## Interpretation of Incidence Rates Data

### Incidence Rate Report for by County

All Cancer Sites, 2008-2012

All Races (includes Hispanic), Both Sexes, 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.

**Recent Trends** - This is an interpretation of the AAPC/APC:

**Rising**when 95% confidence interval of AAPC/APC is above 0.**Stable**when 95% confidence interval of AAPC/APC includes 0.**Falling**when 95% confidence interval of AAPC/APC is below 0.

**AAPC/APC (95% Confidence Interval)** - the change in rate over time

- Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
- Annual Percent Change - APCs calculated in SEER*Stat.

**Other Notes**

**Line by Line Interpretation of the Report**

#### Florida^{6,10}

- Rate : The incidence rate is 434.9 with a 95% confidence interval from 433.7 to 436.1 and 105,922 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -4.0 to -1.7.

#### US (SEER+NPCR)^{1,10}

- Rate : The incidence rate is 453.8 with a 95% confidence interval from 453.5 to 454.1 and 1,526,274 § average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.9 to -1.2.

#### Union County^{6,10}

- Rate : The incidence rate is 1,206.9 with a 95% confidence interval from 1,131.4 to 1,286.4 and 214 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -9.3 to 14.1.

#### Duval County^{6,10}

- Rate : The incidence rate is 504.4 with a 95% confidence interval from 497.6 to 511.3 and 4,383 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.1 to 0.2.

#### Bay County^{6,10}

- Rate : The incidence rate is 501.1 with a 95% confidence interval from 487.2 to 515.4 and 1,003 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -6.7 to 1.3.

#### Levy County^{6,10}

- Rate : The incidence rate is 496.9 with a 95% confidence interval from 470.8 to 524.1 and 296 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -10.8 to 1.8.

#### Polk County^{6,10}

- Rate : The incidence rate is 490.2 with a 95% confidence interval from 483.1 to 497.3 and 3,846 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -4.9 to -0.9.

#### Nassau County^{6,10}

- Rate : The incidence rate is 490.1 with a 95% confidence interval from 469.7 to 511.2 and 466 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -9.5 to 4.5.

#### Marion County^{6,10}

- Rate : The incidence rate is 490.1 with a 95% confidence interval from 481.2 to 499.1 and 2,696 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.4 to 1.1.

#### Putnam County^{6,10}

- Rate : The incidence rate is 488.3 with a 95% confidence interval from 468.7 to 508.5 and 505 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -9.9 to 5.5.

#### Baker County^{6,10}

- Rate : The incidence rate is 475.3 with a 95% confidence interval from 438.5 to 514.5 and 131 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -3.0 to 5.9.

#### Lake County^{6,10}

- Rate : The incidence rate is 474.6 with a 95% confidence interval from 465.4 to 484.0 and 2,251 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.9 to 3.1.

#### Hillsborough County^{6,10}

- Rate : The incidence rate is 474.5 with a 95% confidence interval from 469.1 to 480.0 and 6,000 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -5.8 to 0.3.

#### Clay County^{6,10}

- Rate : The incidence rate is 471.3 with a 95% confidence interval from 457.6 to 485.4 and 935 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -5.3 to 2.5.

#### Pasco County^{6,10}

- Rate : The incidence rate is 470.7 with a 95% confidence interval from 463.1 to 478.4 and 3,154 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -5.6 to 1.9.

#### Brevard County^{6,10}

- Rate : The incidence rate is 464.8 with a 95% confidence interval from 457.9 to 471.8 and 3,721 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -5.2 to -0.7.

#### Wakulla County^{6,10}

- Rate : The incidence rate is 456.7 with a 95% confidence interval from 422.3 to 493.1 and 143 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -10.1 to 7.7.

#### Columbia County^{6,10}

- Rate : The incidence rate is 453.7 with a 95% confidence interval from 433.0 to 475.1 and 376 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.3 to 0.9.

#### Citrus County^{6,10}

- Rate : The incidence rate is 452.5 with a 95% confidence interval from 439.9 to 465.4 and 1,269 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -6.4 to 1.3.

#### Alachua County^{6,10}

- Rate : The incidence rate is 447.8 with a 95% confidence interval from 435.3 to 460.5 and 1,031 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -4.2 to 0.7.

#### Hernando County^{6,10}

- Rate : The incidence rate is 447.5 with a 95% confidence interval from 435.9 to 459.5 and 1,300 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -5.8 to -0.2.

#### Flagler County^{6,10}

- Rate : The incidence rate is 444.8 with a 95% confidence interval from 429.1 to 461.0 and 698 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -8.7 to 0.6.

#### Sumter County^{6,10}

- Rate : The incidence rate is 444.5 with a 95% confidence interval from 428.6 to 460.9 and 1,067 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -6.0 to 2.1.

#### Escambia County^{6,10}

- Rate : The incidence rate is 444.2 with a 95% confidence interval from 434.1 to 454.4 and 1,537 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.3.

#### St. Johns County^{6,10}

- Rate : The incidence rate is 441.8 with a 95% confidence interval from 429.8 to 454.1 and 1,072 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -6.4 to 3.1.

#### Okeechobee County^{6,10}

- Rate : The incidence rate is 440.9 with a 95% confidence interval from 414.5 to 468.5 and 216 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -5.2 to 4.2.

#### Orange County^{6,10}

- Rate : The incidence rate is 440.7 with a 95% confidence interval from 434.9 to 446.5 and 4,568 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.8 to -1.6.

#### Broward County^{6,10}

- Rate : The incidence rate is 438.3 with a 95% confidence interval from 434.2 to 442.5 and 8,954 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -6.3 to -1.1.

#### Dixie County^{6,10}

- Rate : The incidence rate is 436.6 with a 95% confidence interval from 398.1 to 478.2 and 103 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 5.6 with a 95% confidence interval from -3.1 to 15.2.

#### Gulf County^{6,10}

- Rate : The incidence rate is 434.7 with a 95% confidence interval from 394.6 to 478.1 and 89 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -9.4 to 5.6.

#### Bradford County^{6,10}

- Rate : The incidence rate is 434.4 with a 95% confidence interval from 403.1 to 467.6 and 147 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -4.5 with a 95% confidence interval from -8.2 to -0.6.

#### Pinellas County^{6,10}

- Rate : The incidence rate is 430.8 with a 95% confidence interval from 425.8 to 436.0 and 5,978 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -3.6 to -1.6.

#### Indian River County^{6,10}

- Rate : The incidence rate is 430.4 with a 95% confidence interval from 417.9 to 443.3 and 1,056 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.9 to 1.9.

#### Okaloosa County^{6,10}

- Rate : The incidence rate is 430.2 with a 95% confidence interval from 417.4 to 443.3 and 879 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -4.1 to -2.3.

#### Seminole County^{6,10}

- Rate : The incidence rate is 427.8 with a 95% confidence interval from 419.2 to 436.6 and 1,940 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -4.5 to -0.2.

#### Santa Rosa County^{6,10}

- Rate : The incidence rate is 426.5 with a 95% confidence interval from 412.2 to 441.1 and 708 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -9.6 to 8.8.

#### Taylor County^{6,10}

- Rate : The incidence rate is 425.5 with a 95% confidence interval from 391.4 to 462.1 and 120 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -5.1 to 7.8.

#### Volusia County^{6,10}

- Rate : The incidence rate is 422.4 with a 95% confidence interval from 415.6 to 429.4 and 3,119 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.1 to 0.8.

#### Palm Beach County^{6,10}

- Rate : The incidence rate is 422.3 with a 95% confidence interval from 418.0 to 426.6 and 8,287 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.3 to -2.2.

#### Hardee County^{6,10}

- Rate : The incidence rate is 422.3 with a 95% confidence interval from 388.8 to 457.9 and 119 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -6.4 to 6.7.

#### Suwannee County^{6,10}

- Rate : The incidence rate is 421.4 with a 95% confidence interval from 397.2 to 446.7 and 240 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -6.8 with a 95% confidence interval from -12.2 to -1.0.

#### St. Lucie County^{6,10}

- Rate : The incidence rate is 414.6 with a 95% confidence interval from 405.3 to 424.0 and 1,630 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -6.1 to 1.1.

#### Highlands County^{6,10}

- Rate : The incidence rate is 413.7 with a 95% confidence interval from 398.7 to 429.1 and 769 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -6.1 to 3.7.

#### Charlotte County^{6,10}

- Rate : The incidence rate is 412.7 with a 95% confidence interval from 401.2 to 424.5 and 1,366 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -4.9 with a 95% confidence interval from -7.5 to -2.2.

#### Franklin County^{6,10}

- Rate : The incidence rate is 412.0 with a 95% confidence interval from 367.3 to 461.2 and 66 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.8 with a 95% confidence interval from -20.2 to 6.6.

#### Sarasota County^{6,10}

- Rate : The incidence rate is 410.8 with a 95% confidence interval from 403.4 to 418.3 and 3,000 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -3.5 with a 95% confidence interval from -5.3 to -1.7.

#### Martin County^{6,10}

- Rate : The incidence rate is 409.8 with a 95% confidence interval from 398.0 to 422.0 and 1,068 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -4.6 to -1.5.

#### Walton County^{6,10}

- Rate : The incidence rate is 409.2 with a 95% confidence interval from 388.0 to 431.3 and 296 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.6 with a 95% confidence interval from -14.4 to 4.2.

#### Miami-Dade County^{6,10}

- Rate : The incidence rate is 408.0 with a 95% confidence interval from 404.7 to 411.4 and 11,495 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.0 to -1.6.

#### Osceola County^{6,10}

- Rate : The incidence rate is 407.5 with a 95% confidence interval from 396.5 to 418.7 and 1,081 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -4.2 to 4.2.

#### Gadsden County^{6,10}

- Rate : The incidence rate is 403.4 with a 95% confidence interval from 379.7 to 428.4 and 224 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -8.2 to 5.4.

#### Lee County^{6,10}

- Rate : The incidence rate is 400.1 with a 95% confidence interval from 394.1 to 406.1 and 3,895 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -8.1 to 2.5.

#### Manatee County^{6,10}

- Rate : The incidence rate is 399.1 with a 95% confidence interval from 390.9 to 407.5 and 2,013 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -4.8 to -1.0.

#### Monroe County^{6,10}

- Rate : The incidence rate is 394.6 with a 95% confidence interval from 377.1 to 412.8 and 420 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -9.2 to 3.7.

#### DeSoto County^{6,10}

- Rate : The incidence rate is 392.9 with a 95% confidence interval from 366.8 to 420.5 and 176 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -10.9 to 3.5.

#### Liberty County^{6,10}

- Rate : The incidence rate is 391.5 with a 95% confidence interval from 331.1 to 459.8 and 32 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -13.7 to 16.8.

#### Leon County^{6,10}

- Rate : The incidence rate is 390.5 with a 95% confidence interval from 379.1 to 402.1 and 950 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -5.4 to -0.6.

#### Gilchrist County^{6,10}

- Rate : The incidence rate is 383.8 with a 95% confidence interval from 347.0 to 423.7 and 85 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -14.9 to 19.0.

#### Calhoun County^{6,10}

- Rate : The incidence rate is 381.9 with a 95% confidence interval from 341.9 to 425.6 and 68 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.6 with a 95% confidence interval from -12.3 to 3.7.

#### Lafayette County^{6,10}

- Rate : The incidence rate is 380.1 with a 95% confidence interval from 325.0 to 442.2 and 34 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -13.1 with a 95% confidence interval from -32.5 to 11.8.

#### Hendry County^{6,10}

- Rate : The incidence rate is 370.1 with a 95% confidence interval from 342.8 to 399.0 and 138 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -10.7 to 2.2.

#### Jefferson County^{6,10}

- Rate : The incidence rate is 367.9 with a 95% confidence interval from 330.2 to 409.2 and 74 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -13.8 to 5.0.

#### Washington County^{6,10}

- Rate : The incidence rate is 356.3 with a 95% confidence interval from 326.4 to 388.3 and 108 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.9 with a 95% confidence interval from -16.0 to 10.1.

#### Glades County^{6,10}

- Rate : The incidence rate is 354.9 with a 95% confidence interval from 316.3 to 397.4 and 68 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -10.0 to 4.4.

#### Collier County^{6,10}

- Rate : The incidence rate is 346.3 with a 95% confidence interval from 338.7 to 354.0 and 1,869 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -9.6 with a 95% confidence interval from -14.3 to -4.6.

#### Hamilton County^{6,10}

- Rate : The incidence rate is 336.8 with a 95% confidence interval from 297.5 to 380.0 and 56 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.8 with a 95% confidence interval from -15.3 to 2.4.

#### Jackson County^{6,10}

- Rate : The incidence rate is 304.5 with a 95% confidence interval from 285.0 to 325.1 and 187 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.5 with a 95% confidence interval from -12.3 to 6.1.

#### Madison County^{6,10}

- Rate : The incidence rate is 293.5 with a 95% confidence interval from 263.0 to 326.9 and 70 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -13.3 to 9.0.

#### Holmes County^{6,10}

- Rate : The incidence rate is 259.6 with a 95% confidence interval from 232.1 to 289.8 and 67 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 7.1 with a 95% confidence interval from -7.7 to 24.3.

**Notes:**

Created by statecancerprofiles.cancer.gov on 05/30/2016 10:30 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 1969-2013 US Population Data File is used for SEER and NPCR incidence rates.

‡ Incidence data come from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.

§ 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 2015 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 2014 submission.

^{1}Source: CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2014 data submission and SEER November 2014 submission.

^{6}Source: State Cancer Registry and the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 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 1969-2013 US Population Data File is used with NPCR November 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 APCs 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.