Counties with the highest rates of strokes in North Dakota

Randall Runtsch // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.5% (range between 2.1% and 2.8%)
- Death rate for ischemic strokes, 2018-20: 11.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: -1.0 per 100K people
#50. Billings County
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- 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: 9.3 per 100K people
#49. Steele County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.5% (range between 2.1% and 2.8%)
- Death rate for ischemic strokes, 2018-20: 16.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#48. Traill County
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- 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: 16.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.1 per 100K people
#47. Sargent County
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- 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: 23.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.8 per 100K people

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#46. Renville County
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- 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: 23.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.4 per 100K people
#45. Burke County
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- 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: 12.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 16.3 per 100K people
#44. Golden Valley County
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- 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: 14.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.7 per 100K people
#43. Ransom County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.6% (range between 2.2% and 3.0%)
- Death rate for ischemic strokes, 2018-20: 16.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: -1.0 per 100K people
#42. Slope County
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- 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: 17.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.3 per 100K people

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#41. Dickey County
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- 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: 17.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#40. McLean County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.6% (range between 2.2% and 2.9%)
- Death rate for ischemic strokes, 2018-20: 18.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.7 per 100K people
#39. Barnes County
Dirk Wierenga // Shutterstock
- 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: 20.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 6.8 per 100K people
#38. Nelson County
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- 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: 20.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.9 per 100K people
#37. Pierce County
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- 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: 22.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people

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#36. Cavalier County
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- 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: 22.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 14.0 per 100K people
#35. Wells County
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- 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: 23.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.2 per 100K people
#34. Ward County
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- 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: 23.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.9 per 100K people
#33. Bottineau County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.6% (range between 2.2% and 3.0%)
- Death rate for ischemic strokes, 2018-20: 24.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.8 per 100K people
#32. Morton County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.6% (range between 2.2% and 3.0%)
- Death rate for ischemic strokes, 2018-20: 26.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 16.7 per 100K people

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#31. Foster 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: 10.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.5 per 100K people
#30. Bowman 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: 14.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.3 per 100K people
#29. Richland County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.4% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 16.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 6.5 per 100K people
#28. Hettinger 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: 17.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.7 per 100K people
#27. Grant 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: 18.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.4 per 100K people

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#26. Sheridan County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.4% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 18.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.0 per 100K people
#25. Mercer 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: 18.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.2 per 100K people
#24. Stark 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: 18.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.3 per 100K people
#23. Pembina 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: 18.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#22. Logan 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: 19.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.8 per 100K people

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#21. Grand Forks 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: 19.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.2 per 100K people
#20. Oliver County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.7% (range between 2.4% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 20.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 5.0 per 100K people
#19. LaMoure 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: 21.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.0 per 100K people
#18. Divide 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: 22.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.1 per 100K people
#17. McHenry 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: 22.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.7 per 100K people

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#16. Williams County
Jacob Boomsma // Shutterstock
- 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: 22.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 6.9 per 100K people
#15. Stutsman 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: 9.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.8 per 100K people
#14. Dunn 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: 18.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#13. Adams County
Cammie Czuchnicki // Shutterstock
- 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: 18.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.5 per 100K people
#12. Emmons 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: 10.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.3 per 100K people

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#11. McIntosh County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.6% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 10.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#10. McKenzie 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: 19.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.0 per 100K people
#9. Walsh 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: 19.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.6 per 100K people
#8. Kidder County
Michael Coddington // Shutterstock
- 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: 22.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.5 per 100K people
#7. Ramsey County
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- 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: 35.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.8 per 100K people

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#6. Eddy County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.1% (range between 2.7% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 20.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#5. Towner 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: 32.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people
#4. Mountrail County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.2% (range between 3.7% and 4.7%)
- Death rate for ischemic strokes, 2018-20: 19.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.2 per 100K people
#3. Benson County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.6% (range between 4.2% and 5.2%)
- Death rate for ischemic strokes, 2018-20: 22.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.5 per 100K people
#2. Rolette County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 5.6% (range between 5.0% and 6.3%)
- Death rate for ischemic strokes, 2018-20: 40.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.6 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. Sioux County
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