2. Essex, Vermont
Score: 63
Up next we have Essex, a city of some 21,000 residents located in the North-Western area of Vermont. The city is quite large for such a small population, spreading over nearly 40 square miles.
While Vermont’s birth rate is 9.4%, which is already quite low, Essex has a birth rate of 3%, which is extremely low. The fertility rate hits the same 3% here, which means only a small number of the ladies have had a baby recently. The median age for the city of Essex is 40 years, which is actually below the 43.1 state average.
Over in Vermont, in 2015 there were 303 cases of Chlamydia, 25 cases of Gonorrhea, and 1.4 cases of Syphilis for every 100,000 residents.

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