AL / county disease rankings
Counties with the highest premature death rates in Alabama
Among 67 Alabama counties with published values, the counties with the highest premature death rates are Dallas County, AL (20,426.8, 2.08 times the U.S. county median of 9,824.9), Lowndes County, AL (19,891.3, 2.02 times the U.S. county median of 9,824.9) and Wilcox County, AL (19,438.7, 1.98 times the U.S. county median of 9,824.9). Values are years of life lost before 75 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 Alabama counties, highest first
Premature death, years of life lost before 75 per 100,000.
| Rank | County | State | Value | U.S. county median | Times reference |
|---|---|---|---|---|---|
| 1 | Dallas County | AL | 20,426.8 | 9,824.9 | 2.08x |
| 2 | Lowndes County | AL | 19,891.3 | 9,824.9 | 2.02x |
| 3 | Wilcox County | AL | 19,438.7 | 9,824.9 | 1.98x |
| 4 | Conecuh County | AL | 18,927.7 | 9,824.9 | 1.93x |
| 5 | Walker County | AL | 18,377.1 | 9,824.9 | 1.87x |
| 6 | Perry County | AL | 17,916.6 | 9,824.9 | 1.82x |
| 7 | Clarke County | AL | 16,382 | 9,824.9 | 1.67x |
| 8 | Greene County | AL | 16,286.7 | 9,824.9 | 1.66x |
| 9 | Bullock County | AL | 15,998.1 | 9,824.9 | 1.63x |
| 10 | Hale County | AL | 15,927.5 | 9,824.9 | 1.62x |
| 11 | Monroe County | AL | 15,784.6 | 9,824.9 | 1.61x |
| 12 | Sumter County | AL | 15,670 | 9,824.9 | 1.59x |
| 13 | Macon County | AL | 15,396.8 | 9,824.9 | 1.57x |
| 14 | Talladega County | AL | 15,316.2 | 9,824.9 | 1.56x |
| 15 | Escambia County | AL | 15,044.6 | 9,824.9 | 1.53x |
| 16 | Etowah County | AL | 14,706.3 | 9,824.9 | 1.5x |
| 17 | Marengo County | AL | 14,678.9 | 9,824.9 | 1.49x |
| 18 | Fayette County | AL | 14,667.3 | 9,824.9 | 1.49x |
| 19 | Covington County | AL | 14,664.2 | 9,824.9 | 1.49x |
| 20 | Butler County | AL | 14,616.4 | 9,824.9 | 1.49x |
| 21 | Coosa County | AL | 14,409.6 | 9,824.9 | 1.47x |
| 22 | Geneva County | AL | 14,287.3 | 9,824.9 | 1.45x |
| 23 | Calhoun County | AL | 14,259.6 | 9,824.9 | 1.45x |
| 24 | Russell County | AL | 14,160.4 | 9,824.9 | 1.44x |
| 25 | Crenshaw County | AL | 13,951.8 | 9,824.9 | 1.42x |
| 26 | Jackson County | AL | 13,931.9 | 9,824.9 | 1.42x |
| 27 | Lawrence County | AL | 13,633.2 | 9,824.9 | 1.39x |
| 28 | Pike County | AL | 13,497.4 | 9,824.9 | 1.37x |
| 29 | Clay County | AL | 13,312.8 | 9,824.9 | 1.36x |
| 30 | Montgomery County | AL | 13,219.4 | 9,824.9 | 1.35x |
| 31 | Pickens County | AL | 13,196.6 | 9,824.9 | 1.34x |
| 32 | Jefferson County | AL | 13,163.5 | 9,824.9 | 1.34x |
| 33 | Franklin County | AL | 13,059 | 9,824.9 | 1.33x |
| 34 | Choctaw County | AL | 12,977.2 | 9,824.9 | 1.32x |
| 35 | Washington County | AL | 12,864.1 | 9,824.9 | 1.31x |
| 36 | Marshall County | AL | 12,808.6 | 9,824.9 | 1.3x |
| 37 | Barbour County | AL | 12,738.7 | 9,824.9 | 1.3x |
| 38 | Cherokee County | AL | 12,680.9 | 9,824.9 | 1.29x |
| 39 | Mobile County | AL | 12,655.6 | 9,824.9 | 1.29x |
| 40 | Cleburne County | AL | 12,586 | 9,824.9 | 1.28x |
| 41 | Chambers County | AL | 12,568.9 | 9,824.9 | 1.28x |
| 42 | Marion County | AL | 12,543.5 | 9,824.9 | 1.28x |
| 43 | Morgan County | AL | 12,501.6 | 9,824.9 | 1.27x |
| 44 | Colbert County | AL | 12,369.5 | 9,824.9 | 1.26x |
| 45 | Tallapoosa County | AL | 12,182.6 | 9,824.9 | 1.24x |
| 46 | Lamar County | AL | 12,036.4 | 9,824.9 | 1.23x |
| 47 | Winston County | AL | 12,030.9 | 9,824.9 | 1.22x |
| 48 | DeKalb County | AL | 11,969.4 | 9,824.9 | 1.22x |
| 49 | Dale County | AL | 11,939 | 9,824.9 | 1.22x |
| 50 | Blount County | AL | 11,898.1 | 9,824.9 | 1.21x |
| 51 | St. Clair County | AL | 11,878 | 9,824.9 | 1.21x |
| 52 | Cullman County | AL | 11,852.9 | 9,824.9 | 1.21x |
| 53 | Randolph County | AL | 11,833.8 | 9,824.9 | 1.2x |
| 54 | Chilton County | AL | 11,802.6 | 9,824.9 | 1.2x |
| 55 | Bibb County | AL | 11,708.9 | 9,824.9 | 1.19x |
| 56 | Houston County | AL | 11,251.1 | 9,824.9 | 1.15x |
| 57 | Henry County | AL | 10,894.2 | 9,824.9 | 1.11x |
| 58 | Tuscaloosa County | AL | 10,422.5 | 9,824.9 | 1.06x |
| 59 | Coffee County | AL | 10,338.9 | 9,824.9 | 1.05x |
| 60 | Autauga County | AL | 9,938.3 | 9,824.9 | 1.01x |
| 61 | Lauderdale County | AL | 9,936.9 | 9,824.9 | 1.01x |
| 62 | Elmore County | AL | 9,508.1 | 9,824.9 | 0.97x |
| 63 | Madison County | AL | 9,054.2 | 9,824.9 | 0.92x |
| 64 | Baldwin County | AL | 8,957.1 | 9,824.9 | 0.91x |
| 65 | Limestone County | AL | 8,777.5 | 9,824.9 | 0.89x |
| 66 | Lee County | AL | 7,894.5 | 9,824.9 | 0.8x |
| 67 | Shelby County | AL | 6,795 | 9,824.9 | 0.69x |