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	Incidence Rate Report for Virginia 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 Virginia 6 20.7 (20.3, 21.2) 1,624 2005-2009 US (SEER+NPCR) 1 19.2 (19.2, 19.3) § 2005-2009 James City County 6 43.5 (37.2, 50.7) 36 2005-2009 Poquoson City 6 40.2 (26.7, 58.8) 6 2005-2009 Nelson County 6 37.8 (26.4, 53.0) 8 2005-2009 King William County 6 37.0 (24.5, 53.5) 6 2005-2009 Radford City 6 34.6 (19.5, 56.4) 3 2005-2009 Bedford County 6 34.0 (28.1, 40.9) 25 2005-2009 Williamsburg City 6 33.9 (19.0, 56.7) 4 2005-2009 Mathews County 6 33.9 (18.3, 57.5) 4 2005-2009 York County 6 33.5 (27.2, 40.8) 21 2005-2009 Grayson County 6 33.2 (22.1, 48.1) 6 2005-2009 Powhatan County 6 31.8 (22.7, 43.4) 9 2005-2009 Albemarle County 6 31.5 (26.7, 37.1) 30 2005-2009 Botetourt County 6 30.5 (22.8, 40.2) 11 2005-2009 Isle of Wight County 6 29.8 (22.6, 38.8) 12 2005-2009 Giles County 6 29.7 (20.2, 42.6) 6 2005-2009 Virginia Beach City 6 29.6 (27.2, 32.1) 117 2005-2009 Chesterfield County 6 29.4 (26.2, 32.9) 72 2005-2009 Carroll County 6 28.7 (21.2, 38.1) 10 2005-2009 Rockingham County 6 28.2 (23.2, 34.0) 23 2005-2009 Fluvanna County 6 27.9 (19.5, 38.8) 7 2005-2009 Charlotte County 6 27.8 (16.4, 44.2) 4 2005-2009 Louisa County 6 27.7 (20.5, 36.8) 10 2005-2009 Colonial Heights City 6 27.2 (18.1, 39.5) 6 2005-2009 Middlesex County 6 26.2 (15.8, 42.2) 5 2005-2009 Northumberland County 6 26.2 (15.7, 41.8) 5 2005-2009 Hanover County 6 26.2 (21.8, 31.1) 27 2005-2009 Roanoke County 6 26.1 (21.7, 31.1) 27 2005-2009 Pulaski County 6 26.0 (19.5, 34.1) 11 2005-2009 New Kent County 6 26.0 (15.9, 40.1) 5 2005-2009 Gloucester County 6 25.9 (19.2, 34.1) 11 2005-2009 Harrisonburg City 6 25.9 (18.2, 35.5) 8 2005-2009 Franklin County 6 25.6 (20.1, 32.2) 16 2005-2009 Goochland County 6 25.6 (17.0, 37.2) 6 2005-2009 Wythe County 6 25.5 (18.2, 34.9) 8 2005-2009 Accomack County 6 25.3 (19.1, 33.0) 12 2005-2009 Orange County 6 25.3 (18.7, 33.7) 10 2005-2009 Montgomery County 6 25.2 (20.1, 31.2) 17 2005-2009 Greene County 6 24.8 (15.7, 37.4) 5 2005-2009 Northampton County 6 24.7 (14.8, 39.1) 4 2005-2009 Charlottesville City 6 24.4 (17.7, 32.9) 9 2005-2009 Culpeper County 6 24.4 (18.3, 31.7) 11 2005-2009 Henrico County 6 24.3 (21.8, 26.9) 72 2005-2009 Southampton County 6 24.1 (15.4, 36.3) 5 2005-2009 Amelia County 6 23.6 (13.3, 39.0) 3 2005-2009 Frederick County 6 23.1 (18.3, 28.8) 17 2005-2009 Suffolk City 6 22.9 (18.4, 28.3) 18 2005-2009 Fairfax City 6 22.8 (15.2, 32.9) 6 2005-2009 Dinwiddie County 6 22.6 (15.0, 32.9) 6 2005-2009 Page County 6 21.9 (14.6, 31.6) 6 2005-2009 Augusta County 6 21.5 (17.2, 26.7) 18 2005-2009 Appomattox County 6 21.2 (12.2, 34.6) 3 2005-2009 Loudoun County 6 21.2 (18.3, 24.5) 45 2005-2009 Washington County 6 21.1 (16.4, 26.9) 14 2005-2009 Spotsylvania County 6 21.0 (17.2, 25.4) 23 2005-2009 Tazewell County 6 21.0 (15.7, 27.7) 11 2005-2009 Pittsylvania County 6 21.0 (16.2, 26.7) 14 2005-2009 Warren County 6 20.9 (14.8, 28.7) 8 2005-2009 Hampton City 6 20.8 (17.6, 24.5) 29 2005-2009 Winchester City 6 20.2 (13.3, 29.5) 6 2005-2009 Fauquier County 6 19.8 (15.4, 25.2) 14 2005-2009 Floyd County 6 19.8 (11.2, 32.5) 3 2005-2009 Chesapeake City 6 19.7 (17.0, 22.6) 41 2005-2009 Campbell County 6 19.6 (14.9, 25.5) 12 2005-2009 Newport News City 6 18.7 (15.9, 21.8) 33 2005-2009 Arlington County 6 18.6 (15.8, 21.7) 35 2005-2009 Lancaster County 6 18.6 (11.3, 31.2) 4 2005-2009 Fredericksburg City 6 18.4 (11.0, 28.8) 4 2005-2009 Rockbridge County 6 18.4 (12.0, 27.2) 5 2005-2009 Stafford County 6 18.1 (14.0, 22.9) 17 2005-2009 Prince William County 6 17.8 (15.5, 20.3) 51 2005-2009 Smyth County 6 17.7 (12.2, 24.9) 7 2005-2009 Prince George County 6 17.6 (11.2, 26.4) 5 2005-2009 Fairfax County 6 17.4 (16.2, 18.7) 166 2005-2009 Waynesboro City 6 17.2 (10.9, 26.1) 5 2005-2009 Norfolk City 6 16.2 (13.8, 18.9) 33 2005-2009 Salem City 6 16.0 (10.1, 24.1) 5 2005-2009 Staunton City 6 15.8 (9.9, 24.1) 5 2005-2009 Roanoke City 6 15.6 (12.4, 19.3) 18 2005-2009 Caroline County 6 15.5 (9.7, 23.7) 4 2005-2009 Amherst County 6 15.4 (10.2, 22.4) 6 2005-2009 Russell County 6 15.4 (10.0, 22.9) 5 2005-2009 Bristol City 6 15.3 (9.0, 24.7) 4 2005-2009 Lynchburg City 6 15.2 (11.7, 19.6) 13 2005-2009 Scott County 6 15.0 (9.0, 23.7) 4 2005-2009 Prince Edward County 6 15.0 (8.4, 24.8) 3 2005-2009 Manassas City 6 14.9 (9.4, 22.2) 5 2005-2009 Alexandria City 6 14.6 (11.8, 17.7) 21 2005-2009 Shenandoah County 6 14.5 (10.2, 20.2) 8 2005-2009 Mecklenburg County 6 14.1 (9.3, 20.7) 6 2005-2009 Richmond City 6 13.6 (11.4, 16.1) 28 2005-2009 Henry County 6 13.2 (9.6, 17.9) 9 2005-2009 Patrick County 6 13.2 (7.7, 21.6) 4 2005-2009 Hopewell City 6 13.1 (7.4, 21.4) 3 2005-2009 Portsmouth City 6 11.9 (9.1, 15.4) 12 2005-2009 Danville City 6 11.9 (8.1, 17.0) 7 2005-2009 Wise County 6 10.7 (6.9, 15.8) 5 2005-2009 Halifax County with South Boston City 6 8.2 (4.6, 13.5) 3 2005-2009 Alleghany Cnty and Clifton Forge Cty 6 * 3 or fewer 2005-2009 Bath County 6 * 3 or fewer 2005-2009 Bedford City 6 * 3 or fewer 2005-2009 Bland County 6 * 3 or fewer 2005-2009 Brunswick County 6 * 3 or fewer 2005-2009 Buchanan County 6 * 3 or fewer 2005-2009 Buckingham County 6 * 3 or fewer 2005-2009 Buena Vista City 6 * 3 or fewer 2005-2009 Charles City County 6 * 3 or fewer 2005-2009 Clarke County 6 * 3 or fewer 2005-2009 Covington City 6 * 3 or fewer 2005-2009 Craig County 6 * 3 or fewer 2005-2009 Cumberland County 6 * 3 or fewer 2005-2009 Dickenson County 6 * 3 or fewer 2005-2009 Emporia City 6 * 3 or fewer 2005-2009 Essex County 6 * 3 or fewer 2005-2009 Falls Church City 6 * 3 or fewer 2005-2009 Franklin City 6 * 3 or fewer 2005-2009 Galax City 6 * 3 or fewer 2005-2009 Greensville County 6 * 3 or fewer 2005-2009 Highland County 6 * 3 or fewer 2005-2009 King George County 6 * 3 or fewer 2005-2009 King and Queen County 6 * 3 or fewer 2005-2009 Lee County 6 * 3 or fewer 2005-2009 Lexington City 6 * 3 or fewer 2005-2009 Lunenburg County 6 * 3 or fewer 2005-2009 Madison County 6 * 3 or fewer 2005-2009 Manassas Park City 6 * 3 or fewer 2005-2009 Martinsville City 6 * 3 or fewer 2005-2009 Norton City 6 * 3 or fewer 2005-2009 Nottoway County 6 * 3 or fewer 2005-2009 Petersburg City 6 * 3 or fewer 2005-2009 Rappahannock County 6 * 3 or fewer 2005-2009 Richmond County 6 * 3 or fewer 2005-2009 Surry County 6 * 3 or fewer 2005-2009 Sussex County 6 * 3 or fewer 2005-2009 Westmoreland County 6 * 3 or fewer 2005-2009 Notes: Created by statecancerprofiles.cancer.gov on 05/18/2013 11:05 am. 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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