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Counties with the highest premature death rates in Missouri

Among 115 Missouri counties with published values, the counties with the highest premature death rates are Pemiscot County, MO (22,326, 2.27 times the U.S. county median of 9,824.9), Ripley County, MO (17,869.5, 1.82 times the U.S. county median of 9,824.9) and Iron County, MO (16,912.6, 1.72 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 Missouri counties, highest first

Premature death, years of life lost before 75 per 100,000.

Counties with the highest premature death rates in Missouri
RankCountyStateValueU.S. county medianTimes reference
1Pemiscot CountyMO22,3269,824.92.27x
2Ripley CountyMO17,869.59,824.91.82x
3Iron CountyMO16,912.69,824.91.72x
4Dunklin CountyMO16,343.19,824.91.66x
5Washington CountyMO15,931.19,824.91.62x
6New Madrid CountyMO15,902.19,824.91.62x
7St. Louis cityMO15,768.49,824.91.6x
8Butler CountyMO15,691.29,824.91.6x
9Crawford CountyMO15,077.29,824.91.53x
10Mississippi CountyMO14,665.29,824.91.49x
11Dent CountyMO14,445.99,824.91.47x
12Wayne CountyMO13,952.99,824.91.42x
13Carter CountyMO13,799.89,824.91.4x
14Shannon CountyMO13,466.29,824.91.37x
15Gasconade CountyMO13,353.29,824.91.36x
16Hickory CountyMO13,208.29,824.91.34x
17Oregon CountyMO13,165.19,824.91.34x
18Texas CountyMO13,0449,824.91.33x
19St. Francois CountyMO12,6679,824.91.29x
20Vernon CountyMO12,579.79,824.91.28x
21McDonald CountyMO12,425.19,824.91.26x
22Douglas CountyMO12,385.39,824.91.26x
23Laclede CountyMO12,371.29,824.91.26x
24Phelps CountyMO12,368.69,824.91.26x
25Scott CountyMO12,349.79,824.91.26x
26Benton CountyMO12,298.39,824.91.25x
27Wright CountyMO12,150.29,824.91.24x
28Dade CountyMO11,985.89,824.91.22x
29Madison CountyMO11,8919,824.91.21x
30Dallas CountyMO11,842.79,824.91.21x
31Buchanan CountyMO11,767.19,824.91.2x
32Bollinger CountyMO11,736.89,824.91.19x
33Howell CountyMO11,728.49,824.91.19x
34Schuyler CountyMO11,698.59,824.91.19x
35Putnam CountyMO11,661.39,824.91.19x
36Stone CountyMO11,533.29,824.91.17x
37Taney CountyMO11,525.19,824.91.17x
38Reynolds CountyMO11,359.59,824.91.16x
39Morgan CountyMO11,279.59,824.91.15x
40Marion CountyMO11,134.69,824.91.13x
41Sullivan CountyMO11,132.59,824.91.13x
42Jackson CountyMO11,090.39,824.91.13x
43Grundy CountyMO11,089.59,824.91.13x
44Cedar CountyMO11,057.99,824.91.13x
45Ray CountyMO11,052.29,824.91.12x
46Atchison CountyMO11,027.59,824.91.12x
47Stoddard CountyMO10,921.59,824.91.11x
48St. Clair CountyMO10,752.99,824.91.09x
49Ozark CountyMO10,704.89,824.91.09x
50Worth CountyMO10,673.39,824.91.09x
51Lawrence CountyMO10,632.49,824.91.08x
52Jasper CountyMO10,590.39,824.91.08x
53Newton CountyMO10,427.69,824.91.06x
54Greene CountyMO10,396.99,824.91.06x
55Polk CountyMO10,394.79,824.91.06x
56Barry CountyMO10,3289,824.91.05x
57Ralls CountyMO10,268.69,824.91.05x
58Audrain CountyMO10,222.69,824.91.04x
59Knox CountyMO10,172.79,824.91.04x
60Franklin CountyMO10,165.19,824.91.03x
61Montgomery CountyMO10,164.79,824.91.03x
62Pulaski CountyMO10,132.89,824.91.03x
63Carroll CountyMO10,115.69,824.91.03x
64Randolph CountyMO10,097.29,824.91.03x
65Pettis CountyMO10,078.59,824.91.03x
66Henry CountyMO9,883.69,824.91.01x
67Warren CountyMO9,824.99,824.91x
68Monroe CountyMO9,786.99,824.91x
69Miller CountyMO9,750.29,824.90.99x
70Caldwell CountyMO9,711.89,824.90.99x
71DeKalb CountyMO9,695.59,824.90.99x
72Lafayette CountyMO9,689.99,824.90.99x
73Jefferson CountyMO9,680.49,824.90.99x
74Maries CountyMO9,587.49,824.90.98x
75Saline CountyMO9,576.19,824.90.97x
76Barton CountyMO9,571.69,824.90.97x
77Howard CountyMO9,546.69,824.90.97x
78Moniteau CountyMO9,507.69,824.90.97x
79Bates CountyMO9,3609,824.90.95x
80St. Louis CountyMO9,306.69,824.90.95x
81Webster CountyMO9,242.69,824.90.94x
82Camden CountyMO9,230.79,824.90.94x
83Daviess CountyMO9,094.79,824.90.93x
84Lewis CountyMO9,060.69,824.90.92x
85Gentry CountyMO9,052.89,824.90.92x
86Lincoln CountyMO9,036.29,824.90.92x
87Chariton CountyMO8,992.49,824.90.92x
88Pike CountyMO8,950.99,824.90.91x
89Linn CountyMO8,940.39,824.90.91x
90Adair CountyMO8,9349,824.90.91x
91Cape Girardeau CountyMO8,898.19,824.90.91x
92Ste. Genevieve CountyMO8,845.29,824.90.9x
93Callaway CountyMO8,701.89,824.90.89x
94Clinton CountyMO8,619.99,824.90.88x
95Perry CountyMO8,591.99,824.90.87x
96Mercer CountyMO8,538.19,824.90.87x
97Shelby CountyMO8,5079,824.90.87x
98Johnson CountyMO8,477.99,824.90.86x
99Cole CountyMO8,215.69,824.90.84x
100Livingston CountyMO8,155.39,824.90.83x
101Macon CountyMO7,967.79,824.90.81x
102Cass CountyMO7,908.49,824.90.8x
103Harrison CountyMO7,830.69,824.90.8x
104Christian CountyMO7,781.19,824.90.79x
105Scotland CountyMO7,754.39,824.90.79x
106Boone CountyMO7,519.39,824.90.77x
107Cooper CountyMO7,518.89,824.90.77x
108Clay CountyMO7,072.89,824.90.72x
109Clark CountyMO6,740.89,824.90.69x
110Andrew CountyMO6,537.79,824.90.67x
111Platte CountyMO6,419.69,824.90.65x
112St. Charles CountyMO6,249.59,824.90.64x
113Osage CountyMO6,221.99,824.90.63x
114Holt CountyMO5,1129,824.90.52x
115Nodaway CountyMO5,075.59,824.90.52x

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