Interpretation of Death Rates Data

Death Rate Report for Virginia by County, Death Years Through 2011 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 50.0 (49.3, 50.7) 4,001 2007 - 2011 falling falling trend -2.9 (-3.6, -2.2) 2007 - 2011
United States No 48.4 (48.3, 48.5) 158,111 2007 - 2011 falling falling trend -2.3 (-2.5, -2.0) 2007 - 2011
Lee County No 85.3 (71.5, 101.1) 28 2007 - 2011 stable stable trend 0.1 (-1.2, 1.5) 2007 - 2011
Northampton County No 77.9 (61.5, 98.3) 16 2007 - 2011 stable stable trend -0.2 (-1.4, 1.0) 2007 - 2011
Smyth County No 76.8 (65.8, 89.4) 35 2007 - 2011 rising rising trend 1.0 (0.1, 1.9) 2007 - 2011
King and Queen County No 76.5 (53.9, 106.6) 8 2007 - 2011 stable stable trend 2.5 (-0.3, 5.4) 2007 - 2011
Wise County No 74.9 (64.2, 86.8) 36 2007 - 2011 stable stable trend -0.7 (-1.7, 0.3) 2007 - 2011
New Kent County No 74.5 (56.5, 96.3) 13 2007 - 2011 stable stable trend -0.5 (-2.8, 1.9) 2007 - 2011
Hopewell City No 74.1 (59.9, 90.8) 19 2007 - 2011 stable stable trend -0.6 (-2.1, 1.0) 2007 - 2011
Accomack County No 72.7 (62.3, 84.5) 36 2007 - 2011 stable stable trend -0.7 (-1.9, 0.6) 2007 - 2011
Russell County No 72.1 (60.3, 85.7) 27 2007 - 2011 stable stable trend 1.0 (-0.1, 2.0) 2007 - 2011
Giles County No 72.0 (57.4, 89.5) 17 2007 - 2011 stable stable trend 0.4 (-1.1, 2.0) 2007 - 2011
Gloucester County No 71.5 (60.5, 84.0) 31 2007 - 2011 stable stable trend -1.2 (-2.7, 0.3) 2007 - 2011
Dickenson County No 70.8 (55.7, 89.1) 16 2007 - 2011 stable stable trend -0.2 (-1.8, 1.4) 2007 - 2011
King William County No 70.7 (52.9, 92.4) 11 2007 - 2011 stable stable trend 1.1 (-1.7, 4.0) 2007 - 2011
Buena Vista City No 69.9 (45.7, 102.9) 5 2007 - 2011 stable stable trend 0.4 (-2.5, 3.4) 2007 - 2011
Bristol City No 69.3 (55.4, 85.9) 18 2007 - 2011 stable stable trend -0.6 (-1.8, 0.7) 2007 - 2011
Portsmouth City No 69.3 (62.2, 76.9) 72 2007 - 2011 stable stable trend -0.5 (-1.3, 0.3) 2007 - 2011
Amelia County No 69.2 (51.8, 91.1) 11 2007 - 2011 stable stable trend 0.6 (-2.1, 3.4) 2007 - 2011
Cumberland County No 68.4 (49.2, 93.2) 9 2007 - 2011 stable stable trend -0.2 (-2.8, 2.4) 2007 - 2011
Louisa County No 68.3 (56.8, 81.5) 27 2007 - 2011 stable stable trend -0.5 (-1.8, 0.9) 2007 - 2011
Scott County No 67.0 (55.3, 80.7) 24 2007 - 2011 stable stable trend -0.1 (-1.6, 1.5) 2007 - 2011
Covington City No 66.1 (43.3, 97.9) 5 2007 - 2011 stable stable trend 0.8 (-1.2, 2.7) 2007 - 2011
Warren County No 65.4 (54.4, 77.9) 26 2007 - 2011 stable stable trend -0.6 (-2.0, 0.9) 2007 - 2011
Greensville County No 65.4 (47.2, 88.6) 9 2007 - 2011 stable stable trend 0.0 (-2.5, 2.7) 2007 - 2011
Dinwiddie County No 65.1 (52.7, 79.8) 20 2007 - 2011 stable stable trend -0.3 (-2.0, 1.4) 2007 - 2011
Petersburg City No 64.8 (53.9, 77.4) 25 2007 - 2011 falling falling trend -2.2 (-3.3, -1.0) 2007 - 2011
Caroline County No 64.6 (52.4, 78.9) 20 2007 - 2011 stable stable trend -0.3 (-2.0, 1.5) 2007 - 2011
Martinsville City No 64.5 (49.7, 82.8) 13 2007 - 2011 stable stable trend 0.6 (-1.0, 2.1) 2007 - 2011
Appomattox County No 64.4 (49.5, 82.9) 13 2007 - 2011 stable stable trend 1.6 (-0.5, 3.7) 2007 - 2011
Emporia City No 64.0 (41.0, 96.2) 5 2007 - 2011 stable stable trend -1.8 (-4.4, 0.9) 2007 - 2011
Winchester City No 63.9 (51.5, 78.4) 19 2007 - 2011 stable stable trend -0.8 (-2.9, 1.3) 2007 - 2011
Richmond City No 63.8 (58.8, 69.2) 124 2007 - 2011 stable stable trend -0.6 (-1.3, 0.1) 2007 - 2011
Roanoke City No 63.7 (57.2, 70.8) 73 2007 - 2011 stable stable trend 0.2 (-0.6, 1.0) 2007 - 2011
Clarke County No 63.5 (47.9, 83.0) 11 2007 - 2011 stable stable trend -0.8 (-2.6, 1.0) 2007 - 2011
Tazewell County No 63.2 (54.5, 73.0) 39 2007 - 2011 stable stable trend -0.8 (-2.0, 0.4) 2007 - 2011
Fredericksburg City No 62.9 (48.3, 80.5) 13 2007 - 2011 stable stable trend -1.5 (-3.5, 0.5) 2007 - 2011
Grayson County No 62.1 (49.1, 78.3) 16 2007 - 2011 stable stable trend 0.8 (-1.1, 2.8) 2007 - 2011
Orange County No 60.9 (51.0, 72.3) 27 2007 - 2011 stable stable trend -0.4 (-1.8, 1.0) 2007 - 2011
Sussex County No 60.4 (43.6, 82.0) 9 2007 - 2011 falling falling trend -3.3 (-5.5, -1.0) 2007 - 2011
Mecklenburg County No 60.1 (50.9, 70.8) 31 2007 - 2011 stable stable trend -0.5 (-2.1, 1.2) 2007 - 2011
Buchanan County No 60.0 (48.5, 73.8) 20 2007 - 2011 stable stable trend -0.8 (-2.4, 0.9) 2007 - 2011
Hampton City No 60.0 (54.3, 66.1) 83 2007 - 2011 falling falling trend -1.2 (-1.8, -0.5) 2007 - 2011
Alleghany Cnty and Clifton Forge Cty No 59.9 (47.0, 75.9) 15 2007 - 2011 stable stable trend 0.1 (-1.5, 1.7) 2007 - 2011
Amherst County No 59.9 (49.9, 71.6) 26 2007 - 2011 stable stable trend -0.5 (-1.9, 0.9) 2007 - 2011
Westmoreland County No 59.8 (47.4, 75.0) 17 2007 - 2011 stable stable trend -1.4 (-3.1, 0.3) 2007 - 2011
Nelson County No 59.6 (46.0, 76.6) 14 2007 - 2011 stable stable trend 0.7 (-1.3, 2.6) 2007 - 2011
Buckingham County No 59.5 (45.3, 77.1) 12 2007 - 2011 stable stable trend -1.1 (-2.7, 0.5) 2007 - 2011
Culpeper County No 59.5 (49.7, 70.6) 27 2007 - 2011 stable stable trend 2.8 (-1.2, 7.0) 2007 - 2011
Washington County No 59.3 (51.8, 67.8) 46 2007 - 2011 stable stable trend -0.7 (-1.7, 0.4) 2007 - 2011
Charlottesville City No 59.1 (47.9, 72.1) 20 2007 - 2011 stable stable trend -0.0 (-1.5, 1.5) 2007 - 2011
Frederick County No 58.9 (51.4, 67.1) 46 2007 - 2011 stable stable trend -1.1 (-2.3, 0.1) 2007 - 2011
Spotsylvania County No 58.9 (52.2, 66.3) 59 2007 - 2011 stable stable trend -1.1 (-2.5, 0.3) 2007 - 2011
Powhatan County No 58.1 (45.2, 73.6) 16 2007 - 2011 falling falling trend -2.2 (-4.2, -0.2) 2007 - 2011
Chesapeake City No 58.1 (53.3, 63.3) 112 2007 - 2011 falling falling trend -1.7 (-2.4, -1.1) 2007 - 2011
Danville City No 58.0 (49.8, 67.4) 37 2007 - 2011 stable stable trend -0.7 (-2.0, 0.6) 2007 - 2011
Halifax County with South Boston City No 57.6 (48.7, 67.8) 31 2007 - 2011 stable stable trend -0.5 (-1.6, 0.7) 2007 - 2011
Radford City No 57.2 (38.7, 81.6) 6 2007 - 2011 stable stable trend -0.6 (-3.3, 2.2) 2007 - 2011
Franklin City No 57.1 (39.0, 81.5) 7 2007 - 2011 stable stable trend -0.9 (-3.8, 2.1) 2007 - 2011
Stafford County No 57.1 (49.6, 65.4) 46 2007 - 2011 stable stable trend -0.2 (-1.1, 0.7) 2007 - 2011
Middlesex County No 57.0 (43.2, 75.5) 12 2007 - 2011 stable stable trend -1.4 (-3.8, 1.1) 2007 - 2011
Nottoway County No 57.0 (43.5, 73.8) 12 2007 - 2011 stable stable trend 0.3 (-1.6, 2.2) 2007 - 2011
Campbell County No 56.7 (49.0, 65.4) 39 2007 - 2011 stable stable trend -0.4 (-1.8, 1.1) 2007 - 2011
Newport News City No 56.6 (51.5, 62.1) 91 2007 - 2011 falling falling trend -1.0 (-1.8, -0.2) 2007 - 2011
Norfolk City No 56.5 (51.8, 61.4) 111 2007 - 2011 falling falling trend -1.9 (-2.5, -1.2) 2007 - 2011
Lynchburg City No 56.2 (49.1, 64.1) 47 2007 - 2011 falling falling trend -1.4 (-2.4, -0.3) 2007 - 2011
Shenandoah County No 56.2 (48.0, 65.7) 33 2007 - 2011 rising rising trend 1.1 (0.1, 2.1) 2007 - 2011
Craig County No 56.0 (33.5, 89.7) 4 2007 - 2011 ** ** **
Carroll County No 55.2 (45.9, 66.1) 25 2007 - 2011 stable stable trend 0.7 (-1.0, 2.3) 2007 - 2011
Suffolk City No 54.9 (47.7, 62.8) 44 2007 - 2011 stable stable trend -1.0 (-2.0, 0.1) 2007 - 2011
Richmond County No 54.6 (37.9, 77.0) 7 2007 - 2011 stable stable trend -2.3 (-4.8, 0.2) 2007 - 2011
Pulaski County No 54.3 (45.3, 64.7) 27 2007 - 2011 stable stable trend -0.7 (-2.0, 0.6) 2007 - 2011
Page County No 54.1 (43.4, 67.0) 18 2007 - 2011 stable stable trend -0.2 (-2.0, 1.6) 2007 - 2011
Henry County No 53.6 (46.6, 61.5) 43 2007 - 2011 stable stable trend 1.1 (-0.1, 2.3) 2007 - 2011
Patrick County No 53.6 (42.4, 67.5) 16 2007 - 2011 stable stable trend -0.2 (-1.8, 1.5) 2007 - 2011
Essex County No 53.5 (38.5, 73.3) 8 2007 - 2011 stable stable trend -1.7 (-3.7, 0.4) 2007 - 2011
Brunswick County No 53.5 (40.9, 69.2) 12 2007 - 2011 stable stable trend -1.8 (-3.7, 0.1) 2007 - 2011
Manassas Park City No 53.3 (31.1, 83.7) 4 2007 - 2011 stable stable trend -2.8 (-6.6, 1.1) 2007 - 2011
Charles City County No 53.1 (34.7, 79.4) 6 2007 - 2011 falling falling trend -3.7 (-6.5, -0.8) 2007 - 2011
Hanover County No 52.6 (46.4, 59.3) 55 2007 - 2011 falling falling trend -1.8 (-3.0, -0.5) 2007 - 2011
Surry County No 52.5 (33.4, 79.8) 5 2007 - 2011 stable stable trend -2.4 (-5.8, 1.0) 2007 - 2011
Colonial Heights City No 52.5 (40.6, 67.3) 14 2007 - 2011 stable stable trend -1.4 (-3.0, 0.2) 2007 - 2011
Pittsylvania County No 51.8 (45.1, 59.3) 45 2007 - 2011 stable stable trend -0.6 (-2.1, 0.9) 2007 - 2011
Chesterfield County No 51.7 (47.9, 55.8) 143 2007 - 2011 falling falling trend -1.5 (-2.3, -0.7) 2007 - 2011
Wythe County No 51.3 (41.9, 62.4) 21 2007 - 2011 stable stable trend -1.0 (-2.6, 0.6) 2007 - 2011
Bedford County No 51.3 (44.6, 58.7) 45 2007 - 2011 stable stable trend -0.3 (-1.6, 1.0) 2007 - 2011
Staunton City No 51.3 (41.2, 63.5) 18 2007 - 2011 stable stable trend -0.8 (-2.5, 1.1) 2007 - 2011
Prince George County No 51.2 (40.2, 64.3) 16 2007 - 2011 falling falling trend -2.3 (-4.1, -0.4) 2007 - 2011
King George County No 50.6 (37.2, 67.0) 10 2007 - 2011 stable stable trend -2.3 (-4.8, 0.4) 2007 - 2011
Salem City No 50.4 (40.1, 62.8) 17 2007 - 2011 stable stable trend -1.1 (-3.1, 0.8) 2007 - 2011
Augusta County No 49.6 (43.3, 56.6) 46 2007 - 2011 stable stable trend -0.1 (-1.6, 1.3) 2007 - 2011
Bland County No 49.6 (31.4, 76.0) 5 2007 - 2011 stable stable trend -1.9 (-4.5, 0.7) 2007 - 2011
Mathews County No 49.4 (35.4, 69.2) 8 2007 - 2011 stable stable trend -1.0 (-3.1, 1.2) 2007 - 2011
Isle of Wight County No 49.1 (39.9, 60.0) 20 2007 - 2011 falling falling trend -1.8 (-3.5, -0.1) 2007 - 2011
Virginia Beach City No 48.5 (45.4, 51.8) 186 2007 - 2011 falling falling trend -4.5 (-7.4, -1.6) 2007 - 2011
Henrico County No 48.3 (44.9, 51.9) 153 2007 - 2011 falling falling trend -2.3 (-3.0, -1.7) 2007 - 2011
Manassas City No 48.3 (35.6, 63.7) 11 2007 - 2011 stable stable trend -1.6 (-4.2, 1.1) 2007 - 2011
Bath County No 48.1 (29.2, 78.7) 4 2007 - 2011 stable stable trend -1.6 (-5.0, 1.9) 2007 - 2011
Fluvanna County No 48.0 (37.4, 60.8) 14 2007 - 2011 stable stable trend -1.0 (-3.1, 1.1) 2007 - 2011
Botetourt County No 47.9 (39.0, 58.5) 21 2007 - 2011 stable stable trend -1.0 (-2.7, 0.7) 2007 - 2011
Lancaster County No 47.7 (36.2, 63.7) 12 2007 - 2011 falling falling trend -2.4 (-4.2, -0.5) 2007 - 2011
Franklin County No 47.6 (40.8, 55.4) 36 2007 - 2011 stable stable trend -0.7 (-2.2, 0.8) 2007 - 2011
Charlotte County No 47.6 (34.4, 64.8) 9 2007 - 2011 stable stable trend -1.2 (-3.7, 1.2) 2007 - 2011
Southampton County No 47.1 (35.3, 61.8) 11 2007 - 2011 falling falling trend -1.8 (-3.4, -0.1) 2007 - 2011
Madison County No 46.8 (33.8, 63.7) 9 2007 - 2011 stable stable trend 0.2 (-2.1, 2.6) 2007 - 2011
Waynesboro City No 46.3 (35.5, 59.4) 13 2007 - 2011 falling falling trend -3.0 (-4.4, -1.6) 2007 - 2011
Prince William County No 46.3 (42.2, 50.7) 108 2007 - 2011 falling falling trend -2.4 (-3.5, -1.4) 2007 - 2011
Harrisonburg City No 46.2 (36.1, 58.2) 15 2007 - 2011 stable stable trend -1.4 (-3.7, 1.0) 2007 - 2011
Greene County No 46.1 (32.9, 62.8) 8 2007 - 2011 stable stable trend -2.4 (-5.0, 0.2) 2007 - 2011
Poquoson City No 46.0 (31.3, 65.8) 6 2007 - 2011 falling falling trend -3.5 (-6.0, -1.0) 2007 - 2011
Prince Edward County Yes 45.5 (34.4, 59.3) 12 2007 - 2011 stable stable trend -1.9 (-4.1, 0.3) 2007 - 2011
Roanoke County Yes 45.4 (40.2, 51.1) 57 2007 - 2011 stable stable trend -0.2 (-1.4, 1.1) 2007 - 2011
Fauquier County Yes 44.5 (37.5, 52.3) 31 2007 - 2011 falling falling trend -3.2 (-4.4, -1.9) 2007 - 2011
Floyd County Yes 44.1 (31.8, 60.1) 9 2007 - 2011 stable stable trend -0.2 (-2.1, 1.6) 2007 - 2011
Fairfax City Yes 43.3 (32.6, 56.6) 11 2007 - 2011 falling falling trend -2.8 (-4.7, -0.8) 2007 - 2011
Bedford City Yes 43.0 (26.6, 67.7) 5 2007 - 2011 stable stable trend -3.1 (-6.2, 0.1) 2007 - 2011
Rockingham County Yes 42.4 (36.7, 48.8) 40 2007 - 2011 stable stable trend 0.2 (-1.0, 1.4) 2007 - 2011
Northumberland County Yes 41.6 (31.4, 56.0) 11 2007 - 2011 stable stable trend -2.2 (-4.6, 0.2) 2007 - 2011
Lunenburg County Yes 40.8 (28.5, 57.3) 7 2007 - 2011 stable stable trend -0.5 (-3.3, 2.4) 2007 - 2011
Montgomery County Yes 40.1 (33.9, 47.1) 31 2007 - 2011 stable stable trend -1.1 (-2.6, 0.5) 2007 - 2011
Williamsburg City Yes 40.0 (26.6, 59.2) 6 2007 - 2011 falling falling trend -3.5 (-5.6, -1.4) 2007 - 2011
Rockbridge County Yes 38.6 (29.8, 49.5) 14 2007 - 2011 stable stable trend -1.6 (-4.1, 0.9) 2007 - 2011
Loudoun County Yes 38.5 (34.3, 43.1) 66 2007 - 2011 falling falling trend -2.4 (-3.6, -1.1) 2007 - 2011
York County Yes 38.5 (31.8, 46.1) 25 2007 - 2011 falling falling trend -3.5 (-5.1, -1.9) 2007 - 2011
Albemarle County Yes 37.3 (32.3, 42.8) 42 2007 - 2011 falling falling trend -1.5 (-2.6, -0.3) 2007 - 2011
James City County Yes 34.7 (29.7, 40.4) 35 2007 - 2011 falling falling trend -2.0 (-3.5, -0.5) 2007 - 2011
Galax City Yes 34.5 (20.0, 56.7) 4 2007 - 2011 stable stable trend -3.5 (-6.9, 0.0) 2007 - 2011
Goochland County Yes 34.2 (24.6, 46.6) 9 2007 - 2011 falling falling trend -3.1 (-5.3, -0.9) 2007 - 2011
Rappahannock County Yes 32.9 (19.2, 54.5) 4 2007 - 2011 stable stable trend -2.3 (-5.2, 0.7) 2007 - 2011
Alexandria City Yes 31.4 (26.8, 36.6) 36 2007 - 2011 falling falling trend -3.0 (-4.0, -1.9) 2007 - 2011
Fairfax County Yes 29.2 (27.6, 30.9) 256 2007 - 2011 falling falling trend -7.4 (-11.7, -2.8) 2007 - 2011
Arlington County Yes 29.1 (25.3, 33.3) 45 2007 - 2011 falling falling trend -2.6 (-3.7, -1.5) 2007 - 2011
Falls Church City Yes 27.1 (15.1, 44.8) 3 2007 - 2011 falling falling trend -5.1 (-7.5, -2.6) 2007 - 2011
Highland County * * 3 or fewer 2007 - 2011 ** ** **
Lexington City * * 3 or fewer 2007 - 2011 * ** *
Norton City * * 3 or fewer 2007 - 2011 * ** *
Notes:
Created by statecancerprofiles.cancer.gov on 11/25/2014 8:29 pm.
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. 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 1969-2012 US Population Data File is used with mortality data.

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