Counties in Missouri by death rate (July to June)

Ripley County had the highest death rate (July to June) of 115 counties in 2022, at 23.33 per 1,000 inhabitants. Boone County had the lowest, at 7.92 per 1,000 inhabitants. The median was 14.86 per 1,000 inhabitants and the figure for Missouri was 12.26 per 1,000 inhabitants. Source: the U.S. Census Bureau.

Highest23.33Ripley County
Lowest7.92Boone County
Median14.86115 counties
Missouri12.26History

Top 40 counties, 2022

CSVChart (SVG)

Ripley CountyRipley County: 23.33 per 1,000 inhabitants23.33Worth CountyWorth County: 23.02 per 1,000 inhabitants23.02Hickory CountyHickory County: 23.01 per 1,000 inhabitants23.01Oregon CountyOregon County: 22.64 per 1,000 inhabitants22.64Wayne CountyWayne County: 21.81 per 1,000 inhabitants21.81Iron CountyIron County: 21.33 per 1,000 inhabitants21.33Putnam CountyPutnam County: 20.54 per 1,000 inhabitants20.54Dent CountyDent County: 20.53 per 1,000 inhabitants20.53Douglas CountyDouglas County: 20.5 per 1,000 inhabitants20.5Ozark CountyOzark County: 20.49 per 1,000 inhabitants20.49Benton CountyBenton County: 20.05 per 1,000 inhabitants20.05New Madrid CountyNew Madrid County: 19.91 per 1,000 inhabitants19.91Pemiscot CountyPemiscot County: 19.53 per 1,000 inhabitants19.53Atchison CountyAtchison County: 19.07 per 1,000 inhabitants19.07Reynolds CountyReynolds County: 19.05 per 1,000 inhabitants19.05Montgomery CountyMontgomery County: 18.93 per 1,000 inhabitants18.93Crawford CountyCrawford County: 18.71 per 1,000 inhabitants18.71Mississippi CountyMississippi County: 18.57 per 1,000 inhabitants18.57Holt CountyHolt County: 18.39 per 1,000 inhabitants18.39St. Clair CountySt. Clair County: 18.31 per 1,000 inhabitants18.31Dunklin CountyDunklin County: 18.29 per 1,000 inhabitants18.29Shannon CountyShannon County: 17.88 per 1,000 inhabitants17.88Vernon CountyVernon County: 17.87 per 1,000 inhabitants17.87Texas CountyTexas County: 17.87 per 1,000 inhabitants17.87Henry CountyHenry County: 17.85 per 1,000 inhabitants17.85Chariton CountyChariton County: 17.76 per 1,000 inhabitants17.76Washington CountyWashington County: 17.66 per 1,000 inhabitants17.66Stoddard CountyStoddard County: 17.64 per 1,000 inhabitants17.64Wright CountyWright County: 17.5 per 1,000 inhabitants17.5Grundy CountyGrundy County: 17.36 per 1,000 inhabitants17.36Knox CountyKnox County: 17.23 per 1,000 inhabitants17.23Maries CountyMaries County: 17.19 per 1,000 inhabitants17.19Bates CountyBates County: 17.12 per 1,000 inhabitants17.12Madison CountyMadison County: 17 per 1,000 inhabitants17Bollinger CountyBollinger County: 16.98 per 1,000 inhabitants16.98Butler CountyButler County: 16.96 per 1,000 inhabitants16.96Morgan CountyMorgan County: 16.9 per 1,000 inhabitants16.9Carter CountyCarter County: 16.63 per 1,000 inhabitants16.63Howell CountyHowell County: 16.49 per 1,000 inhabitants16.49Dade CountyDade County: 16.49 per 1,000 inhabitants16.49
per 1,000 inhabitants. Source: U.S. Census Bureau. Retrieved 2026-10-08.

Full ranking

RankCounties2022
per 1,000 inhabitants
Change on 2021
1Ripley County Estimated23.33+2.97 pts
2Worth County Estimated23.02+8.28 pts
3Hickory County Estimated23.01-0.18 pts
4Oregon County Estimated22.64+1.51 pts
5Wayne County Estimated21.81+1.41 pts
6Iron County Estimated21.33+2.33 pts
7Putnam County Estimated20.54+3.7 pts
8Dent County Estimated20.53+2.93 pts
9Douglas County Estimated20.5+1.57 pts
10Ozark County Estimated20.49+1.54 pts
11Benton County Estimated20.05+2.23 pts
12New Madrid County Estimated19.91-0.47 pts
13Pemiscot County Estimated19.53+0.2 pts
14Atchison County Estimated19.07-0.89 pts
15Reynolds County Estimated19.05+2.6 pts
16Montgomery County Estimated18.93+3.46 pts
17Crawford County Estimated18.71+2 pts
18Mississippi County Estimated18.57-0.49 pts
19Holt County Estimated18.39-2.78 pts
20St. Clair County Estimated18.31+2.01 pts
21Dunklin County Estimated18.29-1.65 pts
22Shannon County Estimated17.88-2.5 pts
23Vernon County Estimated17.87+2.02 pts
24Texas County Estimated17.87+0.22 pts
25Henry County Estimated17.85+1.87 pts
26Chariton County Estimated17.76-0.27 pts
27Washington County Estimated17.66+0.06 pts
28Stoddard County Estimated17.64+2.78 pts
29Wright County Estimated17.5+2.34 pts
30Grundy County Estimated17.36+1.48 pts
31Knox County Estimated17.23+1.79 pts
32Maries County Estimated17.19+0.73 pts
33Bates County Estimated17.12+2.87 pts
34Madison County Estimated17-1.19 pts
35Bollinger County Estimated16.98+0.32 pts
36Butler County Estimated16.96-0.09 pts
37Morgan County Estimated16.9+0.83 pts
38Carter County Estimated16.63-2.38 pts
39Howell County Estimated16.49+0.46 pts
40Dade County Estimated16.49-1.69 pts
41Mercer County Estimated16.4-0.47 pts
42Shelby County Estimated16.04+1.95 pts
43Cedar County Estimated16+0.89 pts
44Stone County Estimated15.97+0.4 pts
45Gasconade County Estimated15.82-3.81 pts
46Ray County Estimated15.8+1.13 pts
47Clark County Estimated15.44+0.22 pts
48Laclede County Estimated15.37+0.47 pts
49Scott County Estimated15.26+0.45 pts
50Barton County Estimated15.24+1.67 pts
51Dallas County Estimated15.22-3.86 pts
52St. Francois County Estimated15.11-0.8 pts
53Lewis County Estimated15.08+1.91 pts
54Randolph County Estimated15+0.48 pts
55Gentry County Estimated14.92-1.16 pts
56Miller County Estimated14.91+0.79 pts
57Macon County Estimated14.87-1.92 pts
58Linn County Estimated14.86-2.52 pts
59Livingston County Estimated14.84-0.99 pts
60Barry County Estimated14.8-0.64 pts
61Camden County Estimated14.75-1.21 pts
62Caldwell County Estimated14.67+0.69 pts
63Lafayette County Estimated14.65+0.36 pts
64Audrain County Estimated14.64+0.37 pts
65Monroe County Estimated14.52-2.03 pts
66Carroll County Estimated14.52-2.32 pts
67Lawrence County Estimated14.4-1.2 pts
68Cooper County Estimated14.31+1.34 pts
69Taney County Estimated14.31+0.32 pts
70Daviess County Estimated14.23+1.76 pts
71Harrison County Estimated14.16-0.9 pts
72Ralls County Estimated14.15+0.05 pts
73Saline County Estimated14.09+0.31 pts
74Marion County Estimated14.03+0.74 pts
75Newton County Estimated13.77+0.11 pts
76Sullivan County Estimated13.63-2.86 pts
77Howard County Estimated13.6+2.26 pts
78Phelps County Estimated13.36-1.15 pts
79Jasper County Estimated13.24+0.45 pts
80Warren County Estimated13.24+2.31 pts
81Buchanan County Estimated13.05-1.3 pts
82Ste. Genevieve County Estimated13.01+0.6 pts
83Franklin County Estimated13+0.06 pts
84DeKalb County Estimated12.96-0.69 pts
85Webster County Estimated12.93+1.3 pts
86Scotland County Estimated12.89-2.49 pts
87Polk County Estimated12.86-1.69 pts
88McDonald County Estimated12.71-0.47 pts
89Osage County Estimated12.7+1.13 pts
90Pettis County Estimated12.52-0.75 pts
91Moniteau County Estimated12.51+0.59 pts
92Pike County Estimated12.37-1 pts
93Greene County Estimated12.31+0.33 pts
94Perry County Estimated12.25-0.76 pts
95Schuyler County Estimated11.96-4.74 pts
96Cass County Estimated11.9+0.92 pts
97Cape Girardeau County Estimated11.74-1.09 pts
98Clinton County Estimated11.71-2.67 pts
99St. Louis County Estimated11.63-0.47 pts
100St. Louis city Estimated11.52-0.61 pts
101Andrew County Estimated11.48+0.41 pts
102Jefferson County Estimated11.4+0.39 pts
103Jackson County Estimated11.35+0.68 pts
104Adair County Estimated11.09+0.07 pts
105Callaway County Estimated11.05-0.95 pts
106Cole County Estimated10.82-0.85 pts
107Christian County Estimated10.73+0.79 pts
108Lincoln County Estimated9.98+0.02 pts
109Johnson County Estimated9.8-0.03 pts
110Nodaway County Estimated9.53+0.54 pts
111St. Charles County Estimated9.06-0.37 pts
112Clay County Estimated9.04-0.01 pts
113Platte County Estimated8.53+0.02 pts
114Pulaski County Estimated8.48-0 pts
115Boone County Estimated7.92+0.36 pts

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)?

Ripley County, with 23.33 per 1,000 inhabitants in 2022, according to the U.S. Census Bureau.

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

Boone County, with 7.92 per 1,000 inhabitants in 2022.

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