## Interpretation of Rate/Trend Comparison by Cancer Data

**Death Rate/Trend Comparison by Cancer, death years through 2011**

Michigan Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by Priority Index

Michigan Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by Priority Index

**United States**

- The priority index is -
- The recent trend is falling
- This death rate is - the US rate
- The average deaths per year (2007-2011) is 569,473
- The annual death rate (2007-2011) is 173.8 per 100,000 with a 95% confidence interval from 173.6 to 174.0
- The rate ratio is -0.0
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -1.6 to -1.5
- The recent trend period is 2007 - 2011

**Michigan**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 20,319
- The annual death rate (2007-2011) is 182.4 per 100,000 with a 95% confidence interval from 181.3 to 183.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.1 to -1.0
- The recent trend period is 2007 - 2011

**Arenac County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 52
- The annual death rate (2007-2011) is 215.3 per 100,000 with a 95% confidence interval from 189.3 to 244.5
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.3 to 0.4
- The recent trend period is 2007 - 2011

**Cheboygan County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 81
- The annual death rate (2007-2011) is 198.3 per 100,000 with a 95% confidence interval from 179.0 to 219.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -2.0 to 0.1
- The recent trend period is 2007 - 2011

**Gogebic County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 61
- The annual death rate (2007-2011) is 217.9 per 100,000 with a 95% confidence interval from 193.1 to 245.6
- The rate ratio is 1.3
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.3 to 0.5
- The recent trend period is 2007 - 2011

**Kalkaska County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 46
- The annual death rate (2007-2011) is 215.1 per 100,000 with a 95% confidence interval from 187.4 to 245.9
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.2 with a 95% confidence interval from -1.2 to 0.8
- The recent trend period is 2007 - 2011

**Lake County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 42
- The annual death rate (2007-2011) is 223.0 per 100,000 with a 95% confidence interval from 192.3 to 258.0
- The rate ratio is 1.3
- The average annual percent change in death rates is 2.8 with a 95% confidence interval from -2.2 to 8.0
- The recent trend period is 2007 - 2011

**Newaygo County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 115
- The annual death rate (2007-2011) is 200.0 per 100,000 with a 95% confidence interval from 183.7 to 217.3
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.5 to 0.2
- The recent trend period is 2007 - 2011

**Osceola County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 59
- The annual death rate (2007-2011) is 198.2 per 100,000 with a 95% confidence interval from 175.9 to 222.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.5 to 0.1
- The recent trend period is 2007 - 2011

**Roscommon County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 96
- The annual death rate (2007-2011) is 203.6 per 100,000 with a 95% confidence interval from 184.7 to 224.4
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.3 with a 95% confidence interval from -1.1 to 0.6
- The recent trend period is 2007 - 2011

**Tuscola County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 137
- The annual death rate (2007-2011) is 198.2 per 100,000 with a 95% confidence interval from 183.4 to 213.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.1 to 0.4
- The recent trend period is 2007 - 2011

**Calhoun County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 320
- The annual death rate (2007-2011) is 195.8 per 100,000 with a 95% confidence interval from 186.2 to 205.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.2 to -0.5
- The recent trend period is 2007 - 2011

**Cass County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 136
- The annual death rate (2007-2011) is 203.8 per 100,000 with a 95% confidence interval from 188.5 to 220.2
- The rate ratio is 1.2
- The average annual percent change in death rates is -8.6 with a 95% confidence interval from -14.2 to -2.6
- The recent trend period is 2007 - 2011

**Clare County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 92
- The annual death rate (2007-2011) is 202.7 per 100,000 with a 95% confidence interval from 184.2 to 222.8
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.5 to -0.2
- The recent trend period is 2007 - 2011

**Genesee County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 939
- The annual death rate (2007-2011) is 198.9 per 100,000 with a 95% confidence interval from 193.2 to 204.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -0.9 to -0.4
- The recent trend period is 2007 - 2011

**Jackson County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 359
- The annual death rate (2007-2011) is 193.7 per 100,000 with a 95% confidence interval from 184.8 to 203.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.4 to -0.4
- The recent trend period is 2007 - 2011

**Montcalm County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 138
- The annual death rate (2007-2011) is 195.4 per 100,000 with a 95% confidence interval from 181.0 to 210.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.5 to -0.1
- The recent trend period is 2007 - 2011

**St. Clair County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 383
- The annual death rate (2007-2011) is 198.7 per 100,000 with a 95% confidence interval from 189.8 to 208.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.2 to -0.5
- The recent trend period is 2007 - 2011

**Van Buren County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 171
- The annual death rate (2007-2011) is 200.7 per 100,000 with a 95% confidence interval from 187.2 to 214.8
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.4 to -0.1
- The recent trend period is 2007 - 2011

**Wayne County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2007-2011) is 4,007
- The annual death rate (2007-2011) is 203.9 per 100,000 with a 95% confidence interval from 201.0 to 206.8
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.1 to -0.8
- The recent trend period is 2007 - 2011

**Alger County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 27
- The annual death rate (2007-2011) is 177.8 per 100,000 with a 95% confidence interval from 148.8 to 211.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -2.0 to 0.5
- The recent trend period is 2007 - 2011

**Barry County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 117
- The annual death rate (2007-2011) is 171.4 per 100,000 with a 95% confidence interval from 157.5 to 186.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.3 to 0.4
- The recent trend period is 2007 - 2011

**Benzie County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 44
- The annual death rate (2007-2011) is 165.7 per 100,000 with a 95% confidence interval from 144.1 to 190.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -2.5 to 0.4
- The recent trend period is 2007 - 2011

**Branch County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 101
- The annual death rate (2007-2011) is 189.1 per 100,000 with a 95% confidence interval from 172.8 to 206.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.3 to 0.3
- The recent trend period is 2007 - 2011

**Chippewa County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 82
- The annual death rate (2007-2011) is 183.6 per 100,000 with a 95% confidence interval from 166.1 to 202.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.5 to 0.0
- The recent trend period is 2007 - 2011

**Eaton County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 215
- The annual death rate (2007-2011) is 176.0 per 100,000 with a 95% confidence interval from 165.5 to 187.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.1 to 0.1
- The recent trend period is 2007 - 2011

**Emmet County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 74
- The annual death rate (2007-2011) is 175.4 per 100,000 with a 95% confidence interval from 157.7 to 194.7
- The rate ratio is 1.0
- The average annual percent change in death rates is 0.2 with a 95% confidence interval from -1.0 to 1.5
- The recent trend period is 2007 - 2011

**Gratiot County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 87
- The annual death rate (2007-2011) is 174.9 per 100,000 with a 95% confidence interval from 158.7 to 192.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.4 to 0.4
- The recent trend period is 2007 - 2011

**Huron County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 98
- The annual death rate (2007-2011) is 179.2 per 100,000 with a 95% confidence interval from 163.3 to 196.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.2 to 0.0
- The recent trend period is 2007 - 2011

**Isabella County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 98
- The annual death rate (2007-2011) is 174.8 per 100,000 with a 95% confidence interval from 159.4 to 191.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.4 to 0.5
- The recent trend period is 2007 - 2011

**Keweenaw County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 6
- The annual death rate (2007-2011) is 165.4 per 100,000 with a 95% confidence interval from 110.1 to 246.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -4.0 to 0.9
- The recent trend period is 2007 - 2011

**Luce County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 16
- The annual death rate (2007-2011) is 184.9 per 100,000 with a 95% confidence interval from 146.4 to 231.3
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -2.8 to 0.4
- The recent trend period is 2007 - 2011

**Mason County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 74
- The annual death rate (2007-2011) is 179.6 per 100,000 with a 95% confidence interval from 161.4 to 199.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.6 to 0.4
- The recent trend period is 2007 - 2011

**Menominee County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 64
- The annual death rate (2007-2011) is 176.7 per 100,000 with a 95% confidence interval from 157.5 to 197.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.3 to 0.5
- The recent trend period is 2007 - 2011

**Midland County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 169
- The annual death rate (2007-2011) is 170.2 per 100,000 with a 95% confidence interval from 158.8 to 182.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.3 with a 95% confidence interval from -0.8 to 0.2
- The recent trend period is 2007 - 2011

**Missaukee County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 37
- The annual death rate (2007-2011) is 184.5 per 100,000 with a 95% confidence interval from 158.4 to 214.0
- The rate ratio is 1.1
- The average annual percent change in death rates is 0.0 with a 95% confidence interval from -1.2 to 1.2
- The recent trend period is 2007 - 2011

**Montmorency County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 35
- The annual death rate (2007-2011) is 193.2 per 100,000 with a 95% confidence interval from 163.8 to 227.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -2.4 to 0.9
- The recent trend period is 2007 - 2011

**Ontonagon County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 25
- The annual death rate (2007-2011) is 190.7 per 100,000 with a 95% confidence interval from 157.3 to 231.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -2.4 to 1.2
- The recent trend period is 2007 - 2011

**Otsego County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 57
- The annual death rate (2007-2011) is 180.4 per 100,000 with a 95% confidence interval from 159.9 to 203.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.9 to 0.4
- The recent trend period is 2007 - 2011

**Presque Isle County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 45
- The annual death rate (2007-2011) is 173.2 per 100,000 with a 95% confidence interval from 150.3 to 199.7
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -2.4 to 0.2
- The recent trend period is 2007 - 2011

**Schoolcraft County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 27
- The annual death rate (2007-2011) is 198.8 per 100,000 with a 95% confidence interval from 165.1 to 238.4
- The rate ratio is 1.1
- The average annual percent change in death rates is 0.1 with a 95% confidence interval from -0.9 to 1.1
- The recent trend period is 2007 - 2011

**Wexford County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 77
- The annual death rate (2007-2011) is 188.9 per 100,000 with a 95% confidence interval from 170.3 to 209.1
- The rate ratio is 1.1
- The average annual percent change in death rates is 6.6 with a 95% confidence interval from -5.5 to 20.3
- The recent trend period is 2007 - 2011

**Alcona County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 40
- The annual death rate (2007-2011) is 173.3 per 100,000 with a 95% confidence interval from 147.9 to 203.7
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.3 to -0.7
- The recent trend period is 2007 - 2011

**Allegan County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 204
- The annual death rate (2007-2011) is 172.6 per 100,000 with a 95% confidence interval from 162.0 to 183.7
- The rate ratio is 1.0
- The average annual percent change in death rates is -2.1 with a 95% confidence interval from -3.3 to -1.0
- The recent trend period is 2007 - 2011

**Alpena County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 72
- The annual death rate (2007-2011) is 163.5 per 100,000 with a 95% confidence interval from 146.8 to 181.9
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -2.4 to -0.9
- The recent trend period is 2007 - 2011

**Antrim County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 64
- The annual death rate (2007-2011) is 170.4 per 100,000 with a 95% confidence interval from 151.8 to 191.0
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -2.5 to -0.8
- The recent trend period is 2007 - 2011

**Baraga County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 22
- The annual death rate (2007-2011) is 182.1 per 100,000 with a 95% confidence interval from 148.7 to 221.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -2.1 to -0.2
- The recent trend period is 2007 - 2011

**Bay County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 267
- The annual death rate (2007-2011) is 189.8 per 100,000 with a 95% confidence interval from 179.6 to 200.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.2 to -0.4
- The recent trend period is 2007 - 2011

**Berrien County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 370
- The annual death rate (2007-2011) is 182.8 per 100,000 with a 95% confidence interval from 174.5 to 191.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.6 to -0.8
- The recent trend period is 2007 - 2011

**Charlevoix County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 64
- The annual death rate (2007-2011) is 174.2 per 100,000 with a 95% confidence interval from 155.2 to 195.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -2.0 to -0.1
- The recent trend period is 2007 - 2011

**Crawford County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 40
- The annual death rate (2007-2011) is 190.4 per 100,000 with a 95% confidence interval from 164.5 to 220.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -2.1 to -0.3
- The recent trend period is 2007 - 2011

**Delta County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 102
- The annual death rate (2007-2011) is 184.6 per 100,000 with a 95% confidence interval from 168.6 to 201.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.6 to -0.1
- The recent trend period is 2007 - 2011

**Dickinson County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 66
- The annual death rate (2007-2011) is 163.2 per 100,000 with a 95% confidence interval from 145.6 to 182.6
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.9 to -0.6
- The recent trend period is 2007 - 2011

**Gladwin County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 78
- The annual death rate (2007-2011) is 185.6 per 100,000 with a 95% confidence interval from 167.2 to 205.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -2.0 to -0.6
- The recent trend period is 2007 - 2011

**Hillsdale County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 102
- The annual death rate (2007-2011) is 177.9 per 100,000 with a 95% confidence interval from 162.6 to 194.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.7 to -0.3
- The recent trend period is 2007 - 2011

**Houghton County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 73
- The annual death rate (2007-2011) is 171.1 per 100,000 with a 95% confidence interval from 153.6 to 190.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -2.1 to -0.4
- The recent trend period is 2007 - 2011

**Ingham County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 434
- The annual death rate (2007-2011) is 172.7 per 100,000 with a 95% confidence interval from 165.3 to 180.3
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.3 to -0.1
- The recent trend period is 2007 - 2011

**Ionia County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 105
- The annual death rate (2007-2011) is 171.3 per 100,000 with a 95% confidence interval from 156.7 to 186.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.1 to -0.8
- The recent trend period is 2007 - 2011

**Iosco County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 87
- The annual death rate (2007-2011) is 182.8 per 100,000 with a 95% confidence interval from 165.1 to 202.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -2.4 to -0.8
- The recent trend period is 2007 - 2011

**Iron County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 38
- The annual death rate (2007-2011) is 164.1 per 100,000 with a 95% confidence interval from 139.3 to 193.0
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.6 to -0.4
- The recent trend period is 2007 - 2011

**Kalamazoo County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 472
- The annual death rate (2007-2011) is 185.8 per 100,000 with a 95% confidence interval from 178.2 to 193.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.0 to -0.3
- The recent trend period is 2007 - 2011

**Kent County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 935
- The annual death rate (2007-2011) is 162.7 per 100,000 with a 95% confidence interval from 158.0 to 167.5
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.4 to -1.0
- The recent trend period is 2007 - 2011

**Lapeer County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 180
- The annual death rate (2007-2011) is 187.7 per 100,000 with a 95% confidence interval from 175.4 to 200.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.6 to -0.2
- The recent trend period is 2007 - 2011

**Lenawee County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 212
- The annual death rate (2007-2011) is 181.2 per 100,000 with a 95% confidence interval from 170.3 to 192.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.3 to -0.5
- The recent trend period is 2007 - 2011

**Livingston County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 303
- The annual death rate (2007-2011) is 168.5 per 100,000 with a 95% confidence interval from 159.8 to 177.5
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -2.0 to -1.1
- The recent trend period is 2007 - 2011

**Mackinac County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 32
- The annual death rate (2007-2011) is 176.7 per 100,000 with a 95% confidence interval from 150.3 to 207.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.8 to -0.3
- The recent trend period is 2007 - 2011

**Macomb County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 1,804
- The annual death rate (2007-2011) is 183.8 per 100,000 with a 95% confidence interval from 180.0 to 187.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.1 to -0.8
- The recent trend period is 2007 - 2011

**Manistee County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 73
- The annual death rate (2007-2011) is 188.1 per 100,000 with a 95% confidence interval from 168.8 to 209.4
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -2.2 to -0.9
- The recent trend period is 2007 - 2011

**Marquette County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 142
- The annual death rate (2007-2011) is 174.8 per 100,000 with a 95% confidence interval from 161.9 to 188.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.3 to -0.1
- The recent trend period is 2007 - 2011

**Mecosta County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 83
- The annual death rate (2007-2011) is 171.2 per 100,000 with a 95% confidence interval from 154.8 to 188.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.8 to -0.4
- The recent trend period is 2007 - 2011

**Monroe County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 305
- The annual death rate (2007-2011) is 181.5 per 100,000 with a 95% confidence interval from 172.4 to 191.0
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.6 to -0.8
- The recent trend period is 2007 - 2011

**Muskegon County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 368
- The annual death rate (2007-2011) is 190.0 per 100,000 with a 95% confidence interval from 181.3 to 199.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.1 to -0.3
- The recent trend period is 2007 - 2011

**Oakland County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 2,212
- The annual death rate (2007-2011) is 166.0 per 100,000 with a 95% confidence interval from 162.8 to 169.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -1.5 to -1.1
- The recent trend period is 2007 - 2011

**Oceana County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 55
- The annual death rate (2007-2011) is 160.3 per 100,000 with a 95% confidence interval from 141.6 to 181.0
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.5 to -0.6
- The recent trend period is 2007 - 2011

**Ogemaw County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 63
- The annual death rate (2007-2011) is 185.1 per 100,000 with a 95% confidence interval from 164.3 to 208.2
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.7 with a 95% confidence interval from -2.7 to -0.6
- The recent trend period is 2007 - 2011

**Oscoda County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 25
- The annual death rate (2007-2011) is 173.1 per 100,000 with a 95% confidence interval from 142.8 to 209.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -3.0 to -0.0
- The recent trend period is 2007 - 2011

**Saginaw County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 443
- The annual death rate (2007-2011) is 181.9 per 100,000 with a 95% confidence interval from 174.3 to 189.7
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.5 to -0.7
- The recent trend period is 2007 - 2011

**Sanilac County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 104
- The annual death rate (2007-2011) is 178.4 per 100,000 with a 95% confidence interval from 163.1 to 194.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -1.8 to -0.7
- The recent trend period is 2007 - 2011

**Shiawassee County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 153
- The annual death rate (2007-2011) is 186.8 per 100,000 with a 95% confidence interval from 173.6 to 200.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.5 to -0.4
- The recent trend period is 2007 - 2011

**St. Joseph County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 135
- The annual death rate (2007-2011) is 186.9 per 100,000 with a 95% confidence interval from 172.9 to 201.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.6 to -0.3
- The recent trend period is 2007 - 2011

**Washtenaw County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2007-2011) is 483
- The annual death rate (2007-2011) is 162.6 per 100,000 with a 95% confidence interval from 156.0 to 169.3
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -1.6 to -1.0
- The recent trend period is 2007 - 2011

**Clinton County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2007-2011) is 116
- The annual death rate (2007-2011) is 147.8 per 100,000 with a 95% confidence interval from 135.8 to 160.6
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.2 to -0.8
- The recent trend period is 2007 - 2011

**Grand Traverse County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2007-2011) is 155
- The annual death rate (2007-2011) is 146.5 per 100,000 with a 95% confidence interval from 136.2 to 157.4
- The rate ratio is 0.8
- The average annual percent change in death rates is -1.8 with a 95% confidence interval from -2.5 to -1.0
- The recent trend period is 2007 - 2011

**Leelanau County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2007-2011) is 50
- The annual death rate (2007-2011) is 136.1 per 100,000 with a 95% confidence interval from 118.9 to 155.6
- The rate ratio is 0.8
- The average annual percent change in death rates is -1.9 with a 95% confidence interval from -3.0 to -0.9
- The recent trend period is 2007 - 2011

**Ottawa County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2007-2011) is 381
- The annual death rate (2007-2011) is 150.1 per 100,000 with a 95% confidence interval from 143.4 to 157.1
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.5 to -0.7
- The recent trend period is 2007 - 2011

**Notes:**

Created by statecancerprofiles.cancer.gov on 07/03/2015 9:39 pm.

Trend

Rate Comparison

* Data has been suppressed to ensure confidentiality and stability of rate and trendestimates.^{2}**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.Rate Comparison

**Above**when 95% confident the rate is above and Rate Ratio^{3}> 1.10**Similar**when unable to conclude above or below with confidence.**Below**when 95% confident the rate is below and Rate Ratio^{3}< 0.90** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.

^{1}Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.

^{2}Recent trend in death rates is Average Annual Percent Change (AAPC) 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.

^{3}Rate ratio is the county rate divided by the US rate.

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.

Note: When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate. Suppression is used to avoid misinterpretation when rates are unstable.

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).