Counties with the highest rates of strokes in Pennsylvania

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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: 21.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#50. Delaware 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: 15.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.1 per 100K people
#49. Lebanon 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: 15.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.9 per 100K people
#48. Berks 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: 16.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.1 per 100K people
#47. Lehigh 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: 16.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.1 per 100K people

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#46. Perry 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: 16.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.3 per 100K people
#45. Lackawanna 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: 16.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.5 per 100K people
#44. Franklin 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: 16.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.8 per 100K people
#43. Dauphin County
George Sheldon // Shutterstock
- 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: 17.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.1 per 100K people
#42. Lycoming County
Nick Shoe // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.5% and 3.3%)
- Death rate for ischemic strokes, 2018-20: 17.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.2 per 100K people

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#41. Snyder 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: 17.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.0 per 100K people
#40. Columbia 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: 18.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.0 per 100K people
#39. Elk County
Rusty Lofgren // 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: 19.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.1 per 100K people
#38. Armstrong 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: 20.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.9 per 100K people
#37. Warren County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.5% and 3.3%)
- Death rate for ischemic strokes, 2018-20: 20.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.1 per 100K people

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#36. Blair 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: 15.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.2 per 100K people
#35. Monroe 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: 15.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.6 per 100K people
#34. Union 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: 15.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.3 per 100K people
#33. Carbon County
Alizada Studios // 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: 16.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.2 per 100K people
#32. Wayne County
Bennekom // 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: 9.2 per 100K people

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#31. Schuylkill 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: 16.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.2 per 100K people
#30. Bradford 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: 16.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.3 per 100K people
#29. Susquehanna 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: 16.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people
#28. Tioga 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: 16.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.7 per 100K people
#27. Sullivan 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: 17.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.7 per 100K people

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#26. Luzerne County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.6% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 17.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.5 per 100K people
#25. Northumberland 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: 19.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#24. Mercer County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.6% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 19.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.9 per 100K people
#23. Greene County
Alejandro Guzmani // 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: 19.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.0 per 100K people
#22. Fulton 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: 19.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people

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#21. Venango County
The American Explorer // 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: 19.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people
#20. Lawrence 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: 19.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people
#19. Cambria County
Mark Rust // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.5% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 20.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.8 per 100K people
#18. Indiana 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: 21.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.7 per 100K people
#17. Erie 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: 21.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people

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#16. Somerset County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.5% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 23.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.0 per 100K people
#15. Bedford 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: 15.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.9 per 100K people
#14. Huntingdon 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: 16.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.4 per 100K people
#13. McKean County
Walt Bilous // Shutterstock
- 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: 16.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.8 per 100K people
#12. Juniata 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: 16.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.6 per 100K people

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#11. Clinton County
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- 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: 17.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.6 per 100K people
#10. Potter County
Delmas Lehman // Shutterstock
- 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: 18.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.8 per 100K people
#9. Clearfield 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: 20.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#8. Clarion 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: 23.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.8 per 100K people
#7. Jefferson 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: 25.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.6 per 100K people

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#6. 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: 18.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.8 per 100K people
#5. Fayette County
George Sheldon // 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: 14.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.2 per 100K people
#4. Mifflin County
eric scott gillin // Shutterstock
- 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: 17.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.6 per 100K people
#3. Cameron 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: 20.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#2. Forest 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: 19.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.9 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. Philadelphia County
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