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. Author manuscript; available in PMC: 2021 Dec 13.
Published in final edited form as: Prev Med. 2021 Aug 17;153:106767. doi: 10.1016/j.ypmed.2021.106767

Table A.1.

U.S. counties with persistently high firearm homicide concentrations, 2004–2018.

State County (or equivalent) Classification Average population 2004–2018 Annual firearm homicide rate per 100,000 2004–2018 Largest cities / towns
AL Dallas Micropolitan (non-metro) 42,518 22.7 Selma
Jefferson Large central metro 658,001 14.9 Birmingham
Lowndes Medium metro 11,170 18.5 Fort Deposit; Haynesville; Mosses
Macon Non-Core (non-metro) 20,711 25.8 Tuskegee
Mobile Medium metro 410,292 11.8 Mobile
Montgomery Medium metro 227,142 14.3 Montgomery
Russell Medium metro 54,654 11.3 Phenix City
AR Crittenden Large fringe metro 49,949 12.1 West Memphis
Jefferson Small metro 75,355 19.1 Pine Bluff
Phillips Micropolitan (non-metro) 21,203 24.5 Helena - West Helena
Pulaski Medium metro 383,627 11.8 Little Rock
Union Micropolitan (non-metro) 41,293 10.3 El Dorado
DC District of Columbia Large central metro 625,427 16.0 Washington DC
FL Duval Large central metro 878,746 10.0 Jacksonville
GA Bibb Small metro 154,486 10.6 Macon
Burke Medium metro 22,884 9.3 Waynesboro
Chatham Medium metro 268,337 10.4 Savannah
Clayton Large fringe metro 266,455 10.3 College Park; Forest Park; Riverdale
DeKalb Large fringe metro 706,903 10.3 Brookhaven; Decatur; Dunwoody; Tucker
Fulton Large central metro 937,949 10.0 Atlanta
IL Cook Large central metro 5,210,104 9.6 Chicago
St. Clair Large fringe metro 265,167 11.9 Belleville; Collinsville; East St. Louis; O’Fallon
IN Lake Large fringe metro 490,889 13.0 Gary; Hammond
Marion Large central metro 911,996 11.7 Indianapolis
KS Wyandotte Large fringe metro 159,089 15.3 Kansas City, KS
LA Caddo Parish Medium metro 251,636 11.6 Shreveport
Concordia Parish Micropolitan (non-metro) 20,288 10.8 Ferriday; Vidalia
East Baton Rouge Parish Medium metro 436,959 15.5 Baton Rouge
Jefferson Parish Large fringe metro 436,479 12.5 Kenner
Madison Parish Non-Core (non-metro) 12,023 12.8 Tallulah
Orleans Parish Large central metro 367,851 39.8 New Orleans
St. John the Baptist Parish Large fringe metro 44,964 17.2 LaPlace
MD Baltimore City Large central metro 619,218 30.6 Baltimore
MI Genesee Medium metro 423,584 10.1 Flint
Wayne Large central metro 1,832,474 16.2 Detroit
MS Bolivar Micropolitan (non-metro) 34,241 13.0 Cleveland
Claiborne Micropolitan (non-metro) 9665 17.2 Port Gibson
Coahoma Micropolitan (non-metro) 25,698 25.2 Clarksdale
Grenada Micropolitan (non-metro) 21,761 15.6 Grenada
Hinds Medium metro 245,118 19.1 Jackson
Holmes Non-Core (non-metro) 19,037 20.0 Durant; Lexington; Tchula
Jefferson Davis Non-Core (non-metro) 12,188 19.7 Prentiss
Leflore Micropolitan (non-metro) 31,816 14.7 Greenwood
Marion Non-Core (non-metro) 26,013 10.8 Columbia
Scott Non-Core (non-metro) 28,278 11.1 Forest; Morton
Sunflower Micropolitan (non-metro) 28,942 11.3 Indianola
Tunica Large fringe metro 10,474 14.6 Tunica; North Tunica; Tunica Resorts
Walthall Non-Core (non-metro) 15,079 9.7 Tylertown
Washington Micropolitan (non-metro) 50,704 19.5 Greenville
Wilkinson Non-Core (non-metro) 9601 16.7 Centreville; Woodville
MO Jackson Large central metro 676,231 14.2 Kansas City, MO
St. Louis City Large central metro 317,575 30.8 St. Louis
NJ Essex Large central metro 787,134 12.6 Newark
NM Chaves Micropolitan (non-metro) 64,650 10.6 Roswell
NC Columbus Non-Core (non-metro) 56,558 11.8 Whiteville
Edgecombe Small metro 55,153 10.0 Rocky Mount
Robeson Micropolitan (non-metro) 132,348 18.3 Lumberton
Scotland Micropolitan (non-metro) 35,941 11.9 Laurinburg
Vance Micropolitan (non-metro) 44,694 14.6 Henderson
PA Philadelphia County Large central metro 1,535,620 17.1 Philadelphia
SC Allendale Non-Core (non-metro) 10,113 13.2 Allendale; Fairfax
Charleston Medium metro 362,520 8.7 Charleston; North Charleston; Mt. Pleasant
Colleton Non-Core (non-metro) 38,242 13.4 Walterboro
Hampton Non-Core (non-metro) 20,602 13.6 Estill; Hampton; Varnville
Jasper Small metro 25,208 16.4 Hardeeville; Ridgeland
Marion Non-Core (non-metro) 32,793 8.7 Marion; Mullins
Marlboro Micropolitan (non-metro) 28,159 10.9 Bennettsville
Orangeburg Micropolitan (non-metro) 90,833 10.3 Orangeburg
TN Shelby Large central metro 928,810 14.9 Memphis
VA Danville City Micropolitan (non-metro) 43,032 14.7 Danville
Hopewell City Large fringe metro 22,373 9.8 Hopewell
Newport News City Large fringe metro 181,347 9.3 Newport News
Norfolk City Large central metro 243,804 10.7 Norfolk
Petersburg City Large fringe metro 32,076 23.7 Petersburg
Portsmouth City Large fringe metro 96,272 11.9 Portsmouth
Richmond City Large central metro 210,208 18.0 Richmond
WI Milwaukee Large central metro 946,050 9.4 Milwaukee

Data Sources: National Vital Statistics System Mortality Data (ICD-10 Underlying-Cause Codes X93–X95, U01.4).

National Center for Health Statistics / U.S. Census Bureau Bridged-Race Population Estimates.