3.3, 1.7)
Cleveland (Norman), OK - McClain, OK ⁶	24.8 (22.6, 27.2)	N/A	96	rising	3.2 (1.0, 5.9)
Cherokee, NC - Clay, NC ⁶	24.8 (18.9, 32.1)	N/A	16	stable	-2.6 (-6.8, 0.5)
Kootenai, ID - Bonner, ID ⁷	24.7 (22.2, 27.5)	N/A	77	stable	-0.5 (-2.7, 3.5)
Lancaster (Lincoln), NE - Gage, NE ⁶	24.7 (22.5, 27.1)	N/A	98	stable	6.6 (-5.3, 18.8)
Grant, WA - Chelan, WA ⁶	24.7 (22.2, 27.4)	N/A	77	rising	2.6 (0.9, 4.8)
Holt, NE - Brown, NE ⁶	24.6 (14.9, 38.5)	N/A	5	stable	4.4 (-0.8, 11.0)
Park, MT - Sweet Grass, MT ⁶	24.6 (17.4, 34.4)	N/A	8	stable	-8.1 (-21.6, 0.4)
Saline, IL - Gallatin, IL ⁷	24.6 (18.6, 32.2)	N/A	13	stable	2.0 (-1.0, 5.3)
Madison (Alton), IL - Jersey, IL ⁷	24.6 (22.3, 27.1)	N/A	92	rising	3.4 (2.3, 4.7)
Page, IA - Fremont, IA ⁷	24.6 (17.6, 33.5)	N/A	9	rising	3.5 (1.3, 6.3)
Garfield (Enid), OK - Kingfisher, OK ⁶	24.5 (20.9, 28.5)	N/A	35	stable	1.8 (-1.0, 5.1)
Nez Perce, ID - Idaho, ID ⁷	24.5 (20.0, 29.7)	N/A	25	rising	2.4 (0.9, 4.1)
Klamath, OR - Lake, OR ⁶	24.4 (19.9, 29.7)	N/A	24	falling	-22.5 (-32.4, -12.7)
Ohio (Wheeling), WV - Marshall, WV ⁶	24.4 (20.6, 28.8)	N/A	34	rising	3.4 (0.5, 6.9)
Racine (Racine), WI - Kenosha, WI ⁶	24.4 (22.3, 26.7)	N/A	104	rising	5.4 (2.5, 9.5)
Ventura, CA ⁷	24.4 (23.0, 25.8)	N/A	245	falling	-8.0 (-12.6, -2.5)
Marion, MO - Pike, MO ⁶	24.4 (19.4, 30.2)	N/A	19	stable	2.8 (-1.1, 7.5)
Pottawattamie (Council Bluffs), IA - Harrison, IA ⁷	24.3 (21.0, 27.9)	N/A	44	rising	3.8 (2.7, 5.2)
Brown (Green Bay), WI - Oconto, WI ⁶	24.3 (22.1, 26.6)	N/A	99	falling	-3.9 (-13.6, -0.7)
Bibb (Macon), GA - Houston, GA ⁷	24.2 (22.4, 26.3)	N/A	127	stable	-3.2 (-8.8, 3.6)
Wake (Raleigh), NC - Johnston, NC ⁶	24.2 (23.1, 25.4)	N/A	361	stable	-2.0 (-11.6, 4.6)
Strafford (Rochester), NH ⁶	24.2 (20.6, 28.3)	N/A	34	stable	1.9 (-0.6, 4.8)
Richland, MT - Dawson, MT ⁶	24.2 (16.2, 34.8)	N/A	6	rising	16.0 (9.6, 29.1)
Greenbrier, WV - Monroe, WV ⁶	24.2 (19.1, 30.4)	N/A	18	stable	1.1 (-1.9, 4.6)
Forsyth (Winston-Salem), NC - Surry, NC ⁶	24.1 (22.5, 25.9)	N/A	174	falling	-3.1 (-7.3, -1.1)
Jones, MS - Wayne, MS ⁶	24.1 (20.5, 28.2)	N/A	35	*	*
Lyon, IA ⁷	24.1 (13.6, 39.6)	N/A	4	*	*
New Castle (Wilmington), DE ⁶	24.1 (22.4, 25.8)	N/A	162	stable	-0.1 (-3.3, 1.1)
Elbert, GA - Wilkes, GA ⁷	24.0 (16.9, 33.3)	N/A	9	rising	5.7 (2.2, 10.3)
Kane (Aurora), IL - DeKalb, IL ⁷	24.0 (22.5, 25.6)	N/A	193	rising	3.6 (2.4, 5.1)
Richland, IL - Clay, IL ⁷	24.0 (18.5, 30.8)	N/A	14	rising	2.6 (0.4, 5.1)
Kalamazoo (Kalamazoo), MI - St. Joseph, MI ⁶	24.0 (21.7, 26.5)	N/A	85	stable	-0.5 (-7.1, 6.1)
Pulaski, KY - Wayne, KY ⁷	24.0 (20.3, 28.3)	N/A	32	stable	-0.1 (-2.3, 2.2)
Allen (Lima), OH - Auglaize, OH ⁶	24.0 (21.6, 26.6)	N/A	83	rising	1.9 (0.8, 3.2)
Mineral, WV - Hardy, WV ⁶	24.0 (18.9, 30.1)	N/A	17	rising	7.4 (3.7, 19.4)
Jackson (Jackson), MI - Lenawee, MI ⁶	24.0 (21.8, 26.3)	N/A	100	rising	1.7 (0.6, 3.1)
Morgan, GA - Greene, GA ⁷	24.0 (18.5, 30.9)	N/A	15	*	*
Upson, GA - Lamar, GA ⁷	24.0 (19.1, 29.7)	N/A	19	rising	4.0 (1.9, 6.7)
Cuyahoga (Cleveland), OH - Lake, OH ⁶	24.0 (23.0, 25.0)	N/A	516	rising	7.1 (4.2, 11.6)
Clark, IL ⁷	24.0 (15.2, 36.4)	N/A	5	stable	1.3 (-2.0, 5.2)
Whatcom, WA ⁷	23.9 (21.3, 26.8)	N/A	65	falling	-5.5 (-10.5, -3.1)
Richmond (South Augusta), GA - Columbia, GA ⁷	23.9 (21.9, 26.0)	N/A	111	rising	4.3 (2.9, 6.0)
Winnebago (Rockford), IL - Ogle, IL ⁷	23.8 (21.9, 25.9)	N/A	125	stable	-0.6 (-6.6, 2.3)
Hardin, KY - Meade, KY ⁷	23.8 (21.0, 26.9)	N/A	56	rising	1.6 (0.1, 3.3)
Marion (Salem), OR - Yamhill, OR ⁶	23.7 (22.0, 25.5)	N/A	149	stable	0.4 (-1.4, 2.5)
Pearl River, MS ⁶	23.7 (18.6, 29.7)	N/A	16	*	*
Outagamie (Appleton), WI - Waupaca, WI ⁶	23.6 (21.0, 26.4)	N/A	65	falling	-6.5 (-11.7, -0.7)
San Francisco (San Francisco), CA - San Mateo, CA ⁷	23.6 (22.6, 24.6)	N/A	465	stable	1.5 (-0.2, 2.4)
Yankton, SD - Clay, SD ⁶	23.6 (18.1, 30.1)	N/A	14	rising	6.3 (1.9, 12.3)
Alamance, NC ⁶	23.5 (20.6, 26.8)	N/A	48	stable	0.4 (-2.0, 3.2)
Alameda (Oakland), CA - Contra Costa, CA ⁷	23.5 (22.8, 24.3)	N/A	757	stable	-0.8 (-4.1, 1.8)
Santa Clara (San Jose), CA - Monterey, CA ⁷	23.5 (22.7, 24.4)	N/A	617	rising	2.9 (2.1, 6.3)
Bay (Bay City), MI - Iosco, MI ⁶	23.5 (20.7, 26.6)	N/A	60	rising	2.8 (0.4, 5.6)
Independence, AR - Sharp, AR ⁶	23.4 (19.7, 27.8)	N/A	32	rising	3.8 (1.9, 6.2)
Steuben, NY - Chemung (Elmira), NY ⁷	23.4 (20.7, 26.4)	N/A	61	rising	1.5 (0.2, 2.8)
Suffolk, NY - Nassau, NY ⁷	23.4 (22.7, 24.2)	N/A	864	stable	-0.7 (-3.0, 0.7)
Fulton (Atlanta), GA - DeKalb, GA ⁷	23.4 (22.6, 24.2)	N/A	691	falling	-4.3 (-7.3, -2.4)
Natrona (Casper), WY - Converse, WY ⁶	23.3 (19.4, 27.9)	N/A	26	stable	1.5 (-1.0, 4.4)
Lucas (Toledo), OH - Wood, OH ⁶	23.3 (21.7, 24.9)	N/A	179	rising	1.6 (0.5, 2.8)
Sheridan, WY - Johnson, WY ⁶	23.3 (17.7, 30.3)	N/A	13	stable	5.3 (-7.2, 16.4)
Routt, CO - Moffat, CO ⁶	23.2 (17.1, 30.9)	N/A	10	stable	-2.2 (-5.1, 0.9)
Saratoga, NY - Schenectady (Schenectady), NY ⁷	23.2 (21.5, 25.0)	N/A	157	stable	1.1 (-3.1, 2.5)
Jackson, OK - Greer, OK ⁶	23.2 (16.6, 31.5)	N/A	9	stable	2.1 (-2.3, 7.2)
Carter, OK - Marshall, OK ⁶	23.2 (19.2, 27.7)	N/A	26	falling	-15.3 (-25.0, -7.2)
Clarke (Athens), GA - Barrow, GA ⁷	23.2 (21.0, 25.5)	N/A	87	falling	-7.3 (-16.3, -0.5)
Charleston (Charleston), SC - Berkeley, SC ⁶	23.1 (21.8, 24.6)	N/A	224	stable	0.3 (-0.8, 1.6)
Orange (Orlando), FL - Volusia, FL ⁶	23.1 (22.4, 23.8)	N/A	924	stable	-0.8 (-6.8, 2.0)
St. Clair (Belleville), IL - Clinton, IL ⁷	23.1 (21.1, 25.3)	N/A	102	rising	4.1 (2.8, 5.6)
Clark, WA - Cowlitz, WA ⁶	23.1 (21.5, 24.8)	N/A	163	stable	-1.2 (-2.6, 0.3)
Mercer, PA ⁶	23.1 (19.5, 27.1)	N/A	35	stable	3.2 (-0.3, 7.7)
Washtenaw, MI - Livingston, MI ⁶	23.1 (21.4, 24.9)	N/A	144	stable	-1.0 (-2.1, 0.3)
Hamilton (Chattanooga), TN - Marion, TN ⁶	23.1 (21.2, 25.1)	N/A	117	stable	-1.5 (-4.8, 0.1)
Ashland, WI - Sawyer, WI ⁶	23.1 (18.2, 28.9)	N/A	20	rising	5.9 (2.9, 9.7)
Lincoln, MS - Copiah, MS ⁶	23.0 (18.2, 28.8)	N/A	17	*	*
Lauderdale (Florence), AL - Colbert, AL ⁶	23.0 (20.4, 26.0)	N/A	60	stable	-16.1 (-34.9, 1.3)
Pope, AR - Yell, AR ⁶	23.0 (18.9, 27.8)	N/A	23	rising	5.1 (2.5, 8.4)
Winnebago (Oshkosh), WI - Fond du Lac, WI ⁶	23.0 (21.1, 25.0)	N/A	118	falling	-3.2 (-6.6, -0.1)
Ouachita (Monroe), LA - Morehouse, LA ⁷	23.0 (20.5, 25.8)	N/A	64	rising	2.7 (1.2, 4.5)
Albany (Albany), NY - Rensselaer, NY ⁷	23.0 (21.2, 24.9)	N/A	132	stable	1.3 (-9.0, 5.1)
Jackson, WI ⁶	22.9 (15.5, 33.0)	N/A	6	stable	4.0 (-0.4, 10.2)
Lassen, CA - Plumas, CA ⁷	22.9 (17.9, 29.0)	N/A	16	rising	3.1 (0.3, 6.3)
Lucas, IA - Wayne, IA ⁷	22.9 (13.4, 36.7)	N/A	4	*	*
Laramie (Cheyenne), WY ⁶	22.9 (19.1, 27.4)	N/A	27	stable	2.1 (-0.1, 4.8)
Monongalia, WV - Marion, WV ⁶	22.9 (20.2, 25.9)	N/A	55	stable	2.7 (-0.1, 6.1)
Venango, PA - Clarion, PA ⁶	22.9 (19.2, 27.2)	N/A	31	stable	1.3 (-3.2, 2.9)
La Plata, CO - Montezuma, CO ⁶	22.9 (19.2, 27.2)	N/A	30	stable	-0.3 (-3.4, 3.2)
Wasco, OR - Hood River, OR ⁶	22.9 (17.9, 28.9)	N/A	16	stable	-0.5 (-3.2, 2.4)
Columbiana, OH ⁶	22.8 (19.2, 27.0)	N/A	32	stable	1.2 (-1.8, 4.5)
St. Clair (Port Huron), MI - Sanilac, MI ⁶	22.8 (20.2, 25.7)	N/A	61	rising	1.7 (0.7, 2.9)
Lee (Auburn), AL - Elmore, AL ⁶	22.8 (20.5, 25.3)	N/A	73	stable	-5.8 (-16.5, 4.6)
Barron, WI - Rusk, WI ⁶	22.7 (17.9, 28.6)	N/A	18	stable	-13.9 (-24.4, 2.5)
Cambria, PA - Blair (Altoona), PA ⁶	22.7 (20.8, 24.8)	N/A	119	stable	-3.7 (-12.6, 4.2)
St. Charles (St. Charles), MO - Lincoln, MO ⁶	22.7 (21.0, 24.6)	N/A	130	stable	-3.2 (-12.7, 0.0)
Crawford, WI ⁶	22.7 (14.0, 35.0)	N/A	5	*	*
Richland (Mansfield), OH - Ashland, OH ⁶	22.6 (19.8, 25.8)	N/A	49	rising	3.7 (1.7, 6.2)
Mercer, WV - McDowell, WV ⁶	22.6 (18.4, 27.5)	N/A	23	rising	1.6 (0.3, 3.0)
Solano (Vallejo), CA - Napa, CA ⁷	22.6 (21.1, 24.1)	N/A	183	stable	-1.0 (-5.6, 1.4)
Washburn, WI - Burnett, WI ⁶	22.4 (16.4, 30.4)	N/A	12	rising	9.1 (5.4, 15.1)
Thomas, GA - Mitchell, GA ⁷	22.4 (18.5, 26.9)	N/A	25	rising	10.6 (5.1, 22.0)
Raleigh, WV - Fayette, WV ⁶	22.4 (19.4, 25.7)	N/A	47	rising	7.1 (1.7, 16.8)
Luzerne (Wilkes-Barre), PA - Columbia, PA ⁶	22.4 (20.6, 24.3)	N/A	125	rising	1.9 (1.0, 3.0)
Harrison, KY - Robertson, KY ⁷	22.4 (14.6, 33.0)	N/A	6	stable	2.3 (-1.7, 21.9)
Comanche (Lawton), OK - Kiowa, OK ⁶	22.4 (19.0, 26.1)	N/A	33	rising	16.8 (0.9, 31.1)
Franklin (Columbus), OH - Delaware, OH ⁶	22.3 (21.3, 23.4)	N/A	372	stable	0.6 (-3.4, 1.7)
Craighead, AR - Greene, AR ⁶	22.3 (19.7, 25.1)	N/A	57	rising	14.7 (5.3, 22.5)
Burleigh (Bismarck), ND - Morton, ND ⁶	22.2 (19.2, 25.6)	N/A	42	rising	3.4 (2.2, 4.9)
Oklahoma (Oklahoma City), OK - Canadian, OK ⁶	22.1 (20.9, 23.4)	N/A	256	stable	1.5 (-0.6, 4.0)
Payne, OK - Pawnee, OK ⁶	22.1 (18.2, 26.6)	N/A	24	stable	1.4 (-2.1, 5.5)
Pennington (Rapid City), SD - Meade, SD ⁶	22.1 (19.2, 25.4)	N/A	47	stable	1.6 (-0.7, 4.4)
Ware, GA - Pierce, GA ⁷	22.1 (17.7, 27.2)	N/A	19	rising	8.8 (3.8, 24.8)
Glynn, GA - Camden, GA ⁷	22.0 (19.2, 25.1)	N/A	49	rising	12.6 (1.9, 21.4)
Johnson, AR ⁶	22.0 (15.3, 30.8)	N/A	7	stable	1.2 (-4.1, 7.1)
Anderson (Oak Ridge), TN - Roane, TN ⁶	22.0 (19.6, 24.6)	N/A	68	stable	-0.4 (-8.3, 2.1)
Jackson, AR ⁶	22.0 (14.1, 33.2)	N/A	5	*	*
Beckham, OK - Roger Mills, OK ⁶	22.0 (14.7, 31.6)	N/A	6	stable	-0.2 (-5.2, 5.1)
Wood (Parkersburg), WV - Jackson, WV ⁶	21.9 (19.0, 25.2)	N/A	46	stable	-4.0 (-19.0, 0.7)
Mahoning (Youngstown), OH - Trumbull, OH ⁶	21.9 (20.1, 23.8)	N/A	127	stable	-5.2 (-12.0, 2.5)
Honolulu (Honolulu), HI - Maui, HI ⁷	21.8 (20.7, 23.0)	N/A	311	rising	1.9 (0.7, 3.3)
Pike, KY ⁷	21.8 (17.1, 27.6)	N/A	16	stable	1.7 (0.0, 3.6)
East Baton Rouge (Baton Rouge), LA - Livingston, LA ⁷	21.8 (20.4, 23.2)	N/A	194	rising	3.6 (2.6, 4.8)
Marathon (Wausau), WI - Wood, WI ⁶	21.8 (19.6, 24.1)	N/A	80	stable	1.5 (-12.6, 6.1)
Mercer, NJ ⁷	21.8 (19.8, 23.8)	N/A	96	stable	0.4 (-0.8, 1.7)
Wayne, GA - Appling, GA ⁷	21.7 (16.5, 28.1)	N/A	12	rising	3.3 (0.9, 6.5)
Siskiyou, CA ⁷	21.7 (16.3, 28.4)	N/A	14	stable	-1.9 (-4.5, 0.5)
Ward, ND - Bottineau, ND ⁶	21.7 (17.6, 26.3)	N/A	22	stable	-0.6 (-13.3, 3.1)
Lamar, AL ⁶	21.7 (11.9, 36.1)	N/A	3	*	*
Worcester (Worcester), MA - Franklin, MA ⁷	21.6 (20.4, 23.0)	N/A	236	falling	-5.0 (-9.7, -1.1)
Boone (Columbia), MO - Randolph, MO ⁶	21.6 (19.1, 24.3)	N/A	59	rising	3.7 (1.6, 6.3)
Polk, WI ⁶	21.6 (16.3, 28.2)	N/A	13	stable	3.1 (-0.2, 7.2)
Boone, AR - Carroll, AR ⁶	21.6 (17.6, 26.2)	N/A	24	rising	2.8 (0.1, 6.3)
Del Norte, CA ⁷	21.6 (15.5, 29.6)	N/A	9	stable	1.4 (-1.9, 5.5)
Wexford, MI - Osceola, MI ⁶	21.5 (17.7, 26.0)	N/A	25	stable	1.1 (-1.9, 4.5)
Pontotoc, MS - Union, MS ⁶	21.5 (17.4, 26.3)	N/A	20	*	*
Otoe, NE - Johnson, NE ⁶	21.5 (14.0, 31.7)	N/A	6	*	*
Tulsa (Tulsa), OK - Rogers, OK ⁶	21.5 (20.2, 22.8)	N/A	217	falling	-5.2 (-11.3, -1.0)
Alachua (Gainesville), FL - Columbia, FL ⁶	21.5 (19.8, 23.2)	N/A	133	falling	-6.5 (-11.2, -2.8)
Will (Joliet), IL - Grundy, IL ⁷	21.4 (20.0, 22.9)	N/A	171	rising	3.5 (2.7, 4.4)
Lackawanna (Scranton), PA - Wayne, PA ⁶	21.4 (19.2, 23.8)	N/A	77	rising	2.8 (1.1, 4.8)
Pike, MS - Marion, MS ⁶	21.4 (17.6, 25.8)	N/A	24	*	*
Washington, OK - Nowata, OK ⁶	21.4 (17.0, 26.6)	N/A	18	stable	1.2 (-1.8, 4.7)
Lehigh (Allentown), PA - Northampton, PA ⁶	21.4 (20.2, 22.6)	N/A	251	falling	-3.4 (-9.8, -0.5)
Juneau, WI - Adams, WI ⁶	21.3 (16.3, 27.6)	N/A	15	rising	4.3 (0.7, 8.9)
Grenada, MS - Montgomery, MS ⁶	21.3 (16.0, 28.0)	N/A	11	*	*
Milwaukee (Milwaukee), WI - Waukesha, WI ⁶	21.3 (20.3, 22.3)	N/A	390	rising	2.1 (1.6, 2.7)
Galveston, TX ⁷	21.3 (19.2, 23.6)	N/A	80	rising	20.7 (12.1, 27.4)
Mc Kean, PA - Potter, PA ⁶	21.3 (16.8, 26.7)	N/A	18	stable	1.3 (-2.2, 5.3)
Middlesex, MA - Suffolk (Boston), MA ⁷	21.3 (20.7, 21.9)	N/A	992	stable	-9.0 (-17.9, 0.3)
Putnam, TN - White, TN ⁶	21.3 (18.4, 24.6)	N/A	42	stable	1.5 (-2.1, 5.8)
Clinton, NY - Franklin, NY ⁷	21.2 (18.5, 24.3)	N/A	46	rising	1.8 (0.3, 3.6)
Berkshire (Pittsfield), MA ⁷	21.2 (18.0, 24.9)	N/A	37	stable	-1.5 (-4.2, 1.0)
Denver (Denver), CO - Jefferson, CO ⁶	21.2 (20.5, 22.0)	N/A	646	stable	0.7 (-0.1, 1.6)
Essex (Lynn), MA ⁷	21.2 (19.9, 22.5)	N/A	211	stable	-1.4 (-10.1, 0.3)
Chippewa, MI - Emmet, MI ⁶	21.1 (18.1, 24.6)	N/A	41	falling	-5.2 (-14.4, -2.1)
Coweta, GA - Troup (La Grange), GA ⁷	21.1 (18.7, 23.8)	N/A	60	stable	1.4 (-0.2, 3.3)
Payette, ID - Washington, ID ⁷	21.1 (15.6, 28.1)	N/A	11	stable	2.5 (-1.5, 7.7)
Durham (Durham), NC - Granville, NC ⁶	21.1 (19.4, 22.9)	N/A	117	stable	1.5 (-5.1, 4.0)
Mason, WV ⁶	21.1 (14.1, 30.3)	N/A	7	stable	0.6 (-3.8, 5.1)
Uinta, WY ⁶	21.1 (13.2, 31.9)	N/A	5	stable	1.5 (-5.0, 10.8)
Oneida (Utica), NY - Madison, NY ⁷	21.0 (19.1, 23.1)	N/A	98	stable	1.5 (-3.8, 3.0)
Palo Pinto, TX - Jack, TX ⁷	21.0 (15.5, 28.0)	N/A	11	stable	1.0 (-2.9, 5.6)
Garland, AR - Hot Spring, AR ⁶	21.0 (18.4, 23.9)	N/A	52	rising	3.9 (0.1, 8.5)
Woodward, OK - Dewey, OK ⁶	21.0 (15.0, 28.7)	N/A	8	stable	0.2 (-6.1, 7.6)
Fremont, CO - Custer, CO ⁶	21.0 (16.4, 26.6)	N/A	16	stable	-1.0 (-3.9, 2.1)
Colquitt, GA ⁷	20.9 (15.6, 27.4)	N/A	11	rising	32.8 (1.3, 66.8)
Berkeley, WV - Jefferson, WV ⁶	20.9 (18.4, 23.6)	N/A	56	stable	7.1 (0.0, 17.6)
Bernalillo (Albuquerque), NM - Sandoval, NM ⁷	20.9 (19.7, 22.1)	N/A	247	stable	0.6 (-0.1, 1.5)
Marinette, WI - Florence, WI ⁶	20.8 (15.9, 27.0)	N/A	15	rising	3.1 (0.4, 6.6)
San Bernardino, CA - Riverside (Riverside), CA ⁷	20.8 (20.2, 21.3)	N/A	986	stable	0.6 (-0.1, 1.4)
Christian (Hopkinsville), KY - Hopkins, KY ⁷	20.7 (18.1, 23.6)	N/A	48	stable	-1.4 (-15.4, 2.9)
Montgomery (Montgomery), AL - Autauga, AL ⁶	20.7 (18.8, 22.7)	N/A	91	stable	-7.2 (-14.8, 2.1)
York (Rock Hill), SC - Chester, SC ⁶	20.7 (18.5, 23.0)	N/A	72	stable	0.6 (-1.4, 3.1)
Latah, ID ⁷	20.5 (14.4, 28.4)	N/A	8	stable	-0.8 (-5.0, 3.8)
Hancock, OH - Seneca, OH ⁶	20.5 (17.4, 24.1)	N/A	33	stable	1.6 (-0.9, 4.5)
Baldwin, GA ⁷	20.5 (15.0, 27.3)	N/A	10	stable	0.6 (-3.3, 4.9)
Davison, SD - Charles Mix, SD ⁶	20.4 (15.6, 26.3)	N/A	14	stable	-15.9 (-33.3, 2.3)
Laurens, GA - Toombs, GA ⁷	20.4 (17.5, 23.7)	N/A	36	rising	7.2 (5.8, 9.2)
Lafayette, MS - Calhoun, MS ⁶	20.4 (16.2, 25.3)	N/A	18	*	*
St. Louis, MO - St. Louis City, MO ⁶	20.4 (19.5, 21.3)	N/A	429	stable	0.4 (-1.1, 1.1)
Shawano, WI - Langlade, WI ⁶	20.4 (16.1, 25.4)	N/A	18	rising	3.0 (0.8, 5.7)
Tarrant (Fort Worth), TX - Johnson, TX ⁷	20.3 (19.5, 21.2)	N/A	500	rising	2.5 (0.7, 6.3)
Midland (Midland), MI - Isabella, MI ⁶	20.3 (17.8, 23.2)	N/A	51	stable	4.9 (-0.8, 15.8)
Escambia, AL - Conecuh, AL ⁶	20.2 (15.5, 25.9)	N/A	13	rising	3.2 (0.2, 6.9)
Lancaster, SC - Kershaw, SC ⁶	20.1 (17.4, 23.1)	N/A	43	stable	2.4 (-4.5, 10.5)
Jefferson Davis, MS - Lawrence, MS ⁶	20.1 (12.8, 29.9)	N/A	6	*	*
Calhoun (Anniston), AL - Cleburne, AL ⁶	20.0 (16.9, 23.7)	N/A	31	stable	1.3 (-2.1, 5.0)
Onondaga (Syracuse), NY - Oswego, NY ⁷	20.0 (18.6, 21.6)	N/A	159	stable	-4.3 (-12.7, 1.5)
Allegheny (Pittsburgh), PA - Westmoreland, PA ⁶	20.0 (19.2, 20.9)	N/A	541	falling	-10.0 (-14.3, -7.2)
Letcher, KY ⁷	20.0 (12.9, 29.8)	N/A	6	stable	0.3 (-2.2, 3.0)
Elk, PA ⁶	20.0 (13.9, 28.1)	N/A	8	stable	0.2 (-8.6, 5.3)
Laurens, SC - Greenwood, SC ⁶	20.0 (17.5, 22.8)	N/A	51	stable	0.6 (-1.5, 2.9)
Platte, NE - Boone, NE ⁶	20.0 (14.7, 26.6)	N/A	11	rising	4.9 (1.8, 8.9)
Hinds (Jackson), MS - Rankin, MS ⁶	20.0 (18.4, 21.6)	N/A	133	*	*
Lewis, WA - Pacific, WA ⁶	19.9 (16.7, 23.8)	N/A	30	stable	0.3 (-2.3, 3.2)
Denton (Denton), TX - Wise, TX ⁷	19.9 (18.7, 21.3)	N/A	190	rising	2.1 (1.1, 3.6)
Currituck, NC ⁶	19.9 (13.4, 28.6)	N/A	7	stable	-3.6 (-17.9, 1.5)
Arkansas, AR - Monroe, AR ⁶	19.9 (13.3, 28.8)	N/A	7	rising	7.4 (1.5, 16.5)
Lauderdale, MS - Neshoba, MS ⁶	19.9 (17.0, 23.1)	N/A	36	*	*
Harrison (Biloxi), MS - Hancock, MS ⁶	19.9 (17.7, 22.3)	N/A	63	*	*
Berks, PA ⁶	19.9 (18.1, 21.7)	N/A	106	stable	-0.4 (-1.7, 1.0)
Muskegon (Muskegon), MI - Newaygo, MI ⁶	19.8 (17.7, 22.2)	N/A	68	stable	0.9 (-0.6, 2.4)
Angelina, TX - Walker, TX ⁷	19.8 (17.5, 22.4)	N/A	54	stable	0.8 (-0.6, 2.2)
Wapello, IA - Mahaska, IA ⁷	19.8 (16.4, 23.8)	N/A	26	stable	0.8 (-6.9, 2.6)
Roscommon, MI - Otsego, MI ⁶	19.8 (15.7, 24.8)	N/A	20	stable	1.5 (-0.9, 4.1)
Weld, CO - Morgan, CO ⁶	19.8 (17.7, 22.0)	N/A	72	stable	1.6 (-0.1, 3.7)
Ramsey, ND - Benson, ND ⁶	19.8 (12.8, 29.5)	N/A	5	*	*
Providence (Providence), RI - Kent, RI ⁶	19.8 (18.6, 21.0)	N/A	238	stable	-0.4 (-1.4, 0.6)
Lane (Eugene), OR - Douglas, OR ⁶	19.7 (18.1, 21.4)	N/A	129	falling	-1.9 (-3.4, -0.4)
San Joaquin (Stockton), CA - Calaveras, CA ⁷	19.7 (18.4, 21.1)	N/A	181	rising	2.9 (1.9, 4.1)
Kent (Grand Rapids), MI - Ionia, MI ⁶	19.7 (18.4, 21.1)	N/A	184	stable	0.8 (-0.8, 2.5)
Whitfield, GA - Murray, GA ⁷	19.7 (16.7, 23.1)	N/A	32	stable	-1.5 (-9.0, 2.0)
Bradford, PA - Susquehanna, PA ⁶	19.7 (16.6, 23.3)	N/A	32	falling	-5.4 (-16.2, -0.5)
Mohave, AZ ⁶	19.7 (17.4, 22.3)	N/A	73	rising	2.7 (1.2, 4.7)
Erath, TX - Comanche, TX ⁷	19.7 (15.0, 25.4)	N/A	13	stable	-0.3 (-3.2, 3.1)
Erie (Erie), PA - Warren, PA ⁶	19.7 (17.7, 21.9)	N/A	77	rising	1.8 (0.1, 3.7)
Floyd, GA - Bartow, GA ⁷	19.7 (17.7, 21.8)	N/A	75	stable	1.3 (-0.3, 3.1)
Jackson (Medford), OR - Josephine, OR ⁶	19.7 (17.8, 21.8)	N/A	89	falling	-2.9 (-5.2, -0.6)
Fayette, TX - Colorado, TX ⁷	19.6 (14.7, 25.8)	N/A	13	stable	-0.3 (-3.3, 2.9)
Alpena, MI - Presque Isle, MI ⁶	19.6 (15.8, 24.3)	N/A	22	stable	-0.6 (-4.1, 3.1)
Butler, AL ⁶	19.6 (12.3, 29.8)	N/A	5	stable	1.7 (-4.2, 8.5)
Baxter, AR - Marion, AR ⁶	19.6 (15.6, 24.5)	N/A	21	stable	-0.9 (-3.9, 2.5)
Stanislaus (Modesto), CA - Merced, CA ⁷	19.6 (18.3, 20.9)	N/A	182	stable	-2.2 (-8.4, 1.1)
Grayson (Sherman), TX - Fannin, TX ⁷	19.5 (16.9, 22.4)	N/A	43	rising	1.8 (0.3, 3.5)
Fairfield, CT ⁷	19.5 (18.4, 20.7)	N/A	230	falling	-1.7 (-6.2, -0.4)
El Paso (Colorado Springs), CO - Teller, CO ⁶	19.5 (18.1, 20.9)	N/A	152	falling	-10.5 (-17.1, -4.5)
Monroe, MI ⁶	19.5 (16.6, 22.7)	N/A	37	stable	1.4 (-1.7, 5.0)
Cole, MO - Callaway, MO ⁶	19.4 (17.0, 22.0)	N/A	52	falling	-4.8 (-12.2, -0.9)
Calcasieu (Lake Charles), LA - Vernon, LA ⁷	19.4 (17.3, 21.6)	N/A	69	rising	2.6 (1.0, 4.5)
Tift, GA - Ben Hill, GA ⁷	19.3 (15.2, 24.2)	N/A	16	stable	0.8 (-1.7, 3.6)
Lawrence, TN - Wayne, TN ⁶	19.3 (15.3, 24.1)	N/A	17	stable	1.6 (-1.4, 5.2)
Columbia, NY - Greene, NY ⁷	19.3 (16.2, 22.8)	N/A	32	stable	-0.7 (-8.9, 1.5)
Potter (Amarillo), TX - Randall, TX ⁷	19.2 (17.3, 21.4)	N/A	71	stable	-0.4 (-1.9, 1.0)
Harlan, KY - Bell, KY ⁷	19.2 (14.8, 24.7)	N/A	14	stable	1.2 (-1.4, 4.2)
Jasper (Joplin), MO - Newton, MO ⁶	19.2 (16.8, 21.9)	N/A	49	rising	11.2 (6.0, 21.8)
Defiance, OH - Williams, OH ⁶	19.2 (16.1, 22.8)	N/A	29	rising	6.3 (2.8, 14.1)
Bryan, OK - Atoka, OK ⁶	19.2 (14.9, 24.5)	N/A	14	stable	-9.4 (-23.7, 1.8)
Jackson (Pascagoula), MS - George, MS ⁶	19.1 (16.4, 22.2)	N/A	37	*	*
Appanoose, IA - Davis, IA ⁷	19.1 (12.1, 28.8)	N/A	5	stable	1.5 (-2.0, 5.7)
Henderson (Henderson), KY - Union, KY ⁷	19.1 (14.8, 24.4)	N/A	14	stable	-0.3 (-2.4, 1.9)
Rockland, NY ⁷	19.1 (17.1, 21.2)	N/A	71	rising	9.5 (1.9, 15.1)
Hartford (Hartford), CT - Tolland, CT ⁷	19.1 (18.1, 20.1)	N/A	281	falling	-1.0 (-1.9, -0.3)
Etowah (Gadsden), AL - Marshall, AL ⁶	19.1 (17.1, 21.3)	N/A	72	stable	-0.8 (-7.1, 1.0)
Goshen, WY - Niobrara, WY ⁶	19.1 (10.9, 31.1)	N/A	4	stable	3.4 (-2.4, 10.9)
Stephens, GA - Hart, GA ⁷	19.1 (15.4, 23.5)	N/A	20	falling	-9.6 (-23.8, -1.3)
Custer, MT - Fallon, MT ⁶	19.1 (11.9, 29.2)	N/A	5	*	*
Jefferson (Birmingham), AL - Shelby, AL ⁶	19.0 (18.0, 20.1)	N/A	276	stable	-1.8 (-7.3, 0.2)
Scott, TN ⁶	19.0 (11.9, 28.9)	N/A	5	stable	-0.1 (-4.1, 4.2)
Bradley, TN - Polk, TN ⁶	19.0 (16.0, 22.5)	N/A	29	stable	1.0 (-1.2, 3.6)
Cascade (Great Falls), MT - Glacier, MT ⁶	19.0 (15.9, 22.5)	N/A	29	rising	3.5 (1.0, 6.6)
Fremont, WY - Washakie, WY ⁶	19.0 (14.4, 24.6)	N/A	13	stable	2.3 (-1.0, 6.3)
Sumner (Hendersonville), TN - Wilson, TN ⁶	18.9 (17.1, 20.9)	N/A	83	stable	-2.5 (-13.8, 0.9)
Grand Forks (Grand Forks), ND - Walsh, ND ⁶	18.9 (14.9, 23.5)	N/A	18	stable	1.7 (-2.5, 6.5)
Linn, MO ⁶	18.9 (10.4, 32.1)	N/A	3	*	*
Hancock (Weirton), WV - Brooke, WV ⁶	18.8 (14.5, 24.3)	N/A	14	rising	3.3 (0.9, 6.1)
Fulton, NY - Montgomery (Amsterdam), NY ⁷	18.8 (15.5, 22.7)	N/A	25	rising	2.4 (0.7, 4.4)
Okmulgee, OK - Okfuskee, OK ⁶	18.8 (14.1, 24.7)	N/A	11	stable	3.3 (-0.2, 7.7)
Claiborne, TN ⁶	18.8 (13.2, 26.2)	N/A	8	falling	-8.3 (-33.9, -1.5)
New Haven (New Haven), CT - Litchfield, CT ⁷	18.8 (17.8, 19.9)	N/A	299	falling	-1.5 (-2.9, -0.7)
Wayne, NC - Lenoir, NC ⁶	18.8 (16.6, 21.1)	N/A	60	rising	2.6 (0.7, 5.0)
Weakley, TN - Obion, TN ⁶	18.7 (14.6, 23.7)	N/A	16	stable	-13.7 (-32.4, 6.7)
Cook (Chicago), IL - DuPage, IL ⁷	18.7 (18.3, 19.1)	N/A	1,501	rising	3.9 (1.1, 6.4)
Jefferson (Pine Bluff), AR - Drew, AR ⁶	18.7 (15.7, 22.1)	N/A	30	rising	6.8 (3.5, 11.3)
Leon (Tallahassee), FL - Gadsden, FL ⁶	18.6 (16.9, 20.5)	N/A	92	stable	5.7 (-0.6, 18.5)
Marion, OH - Crawford, OH ⁶	18.6 (16.3, 21.2)	N/A	50	falling	-4.1 (-11.1, -1.3)
Calhoun (Battle Creek), MI - Barry, MI ⁶	18.6 (16.2, 21.2)	N/A	47	stable	-0.9 (-2.7, 0.9)
Ingham (Lansing), MI - Eaton, MI ⁶	18.5 (17.0, 20.2)	N/A	113	stable	-2.1 (-5.6, 0.6)
Alcorn, MS - Tishomingo, MS ⁶	18.5 (14.1, 24.0)	N/A	13	*	*
Wayne (Detroit), MI - Oakland, MI ⁶	18.5 (17.9, 19.1)	N/A	863	rising	2.3 (0.4, 4.4)
Walker, GA - Catoosa, GA ⁷	18.5 (15.8, 21.5)	N/A	35	stable	0.3 (-1.7, 2.5)
Dewey, SD - Walworth, SD ⁶	18.5 (10.0, 30.7)	N/A	3	*	*
Missoula, MT - Ravalli, MT ⁶	18.5 (16.1, 21.1)	N/A	51	stable	0.2 (-2.2, 2.9)
Genesee (Flint), MI - Lapeer, MI ⁶	18.4 (16.8, 20.1)	N/A	110	stable	0.2 (-1.2, 1.8)
Pike, PA ⁶	18.3 (14.6, 23.0)	N/A	18	stable	0.8 (-1.9, 4.3)
Wilbarger, TX - Hardeman, TX ⁷	18.3 (10.9, 28.8)	N/A	4	rising	4.3 (0.5, 9.0)
Brown, TX - Coleman, TX ⁷	18.2 (14.3, 23.1)	N/A	16	stable	1.2 (-1.4, 4.0)
Juneau City and Borough, AK - Sitka City and Borough, AK ⁶	18.2 (13.2, 24.6)	N/A	9	stable	2.6 (-1.3, 7.5)
Muscogee (Columbus), GA - Harris, GA ⁷	18.2 (16.0, 20.6)	N/A	53	stable	-12.0 (-28.3, 5.8)
Pulaski, MO - Phelps, MO ⁶	18.2 (14.9, 22.1)	N/A	22	rising	3.1 (0.8, 5.9)
Massac, IL - Johnson, IL ⁷	18.2 (12.3, 26.2)	N/A	7	falling	-2.8 (-5.5, -0.3)
Tioga, PA ⁶	18.2 (13.4, 24.3)	N/A	11	falling	-22.1 (-39.4, -4.0)
Ashley, AR - Chicot, AR ⁶	18.1 (12.8, 25.3)	N/A	8	rising	4.0 (0.1, 9.2)
Harrison, WV - Upshur, WV ⁶	18.1 (15.4, 21.3)	N/A	34	stable	0.3 (-2.1, 3.0)
Washington, GA - Jefferson, GA ⁷	18.1 (12.7, 25.1)	N/A	8	rising	3.5 (2.0, 5.6)
Henry, TN - Carroll, TN ⁶	18.1 (14.4, 22.5)	N/A	19	stable	0.9 (-1.5, 3.7)
Caswell, NC ⁶	18.1 (11.7, 27.0)	N/A	6	rising	5.3 (2.0, 9.6)
Beaufort, SC - Jasper, SC ⁶	18.1 (16.0, 20.4)	N/A	65	falling	-10.1 (-14.6, -7.2)
Kern, CA ⁷	18.0 (16.7, 19.4)	N/A	146	stable	3.1 (-0.1, 11.1)
Cape Girardeau, MO - Butler, MO ⁶	18.0 (16.0, 20.2)	N/A	62	rising	3.7 (2.1, 5.7)
Custer, OK - Washita, OK ⁶	18.0 (12.7, 24.8)	N/A	8	stable	-0.3 (-3.8, 3.5)
Kerr, TX - Gillespie, TX ⁷	18.0 (14.9, 21.6)	N/A	31	stable	-1.1 (-2.4, 0.3)
Logan, WV - Mingo, WV ⁶	17.9 (13.6, 23.3)	N/A	13	stable	1.6 (-1.5, 5.0)
Grady, OK - Caddo, OK ⁶	17.9 (14.3, 22.2)	N/A	18	stable	2.1 (-0.9, 6.1)
Fresno (Fresno), CA - Kings, CA ⁷	17.8 (16.8, 18.9)	N/A	225	rising	2.3 (1.7, 3.1)
Philadelphia (Philadelphia), PA - Montgomery, PA ⁶	17.8 (17.3, 18.4)	N/A	882	falling	-5.9 (-11.2, -2.3)
Johnson, TN ⁶	17.8 (11.0, 27.9)	N/A	5	*	*
Muskogee, OK - Wagoner, OK ⁶	17.8 (15.6, 20.2)	N/A	52	rising	1.8 (0.1, 3.7)
Santa Fe (Santa Fe), NM - Rio Arriba, NM ⁷	17.8 (15.8, 19.9)	N/A	67	stable	0.4 (-0.5, 1.5)
Lowndes, GA - Brooks, GA ⁷	17.7 (15.1, 20.7)	N/A	34	stable	1.1 (-0.6, 3.1)
Henry, MO - Bates, MO ⁶	17.7 (12.9, 23.8)	N/A	10	falling	-5.7 (-25.4, -0.3)
Klickitat, WA - Skamania, WA ⁶	17.7 (12.5, 24.5)	N/A	9	stable	1.5 (-3.3, 7.4)
Westchester (Yonkers), NY - Dutchess, NY ⁷	17.7 (16.8, 18.5)	N/A	358	falling	-4.1 (-10.7, -0.5)
Marquette, MI - Delta, MI ⁶	17.6 (14.7, 21.1)	N/A	30	stable	-9.9 (-25.5, 6.3)
Linn, OR - Benton, OR ⁶	17.6 (15.3, 20.2)	N/A	46	falling	-6.7 (-22.6, -1.1)
Grant, NM - Hidalgo, NM ⁷	17.6 (12.3, 24.5)	N/A	10	stable	0.3 (-1.8, 2.5)
Saginaw (Saginaw), MI - Tuscola, MI ⁶	17.6 (15.6, 19.8)	N/A	64	stable	0.2 (-1.0, 1.5)
Coffee, TN - Franklin, TN ⁶	17.5 (14.6, 20.9)	N/A	28	stable	-1.2 (-7.1, 1.6)
Pittsburg, OK - Pushmataha, OK ⁶	17.5 (13.7, 22.2)	N/A	16	stable	2.6 (0.0, 5.6)
Lincoln, TN ⁶	17.5 (12.3, 24.4)	N/A	8	stable	2.3 (-2.0, 7.5)
Cumberland, NJ ⁷	17.5 (14.8, 20.6)	N/A	30	stable	1.6 (-0.6, 4.2)
Yakima (Yakima), WA - Kittitas, WA ⁶	17.5 (15.4, 19.7)	N/A	55	stable	0.2 (-1.5, 2.0)
Crawford, PA ⁶	17.3 (13.9, 21.3)	N/A	20	stable	0.5 (-2.8, 4.2)
Orange (Newburgh), NY - Sullivan, NY ⁷	17.3 (15.7, 19.0)	N/A	91	stable	-5.5 (-15.7, 1.2)
Pitt, NC - Beaufort, NC ⁶	17.3 (15.2, 19.5)	N/A	55	stable	-0.2 (-2.2, 1.9)
Portage, WI ⁶	17.2 (13.3, 21.9)	N/A	14	falling	-3.6 (-7.0, -0.7)
Tangipahoa, LA - St. Helena, LA ⁷	17.2 (14.3, 20.5)	N/A	27	rising	3.0 (0.6, 6.0)
Rapides (Alexandria), LA - Avoyelles, LA ⁷	17.2 (15.0, 19.5)	N/A	49	rising	3.8 (2.2, 5.8)
Sutter (Yuba City), CA - Yuba, CA ⁷	17.1 (14.6, 19.8)	N/A	36	stable	1.2 (-1.2, 4.0)
Brazos (Bryan), TX - Washington, TX ⁷	17.0 (15.0, 19.3)	N/A	53	stable	0.8 (-0.5, 2.3)
Polk, AR ⁶	17.0 (10.5, 26.3)	N/A	5	stable	2.6 (-0.9, 6.7)
Lawrence, PA ⁶	17.0 (13.6, 20.9)	N/A	21	stable	1.4 (-1.9, 5.0)
Hays (San Marcos), TX - Caldwell, TX ⁷	16.9 (14.6, 19.4)	N/A	42	stable	11.2 (-1.0, 19.1)
Oktibbeha, MS - Winston, MS ⁶	16.8 (13.2, 21.3)	N/A	15	*	*
Vernon, MO - Cedar, MO ⁶	16.8 (11.4, 24.0)	N/A	7	stable	-2.7 (-13.3, 2.0)
Pontotoc, OK - Seminole, OK ⁶	16.8 (13.3, 21.0)	N/A	17	stable	2.2 (-0.5, 5.5)
Rutherford (Murfreesboro), TN - Warren, TN ⁶	16.8 (15.0, 18.7)	N/A	67	stable	1.5 (-1.3, 4.9)
Davidson (Nashville-Davidson), TN - Williamson, TN ⁶	16.8 (15.7, 17.9)	N/A	200	stable	-0.9 (-3.6, 0.8)
Dakota, NE - Thurston, NE ⁶	16.8 (11.0, 24.4)	N/A	6	stable	1.3 (-2.0, 4.8)
Dougherty (Albany), GA - Lee, GA ⁷	16.6 (14.2, 19.4)	N/A	35	stable	2.4 (-0.2, 5.6)
Jackson (Kansas City), MO - Clay, MO ⁶	16.6 (15.6, 17.6)	N/A	240	falling	-7.2 (-12.5, -2.8)
Maury, TN - Giles, TN ⁶	16.6 (14.1, 19.3)	N/A	35	stable	-0.8 (-3.4, 2.1)
Lee, MS - Monroe, MS ⁶	16.6 (14.2, 19.3)	N/A	36	*	*
Walla Walla, WA - Columbia, WA ⁶	16.6 (12.5, 21.5)	N/A	13	falling	-9.8 (-19.9, -5.2)
Bulloch, GA - Emanuel, GA ⁷	16.5 (13.4, 20.1)	N/A	21	rising	2.6 (0.2, 5.7)
Oneida, WI - Vilas, WI ⁶	16.5 (13.1, 20.6)	N/A	21	stable	2.2 (-1.1, 5.9)
Berrien (Benton Harbor), MI - Van Buren, MI ⁶	16.5 (14.6, 18.6)	N/A	61	stable	-0.6 (-2.3, 1.3)
Greene (Springfield), MO - Christian, MO ⁶	16.3 (15.0, 17.6)	N/A	134	stable	-1.9 (-8.4, 0.4)
Union, IL - Alexander, IL ⁷	16.3 (10.9, 23.6)	N/A	7	stable	3.9 (-1.3, 10.0)
Aroostook, ME ⁶	16.2 (12.3, 21.0)	N/A	15	stable	0.7 (-2.3, 3.8)
Cumberland (Fayetteville), NC - Sampson, NC ⁶	16.2 (14.4, 18.1)	N/A	63	stable	-0.3 (-5.7, 1.5)
Pettis, MO - Saline, MO ⁶	16.1 (13.1, 19.7)	N/A	23	stable	1.6 (-2.7, 6.2)
Todd, SD - Tripp, SD ⁶	16.1 (9.7, 25.3)	N/A	4	*	*
Union, AR - Columbia, AR ⁶	16.0 (12.2, 20.7)	N/A	13	stable	2.6 (-1.0, 6.7)
Harrison (Marshall), TX - Cass, TX ⁷	16.0 (12.9, 19.6)	N/A	21	rising	4.2 (1.4, 7.8)
Audrain, MO - Montgomery, MO ⁶	16.0 (11.4, 21.9)	N/A	9	stable	-1.9 (-5.6, 1.8)
Lamar, TX - Red River, TX ⁷	16.0 (12.3, 20.5)	N/A	14	stable	1.4 (-1.2, 4.3)
Buchanan (St. Joseph), MO - Nodaway, MO ⁶	15.9 (13.3, 18.8)	N/A	30	stable	3.0 (-0.5, 7.2)
Talladega, AL - Clay, AL ⁶	15.9 (12.9, 19.4)	N/A	21	stable	0.2 (-2.7, 3.4)
Randolph, WV - Barbour, WV ⁶	15.8 (12.0, 20.6)	N/A	13	stable	-2.7 (-6.7, 1.1)
Sumter, GA - Crisp, GA ⁷	15.8 (12.7, 19.5)	N/A	18	rising	3.8 (1.5, 6.7)
Androscoggin (Lewiston), ME - Oxford, ME ⁶	15.7 (13.6, 18.2)	N/A	42	stable	-1.7 (-3.8, 0.4)
Travis (Austin), TX - Williamson, TX ⁷	15.7 (14.9, 16.5)	N/A	303	stable	1.3 (-1.9, 7.2)
Decatur, GA - Seminole, GA ⁷	15.7 (11.0, 21.8)	N/A	8	stable	0.2 (-2.5, 3.1)
Putnam, GA - Hancock, GA ⁷	15.7 (10.7, 22.5)	N/A	7	*	*
DeSoto, MS - Marshall, MS ⁶	15.7 (13.7, 17.8)	N/A	50	*	*
Washington, PA - Fayette, PA ⁶	15.6 (14.0, 17.4)	N/A	77	stable	-6.6 (-20.9, 3.2)
Gray, TX - Wheeler, TX ⁷	15.6 (10.5, 22.5)	N/A	6	stable	-1.4 (-5.5, 2.4)
Marion, AL - Fayette, AL ⁶	15.6 (11.3, 21.2)	N/A	10	falling	-4.9 (-26.1, -0.1)
Delaware, OK ⁶	15.6 (11.3, 21.1)	N/A	11	stable	-0.6 (-4.4, 4.0)
Livingston, MO - Carroll, MO ⁶	15.6 (9.6, 24.0)	N/A	5	stable	-1.2 (-7.4, 5.3)
Titus, TX - Morris, TX ⁷	15.6 (12.0, 20.0)	N/A	13	stable	2.0 (-0.5, 4.9)
Dunklin, MO ⁶	15.5 (10.1, 22.9)	N/A	6	*	*
Bowie (Texarkana), TX ⁷	15.4 (12.2, 19.3)	N/A	16	stable	1.9 (-0.7, 4.8)
Lafayette (Lafayette), LA - Iberia, LA ⁷	15.4 (13.9, 17.0)	N/A	82	rising	2.7 (1.8, 3.8)
New London, CT ⁷	15.4 (13.5, 17.4)	N/A	55	falling	-17.9 (-29.8, -7.9)
Miller, AR - Hempstead, AR ⁶	15.3 (12.6, 18.6)	N/A	23	rising	4.2 (1.1, 8.1)
Richland (Columbia), SC - Lexington, SC ⁶	15.3 (14.1, 16.6)	N/A	131	falling	-9.1 (-18.8, -0.1)
Union, OR - Baker, OR ⁶	15.2 (11.1, 20.4)	N/A	11	stable	-0.8 (-3.5, 2.1)
Campbell, WY - Crook, WY ⁶	15.2 (10.6, 20.9)	N/A	8	stable	0.1 (-4.3, 5.0)
Adams, MS - Jefferson, MS ⁶	15.1 (10.9, 20.5)	N/A	9	*	*
Coffee, GA - Jeff Davis, GA ⁷	15.1 (11.2, 19.9)	N/A	11	stable	0.6 (-2.6, 4.4)
Bristol (New Bedford), MA ⁷	15.0 (13.7, 16.4)	N/A	106	stable	-0.5 (-2.4, 1.4)
Caddo (Shreveport), LA - Bossier, LA ⁷	15.0 (13.6, 16.5)	N/A	88	stable	1.4 (-0.1, 2.9)
Kay (Ponca City), OK - Osage, OK ⁶	15.0 (11.8, 18.7)	N/A	17	stable	-1.2 (-4.8, 2.5)
Taney, MO ⁶	14.9 (11.1, 19.8)	N/A	11	stable	-2.6 (-30.2, 7.9)
Essex (Newark), NJ - Middlesex, NJ ⁷	14.9 (14.3, 15.6)	N/A	436	falling	-3.1 (-5.6, -1.4)
Dona Ana (Las Cruces), NM - Luna, NM ⁷	14.9 (12.9, 17.1)	N/A	45	stable	-2.2 (-13.9, 0.5)
Lincoln, OR - Tillamook, OR ⁶	14.9 (11.8, 18.7)	N/A	20	falling	-9.0 (-18.7, -4.3)
Taylor (Abilene), TX - Jones, TX ⁷	14.9 (12.7, 17.3)	N/A	37	stable	8.2 (-1.5, 15.7)
Larimer, CO ⁶	14.8 (13.2, 16.7)	N/A	60	stable	-2.2 (-4.2, 0.0)
Ouachita, AR - Dallas, AR ⁶	14.8 (9.8, 21.7)	N/A	6	*	*
Victoria (Victoria), TX - Calhoun, TX ⁷	14.8 (12.6, 17.3)	N/A	34	stable	1.8 (-0.1, 3.8)
Howell, MO - Oregon, MO ⁶	14.8 (11.0, 19.6)	N/A	11	stable	1.8 (-0.9, 5.0)
Tulare, CA ⁷	14.8 (13.2, 16.5)	N/A	62	stable	0.6 (-0.8, 2.3)
Jefferson (Beaumont), TX - Orange, TX ⁷	14.7 (13.3, 16.3)	N/A	78	stable	-0.7 (-2.0, 0.6)
Lincoln, LA - Union, LA ⁷	14.7 (11.6, 18.4)	N/A	17	stable	0.1 (-2.7, 3.1)
Osceola, FL ⁶	14.7 (13.0, 16.5)	N/A	56	stable	-0.5 (-2.1, 1.4)
Nash, NC - Halifax, NC ⁶	14.7 (12.7, 16.9)	N/A	44	stable	1.2 (-0.5, 3.1)
Benton (Kennewick), WA - Franklin, WA ⁶	14.6 (12.7, 16.7)	N/A	44	stable	-0.8 (-2.7, 1.5)
Texas, OK - Cimarron, OK ⁶	14.6 (8.3, 23.8)	N/A	3	stable	-2.3 (-8.6, 3.5)
Terrebonne (Houma), LA - Lafourche, LA ⁷	14.6 (12.5, 16.9)	N/A	38	rising	5.0 (2.6, 8.3)
Tom Green (San Angelo), TX - Runnels, TX ⁷	14.6 (12.2, 17.3)	N/A	29	falling	-5.0 (-15.7, -1.7)
Montgomery, MD - Prince Georges, MD ⁶	14.5 (13.9, 15.2)	N/A	367	stable	0.8 (-1.1, 4.4)
Dallas (Dallas), TX - Collin, TX ⁷	14.5 (13.9, 15.0)	N/A	574	rising	1.8 (1.0, 2.7)
Comal, TX ⁷	14.4 (12.0, 17.3)	N/A	27	falling	-2.9 (-4.5, -1.2)
Otero, NM - Lincoln, NM ⁷	14.2 (11.3, 17.7)	N/A	17	falling	-1.9 (-3.8, -0.5)
Bell (Killeen), TX - Coryell, TX ⁷	14.2 (12.6, 15.8)	N/A	63	stable	-0.9 (-2.1, 0.4)
Concordia, LA - Tensas, LA ⁷	14.1 (8.7, 21.9)	N/A	4	rising	4.7 (0.2, 10.9)
Stark, ND - Dunn, ND ⁶	14.1 (9.2, 20.6)	N/A	6	falling	-24.7 (-39.3, -5.9)
Phillips, AR ⁶	14.0 (7.7, 23.7)	N/A	3	*	*
Anchorage (Anchorage), AK - Matanuska-Susitna Borough, AK ⁶	14.0 (12.6, 15.6)	N/A	76	stable	-2.0 (-9.1, 1.6)
Robeson, NC - Columbus, NC ⁶	13.9 (12.0, 16.0)	N/A	43	rising	2.4 (0.2, 5.0)
Madison (Jackson), TN - Gibson, TN ⁶	13.8 (12.0, 15.8)	N/A	45	rising	1.8 (0.6, 3.1)
Fairbanks North Star Borough, AK - Denali/Yukon-Koyukuk, AK ⁶	13.8 (10.6, 17.7)	N/A	14	stable	1.7 (-0.9, 4.9)
Harris (Houston), TX - Fort Bend, TX ⁷	13.8 (13.3, 14.2)	N/A	818	stable	6.8 (-1.0, 12.6)
St. Landry, LA - Evangeline, LA ⁷	13.7 (10.9, 17.1)	N/A	17	rising	4.7 (2.2, 7.7)
Navajo, AZ ⁶	13.7 (10.9, 17.0)	N/A	18	stable	1.4 (-2.4, 6.1)
Houghton, MI - Baraga, MI ⁶	13.7 (9.2, 19.5)	N/A	7	stable	-2.5 (-16.5, 1.1)
Miami-Dade (Miami), FL - Broward, FL ⁶	13.6 (13.2, 14.0)	N/A	802	falling	-3.2 (-7.5, -0.2)
Brazoria (Lake Jackson), TX - Wharton, TX ⁷	13.5 (12.0, 15.1)	N/A	63	stable	-1.4 (-3.3, 0.6)
Pueblo (Pueblo), CO - Las Animas, CO ⁶	13.5 (11.4, 15.8)	N/A	34	stable	-0.2 (-2.2, 2.0)
Hill, MT - Blaine, MT ⁶	13.3 (8.2, 20.5)	N/A	5	stable	3.9 (-0.2, 9.4)
Bergen, NJ - Hudson (Jersey City), NJ ⁷	13.3 (12.6, 14.0)	N/A	325	falling	-1.0 (-1.8, -0.3)
Williams, ND - McKenzie, ND ⁶	13.3 (9.0, 18.9)	N/A	6	stable	2.1 (-2.6, 8.9)
Mississippi, AR ⁶	13.3 (8.9, 19.2)	N/A	6	stable	3.6 (-0.4, 8.5)
Howard, TX - Glasscock, TX ⁷	13.2 (8.5, 19.5)	N/A	5	stable	-0.9 (-4.6, 3.0)
Orleans (New Orleans), LA - Jefferson, LA ⁷	13.2 (12.2, 14.2)	N/A	153	stable	1.7 (-4.0, 3.3)
Navarro, TX - Freestone, TX ⁷	13.2 (9.9, 17.2)	N/A	12	stable	0.9 (-1.2, 3.2)
Coos, OR - Curry, OR ⁶	13.1 (10.4, 16.4)	N/A	21	stable	-2.8 (-6.3, 0.6)
Hampden (Springfield), MA - Hampshire, MA ⁷	13.1 (11.9, 14.3)	N/A	102	stable	-1.5 (-3.2, 0.2)
Deaf Smith, TX - Parmer, TX ⁷	13.1 (7.8, 20.6)	N/A	4	*	*
Lubbock (Lubbock), TX - Hockley, TX ⁷	13.0 (11.4, 14.8)	N/A	50	stable	1.3 (-0.6, 3.3)
Tuscaloosa (Tuscaloosa), AL - Pickens, AL ⁶	13.0 (11.1, 15.1)	N/A	36	stable	-1.8 (-3.9, 0.4)
Sumter, SC - Clarendon, SC ⁶	12.9 (10.7, 15.5)	N/A	26	stable	-1.6 (-3.8, 0.6)
Warren, MS - Claiborne, MS ⁶	12.9 (9.2, 17.6)	N/A	9	*	*
McCurtain, OK ⁶	12.8 (8.2, 19.2)	N/A	5	stable	1.1 (-2.8, 5.6)
Los Angeles (Los Angeles), CA ⁷	12.8 (12.5, 13.1)	N/A	1,405	falling	-0.6 (-0.9, -0.3)
Hale, TX - Castro, TX ⁷	12.8 (8.5, 18.5)	N/A	6	stable	-0.3 (-2.9, 2.4)
Logan, CO - Phillips, CO ⁶	12.7 (7.9, 19.6)	N/A	5	falling	-11.9 (-35.8, -5.2)
Montgomery (Clarksville), TN - Stewart, TN ⁶	12.7 (10.5, 15.2)	N/A	25	stable	-1.4 (-14.5, 2.2)
Smith (Tyler), TX - Henderson, TX ⁷	12.6 (11.3, 14.1)	N/A	69	stable	1.0 (-1.4, 3.7)
Bedford, TN ⁶	12.6 (8.8, 17.6)	N/A	7	stable	-1.8 (-5.5, 2.2)
Lowndes, MS - Clay, MS ⁶	12.5 (9.6, 16.0)	N/A	14	*	*
Dallas, AL - Marengo, AL ⁶	12.4 (9.2, 16.4)	N/A	11	stable	0.6 (-2.8, 4.2)
Yazoo, MS ⁶	12.4 (7.3, 19.8)	N/A	4	*	*
McLennan (Waco), TX - Hill, TX ⁷	12.4 (10.9, 14.1)	N/A	51	falling	-8.1 (-13.7, -4.5)
Chaves, NM - Eddy, NM ⁷	12.3 (9.7, 15.3)	N/A	17	falling	-1.4 (-2.7, -0.3)
Choctaw, AL - Sumter, AL ⁶	12.2 (7.4, 19.2)	N/A	4	stable	2.7 (-1.0, 7.3)
Gaines, TX - Andrews, TX ⁷	12.1 (7.3, 18.8)	N/A	4	*	*
Chambers, AL - Randolph, AL ⁶	12.0 (8.7, 16.3)	N/A	9	stable	0.9 (-3.4, 5.5)
Hardin, TN - McNairy, TN ⁶	12.0 (8.5, 16.6)	N/A	8	stable	-0.8 (-4.6, 3.4)
Ketchikan Gateway Borough, AK - Wrangell-Petersburg Cen, AK ⁶	12.0 (7.1, 19.2)	N/A	4	stable	0.7 (-3.8, 6.1)
Gregg (Longview), TX - Rusk, TX ⁷	11.9 (10.1, 13.8)	N/A	35	rising	7.0 (2.7, 17.9)
Hertford, NC - Bertie, NC ⁶	11.8 (8.8, 15.7)	N/A	12	stable	2.6 (-1.4, 7.2)
Dickinson, MI - Menominee, MI ⁶	11.8 (8.4, 16.3)	N/A	10	stable	3.0 (-0.8, 7.5)
Midland (Midland), TX - Pecos, TX ⁷	11.8 (9.6, 14.3)	N/A	21	falling	-2.4 (-4.7, -0.2)
Aiken, SC - Edgefield, SC ⁶	11.8 (10.0, 13.8)	N/A	34	stable	-2.0 (-4.9, 0.9)
Spokane (Spokane), WA - Stevens, WA ⁶	11.6 (10.5, 12.8)	N/A	86	falling	-12.4 (-29.7, -6.1)
Shelby (Memphis), TN - Tipton, TN ⁶	11.6 (10.7, 12.5)	N/A	129	stable	-0.2 (-2.4, 2.2)
Dyer, TN - Lauderdale, TN ⁶	11.4 (8.3, 15.3)	N/A	10	stable	4.0 (-0.3, 9.4)
Nueces (Corpus Christi), TX - San Patricio, TX ⁷	11.1 (9.9, 12.4)	N/A	68	stable	9.0 (-1.2, 16.1)
Bolivar, MS - Leflore, MS ⁶	11.1 (8.2, 14.6)	N/A	11	*	*
Crittenden (West Memphis), AR - St. Francis, AR ⁶	11.0 (8.4, 14.3)	N/A	12	stable	-1.7 (-6.7, 0.5)
Alamosa, CO - Rio Grande, CO ⁶	10.9 (7.6, 15.4)	N/A	8	falling	-5.7 (-16.8, -2.5)
Leon, TX - Madison, TX ⁷	10.9 (6.6, 17.1)	N/A	4	stable	-0.9 (-5.1, 3.4)
Coahoma, MS - Tallahatchie, MS ⁶	10.8 (7.0, 15.9)	N/A	5	*	*
Ector (Odessa), TX - Reeves, TX ⁷	10.7 (8.6, 13.1)	N/A	18	stable	-1.9 (-4.1, 0.2)
Umatilla, OR - Morrow, OR ⁶	10.5 (7.8, 13.9)	N/A	10	falling	-29.7 (-47.7, -11.2)
St. Mary, LA ⁷	10.5 (7.0, 15.1)	N/A	6	stable	0.3 (-2.7, 3.5)
Curry, NM - Roosevelt, NM ⁷	10.2 (7.4, 13.8)	N/A	9	*	*
Otero, CO - Prowers, CO ⁶	10.2 (6.7, 15.0)	N/A	6	stable	-24.9 (-48.7, 1.0)
Malheur, OR ⁶	10.2 (6.0, 16.4)	N/A	4	*	*
Anderson, TX - Cherokee, TX ⁷	10.2 (8.1, 12.7)	N/A	17	stable	0.4 (-2.8, 3.9)
Yuma, AZ - La Paz, AZ ⁶	10.2 (8.5, 12.1)	N/A	31	stable	3.2 (-1.4, 16.1)
Bexar (San Antonio), TX - Guadalupe, TX ⁷	10.2 (9.6, 10.7)	N/A	249	stable	4.9 (-0.5, 11.1)
Russell, AL ⁶	9.7 (6.5, 13.9)	N/A	6	stable	-4.3 (-36.1, 6.3)
Kings (New York), NY - Queens, NY ⁷	9.6 (9.3, 9.9)	N/A	911	falling	-1.3 (-3.1, -0.2)
Orangeburg, SC - Bamberg, SC ⁶	9.4 (7.3, 11.9)	N/A	16	stable	-0.5 (-3.2, 2.3)
District of Columbia ⁶	9.3 (8.3, 10.4)	N/A	65	stable	1.1 (-0.4, 2.8)
Apache, AZ ⁶	9.1 (6.5, 12.5)	N/A	8	rising	5.4 (1.9, 11.0)
Bee, TX - Karnes, TX ⁷	9.1 (5.7, 13.8)	N/A	4	*	*
Adair, MO - Sullivan, MO ⁶	9.0 (5.9, 13.4)	N/A	5	stable	-2.7 (-6.5, 1.1)
Florence (Florence), SC - Darlington, SC ⁶	9.0 (7.7, 10.5)	N/A	35	falling	-2.7 (-5.1, -0.3)
Nacogdoches, TX - Shelby, TX ⁷	8.7 (6.6, 11.4)	N/A	12	stable	-6.7 (-17.2, 6.8)
Washington, MS - Sharkey, MS ⁶	8.6 (5.5, 12.9)	N/A	5	*	*
San Juan, NM ⁷	8.0 (6.0, 10.5)	N/A	11	falling	-2.0 (-3.6, -0.4)
San Miguel, NM - Mora, NM ⁷	7.9 (4.7, 12.7)	N/A	4	*	*
Marion, SC - Dillon, SC ⁶	7.8 (5.3, 11.3)	N/A	7	falling	-4.1 (-7.6, -0.9)
Lea, NM ⁷	6.2 (3.8, 9.7)	N/A	4	*	*
El Paso (El Paso), TX - Hudspeth, TX ⁷	6.1 (5.4, 6.9)	N/A	50	stable	1.4 (-1.6, 11.2)
Hidalgo (Mcallen), TX - Starr, TX ⁷	5.8 (5.1, 6.6)	N/A	47	falling	-3.3 (-5.0, -1.5)
Cameron (Brownsville), TX - Willacy, TX ⁷	5.8 (4.8, 6.9)	N/A	26	falling	-2.1 (-4.0, -0.3)
McKinley, NM ⁷	5.3 (3.2, 8.5)	N/A	4	*	*
Maverick, TX - Val Verde, TX ⁷	4.5 (2.9, 6.6)	N/A	5	stable	-2.8 (-7.0, 1.3)
Puerto Rico ⁶	3.5 (3.2, 3.7)	N/A	135	stable	4.9 (-7.8, 19.4)
Webb (Laredo), TX - Zapata, TX ⁷	3.4 (2.4, 4.6)	N/A	8	falling	-3.2 (-6.4, -0.1)
Accomack, VA - Northampton, VA ⁶	data not available	N/A	data not available	data not available	data not available
Albemarle, VA - Charlottesville City, VA ⁶	data not available	N/A	data not available	data not available	data not available
Alleghany Cnty & Clifton Forge Cty, VA - Covington City, VA ⁶	data not available	N/A	data not available	data not available	data not available
Allen (Fort Wayne), IN - Noble, IN ⁶	data not available	N/A	data not available	data not available	data not available
Alpine, CA ⁷	*	*	3 or fewer	*	*
Atchison, KS ⁶	¶	N/A	¶	¶	¶
Atchison, MO - Holt, MO ⁶	*	*	3 or fewer	*	*
Augusta, VA - Staunton City, VA ⁶	data not available	N/A	data not available	data not available	data not available
Baca, CO ⁶	*	*	3 or fewer	*	*
Barber, KS ⁶	¶	N/A	¶	¶	¶
Bartholomew, IN - Jackson, IN ⁶	data not available	N/A	data not available	data not available	data not available
Barton, KS - Pawnee, KS ⁶	¶	N/A	¶	¶	¶
Beaver, OK ⁶	*	*	3 or fewer	*	*
Beltrami, MN - Clearwater, MN ⁶	¶	N/A	¶	¶	¶
Big Stone, MN - Traverse, MN ⁶	¶	N/A	¶	¶	¶
Blue Earth, MN - Nicollet, MN ⁶	¶	N/A	¶	¶	¶
Boone, IN ⁶	data not available	N/A	data not available	data not available	data not available
Bowman, ND - Hettinger, ND ⁶	*	*	3 or fewer	*	*
Boyd, NE ⁶	*	*	3 or fewer	*	*
Brewster, TX - Presidio, TX ⁷	*	*	3 or fewer	*	*
Brown, MN - Renville, MN ⁶	¶	N/A	¶	¶	¶
Brunswick, VA - Greensville, VA ⁶	data not available	N/A	data not available	data not available	data not available
Carroll, VA - Grayson, VA ⁶	data not available	N/A	data not available	data not available	data not available
Chase, NE - Dundy, NE ⁶	*	*	3 or fewer	*	*
Cherokee, KS ⁶	¶	N/A	¶	¶	¶
Cherry, NE ⁶	*	*	3 or fewer	*	*
Cheyenne, KS - Rawlins, KS ⁶	¶	N/A	¶	¶	¶
Cheyenne, NE - Kimball, NE ⁶	*	*	3 or fewer	*	*
Childress, TX - Hall, TX ⁷	*	*	3 or fewer	*	*
Choctaw, OK ⁶	*	*	3 or fewer	*	*
Claiborne, LA ⁷	*	*	3 or fewer	*	*
Clark (Jeffersonville), IN - Scott, IN ⁶	data not available	N/A	data not available	data not available	data not available
Clark (Las Vegas), NV - Nye, NV ⁶	¶	N/A	¶	¶	¶
Clark, MO ⁶	*	*	3 or fewer	*	*
Clay, KS ⁶	¶	N/A	¶	¶	¶
Clay, MN - Becker, MN ⁶	¶	N/A	¶	¶	¶
Cloud, KS - Republic, KS ⁶	¶	N/A	¶	¶	¶
Colfax, NM ⁷	*	*	3 or fewer	*	*
Collingsworth, TX ⁷	*	*	3 or fewer	*	*
Crawford, KS - Bourbon, KS ⁶	¶	N/A	¶	¶	¶
Crow Wing, MN - Cass, MN ⁶	¶	N/A	¶	¶	¶
Daggett, UT ⁷	*	*	3 or fewer	*	*
Dawes, NE - Sheridan, NE ⁶	*	*	3 or fewer	*	*
Dearborn, IN - Jefferson (Madison), IN ⁶	data not available	N/A	data not available	data not available	data not available
Decatur, KS - Sheridan, KS ⁶	¶	N/A	¶	¶	¶
Delaware (Muncie), IN - Randolph, IN ⁶	data not available	N/A	data not available	data not available	data not available
Dickey, ND - LaMoure, ND ⁶	*	*	3 or fewer	*	*
Dimmit, TX ⁷	*	*	3 or fewer	*	*
Doniphan, KS ⁶	¶	N/A	¶	¶	¶
Douglas, MN - Pope, MN ⁶	¶	N/A	¶	¶	¶
Dubois, IN ⁶	data not available	N/A	data not available	data not available	data not available
Elkhart (Elkhart), IN - Kosciusko, IN ⁶	data not available	N/A	data not available	data not available	data not available
Elko, NV - Lander, NV ⁶	¶	N/A	¶	¶	¶
Ellis, KS - Rooks, KS ⁶	¶	N/A	¶	¶	¶
Emmet, IA ⁷	*	*	3 or fewer	*	*
Essex, VT ⁶	*	*	3 or fewer	*	*
Fairfax, VA - Arlington, VA ⁶	data not available	N/A	data not available	data not available	data not available
Fergus, MT - Petroleum, MT ⁶	*	*	3 or fewer	*	*
Finney, KS - Scott, KS ⁶	¶	N/A	¶	¶	¶
Floyd (New Albany), IN - Harrison, IN ⁶	data not available	N/A	data not available	data not available	data not available
Ford, KS - Gray, KS ⁶	¶	N/A	¶	¶	¶
Fountain, IN - Warren, IN ⁶	data not available	N/A	data not available	data not available	data not available
Franklin, IN ⁶	data not available	N/A	data not available	data not available	data not available
Frederick, VA - Shenandoah, VA ⁶	data not available	N/A	data not available	data not available	data not available
Freeborn, MN - Faribault, MN ⁶	¶	N/A	¶	¶	¶
Fulton, KY ⁷	*	*	3 or fewer	*	*
Geary, KS - Dickinson, KS ⁶	¶	N/A	¶	¶	¶
Gogebic, MI - Ontonagon, MI ⁶	*	*	3 or fewer	*	*
Goodhue, MN ⁶	¶	N/A	¶	¶	¶
Grant, IN - Miami, IN ⁶	data not available	N/A	data not available	data not available	data not available
Grant, KS - Stanton, KS ⁶	¶	N/A	¶	¶	¶
Grant, ND ⁶	*	*	3 or fewer	*	*
Grant, OR ⁶	*	*	3 or fewer	*	*
Grundy, MO - Mercer, MO ⁶	*	*	3 or fewer	*	*
Halifax with South Boston City, VA - Mecklenburg, VA ⁶	data not available	N/A	data not available	data not available	data not available
Hamilton, IN - Madison (Anderson), IN ⁶	data not available	N/A	data not available	data not available	data not available
Hancock, IN - Henry (New Castle), IN ⁶	data not available	N/A	data not available	data not available	data not available
Hennepin (Minneapolis), MN - Anoka, MN ⁶	¶	N/A	¶	¶	¶
Henrico (Richmond), VA - Chesterfield, VA ⁶	data not available	N/A	data not available	data not available	data not available
Henry, VA - Patrick, VA ⁶	data not available	N/A	data not available	data not available	data not available
Houston, MN ⁶	¶	N/A	¶	¶	¶
Howard (Kokomo), IN - Cass, IN ⁶	data not available	N/A	data not available	data not available	data not available
Howard, IA ⁷	*	*	3 or fewer	*	*
Huntington, IN - Adams, IN ⁶	data not available	N/A	data not available	data not available	data not available
Isanti (Cambridge), MN - Mille Lacs, MN ⁶	¶	N/A	¶	¶	¶
Jackson, CO ⁶	*	*	3 or fewer	*	*
Johnson (Overland Park), KS - Douglas, KS ⁶	¶	N/A	¶	¶	¶
Kandiyohi, MN - Chippewa, MN ⁶	¶	N/A	¶	¶	¶
Kingman, KS - Harper, KS ⁶	¶	N/A	¶	¶	¶
Knox, IN - Daviess, IN ⁶	data not available	N/A	data not available	data not available	data not available
La Porte, IN - Starke, IN ⁶	data not available	N/A	data not available	data not available	data not available
Labette, KS - Neosho, KS ⁶	¶	N/A	¶	¶	¶
Lake (Gary), IN - Porter, IN ⁶	data not available	N/A	data not available	data not available	data not available
Lawrence, IN - Orange, IN ⁶	data not available	N/A	data not available	data not available	data not available
Lemhi, ID ⁷	*	*	3 or fewer	*	*
Lipscomb, TX ⁷	*	*	3 or fewer	*	*
Lyon, KS - Coffey, KS ⁶	¶	N/A	¶	¶	¶
Lyon, MN - Lincoln, MN ⁶	¶	N/A	¶	¶	¶
Madison, LA ⁷	*	*	3 or fewer	*	*
Marion (Indianapolis), IN - Johnson, IN ⁶	data not available	N/A	data not available	data not available	data not available
Marshall, KS - Washington, KS ⁶	¶	N/A	¶	¶	¶
Martin, MN ⁶	¶	N/A	¶	¶	¶
McIntosh, ND - Logan, ND ⁶	*	*	3 or fewer	*	*
McPherson, KS ⁶	¶	N/A	¶	¶	¶
Mitchell, KS - Osborne, KS ⁶	¶	N/A	¶	¶	¶
Monroe (Bloomington), IN - Greene, IN ⁶	data not available	N/A	data not available	data not available	data not available
Montgomery, IN ⁶	data not available	N/A	data not available	data not available	data not available
Montgomery, KS - Chautauqua, KS ⁶	¶	N/A	¶	¶	¶
Montgomery, VA - Pulaski, VA ⁶	data not available	N/A	data not available	data not available	data not available
Nemaha, NE ⁶	*	*	3 or fewer	*	*
Ness, KS ⁶	¶	N/A	¶	¶	¶
Newport News City, VA - Hampton City, VA ⁶	data not available	N/A	data not available	data not available	data not available
Nobles, MN - Cottonwood, MN ⁶	¶	N/A	¶	¶	¶
Nolan, TX - Mitchell, TX ⁷	*	*	3 or fewer	*	*
Oglala Lakota, SD - Bennett, SD ⁶	*	*	3 or fewer	*	*
Olmsted (Rochester), MN - Winona, MN ⁶	¶	N/A	¶	¶	¶
Otter Tail, MN - Grant, MN ⁶	¶	N/A	¶	¶	¶
Pemiscot, MO ⁶	*	*	3 or fewer	*	*
Pendleton, WV ⁶	*	*	3 or fewer	*	*
Pennington, MN - Marshall, MN ⁶	¶	N/A	¶	¶	¶
Perkins, SD - Harding, SD ⁶	*	*	3 or fewer	*	*
Perry, IN ⁶	data not available	N/A	data not available	data not available	data not available
Petersburg City, VA - Prince George, VA ⁶	data not available	N/A	data not available	data not available	data not available
Phillips, KS - Norton, KS ⁶	¶	N/A	¶	¶	¶
Pipestone, MN - Rock, MN ⁶	¶	N/A	¶	¶	¶
Pittsylvania (Danville), VA - Danville City, VA ⁶	data not available	N/A	data not available	data not available	data not available
Platte, WY ⁶	*	*	3 or fewer	*	*
Polk, MN ⁶	¶	N/A	¶	¶	¶
Powell, MT ⁶	*	*	3 or fewer	*	*
Pratt, KS - Kiowa, KS ⁶	¶	N/A	¶	¶	¶
Prince William (Dale City), VA - Fauquier, VA ⁶	data not available	N/A	data not available	data not available	data not available
Quitman, GA ⁷	*	*	3 or fewer	*	*
Ramsey (St. Paul), MN - Dakota, MN ⁶	¶	N/A	¶	¶	¶
Reno, KS - Rice, KS ⁶	¶	N/A	¶	¶	¶
Rice, MN ⁶	¶	N/A	¶	¶	¶
Richardson, NE - Pawnee, NE ⁶	*	*	3 or fewer	*	*
Roanoke City, VA - Roanoke, VA ⁶	data not available	N/A	data not available	data not available	data not available
Roberts, SD ⁶	*	*	3 or fewer	*	*
Rockingham, VA - Harrisonburg City, VA ⁶	data not available	N/A	data not available	data not available	data not available
Rolette, ND - Pierce, ND ⁶	*	*	3 or fewer	*	*
Roosevelt, MT - Valley, MT ⁶	*	*	3 or fewer	*	*
Roseau, MN - Lake of the Woods, MN ⁶	¶	N/A	¶	¶	¶
Russell, KS ⁶	¶	N/A	¶	¶	¶
Saline, KS - Ellsworth, KS ⁶	¶	N/A	¶	¶	¶
San Juan, UT ⁷	*	*	3 or fewer	*	*
Scurry, TX ⁷	*	*	3 or fewer	*	*
Sedgwick (Wichita), KS - Butler, KS ⁶	¶	N/A	¶	¶	¶
Seward, KS - Morton, KS ⁶	¶	N/A	¶	¶	¶
Shawnee (Topeka), KS - Riley, KS ⁶	¶	N/A	¶	¶	¶
Sheridan, MT - Daniels, MT ⁶	*	*	3 or fewer	*	*
St. Joseph (South Bend), IN - Marshall, IN ⁶	data not available	N/A	data not available	data not available	data not available
St. Louis (Duluth), MN - Itasca, MN ⁶	¶	N/A	¶	¶	¶
Stafford, VA - Spotsylvania, VA ⁶	data not available	N/A	data not available	data not available	data not available
Stearns (St. Cloud), MN - Benton, MN ⁶	¶	N/A	¶	¶	¶
Stevens, KS ⁶	¶	N/A	¶	¶	¶
Tazewell, VA - Buchanan, VA ⁶	data not available	N/A	data not available	data not available	data not available
Terry, TX - Yoakum, TX ⁷	*	*	3 or fewer	*	*
Thomas, KS - Sherman, KS ⁶	¶	N/A	¶	¶	¶
Tippecanoe (Lafayette), IN - Clinton, IN ⁶	data not available	N/A	data not available	data not available	data not available
Union, NM ⁷	*	*	3 or fewer	*	*
Uvalde, TX ⁷	*	*	3 or fewer	*	*
Vanderburgh (Evansville), IN - Warrick, IN ⁶	data not available	N/A	data not available	data not available	data not available
Vigo (Terre Haute), IN - Clay, IN ⁶	data not available	N/A	data not available	data not available	data not available
Virginia Beach City, VA - Norfolk City, VA ⁶	data not available	N/A	data not available	data not available	data not available
Wabash, IL ⁷	*	*	3 or fewer	*	*
Warren, GA - Glascock, GA ⁷	*	*	3 or fewer	*	*
Washington, VA - Smyth, VA ⁶	data not available	N/A	data not available	data not available	data not available
Washoe (Reno), NV - Carson City, NV ⁶	data not available	N/A	data not available	data not available	data not available
Wayne, IN - Fayette, IN ⁶	data not available	N/A	data not available	data not available	data not available
Weston, WY ⁶	*	*	3 or fewer	*	*
Wheatland, MT - Meagher, MT ⁶	*	*	3 or fewer	*	*
White Pine, NV ⁶	data not available	N/A	data not available	data not available	data not available
Whitman, WA ⁶	*	*	3 or fewer	*	*
Wichita, KS - Greeley, KS ⁶	¶	N/A	¶	¶	¶
Wilkinson, MS ⁶	*	*	3 or fewer	*	*
Wilson, KS ⁶	¶	N/A	¶	¶	¶
Winn, LA ⁷	*	*	3 or fewer	*	*
Wise, VA - Lee, VA ⁶	data not available	N/A	data not available	data not available	data not available
Wyandotte (Kansas City), KS - Leavenworth, KS ⁶	¶	N/A	¶	¶	¶

Notes:
Created by statecancerprofiles.cancer.gov on 05/06/2024 8:21 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. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.

Rates and trends are computed using different standards for malignancy. For more information see malignant.html.

^ All Stages refers to any stage in the Surveillance, Epidemiology, and End Results (SEER) summary stage.
⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

Health Service Areas are a single county or cluster of contiguous counties which are relatively self-contained with respect to hospital care. For more detailed information, please see the Health Service Area information page at http://statecancerprofiles.cancer.gov/hsa.php . Puerto Rico is being treated as a Health Service Area for this data presentation.
¶ Data not available because of state legislation and regulations which prohibit the release of county level data to outside entities.
* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
Data not available for this combination of data selections.

¹ Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2022 submission.
⁶ Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2022 submission).
⁷ Source: SEER November 2022 submission.
⁸ Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modifed by NCI. The US Population Data File is used with SEER November 2022 data.
Data not available for this combination of geography, cancer site, age, and race/ethnicity.

Data for the United States does not include data from Nevada.
Data for the United States does not include Puerto Rico.

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