Counties with the most motor vehicle accident fatalities in Missouri

Written by:
January 4, 2023
Kbh3rd // Wikimedia Commons

Counties with the most motor vehicle accident fatalities in Missouri

Media outlets were quick during the onset of the COVID-19 pandemic and the consequent lockdowns that defined the summer and fall of 2020 to note just how little traffic there was as a result. Simple logic would suggest that less traffic equals a lower likelihood of accidents and thus fewer injuries and fatalities. Sadly, this was not the case.

Nationwide, traffic fatalities rose 7.2% in 2020 to nearly 39,000. That number was the highest recorded since 2007. Qualifying this disturbing fact is a sticky wicket—common denominators behind traffic deaths such as impaired driving, failure to use a seat belt, and excessive speed were certainly contributing factors, but they alone do not account for a rise in deaths commensurate with a 430-million-mile drop in the number of miles people traveled across the course of the year. What can be qualified, however, is where fatal crashes took place.

Citing data from the Fatality Analysis Reporting System, compiled by the National Highway Traffic Safety Administration, Stacker identified the counties in Missouri that had the most fatalities from motor vehicle crashes in 2020. The number of accident fatalities are ranked by the number of deaths per 100,000 people, with the raw number functioning as a tiebreaker. The analysis only looked at counties with at least five deaths during 2020. Additional data is included on pedestrian, bicyclist, and drunk-driving-related deaths. In counties where at least five fatalities happened on the same street or interstate, the road with the most deaths is also included.

1 / 50
w:User:Malepheasant // Wikimedia Commons

#50. Buchanan County, Missouri

- Motor vehicle crash fatalities: 9.4 per 100K people (#1,422 nationally, 8 deaths)
- 3 pedestrian deaths
- 0 bicyclist deaths
- 3 deaths involving drunk drivers
- No roads with at least five fatalities
2 / 50
Kbh3rd // Wikimedia Commons

#49. St. Louis County, Missouri

- Motor vehicle crash fatalities: 9.4 per 100K people (#1,413 nationally, 94 deaths)
- 31 pedestrian deaths
- 0 bicyclist deaths
- 24 deaths involving drunk drivers
- Road with most fatalities: I-270 (8 fatalities)
3 / 50
Nja1985, retouched by Kbh3rd // Wikimedia Commons

#48. Johnson County, Missouri

- Motor vehicle crash fatalities: 13.0 per 100K people (#1,189 nationally, 7 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 0 deaths involving drunk drivers
- No roads with at least five fatalities
4 / 50
Kbh3rd // Wikimedia Commons

#47. Cass County, Missouri

- Motor vehicle crash fatalities: 13.1 per 100K people (#1,181 nationally, 14 deaths)
- 1 pedestrian death
- 0 bicyclist deaths
- 7 deaths involving drunk drivers
- No roads with at least five fatalities
5 / 50
Onegentlemanofverona // Wikimedia Commons

#46. Callaway County, Missouri

- Motor vehicle crash fatalities: 13.5 per 100K people (#1,153 nationally, 6 deaths)
- 1 pedestrian death
- 0 bicyclist deaths
- 1 death involving drunk drivers
- No roads with at least five fatalities
6 / 50
Jose Kevo // Wikicommons

#45. Greene County, Missouri

- Motor vehicle crash fatalities: 13.5 per 100K people (#1,148 nationally, 40 deaths)
- 8 pedestrian deaths
- 0 bicyclist deaths
- 15 deaths involving drunk drivers
- No roads with at least five fatalities
7 / 50
Jacob Boomsma // Shutterstock

#44. Cape Girardeau County, Missouri

- Motor vehicle crash fatalities: 13.6 per 100K people (#1,139 nationally, 11 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 2 deaths involving drunk drivers
- No roads with at least five fatalities
8 / 50
Katherine Dowler // Wikimedia

#43. Cole County, Missouri

- Motor vehicle crash fatalities: 14.2 per 100K people (#1,103 nationally, 11 deaths)
- 1 pedestrian death
- 0 bicyclist deaths
- 1 death involving drunk drivers
- No roads with at least five fatalities
9 / 50
Kbh3rd // Wikimedia Commons

#42. Pulaski County, Missouri

- Motor vehicle crash fatalities: 15.0 per 100K people (#1,046 nationally, 8 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 2 deaths involving drunk drivers
- No roads with at least five fatalities
10 / 50
Kclibrarian // Wikimedia Commons

#41. Stone County, Missouri

- Motor vehicle crash fatalities: 16.1 per 100K people (#974 nationally, 5 deaths)
- 2 pedestrian deaths
- 0 bicyclist deaths
- 0 deaths involving drunk drivers
- No roads with at least five fatalities
11 / 50
Lilith Munck // Shutterstock

#40. Taney County, Missouri

- Motor vehicle crash fatalities: 16.1 per 100K people (#972 nationally, 9 deaths)
- 1 pedestrian death
- 0 bicyclist deaths
- 3 deaths involving drunk drivers
- No roads with at least five fatalities
12 / 50
Kbh3rd // Wikimedia Commons

#39. Franklin County, Missouri

- Motor vehicle crash fatalities: 16.3 per 100K people (#953 nationally, 17 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 7 deaths involving drunk drivers
- Road with most fatalities: SR-47 (6 fatalities)
13 / 50
Peek Creative Collective // Shutterstock

#38. Jasper County, Missouri

- Motor vehicle crash fatalities: 16.4 per 100K people (#945 nationally, 20 deaths)
- 2 pedestrian deaths
- 0 bicyclist deaths
- 2 deaths involving drunk drivers
- No roads with at least five fatalities
14 / 50
Jon Kraft // Shutterstock

#37. Jackson County, Missouri

- Motor vehicle crash fatalities: 17.2 per 100K people (#901 nationally, 123 deaths)
- 22 pedestrian deaths
- 5 bicyclist deaths
- 52 deaths involving drunk drivers
- Road with most fatalities: I-435 (10 fatalities)
15 / 50
Canva

#36. Jefferson County, Missouri

- Motor vehicle crash fatalities: 17.3 per 100K people (#897 nationally, 39 deaths)
- 2 pedestrian deaths
- 0 bicyclist deaths
- 11 deaths involving drunk drivers
- Road with most fatalities: I-55 (5 fatalities)
16 / 50
David Wilson // Wikimedia Commons

#35. Pettis County, Missouri

- Motor vehicle crash fatalities: 18.6 per 100K people (#835 nationally, 8 deaths)
- 9 pedestrian deaths
- 0 bicyclist deaths
- 4 deaths involving drunk drivers
- No roads with at least five fatalities
17 / 50
Semipaw // Wikimedia Commons

#34. Christian County, Missouri

- Motor vehicle crash fatalities: 19.4 per 100K people (#786 nationally, 17 deaths)
- 1 pedestrian death
- 0 bicyclist deaths
- 6 deaths involving drunk drivers
- Road with most fatalities: US-65 (5 fatalities)
18 / 50
Kbh3rd // Wikimedia Commons

#33. Howell County, Missouri

- Motor vehicle crash fatalities: 20.1 per 100K people (#752 nationally, 8 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 1 death involving drunk drivers
- No roads with at least five fatalities
19 / 50
pasa47 // Wikimedia Commons

#32. Lincoln County, Missouri

- Motor vehicle crash fatalities: 20.4 per 100K people (#738 nationally, 12 deaths)
- 2 pedestrian deaths
- 0 bicyclist deaths
- 6 deaths involving drunk drivers
- No roads with at least five fatalities
20 / 50
thomas carr // Shutterstock

#31. Webster County, Missouri

- Motor vehicle crash fatalities: 20.5 per 100K people (#732 nationally, 8 deaths)
- 1 pedestrian death
- 0 bicyclist deaths
- 4 deaths involving drunk drivers
- No roads with at least five fatalities
21 / 50
Paul Sableman // Wikimedia Commons

#30. St. Francois County, Missouri

- Motor vehicle crash fatalities: 22.3 per 100K people (#666 nationally, 15 deaths)
- 1 pedestrian death
- 0 bicyclist deaths
- 2 deaths involving drunk drivers
- No roads with at least five fatalities
22 / 50
Dazspell // Wikimedia Commons

#29. Scott County, Missouri

- Motor vehicle crash fatalities: 23.6 per 100K people (#631 nationally, 9 deaths)
- 0 pedestrian deaths
- 1 bicyclist death
- 2 deaths involving drunk drivers
- No roads with at least five fatalities
23 / 50
Andrew.Belair // Wikimedia Commons

#28. Adair County, Missouri

- Motor vehicle crash fatalities: 23.7 per 100K people (#630 nationally, 6 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 1 death involving drunk drivers
- No roads with at least five fatalities
24 / 50
Sector001 // Wikimedia Commons

#27. Morgan County, Missouri

- Motor vehicle crash fatalities: 23.9 per 100K people (#617 nationally, 5 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 4 deaths involving drunk drivers
- No roads with at least five fatalities
25 / 50
Photos BrianScantlebury // Shutterstock

#26. Marion County, Missouri

- Motor vehicle crash fatalities: 24.5 per 100K people (#599 nationally, 7 deaths)
- 1 pedestrian death
- 0 bicyclist deaths
- 1 death involving drunk drivers
- No roads with at least five fatalities
26 / 50
M. Curtis // Shutterstock

#25. Laclede County, Missouri

- Motor vehicle crash fatalities: 25.1 per 100K people (#578 nationally, 9 deaths)
- 1 pedestrian death
- 0 bicyclist deaths
- 0 deaths involving drunk drivers
- No roads with at least five fatalities
27 / 50
Kbh3rd // Wikimedia Commons

#24. Newton County, Missouri

- Motor vehicle crash fatalities: 25.6 per 100K people (#557 nationally, 15 deaths)
- 2 pedestrian deaths
- 1 bicyclist death
- 2 deaths involving drunk drivers
- No roads with at least five fatalities
28 / 50
JERRYE & ROY KLOTZ MD // Wikimedia Commons

#23. Ray County, Missouri

- Motor vehicle crash fatalities: 26.0 per 100K people (#544 nationally, 6 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 2 deaths involving drunk drivers
- No roads with at least five fatalities
29 / 50
Kbh3rd // Wikimedia Commons

#22. Texas County, Missouri

- Motor vehicle crash fatalities: 28.2 per 100K people (#465 nationally, 7 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 2 deaths involving drunk drivers
- No roads with at least five fatalities
30 / 50
Kbh3rd // Wikimedia Commons

#21. Barry County, Missouri

- Motor vehicle crash fatalities: 28.9 per 100K people (#441 nationally, 10 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 4 deaths involving drunk drivers
- No roads with at least five fatalities
31 / 50
Kbh3rd // Wikimedia Commons

#20. Lawrence County, Missouri

- Motor vehicle crash fatalities: 28.9 per 100K people (#440 nationally, 11 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 4 deaths involving drunk drivers
- No roads with at least five fatalities
32 / 50
Brian Hunter // Wikimedia Commons

#19. Benton County, Missouri

- Motor vehicle crash fatalities: 31.0 per 100K people (#392 nationally, 6 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 2 deaths involving drunk drivers
- No roads with at least five fatalities
33 / 50
Brian Stansberry // Wikimedia Commons

#18. Pemiscot County, Missouri

- Motor vehicle crash fatalities: 31.3 per 100K people (#389 nationally, 5 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 2 deaths involving drunk drivers
- No roads with at least five fatalities
34 / 50
Kbh3rd // Wikimedia Commons

#17. Miller County, Missouri

- Motor vehicle crash fatalities: 32.5 per 100K people (#365 nationally, 8 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 2 deaths involving drunk drivers
- No roads with at least five fatalities
35 / 50
Skye Marthaler // Wikimedia Commons

#16. Butler County, Missouri

- Motor vehicle crash fatalities: 33.1 per 100K people (#348 nationally, 14 deaths)
- 5 pedestrian deaths
- 0 bicyclist deaths
- 3 deaths involving drunk drivers
- Road with most fatalities: SR-51 (5 fatalities)
36 / 50
JERRYE & ROY KLOTZ MD // Wikimedia Commons

#15. McDonald County, Missouri

- Motor vehicle crash fatalities: 34.4 per 100K people (#329 nationally, 8 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 1 death involving drunk drivers
- No roads with at least five fatalities
37 / 50
Americasroof // Wikimedia Commons

#14. Washington County, Missouri

- Motor vehicle crash fatalities: 37.8 per 100K people (#262 nationally, 9 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 5 deaths involving drunk drivers
- No roads with at least five fatalities
38 / 50
Lisa Fitzthum Photography // Shutterstock

#13. Camden County, Missouri

- Motor vehicle crash fatalities: 39.5 per 100K people (#246 nationally, 17 deaths)
- 4 pedestrian deaths
- 0 bicyclist deaths
- 4 deaths involving drunk drivers
- Road with most fatalities: SR-5 (6 fatalities)
39 / 50
Paul Sableman // Wikimedia Commons

#12. Cooper County, Missouri

- Motor vehicle crash fatalities: 40.2 per 100K people (#238 nationally, 7 deaths)
- 1 pedestrian death
- 0 bicyclist deaths
- 1 death involving drunk drivers
- No roads with at least five fatalities
40 / 50
Patrick Jennings // Shutterstock

#11. Osage County, Missouri

- Motor vehicle crash fatalities: 44.9 per 100K people (#190 nationally, 6 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 3 deaths involving drunk drivers
- No roads with at least five fatalities
41 / 50
Kbh3rd // Wikimedia Commons

#10. Dunklin County, Missouri

- Motor vehicle crash fatalities: 45.5 per 100K people (#182 nationally, 13 deaths)
- 1 pedestrian death
- 0 bicyclist deaths
- 1 death involving drunk drivers
- Road with most fatalities: US-412 (6 fatalities)
42 / 50
Kbh3rd // Wikimedia Commons

#9. Howard County, Missouri

- Motor vehicle crash fatalities: 49.3 per 100K people (#145 nationally, 5 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 3 deaths involving drunk drivers
- No roads with at least five fatalities
43 / 50
Rcool1234 // Wikimedia Commons

#8. Andrew County, Missouri

- Motor vehicle crash fatalities: 49.9 per 100K people (#141 nationally, 9 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 3 deaths involving drunk drivers
- Road with most fatalities: US-169 (5 fatalities)
44 / 50
Joseph Sohm // Shutterstock

#7. New Madrid County, Missouri

- Motor vehicle crash fatalities: 54.0 per 100K people (#119 nationally, 9 deaths)
- 0 pedestrian deaths
- 1 bicyclist death
- 3 deaths involving drunk drivers
- No roads with at least five fatalities
45 / 50
Kbh3rd // Wikimedia Commons

#6. Ozark County, Missouri

- Motor vehicle crash fatalities: 57.7 per 100K people (#97 nationally, 5 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 3 deaths involving drunk drivers
- No roads with at least five fatalities
46 / 50
Kbh3rd // Wikimedia Commons

#5. Maries County, Missouri

- Motor vehicle crash fatalities: 59.1 per 100K people (#90 nationally, 5 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 2 deaths involving drunk drivers
- No roads with at least five fatalities
47 / 50
Kbh3rd // Wikimedia Commons

#4. Caldwell County, Missouri

- Motor vehicle crash fatalities: 67.8 per 100K people (#67 nationally, 6 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 1 death involving drunk drivers
- No roads with at least five fatalities
48 / 50
Vsmith // Wikimedia Commons

#3. Douglas County, Missouri

- Motor vehicle crash fatalities: 67.8 per 100K people (#66 nationally, 8 deaths)
- 1 pedestrian death
- 0 bicyclist deaths
- 1 death involving drunk drivers
- No roads with at least five fatalities
49 / 50
Kbh3rd // Wikimedia Commons

#2. Oregon County, Missouri

- Motor vehicle crash fatalities: 78.7 per 100K people (#46 nationally, 7 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 0 deaths involving drunk drivers
- No roads with at least five fatalities
50 / 50
Kbh3rd // Wikimedia Commons

#1. Dade County, Missouri

- Motor vehicle crash fatalities: 79.1 per 100K people (#45 nationally, 6 deaths)
- 0 pedestrian deaths
- 0 bicyclist deaths
- 1 death involving drunk drivers
- No roads with at least five fatalities

Trending Now