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	Incidence Rate Report for Alabama by County All Races (includes Hispanic), Both Sexes, Melanoma of the Skin, All Ages Sorted by Rate County Annual Incidence Rate† over rate period (95% Confidence Interval) Average Annual Count Rate Period Alabama 6 20.0 (19.4, 20.5) 993 2005-2009 US (SEER+NPCR) 1 19.2 (19.2, 19.3) § 2005-2009 Escambia County 6 12.6 (8.2, 18.5) 5 2005-2009 Lee County 6 12.9 (10.1, 16.4) 15 2005-2009 Dallas County 6 13.5 (9.1, 19.3) 6 2005-2009 Cherokee County 6 13.8 (8.4, 21.4) 4 2005-2009 Chambers County 6 14.1 (9.3, 20.5) 6 2005-2009 Lawrence County 6 15.5 (10.2, 22.5) 6 2005-2009 Bibb County 6 15.5 (9.2, 24.7) 4 2005-2009 Mobile County 6 15.6 (13.9, 17.4) 65 2005-2009 Montgomery County 6 16.2 (13.9, 18.7) 36 2005-2009 Franklin County 6 16.4 (11.0, 23.7) 6 2005-2009 Tallapoosa County 6 16.4 (11.7, 22.5) 8 2005-2009 Blount County 6 17.1 (12.8, 22.3) 11 2005-2009 Houston County 6 17.6 (14.2, 21.6) 19 2005-2009 Madison County 6 17.7 (15.7, 20.0) 57 2005-2009 Russell County 6 17.8 (13.0, 23.7) 9 2005-2009 Coffee County 6 18.0 (13.1, 24.0) 9 2005-2009 DeKalb County 6 18.0 (13.9, 22.9) 13 2005-2009 Tuscaloosa County 6 18.2 (15.4, 21.3) 31 2005-2009 Butler County 6 18.2 (11.2, 28.0) 4 2005-2009 Covington County 6 18.5 (13.3, 25.2) 9 2005-2009 Talladega County 6 18.5 (14.7, 23.1) 16 2005-2009 Monroe County 6 18.8 (11.8, 28.4) 5 2005-2009 Randolph County 6 18.8 (12.1, 28.0) 5 2005-2009 Chilton County 6 19.0 (13.7, 25.7) 9 2005-2009 Dale County 6 19.2 (14.0, 25.6) 9 2005-2009 Shelby County 6 19.4 (16.5, 22.8) 33 2005-2009 Washington County 6 19.5 (11.5, 31.1) 4 2005-2009 St. Clair County 6 19.5 (15.4, 24.4) 16 2005-2009 Limestone County 6 20.1 (15.7, 25.2) 15 2005-2009 Walker County 6 20.2 (16.0, 25.3) 16 2005-2009 Marion County 6 20.4 (14.3, 28.4) 8 2005-2009 Jefferson County 6 20.7 (19.3, 22.3) 147 2005-2009 Etowah County 6 20.9 (17.3, 25.1) 24 2005-2009 Lamar County 6 22.2 (13.2, 35.3) 4 2005-2009 Colbert County 6 22.3 (17.4, 28.4) 14 2005-2009 Henry County 6 23.4 (14.8, 35.4) 5 2005-2009 Calhoun County 6 23.5 (19.9, 27.6) 30 2005-2009 Marshall County 6 23.7 (19.5, 28.6) 22 2005-2009 Winston County 6 23.8 (16.5, 33.4) 7 2005-2009 Clay County 6 24.2 (14.3, 38.5) 4 2005-2009 Jackson County 6 25.0 (19.6, 31.5) 15 2005-2009 Elmore County 6 25.1 (20.4, 30.6) 20 2005-2009 Morgan County 6 25.8 (21.9, 30.1) 32 2005-2009 Clarke County 6 26.0 (18.2, 36.1) 7 2005-2009 Pike County 6 26.2 (18.4, 36.3) 8 2005-2009 Autauga County 6 26.3 (20.3, 33.7) 13 2005-2009 Baldwin County 6 26.7 (23.6, 30.2) 55 2005-2009 Geneva County 6 27.2 (19.3, 37.4) 8 2005-2009 Lauderdale County 6 27.5 (23.2, 32.5) 29 2005-2009 Cullman County 6 32.1 (27.0, 37.9) 29 2005-2009 Barbour County 6 * 3 or fewer 2005-2009 Bullock County 6 * 3 or fewer 2005-2009 Choctaw County 6 * 3 or fewer 2005-2009 Cleburne County 6 * 3 or fewer 2005-2009 Conecuh County 6 * 3 or fewer 2005-2009 Coosa County 6 * 3 or fewer 2005-2009 Crenshaw County 6 * 3 or fewer 2005-2009 Fayette County 6 * 3 or fewer 2005-2009 Greene County 6 * 3 or fewer 2005-2009 Hale County 6 * 3 or fewer 2005-2009 Lowndes County 6 * 3 or fewer 2005-2009 Macon County 6 * 3 or fewer 2005-2009 Marengo County 6 * 3 or fewer 2005-2009 Perry County 6 * 3 or fewer 2005-2009 Pickens County 6 * 3 or fewer 2005-2009 Sumter County 6 * 3 or fewer 2005-2009 Wilcox County 6 * 3 or fewer 2005-2009 Notes: Created by statecancerprofiles.cancer.gov on 05/19/2013 6:39 pm. State Cancer Registries may provide more current or more local data. † Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. 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 for SEER and NPCR incidence rates. § Because of the impact on Louisiana's population for the July - December 2005 time period due to Hurricanes Katrina/Rita, SEER excluded Louisiana cases diagnosed for that six month time period. The count has been suppressed due to data consistency issues. * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 cases were reported in a specific area-sex-race category. 1 Source: CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) January 2012 data submission and SEER November 2011 submission. 6 Source: State Cancer Registry and the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) January 2012 data submission. State rates include rates from metropolitan areas funded by SEER. Interpret Rankings provides insight into interpreting cancer incidence statistics. 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.	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