## Interpretation of Rate/Trend Comparison by Cancer Data

**Death Rate/Trend Comparison by Cancer, death years through 2013**

Michigan Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by Priority Index

Michigan Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by Priority Index

**United States**

- The priority index is -
- The recent trend is falling
- This death rate is - the US rate
- The average deaths per year (2009-2013) is 577,303
- The annual death rate (2009-2013) is 168.5 per 100,000 with a 95% confidence interval from 168.3 to 168.7
- The rate ratio is -0.0
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -1.6 to -1.5
- The recent trend period is 2009 - 2013

**Michigan**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 20,432
- The annual death rate (2009-2013) is 177.1 per 100,000 with a 95% confidence interval from 176.0 to 178.2
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.9 with a 95% confidence interval from -2.8 to -0.9
- The recent trend period is 2009 - 2013

**Arenac County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 50
- The annual death rate (2009-2013) is 202.3 per 100,000 with a 95% confidence interval from 177.3 to 230.5
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.6 to 0.0
- The recent trend period is 2009 - 2013

**Gogebic County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 55
- The annual death rate (2009-2013) is 195.2 per 100,000 with a 95% confidence interval from 171.9 to 221.3
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.6 to 0.1
- The recent trend period is 2009 - 2013

**Kalkaska County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 45
- The annual death rate (2009-2013) is 200.7 per 100,000 with a 95% confidence interval from 174.4 to 230.1
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.4 to 0.4
- The recent trend period is 2009 - 2013

**Mason County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 82
- The annual death rate (2009-2013) is 190.2 per 100,000 with a 95% confidence interval from 171.8 to 210.3
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.4 to 0.2
- The recent trend period is 2009 - 2013

**Montmorency County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 37
- The annual death rate (2009-2013) is 207.6 per 100,000 with a 95% confidence interval from 176.9 to 243.7
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -2.0 to 0.7
- The recent trend period is 2009 - 2013

**Otsego County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 64
- The annual death rate (2009-2013) is 194.7 per 100,000 with a 95% confidence interval from 173.6 to 217.8
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.6 to 0.3
- The recent trend period is 2009 - 2013

**Roscommon County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 97
- The annual death rate (2009-2013) is 201.8 per 100,000 with a 95% confidence interval from 183.3 to 222.3
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.3 with a 95% confidence interval from -1.0 to 0.5
- The recent trend period is 2009 - 2013

**Schoolcraft County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 29
- The annual death rate (2009-2013) is 213.7 per 100,000 with a 95% confidence interval from 178.8 to 254.7
- The rate ratio is 1.3
- The average annual percent change in death rates is 0.2 with a 95% confidence interval from -0.7 to 1.1
- The recent trend period is 2009 - 2013

**Wexford County**

- The priority index is 4
- The recent trend is stable
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 84
- The annual death rate (2009-2013) is 199.2 per 100,000 with a 95% confidence interval from 180.4 to 219.6
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.2 to 0.3
- The recent trend period is 2009 - 2013

**Calhoun County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 315
- The annual death rate (2009-2013) is 187.7 per 100,000 with a 95% confidence interval from 178.4 to 197.4
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.2 to -0.6
- The recent trend period is 2009 - 2013

**Clare County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 94
- The annual death rate (2009-2013) is 203.8 per 100,000 with a 95% confidence interval from 185.3 to 224.0
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.5 to -0.4
- The recent trend period is 2009 - 2013

**Genesee County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 940
- The annual death rate (2009-2013) is 192.1 per 100,000 with a 95% confidence interval from 186.6 to 197.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -2.5 with a 95% confidence interval from -4.5 to -0.5
- The recent trend period is 2009 - 2013

**Gladwin County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 83
- The annual death rate (2009-2013) is 196.5 per 100,000 with a 95% confidence interval from 177.6 to 217.4
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.5 to -0.1
- The recent trend period is 2009 - 2013

**Hillsdale County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 111
- The annual death rate (2009-2013) is 187.5 per 100,000 with a 95% confidence interval from 172.0 to 204.2
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.4 to -0.3
- The recent trend period is 2009 - 2013

**Iosco County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 93
- The annual death rate (2009-2013) is 193.4 per 100,000 with a 95% confidence interval from 175.3 to 213.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.9 to -0.5
- The recent trend period is 2009 - 2013

**Jackson County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 372
- The annual death rate (2009-2013) is 193.8 per 100,000 with a 95% confidence interval from 185.0 to 203.0
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.3 to -0.4
- The recent trend period is 2009 - 2013

**Lake County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 42
- The annual death rate (2009-2013) is 213.1 per 100,000 with a 95% confidence interval from 183.9 to 246.8
- The rate ratio is 1.3
- The average annual percent change in death rates is -2.1 with a 95% confidence interval from -3.0 to -1.2
- The recent trend period is 2009 - 2013

**Lapeer County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 189
- The annual death rate (2009-2013) is 186.7 per 100,000 with a 95% confidence interval from 174.7 to 199.4
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.5 to -0.2
- The recent trend period is 2009 - 2013

**Muskegon County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 379
- The annual death rate (2009-2013) is 189.2 per 100,000 with a 95% confidence interval from 180.6 to 198.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.1 to -0.4
- The recent trend period is 2009 - 2013

**Newaygo County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 120
- The annual death rate (2009-2013) is 197.0 per 100,000 with a 95% confidence interval from 181.3 to 213.7
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.5 to -0.1
- The recent trend period is 2009 - 2013

**Osceola County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 60
- The annual death rate (2009-2013) is 193.7 per 100,000 with a 95% confidence interval from 172.0 to 217.6
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.5 to -0.1
- The recent trend period is 2009 - 2013

**St. Clair County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 382
- The annual death rate (2009-2013) is 189.5 per 100,000 with a 95% confidence interval from 180.9 to 198.4
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.3 to -0.7
- The recent trend period is 2009 - 2013

**Van Buren County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 168
- The annual death rate (2009-2013) is 188.2 per 100,000 with a 95% confidence interval from 175.4 to 201.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.3 to -0.3
- The recent trend period is 2009 - 2013

**Wayne County**

- The priority index is 5
- The recent trend is falling
- This death rate is above the US rate
- The average deaths per year (2009-2013) is 3,927
- The annual death rate (2009-2013) is 197.9 per 100,000 with a 95% confidence interval from 195.1 to 200.8
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.1 to -0.9
- The recent trend period is 2009 - 2013

**Baraga County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 22
- The annual death rate (2009-2013) is 182.5 per 100,000 with a 95% confidence interval from 149.5 to 221.4
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.8 to 0.1
- The recent trend period is 2009 - 2013

**Benzie County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 50
- The annual death rate (2009-2013) is 179.0 per 100,000 with a 95% confidence interval from 156.9 to 203.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -2.0 to 0.4
- The recent trend period is 2009 - 2013

**Branch County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 92
- The annual death rate (2009-2013) is 170.7 per 100,000 with a 95% confidence interval from 155.3 to 187.3
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.5 to 0.1
- The recent trend period is 2009 - 2013

**Emmet County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 76
- The annual death rate (2009-2013) is 168.0 per 100,000 with a 95% confidence interval from 151.1 to 186.3
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.5 to 0.3
- The recent trend period is 2009 - 2013

**Gratiot County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 86
- The annual death rate (2009-2013) is 168.3 per 100,000 with a 95% confidence interval from 152.6 to 185.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.4 to 0.0
- The recent trend period is 2009 - 2013

**Isabella County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 105
- The annual death rate (2009-2013) is 180.1 per 100,000 with a 95% confidence interval from 164.8 to 196.4
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.4 to 0.2
- The recent trend period is 2009 - 2013

**Menominee County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 70
- The annual death rate (2009-2013) is 185.0 per 100,000 with a 95% confidence interval from 165.7 to 206.4
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.2 with a 95% confidence interval from -1.1 to 0.6
- The recent trend period is 2009 - 2013

**Missaukee County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 39
- The annual death rate (2009-2013) is 190.2 per 100,000 with a 95% confidence interval from 164.0 to 219.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.0 with a 95% confidence interval from -1.1 to 1.0
- The recent trend period is 2009 - 2013

**Ontonagon County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 22
- The annual death rate (2009-2013) is 171.1 per 100,000 with a 95% confidence interval from 137.7 to 213.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -2.1 to 0.9
- The recent trend period is 2009 - 2013

**Oscoda County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 30
- The annual death rate (2009-2013) is 199.5 per 100,000 with a 95% confidence interval from 167.5 to 237.4
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -2.3 to 0.4
- The recent trend period is 2009 - 2013

**Tuscola County**

- The priority index is 6
- The recent trend is stable
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 131
- The annual death rate (2009-2013) is 181.9 per 100,000 with a 95% confidence interval from 168.0 to 196.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.3 to 0.0
- The recent trend period is 2009 - 2013

**Alcona County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 42
- The annual death rate (2009-2013) is 177.0 per 100,000 with a 95% confidence interval from 152.1 to 206.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -2.0 to -0.6
- The recent trend period is 2009 - 2013

**Alger County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 24
- The annual death rate (2009-2013) is 154.2 per 100,000 with a 95% confidence interval from 127.3 to 186.5
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.7 with a 95% confidence interval from -2.7 to -0.7
- The recent trend period is 2009 - 2013

**Allegan County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 207
- The annual death rate (2009-2013) is 166.7 per 100,000 with a 95% confidence interval from 156.5 to 177.3
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.6 to -0.6
- The recent trend period is 2009 - 2013

**Alpena County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 81
- The annual death rate (2009-2013) is 179.3 per 100,000 with a 95% confidence interval from 161.9 to 198.3
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -2.0 to -0.5
- The recent trend period is 2009 - 2013

**Antrim County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 66
- The annual death rate (2009-2013) is 167.7 per 100,000 with a 95% confidence interval from 149.5 to 187.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.7 with a 95% confidence interval from -2.5 to -1.0
- The recent trend period is 2009 - 2013

**Barry County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 115
- The annual death rate (2009-2013) is 155.7 per 100,000 with a 95% confidence interval from 143.0 to 169.4
- The rate ratio is 0.9
- The average annual percent change in death rates is -4.4 with a 95% confidence interval from -7.2 to -1.5
- The recent trend period is 2009 - 2013

**Bay County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 262
- The annual death rate (2009-2013) is 182.3 per 100,000 with a 95% confidence interval from 172.4 to 192.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.2 to -0.5
- The recent trend period is 2009 - 2013

**Berrien County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 370
- The annual death rate (2009-2013) is 179.0 per 100,000 with a 95% confidence interval from 170.8 to 187.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.5 to -0.8
- The recent trend period is 2009 - 2013

**Cass County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 125
- The annual death rate (2009-2013) is 181.6 per 100,000 with a 95% confidence interval from 167.3 to 196.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -5.6 with a 95% confidence interval from -9.0 to -2.1
- The recent trend period is 2009 - 2013

**Charlevoix County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 64
- The annual death rate (2009-2013) is 167.7 per 100,000 with a 95% confidence interval from 149.2 to 188.0
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.9 to -0.3
- The recent trend period is 2009 - 2013

**Cheboygan County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 78
- The annual death rate (2009-2013) is 184.5 per 100,000 with a 95% confidence interval from 166.1 to 204.8
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -2.0 to -0.2
- The recent trend period is 2009 - 2013

**Chippewa County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 79
- The annual death rate (2009-2013) is 170.7 per 100,000 with a 95% confidence interval from 154.1 to 188.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.6 to -0.3
- The recent trend period is 2009 - 2013

**Crawford County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 40
- The annual death rate (2009-2013) is 178.6 per 100,000 with a 95% confidence interval from 154.0 to 206.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -2.0 to -0.5
- The recent trend period is 2009 - 2013

**Delta County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 101
- The annual death rate (2009-2013) is 178.5 per 100,000 with a 95% confidence interval from 162.8 to 195.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.6 to -0.3
- The recent trend period is 2009 - 2013

**Dickinson County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 70
- The annual death rate (2009-2013) is 172.2 per 100,000 with a 95% confidence interval from 154.1 to 192.3
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.5 to -0.3
- The recent trend period is 2009 - 2013

**Eaton County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 229
- The annual death rate (2009-2013) is 178.6 per 100,000 with a 95% confidence interval from 168.2 to 189.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.0 to -0.0
- The recent trend period is 2009 - 2013

**Grand Traverse County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 168
- The annual death rate (2009-2013) is 151.8 per 100,000 with a 95% confidence interval from 141.5 to 162.7
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.2 to -0.9
- The recent trend period is 2009 - 2013

**Houghton County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 67
- The annual death rate (2009-2013) is 155.4 per 100,000 with a 95% confidence interval from 138.8 to 173.5
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -2.0 to -0.6
- The recent trend period is 2009 - 2013

**Huron County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 100
- The annual death rate (2009-2013) is 181.6 per 100,000 with a 95% confidence interval from 165.6 to 199.1
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.1 to -0.1
- The recent trend period is 2009 - 2013

**Ingham County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 435
- The annual death rate (2009-2013) is 165.5 per 100,000 with a 95% confidence interval from 158.5 to 172.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -2.1 with a 95% confidence interval from -3.6 to -0.6
- The recent trend period is 2009 - 2013

**Ionia County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 110
- The annual death rate (2009-2013) is 173.0 per 100,000 with a 95% confidence interval from 158.5 to 188.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -1.9 to -0.7
- The recent trend period is 2009 - 2013

**Iron County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 41
- The annual death rate (2009-2013) is 167.6 per 100,000 with a 95% confidence interval from 143.7 to 195.5
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -2.3 to -0.5
- The recent trend period is 2009 - 2013

**Kalamazoo County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 454
- The annual death rate (2009-2013) is 171.0 per 100,000 with a 95% confidence interval from 163.9 to 178.3
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.3 to -0.5
- The recent trend period is 2009 - 2013

**Kent County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 965
- The annual death rate (2009-2013) is 160.2 per 100,000 with a 95% confidence interval from 155.6 to 164.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.4 to -1.0
- The recent trend period is 2009 - 2013

**Lenawee County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 217
- The annual death rate (2009-2013) is 177.6 per 100,000 with a 95% confidence interval from 167.0 to 188.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.2 to -0.5
- The recent trend period is 2009 - 2013

**Livingston County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 316
- The annual death rate (2009-2013) is 162.7 per 100,000 with a 95% confidence interval from 154.5 to 171.3
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -2.0 to -1.2
- The recent trend period is 2009 - 2013

**Luce County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 16
- The annual death rate (2009-2013) is 175.3 per 100,000 with a 95% confidence interval from 139.1 to 219.3
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.7 with a 95% confidence interval from -3.1 to -0.3
- The recent trend period is 2009 - 2013

**Mackinac County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 31
- The annual death rate (2009-2013) is 160.3 per 100,000 with a 95% confidence interval from 135.4 to 189.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -2.0 with a 95% confidence interval from -3.2 to -0.9
- The recent trend period is 2009 - 2013

**Macomb County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 1,809
- The annual death rate (2009-2013) is 177.8 per 100,000 with a 95% confidence interval from 174.1 to 181.6
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.2 to -0.9
- The recent trend period is 2009 - 2013

**Manistee County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 72
- The annual death rate (2009-2013) is 180.0 per 100,000 with a 95% confidence interval from 161.5 to 200.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.1 to -0.9
- The recent trend period is 2009 - 2013

**Marquette County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 141
- The annual death rate (2009-2013) is 168.7 per 100,000 with a 95% confidence interval from 156.2 to 182.0
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.4 to -0.2
- The recent trend period is 2009 - 2013

**Mecosta County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 89
- The annual death rate (2009-2013) is 177.2 per 100,000 with a 95% confidence interval from 160.7 to 195.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.6 to -0.3
- The recent trend period is 2009 - 2013

**Midland County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 160
- The annual death rate (2009-2013) is 154.4 per 100,000 with a 95% confidence interval from 143.8 to 165.7
- The rate ratio is 0.9
- The average annual percent change in death rates is -4.3 with a 95% confidence interval from -7.0 to -1.5
- The recent trend period is 2009 - 2013

**Monroe County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 325
- The annual death rate (2009-2013) is 182.8 per 100,000 with a 95% confidence interval from 173.8 to 192.1
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.4 to -0.7
- The recent trend period is 2009 - 2013

**Montcalm County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 137
- The annual death rate (2009-2013) is 184.5 per 100,000 with a 95% confidence interval from 170.8 to 199.1
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.6 to -0.4
- The recent trend period is 2009 - 2013

**Oakland County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 2,231
- The annual death rate (2009-2013) is 159.6 per 100,000 with a 95% confidence interval from 156.6 to 162.7
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -1.6 to -1.2
- The recent trend period is 2009 - 2013

**Oceana County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 54
- The annual death rate (2009-2013) is 153.3 per 100,000 with a 95% confidence interval from 135.1 to 173.5
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.3 to -0.6
- The recent trend period is 2009 - 2013

**Ogemaw County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 62
- The annual death rate (2009-2013) is 177.0 per 100,000 with a 95% confidence interval from 157.0 to 199.2
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.8 with a 95% confidence interval from -2.7 to -0.9
- The recent trend period is 2009 - 2013

**Presque Isle County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 44
- The annual death rate (2009-2013) is 171.8 per 100,000 with a 95% confidence interval from 148.3 to 199.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -2.4 to -0.2
- The recent trend period is 2009 - 2013

**Saginaw County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 439
- The annual death rate (2009-2013) is 175.3 per 100,000 with a 95% confidence interval from 167.9 to 182.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.5 to -0.8
- The recent trend period is 2009 - 2013

**Sanilac County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 102
- The annual death rate (2009-2013) is 170.6 per 100,000 with a 95% confidence interval from 155.8 to 186.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -1.9 to -0.9
- The recent trend period is 2009 - 2013

**Shiawassee County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 157
- The annual death rate (2009-2013) is 184.9 per 100,000 with a 95% confidence interval from 172.0 to 198.6
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.3 to -0.4
- The recent trend period is 2009 - 2013

**St. Joseph County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 134
- The annual death rate (2009-2013) is 178.9 per 100,000 with a 95% confidence interval from 165.5 to 193.3
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.6 to -0.5
- The recent trend period is 2009 - 2013

**Washtenaw County**

- The priority index is 8
- The recent trend is falling
- This death rate is similar to the US rate
- The average deaths per year (2009-2013) is 494
- The annual death rate (2009-2013) is 157.0 per 100,000 with a 95% confidence interval from 150.7 to 163.4
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -1.6 to -1.0
- The recent trend period is 2009 - 2013

**Clinton County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 125
- The annual death rate (2009-2013) is 149.1 per 100,000 with a 95% confidence interval from 137.4 to 161.4
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -2.1 to -1.0
- The recent trend period is 2009 - 2013

**Keweenaw County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 5
- The annual death rate (2009-2013) is 113.5 per 100,000 with a 95% confidence interval from 72.5 to 180.5
- The rate ratio is 0.7
- The average annual percent change in death rates is -2.6 with a 95% confidence interval from -4.8 to -0.4
- The recent trend period is 2009 - 2013

**Leelanau County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 54
- The annual death rate (2009-2013) is 132.5 per 100,000 with a 95% confidence interval from 116.4 to 150.7
- The rate ratio is 0.8
- The average annual percent change in death rates is -1.8 with a 95% confidence interval from -2.8 to -0.9
- The recent trend period is 2009 - 2013

**Ottawa County**

- The priority index is 9
- The recent trend is falling
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 384
- The annual death rate (2009-2013) is 142.2 per 100,000 with a 95% confidence interval from 135.8 to 148.8
- The rate ratio is 0.8
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.4 to -0.8
- The recent trend period is 2009 - 2013

**Notes:**

Created by statecancerprofiles.cancer.gov on 02/20/2017 1:17 am.

Trend

Rate Comparison

* Data has been suppressed to ensure confidentiality and stability of rate and trendestimates.^{2}**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.Rate Comparison

**Above**when 95% confident the rate is above and Rate Ratio^{3}> 1.10**Similar**when unable to conclude above or below with confidence.**Below**when 95% confident the rate is below and Rate Ratio^{3}< 0.90** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.

^{1}Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.

^{2}Recent trend in death rates is Average Annual Percent Change (AAPC) 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.

^{3}Rate ratio is the county rate divided by the US rate.

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 1969-2013 US Population Data File is used with mortality data.

Note: 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.

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).