Rankings · Counties

Deadliest counties in the US

Every US county ranked by traffic deaths across 2020–2024, and by its average yearly death rate. The largest counties have the most deaths; the highest rates are mostly in rural counties with fewer residents and long distances to drive.

Most traffic deaths, 2020–2024

# County State Deaths 2020–2024 Per 100,000 a year
1 Los Angeles County California 4,095 8.4
2 Maricopa County Arizona 3,053 13.4
3 Harris County Texas 2,746 11.4
4 San Bernardino County California 1,988 18.1
5 Cook County Illinois 1,967 7.6
6 Dallas County Texas 1,705 13.0
7 Riverside County California 1,618 13.1
8 Miami-Dade County Florida 1,577 11.5
9 San Diego County California 1,486 9.0
10 Broward County Florida 1,298 13.2
11 Clark County Nevada 1,245 10.7
12 Shelby County Tennessee 1,224 26.6
13 Hillsborough County Florida 1,120 14.7
14 Bexar County Texas 1,112 10.7
15 Orange County California 1,103 7.0
16 Wayne County Michigan 1,066 12.0
17 Tarrant County Texas 1,051 9.7
18 Palm Beach County Florida 1,039 13.6
19 Kern County California 1,028 22.5
20 Sacramento County California 963 12.1
21 Orange County Florida 925 12.6
22 Fresno County California 907 17.8
23 Pima County Arizona 868 16.4
24 Duval County Florida 845 16.5
25 Travis County Texas 777 11.6
26 Polk County Florida 719 18.2
27 King County Washington 718 6.3
28 Philadelphia County Pennsylvania 713 9.0
29 Suffolk County New York 708 9.2
30 Marion County Indiana 698 14.3
31 San Joaquin County California 669 16.8
32 Fulton County Georgia 665 12.4
33 Volusia County Florida 634 21.9
34 Davidson County Tennessee 633 17.6
35 Jefferson County Kentucky 624 15.9
36 DeKalb County Georgia 619 16.2
37 Pinellas County Florida 609 12.7
38 Jackson County Missouri 603 16.7
39 Prince George's County Maryland 601 12.5
40 Lee County Florida 600 14.7
41 Bernalillo County New Mexico 592 17.6
42 Franklin County Ohio 591 8.9
43 Santa Clara County California 584 6.2
44 Mecklenburg County North Carolina 556 9.6
45 Cuyahoga County Ohio 548 8.8
46 Jefferson County Alabama 529 15.8
47 Marion County Florida 522 26.1
48 Pasco County Florida 520 17.0
49 Alameda County California 517 6.3
50 St. Louis County Missouri 512 10.3

Highest death rates, 2020–2024

Deaths per 100,000 residents a year, averaged over 2020–2024. Only counties with at least 20 deaths in that time are ranked, because rates based on fewer deaths swing too much from year to year to compare. The rate divides deaths by the people who live in a county, so small counties crossed by busy highways can rank high: many of the people who die there are travelling through. How rates are worked out

# County State Deaths 2020–2024 Per 100,000 a year
1 Esmeralda County Nevada 20 539.7
2 Oldham County Texas 30 339.8
3 Culberson County Texas 27 309.1
4 Hudspeth County Texas 44 263.3
5 Martin County Texas 65 247.1
6 Armstrong County Texas 22 239.4
7 Guadalupe County New Mexico 43 196.5
8 Crockett County Texas 27 183.4
9 Kinney County Texas 22 175.4
10 Hartley County Texas 35 134.5
11 Carson County Texas 36 123.9
12 Kimble County Texas 25 113.7
13 La Paz County Arizona 94 113.7
14 Mora County New Mexico 23 110.9
15 La Salle County Texas 35 106.4
16 Lincoln County Colorado 28 100.9
17 Big Horn County Montana 65 100.7
18 Lincoln County Nevada 22 99.6
19 Beaver County Oklahoma 24 96.1
20 Reeves County Texas 60 94.3
21 Crane County Texas 21 91.2
22 Winkler County Texas 34 90.1
23 Dimmit County Texas 34 81.0
24 Greene County Alabama 30 80.7
25 Socorro County New Mexico 64 79.1
26 Boise County Idaho 32 77.5
27 Warren County Georgia 20 77.3
28 Lowndes County Alabama 38 77.2
29 Pratt County Kansas 21 76.8
30 Zavala County Texas 36 76.5
31 Leon County Texas 62 76.2
32 Tunica County Mississippi 36 76.1
33 Benson County North Dakota 22 75.9
34 Ward County Texas 41 73.5
35 Quay County New Mexico 31 72.0
36 Grand County Utah 35 71.9
37 Coleman County Texas 28 71.6
38 Torrance County New Mexico 54 69.8
39 Live Oak County Texas 39 67.2
40 Sussex County Virginia 36 66.9
41 Brooks County Texas 23 66.4
42 Wilkinson County Georgia 29 66.2
43 Crook County Wyoming 24 64.4
44 Huerfano County Colorado 22 63.0
45 Butler County Alabama 58 62.2
46 Love County Oklahoma 32 62.0
47 Fremont County Iowa 20 61.4
48 Monroe County Arkansas 20 60.9
49 Hamilton County Florida 41 60.3
50 Kit Carson County Colorado 21 60.0

Traffic deaths by state · All rankings