Counties with the highest rates of strokes in Iowa

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- 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: 17.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.5 per 100K people
#50. Jones County
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- 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: 17.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.3 per 100K people
#49. Taylor County
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- 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: 17.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.4 per 100K people
#48. Pottawattamie County
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- 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: 17.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.0 per 100K people
#47. Fremont County
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- 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: 18.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.7 per 100K people

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#46. Audubon County
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- 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: 18.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#45. Ida County
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- 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: 18.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.4 per 100K people
#44. Osceola County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.3% and 3.1%)
- Death rate for ischemic strokes, 2018-20: 19.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.9 per 100K people
#43. Howard County
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- 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: 19.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.8 per 100K people
#42. Greene County
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- 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: 20.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.7 per 100K people

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#41. Jackson County
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- 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: 20.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.0 per 100K people
#40. Union County
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- 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: 20.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.0 per 100K people
#39. Calhoun County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.3% and 3.1%)
- Death rate for ischemic strokes, 2018-20: 23.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.3 per 100K people
#38. Henry County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.3% and 3.1%)
- Death rate for ischemic strokes, 2018-20: 23.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.6 per 100K people
#37. Jefferson County
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- 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: 14.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.0 per 100K people

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#36. Franklin County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.4% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 16.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.5 per 100K people
#35. O'Brien County
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- 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: 16.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.9 per 100K people
#34. Black Hawk County
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- 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: 16.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.5 per 100K people
#33. Wright County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.4% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 17.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#32. Cherokee County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.4% and 3.1%)
- Death rate for ischemic strokes, 2018-20: 17.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.3 per 100K people

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#31. Louisa County
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- 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: 17.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people
#30. Cass County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.4% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 18.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.6 per 100K people
#29. Marshall County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.4% and 3.1%)
- Death rate for ischemic strokes, 2018-20: 18.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.4 per 100K people
#28. Allamakee County
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- 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: 18.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people
#27. Woodbury County
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- 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: 19.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 6.4 per 100K people

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#26. Clayton County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.4% and 3.1%)
- Death rate for ischemic strokes, 2018-20: 19.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.0 per 100K people
#25. Clinton County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.4% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 19.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.1 per 100K people
#24. Emmet County
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- 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: 20.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.9 per 100K people
#23. Humboldt County
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- 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: 20.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.6 per 100K people
#22. Monona County
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- 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: 20.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.0 per 100K people

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#21. Pocahontas County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.4% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 20.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.7 per 100K people
#20. Ringgold County
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- 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: 22.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people
#19. Des Moines County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.4% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 23.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people
#18. Mahaska County
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- 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: 24.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.8 per 100K people
#17. Keokuk County
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- 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: 24.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.9 per 100K people

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#16. Lee County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.5% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 17.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.9 per 100K people
#15. Page County
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- 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: 17.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.3 per 100K people
#14. Tama County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.5% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 18.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.3 per 100K people
#13. Fayette County
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- 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: 18.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.8 per 100K people
#12. Buena Vista County
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- 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: 18.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.1 per 100K people

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#11. Montgomery County
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- 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: 22.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.9 per 100K people
#10. Webster County
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- 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: 23.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.1 per 100K people
#9. Davis County
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- 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: 23.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.1 per 100K people
#8. Lucas County
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- 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: 24.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.8 per 100K people
#7. Decatur County
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- 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: 29.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.4 per 100K people

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#6. Wayne County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.7% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 23.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.9 per 100K people
#5. Van Buren County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.6% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 24.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.1 per 100K people
#4. Wapello County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.1% (range between 2.7% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 18.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#3. Crawford County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.1% (range between 2.7% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 21.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.1 per 100K people
#2. Clarke County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.1% (range between 2.7% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 26.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.6 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. Appanoose County
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