Interpretation of Death Rates Data

Death Rate Report for Virginia by County

All Cancer Sites, 2009 - 2013

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


Healthy People 2020 Objective Number: C-1
Reduce the overall cancer death rate

Sorted by Rate
County
Met Healthy People Objective of 161.4? 1 Age-Adjusted Death Rate
deaths per 100,000
(95% Confidence Interval)
Average Deaths per Year
Recent Trend 2 Recent 5-Year Trend2
in Death Rates
(95% Confidence Interval)
Virginia (State) No 169.1 (167.8, 170.4) 14,256 falling falling trend -1.8 (-1.9, -1.6)
United States No 168.5 (168.3, 168.7) 577,303 falling falling trend -1.5 (-1.6, -1.5)
Hopewell City No 244.9 (218.7, 273.4) 65 stable stable trend -0.1 (-0.7, 0.5)
Buena Vista City No 240.8 (194.3, 295.6) 19 stable stable trend -1.0 (-2.6, 0.6)
Northampton County No 227.1 (198.1, 260.0) 48 stable stable trend -0.8 (-1.7, 0.1)
Bristol City No 226.6 (200.7, 255.2) 58 stable stable trend -0.1 (-0.8, 0.6)
Petersburg City No 224.4 (203.6, 246.9) 88 falling falling trend -1.4 (-2.1, -0.8)
Lee County No 224.2 (201.3, 249.1) 73 stable stable trend 0.0 (-0.6, 0.7)
Wise County No 223.4 (204.5, 243.7) 106 stable stable trend -0.4 (-1.0, 0.3)
Franklin City No 221.7 (183.0, 266.6) 25 falling falling trend -1.3 (-2.4, -0.2)
Bland County No 220.5 (178.8, 270.3) 20 stable stable trend -0.2 (-2.0, 1.7)
Martinsville City No 219.7 (191.3, 251.6) 45 stable stable trend -0.8 (-1.7, 0.2)
Dickenson County No 218.9 (190.8, 250.3) 46 stable stable trend 0.0 (-1.0, 1.1)
Portsmouth City No 218.1 (205.5, 231.4) 229 falling falling trend -1.0 (-1.5, -0.5)
Amelia County No 216.5 (184.7, 252.5) 35 stable stable trend -0.4 (-2.0, 1.1)
Accomack County No 216.2 (197.8, 236.1) 106 falling falling trend -0.8 (-1.3, -0.3)
Charles City County No 214.2 (175.0, 260.9) 23 stable stable trend -0.8 (-1.8, 0.3)
Mecklenburg County No 213.7 (195.7, 233.2) 109 falling falling trend -0.7 (-1.3, -0.1)
Russell County No 212.0 (191.4, 234.4) 81 stable stable trend 0.1 (-0.7, 0.8)
Waynesboro City No 210.5 (186.5, 236.9) 58 stable stable trend -0.2 (-1.1, 0.6)
Sussex County No 208.4 (175.9, 245.5) 30 falling falling trend -1.8 (-2.8, -0.8)
Tazewell County No 208.1 (191.9, 225.4) 127 falling falling trend -0.8 (-1.4, -0.3)
Danville City No 207.4 (191.2, 224.6) 130 falling falling trend -0.9 (-1.5, -0.3)
Middlesex County No 206.9 (179.3, 239.1) 43 stable stable trend -0.8 (-1.7, 0.2)
Emporia City No 202.6 (159.1, 255.4) 15 falling falling trend -1.9 (-3.3, -0.5)
Warren County No 202.5 (183.3, 223.3) 84 falling falling trend -1.0 (-1.8, -0.1)
Smyth County No 202.4 (184.1, 222.3) 92 falling falling trend -0.8 (-1.4, -0.2)
Caroline County No 201.8 (180.0, 225.6) 65 falling falling trend -1.1 (-1.9, -0.4)
Nottoway County No 201.5 (175.4, 230.8) 44 falling falling trend -1.0 (-1.8, -0.2)
New Kent County No 201.4 (172.2, 234.2) 39 falling falling trend -1.8 (-2.9, -0.6)
Roanoke City No 201.2 (189.5, 213.4) 235 falling falling trend -0.9 (-1.3, -0.5)
Isle of Wight County No 200.6 (181.8, 220.9) 88 falling falling trend -0.8 (-1.6, -0.1)
Gloucester County No 200.4 (181.9, 220.3) 90 falling falling trend -1.2 (-2.0, -0.4)
Richmond City No 200.2 (191.4, 209.4) 406 falling falling trend -2.7 (-3.8, -1.6)
Suffolk City No 199.3 (185.8, 213.5) 169 falling falling trend -1.2 (-1.7, -0.7)
Page County No 199.2 (177.8, 222.7) 65 stable stable trend -0.3 (-1.3, 0.6)
Clarke County No 197.4 (169.5, 229.0) 38 stable stable trend -0.6 (-1.8, 0.6)
Norton City No 197.3 (144.0, 264.7) 9 stable stable trend -1.0 (-3.1, 1.1)
Scott County No 196.1 (175.6, 218.6) 69 stable stable trend -0.7 (-1.5, 0.0)
Grayson County No 196.0 (171.7, 223.3) 50 stable stable trend 0.0 (-1.1, 1.2)
King George County No 195.7 (168.8, 225.5) 41 falling falling trend -1.1 (-2.1, -0.1)
Lynchburg City No 194.5 (181.0, 208.7) 165 falling falling trend -1.2 (-1.7, -0.7)
Nelson County No 194.3 (168.4, 223.5) 44 stable stable trend -0.5 (-1.4, 0.3)
Henry County No 194.2 (180.5, 208.8) 155 stable stable trend 0.4 (-0.1, 0.9)
Norfolk City No 193.6 (184.9, 202.5) 393 falling falling trend -1.8 (-2.1, -1.5)
Radford City No 193.1 (157.8, 234.0) 21 stable stable trend -1.0 (-2.4, 0.4)
Winchester City No 192.8 (171.2, 216.5) 59 falling falling trend -1.3 (-2.0, -0.5)
Newport News City No 191.9 (182.5, 201.6) 321 falling falling trend -1.4 (-1.7, -1.1)
Buckingham County No 191.8 (165.4, 221.5) 39 stable stable trend -0.6 (-2.0, 0.9)
Louisa County No 191.0 (171.7, 212.0) 77 stable stable trend -0.8 (-1.8, 0.2)
Lancaster County No 190.6 (164.6, 221.0) 48 falling falling trend -2.1 (-3.0, -1.1)
Northumberland County No 190.5 (165.1, 220.1) 49 falling falling trend -1.6 (-2.6, -0.6)
Hampton City No 190.3 (180.1, 200.9) 270 falling falling trend -1.3 (-1.7, -0.9)
Lunenburg County No 189.8 (161.6, 222.0) 33 stable stable trend -0.6 (-1.7, 0.6)
Alleghany County and Clifton Forge City No 189.5 (166.4, 215.6) 50 falling falling trend -0.9 (-1.8, -0.1)
Giles County No 189.4 (165.2, 216.6) 46 falling falling trend -1.1 (-2.0, -0.1)
Prince Edward County No 188.8 (165.0, 215.3) 48 falling falling trend -1.2 (-1.8, -0.6)
King William County No 187.4 (158.8, 219.7) 32 falling falling trend -1.2 (-2.4, -0.0)
Culpeper County No 187.1 (169.9, 205.6) 90 falling falling trend -0.9 (-1.5, -0.3)
Salem City No 186.6 (166.2, 209.1) 63 falling falling trend -1.0 (-1.7, -0.2)
Pulaski County No 185.8 (168.7, 204.3) 91 stable stable trend -0.4 (-1.1, 0.4)
Dinwiddie County No 185.4 (164.5, 208.3) 60 stable stable trend -0.7 (-1.7, 0.2)
Frederick County No 185.3 (172.4, 198.9) 157 falling falling trend -1.1 (-1.6, -0.6)
Amherst County No 183.9 (166.1, 203.1) 81 falling falling trend -1.1 (-2.0, -0.3)
Essex County No 183.4 (154.4, 216.9) 29 stable stable trend -1.1 (-2.4, 0.2)
Surry County No 182.2 (145.0, 227.2) 17 falling falling trend -1.6 (-3.0, -0.1)
Chesapeake City No 182.2 (173.9, 190.9) 378 falling falling trend -1.4 (-1.9, -0.9)
Charlotte County No 182.2 (155.2, 213.2) 33 falling falling trend -2.6 (-3.7, -1.4)
Southampton County No 181.8 (157.9, 208.5) 43 falling falling trend -1.1 (-1.9, -0.3)
Fredericksburg City No 180.3 (155.7, 207.7) 39 falling falling trend -1.8 (-2.8, -0.8)
King and Queen County No 180.3 (144.7, 223.3) 18 stable stable trend -20.8 (-43.2, 10.6)
Westmoreland County No 179.9 (157.2, 205.4) 49 falling falling trend -1.6 (-2.5, -0.6)
Cumberland County No 179.2 (147.7, 216.0) 24 stable stable trend -0.9 (-1.9, 0.2)
Appomattox County No 178.9 (153.4, 207.9) 36 stable stable trend -0.5 (-1.7, 0.8)
Halifax County with South Boston City No 178.3 (162.4, 195.5) 97 falling falling trend -1.1 (-1.6, -0.7)
Patrick County No 178.3 (156.9, 202.4) 52 stable stable trend -0.5 (-1.3, 0.3)
Charlottesville City No 178.2 (158.3, 200.0) 60 falling falling trend -1.7 (-2.4, -1.0)
Orange County No 177.3 (160.3, 195.7) 82 falling falling trend -1.4 (-2.1, -0.6)
Pittsylvania County No 176.8 (164.3, 190.0) 156 falling falling trend -0.9 (-1.5, -0.3)
Washington County No 176.7 (163.5, 190.8) 136 falling falling trend -0.8 (-1.4, -0.2)
Fluvanna County No 176.5 (156.2, 198.9) 56 falling falling trend -1.5 (-2.4, -0.7)
Richmond County No 176.2 (144.3, 213.9) 22 falling falling trend -1.4 (-2.4, -0.4)
Staunton City No 176.1 (156.9, 197.3) 64 stable stable trend -0.6 (-1.5, 0.3)
Wythe County No 175.9 (157.7, 195.7) 71 falling falling trend -1.1 (-1.8, -0.4)
Buchanan County No 175.8 (155.1, 198.8) 56 falling falling trend -1.1 (-2.0, -0.2)
Stafford County No 175.6 (162.9, 189.0) 160 falling falling trend -1.4 (-1.9, -0.9)
Covington City No 175.5 (136.2, 223.6) 14 stable stable trend -0.7 (-2.5, 1.1)
Powhatan County No 175.1 (153.3, 199.2) 52 falling falling trend -1.9 (-2.7, -1.0)
Greensville County No 174.7 (144.1, 210.2) 24 stable stable trend -1.3 (-2.7, 0.1)
Bath County No 173.0 (133.6, 223.4) 14 falling falling trend -1.5 (-2.9, -0.0)
Carroll County No 172.5 (155.5, 191.1) 78 stable stable trend -0.1 (-0.9, 0.7)
Spotsylvania County No 172.5 (161.4, 184.2) 191 falling falling trend -1.4 (-2.2, -0.7)
Prince George County No 172.1 (152.2, 193.9) 59 falling falling trend -1.8 (-2.8, -0.7)
Bedford City and County No 171.6 (160.1, 183.8) 172 falling falling trend -1.0 (-1.5, -0.5)
Shenandoah County No 171.4 (156.7, 187.2) 104 falling falling trend -1.0 (-1.4, -0.5)
Madison County No 169.8 (143.5, 200.0) 31 stable stable trend -0.8 (-1.9, 0.4)
Craig County No 169.4 (129.5, 219.4) 13 stable stable trend -0.3 (-2.1, 1.5)
Henrico County No 169.1 (162.8, 175.5) 565 falling falling trend -1.3 (-1.6, -1.0)
Virginia Beach City No 168.1 (162.4, 173.9) 688 falling falling trend -1.4 (-1.7, -1.1)
Augusta County No 167.1 (155.6, 179.2) 163 falling falling trend -0.9 (-1.5, -0.3)
Brunswick County No 165.3 (142.5, 191.1) 39 falling falling trend -2.3 (-3.4, -1.2)
Chesterfield County No 165.0 (158.3, 171.9) 496 falling falling trend -1.4 (-1.8, -1.1)
Hanover County No 163.7 (153.2, 174.8) 185 falling falling trend -1.9 (-2.4, -1.4)
Fauquier County No 162.9 (149.6, 177.1) 116 falling falling trend -2.0 (-2.8, -1.2)
Williamsburg City No 162.1 (132.5, 197.1) 23 falling falling trend -3.2 (-4.6, -1.9)
Franklin County No 162.0 (149.2, 175.8) 124 falling falling trend -1.2 (-1.8, -0.5)
Campbell County Yes 160.1 (147.2, 174.0) 115 falling falling trend -1.2 (-1.9, -0.6)
Colonial Heights City Yes 159.3 (138.2, 183.2) 43 falling falling trend -1.9 (-2.6, -1.2)
Rockbridge County Yes 159.2 (141.0, 179.5) 58 falling falling trend -1.4 (-2.4, -0.4)
Poquoson City Yes 159.2 (131.6, 191.4) 24 falling falling trend -3.3 (-5.5, -1.0)
Mathews County Yes 157.1 (130.9, 188.8) 27 falling falling trend -2.5 (-3.5, -1.4)
Greene County Yes 156.5 (132.5, 183.7) 32 falling falling trend -1.7 (-3.1, -0.3)
Rockingham County Yes 156.1 (145.2, 167.6) 157 stable stable trend -0.3 (-0.9, 0.3)
Roanoke County Yes 155.9 (146.3, 166.0) 204 falling falling trend -0.8 (-1.2, -0.3)
Manassas City Yes 155.2 (133.4, 179.3) 41 falling falling trend -1.4 (-2.6, -0.2)
Goochland County Yes 153.4 (132.7, 176.7) 43 falling falling trend -2.1 (-3.4, -0.9)
Montgomery County Yes 153.3 (141.1, 166.2) 120 falling falling trend -1.6 (-2.1, -1.0)
York County Yes 152.3 (139.2, 166.3) 103 falling falling trend -2.2 (-3.0, -1.3)
Fairfax City Yes 152.2 (131.9, 175.0) 41 falling falling trend -2.7 (-4.2, -1.2)
Harrisonburg City Yes 150.5 (132.1, 170.7) 51 falling falling trend -2.0 (-2.9, -1.1)
Galax City Yes 150.3 (117.8, 189.9) 16 falling falling trend -2.7 (-4.2, -1.2)
Prince William County Yes 150.1 (143.1, 157.3) 407 falling falling trend -2.3 (-2.7, -2.0)
Rappahannock County Yes 149.6 (119.0, 187.2) 17 falling falling trend -2.2 (-3.8, -0.6)
James City County Yes 149.0 (138.6, 160.1) 159 falling falling trend -1.2 (-1.9, -0.5)
Botetourt County Yes 148.7 (132.8, 166.1) 68 falling falling trend -1.0 (-1.7, -0.2)
Lexington City Yes 146.6 (107.4, 197.4) 10 falling falling trend -3.0 (-5.1, -0.9)
Albemarle County Yes 143.8 (134.2, 153.9) 174 falling falling trend -1.1 (-1.7, -0.5)
Floyd County Yes 138.0 (116.4, 163.0) 30 stable stable trend -0.4 (-1.5, 0.7)
Falls Church City Yes 137.6 (108.2, 172.2) 16 falling falling trend -2.3 (-3.7, -1.0)
Loudoun County Yes 136.5 (129.1, 144.3) 283 falling falling trend -2.6 (-3.0, -2.1)
Arlington County Yes 136.5 (128.3, 145.1) 224 falling falling trend -2.1 (-2.4, -1.7)
Alexandria City Yes 135.4 (125.8, 145.4) 165 falling falling trend -2.5 (-2.9, -2.1)
Fairfax County Yes 126.9 (123.6, 130.2) 1,229 falling falling trend -2.1 (-2.3, -1.9)
Manassas Park City Yes 123.4 (90.7, 162.9) 11 falling falling trend -6.9 (-10.1, -3.5)
Highland County Yes 111.3 (71.6, 177.8) 5 falling falling trend -3.7 (-5.9, -1.4)
Notes:
Created by statecancerprofiles.cancer.gov on 12/02/2016 5:17 pm.
State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).

Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
1 Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.
2 The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint Regression Program (Version 4.3.0.0). Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2014 US Population Data File is used with mortality data.

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