Counties with the highest rates of strokes in Texas

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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: 34.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.4 per 100K people
#50. Polk County
Canva
- 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: 12.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.5 per 100K people
#49. Kenedy County
Canva
- 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: 14.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.9 per 100K people
#48. Cameron County
Canva
- 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: 17.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#47. Reeves County
Canva
- 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: 18.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.0 per 100K people

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#46. Anderson County
Canva
- 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: 18.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.0 per 100K people
#45. Tyler County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.0% and 4.1%)
- Death rate for ischemic strokes, 2018-20: 20.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.8 per 100K people
#44. Maverick County
Canva
- 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: 21.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.3 per 100K people
#43. Lamb County
Canva
- 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: 21.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.1 per 100K people
#42. Collingsworth County
Canva
- 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: 21.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people

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#41. Liberty County
Canva
- 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: 23.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.3 per 100K people
#40. Crosby County
Canva
- 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: 23.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.6 per 100K people
#39. Live Oak County
Roberto Galan // Shutterstock
- 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: 25.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 14.3 per 100K people
#38. Angelina County
Canva
- 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: 25.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 14.2 per 100K people
#37. Nacogdoches 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: 26.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.4 per 100K people

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#36. Limestone County
Canva
- 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: 29.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: -1.0 per 100K people
#35. Briscoe County
Canva
- 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: 29.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.0 per 100K people
#34. Red River County
Roberto Galan // Shutterstock
- 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: 31.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.8 per 100K people
#33. Cass County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.6% (range between 3.1% and 4.2%)
- Death rate for ischemic strokes, 2018-20: 11.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.5 per 100K people
#32. Hidalgo County
Canva
- 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: 16.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: -1.0 per 100K people

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#31. Foard County
Canva
- 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: 19.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people
#30. Walker County
Roberto Galan // Shutterstock
- 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: 19.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#29. Jim Hogg County
Canva
- 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: 22.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.4 per 100K people
#28. Potter County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.6% (range between 3.3% and 4.1%)
- Death rate for ischemic strokes, 2018-20: 22.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: -1.0 per 100K people
#27. Cottle County
Canva
- 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: 23.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.9 per 100K people

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#26. Frio County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.6% (range between 3.2% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 24.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.7 per 100K people
#25. Edwards County
Jacob Boomsma // Shutterstock
- 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: 24.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.0 per 100K people
#24. Jefferson County
Canva
- 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: 27.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.9 per 100K people
#23. Marion County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.2% and 4.1%)
- Death rate for ischemic strokes, 2018-20: 16.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.5 per 100K people
#22. Dallam County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.2% and 4.3%)
- Death rate for ischemic strokes, 2018-20: 16.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.1 per 100K people

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#21. Brooks County
Canva
- 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: 17.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.0 per 100K people
#20. Wilbarger County
Darlene Tompkins // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.2% and 4.3%)
- Death rate for ischemic strokes, 2018-20: 20.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: -1.0 per 100K people
#19. King County
Canva
- 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: 20.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.8 per 100K people
#18. Terry County
Canva
- 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: 25.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.7 per 100K people
#17. Shelby County
Roberto Galan // Shutterstock
- 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: 27.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.3 per 100K people

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#16. Jasper County
Canva
- 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: 13.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.8 per 100K people
#15. Willacy County
Canva
- 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: 15.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.1 per 100K people
#14. Culberson County
Canva
- 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: 20.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.8 per 100K people
#13. Swisher County
Canva
- 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: 23.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 18.9 per 100K people
#12. Zavala 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: 24.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.2 per 100K people

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#11. Falls County
Canva
- 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: 19.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.2 per 100K people
#10. Zapata County
Edward H. Campbell // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.9% (range between 3.4% and 4.3%)
- Death rate for ischemic strokes, 2018-20: 19.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.9 per 100K people
#9. Dawson County
Sabrina Janelle Gordon // Shutterstock
- 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: 19.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 13.9 per 100K people
#8. Houston County
Canva
- 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: 20.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.8 per 100K people
#7. Newton County
Roberto Galan // Shutterstock
- 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: 27.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 14.8 per 100K people

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#6. San Augustine County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.0% (range between 3.5% and 4.6%)
- Death rate for ischemic strokes, 2018-20: 14.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.8 per 100K people
#5. Starr County
Canva
- 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: 17.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#4. Cochran County
Richard J Roberts // Shutterstock
- 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: 16.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.2 per 100K people
#3. Hudspeth County
Canva
- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.3% (range between 3.7% and 4.9%)
- Death rate for ischemic strokes, 2018-20: 14.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.8 per 100K people
#2. Presidio County
Edward H. Campbell // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.3% (range between 3.7% and 4.9%)
- Death rate for ischemic strokes, 2018-20: 20.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.1 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. Dimmit County
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