Counties in Missouri by death rate (July to June)

Hickory County had the highest death rate (July to June) of 115 counties in 2021, at 23.19 per 1,000 inhabitants. Boone County had the lowest, at 7.56 per 1,000 inhabitants. The median was 14.9 per 1,000 inhabitants and the figure for Missouri was 12.23 per 1,000 inhabitants. Source: the U.S. Census Bureau.

Highest23.19Hickory County
Lowest7.56Boone County
Median14.9115 counties
Missouri12.23History

Top 40 counties, 2021

CSVChart (SVG)

Hickory CountyHickory County: 23.19 per 1,000 inhabitants23.19Holt CountyHolt County: 21.17 per 1,000 inhabitants21.17Oregon CountyOregon County: 21.13 per 1,000 inhabitants21.13Wayne CountyWayne County: 20.4 per 1,000 inhabitants20.4New Madrid CountyNew Madrid County: 20.39 per 1,000 inhabitants20.39Shannon CountyShannon County: 20.38 per 1,000 inhabitants20.38Ripley CountyRipley County: 20.36 per 1,000 inhabitants20.36Atchison CountyAtchison County: 19.96 per 1,000 inhabitants19.96Dunklin CountyDunklin County: 19.94 per 1,000 inhabitants19.94Gasconade CountyGasconade County: 19.63 per 1,000 inhabitants19.63Pemiscot CountyPemiscot County: 19.34 per 1,000 inhabitants19.34Dallas CountyDallas County: 19.08 per 1,000 inhabitants19.08Mississippi CountyMississippi County: 19.06 per 1,000 inhabitants19.06Carter CountyCarter County: 19.01 per 1,000 inhabitants19.01Iron CountyIron County: 19 per 1,000 inhabitants19Ozark CountyOzark County: 18.95 per 1,000 inhabitants18.95Douglas CountyDouglas County: 18.93 per 1,000 inhabitants18.93Madison CountyMadison County: 18.19 per 1,000 inhabitants18.19Dade CountyDade County: 18.17 per 1,000 inhabitants18.17Chariton CountyChariton County: 18.04 per 1,000 inhabitants18.04Benton CountyBenton County: 17.82 per 1,000 inhabitants17.82Texas CountyTexas County: 17.65 per 1,000 inhabitants17.65Dent CountyDent County: 17.61 per 1,000 inhabitants17.61Washington CountyWashington County: 17.6 per 1,000 inhabitants17.6Linn CountyLinn County: 17.39 per 1,000 inhabitants17.39Butler CountyButler County: 17.05 per 1,000 inhabitants17.05Mercer CountyMercer County: 16.86 per 1,000 inhabitants16.86Putnam CountyPutnam County: 16.84 per 1,000 inhabitants16.84Carroll CountyCarroll County: 16.84 per 1,000 inhabitants16.84Macon CountyMacon County: 16.79 per 1,000 inhabitants16.79Crawford CountyCrawford County: 16.71 per 1,000 inhabitants16.71Schuyler CountySchuyler County: 16.7 per 1,000 inhabitants16.7Bollinger CountyBollinger County: 16.65 per 1,000 inhabitants16.65Monroe CountyMonroe County: 16.55 per 1,000 inhabitants16.55Sullivan CountySullivan County: 16.49 per 1,000 inhabitants16.49Maries CountyMaries County: 16.47 per 1,000 inhabitants16.47Reynolds CountyReynolds County: 16.45 per 1,000 inhabitants16.45St. Clair CountySt. Clair County: 16.31 per 1,000 inhabitants16.31Gentry CountyGentry County: 16.08 per 1,000 inhabitants16.08Morgan CountyMorgan County: 16.07 per 1,000 inhabitants16.07
per 1,000 inhabitants. Source: U.S. Census Bureau. Retrieved 2026-10-08.

Full ranking

RankCounties2021
per 1,000 inhabitants
1Hickory County Estimated23.19
2Holt County Estimated21.17
3Oregon County Estimated21.13
4Wayne County Estimated20.4
5New Madrid County Estimated20.39
6Shannon County Estimated20.38
7Ripley County Estimated20.36
8Atchison County Estimated19.96
9Dunklin County Estimated19.94
10Gasconade County Estimated19.63
11Pemiscot County Estimated19.34
12Dallas County Estimated19.08
13Mississippi County Estimated19.06
14Carter County Estimated19.01
15Iron County Estimated19
16Ozark County Estimated18.95
17Douglas County Estimated18.93
18Madison County Estimated18.19
19Dade County Estimated18.17
20Chariton County Estimated18.04
21Benton County Estimated17.82
22Texas County Estimated17.65
23Dent County Estimated17.61
24Washington County Estimated17.6
25Linn County Estimated17.39
26Butler County Estimated17.05
27Mercer County Estimated16.86
28Putnam County Estimated16.84
29Carroll County Estimated16.84
30Macon County Estimated16.79
31Crawford County Estimated16.71
32Schuyler County Estimated16.7
33Bollinger County Estimated16.65
34Monroe County Estimated16.55
35Sullivan County Estimated16.49
36Maries County Estimated16.47
37Reynolds County Estimated16.45
38St. Clair County Estimated16.31
39Gentry County Estimated16.08
40Morgan County Estimated16.07
41Howell County Estimated16.03
42Henry County Estimated15.98
43Camden County Estimated15.96
44St. Francois County Estimated15.92
45Grundy County Estimated15.87
46Vernon County Estimated15.85
47Livingston County Estimated15.83
48Lawrence County Estimated15.6
49Stone County Estimated15.57
50Montgomery County Estimated15.48
51Knox County Estimated15.44
52Barry County Estimated15.43
53Scotland County Estimated15.38
54Clark County Estimated15.21
55Wright County Estimated15.15
56Cedar County Estimated15.11
57Harrison County Estimated15.06
58Laclede County Estimated14.9
59Stoddard County Estimated14.86
60Scott County Estimated14.81
61Worth County Estimated14.74
62Ray County Estimated14.67
63Polk County Estimated14.55
64Randolph County Estimated14.52
65Phelps County Estimated14.51
66Clinton County Estimated14.38
67Buchanan County Estimated14.35
68Lafayette County Estimated14.29
69Audrain County Estimated14.27
70Bates County Estimated14.25
71Miller County Estimated14.12
72Shelby County Estimated14.1
73Ralls County Estimated14.1
74Taney County Estimated13.99
75Caldwell County Estimated13.98
76Saline County Estimated13.77
77Newton County Estimated13.66
78DeKalb County Estimated13.65
79Barton County Estimated13.57
80Pike County Estimated13.37
81Marion County Estimated13.29
82Pettis County Estimated13.26
83McDonald County Estimated13.19
84Lewis County Estimated13.17
85Perry County Estimated13.02
86Cooper County Estimated12.96
87Franklin County Estimated12.94
88Cape Girardeau County Estimated12.83
89Jasper County Estimated12.79
90Daviess County Estimated12.47
91Ste. Genevieve County Estimated12.41
92St. Louis city Estimated12.13
93St. Louis County Estimated12.1
94Callaway County Estimated12
95Greene County Estimated11.98
96Moniteau County Estimated11.92
97Cole County Estimated11.67
98Webster County Estimated11.63
99Osage County Estimated11.56
100Howard County Estimated11.33
101Andrew County Estimated11.07
102Adair County Estimated11.02
103Jefferson County Estimated11
104Cass County Estimated10.98
105Warren County Estimated10.92
106Jackson County Estimated10.67
107Lincoln County Estimated9.96
108Christian County Estimated9.95
109Johnson County Estimated9.83
110St. Charles County Estimated9.43
111Clay County Estimated9.05
112Nodaway County Estimated8.99
113Platte County Estimated8.5
114Pulaski County Estimated8.48
115Boone County Estimated7.56

Other periods

About this ranking

Estimated deaths from July 1 of the previous year through June 30 of the reported year per 1,000 residents, using the average of the population estimates at the two July 1 endpoints.

Published Census population estimates rate. The year identifies the end of the July-to-June period. These estimates can be revised and differ from calendar-year death rates.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. Population Estimates Program: death rate, July 1 of the previous year to June 30 of the reported year, nation, states and counties. https://www2.census.gov/programs-surveys/popest/datasets/2020-2025/. Retrieved 2026-10-08.

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Rank Counties in Missouri by death rate (July to June) using official data, and cite the source.
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Questions

Which county has the highest death rate (July to June)?

Hickory County, with 23.19 per 1,000 inhabitants in 2021, according to the U.S. Census Bureau.

Which county has the lowest death rate (July to June)?

Boone County, with 7.56 per 1,000 inhabitants in 2021.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, Population Estimates Program: death rate, July 1 of the previous year to June 30 of the reported year, nation, states and counties. Retrieved 2026-10-08.

Crude death rate, July to June: other rankings

Counties in Missouri: more rankings