... Louisiana, and Texas. Thirteen (13) of the 18 counties with the highest rates for all races combined are from the contiguous states of New Jersey, New York, and Pennsylvania. Moreover, 11 of these ... reports of similar increases in many other developed nations, including Scotland, France, Italy, the Netherlands, Poland, the Czech Republic, Switzerland, Australia, England, Wales, and Canada. ... has the highest rate (12.8), while Arkansas has the lowest rate (5.4). The states with the highest rates tend to be in the northeast and most of those with the lowest rates are in the southeast....