<P> This article includes a list of U.S. states sorted by birth and death rate, expressed per 1,000 inhabitants, for 2015, using the most recent data available from the U.S. National Center for Health Statistics . </P> <Table> List of U.S. states and territories by birth and death rates in 2015 <Tr> <Th> 2015 Rank </Th> <Th> State </Th> <Th> Birth rate (per 1,000 people) </Th> <Th> Death rate (per 1,000 people) </Th> <Th> Rate of natural increase (per 1,000 people) </Th> </Tr> <Tr> <Td> </Td> <Td> Guam </Td> <Td> 20.8 </Td> <Td> 6.1 </Td> <Td> 14.7 </Td> </Tr> <Tr> <Td> </Td> <Td> American Samoa </Td> <Td> 19.8 </Td> <Td> 5.6 </Td> <Td> 14.2 </Td> </Tr> <Tr> <Td> </Td> <Td> Utah </Td> <Td> 16.9 </Td> <Td> 5.8 </Td> <Td> 11.1 </Td> </Tr> <Tr> <Td> </Td> <Td> Alaska </Td> <Td> 15.3 </Td> <Td> 5.8 </Td> <Td> 9.5 </Td> </Tr> <Tr> <Td> </Td> <Td> North Dakota </Td> <Td> 14.9 </Td> <Td> 8.2 </Td> <Td> 6.7 </Td> </Tr> <Tr> <Td> 6 </Td> <Td> Texas </Td> <Td> 14.7 </Td> <Td> 6.9 </Td> <Td> 7.8 </Td> </Tr> <Tr> <Td> 7 </Td> <Td> South Dakota </Td> <Td> 14.4 </Td> <Td> 9.0 </Td> <Td> 5.4 </Td> </Tr> <Tr> <Td> 8 </Td> <Td> District of Columbia </Td> <Td> 14.2 </Td> <Td> 7.2 </Td> <Td> 7.0 </Td> </Tr> <Tr> <Td> 9 </Td> <Td> Nebraska </Td> <Td> 14.1 </Td> <Td> 8.8 </Td> <Td> 5.3 </Td> </Tr> <Tr> <Td> 10 </Td> <Td> Louisiana </Td> <Td> 13.9 </Td> <Td> 9.4 </Td> <Td> 4.5 </Td> </Tr> <Tr> <Td> 11 </Td> <Td> Idaho </Td> <Td> 13.8 </Td> <Td> 7.9 </Td> <Td> 5.9 </Td> </Tr> <Tr> <Td> 12 </Td> <Td> Oklahoma </Td> <Td> 13.6 </Td> <Td> 10.1 </Td> <Td> 3.5 </Td> </Tr> <Tr> <Td> 13 </Td> <Td> Kansas </Td> <Td> 13.4 </Td> <Td> 9.2 </Td> <Td> 4.2 </Td> </Tr> <Tr> <Td> 14 </Td> <Td> Wyoming </Td> <Td> 13.2 </Td> <Td> 8.2 </Td> <Td> 5.0 </Td> </Tr> <Tr> <Td> 15 </Td> <Td> Arkansas </Td> <Td> 13.1 </Td> <Td> 10.6 </Td> <Td> 2.5 </Td> </Tr> <Tr> <Td> 16 </Td> <Td> Hawaii </Td> <Td> 12.9 </Td> <Td> 7.7 </Td> <Td> 5.2 </Td> </Tr> <Tr> <Td> 17 </Td> <Td> Georgia </Td> <Td> 12.9 </Td> <Td> 7.8 </Td> <Td> 5.1 </Td> </Tr> <Tr> <Td> 18 </Td> <Td> Mississippi </Td> <Td> 12.8 </Td> <Td> 10.6 </Td> <Td> </Td> </Tr> <Tr> <Td> 19 </Td> <Td> Minnesota </Td> <Td> 12.7 </Td> <Td> 7.8 </Td> <Td> 4.9 </Td> </Tr> <Tr> <Td> 20 </Td> <Td> Indiana </Td> <Td> 12.7 </Td> <Td> 9.5 </Td> <Td> 3.2 </Td> </Tr> <Tr> <Td> 21 </Td> <Td> California </Td> <Td> 12.6 </Td> <Td> 6.6 </Td> <Td> 6.0 </Td> </Tr> <Tr> <Td> 22 </Td> <Td> Iowa </Td> <Td> 12.6 </Td> <Td> 9.5 </Td> <Td> 3.1 </Td> </Tr> <Tr> <Td> 23 </Td> <Td> Kentucky </Td> <Td> 12.6 </Td> <Td> 10.5 </Td> <Td> </Td> </Tr> <Tr> <Td> 24 </Td> <Td> Nevada </Td> <Td> 12.6 </Td> <Td> 7.9 </Td> <Td> 4.7 </Td> </Tr> <Tr> <Td> 25 </Td> <Td> Arizona </Td> <Td> 12.5 </Td> <Td> 8.0 </Td> <Td> 4.5 </Td> </Tr> <Tr> <Td> 26 </Td> <Td> New Mexico </Td> <Td> 12.4 </Td> <Td> 8.5 </Td> <Td> 3.9 </Td> </Tr> <Tr> <Td> 27 </Td> <Td> Washington </Td> <Td> 12.4 </Td> <Td> 7.6 </Td> <Td> 4.8 </Td> </Tr> <Tr> <Td> 28 </Td> <Td> Tennessee </Td> <Td> 12.4 </Td> <Td> 10.1 </Td> <Td> 2.3 </Td> </Tr> <Tr> <Td> 29 </Td> <Td> Missouri </Td> <Td> 12.3 </Td> <Td> 9.8 </Td> <Td> 2.5 </Td> </Tr> <Tr> <Td> 30 </Td> <Td> Virginia </Td> <Td> 12.3 </Td> <Td> 7.8 </Td> <Td> 4.5 </Td> </Tr> <Tr> <Td> 31 </Td> <Td> Illinois </Td> <Td> 12.3 </Td> <Td> 8.3 </Td> <Td> 4.0 </Td> </Tr> <Tr> <Td> 32 </Td> <Td> Maryland </Td> <Td> 12.3 </Td> <Td> 7.9 </Td> <Td> 4.4 </Td> </Tr> <Tr> <Td> 33 </Td> <Td> Alabama </Td> <Td> 12.3 </Td> <Td> 10.7 </Td> <Td> 1.6 </Td> </Tr> <Tr> <Td> 34 </Td> <Td> Colorado </Td> <Td> 12.2 </Td> <Td> 6.7 </Td> <Td> 5.5 </Td> </Tr> <Tr> <Td> 35 </Td> <Td> Montana </Td> <Td> 12.2 </Td> <Td> 9.6 </Td> <Td> 2.6 </Td> </Tr> <Tr> <Td> 36 </Td> <Td> New York </Td> <Td> 12.0 </Td> <Td> 7.8 </Td> <Td> 4.2 </Td> </Tr> <Tr> <Td> 37 </Td> <Td> North Carolina </Td> <Td> 12.0 </Td> <Td> 8.9 </Td> <Td> 3.1 </Td> </Tr> <Tr> <Td> 38 </Td> <Td> Ohio </Td> <Td> 12.0 </Td> <Td> 10.2 </Td> <Td> 1.8 </Td> </Tr> <Tr> <Td> 39 </Td> <Td> South Carolina </Td> <Td> 11.9 </Td> <Td> 9.6 </Td> <Td> 2.3 </Td> </Tr> <Tr> <Td> 40 </Td> <Td> Delaware </Td> <Td> 11.8 </Td> <Td> 9.1 </Td> <Td> 2.7 </Td> </Tr> <Tr> <Td> 41 </Td> <Td> Wisconsin </Td> <Td> 11.6 </Td> <Td> 8.9 </Td> <Td> 2.7 </Td> </Tr> <Tr> <Td> 42 </Td> <Td> New Jersey </Td> <Td> 11.5 </Td> <Td> 8.1 </Td> <Td> 3.4 </Td> </Tr> <Tr> <Td> 43 </Td> <Td> Michigan </Td> <Td> 11.4 </Td> <Td> 9.6 </Td> <Td> 1.8 </Td> </Tr> <Tr> <Td> 44 </Td> <Td> Oregon </Td> <Td> 11.3 </Td> <Td> 8.9 </Td> <Td> 2.4 </Td> </Tr> <Tr> <Td> 45 </Td> <Td> Florida </Td> <Td> 11.1 </Td> <Td> 9.5 </Td> <Td> 1.6 </Td> </Tr> <Tr> <Td> 46 </Td> <Td> Pennsylvania </Td> <Td> 11.0 </Td> <Td> 10.4 </Td> <Td> 0.6 </Td> </Tr> <Tr> <Td> 47 </Td> <Td> West Virginia </Td> <Td> 10.7 </Td> <Td> 12.3 </Td> <Td> - 1.6 </Td> </Tr> <Tr> <Td> 48 </Td> <Td> Massachusetts </Td> <Td> 10.5 </Td> <Td> 8.5 </Td> <Td> 2.0 </Td> </Tr> <Tr> <Td> 49 </Td> <Td> Rhode Island </Td> <Td> 10.4 </Td> <Td> 9.6 </Td> <Td> 0.8 </Td> </Tr> <Tr> <Td> 50 </Td> <Td> Connecticut </Td> <Td> 10.0 </Td> <Td> 8.5 </Td> <Td> 1.5 </Td> </Tr> <Tr> <Td> 51 </Td> <Td> Maine </Td> <Td> 9.5 </Td> <Td> 10.9 </Td> <Td> - 1.4 </Td> </Tr> <Tr> <Td> 52 </Td> <Td> Vermont </Td> <Td> 9.4 </Td> <Td> 9.5 </Td> <Td> - 0.1 </Td> </Tr> <Tr> <Td> 53 </Td> <Td> New Hampshire </Td> <Td> 9.3 </Td> <Td> 9.0 </Td> <Td> 0.3 </Td> </Tr> <Tr> <Td> 54 </Td> <Td> Puerto Rico </Td> <Td> 9.0 </Td> <Td> 8.1 </Td> <Td> 0.8 </Td> </Tr> <Tr> <Td> 55 </Td> <Td> Northern Marianas </Td> <Td> 8.2 </Td> <Td> 4.3 </Td> <Td> 3.9 </Td> </Tr> <Tr> <Td>--</Td> <Td> United States </Td> <Td> 12.4 </Td> <Td> 8.4 </Td> <Td> 4.0 </Td> </Tr> </Table> <Tr> <Th> 2015 Rank </Th> <Th> State </Th> <Th> Birth rate (per 1,000 people) </Th> <Th> Death rate (per 1,000 people) </Th> <Th> Rate of natural increase (per 1,000 people) </Th> </Tr>

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