Counties with the highest rates of strokes in Tennessee

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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: 28.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#50. Trousdale 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: 30.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.6 per 100K people
#49. Giles 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: 20.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#48. Rhea 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: 21.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.4 per 100K people
#47. Monroe 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: 21.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.4 per 100K people

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#46. Union 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: 21.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people
#45. Marion 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: 23.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.7 per 100K people
#44. Hamblen 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: 25.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.5 per 100K people
#43. Henderson 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: 25.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.6 per 100K people
#42. Dyer 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: 26.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.0 per 100K people

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#41. Claiborne 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
#40. Hardin 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: 11.7 per 100K people
#39. Weakley 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: 27.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.9 per 100K people
#38. DeKalb 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: 27.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.8 per 100K people
#37. Decatur 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: 27.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.3 per 100K people

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#36. Jackson 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: 28.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.0 per 100K people
#35. Lawrence County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 2.9% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 22.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.8 per 100K people
#34. Grainger 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: 22.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.7 per 100K people
#33. Pickett 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: 23.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.6 per 100K people
#32. Cocke 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: 24.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.7 per 100K people

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#31. Campbell 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: 12.3 per 100K people
#30. Chester 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: 24.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.0 per 100K people
#29. Grundy 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: 24.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.9 per 100K people
#28. Crockett 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: 25.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.0 per 100K people
#27. Obion 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: 25.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 14.3 per 100K people

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#26. Overton County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.1% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 26.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.2 per 100K people
#25. Madison 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: 26.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.6 per 100K people
#24. Gibson 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: 27.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.3 per 100K people
#23. Henry 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: 28.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.8 per 100K people
#22. White 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: 29.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people

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#21. Wayne 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: 29.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.6 per 100K people
#20. Warren 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: 29.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.0 per 100K people
#19. Benton 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: 30.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.1 per 100K people
#18. McNairy 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: 20.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.0 per 100K people
#17. Bledsoe 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: 21.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people

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#16. Sequatchie 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: 10.1 per 100K people
#15. Morgan 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: 22.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#14. Johnson 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: 23.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.7 per 100K people
#13. Fentress 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: 27.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.3 per 100K people
#12. Van Buren 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: 28.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.2 per 100K people

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#11. Macon 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: 30.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.8 per 100K people
#10. Lewis 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: 25.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.8 per 100K people
#9. Scott County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.6% (range between 3.1% and 4.1%)
- Death rate for ischemic strokes, 2018-20: 25.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 15.1 per 100K people
#8. Clay 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: 27.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.1 per 100K people
#7. Shelby 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: 29.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.3 per 100K people

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#6. Perry County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.9% (range between 3.4% and 4.4%)
- Death rate for ischemic strokes, 2018-20: 23.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.2 per 100K people
#5. Hancock 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: 24.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.2 per 100K people
#4. Lauderdale 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: 27.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.6 per 100K people
#3. Hardeman 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: 25.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.5 per 100K people
#2. Haywood 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: 24.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.1 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. Lake County
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