NC / county disease rankings
Counties with the highest child mortality rates in North Carolina
Among 84 North Carolina counties with published values, the counties with the highest child mortality rates are Richmond County, NC (136.6, 2.28 times the U.S. county median of 59.8), Anson County, NC (123.1, 2.06 times the U.S. county median of 59.8) and Edgecombe County, NC (114, 1.91 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.
All North Carolina counties, highest first
Child mortality, deaths under 18 per 100,000.
| Rank | County | State | Value | U.S. county median | Times reference |
|---|---|---|---|---|---|
| 1 | Richmond County | NC | 136.6 | 59.8 | 2.28x |
| 2 | Anson County | NC | 123.1 | 59.8 | 2.06x |
| 3 | Edgecombe County | NC | 114 | 59.8 | 1.91x |
| 4 | Martin County | NC | 113.2 | 59.8 | 1.89x |
| 5 | Washington County | NC | 111.9 | 59.8 | 1.87x |
| 6 | Pasquotank County | NC | 110.9 | 59.8 | 1.85x |
| 7 | Swain County | NC | 108.9 | 59.8 | 1.82x |
| 8 | Vance County | NC | 108.5 | 59.8 | 1.81x |
| 9 | Warren County | NC | 107.2 | 59.8 | 1.79x |
| 10 | Halifax County | NC | 104.7 | 59.8 | 1.75x |
| 11 | Hertford County | NC | 104.4 | 59.8 | 1.75x |
| 12 | Robeson County | NC | 103.5 | 59.8 | 1.73x |
| 13 | Hoke County | NC | 101.1 | 59.8 | 1.69x |
| 14 | Cherokee County | NC | 97.5 | 59.8 | 1.63x |
| 15 | Bertie County | NC | 94.7 | 59.8 | 1.58x |
| 16 | Bladen County | NC | 93.8 | 59.8 | 1.57x |
| 17 | Beaufort County | NC | 93.7 | 59.8 | 1.57x |
| 18 | Lenoir County | NC | 93.7 | 59.8 | 1.57x |
| 19 | Scotland County | NC | 93.2 | 59.8 | 1.56x |
| 20 | Perquimans County | NC | 92.2 | 59.8 | 1.54x |
| 21 | Yadkin County | NC | 91.7 | 59.8 | 1.53x |
| 22 | Columbus County | NC | 91.6 | 59.8 | 1.53x |
| 23 | Pitt County | NC | 90.6 | 59.8 | 1.52x |
| 24 | Northampton County | NC | 86.6 | 59.8 | 1.45x |
| 25 | Cumberland County | NC | 86.2 | 59.8 | 1.44x |
| 26 | Wayne County | NC | 84.1 | 59.8 | 1.41x |
| 27 | Duplin County | NC | 77.8 | 59.8 | 1.3x |
| 28 | Randolph County | NC | 73.7 | 59.8 | 1.23x |
| 29 | Greene County | NC | 72.4 | 59.8 | 1.21x |
| 30 | Haywood County | NC | 71.6 | 59.8 | 1.2x |
| 31 | Davie County | NC | 70.6 | 59.8 | 1.18x |
| 32 | Wilson County | NC | 70.4 | 59.8 | 1.18x |
| 33 | Gaston County | NC | 70.3 | 59.8 | 1.18x |
| 34 | Lee County | NC | 69.9 | 59.8 | 1.17x |
| 35 | Sampson County | NC | 68.7 | 59.8 | 1.15x |
| 36 | Nash County | NC | 68.3 | 59.8 | 1.14x |
| 37 | Forsyth County | NC | 67.9 | 59.8 | 1.14x |
| 38 | Caldwell County | NC | 67.8 | 59.8 | 1.13x |
| 39 | Wilkes County | NC | 67.8 | 59.8 | 1.13x |
| 40 | Transylvania County | NC | 67.2 | 59.8 | 1.12x |
| 41 | Onslow County | NC | 64.7 | 59.8 | 1.08x |
| 42 | Durham County | NC | 64.6 | 59.8 | 1.08x |
| 43 | Craven County | NC | 64.5 | 59.8 | 1.08x |
| 44 | Guilford County | NC | 64.4 | 59.8 | 1.08x |
| 45 | Cleveland County | NC | 63 | 59.8 | 1.05x |
| 46 | Brunswick County | NC | 62.9 | 59.8 | 1.05x |
| 47 | Alexander County | NC | 62.5 | 59.8 | 1.05x |
| 48 | Madison County | NC | 62.3 | 59.8 | 1.04x |
| 49 | Pender County | NC | 61.4 | 59.8 | 1.03x |
| 50 | Franklin County | NC | 60.8 | 59.8 | 1.02x |
| 51 | Rowan County | NC | 60.5 | 59.8 | 1.01x |
| 52 | Montgomery County | NC | 59.9 | 59.8 | 1x |
| 53 | Rutherford County | NC | 59.9 | 59.8 | 1x |
| 54 | Granville County | NC | 59.4 | 59.8 | 0.99x |
| 55 | Surry County | NC | 59.2 | 59.8 | 0.99x |
| 56 | Burke County | NC | 57.3 | 59.8 | 0.96x |
| 57 | Davidson County | NC | 57.2 | 59.8 | 0.96x |
| 58 | Alamance County | NC | 56.8 | 59.8 | 0.95x |
| 59 | Mecklenburg County | NC | 56.6 | 59.8 | 0.95x |
| 60 | Chatham County | NC | 56.5 | 59.8 | 0.94x |
| 61 | Carteret County | NC | 56.1 | 59.8 | 0.94x |
| 62 | Moore County | NC | 56.1 | 59.8 | 0.94x |
| 63 | Henderson County | NC | 55.6 | 59.8 | 0.93x |
| 64 | Catawba County | NC | 55.3 | 59.8 | 0.92x |
| 65 | Caswell County | NC | 54.7 | 59.8 | 0.91x |
| 66 | Stokes County | NC | 54.5 | 59.8 | 0.91x |
| 67 | Macon County | NC | 54.2 | 59.8 | 0.91x |
| 68 | Rockingham County | NC | 53.3 | 59.8 | 0.89x |
| 69 | Stanly County | NC | 52.9 | 59.8 | 0.88x |
| 70 | Buncombe County | NC | 52.7 | 59.8 | 0.88x |
| 71 | Harnett County | NC | 52.6 | 59.8 | 0.88x |
| 72 | Iredell County | NC | 49.9 | 59.8 | 0.83x |
| 73 | Orange County | NC | 49.6 | 59.8 | 0.83x |
| 74 | Johnston County | NC | 49.4 | 59.8 | 0.83x |
| 75 | Cabarrus County | NC | 46.9 | 59.8 | 0.78x |
| 76 | Lincoln County | NC | 46.8 | 59.8 | 0.78x |
| 77 | New Hanover County | NC | 45.5 | 59.8 | 0.76x |
| 78 | Person County | NC | 45.2 | 59.8 | 0.76x |
| 79 | Wake County | NC | 45.2 | 59.8 | 0.76x |
| 80 | Union County | NC | 37.7 | 59.8 | 0.63x |
| 81 | Dare County | NC | 36.2 | 59.8 | 0.61x |
| 82 | McDowell County | NC | 33.4 | 59.8 | 0.56x |
| 83 | Jackson County | NC | 27.6 | 59.8 | 0.46x |
| 84 | Watauga County | NC | 27.5 | 59.8 | 0.46x |