Interpretation of Death Rates Data

Death Rate Report for Virginia by County, Death Years Through 2012 Lung & Bronchus
Healthy People 2020 Objective Number: C-2
Reduce the lung cancer death rate
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Rate
County
Met Healthy People Objective of 45.5? 1 Annual Death Rate
over rate period deaths per 100,000
(95% Confidence Interval)
Average Deaths per Year
over rate period
Rate Period Recent Trend 2 Recent Average Annual Percent Change2
in Death Rates
(95% Confidence Interval)
Recent Trend Period2
Virginia (State) No 48.6 (47.9, 49.2) 3,989 2008 - 2012 falling falling trend -2.9 (-3.3, -2.6) 2008 - 2012
United States No 47.2 (47.1, 47.3) 157,859 2008 - 2012 falling falling trend -2.3 (-2.5, -2.1) 2008 - 2012
Smyth County No 80.0 (68.7, 92.9) 36 2008 - 2012 rising rising trend 0.9 (0.1, 1.7) 2008 - 2012
Lee County No 78.6 (65.5, 93.9) 26 2008 - 2012 stable stable trend -0.2 (-1.5, 1.1) 2008 - 2012
Northampton County No 77.3 (60.9, 97.7) 16 2008 - 2012 stable stable trend -0.4 (-1.5, 0.7) 2008 - 2012
Martinsville City No 77.3 (60.7, 97.7) 15 2008 - 2012 stable stable trend 18.5 (-7.4, 51.7) 2008 - 2012
Bristol City No 77.1 (62.6, 94.4) 20 2008 - 2012 stable stable trend 0.0 (-1.2, 1.3) 2008 - 2012
Wise County No 77.0 (66.2, 89.2) 37 2008 - 2012 stable stable trend -0.7 (-1.6, 0.2) 2008 - 2012
New Kent County No 76.9 (59.2, 98.3) 14 2008 - 2012 stable stable trend -0.9 (-3.2, 1.3) 2008 - 2012
Dickenson County No 74.3 (58.8, 93.1) 16 2008 - 2012 stable stable trend -0.2 (-1.6, 1.3) 2008 - 2012
Radford City No 73.6 (52.3, 100.7) 8 2008 - 2012 stable stable trend 0.2 (-2.2, 2.8) 2008 - 2012
Accomack County No 72.2 (61.9, 83.9) 36 2008 - 2012 stable stable trend -0.7 (-1.9, 0.4) 2008 - 2012
Hopewell City No 72.2 (58.3, 88.6) 19 2008 - 2012 stable stable trend -0.4 (-1.8, 0.9) 2008 - 2012
King and Queen County No 72.0 (50.4, 101.0) 7 2008 - 2012 stable stable trend 1.9 (-1.0, 4.8) 2008 - 2012
Russell County No 70.9 (59.3, 84.2) 27 2008 - 2012 stable stable trend 0.7 (-0.2, 1.7) 2008 - 2012
Covington City No 70.0 (46.3, 102.7) 6 2008 - 2012 stable stable trend 1.0 (-0.7, 2.9) 2008 - 2012
Amelia County No 69.3 (51.8, 91.3) 11 2008 - 2012 stable stable trend 1.2 (-1.3, 3.8) 2008 - 2012
Buena Vista City No 68.8 (44.4, 102.2) 5 2008 - 2012 stable stable trend 0.1 (-2.6, 2.9) 2008 - 2012
Scott County No 68.6 (56.8, 82.5) 24 2008 - 2012 stable stable trend -0.1 (-1.5, 1.3) 2008 - 2012
Emporia City No 67.6 (43.9, 100.7) 5 2008 - 2012 stable stable trend -1.9 (-4.3, 0.6) 2008 - 2012
Gloucester County No 67.0 (56.5, 79.0) 30 2008 - 2012 stable stable trend -1.3 (-2.7, 0.1) 2008 - 2012
Petersburg City No 66.7 (55.6, 79.5) 26 2008 - 2012 falling falling trend -1.9 (-2.9, -0.8) 2008 - 2012
Giles County No 66.5 (52.6, 83.4) 16 2008 - 2012 stable stable trend 0.1 (-1.3, 1.6) 2008 - 2012
Tazewell County No 66.3 (57.4, 76.3) 41 2008 - 2012 stable stable trend -0.7 (-1.7, 0.4) 2008 - 2012
Roanoke City No 66.2 (59.6, 73.4) 76 2008 - 2012 stable stable trend 0.3 (-0.4, 1.0) 2008 - 2012
Clarke County No 64.0 (48.7, 83.1) 12 2008 - 2012 stable stable trend -0.7 (-2.2, 0.9) 2008 - 2012
Louisa County No 63.7 (52.8, 76.3) 26 2008 - 2012 stable stable trend -0.7 (-2.0, 0.5) 2008 - 2012
Alleghany Cnty and Clifton Forge Cty No 62.9 (49.7, 79.1) 16 2008 - 2012 stable stable trend 0.1 (-1.3, 1.5) 2008 - 2012
Portsmouth City No 62.9 (56.2, 70.2) 66 2008 - 2012 stable stable trend -0.9 (-1.9, 0.1) 2008 - 2012
Caroline County No 62.6 (50.6, 76.7) 20 2008 - 2012 stable stable trend -0.2 (-1.8, 1.5) 2008 - 2012
Grayson County No 62.6 (49.6, 78.7) 16 2008 - 2012 stable stable trend 0.9 (-0.8, 2.6) 2008 - 2012
Essex County No 62.5 (46.2, 83.4) 10 2008 - 2012 stable stable trend -1.1 (-3.0, 0.8) 2008 - 2012
Sussex County No 62.1 (45.2, 83.8) 9 2008 - 2012 falling falling trend -2.6 (-4.6, -0.4) 2008 - 2012
Buchanan County No 62.0 (50.3, 75.9) 21 2008 - 2012 stable stable trend -0.7 (-2.2, 0.8) 2008 - 2012
Cumberland County No 61.7 (43.7, 85.1) 8 2008 - 2012 stable stable trend -0.6 (-3.0, 1.8) 2008 - 2012
Surry County No 61.5 (40.5, 90.7) 6 2008 - 2012 stable stable trend -2.4 (-5.3, 0.7) 2008 - 2012
Richmond City No 61.3 (56.4, 66.5) 121 2008 - 2012 falling falling trend -0.8 (-1.5, -0.1) 2008 - 2012
Warren County No 61.0 (50.6, 73.1) 25 2008 - 2012 stable stable trend -0.9 (-2.3, 0.5) 2008 - 2012
Washington County No 60.9 (53.3, 69.4) 48 2008 - 2012 stable stable trend -0.6 (-1.6, 0.3) 2008 - 2012
Mecklenburg County No 60.8 (51.5, 71.6) 31 2008 - 2012 stable stable trend -0.1 (-1.7, 1.4) 2008 - 2012
Westmoreland County No 59.7 (47.4, 74.9) 17 2008 - 2012 falling falling trend -1.6 (-3.2, -0.1) 2008 - 2012
King William County No 59.7 (44.1, 79.1) 10 2008 - 2012 stable stable trend 0.4 (-2.3, 3.2) 2008 - 2012
Nelson County No 59.1 (45.8, 75.9) 14 2008 - 2012 stable stable trend 0.2 (-1.8, 2.1) 2008 - 2012
Bland County No 59.1 (38.6, 88.0) 5 2008 - 2012 stable stable trend -1.2 (-3.7, 1.3) 2008 - 2012
Hampton City No 58.9 (53.3, 65.0) 83 2008 - 2012 falling falling trend -1.2 (-1.8, -0.6) 2008 - 2012
Craig County No 58.7 (36.0, 92.4) 4 2008 - 2012 ** ** **
Page County No 58.7 (47.5, 72.0) 19 2008 - 2012 stable stable trend 0.2 (-1.4, 1.9) 2008 - 2012
Carroll County No 58.5 (49.0, 69.6) 27 2008 - 2012 stable stable trend 0.6 (-0.9, 2.1) 2008 - 2012
Winchester City No 58.4 (46.7, 72.2) 18 2008 - 2012 stable stable trend -1.2 (-3.2, 0.8) 2008 - 2012
Middlesex County No 58.3 (44.6, 76.7) 13 2008 - 2012 stable stable trend -0.8 (-3.0, 1.5) 2008 - 2012
Shenandoah County No 58.1 (49.7, 67.6) 35 2008 - 2012 stable stable trend 0.9 (-0.1, 1.8) 2008 - 2012
Pittsylvania County No 57.7 (50.7, 65.6) 51 2008 - 2012 stable stable trend -0.5 (-1.9, 0.8) 2008 - 2012
Buckingham County No 57.2 (43.3, 74.4) 12 2008 - 2012 stable stable trend -1.1 (-2.5, 0.4) 2008 - 2012
Culpeper County No 56.8 (47.4, 67.6) 27 2008 - 2012 stable stable trend -3.5 (-8.0, 1.2) 2008 - 2012
Danville City No 56.1 (47.9, 65.4) 35 2008 - 2012 stable stable trend -0.9 (-2.1, 0.4) 2008 - 2012
Appomattox County No 55.9 (42.2, 73.2) 11 2008 - 2012 stable stable trend 1.0 (-1.2, 3.2) 2008 - 2012
Dinwiddie County No 55.7 (44.5, 68.9) 18 2008 - 2012 stable stable trend -0.8 (-2.4, 0.9) 2008 - 2012
Orange County No 55.7 (46.5, 66.5) 26 2008 - 2012 stable stable trend -0.8 (-2.1, 0.6) 2008 - 2012
Spotsylvania County No 55.5 (49.1, 62.5) 58 2008 - 2012 stable stable trend -1.3 (-2.6, 0.0) 2008 - 2012
Henry County No 55.4 (48.3, 63.5) 45 2008 - 2012 rising rising trend 1.1 (0.0, 2.2) 2008 - 2012
Newport News City No 55.3 (50.3, 60.7) 90 2008 - 2012 falling falling trend -1.0 (-1.8, -0.2) 2008 - 2012
Pulaski County No 55.2 (46.2, 65.6) 28 2008 - 2012 stable stable trend -0.6 (-1.7, 0.6) 2008 - 2012
Stafford County No 55.0 (47.7, 62.9) 46 2008 - 2012 stable stable trend -0.4 (-1.2, 0.5) 2008 - 2012
Frederick County No 54.9 (47.9, 62.7) 45 2008 - 2012 falling falling trend -1.3 (-2.3, -0.1) 2008 - 2012
Chesapeake City No 54.1 (49.5, 59.0) 107 2008 - 2012 falling falling trend -2.0 (-2.6, -1.3) 2008 - 2012
Powhatan County No 54.0 (41.9, 68.5) 15 2008 - 2012 falling falling trend -2.2 (-4.0, -0.5) 2008 - 2012
Lynchburg City No 53.9 (46.9, 61.6) 45 2008 - 2012 falling falling trend -1.4 (-2.4, -0.4) 2008 - 2012
Campbell County No 53.8 (46.4, 62.1) 39 2008 - 2012 stable stable trend -0.7 (-2.0, 0.7) 2008 - 2012
Norfolk City No 53.6 (49.0, 58.4) 107 2008 - 2012 falling falling trend -2.0 (-2.6, -1.4) 2008 - 2012
Amherst County No 53.5 (44.0, 64.5) 23 2008 - 2012 stable stable trend -0.9 (-2.4, 0.6) 2008 - 2012
Charles City County No 53.3 (35.6, 78.8) 6 2008 - 2012 falling falling trend -3.3 (-5.8, -0.6) 2008 - 2012
Nottoway County No 53.1 (40.1, 69.2) 11 2008 - 2012 stable stable trend -0.2 (-2.0, 1.7) 2008 - 2012
Richmond County No 53.0 (36.6, 75.3) 7 2008 - 2012 falling falling trend -2.7 (-5.1, -0.3) 2008 - 2012
Halifax County with South Boston City No 53.0 (44.5, 62.9) 28 2008 - 2012 stable stable trend -0.7 (-1.9, 0.4) 2008 - 2012
Charlottesville City No 52.5 (41.9, 64.8) 17 2008 - 2012 stable stable trend -0.4 (-1.8, 1.1) 2008 - 2012
Greensville County No 52.3 (36.5, 73.1) 7 2008 - 2012 stable stable trend -0.4 (-2.8, 2.1) 2008 - 2012
Bedford County No 51.9 (45.3, 59.2) 47 2008 - 2012 stable stable trend -0.4 (-1.5, 0.8) 2008 - 2012
Northumberland County No 51.8 (40.0, 67.8) 14 2008 - 2012 stable stable trend -1.4 (-3.7, 0.9) 2008 - 2012
Salem City No 51.8 (41.4, 64.3) 17 2008 - 2012 stable stable trend -1.1 (-2.8, 0.7) 2008 - 2012
Hanover County No 51.7 (45.7, 58.3) 56 2008 - 2012 falling falling trend -1.9 (-3.1, -0.7) 2008 - 2012
Manassas Park City No 51.5 (30.9, 79.7) 4 2008 - 2012 stable stable trend -2.5 (-5.9, 1.1) 2008 - 2012
Staunton City No 51.5 (41.4, 63.5) 19 2008 - 2012 stable stable trend -0.7 (-2.3, 1.0) 2008 - 2012
Charlotte County No 50.8 (37.3, 68.4) 9 2008 - 2012 stable stable trend -1.3 (-3.5, 0.9) 2008 - 2012
Isle of Wight County No 50.6 (41.5, 61.4) 22 2008 - 2012 falling falling trend -1.6 (-3.1, -0.0) 2008 - 2012
Waynesboro City No 50.2 (39.0, 63.8) 14 2008 - 2012 falling falling trend -2.3 (-3.8, -0.8) 2008 - 2012
Colonial Heights City No 50.1 (38.4, 64.7) 13 2008 - 2012 falling falling trend -1.6 (-3.1, -0.1) 2008 - 2012
Fredericksburg City No 50.0 (37.3, 65.6) 11 2008 - 2012 stable stable trend -2.0 (-4.0, 0.0) 2008 - 2012
Suffolk City No 49.9 (43.2, 57.3) 41 2008 - 2012 stable stable trend -12.8 (-24.7, 0.9) 2008 - 2012
Southampton County No 49.3 (37.4, 64.2) 12 2008 - 2012 falling falling trend -1.8 (-3.2, -0.3) 2008 - 2012
Brunswick County No 49.0 (37.1, 63.9) 12 2008 - 2012 stable stable trend -1.6 (-3.3, 0.2) 2008 - 2012
Lancaster County No 48.9 (37.3, 65.1) 13 2008 - 2012 falling falling trend -2.3 (-4.0, -0.6) 2008 - 2012
Wythe County No 48.8 (39.7, 59.6) 21 2008 - 2012 stable stable trend -1.4 (-2.9, 0.2) 2008 - 2012
Franklin City No 48.5 (31.9, 71.4) 6 2008 - 2012 stable stable trend -1.4 (-4.1, 1.5) 2008 - 2012
Chesterfield County No 48.5 (44.8, 52.4) 138 2008 - 2012 falling falling trend -1.6 (-2.3, -0.8) 2008 - 2012
Fluvanna County No 47.9 (37.6, 60.3) 15 2008 - 2012 stable stable trend -1.4 (-3.4, 0.6) 2008 - 2012
Virginia Beach City No 47.9 (44.8, 51.1) 188 2008 - 2012 falling falling trend -1.7 (-2.3, -1.1) 2008 - 2012
Patrick County No 47.9 (37.4, 61.1) 14 2008 - 2012 stable stable trend -0.7 (-2.3, 1.0) 2008 - 2012
Henrico County No 47.6 (44.2, 51.1) 154 2008 - 2012 falling falling trend -2.3 (-2.8, -1.7) 2008 - 2012
Augusta County No 47.5 (41.5, 54.2) 46 2008 - 2012 stable stable trend -0.5 (-1.8, 0.9) 2008 - 2012
Prince George County No 47.4 (37.2, 59.5) 16 2008 - 2012 falling falling trend -2.3 (-3.9, -0.7) 2008 - 2012
Prince Edward County No 46.9 (35.5, 61.0) 12 2008 - 2012 stable stable trend -2.0 (-4.0, 0.1) 2008 - 2012
Franklin County No 46.3 (39.6, 54.0) 36 2008 - 2012 stable stable trend -0.9 (-2.3, 0.5) 2008 - 2012
Fauquier County No 46.1 (39.1, 53.9) 33 2008 - 2012 falling falling trend -2.9 (-4.1, -1.7) 2008 - 2012
Lunenburg County No 46.1 (33.0, 63.4) 8 2008 - 2012 stable stable trend 0.1 (-2.4, 2.7) 2008 - 2012
King George County No 45.7 (33.4, 60.9) 10 2008 - 2012 stable stable trend -2.3 (-4.6, 0.1) 2008 - 2012
Harrisonburg City No 45.6 (35.6, 57.5) 15 2008 - 2012 stable stable trend -1.4 (-3.5, 0.8) 2008 - 2012
Botetourt County Yes 44.9 (36.4, 55.0) 20 2008 - 2012 stable stable trend -1.4 (-3.0, 0.3) 2008 - 2012
Roanoke County Yes 44.7 (39.7, 50.3) 58 2008 - 2012 stable stable trend -0.2 (-1.3, 1.0) 2008 - 2012
Greene County Yes 44.6 (31.9, 60.6) 9 2008 - 2012 stable stable trend -2.2 (-4.5, 0.1) 2008 - 2012
Mathews County Yes 44.1 (31.1, 62.8) 8 2008 - 2012 stable stable trend -1.3 (-3.3, 0.8) 2008 - 2012
Montgomery County Yes 43.9 (37.5, 51.1) 34 2008 - 2012 stable stable trend -0.8 (-2.2, 0.6) 2008 - 2012
Prince William County Yes 43.7 (39.8, 47.8) 107 2008 - 2012 falling falling trend -2.5 (-3.4, -1.5) 2008 - 2012
Bedford City Yes 43.1 (26.4, 68.3) 4 2008 - 2012 falling falling trend -3.4 (-6.5, -0.2) 2008 - 2012
Rockingham County Yes 42.4 (36.8, 48.7) 42 2008 - 2012 stable stable trend 0.0 (-1.1, 1.1) 2008 - 2012
Poquoson City Yes 41.2 (27.6, 59.8) 6 2008 - 2012 falling falling trend -3.3 (-5.5, -1.0) 2008 - 2012
Fairfax City Yes 41.1 (30.8, 53.9) 11 2008 - 2012 falling falling trend -3.0 (-4.8, -1.1) 2008 - 2012
Manassas City Yes 40.9 (29.5, 54.8) 10 2008 - 2012 stable stable trend -2.1 (-4.5, 0.5) 2008 - 2012
Bath County Yes 40.0 (23.2, 68.8) 3 2008 - 2012 stable stable trend -2.0 (-5.3, 1.4) 2008 - 2012
Goochland County Yes 39.9 (29.6, 52.9) 11 2008 - 2012 falling falling trend -2.8 (-4.7, -0.8) 2008 - 2012
Madison County Yes 39.2 (27.2, 55.2) 7 2008 - 2012 stable stable trend -0.3 (-2.7, 2.1) 2008 - 2012
Rappahannock County Yes 38.6 (23.9, 61.0) 4 2008 - 2012 stable stable trend -1.0 (-3.7, 1.7) 2008 - 2012
Rockbridge County Yes 37.9 (29.4, 48.7) 14 2008 - 2012 stable stable trend -2.0 (-4.3, 0.4) 2008 - 2012
Floyd County Yes 37.0 (26.0, 51.7) 8 2008 - 2012 stable stable trend -0.8 (-2.8, 1.2) 2008 - 2012
York County Yes 36.9 (30.5, 44.2) 25 2008 - 2012 falling falling trend -3.3 (-4.7, -1.9) 2008 - 2012
Albemarle County Yes 36.5 (31.7, 41.9) 42 2008 - 2012 falling falling trend -1.6 (-2.6, -0.5) 2008 - 2012
Loudoun County Yes 35.7 (31.7, 40.0) 65 2008 - 2012 falling falling trend -2.5 (-3.7, -1.4) 2008 - 2012
James City County Yes 33.3 (28.5, 38.9) 35 2008 - 2012 falling falling trend -2.2 (-3.5, -0.8) 2008 - 2012
Williamsburg City Yes 32.0 (20.3, 49.2) 5 2008 - 2012 falling falling trend -3.9 (-5.9, -1.8) 2008 - 2012
Galax City Yes 29.4 (16.4, 50.2) 3 2008 - 2012 falling falling trend -3.9 (-7.0, -0.7) 2008 - 2012
Fairfax County Yes 28.1 (26.5, 29.7) 254 2008 - 2012 falling falling trend -6.3 (-9.6, -2.9) 2008 - 2012
Alexandria City Yes 27.8 (23.6, 32.6) 34 2008 - 2012 falling falling trend -3.2 (-4.2, -2.2) 2008 - 2012
Arlington County Yes 25.8 (22.3, 29.7) 41 2008 - 2012 falling falling trend -2.8 (-3.8, -1.8) 2008 - 2012
Falls Church City Yes 25.7 (14.2, 42.6) 3 2008 - 2012 falling falling trend -5.7 (-8.0, -3.2) 2008 - 2012
Highland County * * 3 or fewer 2008 - 2012 ** ** **
Lexington City * * 3 or fewer 2008 - 2012 * ** *
Norton City * * 3 or fewer 2008 - 2012 * ** *
Notes:
Created by statecancerprofiles.cancer.gov on 08/01/2015 3:48 am.
State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).

Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
* Data has been suppressed to ensure confidentiality and stability of rate estimates.
** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
1 Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.
2 The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint Regression Program (Version 4.2). Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2013 US Population Data File is used with mortality data.

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