U.S. / county disease rankings
Counties with the highest child mortality rates (U.S.)
Among 2,058 U.S. counties with published values, the counties with the highest child mortality rates are Ziebach County, SD (326.7, 5.46 times the U.S. county median of 59.8), Kusilvak Census Area, AK (274.3, 4.59 times the U.S. county median of 59.8) and Oglala Lakota County, SD (208.1, 3.48 times the U.S. county median of 59.8). Values are deaths under 18 per 100,000.
Source: County Health Rankings, built from CDC National Vital Statistics System death records. These are county-level figures, compared with the U.S. county median. 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.
Top 50 U.S. counties
Child mortality, deaths under 18 per 100,000. Showing 50 of 2,058 counties with published values.
| Rank | County | State | Value | U.S. county median | Times reference |
|---|---|---|---|---|---|
| 1 | Ziebach County | SD | 326.7 | 59.8 | 5.46x |
| 2 | Kusilvak Census Area | AK | 274.3 | 59.8 | 4.59x |
| 3 | Oglala Lakota County | SD | 208.1 | 59.8 | 3.48x |
| 4 | Northwest Arctic Borough | AK | 201.5 | 59.8 | 3.37x |
| 5 | Bethel Census Area | AK | 200.5 | 59.8 | 3.35x |
| 6 | Holmes County | MS | 191.7 | 59.8 | 3.21x |
| 7 | Nome Census Area | AK | 177.5 | 59.8 | 2.97x |
| 8 | Switzerland County | IN | 177.3 | 59.8 | 2.96x |
| 9 | Humphreys County | MS | 174.3 | 59.8 | 2.91x |
| 10 | Kingman County | KS | 173 | 59.8 | 2.89x |
| 11 | Atkinson County | GA | 171.2 | 59.8 | 2.86x |
| 12 | Blaine County | MT | 170.8 | 59.8 | 2.86x |
| 13 | Emporia city | VA | 169.5 | 59.8 | 2.83x |
| 14 | Petersburg city | VA | 168.2 | 59.8 | 2.81x |
| 15 | Clay County | WV | 166.4 | 59.8 | 2.78x |
| 16 | Red River County | TX | 166.4 | 59.8 | 2.78x |
| 17 | Conecuh County | AL | 164.3 | 59.8 | 2.75x |
| 18 | Franklin city | VA | 163.7 | 59.8 | 2.74x |
| 19 | Wolfe County | KY | 163.4 | 59.8 | 2.73x |
| 20 | Trinity County | CA | 159 | 59.8 | 2.66x |
| 21 | Benson County | ND | 156.7 | 59.8 | 2.62x |
| 22 | Big Horn County | MT | 154.3 | 59.8 | 2.58x |
| 23 | Todd County | SD | 153 | 59.8 | 2.56x |
| 24 | Telfair County | GA | 150.6 | 59.8 | 2.52x |
| 25 | Stevens County | KS | 150 | 59.8 | 2.51x |
| 26 | Scott County | AR | 148.2 | 59.8 | 2.48x |
| 27 | Sanders County | MT | 147.7 | 59.8 | 2.47x |
| 28 | Perry County | AL | 146.7 | 59.8 | 2.45x |
| 29 | Dade County | MO | 143.8 | 59.8 | 2.4x |
| 30 | Washington County | MS | 143.3 | 59.8 | 2.4x |
| 31 | Charles Mix County | SD | 140.2 | 59.8 | 2.34x |
| 32 | Uvalde County | TX | 138.5 | 59.8 | 2.32x |
| 33 | Roberts County | SD | 138.3 | 59.8 | 2.31x |
| 34 | Irwin County | GA | 137.5 | 59.8 | 2.3x |
| 35 | West Feliciana Parish | LA | 137.5 | 59.8 | 2.3x |
| 36 | Wilbarger County | TX | 137.2 | 59.8 | 2.29x |
| 37 | Richmond County | NC | 136.6 | 59.8 | 2.28x |
| 38 | Crittenden County | AR | 135.5 | 59.8 | 2.27x |
| 39 | Webster Parish | LA | 134.8 | 59.8 | 2.25x |
| 40 | Sunflower County | MS | 134.7 | 59.8 | 2.25x |
| 41 | Lee County | SC | 133.5 | 59.8 | 2.23x |
| 42 | Hampton County | SC | 133.2 | 59.8 | 2.23x |
| 43 | Mountrail County | ND | 132.1 | 59.8 | 2.21x |
| 44 | Johnson County | GA | 130.5 | 59.8 | 2.18x |
| 45 | Brunswick County | VA | 130.2 | 59.8 | 2.18x |
| 46 | Winn Parish | LA | 130 | 59.8 | 2.17x |
| 47 | Izard County | AR | 128.3 | 59.8 | 2.15x |
| 48 | Tunica County | MS | 128.1 | 59.8 | 2.14x |
| 49 | Hamilton County | TX | 127.6 | 59.8 | 2.13x |
| 50 | Pemiscot County | MO | 127.3 | 59.8 | 2.13x |