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Counties with the highest premature death rates in North Carolina

Among 100 North Carolina counties with published values, the counties with the highest premature death rates are Swain County, NC (19,177, 1.95 times the U.S. county median of 9,824.9), Robeson County, NC (18,937.5, 1.93 times the U.S. county median of 9,824.9) and Richmond County, NC (17,666, 1.8 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 North Carolina counties, highest first

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

Counties with the highest premature death rates in North Carolina
RankCountyStateValueU.S. county medianTimes reference
1Swain CountyNC19,1779,824.91.95x
2Robeson CountyNC18,937.59,824.91.93x
3Richmond CountyNC17,6669,824.91.8x
4Scotland CountyNC16,834.69,824.91.71x
5Vance CountyNC16,711.29,824.91.7x
6Bladen CountyNC16,587.99,824.91.69x
7Columbus CountyNC16,521.49,824.91.68x
8Edgecombe CountyNC16,248.19,824.91.65x
9Washington CountyNC16,1009,824.91.64x
10Halifax CountyNC15,814.79,824.91.61x
11Anson CountyNC15,560.39,824.91.58x
12Lenoir CountyNC14,784.99,824.91.5x
13Northampton CountyNC14,714.19,824.91.5x
14Bertie CountyNC14,627.69,824.91.49x
15Martin CountyNC14,542.89,824.91.48x
16Montgomery CountyNC14,448.49,824.91.47x
17Warren CountyNC14,4459,824.91.47x
18Hertford CountyNC13,850.69,824.91.41x
19Pamlico CountyNC13,807.79,824.91.41x
20Rutherford CountyNC13,777.79,824.91.4x
21Rockingham CountyNC13,516.39,824.91.38x
22Perquimans CountyNC13,273.49,824.91.35x
23Cumberland CountyNC12,884.49,824.91.31x
24Caldwell CountyNC12,862.89,824.91.31x
25Jones CountyNC12,786.49,824.91.3x
26Cherokee CountyNC12,641.39,824.91.29x
27Craven CountyNC12,560.19,824.91.28x
28Randolph CountyNC12,4799,824.91.27x
29Cleveland CountyNC12,476.59,824.91.27x
30Wilson CountyNC12,4039,824.91.26x
31Yadkin CountyNC12,329.79,824.91.25x
32Rowan CountyNC12,311.99,824.91.25x
33Sampson CountyNC12,311.79,824.91.25x
34Beaufort CountyNC12,292.89,824.91.25x
35Davidson CountyNC12,216.79,824.91.24x
36Lee CountyNC12,121.79,824.91.23x
37Hoke CountyNC12,0679,824.91.23x
38Stokes CountyNC12,0679,824.91.23x
39Wilkes CountyNC12,046.89,824.91.23x
40Duplin CountyNC11,990.49,824.91.22x
41Nash CountyNC11,9799,824.91.22x
42Graham CountyNC11,940.59,824.91.22x
43Gaston CountyNC11,888.99,824.91.21x
44Wayne CountyNC11,853.69,824.91.21x
45Burke CountyNC11,521.29,824.91.17x
46Madison CountyNC11,508.79,824.91.17x
47Pasquotank CountyNC11,395.29,824.91.16x
48Gates CountyNC11,365.99,824.91.16x
49Catawba CountyNC11,083.79,824.91.13x
50Haywood CountyNC10,919.69,824.91.11x
51Alexander CountyNC10,846.89,824.91.1x
52Pitt CountyNC10,748.39,824.91.09x
53Surry CountyNC10,741.79,824.91.09x
54Jackson CountyNC10,730.59,824.91.09x
55Macon CountyNC10,667.19,824.91.09x
56Polk CountyNC10,656.59,824.91.08x
57Carteret CountyNC10,599.39,824.91.08x
58Chowan CountyNC10,587.99,824.91.08x
59Onslow CountyNC10,504.89,824.91.07x
60Mitchell CountyNC10,459.39,824.91.06x
61Caswell CountyNC10,423.19,824.91.06x
62McDowell CountyNC10,421.99,824.91.06x
63Clay CountyNC10,395.79,824.91.06x
64Stanly CountyNC10,232.89,824.91.04x
65Person CountyNC10,159.49,824.91.03x
66Harnett CountyNC10,063.59,824.91.02x
67Brunswick CountyNC10,047.69,824.91.02x
68Ashe CountyNC9,771.29,824.90.99x
69Granville CountyNC9,719.99,824.90.99x
70Franklin CountyNC9,622.19,824.90.98x
71Greene CountyNC9,5749,824.90.97x
72Forsyth CountyNC9,571.39,824.90.97x
73Alamance CountyNC9,570.69,824.90.97x
74Tyrrell CountyNC9,472.89,824.90.96x
75Davie CountyNC9,312.49,824.90.95x
76Pender CountyNC9,267.59,824.90.94x
77Guilford CountyNC9,266.79,824.90.94x
78Camden CountyNC9,189.49,824.90.94x
79Moore CountyNC9,155.79,824.90.93x
80Avery CountyNC9,110.69,824.90.93x
81Yancey CountyNC8,896.69,824.90.91x
82Henderson CountyNC8,874.69,824.90.9x
83Lincoln CountyNC8,826.39,824.90.9x
84Alleghany CountyNC8,598.19,824.90.88x
85Hyde CountyNC8,577.99,824.90.87x
86Buncombe CountyNC8,5579,824.90.87x
87New Hanover CountyNC8,4549,824.90.86x
88Dare CountyNC8,306.99,824.90.85x
89Johnston CountyNC8,163.29,824.90.83x
90Iredell CountyNC8,077.49,824.90.82x
91Transylvania CountyNC7,664.99,824.90.78x
92Chatham CountyNC7,551.99,824.90.77x
93Cabarrus CountyNC7,537.19,824.90.77x
94Durham CountyNC7,259.39,824.90.74x
95Mecklenburg CountyNC6,928.79,824.90.71x
96Currituck CountyNC6,917.99,824.90.7x
97Union CountyNC6,695.79,824.90.68x
98Watauga CountyNC6,649.39,824.90.68x
99Orange CountyNC5,8029,824.90.59x
100Wake CountyNC5,322.59,824.90.54x

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