## 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**

#### Virginia^{6,10}

- Rate : The incidence rate is 429.1 with a 95% confidence interval from 427.1 to 431.1 and 36,411 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -5.1 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.

#### Williamsburg City^{6,10}

- Rate : The incidence rate is 1,014.2 with a 95% confidence interval from 935.0 to 1,098.8 and 135 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 44.6 with a 95% confidence interval from -11.6 to 136.7.

#### Lexington City^{6,10}

- Rate : The incidence rate is 755.0 with a 95% confidence interval from 654.7 to 867.3 and 49 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 36.7 with a 95% confidence interval from -14.0 to 117.1.

#### Charlottesville City^{6,10}

- Rate : The incidence rate is 718.9 with a 95% confidence interval from 678.8 to 760.8 and 250 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 18.1 with a 95% confidence interval from -7.1 to 50.0.

#### Covington City^{6,10}

- Rate : The incidence rate is 652.0 with a 95% confidence interval from 572.2 to 740.5 and 51 average annual cases over 2008-2012.
- Recent Trend : The trend is rising because the trend is 46.8 with a 95% confidence interval from 6.1 to 103.1.

#### Petersburg City^{6,10}

- Rate : The incidence rate is 651.3 with a 95% confidence interval from 614.8 to 689.4 and 249 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 11.3 with a 95% confidence interval from -10.5 to 38.3.

#### Waynesboro City^{6,10}

- Rate : The incidence rate is 596.9 with a 95% confidence interval from 555.0 to 641.2 and 157 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 9.8 with a 95% confidence interval from -4.6 to 26.3.

#### Bedford City^{6,10}

- Rate : The incidence rate is 596.6 with a 95% confidence interval from 522.0 to 679.7 and 51 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 21.3 with a 95% confidence interval from -8.4 to 60.7.

#### Harrisonburg City^{6,10}

- Rate : The incidence rate is 591.1 with a 95% confidence interval from 553.1 to 631.0 and 190 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 10.7 with a 95% confidence interval from -4.8 to 28.8.

#### Buena Vista City^{6,10}

- Rate : The incidence rate is 578.2 with a 95% confidence interval from 504.4 to 660.2 and 46 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 7.6 with a 95% confidence interval from -1.9 to 18.1.

#### Fredericksburg City^{6,10}

- Rate : The incidence rate is 566.3 with a 95% confidence interval from 521.2 to 614.1 and 120 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.9 with a 95% confidence interval from -6.7 to 15.6.

#### Hopewell City^{6,10}

- Rate : The incidence rate is 547.6 with a 95% confidence interval from 507.0 to 590.5 and 139 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -8.5 to 15.8.

#### Danville City^{6,10}

- Rate : The incidence rate is 539.0 with a 95% confidence interval from 512.0 to 567.1 and 320 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 6.7 with a 95% confidence interval from -6.1 to 21.3.

#### Staunton City^{6,10}

- Rate : The incidence rate is 537.9 with a 95% confidence interval from 502.3 to 575.7 and 181 average annual cases over 2008-2012.
- Recent Trend : The trend is rising because the trend is 15.7 with a 95% confidence interval from 2.0 to 31.3.

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

- Rate : The incidence rate is 527.2 with a 95% confidence interval from 479.7 to 578.7 and 103 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -13.4 to 4.8.

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

- Rate : The incidence rate is 526.7 with a 95% confidence interval from 483.3 to 573.5 and 120 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -12.0 to 17.0.

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

- Rate : The incidence rate is 525.6 with a 95% confidence interval from 476.6 to 579.3 and 100 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -10.2 to 15.4.

#### Martinsville City^{6,10}

- Rate : The incidence rate is 525.4 with a 95% confidence interval from 478.5 to 576.0 and 99 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 7.0 with a 95% confidence interval from -9.8 to 26.8.

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

- Rate : The incidence rate is 522.5 with a 95% confidence interval from 472.4 to 576.9 and 84 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -16.5 to 22.8.

#### King William County^{6,10}

- Rate : The incidence rate is 514.8 with a 95% confidence interval from 467.2 to 566.0 and 90 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.7 with a 95% confidence interval from -19.5 to 10.6.

#### Roanoke City^{6,10}

- Rate : The incidence rate is 512.4 with a 95% confidence interval from 493.4 to 531.9 and 576 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 8.7 with a 95% confidence interval from -5.0 to 24.4.

#### Salem City^{6,10}

- Rate : The incidence rate is 511.5 with a 95% confidence interval from 476.1 to 549.0 and 162 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 11.1 with a 95% confidence interval from -9.4 to 36.3.

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

- Rate : The incidence rate is 508.0 with a 95% confidence interval from 465.2 to 554.1 and 106 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 6.4 with a 95% confidence interval from -1.7 to 15.3.

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

- Rate : The incidence rate is 503.8 with a 95% confidence interval from 469.2 to 540.5 and 163 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -9.8 to 2.1.

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

- Rate : The incidence rate is 503.5 with a 95% confidence interval from 473.8 to 534.6 and 225 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -12.5 to 14.5.

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

- Rate : The incidence rate is 497.0 with a 95% confidence interval from 485.5 to 508.6 and 1,557 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -9.2 to 2.0.

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

- Rate : The incidence rate is 496.6 with a 95% confidence interval from 478.1 to 515.7 and 568 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.9 with a 95% confidence interval from -2.6 to 12.9.

#### Lynchburg City^{6,10}

- Rate : The incidence rate is 495.0 with a 95% confidence interval from 472.7 to 518.1 and 391 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 5.4 with a 95% confidence interval from -9.7 to 23.0.

#### Colonial Heights City^{6,10}

- Rate : The incidence rate is 493.6 with a 95% confidence interval from 452.9 to 537.1 and 117 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.8 to 0.3.

#### Charles City County^{6,10}

- Rate : The incidence rate is 492.6 with a 95% confidence interval from 430.6 to 562.1 and 50 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -19.0 with a 95% confidence interval from -47.0 to 23.7.

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

- Rate : The incidence rate is 492.2 with a 95% confidence interval from 440.5 to 548.7 and 69 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -20.6 to 14.0.

#### Hampton City^{6,10}

- Rate : The incidence rate is 491.9 with a 95% confidence interval from 475.6 to 508.6 and 709 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -10.7 to 3.9.

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

- Rate : The incidence rate is 491.8 with a 95% confidence interval from 462.6 to 522.4 and 224 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -12.1 to 2.3.

#### King George County^{6,10}

- Rate : The incidence rate is 491.5 with a 95% confidence interval from 449.3 to 536.4 and 108 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -23.4 to 18.9.

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

- Rate : The incidence rate is 486.9 with a 95% confidence interval from 437.1 to 541.2 and 72 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 6.5 with a 95% confidence interval from -11.4 to 27.9.

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

- Rate : The incidence rate is 486.9 with a 95% confidence interval from 449.3 to 527.0 and 138 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -10.1 with a 95% confidence interval from -15.6 to -4.2.

#### Norfolk City^{6,10}

- Rate : The incidence rate is 480.5 with a 95% confidence interval from 467.0 to 494.4 and 985 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.5 to 3.2.

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

- Rate : The incidence rate is 479.4 with a 95% confidence interval from 450.4 to 509.9 and 221 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.1 with a 95% confidence interval from -23.1 to 17.0.

#### Richmond City^{6,10}

- Rate : The incidence rate is 475.4 with a 95% confidence interval from 461.6 to 489.4 and 948 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -7.0 to 0.4.

#### Galax City^{6,10}

- Rate : The incidence rate is 473.4 with a 95% confidence interval from 411.7 to 542.3 and 45 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 24.4 with a 95% confidence interval from -6.5 to 65.4.

#### Portsmouth City^{6,10}

- Rate : The incidence rate is 473.2 with a 95% confidence interval from 454.3 to 492.6 and 489 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -4.4 to -0.2.

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

- Rate : The incidence rate is 472.2 with a 95% confidence interval from 410.2 to 542.0 and 44 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -27.2 to 29.8.

#### Suffolk City^{6,10}

- Rate : The incidence rate is 472.0 with a 95% confidence interval from 451.3 to 493.5 and 406 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -7.7 to 3.2.

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

- Rate : The incidence rate is 468.0 with a 95% confidence interval from 410.6 to 531.6 and 51 average annual cases over 2008-2012.
- Recent Trend : The trend is rising because the trend is 21.3 with a 95% confidence interval from 2.6 to 43.3.

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

- Rate : The incidence rate is 463.4 with a 95% confidence interval from 423.7 to 506.1 and 104 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.1 with a 95% confidence interval from -17.9 to 5.1.

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

- Rate : The incidence rate is 463.3 with a 95% confidence interval from 418.6 to 511.9 and 84 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from -9.2 to 16.0.

#### Radford City^{6,10}

- Rate : The incidence rate is 463.1 with a 95% confidence interval from 407.3 to 524.4 and 51 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 8.4 with a 95% confidence interval from -5.7 to 24.6.

#### Norton City^{6,10}

- Rate : The incidence rate is 461.0 with a 95% confidence interval from 375.8 to 560.3 and 22 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.9 with a 95% confidence interval from -32.6 to 34.3.

#### Isle of Wight County^{6,10}

- Rate : The incidence rate is 460.2 with a 95% confidence interval from 431.6 to 490.4 and 205 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -6.3 with a 95% confidence interval from -11.2 to -1.1.

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

- Rate : The incidence rate is 459.6 with a 95% confidence interval from 424.9 to 496.4 and 145 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -3.2 to 4.0.

#### Chesapeake City^{6,10}

- Rate : The incidence rate is 458.3 with a 95% confidence interval from 445.3 to 471.6 and 995 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -8.5 to 2.5.

#### Newport News City^{6,10}

- Rate : The incidence rate is 457.2 with a 95% confidence interval from 442.7 to 472.0 and 773 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -6.1 to 8.6.

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

- Rate : The incidence rate is 456.9 with a 95% confidence interval from 426.6 to 488.7 and 183 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -11.9 to 2.8.

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

- Rate : The incidence rate is 456.6 with a 95% confidence interval from 436.2 to 477.7 and 389 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -7.6 to 5.8.

#### New Kent County^{6,10}

- Rate : The incidence rate is 454.3 with a 95% confidence interval from 411.3 to 500.7 and 94 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -8.5 to 3.5.

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

- Rate : The incidence rate is 452.4 with a 95% confidence interval from 400.6 to 509.7 and 57 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -10.8 to 7.6.

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

- Rate : The incidence rate is 450.9 with a 95% confidence interval from 414.0 to 490.5 and 121 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -8.2 to 11.3.

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

- Rate : The incidence rate is 450.5 with a 95% confidence interval from 430.9 to 470.7 and 460 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.4.

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

- Rate : The incidence rate is 450.4 with a 95% confidence interval from 407.4 to 497.6 and 107 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -13.8 to 24.1.

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

- Rate : The incidence rate is 449.4 with a 95% confidence interval from 431.7 to 467.6 and 518 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -5.9 with a 95% confidence interval from -11.3 to -0.1.

#### Falls Church City^{6,10}

- Rate : The incidence rate is 447.7 with a 95% confidence interval from 393.9 to 506.8 and 55 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -15.5 with a 95% confidence interval from -34.2 to 8.5.

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

- Rate : The incidence rate is 446.8 with a 95% confidence interval from 403.6 to 494.6 and 101 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -18.5 to 21.7.

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

- Rate : The incidence rate is 445.1 with a 95% confidence interval from 417.9 to 473.9 and 216 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.3 with a 95% confidence interval from -11.5 to 5.6.

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

- Rate : The incidence rate is 444.9 with a 95% confidence interval from 396.5 to 498.7 and 72 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -10.9 with a 95% confidence interval from -32.6 to 17.9.

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

- Rate : The incidence rate is 444.7 with a 95% confidence interval from 434.4 to 455.2 and 1,459 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -5.0 with a 95% confidence interval from -9.7 to -0.1.

#### Poquoson City^{6,10}

- Rate : The incidence rate is 441.3 with a 95% confidence interval from 394.1 to 493.0 and 67 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -9.0 to 5.7.

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

- Rate : The incidence rate is 437.1 with a 95% confidence interval from 415.7 to 459.3 and 335 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.3 with a 95% confidence interval from -17.0 to 5.7.

#### Prince George County^{6,10}

- Rate : The incidence rate is 437.0 with a 95% confidence interval from 405.4 to 470.4 and 155 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -11.8 with a 95% confidence interval from -21.1 to -1.3.

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

- Rate : The incidence rate is 436.4 with a 95% confidence interval from 385.4 to 492.6 and 56 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -13.4 with a 95% confidence interval from -40.0 to 25.0.

#### Virginia Beach City^{6,10}

- Rate : The incidence rate is 435.6 with a 95% confidence interval from 426.6 to 444.8 and 1,825 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.9 to 3.5.

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

- Rate : The incidence rate is 435.3 with a 95% confidence interval from 402.7 to 470.1 and 136 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -9.5 to 12.4.

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

- Rate : The incidence rate is 434.4 with a 95% confidence interval from 390.6 to 482.1 and 76 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -13.7 to 20.5.

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

- Rate : The incidence rate is 433.5 with a 95% confidence interval from 404.3 to 464.5 and 171 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -12.0 to 20.3.

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

- Rate : The incidence rate is 433.5 with a 95% confidence interval from 386.5 to 485.1 and 66 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -20.4 to 33.9.

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

- Rate : The incidence rate is 432.6 with a 95% confidence interval from 391.6 to 477.1 and 86 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -23.0 to 16.6.

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

- Rate : The incidence rate is 430.1 with a 95% confidence interval from 397.7 to 464.5 and 137 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -7.5 to 11.5.

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

- Rate : The incidence rate is 428.2 with a 95% confidence interval from 399.9 to 457.9 and 178 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -7.9 with a 95% confidence interval from -15.2 to -0.1.

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

- Rate : The incidence rate is 427.4 with a 95% confidence interval from 399.4 to 456.9 and 181 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -17.1 to 9.6.

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

- Rate : The incidence rate is 426.5 with a 95% confidence interval from 368.1 to 492.5 and 40 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.5 with a 95% confidence interval from -7.1 to 17.5.

#### James City County^{6,10}

- Rate : The incidence rate is 423.0 with a 95% confidence interval from 404.1 to 442.6 and 410 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -11.9 with a 95% confidence interval from -19.7 to -3.3.

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

- Rate : The incidence rate is 422.8 with a 95% confidence interval from 401.4 to 445.2 and 316 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.0 with a 95% confidence interval from -19.2 to 4.7.

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

- Rate : The incidence rate is 421.6 with a 95% confidence interval from 395.9 to 448.5 and 209 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.7 with a 95% confidence interval from -20.3 to 6.9.

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

- Rate : The incidence rate is 420.8 with a 95% confidence interval from 399.7 to 442.9 and 312 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -10.5 with a 95% confidence interval from -30.5 to 15.2.

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

- Rate : The incidence rate is 419.3 with a 95% confidence interval from 353.5 to 496.0 and 31 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -17.4 to 25.2.

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

- Rate : The incidence rate is 417.9 with a 95% confidence interval from 376.1 to 463.6 and 77 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -9.4 to 7.3.

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

- Rate : The incidence rate is 414.5 with a 95% confidence interval from 383.3 to 447.6 and 138 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.5 with a 95% confidence interval from -24.0 to 10.1.

#### Halifax County with South Boston City^{6,10}

- Rate : The incidence rate is 412.7 with a 95% confidence interval from 387.2 to 439.6 and 211 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -13.4 with a 95% confidence interval from -26.3 to 1.8.

#### Prince Edward County^{6,10}

- Rate : The incidence rate is 410.4 with a 95% confidence interval from 374.1 to 449.4 and 99 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 8.3 with a 95% confidence interval from -5.5 to 24.2.

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

- Rate : The incidence rate is 408.9 with a 95% confidence interval from 390.6 to 428.0 and 391 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -12.7 with a 95% confidence interval from -22.3 to -2.0.

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

- Rate : The incidence rate is 407.6 with a 95% confidence interval from 384.0 to 432.4 and 235 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -5.3 to 5.2.

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

- Rate : The incidence rate is 405.7 with a 95% confidence interval from 369.5 to 444.8 and 97 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -11.5 to 18.2.

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

- Rate : The incidence rate is 405.6 with a 95% confidence interval from 386.6 to 425.4 and 366 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -13.8 with a 95% confidence interval from -20.2 to -6.8.

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

- Rate : The incidence rate is 404.1 with a 95% confidence interval from 362.0 to 450.3 and 70 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -12.5 to 13.0.

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

- Rate : The incidence rate is 404.0 with a 95% confidence interval from 365.4 to 445.6 and 85 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -7.0 with a 95% confidence interval from -10.7 to -3.1.

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

- Rate : The incidence rate is 403.8 with a 95% confidence interval from 367.0 to 443.6 and 94 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -8.8 with a 95% confidence interval from -13.6 to -3.7.

#### Winchester City^{6,10}

- Rate : The incidence rate is 401.9 with a 95% confidence interval from 369.5 to 436.4 and 117 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.5 with a 95% confidence interval from -15.6 to 3.6.

#### Alleghany Cnty and Clifton Forge Cty^{6,10}

- Rate : The incidence rate is 401.8 with a 95% confidence interval from 365.7 to 440.9 and 98 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -21.8 with a 95% confidence interval from -30.1 to -12.5.

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

- Rate : The incidence rate is 401.6 with a 95% confidence interval from 374.8 to 430.0 and 180 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -14.4 to 4.9.

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

- Rate : The incidence rate is 401.1 with a 95% confidence interval from 346.6 to 462.8 and 44 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -17.9 to 21.1.

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

- Rate : The incidence rate is 400.5 with a 95% confidence interval from 384.5 to 417.1 and 493 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.4 with a 95% confidence interval from -10.9 to 0.4.

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

- Rate : The incidence rate is 400.2 with a 95% confidence interval from 382.0 to 419.0 and 378 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -6.2 with a 95% confidence interval from -19.1 to 8.8.

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

- Rate : The incidence rate is 399.0 with a 95% confidence interval from 379.9 to 418.9 and 346 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -13.2 with a 95% confidence interval from -20.8 to -4.9.

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

- Rate : The incidence rate is 396.2 with a 95% confidence interval from 376.4 to 416.8 and 309 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -7.2 with a 95% confidence interval from -12.6 to -1.4.

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

- Rate : The incidence rate is 390.6 with a 95% confidence interval from 363.8 to 419.1 and 168 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -12.3 with a 95% confidence interval from -35.4 to 19.0.

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

- Rate : The incidence rate is 390.6 with a 95% confidence interval from 365.3 to 417.3 and 189 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -9.6 with a 95% confidence interval from -14.2 to -4.7.

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

- Rate : The incidence rate is 390.1 with a 95% confidence interval from 352.3 to 431.1 and 82 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -10.1 with a 95% confidence interval from -33.3 to 21.2.

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

- Rate : The incidence rate is 389.7 with a 95% confidence interval from 326.7 to 462.7 and 29 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.5 with a 95% confidence interval from -21.8 to 6.9.

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

- Rate : The incidence rate is 389.3 with a 95% confidence interval from 368.4 to 411.1 and 272 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -11.6 with a 95% confidence interval from -16.3 to -6.7.

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

- Rate : The incidence rate is 389.1 with a 95% confidence interval from 362.9 to 416.8 and 171 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -13.9 to 11.4.

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

- Rate : The incidence rate is 384.7 with a 95% confidence interval from 364.0 to 406.4 and 267 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -15.0 with a 95% confidence interval from -25.4 to -3.2.

#### King and Queen County^{6,10}

- Rate : The incidence rate is 383.4 with a 95% confidence interval from 328.9 to 445.3 and 38 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.5 with a 95% confidence interval from -24.0 to 10.1.

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

- Rate : The incidence rate is 381.8 with a 95% confidence interval from 376.3 to 387.4 and 3,959 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -7.1 to 1.1.

#### Emporia City^{6,10}

- Rate : The incidence rate is 376.4 with a 95% confidence interval from 314.5 to 447.6 and 27 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 10.5 with a 95% confidence interval from -1.1 to 23.4.

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

- Rate : The incidence rate is 376.4 with a 95% confidence interval from 354.1 to 399.9 and 224 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -18.2 to 16.8.

#### Prince William County^{6,10}

- Rate : The incidence rate is 373.7 with a 95% confidence interval from 363.1 to 384.4 and 1,142 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -5.1 with a 95% confidence interval from -9.5 to -0.6.

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

- Rate : The incidence rate is 372.9 with a 95% confidence interval from 356.9 to 389.5 and 425 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -16.1 with a 95% confidence interval from -29.1 to -0.6.

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

- Rate : The incidence rate is 372.4 with a 95% confidence interval from 335.2 to 413.0 and 78 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.4 with a 95% confidence interval from -15.8 to 6.3.

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

- Rate : The incidence rate is 369.7 with a 95% confidence interval from 356.6 to 383.2 and 657 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -11.2 to 3.7.

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

- Rate : The incidence rate is 369.4 with a 95% confidence interval from 349.4 to 390.3 and 272 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -10.6 with a 95% confidence interval from -16.3 to -4.6.

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

- Rate : The incidence rate is 367.3 with a 95% confidence interval from 343.0 to 392.9 and 176 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -14.8 with a 95% confidence interval from -34.0 to 10.0.

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

- Rate : The incidence rate is 365.4 with a 95% confidence interval from 337.8 to 394.8 and 137 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -10.2 with a 95% confidence interval from -22.8 to 4.4.

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

- Rate : The incidence rate is 364.9 with a 95% confidence interval from 353.2 to 376.9 and 862 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -6.8 with a 95% confidence interval from -10.5 to -3.0.

#### Manassas City^{6,10}

- Rate : The incidence rate is 364.1 with a 95% confidence interval from 331.8 to 398.6 and 108 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.8 with a 95% confidence interval from -18.5 to 4.3.

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

- Rate : The incidence rate is 356.4 with a 95% confidence interval from 320.1 to 396.0 and 74 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -17.1 with a 95% confidence interval from -42.1 to 18.7.

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

- Rate : The incidence rate is 355.3 with a 95% confidence interval from 320.8 to 393.0 and 84 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -8.2 with a 95% confidence interval from -16.7 to 1.2.

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

- Rate : The incidence rate is 339.1 with a 95% confidence interval from 308.4 to 372.4 and 97 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -16.8 with a 95% confidence interval from -30.8 to 0.1.

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

- Rate : The incidence rate is 338.0 with a 95% confidence interval from 309.8 to 368.4 and 115 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -17.4 with a 95% confidence interval from -25.8 to -8.1.

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

- Rate : The incidence rate is 330.8 with a 95% confidence interval from 303.0 to 360.9 and 110 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -12.6 with a 95% confidence interval from -35.8 to 19.1.

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

- Rate : The incidence rate is 330.5 with a 95% confidence interval from 302.5 to 360.5 and 107 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -22.6 with a 95% confidence interval from -35.2 to -7.5.

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

- Rate : The incidence rate is 327.0 with a 95% confidence interval from 240.4 to 440.7 and 12 average annual cases over 2008-2012.
- Recent Trend : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

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

- Rate : The incidence rate is 325.8 with a 95% confidence interval from 297.4 to 356.4 and 105 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -13.4 with a 95% confidence interval from -32.1 to 10.5.

#### Alexandria City^{6,10}

- Rate : The incidence rate is 317.6 with a 95% confidence interval from 303.3 to 332.5 and 405 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -15.1 with a 95% confidence interval from -20.1 to -9.8.

#### Manassas Park City^{6,10}

- Rate : The incidence rate is 295.4 with a 95% confidence interval from 243.9 to 353.8 and 27 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -29.6 with a 95% confidence interval from -46.8 to -7.0.

#### Fairfax City^{6,10}

- Rate : The incidence rate is 289.2 with a 95% confidence interval from 260.3 to 320.5 and 76 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -18.6 with a 95% confidence interval from -50.5 to 34.0.

#### Bristol City^{6,10}

- Rate : The incidence rate is 265.7 with a 95% confidence interval from 236.6 to 297.6 and 64 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -12.8 with a 95% confidence interval from -50.5 to 53.6.

**Notes:**

Created by statecancerprofiles.cancer.gov on 05/26/2016 8:21 pm.

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.

* 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

^{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.