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US Counties With the Lowest Premature Mortality

3,080 US counties ranked by premature mortality, from lowest to highest. First are Pitkin County, CO (140), Teton County, WY (152) and Summit County, CO (156). The middle one of the 3,080 has 480.

What this measures

Deaths before age 75 per 100,000 people. It is adjusted so places with older or younger populations can be compared fairly. 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 lowest counties

RankCountydeaths per 100,000
1Pitkin County, CO140
2Teton County, WY152
3Summit County, CO156
4Eagle County, CO167
5San Juan County, WA168
6Los Alamos County, NM178
7Loudoun County, VA181
8Fairfax County, VA182
9Ouray County, CO182
10San Miguel County, CO188
11Summit County, UT192
12Arlington County, VA195
13Marin County, CA195
14Douglas County, CO197
15Aleutians East Borough, AK198
16San Mateo County, CA202
17Nantucket County, MA203
18Carver County, MN205
19Gunnison County, CO206
20Gallatin County, MT207
21Douglas County, SD208
22Routt County, CO209
23Sioux County, IA210
24Blaine County, ID211
25Mono County, CA211
26Santa Clara County, CA211
27Dukes County, MA212
28Wasatch County, UT213
29Howard County, MD215
30Morgan County, UT216
31Williamson County, TN219
32Cook County, MN220
33Benton County, OR222
34Montgomery County, MD223
35Lyon County, IA224
36Boulder County, CO224
37Manassas Park city, VA225
38Hunterdon County, NJ225
39Lincoln County, SD227
40Winneshiek County, IA228
41Aleutians West Census Area, AK229
42Morris County, NJ230
43Delaware County, OH230
44Bergen County, NJ231
45Somerset County, NJ231
46Ozaukee County, WI233
47Dallas County, IA233
48Collin County, TX233
49Stevens County, MN234
50Broomfield County, CO235
51Forsyth County, GA236
52Hamilton County, IN236
53Hood River County, OR236
54DuPage County, IL236
55Washington County, MN238
56Middlesex County, MA239
57Calumet County, WI239
58Centre County, PA239
59Murray County, MN240
60Scott County, MN242
61Putnam County, NY242
62Clark County, SD243
63Dodge County, MN243
64Alexandria city, VA243
65Bristol County, RI244
66Chester County, PA244
67Teton County, ID245
68Leelanau County, MI245
69Johnson County, KS245
70Colfax County, NE246
71Albemarle County, VA246
72Hanson County, SD247
73Washington County, OR248
74Westchester County, NY248
75Wayne County, NE248
76Newport County, RI248
77Haakon County, SD249
78Norfolk County, MA249
79Nassau County, NY251
80St. Croix County, WI251
81Johnson County, IA252
82Nicollet County, MN253
83Kendall County, IL253
84Orange County, NC254
85Deschutes County, OR254
86Buffalo County, WI254
87Wake County, NC254
88Valley County, ID254
89Placer County, CA255
90Cache County, UT255
91Clear Creek County, CO256
92Dakota County, MN257
93Story County, IA257
94Waukesha County, WI258
95Napa County, CA258
96Skamania County, WA259
97New York County, NY259
98Denton County, TX260
99Cavalier County, ND260
100Santa Cruz County, CA260

Every state, lowest first

Each state’s own published figure, not an average of its counties.

RankStatedeaths per 100,000
1Massachusetts303
2Hawaii310
3Minnesota315
4Utah317
5Connecticut323
6New Hampshire324
7Rhode Island331
8New Jersey334
9California334
10New York336
11Washington337
12Vermont340
13Colorado344
14Idaho348
15Nebraska355
16Wisconsin359
17Oregon363
18Iowa373
19Virginia381
20North Dakota381
21Maryland383
22Illinois390
23Maine392
24Florida398
25South Dakota401
26Pennsylvania403
27Montana403
28Delaware413
29Texas419
30Kansas424
31Wyoming427
32Michigan429
33Nevada436
34Arizona437
35Alaska439
36North Carolina445
37Georgia461
38Ohio471
39Indiana474
40Missouri478
41District of Columbia486
42South Carolina501
43New Mexico531
44Oklahoma551
45Arkansas552
46Tennessee553
47Louisiana563
48Kentucky565
49Alabama569
50West Virginia625
51Mississippi629

More on premature mortality

A ranking describes places, not the people in them, and a high or low place does not by itself say why. All US rankings.