Death Rates Table
Death Rate Report for North Carolina by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by CI*Rank
County
|
2023 Rural-Urban Continuum Codes Φ
|
Met Healthy People Objective of 122.7? |
Age-Adjusted Death Rate † deaths per 100,000 (95% Confidence Interval)
|
CI*Rank ⋔ (95% Confidence Interval) 
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend ‡ in Death Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|---|
| North Carolina | N/A | No | 154.1 (153.1, 155.1) | N/A | 20,300 |
falling 
|
-1.3 (-1.4, -1.3) |
| United States | N/A | No | 145.4 (145.2, 145.6) | N/A | 605,771 |
falling
|
-1.3 (-1.5, -1.2) |
| Swain County | Rural | No | 224.5 (194.9, 257.7) | 1 (1, 27) | 44 |
stable 
|
0.9 (-0.3, 2.1) |
| Richmond County | Rural | No | 210.2 (193.2, 228.4) | 2 (1, 21) | 119 |
stable
|
-0.4 (-1.3, 0.4) |
| Anson County | Urban | No | 200.1 (177.7, 224.7) | 3 (1, 53) | 62 |
stable
|
0.4 (-0.4, 1.2) |
| Robeson County | Rural | No | 199.1 (188.4, 210.2) | 4 (1, 21) | 275 |
stable
|
-0.3 (-0.9, 0.2) |
| Halifax County | Rural | No | 196.2 (181.6, 211.9) | 5 (1, 34) | 144 |
falling
|
-0.6 (-1.2, -0.1) |
| Wayne County | Urban | No | 193.0 (182.8, 203.6) | 6 (1, 27) | 281 |
falling
|
-0.7 (-1.2, -0.1) |
| Vance County | Rural | No | 192.5 (176.3, 209.8) | 7 (1, 51) | 111 |
stable
|
-0.7 (-1.3, 0.0) |
| Scotland County | Rural | No | 192.1 (174.0, 211.7) | 8 (1, 52) | 86 |
falling
|
-1.0 (-1.9, -0.2) |
| Edgecombe County | Urban | No | 191.5 (177.0, 207.0) | 9 (1, 42) | 139 |
stable
|
-0.2 (-1.0, 2.6) |
| Onslow County | Urban | No | 191.2 (181.3, 201.4) | 10 (2, 29) | 297 |
stable
|
-0.3 (-1.0, 0.5) |
| Columbus County | Rural | No | 190.3 (176.1, 205.5) | 11 (1, 46) | 140 |
stable
|
-0.8 (-1.5, 0.0) |
| Mitchell County | Rural | No | 190.1 (165.8, 217.6) | 12 (1, 76) | 48 |
stable
|
6.6 (-0.7, 12.2) |
| Tyrrell County | Rural | No | 190.1 (142.0, 252.6) | 13 (1, 100) | 11 |
falling
|
-2.5 (-4.5, -0.6) |
| Sampson County | Rural | No | 189.9 (176.2, 204.4) | 14 (1, 46) | 148 |
stable
|
-0.6 (-1.1, 0.0) |
| Washington County | Rural | No | 189.7 (160.5, 223.4) | 15 (1, 84) | 36 |
stable
|
-0.3 (-1.7, 1.2) |
| McDowell County | Rural | No | 187.3 (172.7, 202.9) | 16 (2, 53) | 128 |
stable
|
-0.1 (-0.8, 0.6) |
| Caldwell County | Urban | No | 186.7 (175.6, 198.4) | 17 (3, 42) | 225 |
falling
|
-0.7 (-1.2, -0.2) |
| Cleveland County | Rural | No | 184.2 (173.8, 195.1) | 18 (4, 41) | 251 |
falling
|
-0.6 (-1.0, -0.2) |
| Surry County | Rural | No | 183.7 (172.2, 195.9) | 19 (4, 48) | 199 |
falling
|
-0.5 (-1.0, -0.1) |
| Martin County | Rural | No | 182.4 (162.6, 204.4) | 20 (1, 76) | 68 |
rising 
|
9.4 (5.0, 15.0) |
| Bertie County | Rural | No | 180.6 (157.9, 206.2) | 21 (1, 86) | 51 |
falling
|
-1.7 (-2.7, -0.7) |
| Harnett County | Rural | No | 179.3 (169.3, 189.7) | 22 (7, 55) | 252 |
falling
|
-1.0 (-1.4, -0.5) |
| Hoke County | Urban | No | 175.8 (158.3, 194.7) | 23 (3, 78) | 82 |
falling
|
-1.7 (-2.8, -0.5) |
| Rutherford County | Rural | No | 175.7 (164.0, 188.2) | 24 (7, 64) | 178 |
falling
|
-0.7 (-1.3, -0.2) |
| Davidson County | Urban | No | 175.2 (167.6, 183.1) | 25 (13, 55) | 418 |
falling
|
-0.7 (-1.2, -0.1) |
| Northampton County | Rural | No | 174.9 (153.5, 199.1) | 26 (1, 86) | 58 |
falling
|
-1.1 (-1.9, -0.4) |
| Jones County | Rural | No | 174.8 (145.3, 209.6) | 27 (1, 95) | 27 |
stable
|
-0.8 (-2.4, 0.8) |
| Stanly County | Rural | No | 174.2 (161.7, 187.5) | 28 (7, 71) | 151 |
falling
|
-0.8 (-1.4, -0.2) |
| Cumberland County | Urban | No | 173.8 (167.3, 180.5) | 29 (16, 53) | 565 |
falling
|
-1.0 (-1.3, -0.7) |
| Bladen County | Rural | No | 173.2 (156.2, 191.8) | 30 (4, 83) | 82 |
stable
|
-0.9 (-1.9, 0.0) |
| Rockingham County | Urban | No | 172.3 (162.4, 182.7) | 31 (14, 68) | 241 |
falling
|
-1.3 (-1.7, -0.9) |
| Alamance County | Urban | No | 170.9 (163.2, 178.9) | 32 (16, 62) | 381 |
falling
|
-0.9 (-1.3, -0.5) |
| Duplin County | Rural | No | 170.4 (156.3, 185.4) | 33 (9, 81) | 116 |
falling
|
-0.9 (-1.6, -0.2) |
| Randolph County | Urban | No | 170.0 (161.7, 178.7) | 34 (16, 67) | 330 |
falling
|
-0.7 (-1.2, -0.2) |
| Craven County | Rural | No | 169.5 (159.9, 179.6) | 35 (15, 72) | 248 |
falling
|
-1.3 (-1.5, -1.0) |
| Wilson County | Rural | No | 169.3 (158.3, 181.0) | 36 (14, 77) | 183 |
falling
|
-1.2 (-1.9, -0.6) |
| Pender County | Urban | No | 168.9 (156.2, 182.4) | 37 (12, 80) | 140 |
falling
|
-0.7 (-1.4, -0.1) |
| Granville County | Rural | No | 168.8 (156.1, 182.3) | 38 (12, 81) | 138 |
stable
|
-0.9 (-1.8, 1.4) |
| Camden County | Urban | No | 168.6 (138.3, 204.1) | 39 (1, 99) | 23 |
stable
|
1.4 (-5.3, 9.0) |
| Alexander County | Urban | No | 168.5 (153.0, 185.3) | 40 (7, 84) | 91 |
stable
|
-0.6 (-1.4, 0.1) |
| Lenoir County | Rural | No | 168.4 (155.7, 181.9) | 41 (12, 81) | 140 |
falling
|
-1.5 (-2.3, -0.8) |
| Person County | Urban | No | 167.7 (152.9, 183.8) | 42 (8, 86) | 99 |
falling
|
-1.2 (-2.2, -0.2) |
| Stokes County | Urban | No | 167.5 (153.9, 182.1) | 43 (12, 83) | 121 |
falling
|
-1.1 (-1.9, -0.3) |
| Hertford County | Rural | No | 167.4 (147.1, 190.1) | 44 (4, 92) | 52 |
falling
|
-2.0 (-2.8, -1.2) |
| Caswell County | Rural | No | 166.9 (148.3, 187.7) | 45 (6, 90) | 62 |
falling
|
-1.2 (-1.9, -0.5) |
| Yadkin County | Urban | No | 166.6 (151.4, 183.2) | 46 (9, 86) | 93 |
falling
|
-1.0 (-1.6, -0.4) |
| Rowan County | Urban | No | 165.2 (157.0, 173.7) | 47 (23, 73) | 321 |
falling
|
-3.1 (-5.0, -1.9) |
| Graham County | Rural | No | 165.0 (135.4, 200.5) | 48 (1, 100) | 23 |
stable
|
-0.5 (-2.1, 1.2) |
| Gaston County | Urban | No | 164.9 (158.2, 171.8) | 49 (27, 71) | 476 |
falling
|
-1.4 (-1.7, -1.1) |
| Burke County | Urban | No | 164.6 (154.8, 174.9) | 50 (20, 79) | 223 |
falling
|
-0.7 (-1.2, -0.2) |
| Perquimans County | Rural | No | 163.5 (140.8, 189.7) | 51 (3, 95) | 41 |
falling
|
-1.2 (-2.4, -0.1) |
| Chowan County | Rural | No | 163.5 (140.4, 189.9) | 52 (3, 95) | 40 |
falling
|
-1.3 (-2.5, -0.1) |
| Carteret County | Rural | No | 163.0 (152.8, 173.9) | 53 (20, 83) | 204 |
falling
|
-1.4 (-2.0, -0.8) |
| Johnston County | Urban | No | 162.2 (154.6, 170.1) | 54 (28, 76) | 373 |
falling
|
-1.1 (-1.5, -0.7) |
| Wilkes County | Rural | No | 161.9 (151.0, 173.6) | 55 (22, 84) | 173 |
falling
|
-1.0 (-1.5, -0.5) |
| Greene County | Rural | No | 161.6 (140.0, 185.7) | 56 (4, 97) | 42 |
falling
|
-1.4 (-2.5, -0.3) |
| Beaufort County | Rural | No | 160.5 (147.5, 174.5) | 57 (15, 88) | 123 |
falling
|
-1.3 (-1.9, -0.6) |
| Nash County | Urban | No | 160.2 (150.4, 170.5) | 58 (25, 84) | 212 |
falling
|
-1.4 (-1.8, -1.0) |
| Gates County | Urban | No | 160.1 (132.4, 192.8) | 59 (2, 100) | 25 |
falling
|
-1.8 (-3.1, -0.6) |
| Forsyth County | Urban | No | 159.8 (154.7, 165.1) | 60 (39, 76) | 755 |
stable
|
0.7 (-1.3, 2.0) |
| Pasquotank County | Rural | No | 159.6 (144.6, 175.8) | 61 (16, 91) | 87 |
falling
|
-1.5 (-2.3, -0.8) |
| Montgomery County | Rural | No | 159.6 (141.9, 179.1) | 62 (11, 94) | 64 |
stable
|
-0.7 (-1.6, 0.3) |
| Pitt County | Urban | No | 159.5 (151.3, 168.1) | 63 (31, 83) | 293 |
falling
|
-1.5 (-2.0, -1.0) |
| Pamlico County | Rural | No | 159.5 (135.4, 187.8) | 64 (4, 100) | 39 |
falling
|
-1.3 (-2.4, -0.2) |
| Warren County | Rural | No | 158.4 (139.3, 179.9) | 65 (10, 96) | 55 |
stable
|
-1.2 (-2.5, 0.0) |
| Catawba County | Urban | No | 158.3 (150.8, 166.2) | 66 (35, 82) | 343 |
falling
|
-1.3 (-1.7, -0.9) |
| Dare County | Rural | No | 156.2 (141.5, 172.4) | 67 (21, 93) | 91 |
falling
|
-1.6 (-2.5, -0.6) |
| Haywood County | Rural | No | 155.8 (145.0, 167.3) | 68 (29, 88) | 169 |
falling
|
-0.8 (-1.5, -0.2) |
| Madison County | Urban | No | 155.5 (136.5, 176.8) | 69 (12, 97) | 52 |
stable
|
1.3 (-1.1, 6.7) |
| Alleghany County | Rural | No | 155.0 (131.0, 183.3) | 70 (6, 100) | 33 |
stable
|
-0.3 (-10.8, 8.9) |
| Yancey County | Rural | No | 153.4 (135.3, 173.9) | 71 (14, 97) | 54 |
falling
|
-7.9 (-11.7, -5.2) |
| Davie County | Urban | No | 152.8 (139.7, 166.9) | 72 (29, 93) | 105 |
stable
|
-0.6 (-1.5, 0.3) |
| Brunswick County | Urban | No | 152.7 (145.6, 160.1) | 73 (49, 87) | 441 |
falling
|
-1.2 (-1.7, -0.7) |
| Currituck County | Urban | No | 152.1 (134.0, 172.2) | 74 (20, 98) | 57 |
stable
|
3.0 (-0.4, 8.9) |
| Franklin County | Urban | No | 152.1 (140.7, 164.3) | 75 (32, 93) | 138 |
falling
|
-1.7 (-2.3, -1.0) |
| Lee County | Rural | No | 152.1 (140.2, 164.8) | 76 (32, 93) | 125 |
falling
|
-1.5 (-2.3, -0.7) |
| Moore County | Urban | No | 152.1 (143.7, 161.0) | 77 (43, 89) | 265 |
falling
|
-1.3 (-1.8, -0.8) |
| Ashe County | Rural | No | 151.8 (136.5, 168.7) | 78 (20, 95) | 77 |
stable
|
-0.7 (-1.7, 0.2) |
| Lincoln County | Urban | No | 151.1 (141.3, 161.5) | 79 (42, 92) | 188 |
falling
|
-1.3 (-1.8, -0.8) |
| Guilford County | Urban | No | 150.5 (146.1, 154.9) | 80 (61, 86) | 951 |
stable
|
-0.9 (-1.2, 0.4) |
| Henderson County | Urban | No | 150.4 (142.7, 158.5) | 81 (51, 90) | 313 |
falling
|
-0.9 (-1.3, -0.5) |
| Macon County | Rural | No | 150.2 (136.8, 164.8) | 82 (31, 96) | 105 |
falling
|
-1.0 (-1.6, -0.3) |
| New Hanover County | Urban | No | 149.6 (143.4, 156.0) | 83 (56, 88) | 458 |
falling
|
-1.4 (-1.9, -0.9) |
| Cherokee County | Rural | No | 148.4 (133.7, 164.7) | 84 (30, 97) | 88 |
falling
|
-1.6 (-2.2, -1.1) |
| Iredell County | Urban | No | 146.6 (139.6, 153.8) | 85 (60, 92) | 347 |
falling
|
-1.4 (-1.9, -1.0) |
| Cabarrus County | Urban | No | 140.5 (133.7, 147.5) | 86 (71, 95) | 335 |
falling
|
-1.9 (-2.4, -1.4) |
| Union County | Urban | No | 140.2 (133.5, 147.1) | 87 (72, 96) | 350 |
falling
|
-1.6 (-2.1, -1.0) |
| Polk County | Rural | No | 138.6 (120.5, 159.2) | 88 (34, 100) | 57 |
falling
|
-1.2 (-2.2, -0.3) |
| Durham County | Urban | No | 136.6 (131.0, 142.4) | 89 (79, 97) | 466 |
falling
|
-2.2 (-2.4, -2.0) |
| Buncombe County | Urban | No | 135.2 (130.0, 140.5) | 90 (82, 97) | 545 |
falling
|
-1.7 (-2.0, -1.4) |
| Watauga County | Rural | No | 133.5 (120.5, 147.6) | 91 (65, 100) | 82 |
falling
|
-1.2 (-2.1, -0.3) |
| Transylvania County | Rural | No | 131.8 (119.0, 145.9) | 92 (69, 100) | 92 |
falling
|
-1.2 (-2.0, -0.4) |
| Mecklenburg County | Urban | No | 131.0 (127.8, 134.2) | 93 (87, 98) | 1,354 |
falling
|
-1.9 (-2.1, -1.7) |
| Avery County | Rural | No | 130.6 (112.2, 151.8) | 94 (44, 100) | 37 |
falling
|
-2.2 (-3.5, -1.0) |
| Chatham County | Urban | No | 127.8 (119.3, 137.0) | 95 (84, 100) | 178 |
falling
|
-1.6 (-2.1, -0.9) |
| Clay County | Rural | No | 127.4 (107.4, 151.6) | 96 (49, 100) | 32 |
falling
|
-1.6 (-2.5, -0.8) |
| Jackson County | Rural | No | 126.8 (114.0, 140.9) | 97 (78, 100) | 76 |
falling
|
-1.6 (-2.5, -0.7) |
| Hyde County | Rural | No | 126.8 (90.7, 174.8) | 98 (5, 100) | 9 |
falling
|
-12.8 (-41.9, -2.7) |
| Wake County | Urban | Yes | 122.4 (119.4, 125.4) | 99 (93, 100) | 1,348 |
falling
|
-3.5 (-5.0, -2.6) |
| Orange County | Urban | Yes | 120.7 (113.2, 128.7) | 100 (90, 100) | 200 |
falling
|
-2.4 (-2.9, -1.9) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 12:56 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.