| | 1996-98 | Rate/100,000 | |
| Name | Deaths | Population | Crude | Age Adjusted | |
| TERRY, TX-YOAKUM, TX -HSA# 514 | 5 | 63,022 | 7.9 | 7.5 | UNSTABLE |
| MADISON, TX-LEON, TX -HSA# 501 | 5 | 78,430 | 6.4 | 6.0 | UNSTABLE |
| TITUS, TX-CAMP, TX -HSA# 465 | 9 | 176,405 | 5.1 | 4.5 | UNSTABLE |
| WILBARGER, TX-HARDEMAN, TX -HSA# 458 | 3 | 61,661 | 4.9 | 4.5 | UNSTABLE |
| NAVARRO, TX-FREESTONE, TX -HSA# 489 | 8 | 176,488 | 4.5 | 4.0 | UNSTABLE |
| HARRISON (MARSHALL), TX-CASS, TX -HSA# 485 | 13 | 302,196 | 4.3 | 3.8 | UNSTABLE |
| COMAL (NEW BRAUNFELS), TX -HSA# 517 | 9 | 211,543 | 4.3 | 3.7 | UNSTABLE |
| BEE, TX-KARNES, TX -HSA# 513 | 5 | 129,120 | 3.9 | 3.6 | UNSTABLE |
| ECTOR (ODESSA), TX-WARD, TX -HSA# 444 | 15 | 486,290 | 3.1 | 3.5 | UNSTABLE |
| LEA, NM-ANDREWS, TX -HSA# 508 | 8 | 254,858 | 3.1 | 3.5 | UNSTABLE |
| JEFFERSON (BEAUMONT), TX-ORANGE, TX -HSA# 413 | 45 | 1,326,664 | 3.4 | 3.3 |
| GREGG (LONGVIEW), TX-RUSK, TX -HSA# 454 | 23 | 648,251 | 3.5 | 3.2 |
| SCURRY, TX -HSA# 519 | 2 | 54,381 | 3.7 | 3.2 | UNSTABLE |
| HOWARD, TX-GLASSCOCK, TX -HSA# 518 | 4 | 100,698 | 3.9 | 3.1 | UNSTABLE |
| NUECES (CORPUS CHRISTI), TX-SAN PATRICIO, TX -HSA# 437 | 40 | 1,526,472 | 2.6 | 3.0 |
| NOLAN, TX-MITCHELL, TX -HSA# 503 | 3 | 88,814 | 3.4 | 2.9 | UNSTABLE |
| BREWSTER, TX-JEFF DAVIS, TX -HSA# 526 | 2 | 58,349 | 3.4 | 2.9 | UNSTABLE |
| LAMAR, TX-RED RIVER, TX -HSA# 438 | 9 | 238,538 | 3.8 | 2.9 | UNSTABLE |
| TOM GREEN (SAN ANGELO), TX-MC CULLOCH, TX -HSA# 426 | 14 | 451,237 | 3.1 | 2.8 | UNSTABLE |
| WICHITA (WICHITA FALLS), TX-YOUNG, TX -HSA# 420 | 18 | 580,502 | 3.1 | 2.8 | UNSTABLE |
| CHEROKEE, TX-ANDERSON, TX -HSA# 509 | 10 | 350,204 | 2.9 | 2.8 | UNSTABLE |
| DENTON (DENTON), TX-COOKE, TX -HSA# 495 | 24 | 1,320,083 | 1.8 | 2.8 |
| TARRANT (FORT WORTH), TX-JOHNSON, TX -HSA# 434 | 100 | 4,683,825 | 2.1 | 2.7 |
| BRAZOS (BRYAN), TX-WASHINGTON, TX -HSA# 464 | 15 | 642,937 | 2.3 | 2.6 | UNSTABLE |
| UVALDE, TX -HSA# 536 | 2 | 76,056 | 2.6 | 2.6 | UNSTABLE |
| TRAVIS (AUSTIN), TX-WILLIAMSON, TX -HSA# 425 | 59 | 3,034,742 | 1.9 | 2.5 |
| ERATH, TX-COMANCHE, TX -HSA# 507 | 4 | 134,037 | 3.0 | 2.4 | UNSTABLE |
| DEAF SMITH, TX-PARMER, TX -HSA# 491 | 2 | 88,419 | 2.3 | 2.4 | UNSTABLE |
| DALLAS (DALLAS), TX-COLLIN, TX -HSA# 453 | 162 | 8,171,443 | 2.0 | 2.4 |
| LUBBOCK (LUBBOCK), TX-LAMB, TX -HSA# 406 | 22 | 951,623 | 2.3 | 2.4 |
| BOWIE (TEXARKANA), TX-MILLER, AR -HSA# 404 | 18 | 721,066 | 2.5 | 2.3 | UNSTABLE |
| TAYLOR (ABILENE), TX-JONES, TX -HSA# 428 | 15 | 578,008 | 2.6 | 2.3 | UNSTABLE |
| SMITH (TYLER), TX-HENDERSON, TX -HSA# 441 | 23 | 930,233 | 2.5 | 2.3 |
| BROWN, TX-COLEMAN, TX -HSA# 468 | 5 | 170,563 | 2.9 | 2.2 | UNSTABLE |
| BELL (KILLEEN), TX-MILAM, TX -HSA# 452 | 18 | 1,011,248 | 1.8 | 2.2 | UNSTABLE |
| HALE, TX-FLOYD, TX -HSA# 481 | 3 | 159,246 | 1.9 | 2.0 | UNSTABLE |
| ANGELINA, TX-WALKER, TX -HSA# 449 | 12 | 572,249 | 2.1 | 2.0 | UNSTABLE |
| EL PASO (EL PASO), TX-CULBERSON, TX -HSA# 415 | 28 | 2,073,185 | 1.4 | 1.8 |
| HARRIS (HOUSTON), TX-MONTGOMERY, TX -HSA# 408 | 177 | 11,667,649 | 1.4 | 1.8 |
| BEXAR (SAN ANTONIO), TX-GUADALUPE, TX -HSA# 410 | 72 | 4,800,011 | 1.5 | 1.8 |
| GRAYSON (SHERMAN), TX-BRYAN, OK -HSA# 436 | 10 | 529,055 | 1.9 | 1.7 | UNSTABLE |
| GRAY, TX-WHEELER, TX -HSA# 460 | 2 | 100,661 | 2.0 | 1.7 | UNSTABLE |
| MC LENNAN (WACO), TX-HILL, TX -HSA# 462 | 16 | 884,596 | 1.8 | 1.7 | UNSTABLE |
| VAL VERDE, TX-MAVERICK, TX -HSA# 516 | 3 | 279,359 | 1.1 | 1.6 | UNSTABLE |
| HIDALGO (MCALLEN), TX-STARR, TX -HSA# 427 | 21 | 1,676,639 | 1.3 | 1.6 |
| PALO PINTO, TX-JACK, TX -HSA# 479 | 2 | 98,713 | 2.0 | 1.6 | UNSTABLE |
| GALVESTON (GALVESTON), TX -HSA# 532 | 11 | 727,042 | 1.4 | 1.5 | UNSTABLE |
| POTTER (AMARILLO), TX-MOORE, TX -HSA# 405 | 13 | 908,928 | 1.4 | 1.5 | UNSTABLE |
| BRAZORIA (LAKE JACKSON), TX-WHARTON, TX -HSA# 505 | 11 | 904,415 | 1.2 | 1.5 | UNSTABLE |
| VICTORIA (VICTORIA), TX-LAVACA, TX -HSA# 433 | 8 | 504,690 | 1.6 | 1.4 | UNSTABLE |
| NACOGDOCHES, TX-SHELBY, TX -HSA# 447 | 5 | 292,689 | 1.7 | 1.4 | UNSTABLE |
| KERR, TX-GILLESPIE, TX -HSA# 506 | 5 | 251,827 | 2.0 | 1.2 | UNSTABLE |
| CAMERON (BROWNSVILLE), TX-WILLACY, TX -HSA# 520 | 10 | 1,011,710 | 1.0 | 1.2 | UNSTABLE |
| HAYS (SAN MARCOS), TX-CALDWELL, TX -HSA# 510 | 3 | 350,341 | 0.9 | 1.2 | UNSTABLE |
| MIDLAND (MIDLAND), TX-PECOS, TX -HSA# 492 | 4 | 429,989 | 0.9 | 1.1 | UNSTABLE |
| WEBB (LAREDO), TX-JIM HOGG, TX -HSA# 538 | 4 | 590,096 | 0.7 | 1.1 | UNSTABLE |
| WOODWARD, OK-ELLIS, OK -HSA# 469 | 1 | 103,480 | 1.0 | 0.7 | UNSTABLE |
| COLORADO, TX-FAYETTE, TX -HSA# 490 | 1 | 119,668 | 0.8 | 0.5 | UNSTABLE |
| DIMMIT, TX -HSA# 531 | 0 | 31,197 | 0.0 | 0.0 | UNSTABLE |
| COLLINGSWORTH, TX -HSA# 524 | 0 | 9,878 | 0.0 | 0.0 | UNSTABLE |
| CHILDRESS, TX-HALL, TX -HSA# 512 | 0 | 39,828 | 0.0 | 0.0 | UNSTABLE |