Counties with the highest rates of strokes in Alabama

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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 3.0% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 26.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.7 per 100K people
#50. Calhoun County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.9% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 26.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.7 per 100K people
#49. Marion County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.9% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 26.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.0 per 100K people
#48. Walker County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.9% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 26.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.6 per 100K people
#47. Jackson County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.9% and 3.6%)
- Death rate for ischemic strokes, 2018-20: 26.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 14.0 per 100K people

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#46. Tuscaloosa County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.9% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 27.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.1 per 100K people
#45. Etowah County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.9% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 29.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people
#44. Chilton County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.9% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 31.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.7 per 100K people
#43. Jefferson County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 18.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.8 per 100K people
#42. Henry County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 19.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people

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#41. Houston County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 19.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people
#40. Dale County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 23.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.1 per 100K people
#39. Winston County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 24.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people
#38. Coosa County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 26.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.8 per 100K people
#37. Randolph County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 26.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.5 per 100K people

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#36. Clay County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 29.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#35. Covington County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 32.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.5 per 100K people
#34. Lamar County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.1% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 24.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.8 per 100K people
#33. Fayette County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.1% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 24.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.0 per 100K people
#32. Mobile County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.1% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 25.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.6 per 100K people

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#31. Tallapoosa County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.1% and 4.0%)
- Death rate for ischemic strokes, 2018-20: 27.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.1 per 100K people
#30. Franklin County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.1% and 4.0%)
- Death rate for ischemic strokes, 2018-20: 29.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.6 per 100K people
#29. Crenshaw County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.1% and 4.0%)
- Death rate for ischemic strokes, 2018-20: 29.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.6 per 100K people
#28. DeKalb County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.1% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 30.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.9 per 100K people
#27. Lawrence County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.6% (range between 3.1% and 4.0%)
- Death rate for ischemic strokes, 2018-20: 21.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people

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#26. Geneva County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.6% (range between 3.2% and 4.0%)
- Death rate for ischemic strokes, 2018-20: 28.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.6 per 100K people
#25. Bibb County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.6% (range between 3.2% and 4.1%)
- Death rate for ischemic strokes, 2018-20: 30.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.8 per 100K people
#24. Pike County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.3% and 4.2%)
- Death rate for ischemic strokes, 2018-20: 26.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.1 per 100K people
#23. Talladega County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.3% and 4.1%)
- Death rate for ischemic strokes, 2018-20: 29.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#22. Chambers County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.3% and 4.2%)
- Death rate for ischemic strokes, 2018-20: 34.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.4 per 100K people

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#21. Montgomery County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.8% (range between 3.4% and 4.2%)
- Death rate for ischemic strokes, 2018-20: 25.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#20. Washington County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.8% (range between 3.4% and 4.3%)
- Death rate for ischemic strokes, 2018-20: 34.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.9 per 100K people
#19. Butler County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.9% (range between 3.5% and 4.3%)
- Death rate for ischemic strokes, 2018-20: 30.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.2 per 100K people
#18. Russell County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.0% (range between 3.5% and 4.4%)
- Death rate for ischemic strokes, 2018-20: 28.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.7 per 100K people
#17. Clarke County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.0% (range between 3.6% and 4.4%)
- Death rate for ischemic strokes, 2018-20: 32.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.5 per 100K people

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#16. Pickens County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.0% (range between 3.6% and 4.4%)
- Death rate for ischemic strokes, 2018-20: 33.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.8 per 100K people
#15. Conecuh County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.0% (range between 3.6% and 4.5%)
- Death rate for ischemic strokes, 2018-20: 35.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.1 per 100K people
#14. Choctaw County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.1% (range between 3.7% and 4.6%)
- Death rate for ischemic strokes, 2018-20: 26.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.7 per 100K people
#13. Escambia County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.1% (range between 3.7% and 4.6%)
- Death rate for ischemic strokes, 2018-20: 27.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#12. Monroe County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.1% (range between 3.6% and 4.6%)
- Death rate for ischemic strokes, 2018-20: 34.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.0 per 100K people

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#11. Marengo County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.4% (range between 3.9% and 4.9%)
- Death rate for ischemic strokes, 2018-20: 25.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 14.7 per 100K people
#10. Hale County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.4% (range between 4.0% and 4.9%)
- Death rate for ischemic strokes, 2018-20: 25.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.1 per 100K people
#9. Barbour County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.4% (range between 3.9% and 5.0%)
- Death rate for ischemic strokes, 2018-20: 33.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.0 per 100K people
#8. Macon County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.4% (range between 4.0% and 4.9%)
- Death rate for ischemic strokes, 2018-20: 37.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.2 per 100K people
#7. Dallas County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.7% (range between 4.2% and 5.2%)
- Death rate for ischemic strokes, 2018-20: 36.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.2 per 100K people

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#6. Lowndes County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.8% (range between 4.2% and 5.3%)
- Death rate for ischemic strokes, 2018-20: 37.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#5. Sumter County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.9% (range between 4.4% and 5.5%)
- Death rate for ischemic strokes, 2018-20: 37.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.3 per 100K people
#4. Wilcox County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 5.1% (range between 4.5% and 5.7%)
- Death rate for ischemic strokes, 2018-20: 33.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.8 per 100K people
#3. Bullock County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 5.2% (range between 4.6% and 5.8%)
- Death rate for ischemic strokes, 2018-20: 32.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.6 per 100K people
#2. Perry County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 5.4% (range between 4.8% and 6.0%)
- Death rate for ischemic strokes, 2018-20: 25.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 14.7 per 100K people

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This story features data reporting and writing by Emma Rubin and is part of a series utilizing data automation across 49 states.

#1. Greene County
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