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 Rate/Trend Comparison by State/County
National Cancer Institute State Cancer Profiles Centers for Disease Control and Prevention
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Death Rate/Trend Comparison by Cancer, death years through 2010
Virginia Counties versus United States

All Cancer Sites
All Races, Both Sexes

  Above US Rate Similar to US Rate Below US Rate  
Priority 1: rising and above

Priority 2: rising and similar

Priority 3: rising and below

Priority 4: stable and above

Alleghany Cnty and Clifton Forge Cty
Amelia County
Amherst County
Appomattox County
Bristol City
Buena Vista City
Charles City County
Dinwiddie County
Giles County
Hopewell City
Isle of Wight County
King William County
King and Queen County
Lee County
Louisa County
Northampton County
Pulaski County
Russell County
Smyth County
Warren County
Waynesboro City
Winchester City
Wise County 
Priority 6: stable and similar

Bath County
Bedford City
Bland County
Botetourt County
Buchanan County
Buckingham County
Campbell County
Carroll County
Clarke County
Covington City
Craig County
Cumberland County
Dickenson County
Essex County
Floyd County
Grayson County
Greensville County
Henry County
Lunenburg County
Madison County
Manassas City
Manassas Park City
Nelson County
Nottoway County
Page County
Patrick County
Radford City
Rockingham County
Salem City
Scott County
Southampton County
Staunton City
Surry County
Washington County 
Priority 7: stable and below

Priority 5: falling and above

Accomack County
Brunswick County
Caroline County
Chesapeake City
Culpeper County
Franklin City
Fredericksburg City
Gloucester County
Halifax County with South Boston City
Hampton City
Lynchburg City
Mecklenburg County
Newport News City
Norfolk City
Petersburg City
Portsmouth City
Richmond City
Roanoke City
Suffolk City
Sussex County
Tazewell County 
Priority 8: falling and similar

Albemarle County
Augusta County
Bedford County
Charlotte County
Charlottesville City
Chesterfield County
Colonial Heights City
Danville City
Emporia City
Fairfax City
Falls Church City
Fauquier County
Fluvanna County
Franklin County
Frederick County
Galax City
Greene County
Hanover County
Harrisonburg City
Henrico County
Highland County
King George County
Lancaster County
Martinsville City
Mathews County
Middlesex County
New Kent County
Northumberland County
Norton City
Orange County
Pittsylvania County
Poquoson City
Powhatan County
Prince Edward County
Prince George County
Prince William County
Rappahannock County
Richmond County
Rockbridge County
Shenandoah County
Spotsylvania County
Stafford County
Virginia Beach City
Westmoreland County
Williamsburg City
Wythe County
York County 
Priority 9: falling and below

Alexandria City
Arlington County
Fairfax County
Goochland County
James City County
Lexington City
Loudoun County
Montgomery County
Roanoke County 
  Created by statecancerprofiles.cancer.gov on 09/20/2014 6:01 pm.
     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 Ratio3 > 1.10
     Similar     when unable to conclude above or below with confidence.
     Below     when 95% confident the rate is below and Rate Ratio3 < 0.90

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, 14, 59, , 8084, 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 1969-2011 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).