Counties with the highest rates of strokes in California

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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.4% (range between 2.2% and 2.7%)
- Death rate for ischemic strokes, 2018-20: 14.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.9 per 100K people
#50. Contra Costa County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.5% (range between 2.2% and 2.9%)
- Death rate for ischemic strokes, 2018-20: 12.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.5 per 100K people
#49. Santa Cruz County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.5% (range between 2.3% and 2.9%)
- Death rate for ischemic strokes, 2018-20: 13.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.8 per 100K people
#48. San Diego County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.5% (range between 2.3% and 2.9%)
- Death rate for ischemic strokes, 2018-20: 15.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.4 per 100K people
#47. Ventura County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.5% (range between 2.2% and 2.9%)
- Death rate for ischemic strokes, 2018-20: 15.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.6 per 100K people

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#46. San Luis Obispo County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.5% (range between 2.2% and 2.8%)
- Death rate for ischemic strokes, 2018-20: 15.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.1 per 100K people
#45. Nevada County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.5% (range between 2.2% and 2.8%)
- Death rate for ischemic strokes, 2018-20: 15.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.9 per 100K people
#44. Sonoma County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.5% (range between 2.2% and 2.8%)
- Death rate for ischemic strokes, 2018-20: 15.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.6 per 100K people
#43. Napa County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.6% (range between 2.3% and 2.9%)
- Death rate for ischemic strokes, 2018-20: 13.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.1 per 100K people
#42. San Benito County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.6% (range between 2.3% and 2.9%)
- Death rate for ischemic strokes, 2018-20: 16.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people

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#41. Sierra County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.6% (range between 2.3% and 3.0%)
- Death rate for ischemic strokes, 2018-20: 19.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.7 per 100K people
#40. Mono County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.4% and 3.1%)
- Death rate for ischemic strokes, 2018-20: 12.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.0 per 100K people
#39. Santa Barbara County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.4% and 3.0%)
- Death rate for ischemic strokes, 2018-20: 13.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.1 per 100K people
#38. Alpine County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.4% and 3.0%)
- Death rate for ischemic strokes, 2018-20: 15.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.8 per 100K people
#37. Solano County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.4% and 3.0%)
- Death rate for ischemic strokes, 2018-20: 16.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.7 per 100K people

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#36. Yolo County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.4% and 3.0%)
- Death rate for ischemic strokes, 2018-20: 16.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.2 per 100K people
#35. Amador County
StephanieFarrell // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.3% and 3.0%)
- Death rate for ischemic strokes, 2018-20: 19.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people
#34. Tuolumne County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.4% and 3.1%)
- Death rate for ischemic strokes, 2018-20: 20.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.0 per 100K people
#33. Plumas County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.4% and 3.0%)
- Death rate for ischemic strokes, 2018-20: 20.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.7 per 100K people
#32. Inyo County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.5% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 13.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.7 per 100K people

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#31. Riverside County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.5% and 3.1%)
- Death rate for ischemic strokes, 2018-20: 14.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.9 per 100K people
#30. Los Angeles County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.5% and 3.1%)
- Death rate for ischemic strokes, 2018-20: 16.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.4 per 100K people
#29. Sacramento County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.5% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 20.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.1 per 100K people
#28. Calaveras County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.5% and 3.1%)
- Death rate for ischemic strokes, 2018-20: 21.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.6 per 100K people
#27. Mariposa County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.5% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 21.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people

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#26. Shasta County
Matt Gush // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.6% and 3.3%)
- Death rate for ischemic strokes, 2018-20: 16.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.0 per 100K people
#25. Sutter County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.6% and 3.3%)
- Death rate for ischemic strokes, 2018-20: 16.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.1 per 100K people
#24. Monterey County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.5% and 3.3%)
- Death rate for ischemic strokes, 2018-20: 19.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.6 per 100K people
#23. Butte County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.7% and 3.3%)
- Death rate for ischemic strokes, 2018-20: 17.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#22. San Bernardino County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.6% and 3.3%)
- Death rate for ischemic strokes, 2018-20: 17.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.9 per 100K people

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#21. Mendocino County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.6% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 18.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.6 per 100K people
#20. Humboldt County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.7% and 3.3%)
- Death rate for ischemic strokes, 2018-20: 20.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.4 per 100K people
#19. San Joaquin County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.7% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 21.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.1 per 100K people
#18. Stanislaus County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.7% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 22.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.5 per 100K people
#17. Siskiyou County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.1% (range between 2.8% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 14.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people

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#16. Yuba County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.1% (range between 2.8% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 16.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.6 per 100K people
#15. Lake County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.1% (range between 2.8% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 17.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.2 per 100K people
#14. Colusa County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.1% (range between 2.8% and 3.6%)
- Death rate for ischemic strokes, 2018-20: 18.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.4 per 100K people
#13. Modoc County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.9% and 3.6%)
- Death rate for ischemic strokes, 2018-20: 17.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people
#12. Lassen County
CL Shebley // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.8% and 3.6%)
- Death rate for ischemic strokes, 2018-20: 20.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.8 per 100K people

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#11. Glenn County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.8% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 20.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.1 per 100K people
#10. Tehama County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.8% and 3.6%)
- Death rate for ischemic strokes, 2018-20: 21.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.3 per 100K people
#9. Fresno County
Canva
- 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: 19.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.1 per 100K people
#8. Kings County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 3.0% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 19.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.8 per 100K people
#7. Kern County
Gibson Outdoor Photo // Shutterstock
- 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: 20.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.2 per 100K people

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#6. Trinity County
Canva
- 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: 20.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.8 per 100K people
#5. Del Norte County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 3.0% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 21.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.0 per 100K people
#4. Merced County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 3.0% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 21.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people
#3. Madera County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 3.0% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 23.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.7 per 100K people
#2. Tulare County
Canva
- 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: 13.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.8 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. Imperial County
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