TX / county disease rankings
Counties with the highest premature death rates in Texas
Among 244 Texas counties with published values, the counties with the highest premature death rates are Stonewall County, TX (21,829.4, 2.22 times the U.S. county median of 9,824.9), Red River County, TX (19,571, 1.99 times the U.S. county median of 9,824.9) and Crosby County, TX (16,652.6, 1.69 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 Texas 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 | Stonewall County | TX | 21,829.4 | 9,824.9 | 2.22x |
| 2 | Red River County | TX | 19,571 | 9,824.9 | 1.99x |
| 3 | Crosby County | TX | 16,652.6 | 9,824.9 | 1.69x |
| 4 | Sabine County | TX | 16,290.3 | 9,824.9 | 1.66x |
| 5 | Armstrong County | TX | 16,065.2 | 9,824.9 | 1.64x |
| 6 | Duval County | TX | 15,818.1 | 9,824.9 | 1.61x |
| 7 | Zavala County | TX | 15,792.1 | 9,824.9 | 1.61x |
| 8 | Swisher County | TX | 15,481.2 | 9,824.9 | 1.58x |
| 9 | Dallam County | TX | 15,211.9 | 9,824.9 | 1.55x |
| 10 | San Augustine County | TX | 15,176.7 | 9,824.9 | 1.54x |
| 11 | Brooks County | TX | 15,028.8 | 9,824.9 | 1.53x |
| 12 | Baylor County | TX | 15,002.4 | 9,824.9 | 1.53x |
| 13 | Camp County | TX | 14,544.1 | 9,824.9 | 1.48x |
| 14 | Collingsworth County | TX | 14,470.5 | 9,824.9 | 1.47x |
| 15 | Newton County | TX | 14,449.8 | 9,824.9 | 1.47x |
| 16 | Cass County | TX | 14,420.4 | 9,824.9 | 1.47x |
| 17 | Jim Wells County | TX | 14,381.7 | 9,824.9 | 1.46x |
| 18 | Dimmit County | TX | 14,362.3 | 9,824.9 | 1.46x |
| 19 | Jasper County | TX | 14,265 | 9,824.9 | 1.45x |
| 20 | Winkler County | TX | 14,257.8 | 9,824.9 | 1.45x |
| 21 | Marion County | TX | 14,248.6 | 9,824.9 | 1.45x |
| 22 | Tyler County | TX | 14,226.9 | 9,824.9 | 1.45x |
| 23 | Real County | TX | 14,160.3 | 9,824.9 | 1.44x |
| 24 | Culberson County | TX | 14,090.3 | 9,824.9 | 1.43x |
| 25 | Cochran County | TX | 14,047 | 9,824.9 | 1.43x |
| 26 | Shelby County | TX | 13,932.1 | 9,824.9 | 1.42x |
| 27 | Fisher County | TX | 13,849.8 | 9,824.9 | 1.41x |
| 28 | Morris County | TX | 13,732.5 | 9,824.9 | 1.4x |
| 29 | Panola County | TX | 13,705.4 | 9,824.9 | 1.39x |
| 30 | McCulloch County | TX | 13,691.1 | 9,824.9 | 1.39x |
| 31 | Montague County | TX | 13,686.6 | 9,824.9 | 1.39x |
| 32 | Martin County | TX | 13,680.8 | 9,824.9 | 1.39x |
| 33 | Hockley County | TX | 13,651.4 | 9,824.9 | 1.39x |
| 34 | Delta County | TX | 13,604.8 | 9,824.9 | 1.38x |
| 35 | Coleman County | TX | 13,601.7 | 9,824.9 | 1.38x |
| 36 | Young County | TX | 13,482.4 | 9,824.9 | 1.37x |
| 37 | Hutchinson County | TX | 13,452.3 | 9,824.9 | 1.37x |
| 38 | Polk County | TX | 13,398.3 | 9,824.9 | 1.36x |
| 39 | Potter County | TX | 13,393.5 | 9,824.9 | 1.36x |
| 40 | Wilbarger County | TX | 13,359.3 | 9,824.9 | 1.36x |
| 41 | Lynn County | TX | 13,310.9 | 9,824.9 | 1.35x |
| 42 | Terry County | TX | 13,280.4 | 9,824.9 | 1.35x |
| 43 | Knox County | TX | 13,275.9 | 9,824.9 | 1.35x |
| 44 | Wheeler County | TX | 13,275 | 9,824.9 | 1.35x |
| 45 | Henderson County | TX | 13,193.8 | 9,824.9 | 1.34x |
| 46 | Crockett County | TX | 13,151.7 | 9,824.9 | 1.34x |
| 47 | Trinity County | TX | 13,130.8 | 9,824.9 | 1.34x |
| 48 | Uvalde County | TX | 13,124 | 9,824.9 | 1.34x |
| 49 | San Jacinto County | TX | 12,990.7 | 9,824.9 | 1.32x |
| 50 | Carson County | TX | 12,961.8 | 9,824.9 | 1.32x |
| 51 | Motley County | TX | 12,925.9 | 9,824.9 | 1.32x |
| 52 | Houston County | TX | 12,868.2 | 9,824.9 | 1.31x |
| 53 | Aransas County | TX | 12,794.7 | 9,824.9 | 1.3x |
| 54 | Ward County | TX | 12,790.1 | 9,824.9 | 1.3x |
| 55 | Dawson County | TX | 12,750.7 | 9,824.9 | 1.3x |
| 56 | Orange County | TX | 12,675.2 | 9,824.9 | 1.29x |
| 57 | Angelina County | TX | 12,482.6 | 9,824.9 | 1.27x |
| 58 | Ector County | TX | 12,481.4 | 9,824.9 | 1.27x |
| 59 | Yoakum County | TX | 12,473.7 | 9,824.9 | 1.27x |
| 60 | Gregg County | TX | 12,456.2 | 9,824.9 | 1.27x |
| 61 | Leon County | TX | 12,443.6 | 9,824.9 | 1.27x |
| 62 | Bowie County | TX | 12,277.6 | 9,824.9 | 1.25x |
| 63 | Jim Hogg County | TX | 12,253.1 | 9,824.9 | 1.25x |
| 64 | Falls County | TX | 12,249.5 | 9,824.9 | 1.25x |
| 65 | Lamar County | TX | 12,235.5 | 9,824.9 | 1.25x |
| 66 | Hill County | TX | 12,166 | 9,824.9 | 1.24x |
| 67 | Eastland County | TX | 12,164.8 | 9,824.9 | 1.24x |
| 68 | Madison County | TX | 12,164.7 | 9,824.9 | 1.24x |
| 69 | Pecos County | TX | 12,159.3 | 9,824.9 | 1.24x |
| 70 | Frio County | TX | 12,090.7 | 9,824.9 | 1.23x |
| 71 | Lamb County | TX | 12,062.3 | 9,824.9 | 1.23x |
| 72 | Bosque County | TX | 12,030.2 | 9,824.9 | 1.22x |
| 73 | Limestone County | TX | 11,929 | 9,824.9 | 1.21x |
| 74 | Mason County | TX | 11,918.5 | 9,824.9 | 1.21x |
| 75 | Colorado County | TX | 11,858.8 | 9,824.9 | 1.21x |
| 76 | Anderson County | TX | 11,853.7 | 9,824.9 | 1.21x |
| 77 | Foard County | TX | 11,826 | 9,824.9 | 1.2x |
| 78 | Scurry County | TX | 11,824.9 | 9,824.9 | 1.2x |
| 79 | Dickens County | TX | 11,812.9 | 9,824.9 | 1.2x |
| 80 | Brown County | TX | 11,762.1 | 9,824.9 | 1.2x |
| 81 | Jefferson County | TX | 11,735.2 | 9,824.9 | 1.19x |
| 82 | Howard County | TX | 11,671.6 | 9,824.9 | 1.19x |
| 83 | Cherokee County | TX | 11,651.5 | 9,824.9 | 1.19x |
| 84 | San Patricio County | TX | 11,604.9 | 9,824.9 | 1.18x |
| 85 | Wood County | TX | 11,592.1 | 9,824.9 | 1.18x |
| 86 | Stephens County | TX | 11,571.6 | 9,824.9 | 1.18x |
| 87 | Willacy County | TX | 11,566.5 | 9,824.9 | 1.18x |
| 88 | Bailey County | TX | 11,522.8 | 9,824.9 | 1.17x |
| 89 | Menard County | TX | 11,515.7 | 9,824.9 | 1.17x |
| 90 | Bee County | TX | 11,511.5 | 9,824.9 | 1.17x |
| 91 | Hamilton County | TX | 11,511.2 | 9,824.9 | 1.17x |
| 92 | Crane County | TX | 11,492.4 | 9,824.9 | 1.17x |
| 93 | Franklin County | TX | 11,460 | 9,824.9 | 1.17x |
| 94 | Matagorda County | TX | 11,455.9 | 9,824.9 | 1.17x |
| 95 | Callahan County | TX | 11,448.5 | 9,824.9 | 1.17x |
| 96 | Refugio County | TX | 11,423.2 | 9,824.9 | 1.16x |
| 97 | Palo Pinto County | TX | 11,397 | 9,824.9 | 1.16x |
| 98 | Navarro County | TX | 11,374.2 | 9,824.9 | 1.16x |
| 99 | Hale County | TX | 11,327 | 9,824.9 | 1.15x |
| 100 | Mitchell County | TX | 11,322 | 9,824.9 | 1.15x |
| 101 | Gray County | TX | 11,271.9 | 9,824.9 | 1.15x |
| 102 | Wharton County | TX | 11,245 | 9,824.9 | 1.14x |
| 103 | Liberty County | TX | 11,242.4 | 9,824.9 | 1.14x |
| 104 | Hardin County | TX | 11,241.9 | 9,824.9 | 1.14x |
| 105 | Llano County | TX | 11,148.5 | 9,824.9 | 1.13x |
| 106 | Jones County | TX | 11,127.9 | 9,824.9 | 1.13x |
| 107 | Wichita County | TX | 11,092 | 9,824.9 | 1.13x |
| 108 | Nacogdoches County | TX | 11,089.1 | 9,824.9 | 1.13x |
| 109 | Taylor County | TX | 10,984.6 | 9,824.9 | 1.12x |
| 110 | Runnels County | TX | 10,983.6 | 9,824.9 | 1.12x |
| 111 | Upshur County | TX | 10,967.6 | 9,824.9 | 1.12x |
| 112 | Upton County | TX | 10,946.8 | 9,824.9 | 1.11x |
| 113 | Nueces County | TX | 10,926.5 | 9,824.9 | 1.11x |
| 114 | Van Zandt County | TX | 10,899.4 | 9,824.9 | 1.11x |
| 115 | Floyd County | TX | 10,824.3 | 9,824.9 | 1.1x |
| 116 | Lubbock County | TX | 10,785.8 | 9,824.9 | 1.1x |
| 117 | Maverick County | TX | 10,667.3 | 9,824.9 | 1.09x |
| 118 | Robertson County | TX | 10,657.9 | 9,824.9 | 1.08x |
| 119 | Kleberg County | TX | 10,643.5 | 9,824.9 | 1.08x |
| 120 | Sutton County | TX | 10,625.9 | 9,824.9 | 1.08x |
| 121 | Ochiltree County | TX | 10,609.8 | 9,824.9 | 1.08x |
| 122 | Donley County | TX | 10,599.1 | 9,824.9 | 1.08x |
| 123 | Haskell County | TX | 10,595.4 | 9,824.9 | 1.08x |
| 124 | Gaines County | TX | 10,585.2 | 9,824.9 | 1.08x |
| 125 | La Salle County | TX | 10,564.8 | 9,824.9 | 1.08x |
| 126 | Rusk County | TX | 10,561.1 | 9,824.9 | 1.07x |
| 127 | Hardeman County | TX | 10,560.9 | 9,824.9 | 1.07x |
| 128 | Harrison County | TX | 10,533.4 | 9,824.9 | 1.07x |
| 129 | Hunt County | TX | 10,488.8 | 9,824.9 | 1.07x |
| 130 | Freestone County | TX | 10,438 | 9,824.9 | 1.06x |
| 131 | Burleson County | TX | 10,433.7 | 9,824.9 | 1.06x |
| 132 | Gonzales County | TX | 10,411.8 | 9,824.9 | 1.06x |
| 133 | Castro County | TX | 10,360.2 | 9,824.9 | 1.05x |
| 134 | Fannin County | TX | 10,352 | 9,824.9 | 1.05x |
| 135 | Irion County | TX | 10,258.7 | 9,824.9 | 1.04x |
| 136 | Hall County | TX | 10,246.2 | 9,824.9 | 1.04x |
| 137 | Atascosa County | TX | 10,227.9 | 9,824.9 | 1.04x |
| 138 | DeWitt County | TX | 10,220.9 | 9,824.9 | 1.04x |
| 139 | Milam County | TX | 10,213.8 | 9,824.9 | 1.04x |
| 140 | Hopkins County | TX | 10,185.9 | 9,824.9 | 1.04x |
| 141 | Victoria County | TX | 10,170.7 | 9,824.9 | 1.04x |
| 142 | Lampasas County | TX | 10,121.3 | 9,824.9 | 1.03x |
| 143 | Moore County | TX | 10,115.2 | 9,824.9 | 1.03x |
| 144 | Nolan County | TX | 10,042.6 | 9,824.9 | 1.02x |
| 145 | Reeves County | TX | 10,008.2 | 9,824.9 | 1.02x |
| 146 | Grimes County | TX | 9,963.2 | 9,824.9 | 1.01x |
| 147 | San Saba County | TX | 9,943.2 | 9,824.9 | 1.01x |
| 148 | Rains County | TX | 9,816.8 | 9,824.9 | 1x |
| 149 | Coke County | TX | 9,809 | 9,824.9 | 1x |
| 150 | Childress County | TX | 9,805.8 | 9,824.9 | 1x |
| 151 | Grayson County | TX | 9,793.9 | 9,824.9 | 1x |
| 152 | Starr County | TX | 9,793.2 | 9,824.9 | 1x |
| 153 | Titus County | TX | 9,787.9 | 9,824.9 | 1x |
| 154 | Deaf Smith County | TX | 9,743.1 | 9,824.9 | 0.99x |
| 155 | Clay County | TX | 9,702.9 | 9,824.9 | 0.99x |
| 156 | Comanche County | TX | 9,699.6 | 9,824.9 | 0.99x |
| 157 | Oldham County | TX | 9,694.2 | 9,824.9 | 0.99x |
| 158 | Tom Green County | TX | 9,678.8 | 9,824.9 | 0.99x |
| 159 | Hudspeth County | TX | 9,662.6 | 9,824.9 | 0.98x |
| 160 | Zapata County | TX | 9,589.4 | 9,824.9 | 0.98x |
| 161 | Live Oak County | TX | 9,513.9 | 9,824.9 | 0.97x |
| 162 | Garza County | TX | 9,497.9 | 9,824.9 | 0.97x |
| 163 | Hood County | TX | 9,472.1 | 9,824.9 | 0.96x |
| 164 | Calhoun County | TX | 9,451.9 | 9,824.9 | 0.96x |
| 165 | Kinney County | TX | 9,451.4 | 9,824.9 | 0.96x |
| 166 | Bell County | TX | 9,432.8 | 9,824.9 | 0.96x |
| 167 | Smith County | TX | 9,375.1 | 9,824.9 | 0.95x |
| 168 | Jack County | TX | 9,315.9 | 9,824.9 | 0.95x |
| 169 | Karnes County | TX | 9,309.9 | 9,824.9 | 0.95x |
| 170 | Midland County | TX | 9,303.8 | 9,824.9 | 0.95x |
| 171 | McLennan County | TX | 9,298.2 | 9,824.9 | 0.95x |
| 172 | Bandera County | TX | 9,278.2 | 9,824.9 | 0.94x |
| 173 | Fayette County | TX | 9,257.4 | 9,824.9 | 0.94x |
| 174 | Andrews County | TX | 9,227.2 | 9,824.9 | 0.94x |
| 175 | Val Verde County | TX | 9,199.2 | 9,824.9 | 0.94x |
| 176 | Kerr County | TX | 9,189.1 | 9,824.9 | 0.94x |
| 177 | Mills County | TX | 9,187.4 | 9,824.9 | 0.94x |
| 178 | Edwards County | TX | 9,166.3 | 9,824.9 | 0.93x |
| 179 | Caldwell County | TX | 9,138.9 | 9,824.9 | 0.93x |
| 180 | Austin County | TX | 9,126 | 9,824.9 | 0.93x |
| 181 | Jackson County | TX | 9,120 | 9,824.9 | 0.93x |
| 182 | Cameron County | TX | 9,064.8 | 9,824.9 | 0.92x |
| 183 | Goliad County | TX | 9,031.6 | 9,824.9 | 0.92x |
| 184 | Bastrop County | TX | 8,981.4 | 9,824.9 | 0.91x |
| 185 | Galveston County | TX | 8,976 | 9,824.9 | 0.91x |
| 186 | Archer County | TX | 8,957.6 | 9,824.9 | 0.91x |
| 187 | Waller County | TX | 8,935.5 | 9,824.9 | 0.91x |
| 188 | Webb County | TX | 8,920.2 | 9,824.9 | 0.91x |
| 189 | Burnet County | TX | 8,878.6 | 9,824.9 | 0.9x |
| 190 | Kaufman County | TX | 8,808.6 | 9,824.9 | 0.9x |
| 191 | Lipscomb County | TX | 8,790.4 | 9,824.9 | 0.89x |
| 192 | Washington County | TX | 8,785 | 9,824.9 | 0.89x |
| 193 | Medina County | TX | 8,769.9 | 9,824.9 | 0.89x |
| 194 | Lee County | TX | 8,758.6 | 9,824.9 | 0.89x |
| 195 | Bexar County | TX | 8,758 | 9,824.9 | 0.89x |
| 196 | Brewster County | TX | 8,717.9 | 9,824.9 | 0.89x |
| 197 | Shackelford County | TX | 8,672.5 | 9,824.9 | 0.88x |
| 198 | Coryell County | TX | 8,664.7 | 9,824.9 | 0.88x |
| 199 | Kimble County | TX | 8,618.3 | 9,824.9 | 0.88x |
| 200 | Cooke County | TX | 8,596 | 9,824.9 | 0.87x |
| 201 | Wise County | TX | 8,574.1 | 9,824.9 | 0.87x |
| 202 | Blanco County | TX | 8,451.1 | 9,824.9 | 0.86x |
| 203 | Dallas County | TX | 8,431.3 | 9,824.9 | 0.86x |
| 204 | Parmer County | TX | 8,397.2 | 9,824.9 | 0.85x |
| 205 | Johnson County | TX | 8,335.9 | 9,824.9 | 0.85x |
| 206 | Hidalgo County | TX | 8,262.9 | 9,824.9 | 0.84x |
| 207 | Jeff Davis County | TX | 8,207.8 | 9,824.9 | 0.84x |
| 208 | Chambers County | TX | 8,173 | 9,824.9 | 0.83x |
| 209 | El Paso County | TX | 8,159.7 | 9,824.9 | 0.83x |
| 210 | Harris County | TX | 8,156.8 | 9,824.9 | 0.83x |
| 211 | Wilson County | TX | 8,131 | 9,824.9 | 0.83x |
| 212 | Walker County | TX | 8,100.7 | 9,824.9 | 0.82x |
| 213 | Randall County | TX | 8,070.2 | 9,824.9 | 0.82x |
| 214 | Reagan County | TX | 8,046.2 | 9,824.9 | 0.82x |
| 215 | Erath County | TX | 7,986.3 | 9,824.9 | 0.81x |
| 216 | Lavaca County | TX | 7,893.7 | 9,824.9 | 0.8x |
| 217 | Tarrant County | TX | 7,833.5 | 9,824.9 | 0.8x |
| 218 | Cottle County | TX | 7,699.9 | 9,824.9 | 0.78x |
| 219 | Somervell County | TX | 7,658.5 | 9,824.9 | 0.78x |
| 220 | Brazoria County | TX | 7,616.1 | 9,824.9 | 0.78x |
| 221 | Gillespie County | TX | 7,604.4 | 9,824.9 | 0.77x |
| 222 | Hartley County | TX | 7,480.4 | 9,824.9 | 0.76x |
| 223 | Ellis County | TX | 7,453 | 9,824.9 | 0.76x |
| 224 | Parker County | TX | 7,329 | 9,824.9 | 0.75x |
| 225 | Presidio County | TX | 7,192.7 | 9,824.9 | 0.73x |
| 226 | Throckmorton County | TX | 7,153.8 | 9,824.9 | 0.73x |
| 227 | Guadalupe County | TX | 7,110.9 | 9,824.9 | 0.72x |
| 228 | Comal County | TX | 6,848.5 | 9,824.9 | 0.7x |
| 229 | Montgomery County | TX | 6,837.1 | 9,824.9 | 0.7x |
| 230 | Sherman County | TX | 6,588.4 | 9,824.9 | 0.67x |
| 231 | Hansford County | TX | 6,540 | 9,824.9 | 0.67x |
| 232 | Brazos County | TX | 6,298.4 | 9,824.9 | 0.64x |
| 233 | Briscoe County | TX | 5,950 | 9,824.9 | 0.61x |
| 234 | Rockwall County | TX | 5,797.6 | 9,824.9 | 0.59x |
| 235 | Hays County | TX | 5,755.4 | 9,824.9 | 0.59x |
| 236 | Travis County | TX | 5,697.9 | 9,824.9 | 0.58x |
| 237 | Kendall County | TX | 5,626.1 | 9,824.9 | 0.57x |
| 238 | Hemphill County | TX | 5,324.2 | 9,824.9 | 0.54x |
| 239 | Fort Bend County | TX | 5,310.3 | 9,824.9 | 0.54x |
| 240 | Williamson County | TX | 5,174.8 | 9,824.9 | 0.53x |
| 241 | Concho County | TX | 5,163.5 | 9,824.9 | 0.53x |
| 242 | Denton County | TX | 5,061.6 | 9,824.9 | 0.52x |
| 243 | Schleicher County | TX | 4,985.5 | 9,824.9 | 0.51x |
| 244 | Collin County | TX | 4,575.5 | 9,824.9 | 0.47x |