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RANKING · 2024 ACS · 500 SHOWN OF 3,143

Highest fertility rate, US counties

US counties ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2023 ACS).

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SAME RANKING BYCitiesStatesMetrosZIP codes
RELATEDOldest by median ageYoungest by median ageMost foreign-born residentsHighest uninsured rateMost womenMost men
YEAR20102024
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RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2000
2001Washoe County, NVNV509,38649.4
2002Mecklenburg County, NCNC1,233,38349.3
2003Henry County, OHOH27,59849.3
2004Faulkner County, ARAR133,97949.3
2005Green Lake County, WIWI19,30549.3
2006Cibola County, NMNM26,80749.3
2007Bannock County, IDID91,59149.3
2008Sumner County, TNTN215,53849.2
2009Madison County, NYNY67,12049.2
2010Smith County, TXTX252,54949.2
2011Nelson County, KYKY49,03649.2
2012St. Joseph County, ININ272,86149.2
2013LaPorte County, ININ111,29449.1
2014Carroll County, TNTN29,20049.1
2015Sabine Parish, LALA21,83449.1
2016Kent County, MDMD19,56549.1
2017Kootenai County, IDID191,86449.1
2018Loudoun County, VAVA449,74949.1
2019Clark County, NVNV2,407,22649.1
2020Valley County, IDID12,83149.0
2021Jefferson County, MOMO233,13249.0
2022San Mateo County, CACA743,56849.0
2023Spotsylvania County, VAVA155,38849.0
2024Camp County, TXTX13,38049.0
2026Hennepin County, MNMN1,284,78449.0
2027Monroe County, PAPA167,17949.0
2028McPherson County, KSKS30,06449.0
2029Hooker County, NENE68649.0
2030Stewart County, GAGA4,63149.0
2031Coles County, ILIL46,60748.9
2032Beaverhead County, MTMT10,04348.9
2033Onondaga County, NYNY466,58448.9
2034Columbus County, NCNC50,48748.9
2035Calloway County, KYKY39,42148.9
2036Essex County, MAMA826,65348.9
2037Grady County, OKOK59,12848.8
2038Angelina County, TXTX88,15448.8
2039Stark County, OHOH373,77148.8
2040Monmouth County, NJNJ651,03548.8
2041Walker County, TXTX83,84248.8
2042Danville, VAVA41,64748.8
2043Goochland County, VAVA29,18748.8
2044Camden County, MOMO44,04748.8
2045Champaign County, OHOH38,82048.8
2046Jenkins County, GAGA8,84348.8
2047Chesapeake, VAVA255,33248.7
2048Fluvanna County, VAVA28,97548.7
2049Flathead County, MTMT115,42948.7
2050Northampton County, PAPA324,41148.7
2051White County, ILIL13,25048.7
2052Wilson County, TNTN175,03348.7
2053Fayette County, ININ23,53348.6
2054Pasquotank County, NCNC42,20148.6
2055Lewis County, MOMO9,87948.6
2056Hughes County, OKOK13,45548.6
2057Kankakee County, ILIL105,52548.6
2058Logan County, KYKY28,66948.6
2059Levy County, FLFL48,52048.6
2060Bullitt County, KYKY86,45448.6
2061Alexandria, VAVA160,66248.5
2062St. Mary Parish, LALA46,55248.5
2063Calhoun County, MSMS12,64348.5
2064Clay County, ININ26,41048.5
2065Franklin County, VTVT51,17748.5
2066Grant County, ARAR18,75648.5
2067Coosa County, ALAL10,16148.4
2068Orleans Parish, LALA362,15448.4
2069Jefferson County, ALAL665,74248.4
2070Douglas County, COCO399,39648.4
2071New Castle County, DEDE588,02648.4
2072Clackamas County, OROR426,28048.4
2073Staunton, VAVA26,80148.4
2074Delaware County, PAPA580,93748.3
2075Fremont County, IAIA6,52248.3
2076Lunenburg County, VAVA12,05848.3
2077Shelby County, TNTN910,22648.3
2078Wicomico County, MDMD106,89948.3
2079Marshall County, WVWV29,15948.3
2080Haakon County, SDSD1,80248.3
2081Madison County, ININ135,08848.3
2082Kingfisher County, OKOK15,79548.2
2083Baltimore, MDMD569,99748.2
2084Carter County, TNTN57,36148.2
2085Vermilion County, ILIL71,25948.2
2086Pawnee County, NENE2,51048.2
2087Dearborn County, ININ51,60948.2
2088Scott County, IAIA175,25948.2
2089Beaufort County, SCSC204,43348.1
2090Fort Bend County, TXTX975,19148.1
2091Prairie County, ARAR7,92348.1
2092Wells County, NDND3,72948.1
2093Summit County, OHOH538,37648.1
2094Caledonia County, VTVT30,41448.1
2095Cameron County, TXTX433,94648.1
2096Adams County, ILIL64,26748.0
2097Mason County, KYKY16,93648.0
2098Dauphin County, PAPA293,35148.0
2099Kings County, NYNY2,653,96348.0
2100Androscoggin County, MEME116,48748.0
2101Baltimore County, MDMD847,65048.0
2102Logan County, ILIL27,18248.0
2103Madison County, ILIL263,11048.0
2104Navarro County, TXTX57,18147.9
2105McLennan County, TXTX272,02047.9
2106Madison County, NCNC22,55347.9
2107Iron County, UTUT67,14147.9
2108Haywood County, TNTN17,04247.9
2109Hawkins County, TNTN59,55947.9
2110Hardin County, KYKY113,48247.9
2111Tift County, GAGA42,25447.9
2112Lake County, ILIL719,33947.8
2113Marion County, ARAR17,59347.8
2114Benton County, WAWA221,72247.8
2115Maury County, TNTN118,13147.8
2116Comanche County, TXTX14,43247.8
2117San Juan County, NMNM120,34047.8
2118Harris County, GAGA37,28047.8
2119Burlington County, NJNJ481,43947.8
2120Warren County, NCNC18,89847.8
2121Covington County, ALAL37,94747.8
2122Ringgold County, IAIA4,64247.8
2123McDonald County, MOMO23,99247.8
2124Huron County, OHOH58,25047.8
2125Montmorency County, MIMI9,84247.8
2126Metcalfe County, KYKY10,58347.8
2127Emmet County, IAIA9,10747.7
2128Tuscaloosa County, ALAL241,36847.7
2129Oldham County, KYKY70,98647.7
2130Bon Homme County, SDSD7,24447.7
2131Hillsborough County, FLFL1,574,11547.7
2132Palm Beach County, FLFL1,575,72647.7
2133Boone County, ININ80,68947.7
2134Cheboygan County, MIMI25,79347.6
2135Monterey County, CACA433,72947.6
2136Forsyth County, NCNC401,71847.6
2137Surry County, VAVA6,60347.6
2138Loup County, NENE57047.6
2139Newton County, GAGA125,58347.6
2140Dixon County, NENE5,60247.6
2142Bowie County, TXTX92,69647.5
2143Somerset County, PAPA72,00447.5
2144Roanoke County, VAVA97,15047.5
2145Washington County, WIWI139,23847.5
2146Foster County, NDND3,21247.5
2147Lake County, OHOH232,21747.4
2149Jackson County, OROR221,79547.4
2150Augusta County, VAVA78,94047.4
2151Grant County, SDSD7,53447.3
2152Tuscola County, MIMI52,68047.3
2153Butts County, GAGA27,21847.3
2154St. Bernard Parish, LALA45,64247.3
2155Sullivan County, TNTN163,75947.3
2156Siskiyou County, CACA42,01347.2
2157Buena Vista, VAVA6,67247.2
2158Buckingham County, VAVA17,13747.2
2159Webster County, GAGA2,36947.2
2160Steuben County, NYNY91,85547.2
2161Medina County, OHOH185,02547.2
2162McClain County, OKOK49,64747.2
2163Chester County, TNTN17,99447.2
2164De Witt County, ILIL15,11847.2
2165Stewart County, TNTN14,43947.1
2166San Patricio County, TXTX72,05347.1
2167Duval County, TXTX9,40247.1
2168Carbon County, PAPA65,86847.1
2169Cobb County, GAGA793,34547.1
2170Providence County, RIRI678,17947.1
2171Mingo County, WVWV21,45547.1
2172Lamar County, MSMS67,40347.1
2173Perry County, OHOH35,91847.1
2174Lancaster County, VAVA10,99547.0
2175Merrick County, NENE7,90547.0
2176Hampden County, MAMA464,33847.0
2177Allegheny County, PAPA1,225,03547.0
2178Jefferson County, IDID35,29747.0
2179Saratoga County, NYNY241,34346.9
2180Richland County, SCSC434,95646.9
2181Sandoval County, NMNM159,56546.9
2182Grainger County, TNTN25,73946.9
2183Cheshire County, NHNH78,26946.9
2184Throckmorton County, TXTX1,55446.9
2185Sarpy County, NENE208,30346.8
2186Bucks County, PAPA647,82846.8
2187Robeson County, NCNC119,94146.8
2188Cumberland County, PAPA277,27046.8
2189Waynesboro, VAVA23,95146.7
2190Williamson County, TNTN272,06146.7
2191Bryan County, OKOK51,36746.7
2192Plymouth County, MAMA546,82946.7
2193Brown County, WIWI275,80346.7
2194Denton County, TXTX1,069,34646.7
2195Addison County, VTVT38,04846.7
2196Morris County, KSKS5,34846.7
2197Pine County, MNMN30,47246.7
2198McIntosh County, OKOK19,75846.6
2199St. Charles County, MOMO426,49946.6
2200Garrett County, MDMD28,37046.6
2201Rabun County, GAGA17,76446.6
2202Lynchburg, VAVA81,34746.6
2203Sherman County, KSKS5,76346.6
2204New Madrid County, MOMO15,08646.6
2205Amelia County, VAVA13,63246.5
2206Randolph County, MOMO24,51346.5
2207Lincoln County, WVWV19,17746.5
2208Volusia County, FLFL606,57346.5
2209Crosby County, TXTX4,85246.4
2210Wise County, VAVA34,82446.4
2211Broward County, FLFL2,013,31746.4
2212Tyler County, TXTX20,44346.4
2213Wasco County, OROR26,31046.4
2214Erie County, NYNY946,74146.4
2215Lincoln County, MSMS35,01246.4
2216Barnwell County, SCSC20,65346.4
2217Winnebago County, WIWI174,21846.4
2218Bennington County, VTVT36,63046.4
2219Stone County, MOMO32,50346.4
2220Isabella County, MIMI64,69146.4
2221Blount County, ALAL60,15646.3
2222Madison County, KYKY101,69646.3
2223Chester County, PAPA557,11646.3
2224Nassau County, FLFL106,87946.3
2225DeWitt County, TXTX20,30946.3
2226Juniata County, PAPA23,40346.2
2227Carroll County, NHNH52,78446.2
2228Custer County, OKOK28,17546.2
2229Santa Barbara County, CACA442,06546.2
2230Brevard County, FLFL663,98246.2
2231Union County, OHOH73,44646.2
2232Parmer County, TXTX9,67846.2
2233Kanawha County, WVWV172,38146.2
2234Kenai Peninsula, AKAK61,95146.2
2235Tipton County, TNTN62,28746.2
2236Middlesex County, NJNJ883,33546.2
2237Pickens County, SCSC139,19846.1
2238Santa Cruz County, CACA258,85246.1
2239Rio Arriba County, NMNM39,83246.1
2240Washington County, MNMN286,89546.1
2241Lassen County, CACA28,11746.1
2242Milwaukee County, WIWI924,21646.1
2243Wyoming County, WVWV19,80146.1
2244Dooly County, GAGA11,15646.0
2245Bennett County, SDSD3,30746.0
2246Lycoming County, PAPA112,58746.0
2247Niagara County, NYNY208,91246.0
2248Philadelphia County, PAPA1,574,28146.0
2249Teton County, IDID13,25446.0
2250Westchester County, NYNY1,015,74345.9
2251Washburn County, WIWI17,08745.9
2252Pottawattamie County, IAIA92,99645.9
2253Crow Wing County, MNMN69,13245.9
2254Des Moines County, IAIA38,07745.9
2255Lake County, FLFL456,06845.8
2256Middlesex County, MAMA1,669,97945.8
2257Salt Lake County, UTUT1,220,91645.8
2258Cortland County, NYNY45,85045.8
2259McIntosh County, NDND2,45145.8
2260Racine County, WIWI198,91945.8
2261Baxter County, ARAR42,98245.7
2262Morgan County, WVWV18,02745.7
2263Carver County, MNMN114,37945.7
2264Lancaster County, NENE334,04945.7
2265Bossier Parish, LALA131,86745.7
2266Jefferson County, COCO580,45145.7
2267Hutchinson County, TXTX19,63345.7
2268Sussex County, NJNJ148,06345.7
2269St. Croix County, WIWI98,27645.7
2270Blanco County, TXTX13,58145.7
2271Limestone County, ALAL122,92845.7
2272Jackson County, KSKS13,43845.7
2273Cecil County, MDMD107,13145.7
2274DeKalb County, GAGA774,39445.7
2275Fulton County, ILIL32,90145.6
2276Perry County, PAPA46,80645.6
2277Massac County, ILIL13,50245.6
2278Marshall County, MNMN8,79845.6
2279Dickinson County, MIMI25,82745.6
2280Lehigh County, PAPA384,38345.6
2281Santa Fe County, NMNM156,90745.6
2282Cambria County, PAPA128,96845.6
2283Ouachita Parish, LALA158,54245.5
2284Vernon County, MOMO19,94645.5
2285Red River County, TXTX11,81645.5
2286Wood County, OHOH134,17645.5
2287Orange County, FLFL1,528,00245.5
2288Kalkaska County, MIMI18,69345.5
2289Capitol Planning Region, CTCT994,11545.4
2290Henry County, ILIL48,09545.4
2291Morgan County, ININ74,96745.4
2292Kalamazoo County, MIMI263,79545.3
2293Washington County, NENE21,30245.3
2294Cass County, TXTX28,65145.3
2295Ozaukee County, WIWI94,34645.3
2296Washington County, PAPA210,80245.3
2297Brown County, TXTX38,71145.3
2298Eaton County, MIMI109,58145.3
2299Alameda County, CACA1,636,63045.3
2300McLean County, ILIL171,41945.3
2301Jackson Parish, LALA15,83445.2
2302Warren County, KYKY149,37545.2
2303Payette County, IDID27,82445.2
2304Allegany County, MDMD66,84845.2
2305Christian County, ILIL33,44345.2
2306Bernalillo County, NMNM667,60145.1
2307Rensselaer County, NYNY160,51045.1
2308Windsor County, VTVT57,31245.1
2309Jefferson County, OHOH63,59745.1
2310Orangeburg County, SCSC83,17745.1
2311Hunterdon County, NJNJ131,78145.1
2312Adams County, PAPA107,59445.1
2313Cook County, ILIL5,194,62545.0
2314Gallatin County, MTMT128,74045.0
2315Caroline County, VAVA34,41345.0
2316Snyder County, PAPA39,65545.0
2317Walton County, GAGA112,69645.0
2318Coos County, OROR63,99245.0
2319Walla Walla County, WAWA62,36145.0
2320Dewey County, SDSD5,41944.9
2321Power County, IDID8,24644.9
2322Broomfield County, COCO79,17444.9
2323Logan County, OKOK55,47344.9
2324St. Louis County, MNMN200,51844.8
2325Norton County, KSKS5,28844.8
2326Fulton County, KYKY6,21844.8
2327Rockingham County, NHNH324,07744.8
2328Poinsett County, ARAR22,48344.8
2329Pontotoc County, MSMS32,09644.8
2330Miami-Dade County, FLFL2,802,02944.8
2331Boone County, ARAR38,62844.8
2332Schuyler County, MOMO4,14044.8
2333Leflore County, MSMS25,68644.8
2334Rockingham County, VAVA89,31644.7
2335Grant County, ININ66,52444.7
2336Hancock County, KYKY9,05044.7
2337Ripley County, MOMO10,71744.7
2338Copiah County, MSMS27,49744.7
2339Buffalo County, SDSD1,80244.7
2340Dinwiddie County, VAVA28,89644.7
2341Lubbock County, TXTX328,90644.6
2342Bay County, MIMI102,12344.6
2343Jim Wells County, TXTX38,80444.6
2344Randall County, TXTX152,35144.6
2345Alexander County, NCNC36,95844.6
2346DeKalb County, ALAL74,08544.6
2347Blair County, PAPA119,54144.6
2348San Luis Obispo County, CACA282,36744.6
2349Vilas County, WIWI23,76144.6
2350Hill County, TXTX39,50344.6
2351Jefferson County, ININ33,27944.5
2352Carter County, MOMO5,41844.5
2353Oakland County, MIMI1,288,33744.5
2354North Slope, AKAK10,58244.5
2355Berrien County, GAGA18,93244.5
2356Clark County, ARAR20,93844.5
2357Hempstead County, ARAR19,08044.5
2358Gregg County, TXTX126,09544.4
2359Union County, TNTN21,45044.4
2360Forsyth County, GAGA282,80544.4
2361Jasper County, IAIA38,15344.4
2362Manatee County, FLFL468,20044.4
2363Monroe County, NYNY750,50644.4
2364Mercer County, NJNJ399,28944.4
2365Livingston County, MOMO14,70844.3
2366Wheeler County, GAGA7,57044.3
2367Washington County, FLFL26,69544.3
2368Yavapai County, AZAZ252,55244.3
2369Madison County, ALAL433,51644.3
2370Humphreys County, TNTN19,64644.3
2371Nantucket County, MAMA14,75844.2
2372Chatham County, GAGA311,85544.2
2373Tishomingo County, MSMS18,63944.1
2374Weakley County, TNTN33,26144.1
2375Adams County, OHOH27,86544.1
2376Del Norte County, CACA26,41044.1
2377Dunn County, NDND4,05844.1
2378St. Helena Parish, LALA10,75844.1
2379Richland County, WIWI17,03644.1
2380Passaic County, NJNJ531,62444.1
2381Butler County, PAPA200,16944.0
2382Orange County, CACA3,149,50744.0
2383Calhoun County, ALAL115,83444.0
2384Lee County, GAGA34,17944.0
2385Cumberland County, MEME317,22244.0
2386Huron County, MIMI30,53044.0
2387Bedford County, PAPA47,48044.0
2388Washington County, OROR611,70844.0
2389Pike County, ARAR9,96444.0
2390Ida County, IAIA6,77744.0
2391Larimer County, COCO377,29243.9
2392Bastrop County, TXTX118,90843.9
2393East Baton Rouge Parish, LALA456,18043.9
2394Travis County, TXTX1,389,67043.8
2395Pike County, PAPA62,80843.8
2396Albany County, NYNY321,22543.8
2397Hardin County, TNTN27,98343.8
2398Wayne County, PAPA51,70343.8
2399Steuben County, ININ34,79943.8
2400Seneca County, NYNY32,88343.8
2401Merrimack County, NHNH158,07843.7
2402Whitfield County, GAGA106,21243.7
2403Indian River County, FLFL172,79943.7
2404DeKalb County, ILIL101,83543.7
2405Cabarrus County, NCNC249,72543.7
2406Dewey County, OKOK4,20743.6
2407Union County, OROR25,90043.6
2408Northampton County, VAVA11,87943.6
2409Pinellas County, FLFL948,56343.6
2410Chaffee County, COCO20,83143.6
2411Ada County, IDID546,14143.6
2412Dent County, MOMO14,58443.6
2413Waukesha County, WIWI417,21043.5
2414Marion County, IAIA34,19243.5
2415Marshall County, ININ46,59943.5
2416Caswell County, NCNC22,56343.5
2417Cass County, IAIA12,96043.5
2418McDowell County, WVWV16,87843.5
2419King County, WAWA2,344,93943.5
2420Logan County, NENE66943.5
2421Polk County, WIWI45,80343.5
2422Napa County, CACA132,94943.4
2423Jefferson County, GAGA15,01143.4
2424Brookings County, SDSD37,63543.4
2425York County, NENE14,56443.4
2426Polk County, FLFL874,79043.4
2427Ulster County, NYNY183,33043.3
2428Columbia County, NYNY60,16843.3
2429Breathitt County, KYKY12,55843.3
2430Fauquier County, VAVA76,50343.2
2431Franklin County, IDID15,88943.2
2432Preble County, OHOH40,66443.2
2433Pacific County, WAWA24,35743.2
2434Greene County, VAVA21,95843.2
2435Anderson County, TNTN82,06643.2
2436Routt County, COCO25,32943.2
2437Osceola County, FLFL481,71843.2
2438Floyd County, IAIA14,90143.2
2439Hidalgo County, NMNM3,92943.1
2440Warren County, NJNJ112,95343.1
2441Harrison County, IAIA14,62343.1
2442Hart County, KYKY20,11743.1
2443Trinity County, CACA15,72043.0
2444Randolph County, GAGA6,15643.0
2445Love County, OKOK10,78043.0
2446Lake County, MTMT33,39243.0
2447Wichita County, TXTX129,55543.0
2448Carbon County, UTUT20,68043.0
2449Guilford County, NCNC562,23442.9
2450Bremer County, IAIA25,29642.9
2451Canyon County, IDID275,12342.9
2452Coos County, NHNH31,34342.9
2453Barnstable County, MAMA233,53942.9
2454Franklin County, PAPA160,65242.9
2455Nevada County, CACA101,91142.9
2456Ross County, OHOH76,42942.8
2457Crowley County, COCO5,67742.7
2458Giles County, TNTN31,43342.7
2459Santa Clara County, CACA1,914,39142.7
2460Jeff Davis County, GAGA15,21942.7
2461Jackson County, OHOH32,81742.7
2462Piatt County, ILIL16,79142.7
2463Uinta County, WYWY20,72842.6
2464Henry County, GAGA264,92242.6
2465Aroostook County, MEME66,60942.6
2466Seneca County, OHOH54,52242.6
2467Barnes County, NDND10,57342.6
2468Beaver County, PAPA166,03242.6
2469Thurston County, WAWA304,26142.6
2470Tippecanoe County, ININ190,45642.5
2471Cleveland County, OKOK303,97342.5
2472Ferry County, WAWA7,51742.5
2473La Paz County, AZAZ16,71142.5
2474St. Joseph County, MIMI60,96842.4
2475Queens County, NYNY2,358,18242.4
2476Delaware County, ININ113,10642.4
2477Chippewa County, MIMI36,08142.4
2478Pasco County, FLFL674,51642.4
2479Brazos County, TXTX249,08842.4
2480Atchison County, MOMO5,17542.4
2481Jefferson Davis County, MSMS10,94142.4
2482Denver County, COCO740,61342.4
2483Muskegon County, MIMI177,90142.4
2484Avery County, NCNC18,11042.4
2485Williamsburg County, SCSC29,66242.4
2486York County, SCSC306,88742.4
2487Baldwin County, ALAL267,76142.4
2488Hughes County, SDSD17,57042.3
2489Canadian County, OKOK187,18942.3
2490Morrow County, OROR12,60242.3
2491Los Angeles County, CACA9,694,93442.3
2492El Dorado County, CACA192,32342.2
2493Orange County, VTVT30,00242.1
2494Beaver County, OKOK4,88242.1
2495Kershaw County, SCSC73,16642.1
2496Dickens County, TXTX1,69242.1
2497Unicoi County, TNTN17,85642.1
2498Jefferson County, WIWI86,50542.1
2499Kodiak Island, AKAK12,38742.1
2500Benton County, ININ8,88342.0
SHOWING 2,001–2,500 OF 3,143
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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES