Death Rates Table
Death Rate Report for North Carolina by County
All Cancer Sites, 2019-2023
Black Non-Hispanic, Both Sexes, All Ages
Sorted by Rate
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 | 176.6 (174.1, 179.1) | N/A | 4,207 |
falling 
|
-1.6 (-1.7, -1.4) |
| United States | N/A | No | 166.5 (165.9, 167.1) | N/A | 70,844 |
falling
|
-2.0 (-2.0, -1.9) |
| Wilkes County | Rural | Yes | 101.2 (62.6, 156.9) | 82 (43, 82) | 4 |
falling
|
-6.7 (-19.9, -3.1) |
| Burke County | Urban | No | 136.4 (99.7, 183.3) | 81 (21, 82) | 9 |
stable 
|
-1.7 (-3.8, 0.3) |
| Lincoln County | Urban | No | 139.7 (100.1, 190.2) | 80 (11, 82) | 8 |
falling
|
-3.2 (-5.8, -0.6) |
| Greene County | Rural | No | 141.6 (107.8, 183.4) | 79 (20, 82) | 13 |
stable
|
-1.6 (-3.5, 0.3) |
| Pamlico County | Rural | No | 143.6 (92.1, 219.2) | 78 (5, 82) | 5 |
stable
|
-0.9 (-3.8, 1.7) |
| Hoke County | Urban | No | 144.5 (120.2, 172.4) | 77 (35, 82) | 28 |
falling
|
-2.7 (-4.3, -1.0) |
| Chatham County | Urban | No | 152.8 (125.1, 185.8) | 76 (21, 82) | 22 |
stable
|
-1.5 (-2.8, 0.0) |
| Wake County | Urban | No | 153.0 (144.7, 161.5) | 75 (58, 79) | 296 |
falling
|
-2.0 (-2.7, -1.3) |
| Franklin County | Urban | No | 154.2 (131.6, 179.7) | 74 (23, 81) | 35 |
falling
|
-1.6 (-2.8, -0.5) |
| Pasquotank County | Rural | No | 158.7 (133.1, 188.1) | 73 (19, 81) | 28 |
falling
|
-2.1 (-3.4, -0.9) |
| Caswell County | Rural | No | 160.1 (129.0, 197.9) | 72 (12, 82) | 20 |
falling
|
-2.1 (-3.2, -0.9) |
| Hertford County | Rural | No | 161.6 (134.6, 193.0) | 71 (14, 81) | 27 |
falling
|
-2.5 (-3.4, -1.7) |
| Chowan County | Rural | No | 161.7 (120.3, 214.4) | 70 (5, 82) | 11 |
falling
|
-3.6 (-11.3, -2.1) |
| Brunswick County | Urban | No | 163.2 (137.3, 193.0) | 69 (16, 81) | 31 |
stable
|
-1.2 (-2.3, 0.1) |
| Iredell County | Urban | No | 163.2 (140.5, 188.6) | 68 (21, 81) | 39 |
falling
|
-1.4 (-2.7, -0.1) |
| Lenoir County | Rural | No | 163.4 (143.6, 185.5) | 67 (24, 80) | 54 |
falling
|
-2.4 (-3.5, -1.2) |
| Johnston County | Urban | No | 164.9 (145.2, 186.5) | 66 (23, 80) | 59 |
falling
|
-1.6 (-2.9, -0.1) |
| Bladen County | Rural | No | 165.1 (136.0, 199.3) | 65 (11, 81) | 25 |
falling
|
-1.9 (-3.4, -0.6) |
| Buncombe County | Urban | No | 165.6 (139.3, 195.5) | 64 (14, 81) | 31 |
falling
|
-2.1 (-3.5, -0.8) |
| Union County | Urban | No | 166.7 (144.3, 191.6) | 63 (17, 80) | 44 |
falling
|
-2.3 (-3.7, -0.7) |
| Bertie County | Rural | No | 167.8 (138.6, 201.9) | 62 (10, 81) | 26 |
falling
|
-2.5 (-3.8, -1.3) |
| Orange County | Urban | No | 168.6 (142.5, 198.2) | 61 (11, 81) | 31 |
falling
|
-2.0 (-3.1, -1.1) |
| Davidson County | Urban | No | 168.9 (143.7, 197.4) | 60 (14, 80) | 34 |
falling
|
-1.6 (-2.9, -0.3) |
| Nash County | Urban | No | 169.1 (152.2, 187.4) | 59 (25, 78) | 80 |
falling
|
-2.1 (-2.9, -1.4) |
| Mecklenburg County | Urban | No | 169.5 (162.4, 176.9) | 58 (39, 70) | 491 |
falling
|
-1.9 (-2.3, -1.6) |
| Cabarrus County | Urban | No | 169.7 (149.8, 191.3) | 57 (19, 79) | 61 |
falling
|
-2.0 (-3.3, -0.4) |
| Currituck County | Urban | No | 171.0 (99.4, 277.5) | 56 (1, 82) | 4 |
stable
|
-1.6 (-4.5, 1.3) |
| Durham County | Urban | No | 171.7 (160.6, 183.3) | 55 (31, 72) | 195 |
falling
|
-1.7 (-2.3, -1.1) |
| Cumberland County | Urban | No | 173.0 (162.6, 184.0) | 54 (29, 71) | 217 |
falling
|
-1.1 (-1.7, -0.5) |
| Guilford County | Urban | No | 174.1 (164.8, 183.7) | 53 (29, 69) | 291 |
falling
|
-1.3 (-1.8, -0.8) |
| Caldwell County | Urban | No | 174.5 (126.1, 235.9) | 52 (2, 82) | 9 |
stable
|
-2.2 (-5.0, 0.3) |
| Pender County | Urban | No | 175.1 (141.5, 214.9) | 51 (6, 81) | 20 |
stable
|
-0.5 (-2.2, 1.1) |
| Onslow County | Urban | No | 175.6 (152.1, 201.6) | 50 (11, 79) | 43 |
stable
|
-0.4 (-1.4, 0.7) |
| Rockingham County | Urban | No | 177.6 (153.3, 204.9) | 49 (10, 79) | 42 |
falling
|
-1.4 (-2.0, -0.8) |
| Rowan County | Urban | No | 177.6 (154.5, 203.4) | 48 (12, 78) | 45 |
falling
|
-1.2 (-2.3, -0.1) |
| Gates County | Urban | No | 178.1 (132.1, 239.5) | 47 (2, 82) | 10 |
falling
|
-2.6 (-4.9, -0.6) |
| Granville County | Rural | No | 178.4 (155.4, 204.2) | 46 (11, 77) | 45 |
falling
|
-2.1 (-3.5, -0.7) |
| Beaufort County | Rural | No | 178.7 (148.9, 213.3) | 45 (7, 80) | 28 |
stable
|
-0.8 (-2.2, 0.5) |
| Duplin County | Rural | No | 179.2 (151.0, 211.5) | 44 (6, 79) | 32 |
stable
|
-1.1 (-2.4, 0.1) |
| Gaston County | Urban | No | 179.4 (159.8, 200.6) | 43 (11, 75) | 68 |
stable
|
-0.9 (-1.9, 0.2) |
| Person County | Urban | No | 179.9 (149.3, 215.6) | 42 (6, 80) | 27 |
falling
|
-1.8 (-3.2, -0.4) |
| Henderson County | Urban | No | 187.3 (127.5, 264.7) | 41 (1, 82) | 7 |
stable
|
-1.2 (-3.3, 1.1) |
| Warren County | Rural | No | 187.4 (157.3, 222.5) | 40 (5, 78) | 29 |
stable
|
10.2 (-1.6, 20.1) |
| Robeson County | Rural | No | 188.0 (166.8, 211.3) | 39 (7, 71) | 61 |
falling
|
-1.3 (-2.3, -0.2) |
| Carteret County | Rural | No | 188.1 (136.7, 254.0) | 38 (1, 82) | 9 |
stable
|
-1.4 (-3.6, 0.9) |
| Wilson County | Rural | No | 190.5 (170.7, 212.0) | 37 (7, 67) | 73 |
falling
|
-1.3 (-2.2, -0.4) |
| Columbus County | Rural | No | 191.1 (164.0, 221.7) | 36 (5, 75) | 38 |
falling
|
-1.1 (-2.2, -0.1) |
| Sampson County | Rural | No | 191.7 (165.9, 220.9) | 35 (5, 74) | 42 |
falling
|
-1.3 (-2.5, -0.2) |
| Pitt County | Urban | No | 191.8 (175.6, 209.1) | 34 (10, 61) | 114 |
falling
|
-2.2 (-3.2, -1.2) |
| Montgomery County | Rural | No | 192.5 (145.4, 251.4) | 33 (2, 81) | 12 |
stable
|
-0.9 (-3.1, 1.3) |
| Perquimans County | Rural | No | 193.1 (139.8, 263.9) | 32 (1, 82) | 9 |
stable
|
19.6 (-4.7, 41.0) |
| Harnett County | Rural | No | 193.2 (169.5, 219.3) | 31 (6, 72) | 52 |
stable
|
-1.4 (-2.7, 0.0) |
| Northampton County | Rural | No | 193.6 (162.2, 230.2) | 30 (3, 77) | 32 |
stable
|
10.6 (-1.8, 21.7) |
| Catawba County | Urban | No | 194.7 (162.3, 231.6) | 29 (3, 77) | 28 |
falling
|
-1.8 (-3.1, -0.5) |
| Lee County | Rural | No | 194.9 (162.8, 231.7) | 28 (3, 77) | 28 |
stable
|
-0.9 (-2.1, 0.4) |
| Edgecombe County | Urban | No | 195.1 (175.0, 217.1) | 27 (6, 64) | 75 |
falling
|
-1.0 (-1.6, -0.4) |
| Stanly County | Rural | No | 196.0 (152.0, 248.8) | 26 (1, 80) | 14 |
stable
|
-1.5 (-3.2, 0.2) |
| Forsyth County | Urban | No | 196.3 (183.9, 209.4) | 25 (10, 48) | 203 |
falling
|
-1.5 (-2.1, -1.0) |
| Craven County | Rural | No | 197.1 (173.1, 223.6) | 24 (5, 68) | 52 |
falling
|
-2.2 (-3.2, -1.2) |
| Scotland County | Rural | No | 197.2 (165.8, 233.0) | 23 (3, 75) | 30 |
stable
|
-3.1 (-12.3, 1.0) |
| Cleveland County | Rural | No | 197.5 (170.6, 227.4) | 22 (3, 71) | 45 |
stable
|
-1.0 (-2.3, 0.4) |
| New Hanover County | Urban | No | 197.7 (176.1, 221.3) | 21 (5, 64) | 66 |
falling
|
-1.2 (-2.2, -0.3) |
| Vance County | Rural | No | 199.7 (174.8, 227.3) | 20 (4, 67) | 51 |
stable
|
-0.6 (-1.8, 0.7) |
| Anson County | Urban | No | 203.0 (169.3, 241.7) | 19 (2, 76) | 27 |
stable
|
0.1 (-1.2, 1.5) |
| Stokes County | Urban | No | 208.2 (136.6, 307.8) | 18 (1, 82) | 6 |
stable
|
1.9 (-4.4, 26.1) |
| Randolph County | Urban | No | 209.1 (168.8, 255.9) | 17 (1, 76) | 21 |
stable
|
-1.1 (-2.4, 0.2) |
| Washington County | Rural | No | 210.3 (163.1, 267.8) | 16 (1, 79) | 16 |
stable
|
1.6 (-2.9, 17.1) |
| McDowell County | Rural | No | 211.5 (129.7, 326.9) | 15 (1, 82) | 4 |
|
|
| Martin County | Rural | No | 211.6 (177.6, 251.0) | 14 (1, 70) | 31 |
stable
|
2.0 (-0.6, 11.1) |
| Richmond County | Rural | No | 215.2 (182.1, 252.6) | 13 (1, 66) | 33 |
stable
|
-1.1 (-3.0, 0.7) |
| Jones County | Rural | No | 215.9 (154.9, 297.0) | 12 (1, 81) | 10 |
stable
|
-0.7 (-2.7, 1.2) |
| Halifax County | Rural | No | 216.1 (194.3, 240.0) | 11 (2, 44) | 77 |
stable
|
-0.7 (-1.4, 0.0) |
| Wayne County | Urban | No | 216.9 (197.6, 237.7) | 10 (2, 36) | 99 |
stable
|
-1.0 (-2.0, 0.1) |
| Rutherford County | Rural | No | 217.0 (172.1, 270.6) | 9 (1, 76) | 17 |
stable
|
-0.9 (-2.8, 1.1) |
| Alamance County | Urban | No | 221.4 (200.2, 244.2) | 8 (2, 38) | 87 |
falling
|
-1.1 (-2.0, -0.1) |
| Moore County | Urban | No | 222.1 (189.8, 258.6) | 7 (1, 57) | 36 |
stable
|
-0.8 (-2.1, 0.5) |
| Surry County | Rural | No | 222.8 (160.2, 303.9) | 6 (1, 81) | 9 |
stable
|
-1.7 (-4.2, 0.6) |
| Tyrrell County | Rural | No | 223.7 (129.8, 369.4) | 5 (1, 82) | 4 |
stable
|
-2.0 (-5.8, 1.7) |
| Davie County | Urban | No | 234.9 (173.8, 313.2) | 4 (1, 78) | 10 |
stable
|
0.2 (-2.8, 3.8) |
| Alexander County | Urban | No | 239.7 (158.9, 348.2) | 3 (1, 81) | 5 |
|
|
| Camden County | Urban | No | 257.9 (140.9, 435.1) | 2 (1, 82) | 4 |
stable
|
-1.3 (-5.2, 2.6) |
| Yadkin County | Urban | No | 295.9 (175.2, 467.4) | 1 (1, 82) | 4 |
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| Alleghany County | Rural | *** |
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| Ashe County | Rural | *** |
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| Avery County | Rural | *** |
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| Cherokee County | Rural | *** |
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| Clay County | Rural | *** |
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| Dare County | Rural | *** |
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| Graham County | Rural | *** |
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| Haywood County | Rural | *** |
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| Hyde County | Rural | *** |
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| Jackson County | Rural | *** |
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| Macon County | Rural | *** |
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| Madison County | Urban | *** |
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| Mitchell County | Rural | *** |
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| Polk County | Rural | *** |
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| Swain County | Rural | *** |
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| Transylvania County | Rural | *** |
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| Watauga County | Rural | *** |
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| Yancey County | Rural | *** |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/27/2026 2:18 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 has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.
If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
Data for United States does not include Puerto Rico.