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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
Sorted by Priority Index
County
sort state ascending
Priority Index1
1=highest
9=lowest

sort index descending
Recent
Trend2

County Death Rate
Compared to
US Rate

Average Deaths per year
2006-2010

sort count ascending
Annual
Death
Rate
2006-2010

deaths per 100,000

(95% Confidence Interval)
sort death rate ascending
Rate
Ratio3
County to USsort ascending by the rate ratio
Recent Average Annual
Percent Change2
in Death Rates

(95% Confidence Interval)
sort AAPC ascending
Recent Trend Period2
United States-falling  -566,112176.4 (176.2, 176.6)--1.5 (-1.7, -1.4)2006 - 2010
Virginia8falling  similar  14,004179.3 (178.0, 180.7)1.016238790-1.8 (-2.0, -1.5)2006 - 2010
Alleghany Cnty and Clifton Forge Cty4stable  above  55220.8 (195.0, 249.5)1.251448397-0.4 (-1.5, 0.6)2006 - 2010
Amelia County4stable  above  31211.6 (179.2, 248.5)1.199530156-0.8 (-2.7, 1.2)2006 - 2010
Amherst County4stable  above  83205.7 (186.2, 226.9)1.165885250-0.8 (-1.8, 0.3)2006 - 2010
Appomattox County4stable  above  41216.7 (187.8, 249.2)1.2282141170.4 (-0.9, 1.8)2006 - 2010
Bristol City4stable  above  53207.4 (182.8, 234.7)1.175325062-0.4 (-1.2, 0.5)2006 - 2010
Buena Vista City4stable  above  19238.4 (192.3, 292.6)1.350909828-0.9 (-2.9, 1.1)2006 - 2010
Charles City County4stable  above  22228.4 (185.7, 279.0)1.294375423-0.2 (-1.5, 1.1)2006 - 2010
Dinwiddie County4stable  above  65221.4 (197.2, 247.7)1.254561404-0.1 (-1.2, 1.0)2006 - 2010
Giles County4stable  above  50213.7 (187.8, 242.7)1.211407978-0.9 (-2.1, 0.3)2006 - 2010
Hopewell City4stable  above  63243.5 (217.2, 272.2)1.3800614360.1 (-0.6, 0.9)2006 - 2010
Isle of Wight County4stable  above  80204.8 (184.8, 226.5)1.160736939-0.7 (-1.7, 0.3)2006 - 2010
King and Queen County4stable  above  21226.4 (184.9, 275.3)1.2832071420.5 (-1.1, 2.1)2006 - 2010
King William County4stable  above  34223.7 (190.8, 260.7)1.267997643-0.6 (-2.1, 0.9)2006 - 2010
Lee County4stable  above  70220.0 (197.2, 244.9)1.2468189520.3 (-0.4, 1.1)2006 - 2010
Louisa County4stable  above  77211.7 (190.4, 234.8)1.199949413-0.5 (-1.5, 0.5)2006 - 2010
Northampton County4stable  above  46218.8 (190.5, 250.8)1.239848504-0.7 (-1.9, 0.5)2006 - 2010
Pulaski County4stable  above  92195.4 (177.7, 214.6)1.107593244-0.3 (-1.3, 0.7)2006 - 2010
Russell County4stable  above  74205.2 (184.4, 227.8)1.1629852040.1 (-0.8, 1.1)2006 - 2010
Smyth County4stable  above  92208.6 (189.7, 228.9)1.181993046-0.6 (-1.4, 0.2)2006 - 2010
Warren County4stable  above  85221.3 (200.4, 243.8)1.254157224-0.8 (-1.8, 0.2)2006 - 2010
Waynesboro City4stable  above  60219.2 (194.7, 246.0)1.242084918-0.2 (-1.3, 1.0)2006 - 2010
Winchester City4stable  above  67227.1 (203.3, 253.1)1.287361620-0.7 (-1.5, 0.1)2006 - 2010
Wise County4stable  above  103222.2 (203.2, 242.4)1.259100900-0.5 (-1.4, 0.3)2006 - 2010
Accomack County5falling  above  105215.9 (197.6, 235.7)1.223756512-1.0 (-1.6, -0.4)2006 - 2010
Brunswick County5falling  above  44204.4 (178.0, 233.8)1.158307020-1.8 (-3.0, -0.6)2006 - 2010
Caroline County5falling  above  62213.1 (189.7, 238.6)1.207642990-1.1 (-2.1, -0.1)2006 - 2010
Chesapeake City5falling  above  378197.2 (188.2, 206.5)1.117904397-1.2 (-1.8, -0.6)2006 - 2010
Culpeper County5falling  above  89202.8 (184.1, 222.9)1.149444241-1.0 (-1.9, -0.2)2006 - 2010
Franklin City5falling  above  26228.4 (190.1, 272.6)1.294291161-1.5 (-2.9, -0.1)2006 - 2010
Fredericksburg City5falling  above  47231.6 (202.6, 263.5)1.312366175-1.0 (-2.0, -0.0)2006 - 2010
Gloucester County5falling  above  89213.4 (193.7, 234.7)1.209535064-1.0 (-1.9, -0.0)2006 - 2010
Halifax County with South Boston City5falling  above  102196.1 (179.2, 214.4)1.111525427-1.0 (-1.6, -0.4)2006 - 2010
Hampton City5falling  above  269200.7 (190.0, 211.8)1.137564999-1.2 (-1.7, -0.7)2006 - 2010
Lynchburg City5falling  above  165194.1 (180.7, 208.3)1.100203619-1.5 (-2.1, -0.8)2006 - 2010
Mecklenburg County5falling  above  96194.5 (177.1, 213.3)1.102109391-1.4 (-2.0, -0.8)2006 - 2010
Newport News City5falling  above  321199.7 (189.9, 209.7)1.131540322-1.4 (-1.8, -0.9)2006 - 2010
Norfolk City5falling  above  413208.3 (199.3, 217.6)1.180755084-1.7 (-2.1, -1.3)2006 - 2010
Petersburg City5falling  above  93238.8 (217.4, 262.0)1.353663270-1.5 (-2.2, -0.7)2006 - 2010
Portsmouth City5falling  above  241229.3 (216.4, 242.8)1.299760756-0.8 (-1.3, -0.3)2006 - 2010
Richmond City5falling  above  429221.3 (211.9, 231.0)1.254289159-1.1 (-1.6, -0.6)2006 - 2010
Roanoke City5falling  above  233201.6 (190.0, 213.7)1.142427072-0.8 (-1.3, -0.4)2006 - 2010
Suffolk City5falling  above  170219.5 (204.8, 235.1)1.244224477-1.0 (-1.6, -0.4)2006 - 2010
Sussex County5falling  above  31220.7 (186.9, 259.1)1.250554728-2.2 (-3.5, -0.9)2006 - 2010
Tazewell County5falling  above  120202.5 (186.4, 219.7)1.147565907-1.1 (-1.8, -0.4)2006 - 2010
Bath County6stable  similar  15197.4 (153.7, 252.0)1.118503739-1.3 (-2.9, 0.4)2006 - 2010
Bedford City6stable  similar  20190.1 (152.6, 235.5)1.077523804-2.0 (-4.0, 0.1)2006 - 2010
Bland County6stable  similar  18189.4 (151.3, 235.3)1.073405332-1.1 (-3.4, 1.3)2006 - 2010
Botetourt County6stable  similar  67163.0 (145.7, 182.0)0.923775275-0.8 (-1.8, 0.1)2006 - 2010
Buchanan County6stable  similar  57187.8 (166.0, 211.9)1.064422312-0.7 (-1.7, 0.4)2006 - 2010
Buckingham County6stable  similar  38193.9 (166.6, 224.5)1.098867747-0.2 (-2.1, 1.7)2006 - 2010
Campbell County6stable  similar  125189.1 (174.4, 204.8)1.071840812-0.6 (-1.3, 0.1)2006 - 2010
Carroll County6stable  similar  79183.9 (165.9, 203.5)1.0422444820.2 (-0.7, 1.1)2006 - 2010
Clarke County6stable  similar  32177.6 (150.6, 208.5)1.006766881-1.1 (-2.6, 0.5)2006 - 2010
Covington City6stable  similar  14164.4 (127.3, 210.0)0.931841597-0.3 (-2.6, 2.0)2006 - 2010
Craig County6stable  similar  11174.8 (131.6, 228.7)0.990530046-0.1 (-2.5, 2.3)2006 - 2010
Cumberland County6stable  similar  24202.7 (167.6, 243.4)1.148860854-0.4 (-1.7, 0.9)2006 - 2010
Dickenson County6stable  similar  40193.5 (167.2, 223.1)1.096638829-0.4 (-1.7, 1.0)2006 - 2010
Essex County6stable  similar  28182.1 (152.8, 215.9)1.031911812-1.2 (-2.9, 0.4)2006 - 2010
Floyd County6stable  similar  31157.1 (133.0, 184.7)0.890369172-0.0 (-1.5, 1.4)2006 - 2010
Grayson County6stable  similar  45183.8 (160.0, 210.6)1.0415035220.1 (-1.3, 1.5)2006 - 2010
Greensville County6stable  similar  26211.7 (176.0, 252.6)1.199696615-0.7 (-2.5, 1.1)2006 - 2010
Henry County6stable  similar  150193.3 (179.5, 208.0)1.0954611300.5 (-0.1, 1.1)2006 - 2010
Lunenburg County6stable  similar  31174.3 (147.6, 205.0)0.988125679-0.9 (-2.3, 0.6)2006 - 2010
Madison County6stable  similar  31168.7 (142.7, 198.4)0.955862946-1.1 (-2.5, 0.4)2006 - 2010
Manassas City6stable  similar  44193.4 (167.4, 222.1)1.096312783-0.6 (-2.0, 0.8)2006 - 2010
Manassas Park City6stable  similar  11167.4 (123.4, 220.5)0.948947370-15.0 (-32.5, 7.0)2006 - 2010
Nelson County6stable  similar  43195.7 (169.8, 225.1)1.109408047-0.7 (-1.8, 0.4)2006 - 2010
Nottoway County6stable  similar  40194.7 (168.6, 224.1)1.103469737-1.0 (-2.1, 0.0)2006 - 2010
Page County6stable  similar  58185.4 (164.5, 208.4)1.050727123-0.6 (-1.9, 0.7)2006 - 2010
Patrick County6stable  similar  53188.6 (166.2, 213.6)1.068851980-0.5 (-1.5, 0.5)2006 - 2010
Radford City6stable  similar  23209.0 (172.0, 251.7)1.184643635-0.8 (-2.5, 0.9)2006 - 2010
Rockingham County6stable  similar  148162.3 (150.7, 174.5)0.919690877-0.1 (-0.9, 0.6)2006 - 2010
Salem City6stable  similar  64194.3 (173.4, 217.4)1.101439757-0.7 (-1.6, 0.2)2006 - 2010
Scott County6stable  similar  64190.2 (169.6, 212.9)1.077733255-0.8 (-1.7, 0.1)2006 - 2010
Southampton County6stable  similar  45200.5 (174.7, 229.3)1.136248538-0.9 (-2.0, 0.1)2006 - 2010
Staunton City6stable  similar  60170.1 (151.0, 191.3)0.964249731-0.8 (-2.0, 0.4)2006 - 2010
Surry County6stable  similar  18193.1 (154.3, 239.5)1.094348550-1.2 (-3.0, 0.6)2006 - 2010
Washington County6stable  similar  133184.2 (170.3, 199.1)1.044117153-0.5 (-1.3, 0.2)2006 - 2010
Albemarle County8falling  similar  176161.7 (151.1, 172.9)0.916388670-0.9 (-1.6, -0.2)2006 - 2010
Augusta County8falling  similar  155174.3 (162.1, 187.3)0.987998710-0.9 (-1.8, -0.1)2006 - 2010
Bedford County8falling  similar  149182.9 (169.6, 197.0)1.036529538-0.8 (-1.5, -0.0)2006 - 2010
Charlotte County8falling  similar  33185.0 (157.6, 216.4)1.048641503-3.0 (-4.5, -1.5)2006 - 2010
Charlottesville City8falling  similar  64189.6 (169.2, 211.8)1.074687489-1.6 (-2.3, -0.8)2006 - 2010
Chesterfield County8falling  similar  463175.4 (168.0, 182.9)0.993855801-1.3 (-1.8, -0.8)2006 - 2010
Colonial Heights City8falling  similar  51194.7 (170.7, 221.3)1.103200843-1.4 (-2.3, -0.6)2006 - 2010
Danville City8falling  similar  126192.2 (177.1, 208.4)1.089497492-1.2 (-2.0, -0.4)2006 - 2010
Emporia City8falling  similar  13167.6 (128.6, 215.6)0.949902844-2.6 (-4.2, -0.9)2006 - 2010
Fairfax City8falling  similar  50200.5 (176.0, 227.5)1.136369126-1.8 (-3.5, -0.1)2006 - 2010
Falls Church City8falling  similar  20176.8 (142.8, 216.4)1.001925667-2.2 (-3.8, -0.5)2006 - 2010
Fauquier County8falling  similar  116176.1 (161.7, 191.5)0.998159453-1.7 (-2.6, -0.7)2006 - 2010
Fluvanna County8falling  similar  51178.8 (157.1, 202.8)1.013534121-1.9 (-2.9, -0.8)2006 - 2010
Franklin County8falling  similar  124175.8 (162.0, 190.7)0.996607903-0.9 (-1.8, -0.1)2006 - 2010
Frederick County8falling  similar  142188.1 (174.3, 202.7)1.065966286-1.2 (-1.8, -0.5)2006 - 2010
Galax City8falling  similar  16159.7 (125.9, 200.6)0.904909173-2.9 (-4.8, -1.1)2006 - 2010
Greene County8falling  similar  28150.7 (125.9, 179.0)0.854292775-2.1 (-3.9, -0.3)2006 - 2010
Hanover County8falling  similar  180174.7 (163.3, 186.7)0.990130444-1.9 (-2.5, -1.3)2006 - 2010
Harrisonburg City8falling  similar  52158.8 (139.6, 179.8)0.899943637-2.0 (-3.0, -0.9)2006 - 2010
Henrico County8falling  similar  540173.7 (167.1, 180.5)0.984490476-1.3 (-1.7, -0.9)2006 - 2010
Highland County8falling  similar  6144.2 (93.4, 220.9)0.817519129-3.6 (-6.5, -0.7)2006 - 2010
King George County8falling  similar  39205.1 (176.4, 237.0)1.162703997-1.4 (-2.7, -0.0)2006 - 2010
Lancaster County8falling  similar  46183.9 (159.0, 213.1)1.042266475-2.3 (-3.4, -1.1)2006 - 2010
Martinsville City8falling  similar  40185.9 (160.5, 214.6)1.053403769-1.6 (-2.7, -0.6)2006 - 2010
Mathews County8falling  similar  27170.7 (142.6, 204.2)0.967235629-1.8 (-3.0, -0.6)2006 - 2010
Middlesex County8falling  similar  39205.8 (176.7, 239.5)1.166250352-1.3 (-2.5, -0.1)2006 - 2010
New Kent County8falling  similar  32188.4 (158.6, 222.2)1.068029971-2.2 (-3.7, -0.7)2006 - 2010
Northumberland County8falling  similar  44180.8 (155.9, 209.7)1.024608564-2.0 (-3.3, -0.7)2006 - 2010
Norton City8falling  similar  8156.9 (110.5, 217.5)0.889165932-5.2 (-8.3, -1.9)2006 - 2010
Orange County8falling  similar  82194.5 (175.9, 214.6)1.102339739-0.8 (-1.6, -0.0)2006 - 2010
Pittsylvania County8falling  similar  148180.7 (167.7, 194.5)1.024291448-0.8 (-1.6, -0.1)2006 - 2010
Poquoson City8falling  similar  24180.2 (149.0, 216.3)1.021310152-3.5 (-6.4, -0.6)2006 - 2010
Powhatan County8falling  similar  47180.8 (157.1, 207.1)1.024966399-1.6 (-2.7, -0.5)2006 - 2010
Prince Edward County8falling  similar  45183.8 (160.1, 210.2)1.041631451-1.4 (-2.2, -0.7)2006 - 2010
Prince George County8falling  similar  52177.6 (155.5, 201.8)1.006399644-1.9 (-3.3, -0.5)2006 - 2010
Prince William County8falling  similar  386170.8 (162.5, 179.3)0.967774842-2.1 (-2.5, -1.6)2006 - 2010
Rappahannock County8falling  similar  16148.8 (116.9, 188.1)0.843509156-2.3 (-4.2, -0.3)2006 - 2010
Richmond County8falling  similar  26203.4 (169.3, 243.1)1.152942819-1.3 (-2.5, -0.0)2006 - 2010
Rockbridge County8falling  similar  53160.9 (141.8, 182.2)0.911875010-1.5 (-2.8, -0.2)2006 - 2010
Shenandoah County8falling  similar  106183.1 (167.7, 199.7)1.038001716-0.8 (-1.3, -0.3)2006 - 2010
Spotsylvania County8falling  similar  183186.2 (173.9, 199.1)1.055372806-1.0 (-1.9, -0.1)2006 - 2010
Stafford County8falling  similar  153193.9 (179.4, 209.1)1.098807225-1.1 (-1.7, -0.5)2006 - 2010
Virginia Beach City8falling  similar  649171.1 (165.2, 177.2)0.969931432-1.4 (-1.8, -1.1)2006 - 2010
Westmoreland County8falling  similar  49187.4 (164.0, 213.8)1.062311087-1.4 (-2.6, -0.2)2006 - 2010
Williamsburg City8falling  similar  22179.4 (146.5, 218.3)1.016930563-3.2 (-4.9, -1.3)2006 - 2010
Wythe County8falling  similar  69181.5 (162.6, 202.2)1.028752970-0.9 (-1.8, -0.1)2006 - 2010
York County8falling  similar  106173.0 (158.2, 188.8)0.980452144-1.9 (-2.9, -0.8)2006 - 2010
Alexandria City9falling  below  175155.0 (144.5, 166.0)0.878206300-2.3 (-2.9, -1.8)2006 - 2010
Arlington County9falling  below  228146.7 (138.1, 155.8)0.831683911-2.0 (-2.4, -1.6)2006 - 2010
Fairfax County9falling  below  1,215138.6 (135.0, 142.2)0.785377073-2.0 (-2.2, -1.7)2006 - 2010
Goochland County9falling  below  37151.4 (129.6, 176.0)0.858251405-2.5 (-4.2, -0.8)2006 - 2010
James City County9falling  below  143150.2 (139.3, 162.0)0.851465969-1.1 (-2.0, -0.1)2006 - 2010
Lexington City9falling  below  10130.1 (95.5, 176.5)0.737183901-3.0 (-5.7, -0.4)2006 - 2010
Loudoun County9falling  below  251149.7 (141.0, 158.8)0.848339936-2.3 (-2.8, -1.8)2006 - 2010
Montgomery County9falling  below  115158.0 (145.2, 171.6)0.895684086-1.6 (-2.2, -0.9)2006 - 2010
Roanoke County9falling  below  193158.4 (148.4, 168.9)0.897613039-0.8 (-1.4, -0.2)2006 - 2010
Created by statecancerprofiles.cancer.gov on 08/30/2014 2:14 pm.
Trend2
     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

* Data has been suppressed to ensure confidentiality and stability of rate and trendestimates.
** 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, 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).