| | 1996-98 | Rate/100,000 | |
| Name | Deaths | Population | Crude | Age Adjusted | |
| LEFLORE, MS-BOLIVAR, MS | 1,147 | 370,904 | 309.2 | 342.4 |
| NEW YORK, NY-KINGS (NEW YORK), NY | 73,748 | 22,147,663 | 333.0 | 334.0 |
| PIKE, KY-LOGAN, WV | 1,236 | 438,885 | 281.6 | 321.2 |
| ROBESON, NC-COLUMBUS, NC | 1,916 | 698,441 | 274.3 | 309.9 |
| HARRISON (BILOXI), MS-HANCOCK, MS | 1,849 | 685,416 | 269.8 | 305.9 |
| TANGIPAHOA, LA-ST. HELENA, LA | 786 | 315,172 | 249.4 | 304.4 |
| MONTGOMERY (AMSTERDAM), NY-FULTON, NY | 1,244 | 314,112 | 396.0 | 296.1 |
| CALLOWAY, KY-CARROLL, TN | 1,226 | 323,954 | 378.4 | 295.2 |
| RALEIGH, WV-FAYETTE, WV | 1,690 | 504,650 | 334.9 | 295.1 |
| PUTNAM, TN-OVERTON, TN | 1,174 | 363,198 | 323.2 | 293.8 |
| GRAYSON (SHERMAN), TX-BRYAN, OK | 1,950 | 529,055 | 368.6 | 293.5 |
| KERN (BAKERSFIELD), CA | 3,762 | 1,874,212 | 200.7 | 288.1 |
| CUMBERLAND (VINELAND), NJ | 1,251 | 422,563 | 296.1 | 287.8 |
| GALLIA, OH-MASON, WV | 1,057 | 345,881 | 305.6 | 287.1 |
| BAY (PANAMA CITY), FL-JACKSON, FL | 2,178 | 763,956 | 285.1 | 285.1 |
| MC LENNAN (WACO), TX-HILL, TX | 2,868 | 884,596 | 324.2 | 281.7 |
| NASSAU, NY-SUFFOLK, NY | 22,077 | 7,983,975 | 276.5 | 281.1 |
| LUZERNE (WILKES-BARRE), PA-COLUMBIA, PA | 4,834 | 1,233,412 | 391.9 | 280.7 |
| FORREST, MS-COVINGTON, MS | 1,084 | 453,817 | 238.9 | 279.2 |
| SCIOTO, OH-ROSS, OH | 1,724 | 590,297 | 292.1 | 279.1 |
| ALLEGANY (CUMBERLAND), MD-GARRETT, MD | 1,614 | 456,225 | 353.8 | 276.1 |
| SHELBY (MEMPHIS), TN-PANOLA, MS | 7,587 | 3,414,127 | 222.2 | 275.8 |
| SUMNER (HENDERSONVILLE), TN-WILSON, TN | 1,660 | 731,336 | 227.0 | 274.3 |
| ST. LOUIS, MO-ST. LOUIS CITY, MO | 14,816 | 5,202,651 | 284.8 | 269.7 |
| LUCAS (TOLEDO), OH-MONROE, MI | 6,221 | 2,378,683 | 261.5 | 269.6 |
| SEBASTIAN (FORT SMITH), AR-CRAWFORD, AR | 2,595 | 895,117 | 289.9 | 269.2 |
| HINDS (JACKSON), MS-RANKIN, MS | 3,835 | 1,605,126 | 238.9 | 268.6 |
| SCHUYLKILL, PA-MONTOUR, PA | 3,615 | 1,028,378 | 351.5 | 268.2 |
| JEFFERSON (PINE BLUFF), AR-BRADLEY, AR | 1,254 | 447,196 | 280.4 | 268.1 |
| MERCER, WV-TAZEWELL, VA | 1,550 | 534,414 | 290.0 | 267.4 |
| SAN BERNARDINO, CA-RIVERSIDE (RIVERSIDE), CA | 18,934 | 9,160,880 | 206.7 | 266.2 |
| MAURY, TN-GILES, TN | 1,037 | 399,654 | 259.5 | 265.2 |
| GENESEE (FLINT), MI-LAPEER, MI | 3,525 | 1,566,939 | 225.0 | 265.1 |
| OHIO (WHEELING), WV-BELMONT, OH | 2,073 | 599,745 | 345.6 | 264.3 |
| GALVESTON (GALVESTON), TX | 1,565 | 727,042 | 215.3 | 264.1 |
| CLINTON, NY-FRANKLIN, NY | 1,286 | 500,499 | 256.9 | 264.1 |
| CAPE GIRARDEAU, MO-BUTLER, MO | 2,872 | 923,058 | 311.1 | 263.7 |
| LENOIR, NC-WAYNE, NC | 1,658 | 694,842 | 238.6 | 262.9 |
| ECTOR (ODESSA), TX-WARD, TX | 1,018 | 486,290 | 209.3 | 262.1 |
| LACKAWANNA (SCRANTON), PA-WAYNE, PA | 2,883 | 766,716 | 376.0 | 261.9 |
| COFFEE, TN-FRANKLIN, TN | 872 | 305,231 | 285.7 | 261.8 |
| CRITTENDEN (WEST MEMPHIS), AR-ST. FRANCIS, AR | 799 | 329,823 | 242.3 | 261.2 |
| CLARK (JEFFERSONVILLE), IN-SCOTT, IN | 877 | 348,063 | 252.0 | 261.1 |
| MUSKOGEE, OK-CHEROKEE, OK | 1,628 | 604,166 | 269.5 | 260.0 |
| CALCASIEU (LAKE CHARLES), LA-BEAUREGARD, LA | 1,934 | 911,732 | 212.1 | 259.9 |
| MADISON (JACKSON), TN-GIBSON, TN | 2,127 | 718,938 | 295.9 | 259.3 |
| CLINTON, IA-WHITESIDE, IL | 1,259 | 381,289 | 330.2 | 259.1 |
| RUTHERFORD (MURFREESBORO), TN-WARREN, TN | 1,370 | 685,352 | 199.9 | 258.8 |
| CRAIGHEAD, AR-GREENE, AR | 1,956 | 664,539 | 294.3 | 257.8 |
| EAST BATON ROUGE (BATON ROUGE), LA-ASCENSION, LA | 3,704 | 1,976,385 | 187.4 | 257.1 |
| SULLIVAN (KINGSPORT), TN-WASHINGTON, VA | 3,071 | 1,049,398 | 292.6 | 257.0 |
| CABELL (HUNTINGTON), WV-BOYD, KY | 3,047 | 1,094,505 | 278.4 | 256.8 |
| COLUMBIANA, OH-HANCOCK (WEIRTON), WV | 1,523 | 515,785 | 295.3 | 256.3 |
| GASTON (GASTONIA), NC-CLEVELAND, NC | 3,029 | 1,177,196 | 257.3 | 256.1 |
| BELL (KILLEEN), TX-MILAM, TX | 1,833 | 1,011,248 | 181.3 | 255.3 |
| JASPER (JOPLIN), MO-NEWTON, MO | 1,746 | 604,055 | 289.0 | 255.0 |
| ORANGE (NEWBURGH), NY-SULLIVAN, NY | 2,879 | 1,306,642 | 220.3 | 255.0 |
| HAMILTON (CHATTANOOGA), TN-CATOOSA, GA | 3,600 | 1,372,233 | 262.3 | 255.0 |
| ST. CLAIR (PORT HURON), MI-SANILAC, MI | 1,512 | 600,730 | 251.7 | 254.2 |
| WAYNE (DETROIT), MI-OAKLAND, MI | 31,694 | 13,560,555 | 233.7 | 253.8 |
| RAPIDES (ALEXANDRIA), LA-LA SALLE, LA | 1,793 | 703,602 | 254.8 | 252.3 |
| HANCOCK, OH-SENECA, OH | 1,034 | 386,381 | 267.6 | 252.2 |
| MADISON (ALTON), IL-JERSEY, IL | 2,529 | 905,977 | 279.1 | 251.5 |
| PITTSYLVANIA (DANVILLE), VA-CASWELL, NC | 1,181 | 392,010 | 301.3 | 251.5 |
| KANKAKEE (KANKAKEE), IL-IROQUOIS, IL | 1,124 | 400,288 | 280.8 | 251.1 |
| FLORENCE (FLORENCE), SC-DARLINGTON, SC | 2,001 | 892,096 | 224.3 | 250.4 |
| ST. LANDRY, LA-EVANGELINE, LA | 841 | 352,255 | 238.7 | 250.0 |
| BAY (BAY CITY), MI-OGEMAW, MI | 1,558 | 546,082 | 285.3 | 248.5 |
| EDGECOMBE, NC-HALIFAX, NC | 1,689 | 668,434 | 252.7 | 248.4 |
| POTTAWATTAMIE (COUNCIL BLUFFS), IA-SHELBY, IA | 1,435 | 448,686 | 319.8 | 248.2 |
| HOPKINS, KY-CHRISTIAN (HOPKINSVILLE), KY | 1,591 | 604,310 | 263.3 | 248.1 |
| PITT, NC-BEAUFORT, NC | 1,481 | 653,899 | 226.5 | 248.0 |
| TULSA (TULSA), OK-CREEK, OK | 5,428 | 2,251,754 | 241.1 | 247.5 |
| DICKINSON, MI-MARINETTE, WI | 1,206 | 337,961 | 356.8 | 247.5 |
| VICTORIA (VICTORIA), TX-LAVACA, TX | 1,394 | 504,690 | 276.2 | 247.3 |
| CABARRUS (CONCORD), NC-ROWAN, NC | 2,249 | 886,080 | 253.8 | 246.8 |
| ANDERSON (OAK RIDGE), TN-ROANE, TN | 1,648 | 614,642 | 268.1 | 246.2 |
| KANAWHA (CHARLESTON), WV-PUTNAM, WV | 2,691 | 984,278 | 273.4 | 246.1 |
| YORK (ROCK HILL), SC-CHESTER, SC | 1,184 | 552,616 | 214.3 | 246.0 |
| WASHINGTON, PA-FAYETTE, PA | 3,717 | 1,178,978 | 315.3 | 245.5 |
| CUYAHOGA (CLEVELAND), OH-LAKE, OH | 14,965 | 5,418,297 | 276.2 | 245.1 |
| SUSSEX, DE-WICOMICO, MD | 3,203 | 1,207,525 | 265.3 | 245.1 |
| HARRISON, WV-LEWIS, WV | 1,266 | 419,639 | 301.7 | 244.7 |
| DUVAL (JACKSONVILLE), FL-GLYNN, GA | 6,259 | 3,242,683 | 193.0 | 244.0 |
| WHITLEY, KY-LAUREL, KY | 917 | 419,585 | 218.5 | 243.7 |
| LAUDERDALE, MS-NEWTON, MS | 1,470 | 556,789 | 264.0 | 243.7 |
| HARRISON (MARSHALL), TX-CASS, TX | 843 | 302,196 | 279.0 | 243.6 |
| TARRANT (FORT WORTH), TX-JOHNSON, TX | 8,037 | 4,683,825 | 171.6 | 243.2 |
| SAGINAW (SAGINAW), MI-HURON, MI | 2,264 | 911,585 | 248.4 | 242.5 |
| SMITH (TYLER), TX-HENDERSON, TX | 2,653 | 930,233 | 285.2 | 242.3 |
| HAMBLEN (MORRI), TN-JEFFERSON, TN | 890 | 365,870 | 243.3 | 242.2 |
| OCEAN (BRICK TOWNSHIP), NJ-MONMOUTH, NJ | 10,201 | 3,237,739 | 315.1 | 242.1 |
| BRADLEY, TN-GILMER, GA | 970 | 397,555 | 244.0 | 242.0 |
| JONES, MS-WAYNE, MS | 877 | 348,745 | 251.5 | 240.6 |
| LICKING (NEWARK), OH-KNOX, OH | 1,294 | 552,457 | 234.2 | 240.0 |
| VIGO (TERRE HAUTE), IN-SULLIVAN, IN | 1,724 | 610,424 | 282.4 | 240.0 |
| OUACHITA (MONROE), LA-RICHLAND, LA | 1,813 | 758,900 | 238.9 | 239.6 |
| BOWIE (TEXARKANA), TX-MILLER, AR | 1,939 | 721,066 | 268.9 | 239.5 |
| DAVIDSON (NASHVILLE-DAVIDSON), TN-DICKSON, TN | 5,085 | 2,428,583 | 209.4 | 239.4 |
| SCOTT (DAVENPORT), IA-MUSCATINE, IA | 1,349 | 596,137 | 226.3 | 239.4 |
