The number of people living with type 2 diabetes mellitus (T2DM) is high in Miami and the U.S. The Miami Department of Health reported that there were a total of 1.6 million cases as of May 2022. The Centers for Disease Control and Prevention reported the U.S. total for T2DM at 37 million cases. In June 2022, 200,000 Miami reported a new T2DM diagnosis. In the U.S., 1.5 million new cases were reported in this same month.
The total population of people living in Miami is 8.38 million. The total population of people living in the United States is 329.5 million people. Calculate the prevalence rate in the United States per thousand. Round to the nearest whole number.