
Source: Different_Brian / iStock Editorial via Getty Images
45. Terrell County, Texas
> Net population change, 2020-2021: -2.7% (-20 people)
> Net change from migration: -17 people
> Natural population change: -2 people
> Total population, 2021: 724
> Largest place in county: Sanderson

Source: Boogich / E+ via Getty Images
44. Queens County, New York
> Net population change, 2020-2021: -2.7% (-64,648 people)
> Net change from migration: -70,420 people
> Natural population change: +6,823 people
> Total population, 2021: 2,331,143
> Largest place in county: Queens (NYC)

Source: traveler1116 / iStock via Getty Images
43. Alexandria city, Virginia
> Net population change, 2020-2021: -2.8% (-4,391 people)
> Net change from migration: -5,580 people
> Natural population change: +1,290 people
> Total population, 2021: 154,706
> Largest place in county: Alexandria

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42. Sharkey County, Mississippi
> Net population change, 2020-2021: -2.8% (-104 people)
> Net change from migration: -94 people
> Natural population change: -8 people
> Total population, 2021: 3,663
> Largest place in county: Rolling Fork
41. Phillips County, Kansas
> Net population change, 2020-2021: -2.8% (-138 people)
> Net change from migration: -103 people
> Natural population change: -33 people
> Total population, 2021: 4,815
> Largest place in county: Phillipsburg
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