Counties in North Carolina by death rate (July to June)

Pamlico County had the highest death rate (July to June) of 100 counties in 2023, at 18.39 per 1,000 inhabitants. Wake County had the lowest, at 5.86 per 1,000 inhabitants. The median was 13.5 per 1,000 inhabitants and the figure for North Carolina was 10.1 per 1,000 inhabitants. Source: the U.S. Census Bureau.

Highest18.39Pamlico County
Lowest5.86Wake County
Median13.5100 counties
North Carolina10.1History

Top 40 counties, 2023

CSVChart (SVG)

Pamlico CountyPamlico County: 18.39 per 1,000 inhabitants18.39Martin CountyMartin County: 17.87 per 1,000 inhabitants17.87Swain CountySwain County: 17.61 per 1,000 inhabitants17.61Washington CountyWashington County: 17.58 per 1,000 inhabitants17.58Northampton CountyNorthampton County: 16.83 per 1,000 inhabitants16.83Chowan CountyChowan County: 16.55 per 1,000 inhabitants16.55Polk CountyPolk County: 16.34 per 1,000 inhabitants16.34Perquimans CountyPerquimans County: 16.31 per 1,000 inhabitants16.31Alleghany CountyAlleghany County: 16.24 per 1,000 inhabitants16.24Jones CountyJones County: 16.05 per 1,000 inhabitants16.05Cherokee CountyCherokee County: 15.95 per 1,000 inhabitants15.95Mitchell CountyMitchell County: 15.84 per 1,000 inhabitants15.84Caldwell CountyCaldwell County: 15.79 per 1,000 inhabitants15.79Bertie CountyBertie County: 15.78 per 1,000 inhabitants15.78Anson CountyAnson County: 15.67 per 1,000 inhabitants15.67Rutherford CountyRutherford County: 15.62 per 1,000 inhabitants15.62Warren CountyWarren County: 15.55 per 1,000 inhabitants15.55Lenoir CountyLenoir County: 15.54 per 1,000 inhabitants15.54Caswell CountyCaswell County: 15.53 per 1,000 inhabitants15.53Yancey CountyYancey County: 15.44 per 1,000 inhabitants15.44Haywood CountyHaywood County: 15.34 per 1,000 inhabitants15.34Columbus CountyColumbus County: 15.34 per 1,000 inhabitants15.34Richmond CountyRichmond County: 15.29 per 1,000 inhabitants15.29Rockingham CountyRockingham County: 15.29 per 1,000 inhabitants15.29Bladen CountyBladen County: 15.27 per 1,000 inhabitants15.27Tyrrell CountyTyrrell County: 15.23 per 1,000 inhabitants15.23Edgecombe CountyEdgecombe County: 15.19 per 1,000 inhabitants15.19Halifax CountyHalifax County: 15.04 per 1,000 inhabitants15.04Surry CountySurry County: 14.98 per 1,000 inhabitants14.98Burke CountyBurke County: 14.88 per 1,000 inhabitants14.88Wilkes CountyWilkes County: 14.84 per 1,000 inhabitants14.84Gates CountyGates County: 14.76 per 1,000 inhabitants14.76Hertford CountyHertford County: 14.73 per 1,000 inhabitants14.73McDowell CountyMcDowell County: 14.72 per 1,000 inhabitants14.72Carteret CountyCarteret County: 14.61 per 1,000 inhabitants14.61Macon CountyMacon County: 14.58 per 1,000 inhabitants14.58Transylvania CountyTransylvania County: 14.42 per 1,000 inhabitants14.42Ashe CountyAshe County: 14.37 per 1,000 inhabitants14.37Stokes CountyStokes County: 14.3 per 1,000 inhabitants14.3Graham CountyGraham County: 14.28 per 1,000 inhabitants14.28
per 1,000 inhabitants. Source: U.S. Census Bureau. Retrieved 2026-10-08.

Full ranking

RankCounties2023
per 1,000 inhabitants
Change on 2022
1Pamlico County Estimated18.39+0.44 pts
2Martin County Estimated17.87-0.59 pts
3Swain County Estimated17.61+0.61 pts
4Washington County Estimated17.58-1.07 pts
5Northampton County Estimated16.83-3.98 pts
6Chowan County Estimated16.55-0.37 pts
7Polk County Estimated16.34-1.75 pts
8Perquimans County Estimated16.31+1.37 pts
9Alleghany County Estimated16.24+1.34 pts
10Jones County Estimated16.05-2.69 pts
11Cherokee County Estimated15.95-2.61 pts
12Mitchell County Estimated15.84-3.21 pts
13Caldwell County Estimated15.79-1.24 pts
14Bertie County Estimated15.78-2.35 pts
15Anson County Estimated15.67-1.94 pts
16Rutherford County Estimated15.62-1.97 pts
17Warren County Estimated15.55-1.56 pts
18Lenoir County Estimated15.54-1.96 pts
19Caswell County Estimated15.53-0.12 pts
20Yancey County Estimated15.44-1.24 pts
21Haywood County Estimated15.34-1.68 pts
22Columbus County Estimated15.34-3.11 pts
23Richmond County Estimated15.29-2.66 pts
24Rockingham County Estimated15.29-1.2 pts
25Bladen County Estimated15.27-4.9 pts
26Tyrrell County Estimated15.23+2.35 pts
27Edgecombe County Estimated15.19+0.03 pts
28Halifax County Estimated15.04-2.96 pts
29Surry County Estimated14.98-1.51 pts
30Burke County Estimated14.88-0.73 pts
31Wilkes County Estimated14.84-1.5 pts
32Gates County Estimated14.76-0.55 pts
33Hertford County Estimated14.73-0.89 pts
34McDowell County Estimated14.72-1.66 pts
35Carteret County Estimated14.61-0.93 pts
36Macon County Estimated14.58-2.87 pts
37Transylvania County Estimated14.42-0.09 pts
38Ashe County Estimated14.37-2.84 pts
39Stokes County Estimated14.3-1.74 pts
40Graham County Estimated14.28+1.34 pts
41Clay County Estimated14.26-2.72 pts
42Yadkin County Estimated14.24-0.89 pts
43Cleveland County Estimated14.23-1.65 pts
44Montgomery County Estimated14.21-0.03 pts
45Robeson County Estimated14.11-2.19 pts
46Madison County Estimated14.11+0.31 pts
47Beaufort County Estimated14.04-2.84 pts
48Scotland County Estimated13.88-1.54 pts
49Vance County Estimated13.72-1.86 pts
50Alexander County Estimated13.64-1.57 pts
51Person County Estimated13.36+0.5 pts
52Henderson County Estimated13.19-1.39 pts
53Avery County Estimated13.16-0.12 pts
54Moore County Estimated13.14-0.85 pts
55Davidson County Estimated13.01-0.73 pts
56Brunswick County Estimated12.89-1.68 pts
57Sampson County Estimated12.85-2.03 pts
58Stanly County Estimated12.63-2.1 pts
59Davie County Estimated12.5-1.53 pts
60Rowan County Estimated12.49-2.19 pts
61Catawba County Estimated12.48-1.35 pts
62Craven County Estimated12.36-1.28 pts
63Wilson County Estimated12.36-2.57 pts
64Duplin County Estimated12.3-2.04 pts
65Randolph County Estimated12.25-2.03 pts
66Wayne County Estimated11.95-0.41 pts
67Gaston County Estimated11.83-1.86 pts
68Nash County Estimated11.81-1.51 pts
69Greene County Estimated11.32-1.71 pts
70Alamance County Estimated11.29-0.54 pts
71Pasquotank County Estimated10.96-2.08 pts
72Dare County Estimated10.93+0.31 pts
73Buncombe County Estimated10.88-0.8 pts
74Pender County Estimated10.76-1.13 pts
75Lee County Estimated10.66-2.11 pts
76Granville County Estimated10.58-1.3 pts
77Lincoln County Estimated10.55-1.52 pts
78Forsyth County Estimated10.49-0.82 pts
79Chatham County Estimated10.49-0.44 pts
80New Hanover County Estimated9.89-0.58 pts
81Franklin County Estimated9.73-0.84 pts
82Currituck County Estimated9.65-0.83 pts
83Iredell County Estimated9.57-1.32 pts
84Guilford County Estimated9.54-0.89 pts
85Jackson County Estimated9.38-1.43 pts
86Cumberland County Estimated9.34-1.19 pts
87Pitt County Estimated9.14-1.01 pts
88Harnett County Estimated9.08-1.48 pts
89Hyde County Estimated9.07-1.11 pts
90Camden County Estimated8.36-3.14 pts
91Cabarrus County Estimated8.28-0.35 pts
92Johnston County Estimated8.17-1.28 pts
93Hoke County Estimated8-0.97 pts
94Onslow County Estimated7.54-0.76 pts
95Watauga County Estimated7.48-0.93 pts
96Union County Estimated7.08-1.04 pts
97Durham County Estimated7.06-0.23 pts
98Orange County Estimated6.350 pts
99Mecklenburg County Estimated6.3-0.63 pts
100Wake County Estimated5.86-0.18 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 North Carolina 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)?

Pamlico County, with 18.39 per 1,000 inhabitants in 2023, according to the U.S. Census Bureau.

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

Wake County, with 5.86 per 1,000 inhabitants in 2023.

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 North Carolina: more rankings