{
  "alt": "Three small line charts, one each for overdose, alcohol-induced deaths and suicide, of crude death rates in the least deprived, middle and most deprived thirds of counties from 2018 to 2024. The most deprived third is the highest line in every panel, the least deprived the lowest, and all three lines in the overdose and alcohol-induced panels peak in 2021 or 2022 and are lower in 2024. The suicide lines are nearly flat.",
  "caption": "The most deprived third is above the least deprived third in every panel and every year, and the middle third lies between them for overdose and alcohol-induced deaths. Each line plots the pooled rate of the counties in a group, with a 95% interval from a bootstrap over counties. The tabs show the same counties as an index to 2019, the modeled panel's counties as rates and as an index, and the panel's overdose counties split into those that WONDER publishes in every year and the others. The thirds are thirds of the counties in each tab, so they are different sets of counties.",
  "data": [
    {
      "cause": "Overdose",
      "conf_high": 20.4069,
      "conf_low": 17.1433,
      "index": 95.6353,
      "index_hi": 98.3597,
      "index_lo": 93.0646,
      "n_units": 294,
      "provisional": false,
      "rate": 18.7561,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2018
    },
    {
      "cause": "Overdose",
      "conf_high": 21.2468,
      "conf_low": 18.058,
      "index": 100,
      "n_units": 294,
      "provisional": false,
      "rate": 19.6121,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2019
    },
    {
      "cause": "Overdose",
      "conf_high": 27.0776,
      "conf_low": 23.6036,
      "index": 128.725,
      "index_hi": 132.996,
      "index_lo": 124.433,
      "n_units": 294,
      "provisional": false,
      "rate": 25.2457,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2020
    },
    {
      "cause": "Overdose",
      "conf_high": 30.6227,
      "conf_low": 26.9717,
      "index": 146.553,
      "index_hi": 152.924,
      "index_lo": 140.406,
      "n_units": 294,
      "provisional": false,
      "rate": 28.7421,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2021
    },
    {
      "cause": "Overdose",
      "conf_high": 31.015,
      "conf_low": 27.3532,
      "index": 148.44,
      "index_hi": 156.047,
      "index_lo": 140.702,
      "n_units": 294,
      "provisional": false,
      "rate": 29.1121,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2022
    },
    {
      "cause": "Overdose",
      "conf_high": 31.1391,
      "conf_low": 27.2189,
      "index": 148.354,
      "index_hi": 157.678,
      "index_lo": 139.232,
      "n_units": 294,
      "provisional": false,
      "rate": 29.0952,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2023
    },
    {
      "cause": "Overdose",
      "conf_high": 23.9772,
      "conf_low": 20.6326,
      "index": 113.369,
      "index_hi": 121.539,
      "index_lo": 105.09,
      "n_units": 294,
      "provisional": false,
      "rate": 22.234,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2024
    },
    {
      "cause": "Overdose",
      "conf_high": 28.896,
      "conf_low": 22.8893,
      "index": 94.7392,
      "index_hi": 97.2152,
      "index_lo": 92.2308,
      "n_units": 293,
      "provisional": false,
      "rate": 25.6802,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2018
    },
    {
      "cause": "Overdose",
      "conf_high": 30.4568,
      "conf_low": 24.0993,
      "index": 100,
      "n_units": 293,
      "provisional": false,
      "rate": 27.1062,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2019
    },
    {
      "cause": "Overdose",
      "conf_high": 39.238,
      "conf_low": 31.5746,
      "index": 130.202,
      "index_hi": 134.469,
      "index_lo": 125.799,
      "n_units": 293,
      "provisional": false,
      "rate": 35.2929,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2020
    },
    {
      "cause": "Overdose",
      "conf_high": 44.6272,
      "conf_low": 36.5701,
      "index": 149.058,
      "index_hi": 156.027,
      "index_lo": 142.041,
      "n_units": 293,
      "provisional": false,
      "rate": 40.404,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2021
    },
    {
      "cause": "Overdose",
      "conf_high": 44.5685,
      "conf_low": 36.6889,
      "index": 149.238,
      "index_hi": 156.191,
      "index_lo": 142.42,
      "n_units": 293,
      "provisional": false,
      "rate": 40.4526,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2022
    },
    {
      "cause": "Overdose",
      "conf_high": 41.8704,
      "conf_low": 34.3628,
      "index": 139.802,
      "index_hi": 147.183,
      "index_lo": 132.583,
      "n_units": 293,
      "provisional": false,
      "rate": 37.895,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2023
    },
    {
      "cause": "Overdose",
      "conf_high": 30.1294,
      "conf_low": 25.1094,
      "index": 101.332,
      "index_hi": 107.691,
      "index_lo": 95.3052,
      "n_units": 293,
      "provisional": false,
      "rate": 27.4672,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2024
    },
    {
      "cause": "Overdose",
      "conf_high": 31.4396,
      "conf_low": 24.1598,
      "index": 96.827,
      "index_hi": 100.508,
      "index_lo": 92.8864,
      "n_units": 293,
      "provisional": false,
      "rate": 28.0209,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2018
    },
    {
      "cause": "Overdose",
      "conf_high": 32.2857,
      "conf_low": 24.9327,
      "index": 100,
      "n_units": 293,
      "provisional": false,
      "rate": 28.9391,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2019
    },
    {
      "cause": "Overdose",
      "conf_high": 40.7973,
      "conf_low": 33.0974,
      "index": 128.359,
      "index_hi": 135.501,
      "index_lo": 122.816,
      "n_units": 293,
      "provisional": false,
      "rate": 37.146,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2020
    },
    {
      "cause": "Overdose",
      "conf_high": 47.4022,
      "conf_low": 38.8851,
      "index": 149.818,
      "index_hi": 160.884,
      "index_lo": 141.86,
      "n_units": 293,
      "provisional": false,
      "rate": 43.356,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2021
    },
    {
      "cause": "Overdose",
      "conf_high": 47.3547,
      "conf_low": 39.1935,
      "index": 150.33,
      "index_hi": 162.11,
      "index_lo": 141.759,
      "n_units": 293,
      "provisional": false,
      "rate": 43.5041,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2022
    },
    {
      "cause": "Overdose",
      "conf_high": 45.6308,
      "conf_low": 37.4815,
      "index": 144.427,
      "index_hi": 154.239,
      "index_lo": 137.192,
      "n_units": 293,
      "provisional": false,
      "rate": 41.7959,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2023
    },
    {
      "cause": "Overdose",
      "conf_high": 31.2226,
      "conf_low": 26.331,
      "index": 99.9355,
      "index_hi": 109.574,
      "index_lo": 93.0975,
      "n_units": 293,
      "provisional": false,
      "rate": 28.9204,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2024
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 11.9474,
      "conf_low": 10.4063,
      "index": 96.4074,
      "index_hi": 98.625,
      "index_lo": 94.1503,
      "n_units": 208,
      "provisional": false,
      "rate": 11.1749,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2018
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 12.4051,
      "conf_low": 10.7737,
      "index": 100,
      "n_units": 208,
      "provisional": false,
      "rate": 11.5914,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2019
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 15.1449,
      "conf_low": 13.2082,
      "index": 122.077,
      "index_hi": 125.1,
      "index_lo": 119.188,
      "n_units": 208,
      "provisional": false,
      "rate": 14.1503,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2020
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 16.7456,
      "conf_low": 14.2812,
      "index": 133.898,
      "index_hi": 137.652,
      "index_lo": 130.026,
      "n_units": 208,
      "provisional": false,
      "rate": 15.5206,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2021
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 15.7123,
      "conf_low": 13.5101,
      "index": 125.948,
      "index_hi": 129.152,
      "index_lo": 122.562,
      "n_units": 208,
      "provisional": false,
      "rate": 14.599,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2022
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 14.8267,
      "conf_low": 12.6971,
      "index": 118.667,
      "index_hi": 121.85,
      "index_lo": 115.345,
      "n_units": 208,
      "provisional": false,
      "rate": 13.7551,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2023
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 14.0808,
      "conf_low": 11.9753,
      "index": 112.392,
      "index_hi": 115.345,
      "index_lo": 108.993,
      "n_units": 208,
      "provisional": false,
      "rate": 13.0278,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2024
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 12.679,
      "conf_low": 10.4377,
      "index": 97.2706,
      "index_hi": 100.867,
      "index_lo": 93.9064,
      "n_units": 207,
      "provisional": false,
      "rate": 11.4481,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2018
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 12.9533,
      "conf_low": 10.797,
      "index": 100,
      "n_units": 207,
      "provisional": false,
      "rate": 11.7693,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2019
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 16.3727,
      "conf_low": 13.7766,
      "index": 127.106,
      "index_hi": 130.621,
      "index_lo": 123.681,
      "n_units": 207,
      "provisional": false,
      "rate": 14.9595,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2020
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 17.3996,
      "conf_low": 14.8354,
      "index": 135.768,
      "index_hi": 140.31,
      "index_lo": 130.982,
      "n_units": 207,
      "provisional": false,
      "rate": 15.979,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2021
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 16.329,
      "conf_low": 14.0008,
      "index": 127.884,
      "index_hi": 132.655,
      "index_lo": 122.972,
      "n_units": 207,
      "provisional": false,
      "rate": 15.0511,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2022
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 15.1826,
      "conf_low": 13.0072,
      "index": 119.215,
      "index_hi": 123.502,
      "index_lo": 114.837,
      "n_units": 207,
      "provisional": false,
      "rate": 14.0308,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2023
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 14.4829,
      "conf_low": 12.4273,
      "index": 113.548,
      "index_hi": 118.665,
      "index_lo": 108.48,
      "n_units": 207,
      "provisional": false,
      "rate": 13.3638,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2024
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 13.9925,
      "conf_low": 12.0258,
      "index": 95.423,
      "index_hi": 99.5532,
      "index_lo": 91.7316,
      "n_units": 207,
      "provisional": false,
      "rate": 12.9524,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2018
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 14.553,
      "conf_low": 12.6227,
      "index": 100,
      "n_units": 207,
      "provisional": false,
      "rate": 13.5736,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2019
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 18.6799,
      "conf_low": 15.8936,
      "index": 126.724,
      "index_hi": 131.508,
      "index_lo": 121.851,
      "n_units": 207,
      "provisional": false,
      "rate": 17.2011,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2020
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 20.4071,
      "conf_low": 17.3727,
      "index": 138.454,
      "index_hi": 144.073,
      "index_lo": 133.387,
      "n_units": 207,
      "provisional": false,
      "rate": 18.7932,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2021
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 19.4424,
      "conf_low": 16.4443,
      "index": 131.677,
      "index_hi": 137.227,
      "index_lo": 126.318,
      "n_units": 207,
      "provisional": false,
      "rate": 17.8734,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2022
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 17.452,
      "conf_low": 15.1276,
      "index": 119.777,
      "index_hi": 124.604,
      "index_lo": 114.872,
      "n_units": 207,
      "provisional": false,
      "rate": 16.2581,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2023
    },
    {
      "cause": "Alcohol-induced deaths",
      "conf_high": 16.8549,
      "conf_low": 14.7943,
      "index": 116.262,
      "index_hi": 121.275,
      "index_lo": 111.496,
      "n_units": 207,
      "provisional": false,
      "rate": 15.781,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Most deprived third",
      "year": 2024
    },
    {
      "cause": "Suicide",
      "conf_high": 13.5806,
      "conf_low": 11.8249,
      "index": 101.279,
      "index_hi": 103.358,
      "index_lo": 99.1433,
      "n_units": 239,
      "provisional": false,
      "rate": 12.6582,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2018
    },
    {
      "cause": "Suicide",
      "conf_high": 13.4319,
      "conf_low": 11.6584,
      "index": 100,
      "n_units": 239,
      "provisional": false,
      "rate": 12.4983,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2019
    },
    {
      "cause": "Suicide",
      "conf_high": 12.6955,
      "conf_low": 11.0673,
      "index": 94.5335,
      "index_hi": 96.5752,
      "index_lo": 92.4752,
      "n_units": 239,
      "provisional": false,
      "rate": 11.8151,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2020
    },
    {
      "cause": "Suicide",
      "conf_high": 13.0709,
      "conf_low": 11.3027,
      "index": 97.1216,
      "index_hi": 99.1368,
      "index_lo": 94.9477,
      "n_units": 239,
      "provisional": false,
      "rate": 12.1386,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2021
    },
    {
      "cause": "Suicide",
      "conf_high": 13.478,
      "conf_low": 11.7558,
      "index": 100.503,
      "index_hi": 102.522,
      "index_lo": 98.2544,
      "n_units": 239,
      "provisional": false,
      "rate": 12.5611,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2022
    },
    {
      "cause": "Suicide",
      "conf_high": 13.2461,
      "conf_low": 11.5441,
      "index": 98.5642,
      "index_hi": 100.8,
      "index_lo": 96.2116,
      "n_units": 239,
      "provisional": false,
      "rate": 12.3189,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2023
    },
    {
      "cause": "Suicide",
      "conf_high": 12.9205,
      "conf_low": 11.0944,
      "index": 95.7287,
      "index_hi": 97.996,
      "index_lo": 93.5214,
      "n_units": 239,
      "provisional": false,
      "rate": 11.9645,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Least deprived third",
      "year": 2024
    },
    {
      "cause": "Suicide",
      "conf_high": 16.2558,
      "conf_low": 13.893,
      "index": 100.911,
      "index_hi": 103.644,
      "index_lo": 98.4291,
      "n_units": 238,
      "provisional": false,
      "rate": 15.0091,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2018
    },
    {
      "cause": "Suicide",
      "conf_high": 16.0775,
      "conf_low": 13.8516,
      "index": 100,
      "n_units": 238,
      "provisional": false,
      "rate": 14.8737,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2019
    },
    {
      "cause": "Suicide",
      "conf_high": 15.0066,
      "conf_low": 13.0978,
      "index": 94.0638,
      "index_hi": 96.4007,
      "index_lo": 91.5528,
      "n_units": 238,
      "provisional": false,
      "rate": 13.9907,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2020
    },
    {
      "cause": "Suicide",
      "conf_high": 15.862,
      "conf_low": 13.867,
      "index": 99.4673,
      "index_hi": 102.381,
      "index_lo": 96.5757,
      "n_units": 238,
      "provisional": false,
      "rate": 14.7944,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2021
    },
    {
      "cause": "Suicide",
      "conf_high": 15.9719,
      "conf_low": 14.1037,
      "index": 100.943,
      "index_hi": 104.225,
      "index_lo": 97.3185,
      "n_units": 238,
      "provisional": false,
      "rate": 15.014,
      "source": "CDC WONDER, counties with published counts in every year",
      "third": "Middle third",
      "year": 2022
    },
    {
      "cause": "Suicide",
      "conf_high": 15.935,
      "conf_low": 14.0736,
      "index": 100.608,
      "index_hi": 103.557,
      "index_lo": 97.4344,
      "n_units": 238,
      "provisional": false,
      "rate": 14.9641,
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    {
      "cause": "Suicide",
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      "source": "CDC WONDER, counties with published counts in every year",
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    {
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      "conf_low": 15.8263,
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      "index_hi": 109.629,
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    {
      "cause": "Suicide",
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      "conf_low": 14.9936,
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    },
    {
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      "conf_low": 15.1112,
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    {
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      "conf_low": 15.5855,
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    {
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      "conf_low": 16.2894,
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      "third": "Most deprived third",
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    },
    {
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    },
    {
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    {
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    {
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    {
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    {
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    {
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    {
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    },
    {
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    {
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      "source": "CDC panel, counties with a stable rate in every year",
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    {
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    {
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    {
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      "provisional": false,
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    },
    {
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      "source": "CDC panel, counties with a stable rate in every year",
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    {
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    {
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      "conf_low": 23.9141,
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      "provisional": false,
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    {
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    {
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    {
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      "index_hi": 178.077,
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      "rate": 32.4108,
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    },
    {
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    },
    {
      "cause": "Homicide",
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    {
      "cause": "Homicide",
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    {
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    {
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    {
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    },
    {
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    },
    {
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    {
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    {
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    {
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    {
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    {
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    {
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    {
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    {
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    {
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    },
    {
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    {
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      "index_hi": 106.571,
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    },
    {
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    {
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    {
      "cause": "Suicide",
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      "conf_low": 15.9974,
      "index": 100,
      "n_units": 725,
      "provisional": false,
      "rate": 17.0333,
      "source": "CDC panel, counties with a stable rate in every year",
      "third": "Most deprived third",
      "year": 2019
    },
    {
      "cause": "Suicide",
      "conf_high": 17.9953,
      "conf_low": 15.8446,
      "index": 99.8139,
      "index_hi": 103.418,
      "index_lo": 96.2335,
      "n_units": 725,
      "provisional": false,
      "rate": 17.0016,
      "source": "CDC panel, counties with a stable rate in every year",
      "third": "Most deprived third",
      "year": 2020
    },
    {
      "cause": "Suicide",
      "conf_high": 19.0333,
      "conf_low": 16.7418,
      "index": 105.468,
      "index_hi": 109.513,
      "index_lo": 101.644,
      "n_units": 725,
      "provisional": false,
      "rate": 17.9647,
      "source": "CDC panel, counties with a stable rate in every year",
      "third": "Most deprived third",
      "year": 2021
    },
    {
      "cause": "Suicide",
      "conf_high": 18.9805,
      "conf_low": 16.7949,
      "index": 105.455,
      "index_hi": 109.327,
      "index_lo": 101.631,
      "n_units": 725,
      "provisional": false,
      "rate": 17.9625,
      "source": "CDC panel, counties with a stable rate in every year",
      "third": "Most deprived third",
      "year": 2022
    },
    {
      "cause": "Suicide",
      "conf_high": 19.0739,
      "conf_low": 17.0523,
      "index": 106.408,
      "index_hi": 109.832,
      "index_lo": 103.049,
      "n_units": 725,
      "provisional": false,
      "rate": 18.1248,
      "source": "CDC panel, counties with a stable rate in every year",
      "third": "Most deprived third",
      "year": 2023
    },
    {
      "cause": "Suicide",
      "conf_high": 18.8756,
      "conf_low": 16.7632,
      "index": 104.943,
      "index_hi": 108.58,
      "index_lo": 101.381,
      "n_units": 725,
      "provisional": true,
      "rate": 17.8752,
      "source": "CDC panel, counties with a stable rate in every year",
      "third": "Most deprived third",
      "year": 2024
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 19.6787,
      "conf_low": 16.6074,
      "index": 100,
      "n_units": 294,
      "provisional": false,
      "rate": 18.1098,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Least deprived third",
      "year": 2019
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 25.4823,
      "conf_low": 22.0647,
      "index": 130.869,
      "index_hi": 135.644,
      "index_lo": 126.265,
      "n_units": 294,
      "provisional": false,
      "rate": 23.7001,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Least deprived third",
      "year": 2020
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 29.207,
      "conf_low": 25.6498,
      "index": 151.102,
      "index_hi": 157.999,
      "index_lo": 144.484,
      "n_units": 294,
      "provisional": false,
      "rate": 27.3641,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Least deprived third",
      "year": 2021
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 29.453,
      "conf_low": 25.7729,
      "index": 152.251,
      "index_hi": 160.525,
      "index_lo": 143.903,
      "n_units": 294,
      "provisional": false,
      "rate": 27.5723,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Least deprived third",
      "year": 2022
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 29.6755,
      "conf_low": 25.8173,
      "index": 152.796,
      "index_hi": 163.122,
      "index_lo": 143.011,
      "n_units": 294,
      "provisional": false,
      "rate": 27.6711,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Least deprived third",
      "year": 2023
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 22.9668,
      "conf_low": 19.6802,
      "index": 117.359,
      "index_hi": 126.154,
      "index_lo": 108.579,
      "n_units": 294,
      "provisional": true,
      "rate": 21.2535,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Least deprived third",
      "year": 2024
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 28.8343,
      "conf_low": 22.627,
      "index": 100,
      "n_units": 293,
      "provisional": false,
      "rate": 25.5708,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Middle third",
      "year": 2019
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 37.56,
      "conf_low": 30.0629,
      "index": 131.867,
      "index_hi": 136.652,
      "index_lo": 127.013,
      "n_units": 293,
      "provisional": false,
      "rate": 33.7196,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Middle third",
      "year": 2020
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 43.1471,
      "conf_low": 35.1665,
      "index": 152.371,
      "index_hi": 160.08,
      "index_lo": 144.812,
      "n_units": 293,
      "provisional": false,
      "rate": 38.9624,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Middle third",
      "year": 2021
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 43.0691,
      "conf_low": 35.2425,
      "index": 152.403,
      "index_hi": 159.986,
      "index_lo": 144.932,
      "n_units": 293,
      "provisional": false,
      "rate": 38.9706,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Middle third",
      "year": 2022
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 40.375,
      "conf_low": 32.9652,
      "index": 142.533,
      "index_hi": 150.576,
      "index_lo": 134.742,
      "n_units": 293,
      "provisional": false,
      "rate": 36.4469,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Middle third",
      "year": 2023
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 29.3192,
      "conf_low": 24.272,
      "index": 103.998,
      "index_hi": 110.888,
      "index_lo": 97.4865,
      "n_units": 293,
      "provisional": true,
      "rate": 26.5931,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Middle third",
      "year": 2024
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 30.7771,
      "conf_low": 23.4672,
      "index": 100,
      "n_units": 293,
      "provisional": false,
      "rate": 27.4102,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Most deprived third",
      "year": 2019
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 39.0382,
      "conf_low": 31.469,
      "index": 129.28,
      "index_hi": 137.576,
      "index_lo": 122.826,
      "n_units": 293,
      "provisional": false,
      "rate": 35.4359,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Most deprived third",
      "year": 2020
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 45.8233,
      "conf_low": 37.5577,
      "index": 152.626,
      "index_hi": 164.479,
      "index_lo": 143.767,
      "n_units": 293,
      "provisional": false,
      "rate": 41.8352,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Most deprived third",
      "year": 2021
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 45.5242,
      "conf_low": 37.5284,
      "index": 152.324,
      "index_hi": 164.84,
      "index_lo": 142.988,
      "n_units": 293,
      "provisional": false,
      "rate": 41.7522,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Most deprived third",
      "year": 2022
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 43.9948,
      "conf_low": 35.9616,
      "index": 146.454,
      "index_hi": 157.003,
      "index_lo": 138.6,
      "n_units": 293,
      "provisional": false,
      "rate": 40.1435,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Most deprived third",
      "year": 2023
    },
    {
      "cause": "Overdose, counties complete in WONDER",
      "conf_high": 29.9837,
      "conf_low": 25.2722,
      "index": 101.16,
      "index_hi": 111.465,
      "index_lo": 93.8476,
      "n_units": 293,
      "provisional": true,
      "rate": 27.7282,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Most deprived third",
      "year": 2024
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 13.9364,
      "conf_low": 12.5537,
      "index": 100,
      "n_units": 585,
      "provisional": false,
      "rate": 13.2227,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Least deprived third",
      "year": 2019
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 18.1221,
      "conf_low": 16.291,
      "index": 129.965,
      "index_hi": 135.425,
      "index_lo": 124.651,
      "n_units": 585,
      "provisional": false,
      "rate": 17.185,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Least deprived third",
      "year": 2020
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 22.244,
      "conf_low": 20.0517,
      "index": 159.813,
      "index_hi": 167.2,
      "index_lo": 152.433,
      "n_units": 585,
      "provisional": false,
      "rate": 21.1317,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Least deprived third",
      "year": 2021
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 22.3963,
      "conf_low": 20.1106,
      "index": 160.231,
      "index_hi": 168.348,
      "index_lo": 152.45,
      "n_units": 585,
      "provisional": false,
      "rate": 21.187,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Least deprived third",
      "year": 2022
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 20.7663,
      "conf_low": 18.7055,
      "index": 148.668,
      "index_hi": 156.791,
      "index_lo": 141.304,
      "n_units": 585,
      "provisional": false,
      "rate": 19.658,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Least deprived third",
      "year": 2023
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 16.1748,
      "conf_low": 14.4989,
      "index": 115.709,
      "index_hi": 122.952,
      "index_lo": 108.864,
      "n_units": 585,
      "provisional": true,
      "rate": 15.2999,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Least deprived third",
      "year": 2024
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 14.6082,
      "conf_low": 13.2812,
      "index": 100,
      "n_units": 585,
      "provisional": false,
      "rate": 13.928,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Middle third",
      "year": 2019
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 20.5838,
      "conf_low": 18.3522,
      "index": 139.806,
      "index_hi": 145.786,
      "index_lo": 133.74,
      "n_units": 585,
      "provisional": false,
      "rate": 19.4722,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Middle third",
      "year": 2020
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 25.3472,
      "conf_low": 22.6175,
      "index": 172.461,
      "index_hi": 180.409,
      "index_lo": 164.24,
      "n_units": 585,
      "provisional": false,
      "rate": 24.0204,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Middle third",
      "year": 2021
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 25.4871,
      "conf_low": 22.6399,
      "index": 172.962,
      "index_hi": 180.983,
      "index_lo": 164.52,
      "n_units": 585,
      "provisional": false,
      "rate": 24.0902,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Middle third",
      "year": 2022
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 23.6463,
      "conf_low": 21.2729,
      "index": 161.159,
      "index_hi": 168.55,
      "index_lo": 153.851,
      "n_units": 585,
      "provisional": false,
      "rate": 22.4463,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Middle third",
      "year": 2023
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 17.9482,
      "conf_low": 16.2716,
      "index": 122.702,
      "index_hi": 128.896,
      "index_lo": 117.048,
      "n_units": 585,
      "provisional": true,
      "rate": 17.09,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Middle third",
      "year": 2024
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 15.0542,
      "conf_low": 13.4287,
      "index": 100,
      "n_units": 585,
      "provisional": false,
      "rate": 14.2616,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Most deprived third",
      "year": 2019
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 22.717,
      "conf_low": 19.9062,
      "index": 149.889,
      "index_hi": 157.574,
      "index_lo": 142.684,
      "n_units": 585,
      "provisional": false,
      "rate": 21.3766,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Most deprived third",
      "year": 2020
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 30.0781,
      "conf_low": 26.0236,
      "index": 197.59,
      "index_hi": 209.038,
      "index_lo": 187.243,
      "n_units": 585,
      "provisional": false,
      "rate": 28.1795,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Most deprived third",
      "year": 2021
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 29.4955,
      "conf_low": 26.0581,
      "index": 194.909,
      "index_hi": 204.98,
      "index_lo": 185.077,
      "n_units": 585,
      "provisional": false,
      "rate": 27.7972,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Most deprived third",
      "year": 2022
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 29,
      "conf_low": 24.9826,
      "index": 189.508,
      "index_hi": 200.62,
      "index_lo": 177.952,
      "n_units": 585,
      "provisional": false,
      "rate": 27.027,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Most deprived third",
      "year": 2023
    },
    {
      "cause": "Overdose, other counties",
      "conf_high": 21.3364,
      "conf_low": 18.8384,
      "index": 140.861,
      "index_hi": 149.408,
      "index_lo": 132.72,
      "n_units": 585,
      "provisional": true,
      "rate": 20.0891,
      "source": "CDC panel, overdose, counties complete in WONDER and other counties",
      "third": "Most deprived third",
      "year": 2024
    }
  ],
  "id": "trend_by_deprivation",
  "notes": [
    "Counties are ranked by the mean of the Area Deprivation Index national ranks of their tracts, weighted by tract population, and cut into thirds with equal numbers of counties. The index understates deprivation in high-cost cities, so a high-cost county can sit in a less deprived third than its tracts would suggest.",
    "The WONDER tabs use counties whose count is published in every year from 2018 to 2024: {fact:wc_od_n} counties for overdose, {fact:wc_alc_n} for alcohol-induced deaths and {fact:wc_su_n} for suicide. They are larger counties and are selected on the outcome as well as on size (as the text explains). The panel tabs use counties with a stable modeled rate in every year: {fact:p_od_nb} for overdose, {fact:p_hm_nb} for homicide and {fact:p_su_nb} for suicide.",
    "Counties with no Area Deprivation Index value are left out of the thirds: {fact:adi_miss_w_od} of the {fact:wc_od_n} complete overdose counties and {fact:adi_miss_p} of the {fact:p_od_nb} panel counties for overdose.",
    "Rates are crude, not age-adjusted. The panel's 2024 values are provisional (open circles in the panel tabs) and WONDER's 2024 counts are final.",
    "North Carolina amended many 2023 overdose death certificates after WONDER's final 2023 file, so WONDER's 2023 overdose counts for that state, and the 2023 overdose points built from them, are low. The WONDER overdose tabs include the counties of that state."
  ],
  "source": "CDC WONDER underlying cause of death, 2018-2024, CDC Mapping Injury, Overdose, and Violence county file, 2019-2024, and Area Deprivation Index 2023; crude rates, modeled estimates, population-weighted",
  "spec": {
    "bandSeries": [
      "Least deprived third",
      "Most deprived third"
    ],
    "colors": {
      "Least deprived third": "accent",
      "Middle third": "muted",
      "Most deprived third": "total"
    },
    "dashed": [
      "Middle third"
    ],
    "facet": "cause",
    "facetColumns": 3,
    "hi": "conf_high",
    "hollow": "provisional",
    "lo": "conf_low",
    "n": "n_units",
    "series": "third",
    "x": "year",
    "xDomain": [
      2018,
      2024
    ],
    "xLabel": "Year",
    "xTicks": "data",
    "y": "rate",
    "yDomain": [
      0,
      50
    ],
    "yFormat": {
      "digits": 1
    },
    "yLabel": "Deaths per 100,000 residents"
  },
  "subtitle": "Pooled crude death rates per 100,000 residents by third of counties ranked by Area Deprivation Index, counties whose count CDC WONDER publishes in every year 2018 to 2024, United States",
  "title": "Among counties with published counts in every year, death rates in 2022 were higher in the most deprived third of counties than in the least deprived third, by {fact:tw_od_ratio22} times for overdose, {fact:tw_alc_ratio22} for alcohol-induced deaths and {fact:tw_su_ratio22} for suicide",
  "type": "line",
  "views": [
    {
      "filter": {
        "source": "CDC WONDER, counties with published counts in every year"
      },
      "id": "wonder_rate",
      "label": "WONDER, rate"
    },
    {
      "caption": "In the overdose and alcohol-induced panels the lines move together: the intervals of the least and most deprived thirds overlap for overdose in 2022 and for alcohol-induced deaths in 2021. In the suicide panel the most deprived third ends above its 2019 level and the least deprived below it. Each line divides the pooled rate of the counties in a group by its 2019 rate.",
      "filter": {
        "source": "CDC WONDER, counties with published counts in every year"
      },
      "id": "wonder_index",
      "label": "WONDER, index",
      "spec": {
        "hi": "index_hi",
        "lo": "index_lo",
        "y": "index",
        "yDomain": [
          80,
          180
        ],
        "yLabel": "Index (2019 = 100)"
      },
      "title": "Relative to 2019, the overdose rate in 2022 was {fact:tw_od_i1_22} above its 2019 level in the least deprived third of counties with published counts and {fact:tw_od_i3_22} in the most deprived, and the alcohol-induced rate in 2021 {fact:tw_alc_i1_21} and {fact:tw_alc_i3_21}"
    },
    {
      "caption": "The overdose lines of the least and most deprived thirds start together in 2019 and separate as the rate rises to 2022, and the middle third has the highest overdose rate in every year. The homicide and suicide lines are higher in the most deprived third than in the least deprived third throughout. Each line plots the population-weighted mean of county rates among the counties of a group with a stable rate in every year, with a 95% interval from a bootstrap over counties.",
      "filter": {
        "source": "CDC panel, counties with a stable rate in every year"
      },
      "id": "panel_rate",
      "label": "Panel, rate",
      "spec": {
        "yDomain": [
          0,
          42
        ]
      },
      "title": "In the modeled panel the most deprived third of counties had a homicide rate {fact:tp_hm_ratio19} times that of the least deprived third in 2019, and an overdose rate level with it in 2019 ({fact:tp_od_ratio19} times) and above it in 2022 ({fact:tp_od_ratio22} times)"
    },
    {
      "caption": "In the panel the most deprived third rises further than the least deprived third for overdose, and for homicide the least deprived third is back near its 2019 level in 2024 while the most deprived third is still above it. Each line divides the population-weighted mean of county rates among the counties of a group by its 2019 value.",
      "filter": {
        "source": "CDC panel, counties with a stable rate in every year"
      },
      "id": "panel_index",
      "label": "Panel, index",
      "spec": {
        "hi": "index_hi",
        "lo": "index_lo",
        "y": "index",
        "yDomain": [
          80,
          190
        ],
        "yLabel": "Index (2019 = 100)"
      },
      "title": "Relative to 2019, the panel's overdose rate in 2022 was {fact:tp_od_i1_22} above its 2019 level in the least deprived third of counties and {fact:tp_od_i3_22} in the most deprived, and in 2024 {fact:tp_od_i1_24} and {fact:tp_od_i3_24}"
    },
    {
      "caption": "In the counties that WONDER publishes in every year the least and most deprived thirds rise together, as they do in WONDER's own rates, and in the other counties the most deprived third rises further and is still further above its 2019 level in 2024. The thirds are cut within each set of counties. Each line divides the population-weighted mean of county modeled rates by its 2019 value, with a 95% interval from a bootstrap over counties.",
      "filter": {
        "source": "CDC panel, overdose, counties complete in WONDER and other counties"
      },
      "id": "panel_sets",
      "label": "Panel, overdose in two sets of counties",
      "spec": {
        "facetColumns": 2,
        "hi": "index_hi",
        "lo": "index_lo",
        "y": "index",
        "yDomain": [
          80,
          220
        ],
        "yLabel": "Index (2019 = 100)"
      },
      "title": "Inside the {fact:px_c_n} counties that WONDER publishes in every year, the panel's overdose rate in 2022 was {fact:px_c_i1_22} above its 2019 level in the least deprived third and {fact:px_c_i3_22} in the most deprived; in the other {fact:px_o_n} counties it was {fact:px_o_i1_22} and {fact:px_o_i3_22}"
    }
  ],
  "width": "full"
}