Counties Ranked by Drug Overdose Death Rate

All 2,114 U.S. counties ranked by drug overdose death rate. The lowest is Starr County, TX at 5.1, and the highest is McDowell County, WV at 180.7. Data from County Health Rankings.

What is Drug Overdose Death Rate?

Number of drug overdose deaths per 100,000 population, including deaths from both prescription and illicit drugs such as opioids, stimulants, and benzodiazepines.

The U.S. drug overdose crisis has escalated dramatically, with deaths exceeding 100,000 annually since 2021. The epidemic has shifted from prescription opioids to fentanyl and increasingly involves stimulants.

Key Findings

The lowest drug overdose death rate is found in Starr County, TX at 5.1, followed by Hidalgo County, TX (5.4) and Cameron County, TX (6.0). The median county value is 28.0. At the other end, Cabell County, WV has the highest value at 131.8. TX has 5 counties in the top 20.

Drug Overdose Death Rate by County

United States — Drug Overdose Death Rate by County

Source: U.S. Census Bureau — ACS 5-Year Estimates. All values are estimates subject to margin of error.

5.1 17.71 24.34 32.06 43.52 180.69
No data

All Counties Ranked

2,114 counties ranked from highest to lowest. Click any county to view its full profile.

Rank County Drug Overdoses
#1 Starr County TX 5.1
#2 Hidalgo County TX 5.4
#3 Cameron County TX 6.0
#4 Limestone County AL 6.5
#5 Gallatin County MT 7.1
#6 Lincoln County SD 7.4
#7 Maverick County TX 7.5
#8 Story County IA 7.7
#9 Eagle County CO 7.8
#10 Riley County KS 7.8
#11 Sarpy County NE 8.0
#12 Hall County NE 8.1
#13 Holmes County OH 8.3
#14 Kandiyohi County MN 8.4
#15 Bulloch County GA 8.5
#16 Muscatine County IA 8.6
#17 Dunn County WI 8.8
#18 Loudoun County VA 8.8
#19 Gregg County TX 8.8
#20 Otter Tail County MN 8.9
#21 Lowndes County GA 9.0
#22 Clinton County IL 9.0
#23 Kendall County TX 9.0
#24 Steele County MN 9.1
#25 Lincoln Parish LA 9.1
#26 Brazos County TX 9.1
#27 Douglas County WA 9.1
#28 Snyder County PA 9.2
#29 Lauderdale County MS 9.2
#30 Guadalupe County TX 9.2
#31 Wasatch County UT 9.3
#32 Buffalo County NE 9.3
#33 Washington County MS 9.3
#34 Coryell County TX 9.3
#35 Rusk County TX 9.3
#36 Brown County SD 9.4
#37 Rice County MN 9.4
#38 Centre County PA 9.4
#39 Wright County MN 9.5
#40 Bonner County ID 9.5
#41 Medina County TX 9.5
#42 Upshur County TX 9.5
#43 Brown County TX 9.6
#44 Val Verde County TX 9.7
#45 Dallas County IA 9.7
#46 Hale County TX 9.7
#47 Cache County UT 9.8
#48 Comal County TX 9.9
#49 Gibson County IN 10.0
#50 Dodge County NE 10.0
#51 Collin County TX 10.1
#52 Navarro County TX 10.1
#53 Delta County MI 10.1
#54 Johnson County IA 10.1
#55 Smith County TX 10.2
#56 Fort Bend County TX 10.3
#57 Scotts Bluff County NE 10.3
#58 Denton County TX 10.3
#59 Waupaca County WI 10.4
#60 Coffee County AL 10.5
#61 Woodford County IL 10.5
#62 Fairfax County VA 10.5
#63 Ellis County TX 10.7
#64 Elmore County AL 10.7
#65 Erath County TX 10.7
#66 Howell County MO 10.8
#67 Jackson County AL 10.8
#68 Putnam County OH 10.8
#69 Autauga County AL 10.9
#70 Tom Green County TX 10.9
#71 Summit County UT 10.9
#72 Marshall County IA 10.9
#73 Cherokee County TX 10.9
#74 Walker County TX 10.9
#75 Austin County TX 10.9
#76 Kleberg County TX 10.9
#77 Matagorda County TX 11.0
#78 Sheridan County WY 11.0
#79 Marion County IA 11.0
#80 Daviess County IN 11.0
#81 Whitman County WA 11.0
#82 Ottawa County MI 11.1
#83 Lawrence County AL 11.1
#84 Mercer County OH 11.1
#85 Polk County WI 11.1
#86 Atascosa County TX 11.2
#87 Washington County AR 11.2
#88 Marion County AL 11.3
#89 Clinton County MI 11.3
#90 St. Croix County WI 11.3
#91 Wapello County IA 11.4
#92 Williamson County TX 11.4
#93 Hays County TX 11.5
#94 Steuben County IN 11.5
#95 Caldwell County TX 11.5
#96 Wilson County TX 11.5
#97 Barron County WI 11.5
#98 Coffee County GA 11.6
#99 Dubois County IN 11.6
#100 Union County PA 11.6
#101 Ellis County KS 11.6
#102 Pettis County MO 11.6
#103 Grant County WI 11.7
#104 Carver County MN 11.7
#105 Johnson County MO 11.7
#106 Chippewa County MI 11.8
#107 Chambers County AL 11.8
#108 Benton County OR 11.8
#109 Utah County UT 11.9
#110 Kerr County TX 11.9
#111 McLennan County TX 11.9
#112 McLeod County MN 11.9
#113 Polk County MN 11.9
#114 Houghton County MI 11.9
#115 Lincoln County WI 11.9
#116 Lee County AL 12.0
#117 Fulton County IL 12.0
#118 Douglas County CO 12.0
#119 Branch County MI 12.0
#120 Sherburne County MN 12.1
#121 Deschutes County OR 12.1
#122 Chisago County MN 12.2
#123 Albany County WY 12.2
#124 Bowie County TX 12.2
#125 Portage County WI 12.3
#126 Black Hawk County IA 12.3
#127 Tallapoosa County AL 12.3
#128 Arlington County VA 12.3
#129 LaGrange County IN 12.3
#130 Latah County ID 12.4
#131 Door County WI 12.4
#132 Jasper County IA 12.4
#133 Caddo Parish LA 12.4
#134 Kaufman County TX 12.5
#135 Hopkins County TX 12.5
#136 Clark County WI 12.5
#137 Miami County KS 12.5
#138 Pennington County SD 12.6
#139 Sumter County GA 12.6
#140 Cass County NE 12.6
#141 Lewis County NY 12.6
#142 Woodbury County IA 12.7
#143 Graves County KY 12.8
#144 Fayette County GA 12.8
#145 Adams County NE 12.9
#146 Calumet County WI 12.9
#147 Huron County MI 12.9
#148 Knox County IN 12.9
#149 Geauga County OH 13.0
#150 Ravalli County MT 13.0
#151 Plymouth County IA 13.1
#152 Auglaize County OH 13.1
#153 Scott County MN 13.1
#154 Miller County MO 13.1
#155 Victoria County TX 13.1
#156 Logan County OK 13.2
#157 Grimes County TX 13.2
#158 McLean County IL 13.3
#159 Washington County MN 13.3
#160 Cleburne County AR 13.3
#161 Oconee County GA 13.3
#162 Fayette County TX 13.3
#163 Craighead County AR 13.3
#164 Becker County MN 13.3
#165 Upson County GA 13.4
#166 Washington County OR 13.4
#167 Oneida County WI 13.4
#168 Nacogdoches County TX 13.4
#169 Orleans County NY 13.4
#170 Jerome County ID 13.4
#171 Lyon County KS 13.4
#172 Meade County SD 13.4
#173 Cooke County TX 13.4
#174 Waushara County WI 13.5
#175 Forsyth County GA 13.6
#176 Mecosta County MI 13.6
#177 Kendall County IL 13.7
#178 Bastrop County TX 13.7
#179 Blaine County ID 13.7
#180 Stephenson County IL 13.7
#181 Greene County AR 13.7
#182 Warren County MS 13.7
#183 Emmet County MI 13.8
#184 Lee County IL 13.8
#185 Tattnall County GA 13.8
#186 Miami-Dade County FL 13.8
#187 Gratiot County MI 13.8
#188 Lubbock County TX 13.8
#189 Colquitt County GA 13.9
#190 Lewis and Clark County MT 13.9
#191 Rockingham County VA 13.9
#192 Lancaster County NE 13.9
#193 Waller County TX 14.0
#194 Midland County MI 14.0
#195 Elmore County ID 14.0
#196 Madison County MS 14.0
#197 San Patricio County TX 14.0
#198 Hunterdon County NJ 14.0
#199 Pope County AR 14.1
#200 Johnson County TX 14.1
#201 Independence County AR 14.1
#202 Christian County IL 14.1
#203 Harrisonburg city VA 14.1
#204 Union County MS 14.1
#205 Hood River County OR 14.1
#206 Morton County ND 14.2
#207 Webster County MO 14.2
#208 Baxter County AR 14.2
#209 York County VA 14.2
#210 Payne County OK 14.2
#211 Dubuque County IA 14.2
#212 Montgomery County MD 14.2
#213 Hamilton County IN 14.3
#214 Logan County IL 14.3
#215 Obion County TN 14.3
#216 Midland County TX 14.3
#217 Alexandria city VA 14.3
#218 Van Zandt County TX 14.3
#219 Barton County KS 14.3
#220 Ogle County IL 14.4
#221 Grand Forks County ND 14.4
#222 Benton County AR 14.5
#223 McDonald County MO 14.5
#224 Albemarle County VA 14.5
#225 Cowley County KS 14.5
#226 Menominee County MI 14.5
#227 Clarke County AL 14.6
#228 Dakota County MN 14.6
#229 Effingham County IL 14.6
#230 Marquette County MI 14.6
#231 Leflore County MS 14.6
#232 Augusta County VA 14.6
#233 Emanuel County GA 14.7
#234 McPherson County KS 14.7
#235 Allegan County MI 14.7
#236 Wise County TX 14.7
#237 Thomas County GA 14.7
#238 Bossier Parish LA 14.8
#239 Morrison County MN 14.8
#240 Adams County IN 14.8
#241 Randolph County AL 14.8
#242 Bee County TX 14.9
#243 Carroll County OH 14.9
#244 Campbell County WY 15.0
#245 Warren County IA 15.0
#246 Rock Island County IL 15.1
#247 Lee County IA 15.1
#248 Vernon County WI 15.1
#249 Baldwin County GA 15.1
#250 Harrison County TX 15.1
#251 Scott County TN 15.1
#252 Barry County MO 15.2
#253 Rockwall County TX 15.2
#254 Wharton County TX 15.2
#255 Broomfield County CO 15.2
#256 Howard County MD 15.2
#257 Codington County SD 15.2
#258 Talladega County AL 15.3
#259 Faulkner County AR 15.3
#260 Monroe County IL 15.3
#261 Canadian County OK 15.3
#262 Bell County TX 15.3
#263 Seward County KS 15.3
#264 Tioga County NY 15.3
#265 Minnehaha County SD 15.3
#266 Hempstead County AR 15.3
#267 Douglas County MN 15.3
#268 Custer County OK 15.3
#269 Williamson County TN 15.4
#270 Payette County ID 15.4
#271 Polk County OR 15.4
#272 Lafayette County MS 15.4
#273 Crawford County KS 15.4
#274 Green County WI 15.4
#275 Wabasha County MN 15.4
#276 Polk County MO 15.4
#277 Johnson County KS 15.4
#278 Cass County ND 15.4
#279 Webster Parish LA 15.5
#280 Cleveland County OK 15.5
#281 Ontario County NY 15.5
#282 Fannin County TX 15.5
#283 Cape Girardeau County MO 15.5
#284 Crook County OR 15.5
#285 Cascade County MT 15.6
#286 Leon County FL 15.6
#287 Bolivar County MS 15.6
#288 Ozaukee County WI 15.6
#289 Burleigh County ND 15.6
#290 Chippewa County WI 15.6
#291 Staunton city VA 15.6
#292 Flathead County MT 15.6
#293 Morgan County MO 15.7
#294 Pierce County WI 15.7
#295 Warren County PA 15.7
#296 Burnet County TX 15.7
#297 Grayson County TX 15.7
#298 Harvey County KS 15.7
#299 Stutsman County ND 15.7
#300 Bingham County ID 15.8
#301 Henry County IL 15.8
#302 Boone County AR 15.8
#303 Hawaii County HI 15.8
#304 Marshall County KY 15.8
#305 Minidoka County ID 15.8
#306 Otsego County MI 15.8
#307 Routt County CO 15.9
#308 Isanti County MN 15.9
#309 Delaware County OH 15.9
#310 Jones County MS 15.9
#311 Outagamie County WI 15.9
#312 Barry County MI 15.9
#313 Saline County MO 15.9
#314 Crow Wing County MN 15.9
#315 Jefferson County OR 15.9
#316 Coahoma County MS 16.0
#317 Winona County MN 16.0
#318 Hunt County TX 16.1
#319 Randall County TX 16.1
#320 Marathon County WI 16.1
#321 Jackson County IL 16.1
#322 DeKalb County IN 16.1
#323 Oldham County KY 16.1
#324 Gwinnett County GA 16.1
#325 Panola County MS 16.1
#326 Cass County TX 16.1
#327 Bandera County TX 16.1
#328 Oceana County MI 16.1
#329 Parker County TX 16.1
#330 Neshoba County MS 16.1
#331 Yates County NY 16.1
#332 Barbour County AL 16.2
#333 Cass County MI 16.2
#334 Oconto County WI 16.2
#335 Stevens County WA 16.2
#336 Dale County AL 16.2
#337 Geneva County AL 16.3
#338 Vernon County MO 16.3
#339 Ouachita County AR 16.3
#340 Howard County TX 16.3
#341 Brazoria County TX 16.4
#342 Whiteside County IL 16.4
#343 Stearns County MN 16.4
#344 Woodward County OK 16.4
#345 Alpena County MI 16.4
#346 Houston County AL 16.4
#347 Lee County GA 16.4
#348 Ohio County KY 16.5
#349 Carroll County TN 16.5
#350 DuPage County IL 16.5
#351 Clay County IN 16.5
#352 Monroe County MS 16.6
#353 Elkhart County IN 16.6
#354 Lamar County TX 16.6
#355 Montgomery County AL 16.7
#356 Boulder County CO 16.7
#357 Spencer County IN 16.7
#358 Scott County MO 16.7
#359 Park County WY 16.7
#360 Union County OH 16.7
#361 El Paso County TX 16.7
#362 Iron County UT 16.7
#363 Yolo County CA 16.7
#364 Coles County IL 16.7
#365 Russell County VA 16.7
#366 Hardin County TX 16.8
#367 San Mateo County CA 16.8
#368 Colusa County CA 16.8
#369 Union County GA 16.8
#370 Canyon County ID 16.8
#371 Missoula County MT 16.8
#372 Juniata County PA 16.8
#373 Cheboygan County MI 16.9
#374 Blue Earth County MN 16.9
#375 McClain County OK 16.9
#376 Labette County KS 16.9
#377 Island County WA 16.9
#378 Taylor County FL 16.9
#379 Jim Wells County TX 16.9
#380 Boone County IL 17.0
#381 Webb County TX 17.0
#382 Addison County VT 17.0
#383 Douglas County IL 17.0
#384 Scott County IA 17.1
#385 Douglas County NE 17.1
#386 Henderson County TX 17.1
#387 Adair County MO 17.1
#388 Hopkins County KY 17.1
#389 Polk County AR 17.1
#390 Saratoga County NY 17.1
#391 Jersey County IL 17.1
#392 Shawano County WI 17.1
#393 St. Francis County AR 17.2
#394 James City County VA 17.2
#395 Fayette County IL 17.2
#396 Bradford County PA 17.2
#397 Posey County IN 17.2
#398 Davis County UT 17.2
#399 Montgomery County VA 17.2
#400 Western Connecticut Planning Region CT 17.3
#401 Ashe County NC 17.3
#402 Buchanan County IA 17.3
#403 Williams County ND 17.4
#404 Klickitat County WA 17.4
#405 Santa Clara County CA 17.4
#406 Douglas County KS 17.4
#407 Kent County MI 17.5
#408 Audrain County MO 17.5
#409 Taylor County TX 17.5
#410 Eau Claire County WI 17.6
#411 Harris County GA 17.6
#412 Kay County OK 17.6
#413 Henry County GA 17.6
#414 Sullivan County IN 17.6
#415 Randolph County MO 17.6
#416 Rockland County NY 17.6
#417 Washington County TX 17.6
#418 Ionia County MI 17.6
#419 Rockbridge County VA 17.6
#420 Rogers County OK 17.7
#421 Clackamas County OR 17.7
#422 Tuscola County MI 17.7
#423 Somerset County NJ 17.7
#424 Wells County IN 17.7
#425 Sanpete County UT 17.7
#426 Cole County MO 17.8
#427 Transylvania County NC 17.8
#428 Coweta County GA 17.9
#429 Kings County CA 17.9
#430 Dunklin County MO 17.9
#431 Garfield County OK 17.9
#432 Tarrant County TX 17.9
#433 Jefferson County KS 17.9
#434 Copiah County MS 17.9
#435 Crawford County IL 17.9
#436 Malheur County OR 18.0
#437 Drew County AR 18.0
#438 Madison County FL 18.0
#439 Alcorn County MS 18.0
#440 Bryan County OK 18.0
#441 Bibb County GA 18.0
#442 Llano County TX 18.1
#443 Mahaska County IA 18.1
#444 Houston County GA 18.1
#445 Montcalm County MI 18.2
#446 Antrim County MI 18.2
#447 Alachua County FL 18.2
#448 Gonzales County TX 18.2
#449 Madera County CA 18.2
#450 Webster County IA 18.2
#451 Henry County OH 18.3
#452 Bexar County TX 18.3
#453 Grant County AR 18.3
#454 Lincoln County MS 18.3
#455 Morgan County CO 18.4
#456 Lake County IL 18.4
#457 Clayton County GA 18.4
#458 Garfield County CO 18.4
#459 Jones County TX 18.4
#460 Summit County CO 18.4
#461 Monroe County AL 18.5
#462 Morris County NJ 18.5
#463 Adams County IL 18.5
#464 Livingston County MI 18.5
#465 Linn County IA 18.5
#466 Larimer County CO 18.5
#467 Grand Traverse County MI 18.5
#468 Muhlenberg County KY 18.6
#469 Franklin County PA 18.6
#470 Pottawattamie County IA 18.6
#471 Oakland County MI 18.6
#472 Prince William County VA 18.6
#473 Clarion County PA 18.6
#474 McHenry County IL 18.6
#475 Stoddard County MO 18.6
#476 Cass County MO 18.7
#477 Cumberland County PA 18.7
#478 Southampton County VA 18.7
#479 Tulare County CA 18.7
#480 Kalkaska County MI 18.7
#481 Napa County CA 18.7
#482 Barren County KY 18.7
#483 Wood County TX 18.7
#484 Pike County GA 18.8
#485 Logan County AR 18.8
#486 Allegany County NY 18.8
#487 Ray County MO 18.8
#488 Kane County IL 18.8
#489 Douglas County NV 18.8
#490 Cerro Gordo County IA 18.9
#491 Sanilac County MI 18.9
#492 Seneca County NY 18.9
#493 Placer County CA 18.9
#494 Saluda County SC 18.9
#495 Lowndes County MS 19.0
#496 Medina County OH 19.0
#497 Jackson County OK 19.0
#498 St. Johns County FL 19.0
#499 Avery County NC 19.0
#500 McCurtain County OK 19.0
#501 Whitfield County GA 19.0
#502 Platte County MO 19.0
#503 Conway County AR 19.1
#504 DeKalb County GA 19.1
#505 Hood County TX 19.1
#506 Putnam County GA 19.1
#507 Westchester County NY 19.1
#508 Lawrence County MO 19.1
#509 Franklin County AR 19.1
#510 Delaware County OK 19.1
#511 Bryan County GA 19.1
#512 Perry County IN 19.2
#513 Washington County UT 19.2
#514 Natrona County WY 19.2
#515 Muscogee County GA 19.2
#516 St. Joseph County MI 19.2
#517 Adams County PA 19.2
#518 Pickens County AL 19.2
#519 Saline County KS 19.2
#520 Chester County TN 19.2
#521 Nassau County NY 19.2
#522 Lafayette County MO 19.2
#523 Stephens County OK 19.2
#524 Douglas County GA 19.3
#525 Humboldt County NV 19.3
#526 Sumner County KS 19.3
#527 Bergen County NJ 19.3
#528 Campbell County VA 19.3
#529 Montgomery County TX 19.3
#530 Kittitas County WA 19.3
#531 Colbert County AL 19.3
#532 Gordon County GA 19.3
#533 Marinette County WI 19.3
#534 Arkansas County AR 19.4
#535 Marshall County MS 19.4
#536 Lauderdale County AL 19.4
#537 Camden County MO 19.5
#538 Wake County NC 19.5
#539 Miller County AR 19.5
#540 Franklin County NY 19.5
#541 Tooele County UT 19.5
#542 Union County NC 19.5
#543 Fairbanks North Star Borough AK 19.5
#544 Washington County FL 19.5
#545 Maui County HI 19.5
#546 Jefferson County WI 19.6
#547 Cherokee County AL 19.6
#548 Ada County ID 19.6
#549 Fresno County CA 19.6
#550 Wright County MO 19.6
#551 Burke County GA 19.6
#552 Orange County NC 19.6
#553 Gadsden County FL 19.6
#554 Lincoln County WY 19.6
#555 Honolulu County HI 19.7
#556 Ben Hill County GA 19.7
#557 Newton County MO 19.7
#558 Hillsdale County MI 19.7
#559 Bosque County TX 19.7
#560 Knox County IL 19.7
#561 Goochland County VA 19.7
#562 Wood County OH 19.7
#563 San Jacinto County TX 19.9
#564 Alameda County CA 19.9
#565 Bethel Census Area AK 19.9
#566 Appling County GA 19.9
#567 Dickinson County KS 19.9
#568 McCracken County KY 19.9
#569 Hot Spring County AR 20.0
#570 Baker County OR 20.0
#571 Rush County IN 20.0
#572 Coos County OR 20.0
#573 Van Buren County AR 20.0
#574 Pontotoc County OK 20.1
#575 Dyer County TN 20.1
#576 Marion County AR 20.1
#577 Wyoming County NY 20.1
#578 Edgar County IL 20.1
#579 Queens County NY 20.1
#580 Wayne County MS 20.1
#581 Decatur County GA 20.1
#582 Isabella County MI 20.1
#583 Calaveras County CA 20.1
#584 Parke County IN 20.1
#585 Anoka County MN 20.2
#586 Gem County ID 20.2
#587 Newton County GA 20.2
#588 Burnett County WI 20.3
#589 Wayne County TN 20.3
#590 Dallas County TX 20.3
#591 Martin County MN 20.3
#592 DeSoto County FL 20.3
#593 Effingham County GA 20.3
#594 Benton County WA 20.3
#595 Appomattox County VA 20.4
#596 Lawrence County AR 20.4
#597 Morgan County IL 20.4
#598 Amador County CA 20.4
#599 Goodhue County MN 20.4
#600 Logan County OH 20.4
#601 Kanabec County MN 20.4
#602 Kootenai County ID 20.4
#603 Bureau County IL 20.4
#604 Stark County ND 20.4
#605 Grafton County NH 20.4
#606 Jefferson County AR 20.5
#607 Cherokee County GA 20.5
#608 Logan County KY 20.5
#609 Simpson County MS 20.5
#610 Warren County NY 20.5
#611 Andrew County MO 20.5
#612 Hill County MT 20.6
#613 Adams County MS 20.6
#614 Finney County KS 20.6
#615 Langlade County WI 20.6
#616 Attala County MS 20.7
#617 Anderson County TX 20.7
#618 San Benito County CA 20.7
#619 Shelby County IL 20.7
#620 Freeborn County MN 20.7
#621 Meriwether County GA 20.7
#622 Christian County MO 20.7
#623 De Soto Parish LA 20.7
#624 Kitsap County WA 20.7
#625 Randolph County IL 20.8
#626 Jackson County GA 20.8
#627 Stone County MO 20.8
#628 Kalamazoo County MI 20.8
#629 Jasper County TX 20.8
#630 Clay County MN 20.9
#631 Montgomery County NY 20.9
#632 Merced County CA 20.9
#633 Travis County TX 20.9
#634 Prince Edward County VA 20.9
#635 Vernon Parish LA 20.9
#636 Linn County OR 20.9
#637 Clarke County GA 21.0
#638 Brown County WI 21.0
#639 Clay County MO 21.0
#640 Ector County TX 21.0
#641 Butler County AL 21.0
#642 Rockdale County GA 21.1
#643 Chelan County WA 21.1
#644 Columbia County GA 21.1
#645 Imperial County CA 21.2
#646 Geary County KS 21.2
#647 Marquette County WI 21.2
#648 La Plata County CO 21.3
#649 Whitley County IN 21.3
#650 Iredell County NC 21.3
#651 Chambers County TX 21.3
#652 Greene County IN 21.3
#653 Union County FL 21.3
#654 Sevier County UT 21.3
#655 DeKalb County IL 21.3
#656 Wood County WI 21.3
#657 Cassia County ID 21.3
#658 Roosevelt County NM 21.3
#659 Leon County TX 21.3
#660 Chaffee County CO 21.3
#661 Bonneville County ID 21.3
#662 Liberty County GA 21.4
#663 Montgomery County KS 21.4
#664 Beckham County OK 21.4
#665 Idaho County ID 21.4
#666 Harris County TX 21.4
#667 Grady County OK 21.4
#668 Lonoke County AR 21.4
#669 Lee County MS 21.5
#670 Tuscaloosa County AL 21.5
#671 Walla Walla County WA 21.5
#672 Madison County AR 21.5
#673 Livingston County NY 21.6
#674 Murray County GA 21.6
#675 De Witt County IL 21.6
#676 Herkimer County NY 21.6
#677 Park County CO 21.6
#678 Shiawassee County MI 21.6
#679 Wichita County TX 21.6
#680 Fluvanna County VA 21.6
#681 Forrest County MS 21.6
#682 Contra Costa County CA 21.7
#683 St. Lawrence County NY 21.7
#684 Jasper County MO 21.7
#685 Johnson County AR 21.7
#686 Shenandoah County VA 21.7
#687 Watauga County NC 21.7
#688 Le Flore County OK 21.7
#689 Franklin County WA 21.8
#690 White County AR 21.8
#691 Calloway County KY 21.8
#692 Williams County OH 21.8
#693 Potter County TX 21.8
#694 Clark County IL 21.8
#695 Potter County PA 21.9
#696 Weld County CO 21.9
#697 Franklin County KS 21.9
#698 Troup County GA 21.9
#699 Newaygo County MI 21.9
#700 Monterey County CA 22.0
#701 Gray County TX 22.0
#702 Holmes County FL 22.0
#703 Page County IA 22.0
#704 Pontotoc County MS 22.0
#705 Bristol County RI 22.1
#706 Russell County KY 22.1
#707 Walworth County WI 22.1
#708 Butler County KS 22.1
#709 Laclede County MO 22.1
#710 Clinton County MO 22.2
#711 Whatcom County WA 22.2
#712 Jones County GA 22.2
#713 Will County IL 22.2
#714 Yamhill County OR 22.2
#715 Reeves County TX 22.3
#716 Bond County IL 22.3
#717 Benton County MO 22.3
#718 Ward County ND 22.3
#719 Covington County AL 22.3
#720 Lee County VA 22.3
#721 Monroe County WI 22.3
#722 LaSalle Parish LA 22.4
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#1,172 Albany County NY 30.1
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#1,180 Amelia County VA 30.2
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#1,189 Dorchester County SC 30.3
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#1,198 Oconee County SC 30.5
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#1,218 Chesterfield County SC 30.9
#1,219 Champaign County OH 30.9
#1,220 Madison County OH 30.9
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#1,266 Falls Church city VA 32.0
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#1,280 Jefferson County FL 32.3
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#1,314 Washington County KY 33.1
#1,315 Bristol city VA 33.1
#1,316 Newberry County SC 33.1
#1,317 Dixie County FL 33.1
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#1,320 DeSoto County MS 33.2
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#1,323 Saginaw County MI 33.3
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#1,333 Putnam County FL 33.5
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#1,339 Dukes County MA 33.7
#1,340 Erie County PA 33.7
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#1,342 Grand County CO 33.7
#1,343 Calvert County MD 33.7
#1,344 Chowan County NC 33.8
#1,345 Sarasota County FL 33.8
#1,346 Hancock County OH 33.8
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#1,348 Henrico County VA 33.9
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#1,360 St. Clair County MI 34.2
#1,361 Santa Rosa County FL 34.2
#1,362 San Juan County NM 34.3
#1,363 McIntosh County OK 34.3
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#1,366 Jackson County MO 34.5
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#1,369 Dauphin County PA 34.5
#1,370 Cumberland County ME 34.5
#1,371 Powhatan County VA 34.5
#1,372 Oneida County NY 34.5
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#1,379 Licking County OH 34.6
#1,380 Venango County PA 34.7
#1,381 Haralson County GA 34.7
#1,382 Pender County NC 34.7
#1,383 Bay County MI 34.7
#1,384 Allen County IN 34.8
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#1,729 Anderson County KY 45.0
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#1,889 Jefferson Davis Parish LA 54.4
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#1,908 Windsor County VT 56.0
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#1,910 St. Francois County MO 56.2
#1,911 Horry County SC 56.3
#1,912 White County TN 56.3
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#1,924 Shelby County TN 57.5
#1,925 Perquimans County NC 57.5
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#1,927 Franklin County KY 57.6
#1,928 Dorchester County MD 57.7
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#1,956 Wetzel County WV 60.3
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#1,963 Grundy County TN 61.1
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#1,969 Meigs County TN 61.8
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#1,980 Sullivan County NY 62.9
#1,981 Atlantic County NJ 63.1
#1,982 Crawford County IN 63.1
#1,983 Milwaukee County WI 63.1
#1,984 San Francisco County CA 63.3
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#1,986 Trumbull County OH 63.3
#1,987 Breathitt County KY 63.4
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#1,990 Harrison County WV 63.5
#1,991 Lewis County KY 63.8
#1,992 Swain County NC 63.9
#1,993 Dickson County TN 64.1
#1,994 Greenup County KY 64.2
#1,995 Grainger County TN 64.2
#1,996 District of Columbia DC 64.5
#1,997 Cocke County TN 64.8
#1,998 Sevier County TN 64.9
#1,999 Dickenson County VA 64.9
#2,000 Cambria County PA 65.0
#2,001 Rockcastle County KY 65.2
#2,002 Grant County IN 65.3
#2,003 Washington County MD 65.4
#2,004 Mahoning County OH 65.4
#2,005 Lewis County TN 65.5
#2,006 Rockingham County NC 65.6
#2,007 Tazewell County VA 65.7
#2,008 Randolph County NC 65.9
#2,009 Fayette County PA 65.9
#2,010 Jefferson Parish LA 66.0
#2,011 Craven County NC 66.4
#2,012 Tangipahoa Parish LA 66.5
#2,013 Harrison County KY 66.7
#2,014 Mendocino County CA 67.0
#2,015 Pocahontas County WV 67.1
#2,016 DeKalb County TN 67.4
#2,017 Bladen County NC 67.5
#2,018 Rappahannock County VA 67.7
#2,019 Sierra County NM 68.0
#2,020 Braxton County WV 68.2
#2,021 Martinsville city VA 68.2
#2,022 Garrard County KY 68.3
#2,023 Dillon County SC 68.5
#2,024 Pike County KY 68.5
#2,025 Brooke County WV 68.7
#2,026 Monroe County WV 68.7
#2,027 Marion County IN 69.7
#2,028 Jefferson County KY 70.6
#2,029 Carroll County KY 70.7
#2,030 Grant County KY 70.9
#2,031 West Feliciana Parish LA 71.2
#2,032 Scott County IN 71.5
#2,033 Davidson County TN 71.5
#2,034 Martin County KY 72.2
#2,035 Houston County TN 72.5
#2,036 San Miguel County NM 72.6
#2,037 Pearl River County MS 73.1
#2,038 Lawrence County PA 73.6
#2,039 Ohio County WV 74.0
#2,040 Pike County OH 74.6
#2,041 Campbell County TN 74.8
#2,042 Clark County KY 75.2
#2,043 Philadelphia County PA 75.4
#2,044 Washington County ME 75.5
#2,045 Portsmouth city VA 75.9
#2,046 Wayne County IN 76.1
#2,047 Greenbrier County WV 76.5
#2,048 Washington Parish LA 76.5
#2,049 Ross County OH 76.5
#2,050 Dillingham Census Area AK 76.8
#2,051 Richmond County NC 77.0
#2,052 Berkeley County WV 77.3
#2,053 Fayette County IN 77.6
#2,054 Powell County KY 78.1
#2,055 Livingston Parish LA 78.1
#2,056 Gallia County OH 78.4
#2,057 Rowan County KY 78.5
#2,058 Madison County KY 78.8
#2,059 Montgomery County KY 80.2
#2,060 Owsley County KY 81.9
#2,061 Carter County KY 81.9
#2,062 Lawrence County OH 82.0
#2,063 Clay County WV 83.2
#2,064 Richmond city VA 83.7
#2,065 Henry County VA 84.4
#2,066 Sioux County ND 86.0
#2,067 Knox County TN 86.1
#2,068 Lake County CA 86.4
#2,069 Roane County TN 87.8
#2,070 Socorro County NM 87.8
#2,071 St. Bernard Parish LA 88.0
#2,072 Hickman County TN 88.0
#2,073 Floyd County KY 88.4
#2,074 Robeson County NC 88.7
#2,075 Union County TN 89.0
#2,076 Meigs County OH 90.0
#2,077 Orleans Parish LA 90.1
#2,078 Cecil County MD 90.3
#2,079 Pamlico County NC 90.8
#2,080 Gallatin County KY 91.2
#2,081 Roanoke city VA 91.3
#2,082 Magoffin County KY 91.8
#2,083 Cheatham County TN 92.4
#2,084 Perry County KY 94.1
#2,085 Mason County WV 94.1
#2,086 Boyd County KY 95.4
#2,087 Anderson County TN 96.6
#2,088 Lincoln County WV 98.2
#2,089 Hopewell city VA 99.3
#2,090 Fayette County WV 99.6
#2,091 Wolfe County KY 99.9
#2,092 St. Louis city MO 101.8
#2,093 Kanawha County WV 104.4
#2,094 Lee County KY 104.6
#2,095 Bath County KY 105.0
#2,096 Boone County WV 108.9
#2,097 Mahnomen County MN 111.0
#2,098 Rio Arriba County NM 111.2
#2,099 Petersburg city VA 112.1
#2,100 Summers County WV 113.5
#2,101 Wayne County WV 114.2
#2,102 Vinton County OH 115.1
#2,103 Knott County KY 117.8
#2,104 Mercer County WV 118.1
#2,105 Mingo County WV 119.7
#2,106 Wyoming County WV 119.9
#2,107 Menominee County WI 122.8
#2,108 Estill County KY 123.1
#2,109 Scioto County OH 126.0
#2,110 Cabell County WV 131.8
#2,111 Raleigh County WV 138.0
#2,112 Baltimore city MD 144.1
#2,113 Logan County WV 164.4
#2,114 McDowell County WV 180.7

Based on the County Health Rankings, a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. All values are estimates subject to margin of error. For more information, see our methodology.