| | 1995-97 | Rate/100,000 |
| Name | Deaths | Population | Crude | Age Adjusted |
| MARQUETTE, MI - DELTA, MI | 16 | 390,802 | 4.1 | 3.9 |
| GENESEE (FLINT), MI - LAPEER, MI | 39 | 1,629,857 | 2.4 | 2.2 |
| WEXFORD, MI - OSCEOLA, MI | 6 | 230,827 | 2.6 | 2.2 |
| EMMET, MI - CHEBOYGAN, MI | 9 | 382,176 | 2.4 | 2.1 |
| OTTAWA (HOLLAND), MI - ALLEGAN, MI | 17 | 986,183 | 1.7 | 2.0 |
| CALHOUN (BATTLE CREEK), MI - BARRY, MI | 14 | 604,481 | 2.3 | 1.9 |
| INGHAM (LANSING), MI - SHIAWASSEE, MI | 29 | 1,618,222 | 1.8 | 1.8 |
| WAYNE (DETROIT), MI - OAKLAND, MI | 303 | 14,083,346 | 2.2 | 1.8 |
| LUCAS (TOLEDO), OH - MONROE, MI | 42 | 2,472,921 | 1.7 | 1.6 |
| CRAWFORD, MI - OTSEGO, MI | 5 | 178,793 | 2.8 | 1.6 |
| SAGINAW (SAGINAW), MI - HURON, MI | 14 | 949,244 | 1.5 | 1.5 |
| KENT (GRAND RAPIDS), MI - MONTCALM, MI | 34 | 2,303,652 | 1.5 | 1.5 |
| ONEIDA, WI - GOGEBIC, MI | 7 | 302,382 | 2.3 | 1.5 |
| MUSKEGON (MUSKEGON), MI - MASON, MI | 13 | 815,084 | 1.6 | 1.4 |
| JACKSON (JACKSON), MI - LENAWEE, MI | 17 | 1,060,670 | 1.6 | 1.3 |
| KALAMAZOO (KALAMAZOO), MI - ST. JOSEPH, MI | 13 | 904,859 | 1.4 | 1.2 |
| BAY (BAY CITY), MI - OGEMAW, MI | 8 | 562,601 | 1.4 | 1.2 |
| MIDLAND (MIDLAND), MI - ISABELLA, MI | 8 | 591,938 | 1.4 | 1.1 |
| HOUGHTON, MI - BARAGA, MI | 3 | 144,024 | 2.1 | 1.0 |
| ST. CLAIR (PORT HURON), MI - SANILAC, MI | 8 | 618,517 | 1.3 | 1.0 |
| DICKINSON, MI - MARINETTE, WI | 5 | 348,318 | 1.4 | 0.8 |
| BERRIEN (BENTON HARBOR), MI - VAN BUREN, MI | 9 | 893,839 | 1.0 | 0.6 |
| GRAND TRAVERSE, MI - MANISTEE, MI | 2 | 506,986 | 0.4 | 0.2 |
| ALPENA, MI - PRESQUE ISLE, MI | 1 | 202,653 | 0.5 | 0.1 |