TX / county disease rankings
Counties with the highest child mortality rates in Texas
Among 148 Texas counties with published values, the counties with the highest child mortality rates are Red River County, TX (166.4, 2.78 times the U.S. county median of 59.8), Uvalde County, TX (138.5, 2.32 times the U.S. county median of 59.8) and Wilbarger County, TX (137.2, 2.29 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 Texas counties, highest first
Child mortality, deaths under 18 per 100,000.
| Rank | County | State | Value | U.S. county median | Times reference |
|---|---|---|---|---|---|
| 1 | Red River County | TX | 166.4 | 59.8 | 2.78x |
| 2 | Uvalde County | TX | 138.5 | 59.8 | 2.32x |
| 3 | Wilbarger County | TX | 137.2 | 59.8 | 2.29x |
| 4 | Hamilton County | TX | 127.6 | 59.8 | 2.13x |
| 5 | Shelby County | TX | 126 | 59.8 | 2.11x |
| 6 | Falls County | TX | 125.5 | 59.8 | 2.1x |
| 7 | Dallam County | TX | 116.7 | 59.8 | 1.95x |
| 8 | Houston County | TX | 113.6 | 59.8 | 1.9x |
| 9 | Tyler County | TX | 107.2 | 59.8 | 1.79x |
| 10 | Callahan County | TX | 97.8 | 59.8 | 1.64x |
| 11 | Colorado County | TX | 96.8 | 59.8 | 1.62x |
| 12 | Jackson County | TX | 90.2 | 59.8 | 1.51x |
| 13 | Pecos County | TX | 90.1 | 59.8 | 1.51x |
| 14 | Terry County | TX | 90.1 | 59.8 | 1.51x |
| 15 | Madison County | TX | 88.7 | 59.8 | 1.48x |
| 16 | Jasper County | TX | 86.2 | 59.8 | 1.44x |
| 17 | Limestone County | TX | 85.7 | 59.8 | 1.43x |
| 18 | Willacy County | TX | 85 | 59.8 | 1.42x |
| 19 | Panola County | TX | 84.8 | 59.8 | 1.42x |
| 20 | Parmer County | TX | 84.6 | 59.8 | 1.41x |
| 21 | Hutchinson County | TX | 83.7 | 59.8 | 1.4x |
| 22 | Navarro County | TX | 83.1 | 59.8 | 1.39x |
| 23 | Eastland County | TX | 82.5 | 59.8 | 1.38x |
| 24 | Karnes County | TX | 82.3 | 59.8 | 1.38x |
| 25 | Wood County | TX | 82.2 | 59.8 | 1.37x |
| 26 | Comanche County | TX | 81.6 | 59.8 | 1.36x |
| 27 | Cass County | TX | 80.3 | 59.8 | 1.34x |
| 28 | Reeves County | TX | 79.1 | 59.8 | 1.32x |
| 29 | Gaines County | TX | 78.5 | 59.8 | 1.31x |
| 30 | Henderson County | TX | 78.5 | 59.8 | 1.31x |
| 31 | Leon County | TX | 78.5 | 59.8 | 1.31x |
| 32 | Lamb County | TX | 77.8 | 59.8 | 1.3x |
| 33 | Freestone County | TX | 76.4 | 59.8 | 1.28x |
| 34 | Ochiltree County | TX | 76.3 | 59.8 | 1.28x |
| 35 | Bowie County | TX | 76.1 | 59.8 | 1.27x |
| 36 | Polk County | TX | 76.1 | 59.8 | 1.27x |
| 37 | Howard County | TX | 75.9 | 59.8 | 1.27x |
| 38 | Llano County | TX | 75.5 | 59.8 | 1.26x |
| 39 | Grimes County | TX | 75.4 | 59.8 | 1.26x |
| 40 | Matagorda County | TX | 75.1 | 59.8 | 1.26x |
| 41 | Ward County | TX | 74.9 | 59.8 | 1.25x |
| 42 | Lamar County | TX | 74.5 | 59.8 | 1.25x |
| 43 | Potter County | TX | 73.9 | 59.8 | 1.24x |
| 44 | Lee County | TX | 72 | 59.8 | 1.2x |
| 45 | Walker County | TX | 71.9 | 59.8 | 1.2x |
| 46 | Ector County | TX | 71.7 | 59.8 | 1.2x |
| 47 | Jefferson County | TX | 71.6 | 59.8 | 1.2x |
| 48 | Hunt County | TX | 70.6 | 59.8 | 1.18x |
| 49 | Calhoun County | TX | 70.1 | 59.8 | 1.17x |
| 50 | Montague County | TX | 69.9 | 59.8 | 1.17x |
| 51 | Hill County | TX | 69.1 | 59.8 | 1.16x |
| 52 | Washington County | TX | 69.1 | 59.8 | 1.16x |
| 53 | Gray County | TX | 68.6 | 59.8 | 1.15x |
| 54 | Kerr County | TX | 68.4 | 59.8 | 1.14x |
| 55 | Hardin County | TX | 68.3 | 59.8 | 1.14x |
| 56 | Bell County | TX | 68.2 | 59.8 | 1.14x |
| 57 | Fayette County | TX | 67.8 | 59.8 | 1.13x |
| 58 | Wharton County | TX | 67.5 | 59.8 | 1.13x |
| 59 | Kaufman County | TX | 67.2 | 59.8 | 1.12x |
| 60 | Brown County | TX | 66.8 | 59.8 | 1.12x |
| 61 | Orange County | TX | 66.8 | 59.8 | 1.12x |
| 62 | Rusk County | TX | 66.7 | 59.8 | 1.12x |
| 63 | Hood County | TX | 66.1 | 59.8 | 1.11x |
| 64 | Fannin County | TX | 64.8 | 59.8 | 1.08x |
| 65 | Young County | TX | 64.8 | 59.8 | 1.08x |
| 66 | Hale County | TX | 64.4 | 59.8 | 1.08x |
| 67 | Frio County | TX | 64.2 | 59.8 | 1.07x |
| 68 | Smith County | TX | 64.1 | 59.8 | 1.07x |
| 69 | Gillespie County | TX | 63.8 | 59.8 | 1.07x |
| 70 | Harrison County | TX | 63.6 | 59.8 | 1.06x |
| 71 | Liberty County | TX | 63.2 | 59.8 | 1.06x |
| 72 | Hopkins County | TX | 63.1 | 59.8 | 1.06x |
| 73 | Gregg County | TX | 62.9 | 59.8 | 1.05x |
| 74 | Aransas County | TX | 62.2 | 59.8 | 1.04x |
| 75 | Angelina County | TX | 62 | 59.8 | 1.04x |
| 76 | Kleberg County | TX | 62 | 59.8 | 1.04x |
| 77 | Upshur County | TX | 61.8 | 59.8 | 1.03x |
| 78 | Dallas County | TX | 60.5 | 59.8 | 1.01x |
| 79 | Wichita County | TX | 60.2 | 59.8 | 1.01x |
| 80 | Bandera County | TX | 60 | 59.8 | 1x |
| 81 | Deaf Smith County | TX | 59.8 | 59.8 | 1x |
| 82 | Moore County | TX | 59.6 | 59.8 | 1x |
| 83 | McLennan County | TX | 59.3 | 59.8 | 0.99x |
| 84 | Scurry County | TX | 59.2 | 59.8 | 0.99x |
| 85 | Coryell County | TX | 58.9 | 59.8 | 0.98x |
| 86 | Bastrop County | TX | 58.8 | 59.8 | 0.98x |
| 87 | Nacogdoches County | TX | 58.6 | 59.8 | 0.98x |
| 88 | Van Zandt County | TX | 58.5 | 59.8 | 0.98x |
| 89 | Cherokee County | TX | 58.1 | 59.8 | 0.97x |
| 90 | Lubbock County | TX | 57.7 | 59.8 | 0.96x |
| 91 | Bee County | TX | 57.1 | 59.8 | 0.95x |
| 92 | Midland County | TX | 56.9 | 59.8 | 0.95x |
| 93 | Medina County | TX | 55.8 | 59.8 | 0.93x |
| 94 | DeWitt County | TX | 55.7 | 59.8 | 0.93x |
| 95 | Andrews County | TX | 55.4 | 59.8 | 0.93x |
| 96 | Maverick County | TX | 55.3 | 59.8 | 0.92x |
| 97 | Harris County | TX | 54.5 | 59.8 | 0.91x |
| 98 | Milam County | TX | 54.5 | 59.8 | 0.91x |
| 99 | Tarrant County | TX | 54.5 | 59.8 | 0.91x |
| 100 | Randall County | TX | 54.4 | 59.8 | 0.91x |
| 101 | Austin County | TX | 54.2 | 59.8 | 0.91x |
| 102 | Grayson County | TX | 54.1 | 59.8 | 0.9x |
| 103 | Bexar County | TX | 54 | 59.8 | 0.9x |
| 104 | Wilson County | TX | 53.8 | 59.8 | 0.9x |
| 105 | Nueces County | TX | 53 | 59.8 | 0.89x |
| 106 | San Jacinto County | TX | 52.9 | 59.8 | 0.88x |
| 107 | Jim Wells County | TX | 52.7 | 59.8 | 0.88x |
| 108 | Lavaca County | TX | 52.7 | 59.8 | 0.88x |
| 109 | Lampasas County | TX | 52.6 | 59.8 | 0.88x |
| 110 | Galveston County | TX | 52.1 | 59.8 | 0.87x |
| 111 | Titus County | TX | 52 | 59.8 | 0.87x |
| 112 | Anderson County | TX | 51.6 | 59.8 | 0.86x |
| 113 | Cooke County | TX | 51.1 | 59.8 | 0.85x |
| 114 | San Patricio County | TX | 50.8 | 59.8 | 0.85x |
| 115 | Tom Green County | TX | 50.5 | 59.8 | 0.84x |
| 116 | Brazos County | TX | 50.2 | 59.8 | 0.84x |
| 117 | Ellis County | TX | 50.2 | 59.8 | 0.84x |
| 118 | Johnson County | TX | 49.9 | 59.8 | 0.83x |
| 119 | Taylor County | TX | 49.6 | 59.8 | 0.83x |
| 120 | Hockley County | TX | 49 | 59.8 | 0.82x |
| 121 | Comal County | TX | 48.8 | 59.8 | 0.82x |
| 122 | Webb County | TX | 47.8 | 59.8 | 0.8x |
| 123 | Palo Pinto County | TX | 47.6 | 59.8 | 0.8x |
| 124 | Waller County | TX | 46.8 | 59.8 | 0.78x |
| 125 | Chambers County | TX | 46.7 | 59.8 | 0.78x |
| 126 | Wise County | TX | 46.7 | 59.8 | 0.78x |
| 127 | Montgomery County | TX | 46.6 | 59.8 | 0.78x |
| 128 | Caldwell County | TX | 46.3 | 59.8 | 0.77x |
| 129 | Guadalupe County | TX | 46.2 | 59.8 | 0.77x |
| 130 | Starr County | TX | 46.2 | 59.8 | 0.77x |
| 131 | Cameron County | TX | 45.4 | 59.8 | 0.76x |
| 132 | Victoria County | TX | 45.1 | 59.8 | 0.75x |
| 133 | El Paso County | TX | 44.4 | 59.8 | 0.74x |
| 134 | Brazoria County | TX | 44.1 | 59.8 | 0.74x |
| 135 | Travis County | TX | 43.7 | 59.8 | 0.73x |
| 136 | Hays County | TX | 42.6 | 59.8 | 0.71x |
| 137 | Burnet County | TX | 41.6 | 59.8 | 0.7x |
| 138 | Kendall County | TX | 41.5 | 59.8 | 0.69x |
| 139 | Hidalgo County | TX | 41.3 | 59.8 | 0.69x |
| 140 | Parker County | TX | 39.9 | 59.8 | 0.67x |
| 141 | Rockwall County | TX | 39.3 | 59.8 | 0.66x |
| 142 | Fort Bend County | TX | 38.8 | 59.8 | 0.65x |
| 143 | Atascosa County | TX | 38 | 59.8 | 0.64x |
| 144 | Denton County | TX | 37.6 | 59.8 | 0.63x |
| 145 | Erath County | TX | 37.2 | 59.8 | 0.62x |
| 146 | Williamson County | TX | 36.4 | 59.8 | 0.61x |
| 147 | Collin County | TX | 35.8 | 59.8 | 0.6x |
| 148 | Val Verde County | TX | 28.2 | 59.8 | 0.47x |