State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Washington by County

All Cancer Sites, 2019-2023

White Non-Hispanic, Both Sexes, All Ages

Sorted by Rate

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

Washington

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.4 with a 95% confidence interval from 149.1 to 151.6 and 11,409 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.5 to -1.3.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.2 with a 95% confidence interval from 151.0 to 151.4 and 464,032 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.3 to -1.0.

San Juan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 119.6 with a 95% confidence interval from 102.4 to 140.3 and 44 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (29, 39)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.4 to -0.2.

King County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 129.2 with a 95% confidence interval from 126.8 to 131.7 and 2,228 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (33, 39)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.0 to -1.6.

Jefferson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 131.2 with a 95% confidence interval from 118.4 to 145.9 and 101 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (25, 39)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.4 to -1.1.

Skamania County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 136.4 with a 95% confidence interval from 113.2 to 164.3 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (8, 39)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -4.0 to -0.5.

Garfield County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.6 with a 95% confidence interval from 87.5 to 218.5 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (1, 39)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -4.1 to -0.2.

Kitsap County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 142.2 with a 95% confidence interval from 136.2 to 148.4 and 458 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (24, 37)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.0 to -1.5.

Whatcom County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 143.1 with a 95% confidence interval from 136.5 to 150.0 and 372 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (23, 36)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.6.

Asotin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 143.1 with a 95% confidence interval from 125.7 to 162.8 and 54 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (9, 39)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.5 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 143.3 with a 95% confidence interval from 131.0 to 156.7 and 111 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (14, 38)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.6.

Lincoln County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 144.4 with a 95% confidence interval from 119.0 to 174.7 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (4, 39)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.3.

Chelan 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 134.2 to 156.6 and 149 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (15, 37)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.7.

Adams County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 145.4 with a 95% confidence interval from 115.5 to 182.3 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (2, 39)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.5.

Douglas County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 149.2 with a 95% confidence interval from 133.9 to 166.3 and 73 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (8, 38)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.6.

Island County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.1 with a 95% confidence interval from 140.3 to 160.6 and 200 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (11, 35)
• Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -7.5 to 1.0.

Whitman County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.2 with a 95% confidence interval from 134.4 to 171.9 and 55 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (6, 38)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.2.

Thurston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.3 with a 95% confidence interval from 146.2 to 158.5 and 507 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (13, 32)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.0 to -1.3.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 153.6 with a 95% confidence interval from 138.0 to 170.6 and 75 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (6, 37)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.1 to -1.2.

Spokane County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 154.0 with a 95% confidence interval from 149.6 to 158.6 and 959 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (14, 30)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.5 to -0.9.

Klickitat County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 154.8 with a 95% confidence interval from 136.3 to 175.9 and 56 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (4, 38)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.1 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 155.1 with a 95% confidence interval from 147.4 to 163.2 and 317 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (10, 32)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.6 to 3.1.

Clark County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 157.0 with a 95% confidence interval from 152.1 to 162.0 and 822 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (11, 28)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.8 to -1.2.

Pierce County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 157.4 with a 95% confidence interval from 153.5 to 161.5 and 1,255 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (11, 27)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.7 to -1.3.

Clallam County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.3 with a 95% confidence interval from 148.8 to 168.5 and 241 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (7, 31)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.3.

Snohomish County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.8 with a 95% confidence interval from 154.6 to 163.1 and 1,157 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (10, 26)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.8.

Stevens County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 160.7 with a 95% confidence interval from 147.1 to 175.4 and 116 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (4, 33)
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -1.1 to 6.5.

Kittitas County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 161.4 with a 95% confidence interval from 146.0 to 178.2 and 85 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (3, 34)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 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 162.4 with a 95% confidence interval from 153.7 to 171.6 and 288 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (6, 27)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.4 to -0.5.

Grant County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 163.2 with a 95% confidence interval from 150.8 to 176.6 and 136 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (4, 31)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.6.

Pend Oreille County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 170.0 with a 95% confidence interval from 145.4 to 198.7 and 39 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (1, 35)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.9 to -0.7.

Wahkiakum County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 171.9 with a 95% confidence interval from 134.1 to 222.8 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 39)
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -3.8 to 0.3.

Mason County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 173.1 with a 95% confidence interval from 161.1 to 186.0 and 172 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (2, 21)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.7 to -0.3.

Lewis County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.0 with a 95% confidence interval from 163.0 to 185.6 and 202 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (2, 19)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.6 to -0.7.

Yakima County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.4 with a 95% confidence interval from 166.8 to 184.5 and 338 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (2, 15)
• Recent Trend : The trend is falling because the trend is -0.5 with a 95% confidence interval from -0.8 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 179.7 with a 95% confidence interval from 160.2 to 201.8 and 78 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 26)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.1 to 0.1.

Okanogan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.7 with a 95% confidence interval from 163.4 to 197.8 and 103 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 20)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.7.

Grays Harbor County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 182.9 with a 95% confidence interval from 171.1 to 195.6 and 199 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 13)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.9 to -0.8.

Ferry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 187.3 with a 95% confidence interval from 150.1 to 234.2 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 35)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.8 to 2.1.

Columbia County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 189.5 with a 95% confidence interval from 148.0 to 245.1 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 192.9 with a 95% confidence interval from 182.6 to 203.8 and 277 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 8)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.1.

Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 1:15 pm.

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.

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.