Natural Change by County
Births minus deaths, per 1,000 residents in 2024. Negative where a county buries more people than it delivers, which is now most of rural America.
See Natural Change on the interactive map →
Highest counties
| County | Natural Change |
|---|---|
| Dewey County, South Dakota | 39.8 |
| Ziebach County, South Dakota | 30.6 |
| Jerauld County, South Dakota | 20.1 |
| Kusilvak Census Area, Alaska | 18.9 |
| Chattahoochee County, Georgia | 17.0 |
| Geary County, Kansas | 16.3 |
| Madison County, Idaho | 16.2 |
| Gaines County, Texas | 14.5 |
| Tripp County, South Dakota | 14.2 |
| Billings County, North Dakota | 13.2 |
| Glasscock County, Texas | 13.0 |
| Harding County, South Dakota | 12.8 |
Lowest counties
| County | Natural Change |
|---|---|
| Kingman County, Kansas | -24.2 |
| Eureka County, Nevada | -19.2 |
| Alpine County, California | -16.4 |
| Mineral County, Nevada | -16.3 |
| Sierra County, New Mexico | -16.1 |
| Haskell County, Texas | -16.0 |
| Real County, Texas | -15.9 |
| Rush County, Kansas | -15.7 |
| McDowell County, West Virginia | -15.6 |
| Marion County, Texas | -15.3 |
| Hardin County, Illinois | -15.2 |
| Cheyenne County, Colorado | -15.2 |