| | 1996-98 | Rate/100,000 | |
| Name | Deaths | Population | Crude | Age Adjusted | |
| PITTSYLVANIA (DANVILLE), VA-CASWELL, NC | 26 | 392,010 | 6.6 | 6.0 |
| PITT, NC-BEAUFORT, NC | 34 | 653,899 | 5.2 | 5.4 |
| FLORENCE (FLORENCE), SC-DARLINGTON, SC | 44 | 892,096 | 4.9 | 5.1 |
| COOS, OR-DEL NORTE, CA | 19 | 331,547 | 5.7 | 4.9 | UNSTABLE |
| BUTTE (CHICO), CA-TEHAMA, CA | 44 | 819,720 | 5.4 | 4.5 |
| CRITTENDEN (WEST MEMPHIS), AR-ST. FRANCIS, AR | 14 | 329,823 | 4.2 | 4.5 | UNSTABLE |
| DOUGHERTY (ALBANY), GA-EARLY, GA | 23 | 548,916 | 4.2 | 4.4 |
| DOUGLAS (OMAHA), NE-DODGE, NE | 84 | 2,052,501 | 4.1 | 4.3 |
| FORREST, MS-COVINGTON, MS | 17 | 453,817 | 3.7 | 4.2 | UNSTABLE |
| CLARK (JEFFERSONVILLE), IN-SCOTT, IN | 14 | 348,063 | 4.0 | 4.2 | UNSTABLE |
| DESCHUTES, OR-CROOK, OR | 17 | 432,388 | 3.9 | 4.2 | UNSTABLE |
| LEFLORE, MS-BOLIVAR, MS | 15 | 370,904 | 4.0 | 4.1 | UNSTABLE |
| PENNINGTON (RAPID CITY), SD-MEADE, SD | 16 | 404,100 | 4.0 | 4.1 | UNSTABLE |
| MARQUETTE, MI-DELTA, MI | 17 | 379,993 | 4.5 | 4.1 | UNSTABLE |
| ORLEANS (NEW ORLEANS), LA-JEFFERSON, LA | 128 | 3,370,194 | 3.7 | 4.1 |
| YORK (ROCK HILL), SC-CHESTER, SC | 21 | 552,616 | 3.8 | 4.0 |
| KOOTENAI, ID-BONNER, ID | 20 | 497,854 | 4.0 | 4.0 | UNSTABLE |
| PUEBLO (PUEBLO), CO-COLFAX, NM | 22 | 502,721 | 4.4 | 3.8 |
| NEW YORK, NY-KINGS (NEW YORK), NY | 836 | 22,147,663 | 3.7 | 3.8 |
| HARRISON (MARSHALL), TX-CASS, TX | 13 | 302,196 | 4.3 | 3.8 | UNSTABLE |
| WAYNE, IN-FAYETTE, IN | 14 | 315,546 | 4.4 | 3.8 | UNSTABLE |
| EL PASO (COLORADO SPRINGS), CO-KIT CARSON, CO | 45 | 1,547,031 | 2.9 | 3.7 |
| BENTON (KENNEWICK), WA-FRANKLIN, WA | 16 | 542,468 | 2.9 | 3.6 | UNSTABLE |
| WELD (GREELEY), CO-MORGAN, CO | 18 | 582,767 | 3.1 | 3.6 | UNSTABLE |
| MUSCOGEE (COLUMBUS), GA-RUSSELL, AL | 28 | 889,737 | 3.1 | 3.5 |
| ECTOR (ODESSA), TX-WARD, TX | 15 | 486,290 | 3.1 | 3.5 | UNSTABLE |
| ALLEGANY (CUMBERLAND), MD-GARRETT, MD | 19 | 456,225 | 4.2 | 3.5 | UNSTABLE |
| SANTA CRUZ (SANTA CRUZ), CA | 24 | 717,695 | 3.1 | 3.5 |
| GARFIELD (ENID), OK-KINGFISHER, OK | 13 | 325,519 | 4.0 | 3.4 | UNSTABLE |
| VERMILION, IL-EDGAR, IL | 15 | 393,455 | 3.8 | 3.4 | UNSTABLE |
| MONTGOMERY (CLARKSVILLE), TN-HOUSTON, TN | 13 | 429,561 | 3.0 | 3.4 | UNSTABLE |
| EAU CLAIRE (EAU CLAIRE), WI-CHIPPEWA, WI | 22 | 610,206 | 3.6 | 3.4 |
| JEFFERSON (BEAUMONT), TX-ORANGE, TX | 45 | 1,326,664 | 3.4 | 3.3 |
| BARTHOLOMEW, IN-JACKSON, IN | 16 | 486,695 | 3.3 | 3.3 | UNSTABLE |
| PIMA (TUCSON), AZ-COCHISE, AZ | 100 | 2,903,350 | 3.4 | 3.3 |
| JACKSON (MEDFORD), OR-JOSEPHINE, OR | 35 | 863,833 | 4.1 | 3.3 |
| DURHAM (DURHAM), NC-VANCE, NC | 31 | 1,005,386 | 3.1 | 3.3 |
| SUMTER, SC-CLARENDON, SC | 14 | 487,172 | 2.9 | 3.3 | UNSTABLE |
| EDGECOMBE, NC-HALIFAX, NC | 22 | 668,434 | 3.3 | 3.3 |
| GREGG (LONGVIEW), TX-RUSK, TX | 23 | 648,251 | 3.5 | 3.2 |
| CASCADE (GREAT FALLS), MT-GLACIER, MT | 12 | 351,330 | 3.4 | 3.2 | UNSTABLE |
| HOWARD (KOKOMO), IN-CASS, IN | 13 | 416,865 | 3.1 | 3.2 | UNSTABLE |
| MCKINLEY, NM-APACHE, AZ | 8 | 408,630 | 2.0 | 3.1 | UNSTABLE |
| CHARLESTON (CHARLESTON), SC-COLLETON, SC | 47 | 1,767,397 | 2.7 | 3.1 |
| BLACK HAWK (WATERLOO), IA-FAYETTE, IA | 23 | 647,566 | 3.6 | 3.1 |
| SANTA FE (SANTA FE), NM-RIO ARRIBA, NM | 16 | 610,016 | 2.6 | 3.1 | UNSTABLE |
| HAMBLEN (MORRI), TN-JEFFERSON, TN | 11 | 365,870 | 3.0 | 3.1 | UNSTABLE |
| ST. CROIX, WI-GOODHUE, MN | 13 | 406,039 | 3.2 | 3.1 | UNSTABLE |
| LANE (EUGENE), OR-DOUGLAS, OR | 41 | 1,234,920 | 3.3 | 3.1 |
| SHASTA (REDDING), CA-MODOC, CA | 19 | 556,256 | 3.4 | 3.1 | UNSTABLE |
| LOWNDES, GA-COOK, GA | 11 | 420,444 | 2.6 | 3.0 | UNSTABLE |
| NUECES (CORPUS CHRISTI), TX-SAN PATRICIO, TX | 40 | 1,526,472 | 2.6 | 3.0 |
| NEWPORT NEWS CITY, VA-HAMPTON CITY, VA | 39 | 1,442,579 | 2.7 | 3.0 |
| POTTAWATTAMIE (COUNCIL BLUFFS), IA-SHELBY, IA | 16 | 448,686 | 3.6 | 3.0 | UNSTABLE |
| KANKAKEE (KANKAKEE), IL-IROQUOIS, IL | 12 | 400,288 | 3.0 | 3.0 | UNSTABLE |
| HUMBOLDT, CA | 11 | 367,223 | 3.0 | 3.0 | UNSTABLE |
| SACRAMENTO (SACRAMENTO), CA-PLACER, CA | 135 | 5,041,638 | 2.7 | 3.0 |
| TULARE (VISALIA), CA | 25 | 1,051,326 | 2.4 | 3.0 |
| MACON (DECATUR), IL-SHELBY, IL | 17 | 503,483 | 3.4 | 3.0 | UNSTABLE |
| STANISLAUS (MODESTO), CA-MERCED, CA | 52 | 2,046,668 | 2.5 | 3.0 |
| ROCK (JANESVILLE), WI-GREEN, WI | 18 | 599,007 | 3.0 | 3.0 | UNSTABLE |
| MADISON (JACKSON), TN-GIBSON, TN | 24 | 718,938 | 3.3 | 2.9 |
| WASHOE (RENO), NV-ORMSBY, NV | 41 | 1,420,878 | 2.9 | 2.9 |
| ALAMANCE (BURLINGTON), NC | 14 | 354,101 | 3.8 | 2.9 | UNSTABLE |
| ROCK ISLAND (MOLINE), IL-HENRY, IL | 22 | 670,642 | 3.3 | 2.9 |
| ROBESON, NC-COLUMBUS, NC | 20 | 698,441 | 2.9 | 2.9 | UNSTABLE |
| SAN JOAQUIN (STOCKTON), CA-AMADOR, CA | 49 | 1,838,555 | 2.7 | 2.9 |
| CRAVEN, NC-CARTERET, NC | 25 | 933,640 | 2.7 | 2.9 |
| CABARRUS (CONCORD), NC-ROWAN, NC | 28 | 886,080 | 3.1 | 2.9 |
| WASHINGTON, D.C.-MONTGOMERY, MD | 191 | 6,988,253 | 2.7 | 2.9 |
| BAY (PANAMA CITY), FL-JACKSON, FL | 23 | 763,956 | 2.9 | 2.9 |
| MOORE, NC-RICHMOND, NC | 16 | 507,798 | 3.2 | 2.9 | UNSTABLE |
| LEON (TALLAHASSEE), FL-MADISON, FL | 24 | 1,027,533 | 2.3 | 2.9 |
| JEFFERSON (PINE BLUFF), AR-BRADLEY, AR | 13 | 447,196 | 2.9 | 2.8 | UNSTABLE |
| CUMBERLAND (FAYETTEVILLE), NC-SAMPSON, NC | 20 | 1,008,291 | 2.0 | 2.8 | UNSTABLE |
| TOM GREEN (SAN ANGELO), TX-MC CULLOCH, TX | 14 | 451,237 | 3.1 | 2.8 | UNSTABLE |
| WICHITA (WICHITA FALLS), TX-YOUNG, TX | 18 | 580,502 | 3.1 | 2.8 | UNSTABLE |
| CHEROKEE, TX-ANDERSON, TX | 10 | 350,204 | 2.9 | 2.8 | UNSTABLE |
| HAMPDEN (SPRINGFIELD), MA-HAMPSHIRE, MA | 51 | 1,771,883 | 2.9 | 2.8 |
| JEFFERSON (MADISON), IN-DEARBORN, IN | 11 | 407,117 | 2.7 | 2.8 | UNSTABLE |
| DENTON (DENTON), TX-COOKE, TX | 24 | 1,320,083 | 1.8 | 2.8 |
| SEBASTIAN (FORT SMITH), AR-CRAWFORD, AR | 26 | 895,117 | 2.9 | 2.8 |
| CASS (FARGO), ND-WILKIN, MN | 24 | 810,899 | 3.0 | 2.7 |
| SALT LAKE (SALT LAKE CITY), UT-UINTAH, UT | 53 | 2,844,591 | 1.9 | 2.7 |
| TARRANT (FORT WORTH), TX-JOHNSON, TX | 100 | 4,683,825 | 2.1 | 2.7 |
| GENESEE (FLINT), MI-LAPEER, MI | 40 | 1,566,939 | 2.6 | 2.7 |
| NORFOLK/PORTSMOUTH CITY, VA-VIRGINIA BEACH CITY, VA | 73 | 3,277,253 | 2.2 | 2.7 |
| CHATHAM (SAVANNAH), GA-BEAUFORT, SC | 37 | 1,511,920 | 2.4 | 2.7 |
| ORANGEBURG, SC-BAMBERG, SC | 10 | 388,390 | 2.6 | 2.7 | UNSTABLE |
| ALBEMARLE (CHARLOTTESVILLE), VA-CULPEPER, VA | 22 | 828,550 | 2.7 | 2.7 |
| GREENWOOD, SC-LAURENS, SC | 15 | 529,685 | 2.8 | 2.7 | UNSTABLE |
| YELLOWSTONE (BILLINGS), MT-CARBON, MT | 14 | 517,118 | 2.7 | 2.7 | UNSTABLE |
| BALTIMORE (BALTIMORE), MD-ANNE ARUNDEL, MD | 179 | 6,879,136 | 2.6 | 2.7 |
| ST. LANDRY, LA-EVANGELINE, LA | 10 | 352,255 | 2.8 | 2.7 | UNSTABLE |
| VIGO (TERRE HAUTE), IN-SULLIVAN, IN | 18 | 610,424 | 2.9 | 2.7 | UNSTABLE |
| HENRICO (RICHMOND), VA-PRINCE EDWARD, VA | 76 | 2,942,689 | 2.6 | 2.7 |
| SAN JUAN, NM-LA PLATA, CO | 17 | 855,193 | 2.0 | 2.7 | UNSTABLE |
| COOK (CHICAGO), IL-DU PAGE, IL | 568 | 20,683,957 | 2.5 | 2.7 |
| WILLIAMS, OH-DEFIANCE, OH | 10 | 383,869 | 2.6 | 2.7 | UNSTABLE |
| SHELBY (MEMPHIS), TN-PANOLA, MS | 90 | 3,414,127 | 2.6 | 2.7 |
