| | 1996-98 | Rate/100,000 | |
| Name | Deaths | Population | Crude | Age Adjusted | |
| MARQUETTE, MI-DELTA, MI -HSA# 293 | 17 | 379,993 | 4.5 | 4.1 | UNSTABLE |
| GENESEE (FLINT), MI-LAPEER, MI -HSA# 328 | 40 | 1,566,939 | 2.6 | 2.7 |
| CRAWFORD, MI-OTSEGO, MI -HSA# 392 | 5 | 176,315 | 2.8 | 2.6 | UNSTABLE |
| WEXFORD, MI-OSCEOLA, MI -HSA# 317 | 6 | 224,663 | 2.7 | 2.5 | UNSTABLE |
| WAYNE (DETROIT), MI-OAKLAND, MI -HSA# 274 | 314 | 13,560,555 | 2.3 | 2.4 |
| HOUGHTON, MI-BARAGA, MI -HSA# 359 | 4 | 139,002 | 2.9 | 2.4 | UNSTABLE |
| ST. CLAIR (PORT HURON), MI-SANILAC, MI -HSA# 297 | 14 | 600,730 | 2.3 | 2.4 | UNSTABLE |
| SAGINAW (SAGINAW), MI-HURON, MI -HSA# 322 | 20 | 911,585 | 2.2 | 2.2 | UNSTABLE |
| INGHAM (LANSING), MI-SHIAWASSEE, MI -HSA# 285 | 30 | 1,566,812 | 1.9 | 2.2 |
| MUSKEGON (MUSKEGON), MI-MASON, MI -HSA# 296 | 17 | 789,604 | 2.2 | 2.1 | UNSTABLE |
| LUCAS (TOLEDO), OH-MONROE, MI -HSA# 276 | 49 | 2,378,683 | 2.1 | 2.1 |
| BAY (BAY CITY), MI-OGEMAW, MI -HSA# 342 | 12 | 546,082 | 2.2 | 2.0 | UNSTABLE |
| CALHOUN (BATTLE CREEK), MI-BARRY, MI -HSA# 381 | 11 | 581,719 | 1.9 | 1.8 | UNSTABLE |
| DICKINSON, MI-MARINETTE, WI -HSA# 315 | 8 | 337,961 | 2.4 | 1.8 | UNSTABLE |
| OTTAWA (HOLLAND), MI-ALLEGAN, MI -HSA# 320 | 15 | 962,367 | 1.6 | 1.8 | UNSTABLE |
| EMMET, MI-CHEBOYGAN, MI -HSA# 294 | 7 | 373,657 | 1.9 | 1.7 | UNSTABLE |
| ALPENA, MI-PRESQUE ISLE, MI -HSA# 371 | 3 | 197,654 | 1.5 | 1.7 | UNSTABLE |
| ONEIDA, WI-GOGEBIC, MI -HSA# 284 | 6 | 294,480 | 2.0 | 1.6 | UNSTABLE |
| KENT (GRAND RAPIDS), MI-MONTCALM, MI -HSA# 309 | 31 | 2,237,374 | 1.4 | 1.5 |
| MIDLAND (MIDLAND), MI-ISABELLA, MI -HSA# 330 | 8 | 578,515 | 1.4 | 1.4 | UNSTABLE |
| BERRIEN (BENTON HARBOR), MI-VAN BUREN, MI -HSA# 327 | 12 | 857,081 | 1.4 | 1.4 | UNSTABLE |
| JACKSON (JACKSON), MI-LENAWEE, MI -HSA# 375 | 13 | 1,028,913 | 1.3 | 1.3 | UNSTABLE |
| KALAMAZOO (KALAMAZOO), MI-ST. JOSEPH, MI -HSA# 348 | 10 | 871,317 | 1.1 | 1.2 | UNSTABLE |
| GRAND TRAVERSE, MI-MANISTEE, MI -HSA# 271 | 4 | 497,639 | 0.8 | 0.8 | UNSTABLE |