State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Washington by County

All Cancer Sites, 2019-2023

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

Sorted by Name

Explanation of Column Headers

Death Rate (95% Confidence Interval) - The death rate is based upon 100,000 people and is for 5 year(s). Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population (the Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal).

Recent Trends - This is an interpretation of the AAPC:

• 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.

AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Adams County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 129.5 with a 95% confidence interval from 106.8 to 155.5 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (8, 39)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.2.

Asotin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 141.8 with a 95% confidence interval from 124.9 to 160.8 and 56 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (7, 39)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.3 to -0.1.

Benton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 147.7 with a 95% confidence interval from 140.7 to 154.9 and 350 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (11, 33)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.1.

Chelan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.1 with a 95% confidence interval from 129.3 to 149.4 and 159 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (16, 37)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.7.

Clallam County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.1 with a 95% confidence interval from 146.1 to 164.6 and 253 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (6, 30)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.4.

Clark County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.7 with a 95% confidence interval from 147.2 to 156.3 and 898 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (10, 28)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -1.9 to -1.3.

Columbia County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 187.4 with a 95% confidence interval from 146.0 to 240.8 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 37)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.3 to 1.0.

Cowlitz County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 187.5 with a 95% confidence interval from 177.7 to 197.7 and 290 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 7)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.2 to -0.1.

Douglas County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 145.0 with a 95% confidence interval from 131.0 to 160.2 and 81 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (8, 37)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.1 to -0.6.

Ferry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.2 with a 95% confidence interval from 143.6 to 213.5 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 36)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.1 to 0.9.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 137.3 with a 95% confidence interval from 125.3 to 150.1 and 104 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (14, 38)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.1 to -1.3.

Garfield County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 133.0 with a 95% confidence interval from 84.1 to 205.2 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (1, 39)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -4.0 to -0.4.

Grant County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.7 with a 95% confidence interval from 142.2 to 163.8 and 162 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (7, 32)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.0 to -0.9.

Grays Harbor County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 177.6 with a 95% confidence interval from 166.6 to 189.3 and 213 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 11)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.9 to -0.9.

Island County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 146.2 with a 95% confidence interval from 137.1 to 155.9 and 214 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (10, 35)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.7 to 3.6.

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 129.0 with a 95% confidence interval from 116.9 to 142.7 and 105 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (22, 39)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.4 to -1.1.

King County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 124.9 with a 95% confidence interval from 122.9 to 127.0 and 2,975 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (33, 39)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.0 to -1.7.

Kitsap County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 138.6 with a 95% confidence interval from 133.1 to 144.3 and 510 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (24, 36)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.1 to -1.5.

Kittitas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 154.9 with a 95% confidence interval from 140.3 to 170.8 and 86 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (4, 35)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.4.

Klickitat County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.8 with a 95% confidence interval from 134.3 to 171.4 and 59 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (4, 37)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -1.9 to 0.0.

Lewis County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.9 with a 95% confidence interval from 159.5 to 180.9 and 211 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (2, 17)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.6 to -0.8.

Lincoln County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 145.7 with a 95% confidence interval from 121.1 to 174.7 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (2, 39)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.2.

Mason County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 171.4 with a 95% confidence interval from 159.9 to 183.5 and 184 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 17)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.7 to -0.3.

Okanogan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.0 with a 95% confidence interval from 160.5 to 190.6 and 118 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 16)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.3.

Pacific County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.4 with a 95% confidence interval from 151.9 to 188.9 and 82 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 28)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.2 to -0.1.

Pend Oreille County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 167.5 with a 95% confidence interval from 144.0 to 194.5 and 41 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 34)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.9 to -0.7.

Pierce County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.0 with a 95% confidence interval from 151.5 to 158.6 and 1,545 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (9, 23)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.7 to -1.3.

San Juan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 116.8 with a 95% confidence interval from 100.7 to 135.6 and 46 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (28, 39)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.5 to -0.3.

Skagit County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 155.9 with a 95% confidence interval from 148.0 to 164.2 and 308 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (7, 28)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.6.

Skamania County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 131.9 with a 95% confidence interval from 109.8 to 158.0 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (8, 39)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -4.1 to -0.7.

Snohomish County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.3 with a 95% confidence interval from 146.7 to 154.1 and 1,343 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (13, 28)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.4 to -0.9.

Spokane County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.6 with a 95% confidence interval from 148.4 to 156.9 and 1,026 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (10, 27)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.5 to -0.9.

Stevens County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.5 with a 95% confidence interval from 145.5 to 172.4 and 123 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (3, 31)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.7.

Thurston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 149.9 with a 95% confidence interval from 144.4 to 155.7 and 574 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (11, 30)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -1.5 to 3.6.

Wahkiakum County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 168.2 with a 95% confidence interval from 132.0 to 215.7 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 39)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.0 to 0.1.

Walla Walla County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 141.0 with a 95% confidence interval from 129.7 to 153.0 and 124 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (12, 38)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.

Whatcom County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 140.6 with a 95% confidence interval from 134.5 to 147.0 and 409 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (21, 36)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.7.

Whitman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 148.4 with a 95% confidence interval from 131.6 to 166.8 and 58 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (5, 38)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.3.

Yakima County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 157.8 with a 95% confidence interval from 151.2 to 164.8 and 430 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (7, 26)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.6.

Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 6:36 am.

State Cancer Registries may provide more current or more local data.

† 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 (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+).

Population counts for denominators are based on Census populations as modified by NCI.

The US Population Data File is used with mortality data.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

Data for United States does not include Puerto Rico.