Counties with the highest rates of strokes in North Carolina

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- 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: 21.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.8 per 100K people
#50. Pasquotank County
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- 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: 21.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people
#49. Perquimans 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: 22.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people
#48. Davidson County
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- 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: 22.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.8 per 100K people
#47. Craven County
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- 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: 23.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.0 per 100K people

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#46. Harnett 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: 27.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.0 per 100K people
#45. Randolph 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: 19.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.1 per 100K people
#44. Wilkes 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: 21.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.2 per 100K people
#43. Lee 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: 21.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.4 per 100K people
#42. Rowan 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: 10.6 per 100K people

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#41. Rutherford 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: 22.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.4 per 100K people
#40. Burke 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: 15.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.4 per 100K people
#39. Person 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: 17.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#38. Granville 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: 22.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.5 per 100K people
#37. Beaufort County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.1% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 23.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.4 per 100K people

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#36. Rockingham 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: 23.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#35. Cleveland 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: 23.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.2 per 100K people
#34. Montgomery 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: 24.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.6 per 100K people
#33. Pitt 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: 18.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.4 per 100K people
#32. Alleghany County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.1% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 21.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.8 per 100K people

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#31. Cumberland County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.2% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 22.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.1 per 100K people
#30. Gates 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: 25.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.7 per 100K people
#29. Nash 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: 16.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.8 per 100K people
#28. Caswell 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: 18.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people
#27. Swain 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: 22.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.0 per 100K people

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#26. Wayne 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: 22.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.5 per 100K people
#25. Chowan County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.4% and 4.1%)
- Death rate for ischemic strokes, 2018-20: 25.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.7 per 100K people
#24. Hoke 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: 18.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.9 per 100K people
#23. Jones 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: 21.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#22. Sampson County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.8% (range between 3.3% and 4.2%)
- Death rate for ischemic strokes, 2018-20: 22.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.6 per 100K people

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#21. Duplin County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.8% (range between 3.5% and 4.3%)
- Death rate for ischemic strokes, 2018-20: 22.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.6 per 100K people
#20. Hyde County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.9% (range between 3.5% and 4.4%)
- Death rate for ischemic strokes, 2018-20: 19.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.1 per 100K people
#19. Columbus 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: 20.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.0 per 100K people
#18. Bladen 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: 23.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.9 per 100K people
#17. Tyrrell County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.9% (range between 3.5% and 4.4%)
- Death rate for ischemic strokes, 2018-20: 24.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.7 per 100K people

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#16. Wilson County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.9% (range between 3.5% and 4.4%)
- Death rate for ischemic strokes, 2018-20: 33.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.1 per 100K people
#15. Richmond 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: 24.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.4 per 100K people
#14. Vance 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: 24.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 14.5 per 100K people
#13. Martin 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: 21.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.4 per 100K people
#12. Washington County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.1% (range between 3.7% and 4.5%)
- Death rate for ischemic strokes, 2018-20: 24.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.4 per 100K people

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#11. Anson County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.1% (range between 3.6% and 4.5%)
- Death rate for ischemic strokes, 2018-20: 25.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.3 per 100K people
#10. Greene County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.2% (range between 3.8% and 4.6%)
- Death rate for ischemic strokes, 2018-20: 23.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.0 per 100K people
#9. Lenoir County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.2% (range between 3.8% and 4.7%)
- Death rate for ischemic strokes, 2018-20: 23.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#8. Warren County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.2% (range between 3.8% and 4.7%)
- Death rate for ischemic strokes, 2018-20: 25.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 15.7 per 100K people
#7. Edgecombe County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.3% (range between 3.9% and 4.8%)
- Death rate for ischemic strokes, 2018-20: 21.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.0 per 100K people

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#6. Hertford County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.3% (range between 3.8% and 4.8%)
- Death rate for ischemic strokes, 2018-20: 23.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.3 per 100K people
#5. Northampton County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.4% (range between 4.0% and 4.8%)
- Death rate for ischemic strokes, 2018-20: 24.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.8 per 100K people
#4. Scotland County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.5% (range between 4.0% and 5.0%)
- Death rate for ischemic strokes, 2018-20: 21.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.9 per 100K people
#3. Bertie County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.6% (range between 4.1% and 5.1%)
- Death rate for ischemic strokes, 2018-20: 22.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 16.0 per 100K people
#2. Halifax County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.8% (range between 4.4% and 5.3%)
- Death rate for ischemic strokes, 2018-20: 23.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 15.6 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. Robeson County
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