TX / county disease rankings
Counties with the highest lung cancer death rates in Texas
Among 184 Texas counties with published values, the counties with the highest lung cancer death rates are Polk County, TX (66.6, 2.21 times the U.S. rate of 30.2), Real County, TX (66.2, 2.19 times the U.S. rate of 30.2) and Delta County, TX (60.1, 1.99 times the U.S. rate of 30.2). Values are per 100,000, age-adjusted. 67 of the 184 are significantly above the U.S. rate.
Source: NCI and CDC State Cancer Profiles, both sexes, all ages. These are county-level figures, age-adjusted as published by the source, compared with the U.S. rate. A high rate does not prove an environmental cause: age, smoking, income, access to care, screening and chance all move county rates, and small counties swing widely. Significant means the lower bound of the county’s 95 percent confidence interval is above the U.S. rate.
All Texas counties, highest first
Lung & bronchus cancer deaths, per 100,000, age-adjusted.
| Rank | County | State | Value | U.S. rate | Times reference | Significant |
|---|---|---|---|---|---|---|
| 1 | Polk County | TX | 66.6 | 30.2 | 2.21x | Significant |
| 2 | Real County | TX | 66.2 | 30.2 | 2.19x | Significant |
| 3 | Delta County | TX | 60.1 | 30.2 | 1.99x | Significant |
| 4 | Baylor County | TX | 56.3 | 30.2 | 1.86x | Significant |
| 5 | Coleman County | TX | 56.3 | 30.2 | 1.86x | Significant |
| 6 | Trinity County | TX | 55.6 | 30.2 | 1.84x | Significant |
| 7 | Wheeler County | TX | 55.4 | 30.2 | 1.83x | Significant |
| 8 | Bosque County | TX | 54.6 | 30.2 | 1.81x | Significant |
| 9 | Camp County | TX | 54.2 | 30.2 | 1.79x | Significant |
| 10 | Cass County | TX | 54.1 | 30.2 | 1.79x | Significant |
| 11 | Palo Pinto County | TX | 53.4 | 30.2 | 1.77x | Significant |
| 12 | San Augustine County | TX | 52.6 | 30.2 | 1.74x | Significant |
| 13 | San Saba County | TX | 51.1 | 30.2 | 1.69x | Significant |
| 14 | Henderson County | TX | 49.9 | 30.2 | 1.65x | Significant |
| 15 | Shelby County | TX | 49.7 | 30.2 | 1.65x | Significant |
| 16 | Eastland County | TX | 49.4 | 30.2 | 1.64x | Significant |
| 17 | Hunt County | TX | 49.3 | 30.2 | 1.63x | Significant |
| 18 | Tyler County | TX | 48 | 30.2 | 1.59x | Significant |
| 19 | Madison County | TX | 47.9 | 30.2 | 1.59x | Significant |
| 20 | Childress County | TX | 47.6 | 30.2 | 1.58x | No |
| 21 | Fannin County | TX | 47.4 | 30.2 | 1.57x | Significant |
| 22 | Morris County | TX | 47.1 | 30.2 | 1.56x | Significant |
| 23 | Newton County | TX | 46.9 | 30.2 | 1.55x | Significant |
| 24 | Bowie County | TX | 46.5 | 30.2 | 1.54x | Significant |
| 25 | Panola County | TX | 46.1 | 30.2 | 1.53x | Significant |
| 26 | Lamar County | TX | 46 | 30.2 | 1.52x | Significant |
| 27 | San Jacinto County | TX | 45.8 | 30.2 | 1.52x | Significant |
| 28 | Upshur County | TX | 45.8 | 30.2 | 1.52x | Significant |
| 29 | Burleson County | TX | 45.6 | 30.2 | 1.51x | Significant |
| 30 | Gray County | TX | 45.5 | 30.2 | 1.51x | Significant |
| 31 | Red River County | TX | 45.5 | 30.2 | 1.51x | Significant |
| 32 | Runnels County | TX | 45.3 | 30.2 | 1.5x | Significant |
| 33 | Coryell County | TX | 44.8 | 30.2 | 1.48x | Significant |
| 34 | Franklin County | TX | 44.5 | 30.2 | 1.47x | Significant |
| 35 | Freestone County | TX | 44.4 | 30.2 | 1.47x | Significant |
| 36 | Jasper County | TX | 43.7 | 30.2 | 1.45x | Significant |
| 37 | Liberty County | TX | 43.7 | 30.2 | 1.45x | Significant |
| 38 | Wood County | TX | 43.6 | 30.2 | 1.44x | Significant |
| 39 | Wichita County | TX | 43.4 | 30.2 | 1.44x | Significant |
| 40 | Rains County | TX | 43.3 | 30.2 | 1.43x | Significant |
| 41 | Ward County | TX | 43.2 | 30.2 | 1.43x | No |
| 42 | Young County | TX | 43.1 | 30.2 | 1.43x | Significant |
| 43 | Orange County | TX | 42.9 | 30.2 | 1.42x | Significant |
| 44 | Kaufman County | TX | 42.7 | 30.2 | 1.41x | Significant |
| 45 | Rusk County | TX | 42.4 | 30.2 | 1.4x | Significant |
| 46 | Marion County | TX | 42.1 | 30.2 | 1.39x | Significant |
| 47 | Anderson County | TX | 41.9 | 30.2 | 1.39x | Significant |
| 48 | Hamilton County | TX | 41.8 | 30.2 | 1.38x | No |
| 49 | Aransas County | TX | 41.6 | 30.2 | 1.38x | Significant |
| 50 | Hopkins County | TX | 41.5 | 30.2 | 1.37x | Significant |
| 51 | Navarro County | TX | 41.4 | 30.2 | 1.37x | Significant |
| 52 | Hardin County | TX | 41.1 | 30.2 | 1.36x | Significant |
| 53 | Grayson County | TX | 41 | 30.2 | 1.36x | Significant |
| 54 | Howard County | TX | 41 | 30.2 | 1.36x | Significant |
| 55 | Wise County | TX | 41 | 30.2 | 1.36x | Significant |
| 56 | Jack County | TX | 40.6 | 30.2 | 1.34x | No |
| 57 | Stephens County | TX | 40.6 | 30.2 | 1.34x | No |
| 58 | Montague County | TX | 40.3 | 30.2 | 1.33x | Significant |
| 59 | Sabine County | TX | 40.3 | 30.2 | 1.33x | No |
| 60 | Limestone County | TX | 39.9 | 30.2 | 1.32x | Significant |
| 61 | Hill County | TX | 39.5 | 30.2 | 1.31x | Significant |
| 62 | Angelina County | TX | 38.8 | 30.2 | 1.28x | Significant |
| 63 | Cooke County | TX | 38.3 | 30.2 | 1.27x | Significant |
| 64 | Lamb County | TX | 37.7 | 30.2 | 1.25x | No |
| 65 | Jones County | TX | 37.2 | 30.2 | 1.23x | No |
| 66 | Harrison County | TX | 37.1 | 30.2 | 1.23x | Significant |
| 67 | Callahan County | TX | 37 | 30.2 | 1.23x | No |
| 68 | Ector County | TX | 37 | 30.2 | 1.23x | Significant |
| 69 | Live Oak County | TX | 37 | 30.2 | 1.23x | No |
| 70 | Calhoun County | TX | 36.9 | 30.2 | 1.22x | No |
| 71 | Cherokee County | TX | 36.8 | 30.2 | 1.22x | Significant |
| 72 | Clay County | TX | 36.8 | 30.2 | 1.22x | No |
| 73 | Jackson County | TX | 36.8 | 30.2 | 1.22x | No |
| 74 | Van Zandt County | TX | 36.8 | 30.2 | 1.22x | Significant |
| 75 | Potter County | TX | 36.7 | 30.2 | 1.22x | Significant |
| 76 | Johnson County | TX | 36.6 | 30.2 | 1.21x | Significant |
| 77 | Parker County | TX | 36.6 | 30.2 | 1.21x | Significant |
| 78 | Robertson County | TX | 36.4 | 30.2 | 1.21x | No |
| 79 | Leon County | TX | 36 | 30.2 | 1.19x | No |
| 80 | Mitchell County | TX | 35.8 | 30.2 | 1.19x | No |
| 81 | Hockley County | TX | 35.7 | 30.2 | 1.18x | No |
| 82 | Gregg County | TX | 35.5 | 30.2 | 1.18x | Significant |
| 83 | Blanco County | TX | 35.4 | 30.2 | 1.17x | No |
| 84 | Gonzales County | TX | 35 | 30.2 | 1.16x | No |
| 85 | Lavaca County | TX | 35 | 30.2 | 1.16x | No |
| 86 | Bell County | TX | 34.7 | 30.2 | 1.15x | Significant |
| 87 | Chambers County | TX | 34.7 | 30.2 | 1.15x | No |
| 88 | Moore County | TX | 34.7 | 30.2 | 1.15x | No |
| 89 | Swisher County | TX | 34.6 | 30.2 | 1.15x | No |
| 90 | Nacogdoches County | TX | 34.4 | 30.2 | 1.14x | No |
| 91 | Lampasas County | TX | 34 | 30.2 | 1.13x | No |
| 92 | Matagorda County | TX | 34 | 30.2 | 1.13x | No |
| 93 | Brown County | TX | 33.8 | 30.2 | 1.12x | No |
| 94 | Llano County | TX | 33.5 | 30.2 | 1.11x | No |
| 95 | Waller County | TX | 33.5 | 30.2 | 1.11x | No |
| 96 | Caldwell County | TX | 33.4 | 30.2 | 1.11x | No |
| 97 | Archer County | TX | 33.2 | 30.2 | 1.1x | No |
| 98 | Titus County | TX | 33.2 | 30.2 | 1.1x | No |
| 99 | Jefferson County | TX | 33.1 | 30.2 | 1.1x | Significant |
| 100 | Erath County | TX | 33 | 30.2 | 1.09x | No |
| 101 | Galveston County | TX | 32.6 | 30.2 | 1.08x | No |
| 102 | Kerr County | TX | 32.6 | 30.2 | 1.08x | No |
| 103 | Brazoria County | TX | 32.2 | 30.2 | 1.07x | No |
| 104 | Comanche County | TX | 32.2 | 30.2 | 1.07x | No |
| 105 | McLennan County | TX | 32.2 | 30.2 | 1.07x | No |
| 106 | Ellis County | TX | 32.1 | 30.2 | 1.06x | No |
| 107 | Burnet County | TX | 31.5 | 30.2 | 1.04x | No |
| 108 | Austin County | TX | 31.4 | 30.2 | 1.04x | No |
| 109 | Dimmit County | TX | 31.4 | 30.2 | 1.04x | No |
| 110 | Hood County | TX | 31.4 | 30.2 | 1.04x | No |
| 111 | Lee County | TX | 31.3 | 30.2 | 1.04x | No |
| 112 | Fayette County | TX | 31 | 30.2 | 1.03x | No |
| 113 | Andrews County | TX | 30.9 | 30.2 | 1.02x | No |
| 114 | Milam County | TX | 30.8 | 30.2 | 1.02x | No |
| 115 | Smith County | TX | 30.7 | 30.2 | 1.02x | No |
| 116 | Bastrop County | TX | 30.6 | 30.2 | 1.01x | No |
| 117 | Bee County | TX | 30.5 | 30.2 | 1.01x | No |
| 118 | DeWitt County | TX | 30.5 | 30.2 | 1.01x | No |
| 119 | Goliad County | TX | 30.5 | 30.2 | 1.01x | No |
| 120 | Taylor County | TX | 30.5 | 30.2 | 1.01x | No |
| 121 | Wilbarger County | TX | 30.3 | 30.2 | 1x | No |
| 122 | Lubbock County | TX | 30.2 | 30.2 | 1x | No |
| 123 | McCulloch County | TX | 30.2 | 30.2 | 1x | No |
| 124 | Tom Green County | TX | 29.8 | 30.2 | 0.99x | No |
| 125 | Karnes County | TX | 29.5 | 30.2 | 0.98x | No |
| 126 | Montgomery County | TX | 29.5 | 30.2 | 0.98x | No |
| 127 | Bandera County | TX | 29.4 | 30.2 | 0.97x | No |
| 128 | Falls County | TX | 29.4 | 30.2 | 0.97x | No |
| 129 | Grimes County | TX | 29.2 | 30.2 | 0.97x | No |
| 130 | Walker County | TX | 29.2 | 30.2 | 0.97x | No |
| 131 | Gaines County | TX | 29.1 | 30.2 | 0.96x | No |
| 132 | Houston County | TX | 29.1 | 30.2 | 0.96x | No |
| 133 | Randall County | TX | 28.9 | 30.2 | 0.96x | No |
| 134 | Atascosa County | TX | 28.7 | 30.2 | 0.95x | No |
| 135 | Colorado County | TX | 28.7 | 30.2 | 0.95x | No |
| 136 | Victoria County | TX | 28.7 | 30.2 | 0.95x | No |
| 137 | Hutchinson County | TX | 28.6 | 30.2 | 0.95x | No |
| 138 | Refugio County | TX | 28.6 | 30.2 | 0.95x | No |
| 139 | San Patricio County | TX | 28.5 | 30.2 | 0.94x | No |
| 140 | Reeves County | TX | 28.4 | 30.2 | 0.94x | No |
| 141 | Rockwall County | TX | 28.2 | 30.2 | 0.93x | No |
| 142 | Tarrant County | TX | 27.7 | 30.2 | 0.92x | No |
| 143 | Terry County | TX | 27.7 | 30.2 | 0.92x | No |
| 144 | Pecos County | TX | 27.6 | 30.2 | 0.91x | No |
| 145 | Comal County | TX | 27.4 | 30.2 | 0.91x | No |
| 146 | Uvalde County | TX | 27.4 | 30.2 | 0.91x | No |
| 147 | Nolan County | TX | 27.1 | 30.2 | 0.9x | No |
| 148 | Wharton County | TX | 27 | 30.2 | 0.89x | No |
| 149 | Deaf Smith County | TX | 26.7 | 30.2 | 0.88x | No |
| 150 | Midland County | TX | 26.6 | 30.2 | 0.88x | No |
| 151 | Dallas County | TX | 26.5 | 30.2 | 0.88x | No |
| 152 | Guadalupe County | TX | 26.4 | 30.2 | 0.87x | No |
| 153 | Frio County | TX | 26.1 | 30.2 | 0.86x | No |
| 154 | Somervell County | TX | 25.9 | 30.2 | 0.86x | No |
| 155 | Medina County | TX | 25.6 | 30.2 | 0.85x | No |
| 156 | Brazos County | TX | 25.5 | 30.2 | 0.84x | No |
| 157 | Hale County | TX | 25.4 | 30.2 | 0.84x | No |
| 158 | Jim Wells County | TX | 25 | 30.2 | 0.83x | No |
| 159 | Zapata County | TX | 24.7 | 30.2 | 0.82x | No |
| 160 | Washington County | TX | 24.2 | 30.2 | 0.8x | No |
| 161 | Denton County | TX | 23.7 | 30.2 | 0.78x | No |
| 162 | Kendall County | TX | 23.7 | 30.2 | 0.78x | No |
| 163 | Wilson County | TX | 23.7 | 30.2 | 0.78x | No |
| 164 | Harris County | TX | 23.5 | 30.2 | 0.78x | No |
| 165 | Dawson County | TX | 23.4 | 30.2 | 0.77x | No |
| 166 | Scurry County | TX | 23.3 | 30.2 | 0.77x | No |
| 167 | Nueces County | TX | 23 | 30.2 | 0.76x | No |
| 168 | Bexar County | TX | 22.2 | 30.2 | 0.74x | No |
| 169 | Brewster County | TX | 22.2 | 30.2 | 0.74x | No |
| 170 | Val Verde County | TX | 21.7 | 30.2 | 0.72x | No |
| 171 | Hays County | TX | 21.2 | 30.2 | 0.7x | No |
| 172 | Williamson County | TX | 21.1 | 30.2 | 0.7x | No |
| 173 | Kleberg County | TX | 20.6 | 30.2 | 0.68x | No |
| 174 | Maverick County | TX | 20.6 | 30.2 | 0.68x | No |
| 175 | Collin County | TX | 20.4 | 30.2 | 0.68x | No |
| 176 | Starr County | TX | 19.3 | 30.2 | 0.64x | No |
| 177 | Travis County | TX | 18.5 | 30.2 | 0.61x | No |
| 178 | Fort Bend County | TX | 18.1 | 30.2 | 0.6x | No |
| 179 | Gillespie County | TX | 17.5 | 30.2 | 0.58x | No |
| 180 | Cameron County | TX | 17.2 | 30.2 | 0.57x | No |
| 181 | Webb County | TX | 15.8 | 30.2 | 0.52x | No |
| 182 | El Paso County | TX | 15.6 | 30.2 | 0.52x | No |
| 183 | Willacy County | TX | 14.8 | 30.2 | 0.49x | No |
| 184 | Hidalgo County | TX | 14.5 | 30.2 | 0.48x | No |