## Interpretation of Rate/Trend Comparison by Cancer Data

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

Virginia Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by Priority Index

Virginia 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

**Virginia**

- 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 14,256
- The annual death rate (2009-2013) is 169.1 per 100,000 with a 95% confidence interval from 167.8 to 170.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.8 with a 95% confidence interval from -1.9 to -1.6
- The recent trend period is 2009 - 2013

**Amelia 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 35
- The annual death rate (2009-2013) is 216.5 per 100,000 with a 95% confidence interval from 184.7 to 252.5
- The rate ratio is 1.3
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -2.0 to 1.1
- The recent trend period is 2009 - 2013

**Bland 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 20
- The annual death rate (2009-2013) is 220.5 per 100,000 with a 95% confidence interval from 178.8 to 270.3
- The rate ratio is 1.3
- The average annual percent change in death rates is -0.2 with a 95% confidence interval from -2.0 to 1.7
- The recent trend period is 2009 - 2013

**Bristol City**

- 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 58
- The annual death rate (2009-2013) is 226.6 per 100,000 with a 95% confidence interval from 200.7 to 255.2
- The rate ratio is 1.3
- The average annual percent change in death rates is -0.1 with a 95% confidence interval from -0.8 to 0.6
- The recent trend period is 2009 - 2013

**Buena Vista City**

- 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 19
- The annual death rate (2009-2013) is 240.8 per 100,000 with a 95% confidence interval from 194.3 to 295.6
- The rate ratio is 1.4
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -2.6 to 0.6
- The recent trend period is 2009 - 2013

**Charles City 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 23
- The annual death rate (2009-2013) is 214.2 per 100,000 with a 95% confidence interval from 175.0 to 260.9
- The rate ratio is 1.3
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.8 to 0.3
- The recent trend period is 2009 - 2013

**Dickenson 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 46
- The annual death rate (2009-2013) is 218.9 per 100,000 with a 95% confidence interval from 190.8 to 250.3
- The rate ratio is 1.3
- The average annual percent change in death rates is 0.0 with a 95% confidence interval from -1.0 to 1.1
- The recent trend period is 2009 - 2013

**Grayson 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 196.0 per 100,000 with a 95% confidence interval from 171.7 to 223.3
- The rate ratio is 1.2
- The average annual percent change in death rates is 0.0 with a 95% confidence interval from -1.1 to 1.2
- The recent trend period is 2009 - 2013

**Henry 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 155
- The annual death rate (2009-2013) is 194.2 per 100,000 with a 95% confidence interval from 180.5 to 208.8
- The rate ratio is 1.2
- The average annual percent change in death rates is 0.4 with a 95% confidence interval from -0.1 to 0.9
- The recent trend period is 2009 - 2013

**Hopewell City**

- 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 65
- The annual death rate (2009-2013) is 244.9 per 100,000 with a 95% confidence interval from 218.7 to 273.4
- The rate ratio is 1.5
- The average annual percent change in death rates is -0.1 with a 95% confidence interval from -0.7 to 0.5
- The recent trend period is 2009 - 2013

**Lee 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 73
- The annual death rate (2009-2013) is 224.2 per 100,000 with a 95% confidence interval from 201.3 to 249.1
- The rate ratio is 1.3
- The average annual percent change in death rates is 0.0 with a 95% confidence interval from -0.6 to 0.7
- The recent trend period is 2009 - 2013

**Louisa 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 77
- The annual death rate (2009-2013) is 191.0 per 100,000 with a 95% confidence interval from 171.7 to 212.0
- 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 0.2
- The recent trend period is 2009 - 2013

**Martinsville City**

- 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 219.7 per 100,000 with a 95% confidence interval from 191.3 to 251.6
- The rate ratio is 1.3
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.7 to 0.2
- The recent trend period is 2009 - 2013

**Middlesex 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 43
- The annual death rate (2009-2013) is 206.9 per 100,000 with a 95% confidence interval from 179.3 to 239.1
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.7 to 0.2
- The recent trend period is 2009 - 2013

**Northampton 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 48
- The annual death rate (2009-2013) is 227.1 per 100,000 with a 95% confidence interval from 198.1 to 260.0
- The rate ratio is 1.3
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.7 to 0.1
- The recent trend period is 2009 - 2013

**Page 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 65
- The annual death rate (2009-2013) is 199.2 per 100,000 with a 95% confidence interval from 177.8 to 222.7
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.3 with a 95% confidence interval from -1.3 to 0.6
- The recent trend period is 2009 - 2013

**Russell 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 81
- The annual death rate (2009-2013) is 212.0 per 100,000 with a 95% confidence interval from 191.4 to 234.4
- The rate ratio is 1.3
- The average annual percent change in death rates is 0.1 with a 95% confidence interval from -0.7 to 0.8
- The recent trend period is 2009 - 2013

**Scott 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 69
- The annual death rate (2009-2013) is 196.1 per 100,000 with a 95% confidence interval from 175.6 to 218.6
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.5 to 0.0
- The recent trend period is 2009 - 2013

**Waynesboro City**

- 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 58
- The annual death rate (2009-2013) is 210.5 per 100,000 with a 95% confidence interval from 186.5 to 236.9
- The rate ratio is 1.2
- 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

**Wise 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 106
- The annual death rate (2009-2013) is 223.4 per 100,000 with a 95% confidence interval from 204.5 to 243.7
- The rate ratio is 1.3
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.0 to 0.3
- The recent trend period is 2009 - 2013

**Accomack 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 106
- The annual death rate (2009-2013) is 216.2 per 100,000 with a 95% confidence interval from 197.8 to 236.1
- The rate ratio is 1.3
- 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

**Caroline 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 65
- The annual death rate (2009-2013) is 201.8 per 100,000 with a 95% confidence interval from 180.0 to 225.6
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.9 to -0.4
- The recent trend period is 2009 - 2013

**Culpeper 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 90
- The annual death rate (2009-2013) is 187.1 per 100,000 with a 95% confidence interval from 169.9 to 205.6
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.5 to -0.3
- The recent trend period is 2009 - 2013

**Danville City**

- 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 130
- The annual death rate (2009-2013) is 207.4 per 100,000 with a 95% confidence interval from 191.2 to 224.6
- 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 -0.3
- The recent trend period is 2009 - 2013

**Franklin City**

- 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 25
- The annual death rate (2009-2013) is 221.7 per 100,000 with a 95% confidence interval from 183.0 to 266.6
- The rate ratio is 1.3
- 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

**Gloucester 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 90
- The annual death rate (2009-2013) is 200.4 per 100,000 with a 95% confidence interval from 181.9 to 220.3
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -2.0 to -0.4
- The recent trend period is 2009 - 2013

**Hampton City**

- 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 270
- The annual death rate (2009-2013) is 190.3 per 100,000 with a 95% confidence interval from 180.1 to 200.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -1.7 to -0.9
- The recent trend period is 2009 - 2013

**Isle of Wight 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 88
- The annual death rate (2009-2013) is 200.6 per 100,000 with a 95% confidence interval from 181.8 to 220.9
- 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 -0.1
- The recent trend period is 2009 - 2013

**Lynchburg City**

- 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 165
- The annual death rate (2009-2013) is 194.5 per 100,000 with a 95% confidence interval from 181.0 to 208.7
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.7 to -0.7
- The recent trend period is 2009 - 2013

**Mecklenburg 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 109
- The annual death rate (2009-2013) is 213.7 per 100,000 with a 95% confidence interval from 195.7 to 233.2
- The rate ratio is 1.3
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.3 to -0.1
- The recent trend period is 2009 - 2013

**New Kent 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 39
- The annual death rate (2009-2013) is 201.4 per 100,000 with a 95% confidence interval from 172.2 to 234.2
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.8 with a 95% confidence interval from -2.9 to -0.6
- The recent trend period is 2009 - 2013

**Newport News City**

- 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 321
- The annual death rate (2009-2013) is 191.9 per 100,000 with a 95% confidence interval from 182.5 to 201.6
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -1.7 to -1.1
- The recent trend period is 2009 - 2013

**Norfolk City**

- 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 393
- The annual death rate (2009-2013) is 193.6 per 100,000 with a 95% confidence interval from 184.9 to 202.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.8 with a 95% confidence interval from -2.1 to -1.5
- The recent trend period is 2009 - 2013

**Nottoway 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 44
- The annual death rate (2009-2013) is 201.5 per 100,000 with a 95% confidence interval from 175.4 to 230.8
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.8 to -0.2
- The recent trend period is 2009 - 2013

**Petersburg City**

- 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 88
- The annual death rate (2009-2013) is 224.4 per 100,000 with a 95% confidence interval from 203.6 to 246.9
- The rate ratio is 1.3
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -2.1 to -0.8
- The recent trend period is 2009 - 2013

**Portsmouth City**

- 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 229
- The annual death rate (2009-2013) is 218.1 per 100,000 with a 95% confidence interval from 205.5 to 231.4
- The rate ratio is 1.3
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.5 to -0.5
- The recent trend period is 2009 - 2013

**Richmond City**

- 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 406
- The annual death rate (2009-2013) is 200.2 per 100,000 with a 95% confidence interval from 191.4 to 209.4
- The rate ratio is 1.2
- The average annual percent change in death rates is -2.7 with a 95% confidence interval from -3.8 to -1.6
- The recent trend period is 2009 - 2013

**Roanoke City**

- 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 235
- The annual death rate (2009-2013) is 201.2 per 100,000 with a 95% confidence interval from 189.5 to 213.4
- 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 -0.5
- The recent trend period is 2009 - 2013

**Smyth 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 92
- The annual death rate (2009-2013) is 202.4 per 100,000 with a 95% confidence interval from 184.1 to 222.3
- The rate ratio is 1.2
- 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

**Suffolk City**

- 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 169
- The annual death rate (2009-2013) is 199.3 per 100,000 with a 95% confidence interval from 185.8 to 213.5
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.7 to -0.7
- The recent trend period is 2009 - 2013

**Sussex 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 30
- The annual death rate (2009-2013) is 208.4 per 100,000 with a 95% confidence interval from 175.9 to 245.5
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.8 with a 95% confidence interval from -2.8 to -0.8
- The recent trend period is 2009 - 2013

**Tazewell 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 127
- The annual death rate (2009-2013) is 208.1 per 100,000 with a 95% confidence interval from 191.9 to 225.4
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.4 to -0.3
- The recent trend period is 2009 - 2013

**Warren 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 84
- The annual death rate (2009-2013) is 202.5 per 100,000 with a 95% confidence interval from 183.3 to 223.3
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.8 to -0.1
- The recent trend period is 2009 - 2013

**Winchester City**

- 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 59
- The annual death rate (2009-2013) is 192.8 per 100,000 with a 95% confidence interval from 171.2 to 216.5
- 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

**Appomattox 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 36
- The annual death rate (2009-2013) is 178.9 per 100,000 with a 95% confidence interval from 153.4 to 207.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.7 to 0.8
- The recent trend period is 2009 - 2013

**Buckingham 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 191.8 per 100,000 with a 95% confidence interval from 165.4 to 221.5
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -2.0 to 0.9
- The recent trend period is 2009 - 2013

**Carroll 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 78
- The annual death rate (2009-2013) is 172.5 per 100,000 with a 95% confidence interval from 155.5 to 191.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.1 with a 95% confidence interval from -0.9 to 0.7
- The recent trend period is 2009 - 2013

**Clarke 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 38
- The annual death rate (2009-2013) is 197.4 per 100,000 with a 95% confidence interval from 169.5 to 229.0
- The rate ratio is 1.2
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.8 to 0.6
- The recent trend period is 2009 - 2013

**Covington City**

- 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 14
- The annual death rate (2009-2013) is 175.5 per 100,000 with a 95% confidence interval from 136.2 to 223.6
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -2.5 to 1.1
- The recent trend period is 2009 - 2013

**Craig 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 13
- The annual death rate (2009-2013) is 169.4 per 100,000 with a 95% confidence interval from 129.5 to 219.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.3 with a 95% confidence interval from -2.1 to 1.5
- The recent trend period is 2009 - 2013

**Cumberland 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 24
- The annual death rate (2009-2013) is 179.2 per 100,000 with a 95% confidence interval from 147.7 to 216.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.9 to 0.2
- The recent trend period is 2009 - 2013

**Dinwiddie 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 60
- The annual death rate (2009-2013) is 185.4 per 100,000 with a 95% confidence interval from 164.5 to 208.3
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.7 with a 95% confidence interval from -1.7 to 0.2
- The recent trend period is 2009 - 2013

**Essex 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 29
- The annual death rate (2009-2013) is 183.4 per 100,000 with a 95% confidence interval from 154.4 to 216.9
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -2.4 to 0.2
- The recent trend period is 2009 - 2013

**Greensville 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 24
- The annual death rate (2009-2013) is 174.7 per 100,000 with a 95% confidence interval from 144.1 to 210.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.3 with a 95% confidence interval from -2.7 to 0.1
- The recent trend period is 2009 - 2013

**King and Queen 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 18
- The annual death rate (2009-2013) is 180.3 per 100,000 with a 95% confidence interval from 144.7 to 223.3
- The rate ratio is 1.1
- The average annual percent change in death rates is -20.8 with a 95% confidence interval from -43.2 to 10.6
- The recent trend period is 2009 - 2013

**Lunenburg 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 33
- The annual death rate (2009-2013) is 189.8 per 100,000 with a 95% confidence interval from 161.6 to 222.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.6 with a 95% confidence interval from -1.7 to 0.6
- The recent trend period is 2009 - 2013

**Madison 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 31
- The annual death rate (2009-2013) is 169.8 per 100,000 with a 95% confidence interval from 143.5 to 200.0
- The rate ratio is 1.0
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.9 to 0.4
- The recent trend period is 2009 - 2013

**Nelson 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 44
- The annual death rate (2009-2013) is 194.3 per 100,000 with a 95% confidence interval from 168.4 to 223.5
- 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 0.3
- The recent trend period is 2009 - 2013

**Norton City**

- 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 9
- The annual death rate (2009-2013) is 197.3 per 100,000 with a 95% confidence interval from 144.0 to 264.7
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -3.1 to 1.1
- The recent trend period is 2009 - 2013

**Patrick 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 52
- The annual death rate (2009-2013) is 178.3 per 100,000 with a 95% confidence interval from 156.9 to 202.4
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.5 with a 95% confidence interval from -1.3 to 0.3
- The recent trend period is 2009 - 2013

**Pulaski 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 91
- The annual death rate (2009-2013) is 185.8 per 100,000 with a 95% confidence interval from 168.7 to 204.3
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.1 to 0.4
- The recent trend period is 2009 - 2013

**Radford City**

- 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 21
- The annual death rate (2009-2013) is 193.1 per 100,000 with a 95% confidence interval from 157.8 to 234.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -2.4 to 0.4
- The recent trend period is 2009 - 2013

**Rockingham 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 157
- The annual death rate (2009-2013) is 156.1 per 100,000 with a 95% confidence interval from 145.2 to 167.6
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.3 with a 95% confidence interval from -0.9 to 0.3
- The recent trend period is 2009 - 2013

**Staunton City**

- 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 64
- The annual death rate (2009-2013) is 176.1 per 100,000 with a 95% confidence interval from 156.9 to 197.3
- 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

**Floyd County**

- The priority index is 7
- The recent trend is stable
- This death rate is below the US rate
- The average deaths per year (2009-2013) is 30
- The annual death rate (2009-2013) is 138.0 per 100,000 with a 95% confidence interval from 116.4 to 163.0
- The rate ratio is 0.8
- The average annual percent change in death rates is -0.4 with a 95% confidence interval from -1.5 to 0.7
- The recent trend period is 2009 - 2013

**Alleghany County and Clifton Forge City**

- 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 50
- The annual death rate (2009-2013) is 189.5 per 100,000 with a 95% confidence interval from 166.4 to 215.6
- The rate ratio is 1.1
- The average annual percent change in death rates is -0.9 with a 95% confidence interval from -1.8 to -0.1
- The recent trend period is 2009 - 2013

**Amherst 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 183.9 per 100,000 with a 95% confidence interval from 166.1 to 203.1
- 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 -0.3
- The recent trend period is 2009 - 2013

**Augusta 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 163
- The annual death rate (2009-2013) is 167.1 per 100,000 with a 95% confidence interval from 155.6 to 179.2
- 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

**Bath 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 14
- The annual death rate (2009-2013) is 173.0 per 100,000 with a 95% confidence interval from 133.6 to 223.4
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.9 to -0.0
- The recent trend period is 2009 - 2013

**Bedford City and 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 172
- The annual death rate (2009-2013) is 171.6 per 100,000 with a 95% confidence interval from 160.1 to 183.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.5 to -0.5
- The recent trend period is 2009 - 2013

**Brunswick 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 39
- The annual death rate (2009-2013) is 165.3 per 100,000 with a 95% confidence interval from 142.5 to 191.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -2.3 with a 95% confidence interval from -3.4 to -1.2
- The recent trend period is 2009 - 2013

**Buchanan 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 56
- The annual death rate (2009-2013) is 175.8 per 100,000 with a 95% confidence interval from 155.1 to 198.8
- The rate ratio is 1.0
- 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

**Campbell 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 160.1 per 100,000 with a 95% confidence interval from 147.2 to 174.0
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.9 to -0.6
- The recent trend period is 2009 - 2013

**Charlotte 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 33
- The annual death rate (2009-2013) is 182.2 per 100,000 with a 95% confidence interval from 155.2 to 213.2
- The rate ratio is 1.1
- The average annual percent change in death rates is -2.6 with a 95% confidence interval from -3.7 to -1.4
- The recent trend period is 2009 - 2013

**Charlottesville City**

- 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 60
- The annual death rate (2009-2013) is 178.2 per 100,000 with a 95% confidence interval from 158.3 to 200.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.7 with a 95% confidence interval from -2.4 to -1.0
- The recent trend period is 2009 - 2013

**Chesapeake City**

- 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 378
- The annual death rate (2009-2013) is 182.2 per 100,000 with a 95% confidence interval from 173.9 to 190.9
- The rate ratio is 1.1
- 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

**Chesterfield 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 496
- The annual death rate (2009-2013) is 165.0 per 100,000 with a 95% confidence interval from 158.3 to 171.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -1.8 to -1.1
- The recent trend period is 2009 - 2013

**Colonial Heights City**

- 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 43
- The annual death rate (2009-2013) is 159.3 per 100,000 with a 95% confidence interval from 138.2 to 183.2
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.9 with a 95% confidence interval from -2.6 to -1.2
- The recent trend period is 2009 - 2013

**Emporia City**

- 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 15
- The annual death rate (2009-2013) is 202.6 per 100,000 with a 95% confidence interval from 159.1 to 255.4
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.9 with a 95% confidence interval from -3.3 to -0.5
- The recent trend period is 2009 - 2013

**Fairfax City**

- 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 152.2 per 100,000 with a 95% confidence interval from 131.9 to 175.0
- The rate ratio is 0.9
- The average annual percent change in death rates is -2.7 with a 95% confidence interval from -4.2 to -1.2
- The recent trend period is 2009 - 2013

**Falls Church City**

- 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 137.6 per 100,000 with a 95% confidence interval from 108.2 to 172.2
- The rate ratio is 0.8
- The average annual percent change in death rates is -2.3 with a 95% confidence interval from -3.7 to -1.0
- The recent trend period is 2009 - 2013

**Fauquier 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 116
- The annual death rate (2009-2013) is 162.9 per 100,000 with a 95% confidence interval from 149.6 to 177.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -2.0 with a 95% confidence interval from -2.8 to -1.2
- The recent trend period is 2009 - 2013

**Fluvanna 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 56
- The annual death rate (2009-2013) is 176.5 per 100,000 with a 95% confidence interval from 156.2 to 198.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.5 with a 95% confidence interval from -2.4 to -0.7
- The recent trend period is 2009 - 2013

**Franklin 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 124
- The annual death rate (2009-2013) is 162.0 per 100,000 with a 95% confidence interval from 149.2 to 175.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.8 to -0.5
- The recent trend period is 2009 - 2013

**Frederick 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 185.3 per 100,000 with a 95% confidence interval from 172.4 to 198.9
- 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 -0.6
- The recent trend period is 2009 - 2013

**Fredericksburg City**

- 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 39
- The annual death rate (2009-2013) is 180.3 per 100,000 with a 95% confidence interval from 155.7 to 207.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.8 with a 95% confidence interval from -2.8 to -0.8
- The recent trend period is 2009 - 2013

**Galax City**

- 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 150.3 per 100,000 with a 95% confidence interval from 117.8 to 189.9
- The rate ratio is 0.9
- The average annual percent change in death rates is -2.7 with a 95% confidence interval from -4.2 to -1.2
- The recent trend period is 2009 - 2013

**Giles 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 46
- The annual death rate (2009-2013) is 189.4 per 100,000 with a 95% confidence interval from 165.2 to 216.6
- 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 -0.1
- The recent trend period is 2009 - 2013

**Goochland 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 43
- The annual death rate (2009-2013) is 153.4 per 100,000 with a 95% confidence interval from 132.7 to 176.7
- The rate ratio is 0.9
- The average annual percent change in death rates is -2.1 with a 95% confidence interval from -3.4 to -0.9
- The recent trend period is 2009 - 2013

**Greene 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 32
- The annual death rate (2009-2013) is 156.5 per 100,000 with a 95% confidence interval from 132.5 to 183.7
- The rate ratio is 0.9
- 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

**Halifax County with South Boston City**

- 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 97
- The annual death rate (2009-2013) is 178.3 per 100,000 with a 95% confidence interval from 162.4 to 195.5
- 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 -0.7
- The recent trend period is 2009 - 2013

**Hanover 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 185
- The annual death rate (2009-2013) is 163.7 per 100,000 with a 95% confidence interval from 153.2 to 174.8
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.9 with a 95% confidence interval from -2.4 to -1.4
- The recent trend period is 2009 - 2013

**Harrisonburg City**

- 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 51
- The annual death rate (2009-2013) is 150.5 per 100,000 with a 95% confidence interval from 132.1 to 170.7
- The rate ratio is 0.9
- The average annual percent change in death rates is -2.0 with a 95% confidence interval from -2.9 to -1.1
- The recent trend period is 2009 - 2013

**Henrico 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 565
- The annual death rate (2009-2013) is 169.1 per 100,000 with a 95% confidence interval from 162.8 to 175.5
- The rate ratio is 1.0
- 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

**King George 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 195.7 per 100,000 with a 95% confidence interval from 168.8 to 225.5
- The rate ratio is 1.2
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -2.1 to -0.1
- The recent trend period is 2009 - 2013

**King William 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 32
- The annual death rate (2009-2013) is 187.4 per 100,000 with a 95% confidence interval from 158.8 to 219.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -2.4 to -0.0
- The recent trend period is 2009 - 2013

**Lancaster 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 48
- The annual death rate (2009-2013) is 190.6 per 100,000 with a 95% confidence interval from 164.6 to 221.0
- The rate ratio is 1.1
- The average annual percent change in death rates is -2.1 with a 95% confidence interval from -3.0 to -1.1
- The recent trend period is 2009 - 2013

**Lexington City**

- 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 10
- The annual death rate (2009-2013) is 146.6 per 100,000 with a 95% confidence interval from 107.4 to 197.4
- The rate ratio is 0.9
- The average annual percent change in death rates is -3.0 with a 95% confidence interval from -5.1 to -0.9
- The recent trend period is 2009 - 2013

**Manassas City**

- 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 155.2 per 100,000 with a 95% confidence interval from 133.4 to 179.3
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -2.6 to -0.2
- The recent trend period is 2009 - 2013

**Mathews 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 27
- The annual death rate (2009-2013) is 157.1 per 100,000 with a 95% confidence interval from 130.9 to 188.8
- The rate ratio is 0.9
- The average annual percent change in death rates is -2.5 with a 95% confidence interval from -3.5 to -1.4
- The recent trend period is 2009 - 2013

**Montgomery 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 120
- The annual death rate (2009-2013) is 153.3 per 100,000 with a 95% confidence interval from 141.1 to 166.2
- 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

**Northumberland 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 49
- The annual death rate (2009-2013) is 190.5 per 100,000 with a 95% confidence interval from 165.1 to 220.1
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -2.6 to -0.6
- The recent trend period is 2009 - 2013

**Orange 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 82
- The annual death rate (2009-2013) is 177.3 per 100,000 with a 95% confidence interval from 160.3 to 195.7
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -2.1 to -0.6
- The recent trend period is 2009 - 2013

**Pittsylvania 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 156
- The annual death rate (2009-2013) is 176.8 per 100,000 with a 95% confidence interval from 164.3 to 190.0
- The rate ratio is 1.0
- The recent trend period is 2009 - 2013

**Poquoson City**

- 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 159.2 per 100,000 with a 95% confidence interval from 131.6 to 191.4
- The rate ratio is 0.9
- The average annual percent change in death rates is -3.3 with a 95% confidence interval from -5.5 to -1.0
- The recent trend period is 2009 - 2013

**Powhatan 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 52
- The annual death rate (2009-2013) is 175.1 per 100,000 with a 95% confidence interval from 153.3 to 199.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.9 with a 95% confidence interval from -2.7 to -1.0
- The recent trend period is 2009 - 2013

**Prince Edward 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 48
- The annual death rate (2009-2013) is 188.8 per 100,000 with a 95% confidence interval from 165.0 to 215.3
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.2 with a 95% confidence interval from -1.8 to -0.6
- The recent trend period is 2009 - 2013

**Prince George 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 59
- The annual death rate (2009-2013) is 172.1 per 100,000 with a 95% confidence interval from 152.2 to 193.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.8 with a 95% confidence interval from -2.8 to -0.7
- The recent trend period is 2009 - 2013

**Rappahannock 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 17
- The annual death rate (2009-2013) is 149.6 per 100,000 with a 95% confidence interval from 119.0 to 187.2
- The rate ratio is 0.9
- The average annual percent change in death rates is -2.2 with a 95% confidence interval from -3.8 to -0.6
- The recent trend period is 2009 - 2013

**Richmond 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 22
- The annual death rate (2009-2013) is 176.2 per 100,000 with a 95% confidence interval from 144.3 to 213.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -2.4 to -0.4
- The recent trend period is 2009 - 2013

**Roanoke 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 204
- The annual death rate (2009-2013) is 155.9 per 100,000 with a 95% confidence interval from 146.3 to 166.0
- The rate ratio is 0.9
- The average annual percent change in death rates is -0.8 with a 95% confidence interval from -1.2 to -0.3
- The recent trend period is 2009 - 2013

**Rockbridge 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 58
- The annual death rate (2009-2013) is 159.2 per 100,000 with a 95% confidence interval from 141.0 to 179.5
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -2.4 to -0.4
- The recent trend period is 2009 - 2013

**Salem City**

- 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 63
- The annual death rate (2009-2013) is 186.6 per 100,000 with a 95% confidence interval from 166.2 to 209.1
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.7 to -0.2
- The recent trend period is 2009 - 2013

**Shenandoah 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 104
- The annual death rate (2009-2013) is 171.4 per 100,000 with a 95% confidence interval from 156.7 to 187.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.4 to -0.5
- The recent trend period is 2009 - 2013

**Southampton 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 43
- The annual death rate (2009-2013) is 181.8 per 100,000 with a 95% confidence interval from 157.9 to 208.5
- The rate ratio is 1.1
- 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

**Spotsylvania 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 191
- The annual death rate (2009-2013) is 172.5 per 100,000 with a 95% confidence interval from 161.4 to 184.2
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -2.2 to -0.7
- The recent trend period is 2009 - 2013

**Stafford 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 175.6 per 100,000 with a 95% confidence interval from 162.9 to 189.0
- 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

**Surry 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 17
- The annual death rate (2009-2013) is 182.2 per 100,000 with a 95% confidence interval from 145.0 to 227.2
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -3.0 to -0.1
- The recent trend period is 2009 - 2013

**Virginia Beach City**

- 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 688
- The annual death rate (2009-2013) is 168.1 per 100,000 with a 95% confidence interval from 162.4 to 173.9
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.4 with a 95% confidence interval from -1.7 to -1.1
- The recent trend period is 2009 - 2013

**Washington 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 136
- The annual death rate (2009-2013) is 176.7 per 100,000 with a 95% confidence interval from 163.5 to 190.8
- 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

**Westmoreland 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 49
- The annual death rate (2009-2013) is 179.9 per 100,000 with a 95% confidence interval from 157.2 to 205.4
- The rate ratio is 1.1
- The average annual percent change in death rates is -1.6 with a 95% confidence interval from -2.5 to -0.6
- The recent trend period is 2009 - 2013

**Williamsburg City**

- 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 23
- The annual death rate (2009-2013) is 162.1 per 100,000 with a 95% confidence interval from 132.5 to 197.1
- The rate ratio is 1.0
- The average annual percent change in death rates is -3.2 with a 95% confidence interval from -4.6 to -1.9
- The recent trend period is 2009 - 2013

**Wythe 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 71
- The annual death rate (2009-2013) is 175.9 per 100,000 with a 95% confidence interval from 157.7 to 195.7
- The rate ratio is 1.0
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.8 to -0.4
- The recent trend period is 2009 - 2013

**York 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 103
- The annual death rate (2009-2013) is 152.3 per 100,000 with a 95% confidence interval from 139.2 to 166.3
- The rate ratio is 0.9
- The average annual percent change in death rates is -2.2 with a 95% confidence interval from -3.0 to -1.3
- The recent trend period is 2009 - 2013

**Albemarle 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 174
- The annual death rate (2009-2013) is 143.8 per 100,000 with a 95% confidence interval from 134.2 to 153.9
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.1 with a 95% confidence interval from -1.7 to -0.5
- The recent trend period is 2009 - 2013

**Alexandria City**

- 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 165
- The annual death rate (2009-2013) is 135.4 per 100,000 with a 95% confidence interval from 125.8 to 145.4
- The rate ratio is 0.8
- The average annual percent change in death rates is -2.5 with a 95% confidence interval from -2.9 to -2.1
- The recent trend period is 2009 - 2013

**Arlington 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 224
- The annual death rate (2009-2013) is 136.5 per 100,000 with a 95% confidence interval from 128.3 to 145.1
- The rate ratio is 0.8
- The average annual percent change in death rates is -2.1 with a 95% confidence interval from -2.4 to -1.7
- The recent trend period is 2009 - 2013

**Botetourt 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 68
- The annual death rate (2009-2013) is 148.7 per 100,000 with a 95% confidence interval from 132.8 to 166.1
- The rate ratio is 0.9
- The average annual percent change in death rates is -1.0 with a 95% confidence interval from -1.7 to -0.2
- The recent trend period is 2009 - 2013

**Fairfax 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 1,229
- The annual death rate (2009-2013) is 126.9 per 100,000 with a 95% confidence interval from 123.6 to 130.2
- The rate ratio is 0.8
- The average annual percent change in death rates is -2.1 with a 95% confidence interval from -2.3 to -1.9
- The recent trend period is 2009 - 2013

**Highland 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 111.3 per 100,000 with a 95% confidence interval from 71.6 to 177.8
- The rate ratio is 0.7
- The average annual percent change in death rates is -3.7 with a 95% confidence interval from -5.9 to -1.4
- The recent trend period is 2009 - 2013

**James City 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 159
- The annual death rate (2009-2013) is 149.0 per 100,000 with a 95% confidence interval from 138.6 to 160.1
- The rate ratio is 0.9
- 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

**Loudoun 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 283
- The annual death rate (2009-2013) is 136.5 per 100,000 with a 95% confidence interval from 129.1 to 144.3
- The rate ratio is 0.8
- The average annual percent change in death rates is -2.6 with a 95% confidence interval from -3.0 to -2.1
- The recent trend period is 2009 - 2013

**Manassas Park City**

- 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 11
- The annual death rate (2009-2013) is 123.4 per 100,000 with a 95% confidence interval from 90.7 to 162.9
- The rate ratio is 0.7
- The average annual percent change in death rates is -6.9 with a 95% confidence interval from -10.1 to -3.5
- The recent trend period is 2009 - 2013

**Prince William 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 407
- The annual death rate (2009-2013) is 150.1 per 100,000 with a 95% confidence interval from 143.1 to 157.3
- The rate ratio is 0.9
- The average annual percent change in death rates is -2.3 with a 95% confidence interval from -2.7 to -2.0
- The recent trend period is 2009 - 2013

**Notes:**

Created by statecancerprofiles.cancer.gov on 07/30/2016 9:40 pm.

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).