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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 2009
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
2005-2009

sort count ascending
Annual
Death
Rate
2005-2009

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  -563,025178.7 (178.4, 178.9)--1.6 (-1.7, -1.5)2005 - 2009
Virginia8falling  similar  13,964183.2 (181.8, 184.5)1.025207616-1.4 (-1.6, -1.3)2005 - 2009
Buchanan County1rising  above  56209.5 (184.7, 236.7)1.1725454480.6 (0.0, 1.1)2005 - 2009
Dinwiddie County1rising  above  67281.8 (250.8, 315.4)1.5771330471.3 (0.8, 1.8)2005 - 2009
Franklin County1rising  above  120196.6 (180.8, 213.4)1.1002519610.5 (0.0, 1.0)2005 - 2009
Hopewell City1rising  above  63244.5 (218.1, 273.3)1.3686434750.7 (0.2, 1.1)2005 - 2009
Lee County1rising  above  69228.9 (205.0, 254.9)1.2810087310.6 (0.1, 1.0)2005 - 2009
Pulaski County1rising  above  94200.8 (182.8, 220.3)1.1241644800.8 (0.1, 1.4)2005 - 2009
Russell County1rising  above  76209.6 (188.7, 232.2)1.1731230050.8 (0.3, 1.2)2005 - 2009
Smyth County1rising  above  90208.4 (189.4, 229.0)1.1667863510.6 (0.1, 1.1)2005 - 2009
Carroll County2rising  similar  79194.9 (175.9, 215.7)1.0911326880.7 (0.2, 1.2)2005 - 2009
Alleghany Cnty and Clifton Forge Cty4stable  above  53220.3 (194.1, 249.4)1.2328682380.1 (-0.6, 0.7)2005 - 2009
Amherst County4stable  above  85212.8 (192.8, 234.4)1.1909652930.3 (-0.3, 0.8)2005 - 2009
Appomattox County4stable  above  36210.1 (180.2, 243.9)1.1760153550.1 (-0.6, 0.8)2005 - 2009
Augusta County4stable  above  158200.4 (186.3, 215.2)1.121468230-0.4 (-1.0, 0.1)2005 - 2009
Bedford County4stable  above  147208.4 (193.0, 224.8)1.1666188840.3 (-0.2, 0.7)2005 - 2009
Brunswick County4stable  above  46221.6 (193.5, 253.0)1.240633283-1.3 (-2.9, 0.3)2005 - 2009
Buckingham County4stable  above  38217.0 (186.9, 250.8)1.2149066770.3 (-0.4, 1.1)2005 - 2009
Campbell County4stable  above  123200.6 (184.8, 217.3)1.1225977300.1 (-0.3, 0.4)2005 - 2009
Caroline County4stable  above  61218.4 (194.3, 244.7)1.222382779-0.4 (-1.0, 0.2)2005 - 2009
Chesterfield County4stable  above  467224.4 (214.7, 234.4)1.2559421320.2 (-0.1, 0.4)2005 - 2009
Culpeper County4stable  above  84203.7 (184.3, 224.5)1.1402102540.1 (-0.4, 0.6)2005 - 2009
Franklin City4stable  above  26225.5 (187.6, 269.3)1.262042033-0.1 (-1.0, 0.8)2005 - 2009
Frederick County4stable  above  139208.5 (193.0, 224.9)1.1670274550.0 (-0.4, 0.5)2005 - 2009
Giles County4stable  above  51228.9 (201.3, 259.5)1.2813521810.2 (-0.3, 0.8)2005 - 2009
Gloucester County4stable  above  86206.5 (187.2, 227.4)1.155894680-0.3 (-0.8, 0.2)2005 - 2009
Greensville County4stable  above  26231.8 (192.4, 276.8)1.2974930650.3 (-0.6, 1.2)2005 - 2009
Henry County4stable  above  149208.6 (193.7, 224.4)1.1674271240.3 (-0.1, 0.8)2005 - 2009
King and Queen County4stable  above  21235.1 (191.7, 286.4)1.316133859-0.0 (-0.8, 0.8)2005 - 2009
King George County4stable  above  38210.1 (180.4, 243.0)1.175847408-0.3 (-1.0, 0.4)2005 - 2009
King William County4stable  above  34228.8 (194.8, 267.0)1.280886693-0.3 (-1.0, 0.5)2005 - 2009
Louisa County4stable  above  75204.0 (183.5, 226.3)1.141950852-0.4 (-0.9, 0.2)2005 - 2009
Middlesex County4stable  above  40215.5 (185.1, 250.6)1.206087128-0.3 (-1.0, 0.3)2005 - 2009
Northampton County4stable  above  48230.5 (201.8, 262.7)1.290363485-0.1 (-0.6, 0.5)2005 - 2009
Orange County4stable  above  85208.4 (188.7, 229.6)1.166309259-0.4 (-1.0, 0.2)2005 - 2009
Portsmouth City4stable  above  240229.8 (216.9, 243.2)1.286124835-0.2 (-0.4, 0.1)2005 - 2009
Prince George County4stable  above  54254.7 (222.1, 290.4)1.4259475290.5 (-0.3, 1.2)2005 - 2009
Salem City4stable  above  66200.6 (179.4, 223.8)1.122637539-0.1 (-0.8, 0.5)2005 - 2009
Southampton County4stable  above  46222.1 (194.0, 253.3)1.243172235-0.2 (-0.7, 0.3)2005 - 2009
Stafford County4stable  above  147215.2 (198.6, 232.6)1.204419378-0.2 (-0.7, 0.2)2005 - 2009
Sussex County4stable  above  33233.6 (199.0, 272.8)1.3073383610.0 (-0.7, 0.7)2005 - 2009
Warren County4stable  above  81221.7 (200.4, 244.6)1.2407048550.1 (-0.4, 0.6)2005 - 2009
Wise County4stable  above  108233.5 (214.1, 254.3)1.3070590340.3 (-0.1, 0.6)2005 - 2009
Accomack County5falling  above  108215.4 (197.5, 234.7)1.205842356-1.4 (-2.3, -0.5)2005 - 2009
Chesapeake City5falling  above  385205.3 (196.1, 214.9)1.149431789-1.0 (-1.4, -0.5)2005 - 2009
Hampton City5falling  above  267199.3 (188.7, 210.4)1.115592815-1.3 (-1.8, -0.7)2005 - 2009
Mecklenburg County5falling  above  97205.1 (186.9, 224.7)1.147933583-1.3 (-2.3, -0.3)2005 - 2009
Norfolk City5falling  above  423215.3 (206.1, 224.7)1.204939415-1.6 (-2.1, -1.1)2005 - 2009
Petersburg City5falling  above  97238.8 (217.8, 261.4)1.336604414-2.5 (-3.8, -1.2)2005 - 2009
Pittsylvania County5falling  above  152212.8 (197.6, 228.9)1.191212511-0.7 (-1.2, -0.1)2005 - 2009
Richmond City5falling  above  434199.1 (190.7, 207.8)1.114607300-3.2 (-4.1, -2.2)2005 - 2009
Shenandoah County5falling  above  109198.2 (181.8, 215.8)1.109361844-0.5 (-0.9, -0.0)2005 - 2009
Suffolk City5falling  above  166220.2 (205.2, 235.9)1.232322039-1.2 (-2.1, -0.4)2005 - 2009
Tazewell County5falling  above  118203.5 (187.3, 220.9)1.139186628-1.2 (-2.3, -0.1)2005 - 2009
Amelia County6stable  similar  30203.0 (171.0, 239.4)1.136098306-0.1 (-1.0, 0.7)2005 - 2009
Bath County6stable  similar  16223.6 (175.8, 282.9)1.251673189-0.8 (-1.7, 0.2)2005 - 2009
Bedford City6stable  similar  18157.6 (124.3, 198.7)0.882381107-0.8 (-2.1, 0.5)2005 - 2009
Bland County6stable  similar  19209.7 (168.9, 258.5)1.1740427560.5 (-0.5, 1.6)2005 - 2009
Botetourt County6stable  similar  67173.0 (154.6, 193.2)0.968463930-0.4 (-0.9, 0.1)2005 - 2009
Buena Vista City6stable  similar  17194.2 (154.6, 242.0)1.0869220040.5 (-0.5, 1.6)2005 - 2009
Charles City County6stable  similar  19205.5 (164.0, 255.1)1.150112757-0.7 (-2.1, 0.8)2005 - 2009
Charlotte County6stable  similar  34196.1 (167.2, 229.0)1.097627700-0.3 (-0.9, 0.3)2005 - 2009
Clarke County6stable  similar  30168.2 (142.2, 198.0)0.941621911-0.5 (-1.2, 0.3)2005 - 2009
Colonial Heights City6stable  similar  51203.0 (178.3, 230.5)1.136346907-0.3 (-0.9, 0.2)2005 - 2009
Covington City6stable  similar  18180.1 (143.7, 224.4)1.0079802860.5 (-0.8, 1.7)2005 - 2009
Craig County6stable  similar  11189.1 (141.1, 249.0)1.058620760-0.5 (-1.7, 0.6)2005 - 2009
Cumberland County6stable  similar  24205.0 (169.3, 246.4)1.147580693-0.2 (-1.0, 0.6)2005 - 2009
Dickenson County6stable  similar  41204.3 (177.0, 234.8)1.1433938830.0 (-0.5, 0.6)2005 - 2009
Essex County6stable  similar  26168.4 (140.6, 200.7)0.942479635-0.1 (-1.0, 0.8)2005 - 2009
Floyd County6stable  similar  32167.8 (142.3, 197.0)0.9395073240.5 (-0.1, 1.1)2005 - 2009
Goochland County6stable  similar  40180.3 (155.5, 208.2)1.009477395-0.3 (-1.2, 0.6)2005 - 2009
Grayson County6stable  similar  45185.7 (161.6, 212.8)1.0392816870.5 (-0.1, 1.2)2005 - 2009
Highland County6stable  similar  6154.3 (100.7, 233.9)0.863874219-0.5 (-2.0, 1.0)2005 - 2009
Isle of Wight County6stable  similar  73196.5 (176.5, 218.2)1.099937139-0.4 (-0.9, 0.1)2005 - 2009
Lunenburg County6stable  similar  36201.0 (172.4, 233.5)1.1251425850.1 (-0.5, 0.7)2005 - 2009
Madison County6stable  similar  31169.5 (143.6, 199.2)0.948900042-0.4 (-1.1, 0.3)2005 - 2009
Mathews County6stable  similar  28180.3 (151.1, 215.0)1.009266823-0.5 (-1.1, 0.2)2005 - 2009
Nelson County6stable  similar  42191.2 (165.7, 220.0)1.070230356-0.2 (-0.9, 0.5)2005 - 2009
Norton City6stable  similar  8172.4 (123.1, 236.5)0.9651118800.1 (-0.9, 1.2)2005 - 2009
Page County6stable  similar  56178.4 (157.9, 201.1)0.998554032-0.3 (-0.9, 0.4)2005 - 2009
Patrick County6stable  similar  51186.5 (164.0, 211.6)1.0440021870.3 (-0.2, 0.9)2005 - 2009
Poquoson City46stable  similar  22162.9 (133.4, 197.4)0.911730761-1.9 (-3.9, 0.2)2005 - 2009
Powhatan County6stable  similar  47196.1 (170.0, 224.9)1.097700686-6.7 (-13.6, 0.8)2005 - 2009
Prince Edward County6stable  similar  44188.8 (164.1, 216.3)1.056784600-0.4 (-0.9, 0.1)2005 - 2009
Radford City6stable  similar  25203.8 (168.7, 244.2)1.1405506770.1 (-0.7, 0.9)2005 - 2009
Rappahannock County6stable  similar  14150.4 (115.8, 192.8)0.841602572-0.2 (-1.3, 0.8)2005 - 2009
Richmond County6stable  similar  26205.8 (170.9, 246.3)1.151768329-0.7 (-1.3, 0.0)2005 - 2009
Rockbridge County6stable  similar  53192.5 (169.5, 218.0)1.077451177-0.1 (-0.8, 0.5)2005 - 2009
Rockingham County6stable  similar  149178.8 (166.1, 192.2)1.0006363590.0 (-0.4, 0.5)2005 - 2009
Staunton City6stable  similar  63175.1 (155.7, 196.6)0.9802603700.2 (-0.4, 0.7)2005 - 2009
Surry County6stable  similar  16189.1 (149.3, 237.0)1.058371781-0.0 (-0.9, 0.9)2005 - 2009
Washington County6stable  similar  127187.8 (173.3, 203.2)1.0509927270.3 (-0.1, 0.7)2005 - 2009
Waynesboro City6stable  similar  60201.6 (179.1, 226.4)1.1285264620.2 (-0.3, 0.8)2005 - 2009
Westmoreland County6stable  similar  51202.9 (178.2, 230.5)1.135881758-0.4 (-0.9, 0.2)2005 - 2009
Wythe County6stable  similar  73193.7 (174.1, 215.0)1.084166355-0.7 (-1.8, 0.3)2005 - 2009
James City County47stable  below  131154.9 (143.1, 167.5)0.867021676-0.0 (-0.7, 0.7)2005 - 2009
Lexington City7stable  below  11123.4 (90.2, 168.3)0.690993541-0.9 (-2.2, 0.4)2005 - 2009
Albemarle County8falling  similar  169176.7 (164.9, 189.1)0.988939570-0.4 (-0.8, -0.0)2005 - 2009
Bristol City8falling  similar  53191.5 (168.2, 217.5)1.072031200-5.0 (-9.6, -0.1)2005 - 2009
Danville City8falling  similar  125175.2 (161.2, 190.2)0.980456409-2.5 (-3.8, -1.3)2005 - 2009
Emporia City8falling  similar  15182.8 (141.7, 233.2)1.023399295-5.2 (-8.5, -1.8)2005 - 2009
Fairfax City8falling  similar  50187.2 (164.6, 212.2)1.048081851-1.2 (-2.3, -0.2)2005 - 2009
Falls Church City8falling  similar  21162.2 (131.5, 198.1)0.907757102-2.5 (-3.3, -1.7)2005 - 2009
Fauquier County8falling  similar  116179.7 (164.9, 195.3)1.005630348-0.8 (-1.3, -0.2)2005 - 2009
Fluvanna County8falling  similar  50189.3 (165.8, 215.2)1.059706610-0.8 (-1.5, -0.1)2005 - 2009
Fredericksburg City8falling  similar  48205.6 (179.4, 234.6)1.150751398-1.0 (-1.8, -0.3)2005 - 2009
Galax City8falling  similar  17169.3 (133.8, 212.1)0.947438593-4.2 (-7.3, -1.0)2005 - 2009
Greene County8falling  similar  28167.3 (140.2, 197.9)0.936340354-1.1 (-2.1, -0.0)2005 - 2009
Halifax County with South Boston City8falling  similar  100195.3 (178.3, 213.8)1.093433618-0.8 (-1.6, -0.0)2005 - 2009
Hanover County8falling  similar  181181.7 (169.9, 194.1)1.016948468-1.8 (-2.6, -1.1)2005 - 2009
Henrico County8falling  similar  535177.0 (170.2, 183.9)0.990483368-1.0 (-1.3, -0.7)2005 - 2009
Lancaster County8falling  similar  49202.7 (174.7, 235.3)1.134811673-3.0 (-5.2, -0.7)2005 - 2009
Lynchburg City8falling  similar  156171.6 (159.3, 184.7)0.960768443-2.1 (-3.0, -1.1)2005 - 2009
Manassas City48falling  similar  46170.4 (148.8, 194.2)0.953987572-2.0 (-2.9, -1.1)2005 - 2009
Manassas Park City48falling  similar  11173.1 (127.0, 228.9)0.968969419-8.0 (-12.4, -3.3)2005 - 2009
Martinsville City8falling  similar  42171.4 (147.9, 198.2)0.959531932-3.6 (-5.6, -1.5)2005 - 2009
Montgomery County8falling  similar  113170.3 (156.4, 185.0)0.953025544-1.4 (-2.2, -0.7)2005 - 2009
New Kent County8falling  similar  30213.2 (178.1, 252.9)1.193389893-1.9 (-3.4, -0.4)2005 - 2009
Newport News City8falling  similar  326190.8 (181.6, 200.3)1.067897226-2.5 (-3.3, -1.7)2005 - 2009
Northumberland County8falling  similar  45183.5 (158.5, 212.3)1.026878767-2.1 (-3.1, -1.2)2005 - 2009
Nottoway County8falling  similar  40193.9 (167.7, 223.2)1.085085641-3.5 (-6.5, -0.5)2005 - 2009
Prince William County48falling  similar  375179.3 (170.5, 188.4)1.003589748-1.8 (-2.1, -1.5)2005 - 2009
Roanoke City8falling  similar  236192.3 (181.3, 203.9)1.076585463-2.1 (-2.9, -1.3)2005 - 2009
Roanoke County8falling  similar  191167.2 (156.6, 178.3)0.935795823-0.6 (-1.0, -0.2)2005 - 2009
Scott County8falling  similar  65196.6 (175.5, 219.9)1.100529877-2.4 (-4.6, -0.1)2005 - 2009
Spotsylvania County8falling  similar  172190.8 (177.8, 204.5)1.067993822-0.6 (-1.2, -0.0)2005 - 2009
Virginia Beach City8falling  similar  650175.9 (169.8, 182.1)0.984435808-1.4 (-1.8, -1.0)2005 - 2009
Williamsburg City48falling  similar  22187.2 (150.9, 230.3)1.047847474-1.4 (-2.7, -0.1)2005 - 2009
Winchester City8falling  similar  65199.7 (178.2, 223.2)1.117784918-1.7 (-2.5, -1.0)2005 - 2009
York County48falling  similar  105179.0 (163.5, 195.6)1.002120955-1.2 (-1.9, -0.5)2005 - 2009
Alexandria City9falling  below  175131.3 (122.5, 140.5)0.734748687-6.2 (-8.5, -3.9)2005 - 2009
Arlington County9falling  below  231141.9 (133.6, 150.6)0.794384984-2.5 (-3.0, -1.9)2005 - 2009
Charlottesville City9falling  below  65155.3 (138.4, 173.7)0.869024013-4.7 (-6.5, -3.0)2005 - 2009
Fairfax County9falling  below  1,211144.6 (140.9, 148.5)0.809669407-1.9 (-2.4, -1.4)2005 - 2009
Harrisonburg City9falling  below  50156.6 (137.4, 177.8)0.876746456-1.3 (-2.2, -0.4)2005 - 2009
Loudoun County9falling  below  242156.2 (147.0, 165.9)0.874512417-2.3 (-2.7, -1.9)2005 - 2009
Created by statecancerprofiles.cancer.gov on 05/24/2013 3:35 am.
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 racial groups or counties.
3 Rate ratio is the county rate divided by the US rate.
4 Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected racial groups or 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 2010 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 US populations included with the data release have been adjusted for the population shifts due to hurricanes Katrina and Rita for 62 counties and parishes in Alabama, Mississippi, Louisiana, and Texas. The 1969-2009 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).