US Counties With the Highest Injury Deaths
2,978 US counties ranked by injury deaths, from highest to lowest. First are Alpine County, CA (312), Yukon-Koyukuk Census Area, AK (280) and Oglala Lakota County, SD (276). The middle one of the 2,978 has 97.
What this measures
Deaths from injury per 100,000 people: overdoses, crashes, falls, suicides and homicides together. Source: County Health Rankings.
For most measures, a national ranking mostly sorts places by income and by how urban they are. Each county’s own page compares it with the 50 counties most like it instead, which is often the fairer view.
The 100 highest counties
Every state, highest first
Each state’s own published figure, not an average of its counties.
| Rank | State | deaths per 100,000 |
|---|---|---|
| 1 | West Virginia | 146 |
| 2 | New Mexico | 129 |
| 3 | Tennessee | 115 |
| 4 | Louisiana | 114 |
| 5 | District of Columbia | 113 |
| 6 | Kentucky | 110 |
| 7 | Maine | 109 |
| 8 | Alaska | 108 |
| 9 | South Carolina | 107 |
| 10 | Mississippi | 106 |
| 11 | Missouri | 104 |
| 12 | Montana | 103 |
| 13 | Oklahoma | 102 |
| 14 | Vermont | 102 |
| 15 | Arizona | 101 |
| 16 | Ohio | 101 |
| 17 | Wyoming | 99.9 |
| 18 | Delaware | 98.6 |
| 19 | Wisconsin | 97.3 |
| 20 | Pennsylvania | 96.7 |
| 21 | Florida | 94.1 |
| 22 | Maryland | 93.4 |
| 23 | Alabama | 93.4 |
| 24 | Indiana | 93.3 |
| 25 | North Carolina | 93.2 |
| 26 | Colorado | 93.1 |
| 27 | Arkansas | 91.4 |
| 28 | New Hampshire | 88.9 |
| 29 | Oregon | 88.3 |
| 30 | South Dakota | 88.2 |
| 31 | Nevada | 87.1 |
| 32 | Rhode Island | 86.9 |
| 33 | Michigan | 86.3 |
| 34 | Kansas | 85.4 |
| 35 | Connecticut | 82.7 |
| 36 | Idaho | 81.9 |
| 37 | Washington | 78.9 |
| 38 | North Dakota | 78.4 |
| 39 | Minnesota | 77.4 |
| 40 | Illinois | 77 |
| 41 | Georgia | 76.8 |
| 42 | Virginia | 75.2 |
| 43 | Massachusetts | 75.1 |
| 44 | Iowa | 73.3 |
| 45 | Utah | 68.9 |
| 46 | Texas | 66.2 |
| 47 | New Jersey | 66.1 |
| 48 | Hawaii | 65.1 |
| 49 | Nebraska | 65 |
| 50 | California | 62.9 |
| 51 | New York | 60 |
More on injury deaths
- US Counties With the Lowest Injury Deaths
- Injury deaths by US county: map by year and what it goes with
A ranking describes places, not the people in them, and a high or low place does not by itself say why. All US rankings.