## Interpretation of Incidence Rates Data

#### Incidence Rate Report for by County

All Races (includes Hispanic), Both Sexes, All Cancer Sites, All Ages

Sorted by Rate

**Explanation of Column Headers**

**Incidence Rate (95% Confidence Interval)**- The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

**Other Notes**

**Line by Line Interpretation of the Report**

**Alaska**^{6}- Rate : The incidence rate is 451.6 with a 95% confidence interval from 443.1 to 460.1.
- Average Annual Count : The count is 2,612.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : *
- Recent AAPC : *

**US (SEER+NPCR)**^{1,10}- Rate : The incidence rate is 459.8 with a 95% confidence interval from 459.4 to 460.1.
- Average Annual Count : The count is 1,514,446 §.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : falling
- Recent AAPC : -1.8

**Wrangell-Petersburg Census Area**^{6,10}- Rate : The incidence rate is 571.7 with a 95% confidence interval from 489.5 to 664.0.
- Average Annual Count : The count is 38.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -4.5

**Lake and Peninsula Borough**^{6,10}- Rate : The incidence rate is 569.3 with a 95% confidence interval from 359.0 to 846.3.
- Average Annual Count : The count is 6.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 9.3

**Yukon-Koyukuk Census Area**^{6,10}- Rate : The incidence rate is 492.6 with a 95% confidence interval from 408.5 to 588.8.
- Average Annual Count : The count is 27.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.2

**North Slope Borough**^{6,10}- Rate : The incidence rate is 489.0 with a 95% confidence interval from 385.2 to 609.5.
- Average Annual Count : The count is 25.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -4.5

**Matanuska-Susitna Borough**^{6,10}- Rate : The incidence rate is 483.4 with a 95% confidence interval from 458.6 to 509.1.
- Average Annual Count : The count is 345.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -3.8

**Ketchikan Gateway Borough**^{6,10}- Rate : The incidence rate is 483.1 with a 95% confidence interval from 427.1 to 544.2.
- Average Annual Count : The count is 61.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 6.5

**Prince of Wales-Outer Ketchikan Census Area**^{6,10}- Rate : The incidence rate is 475.6 with a 95% confidence interval from 386.4 to 578.8.
- Average Annual Count : The count is 27.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.8

**Valdez-Cordova Census Area**^{6,10}- Rate : The incidence rate is 473.9 with a 95% confidence interval from 401.9 to 554.5.
- Average Annual Count : The count is 41.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -9.8

**Anchorage Municipality**^{6,10}- Rate : The incidence rate is 467.0 with a 95% confidence interval from 453.5 to 480.8.
- Average Annual Count : The count is 1,080.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -2.8

**Kenai Peninsula Borough**^{6,10}- Rate : The incidence rate is 463.0 with a 95% confidence interval from 436.7 to 490.6.
- Average Annual Count : The count is 269.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -4.4

**Nome Census Area**^{6,10}- Rate : The incidence rate is 462.9 with a 95% confidence interval from 385.6 to 550.1.
- Average Annual Count : The count is 30.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 7.5

**Wade Hampton Census Area**^{6,10}- Rate : The incidence rate is 448.7 with a 95% confidence interval from 353.1 to 559.9.
- Average Annual Count : The count is 17.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 7.4

**Skagway-Hoonah-Angoon Census Area**^{6,10}- Rate : The incidence rate is 446.7 with a 95% confidence interval from 347.0 to 567.5.
- Average Annual Count : The count is 17.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -1.1

**Kodiak Island Borough**^{6,10}- Rate : The incidence rate is 429.9 with a 95% confidence interval from 366.3 to 500.8.
- Average Annual Count : The count is 43.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -8.7

**Fairbanks North Borough**^{6,10}- Rate : The incidence rate is 426.4 with a 95% confidence interval from 402.4 to 451.3.
- Average Annual Count : The count is 298.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -0.4

**Juneau City and Borough**^{6,10}- Rate : The incidence rate is 414.1 with a 95% confidence interval from 378.8 to 451.8.
- Average Annual Count : The count is 123.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : falling
- Recent AAPC : -8.6

**Northwest Arctic Borough**^{6,10}- Rate : The incidence rate is 388.3 with a 95% confidence interval from 309.7 to 479.4.
- Average Annual Count : The count is 19.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -1.3

**Haines Borough**^{6,10}- Rate : The incidence rate is 376.3 with a 95% confidence interval from 281.6 to 495.5.
- Average Annual Count : The count is 12.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -8.8

**Southeast Fairbanks Census Area**^{6,10}- Rate : The incidence rate is 371.6 with a 95% confidence interval from 305.6 to 447.7.
- Average Annual Count : The count is 26.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -7.4

**Bethel Census Area**^{6,10}- Rate : The incidence rate is 366.6 with a 95% confidence interval from 310.0 to 429.5.
- Average Annual Count : The count is 38.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 4.6

**Bristol Bay Borough**^{6,10}- Rate : The incidence rate is 362.2 with a 95% confidence interval from 186.5 to 630.8.
- Average Annual Count : The count is 4.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 27.5

**Dillingham Census Area**^{6,10}- Rate : The incidence rate is 344.8 with a 95% confidence interval from 260.6 to 446.5.
- Average Annual Count : The count is 14.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -2.7

**Sitka City and Borough**^{6,10}- Rate : The incidence rate is 313.6 with a 95% confidence interval from 262.6 to 371.6.
- Average Annual Count : The count is 29.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -16

**Denali Borough**^{6,10}- Rate : The incidence rate is 299.8 with a 95% confidence interval from 119.3 to 591.5.
- Average Annual Count : The count is 4.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 36.1

**Aleutians East Borough**^{6,10}- Rate : The incidence rate is 289.8 with a 95% confidence interval from 160.0 to 473.2.
- Average Annual Count : The count is 5.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : 14.1

**Aleutians West Census Area**^{6,10}- Rate : The incidence rate is 275.9 with a 95% confidence interval from 164.5 to 429.4.
- Average Annual Count : The count is 9.
- Rate Period : The period for the rate is 2007-2011.
- Recent Trend : stable
- Recent AAPC : -14.5

**Yakutat City and Borough**^{6,10}- Rate : *
- Average Annual Count : *
- Rate Period : *
- Recent Trend : *
- Recent AAPC : *

**Notes:**

Created by statecancerprofiles.cancer.gov on 09/30/2014 9:52 am.

Data for the United States does not include data from Nevada.

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 1969-2012 US Population Data File is used for SEER and NPCR incidence rates.

§ The total count for the US (SEER+NPCR) may differ from the summation of the individual states reported in this table. The total uses data from the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) January 2013 data submission for the following states: California, Kentucky, Louisiana, and New Jersey but data for those states when shown individually are sourced from the SEER November 2013 submission.

* 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 2014 data submission and SEER November 2013 submission.

^{6}Source: State Cancer Registry and the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) January 2014 data submission. State rates include rates from metropolitan areas funded by SEER.

^{10}Source: Incidence data provided by the National Program of Cancer Registries (NPCR). EAPCs calculated by the National Cancer Institute using SEER*Stat. Rates 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. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2012 US Population Data File is used with NPCR January 2014 data.

Please note that the data comes from different sources. Due to different years of data availablility, most of the trends are AAPCs based on APCs but some are EAPCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

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.