| | 1996-98 | Rate/100,000 | |
| Name | Deaths | Population | Crude | Age Adjusted | |
| BUTLER, AL -HSA# 259 | 242 | 65,228 | 371.0 | 303.3 |
| LAUDERDALE, MS-NEWTON, MS -HSA# 412 | 1,470 | 556,789 | 264.0 | 243.7 |
| ESCAMBIA (PENSACOLA), FL-OKALOOSA, FL -HSA# 163 | 4,016 | 1,941,495 | 206.9 | 225.3 |
| CALHOUN (ANNISTON), AL-CARROLL, GA -HSA# 177 | 1,434 | 708,780 | 202.3 | 218.6 |
| MARION, AL-FAYETTE, AL -HSA# 247 | 380 | 146,920 | 258.6 | 215.6 |
| LEE (AUBURN), AL-ELMORE, AL -HSA# 179 | 1,211 | 665,757 | 181.9 | 212.3 |
| MUSCOGEE (COLUMBUS), GA-RUSSELL, AL -HSA# 166 | 1,573 | 889,737 | 176.8 | 205.4 |
| MONTGOMERY (MONTGOMERY), AL-COVINGTON, AL -HSA# 171 | 2,121 | 1,087,843 | 195.0 | 203.6 |
| MOBILE (MOBILE), AL-BALDWIN, AL -HSA# 161 | 3,418 | 1,789,877 | 191.0 | 201.6 |
| HOUSTON (DOTHAN), AL-COFFEE, AL -HSA# 162 | 1,501 | 738,808 | 203.2 | 199.1 |
| TALLADEGA, AL-CLAY, AL -HSA# 241 | 623 | 306,304 | 203.4 | 196.1 |
| TROUP (LA GRANGE), GA-COWETA, GA -HSA# 172 | 1,259 | 686,572 | 183.4 | 194.2 |
| MADISON (HUNTSVILLE), AL-JACKSON, AL -HSA# 210 | 2,041 | 1,244,561 | 164.0 | 192.2 |
| LOWNDES, MS-CLAY, MS -HSA# 461 | 598 | 333,162 | 179.5 | 189.2 |
| DALLAS, AL-MARENGO, AL -HSA# 175 | 555 | 289,987 | 191.4 | 179.5 |
| TUSCALOOSA (TUSCALOOSA), AL-PICKENS, AL -HSA# 156 | 1,054 | 621,392 | 169.6 | 174.2 |
| JEFFERSON (BIRMINGHAM), AL-WALKER, AL -HSA# 150 | 5,606 | 3,305,259 | 169.6 | 168.7 |
| LAUDERDALE (FLORENCE), AL-COLBERT, AL -HSA# 219 | 1,065 | 571,263 | 186.4 | 167.7 |
| ETOWAH (GADSDEN), AL-MARSHALL, AL -HSA# 224 | 1,420 | 787,913 | 180.2 | 162.6 |
| MORGAN (DECATUR), AL-LAWRENCE, AL -HSA# 185 | 639 | 424,796 | 150.4 | 161.3 |
