## Interpretation of Incidence Rates Data

### Incidence Rate Report for Washington 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.

**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**

#### Washington^{5,10}

- Rate : The incidence rate is 467.5 with a 95% confidence interval from 465.3 to 469.8 and 33,457 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.3 to -1.1.

#### 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.

#### Grays Harbor County^{7,8}

- Rate : The incidence rate is 518.4 with a 95% confidence interval from 497.5 to 540.0 and 489 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -0.5 with a 95% confidence interval from -0.8 to -0.2.

#### Pierce County^{7,8}

- Rate : The incidence rate is 510.9 with a 95% confidence interval from 503.7 to 518.2 and 4,025 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.4 to -0.1.

#### Mason County^{7,8}

- Rate : The incidence rate is 505.4 with a 95% confidence interval from 483.4 to 528.2 and 428 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -0.5 with a 95% confidence interval from -0.9 to -0.2.

#### Skagit County^{7,8}

- Rate : The incidence rate is 499.3 with a 95% confidence interval from 483.0 to 516.1 and 740 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -0.5 to 0.4.

#### Thurston County^{7,8}

- Rate : The incidence rate is 495.9 with a 95% confidence interval from 484.0 to 508.0 and 1,390 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.4 to 0.2.

#### Snohomish County^{7,8}

- Rate : The incidence rate is 493.4 with a 95% confidence interval from 485.8 to 501.0 and 3,438 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -0.5 with a 95% confidence interval from -0.9 to -0.1.

#### Whatcom County^{7,8}

- Rate : The incidence rate is 490.9 with a 95% confidence interval from 477.5 to 504.5 and 1,081 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -4.5 with a 95% confidence interval from -7.7 to -1.3.

#### Kitsap County^{7,8}

- Rate : The incidence rate is 489.8 with a 95% confidence interval from 478.0 to 501.8 and 1,397 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.5 to 0.0.

#### Jefferson County^{7,8}

- Rate : The incidence rate is 480.9 with a 95% confidence interval from 453.2 to 510.3 and 273 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.8 to 0.1.

#### Clallam County^{7,8}

- Rate : The incidence rate is 480.2 with a 95% confidence interval from 461.5 to 499.5 and 575 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -0.5 to 0.4.

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

- Rate : The incidence rate is 476.2 with a 95% confidence interval from 398.9 to 566.5 and 30 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.3 with a 95% confidence interval from -18.7 to 15.0.

#### King County^{7,8}

- Rate : The incidence rate is 464.2 with a 95% confidence interval from 459.8 to 468.7 and 8,999 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -4.5 to -0.1.

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

- Rate : The incidence rate is 463.2 with a 95% confidence interval from 386.8 to 553.4 and 32 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -16.0 to 9.5.

#### Island County^{7,8}

- Rate : The incidence rate is 462.0 with a 95% confidence interval from 443.4 to 481.3 and 505 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.0 to -1.1.

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

- Rate : The incidence rate is 461.8 with a 95% confidence interval from 435.6 to 489.3 and 250 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -13.0 to 10.6.

#### Pend Oreille County^{6,10}

- Rate : The incidence rate is 459.4 with a 95% confidence interval from 414.5 to 508.4 and 88 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -4.5 to 7.9.

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

- Rate : The incidence rate is 455.5 with a 95% confidence interval from 438.5 to 473.0 and 571 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -5.2 to 3.2.

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

- Rate : The incidence rate is 452.4 with a 95% confidence interval from 438.3 to 466.8 and 814 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.9 to 2.1.

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

- Rate : The incidence rate is 451.5 with a 95% confidence interval from 431.4 to 472.2 and 399 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -7.9 to 7.0.

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

- Rate : The incidence rate is 449.9 with a 95% confidence interval from 421.6 to 479.7 and 194 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -9.0 to 0.1.

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

- Rate : The incidence rate is 442.5 with a 95% confidence interval from 420.0 to 466.0 and 305 average annual cases over 2008-2012.
- Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.4 to -1.2.

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

- Rate : The incidence rate is 440.7 with a 95% confidence interval from 432.4 to 449.0 and 2,265 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -5.7 to 2.9.

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

- Rate : The incidence rate is 430.4 with a 95% confidence interval from 411.8 to 449.6 and 427 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -3.6 with a 95% confidence interval from -7.8 to 0.9.

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

- Rate : The incidence rate is 427.4 with a 95% confidence interval from 418.5 to 436.4 and 1,859 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -3.2 to 4.3.

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

- Rate : The incidence rate is 423.8 with a 95% confidence interval from 399.4 to 449.5 and 251 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -10.9 to 3.3.

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

- Rate : The incidence rate is 420.9 with a 95% confidence interval from 396.0 to 446.9 and 230 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.1 to 1.0.

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

- Rate : The incidence rate is 417.9 with a 95% confidence interval from 398.6 to 437.8 and 362 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -8.4 to 8.0.

#### San Juan County^{7,8}

- Rate : The incidence rate is 413.3 with a 95% confidence interval from 375.8 to 454.2 and 113 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.6 to 1.5.

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

- Rate : The incidence rate is 411.6 with a 95% confidence interval from 383.7 to 441.1 and 173 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -7.3 to 5.5.

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

- Rate : The incidence rate is 411.0 with a 95% confidence interval from 399.3 to 423.0 and 958 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -5.5 to 3.0.

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

- Rate : The incidence rate is 404.0 with a 95% confidence interval from 372.6 to 437.8 and 146 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -13.2 to 20.6.

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

- Rate : The incidence rate is 398.9 with a 95% confidence interval from 350.9 to 452.0 and 55 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.6 with a 95% confidence interval from -20.1 to 37.0.

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

- Rate : The incidence rate is 390.5 with a 95% confidence interval from 360.7 to 422.1 and 134 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -5.0 with a 95% confidence interval from -21.6 to 15.2.

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

- Rate : The incidence rate is 371.3 with a 95% confidence interval from 340.0 to 404.8 and 112 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -21.4 to 30.6.

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

- Rate : The incidence rate is 358.2 with a 95% confidence interval from 307.1 to 416.3 and 41 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -14.1 to 12.9.

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

- Rate : The incidence rate is 350.1 with a 95% confidence interval from 308.3 to 396.7 and 57 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is -7.5 with a 95% confidence interval from -17.1 to 3.3.

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

- Rate : The incidence rate is 349.7 with a 95% confidence interval from 318.3 to 383.6 and 102 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 4.1 with a 95% confidence interval from -3.1 to 11.8.

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

- Rate : The incidence rate is 340.3 with a 95% confidence interval from 300.3 to 384.0 and 54 average annual cases over 2008-2012.
- Recent Trend : The trend is stable because the trend is 3.5 with a 95% confidence interval from -10.3 to 19.3.

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

- Rate : The incidence rate is 293.6 with a 95% confidence interval from 214.8 to 397.2 and 11 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).

**Notes:**

Created by statecancerprofiles.cancer.gov on 11/25/2015 3:20 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.

^{5}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.

^{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.

^{7}Source: SEER November 2014 submission.

^{8}Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data 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 modifed by NCI. The 1969-2013 US Population Data File is used with SEER November 2014 data.

^{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.