Counties with the highest rates of strokes in Missouri

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- 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: 22.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.2 per 100K people
#50. Webster County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.8% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 22.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.8 per 100K people
#49. St. Francois County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.8% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 23.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.3 per 100K people
#48. Gentry County
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- 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: 24.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.8 per 100K people
#47. Bates County
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- 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: 26.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.6 per 100K people

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#46. Harrison County
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- 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: 27.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 15.3 per 100K people
#45. Mercer County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.8% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 27.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.0 per 100K people
#44. Shelby 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: 19.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.7 per 100K people
#43. Barry County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.8% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 19.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.4 per 100K people
#42. Scotland 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: 19.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.8 per 100K people

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#41. Caldwell 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: 21.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.3 per 100K people
#40. Bollinger 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: 21.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#39. Pike 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: 22.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.4 per 100K people
#38. Sullivan 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: 23.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#37. Lawrence County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.8% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 23.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people

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#36. Laclede County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.8% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 26.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.0 per 100K people
#35. Vernon 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: 26.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#34. Lewis 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: 26.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.0 per 100K people
#33. St. Clair 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: 26.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.4 per 100K people
#32. Scott 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: 27.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.7 per 100K people

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#31. Carter 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: 17.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#30. Hickory 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: 21.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#29. Audrain 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: 22.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.0 per 100K people
#28. Dallas County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 2.9% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 22.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.1 per 100K people
#27. Douglas 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: 23.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people

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#26. Crawford 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: 24.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.5 per 100K people
#25. Iron County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 4.0%)
- Death rate for ischemic strokes, 2018-20: 24.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.8 per 100K people
#24. Knox 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: 24.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.3 per 100K people
#23. Stoddard 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: 25.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.2 per 100K people
#22. Barton County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 2.9% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 25.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people

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#21. Dade 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: 26.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.4 per 100K people
#20. Dent 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: 28.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#19. Clark 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: 30.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.4 per 100K people
#18. Reynolds 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: 30.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.8 per 100K people
#17. Shannon County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.0% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 16.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.7 per 100K people

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#16. Morgan 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: 22.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people
#15. Washington County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.0% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 26.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.4 per 100K people
#14. Howell 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: 27.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.7 per 100K people
#13. Butler County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.0% and 4.0%)
- Death rate for ischemic strokes, 2018-20: 30.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.6 per 100K people
#12. Cedar 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: 25.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.0 per 100K people

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#11. Texas 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: 26.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.8 per 100K people
#10. Wayne 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: 26.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.2 per 100K people
#9. Wright 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: 24.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.3 per 100K people
#8. Ozark 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: 24.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.5 per 100K people
#7. Ripley 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: 28.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 6.0 per 100K people

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#6. McDonald 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: 32.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.2 per 100K people
#5. New Madrid 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: 33.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.1 per 100K people
#4. Dunklin County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.8% (range between 3.3% and 4.3%)
- Death rate for ischemic strokes, 2018-20: 24.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.0 per 100K people
#3. Oregon 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: 30.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 14.2 per 100K people
#2. Pemiscot County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.1% (range between 3.7% and 4.7%)
- Death rate for ischemic strokes, 2018-20: 30.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.8 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. Mississippi County
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