Interpretation of Death Rates Data
Death Rate Report for Washington by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Female, All Ages
Sorted by Recentaapc
Explanation of Column HeadersDeath 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 127.6 with a 95% confidence interval from 126.1 to 129.0 and 6,303 average annual counts over 2019-2023.
- CI*Rank ⋔ : N/A
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.2.
United States
- 2023 Rural-Urban Continuum Codes Φ : N/A
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 126.3 with a 95% confidence interval from 126.1 to 126.6 and 287,034 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 -1.2 to -1.0.
Skamania County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : Yes
- Rate : The death rate is 107.9 with a 95% confidence interval from 80.0 to 144.6 and 11 average annual counts over 2019-2023.
- CI*Rank ⋔ : 38 (5, 38)
- Recent Trend : The trend is falling
because the trend is -2.8 with a 95% confidence interval from -5.0 to -0.5.
Wahkiakum County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 124.5 with a 95% confidence interval from 82.3 to 192.0 and 6 average annual counts over 2019-2023.
- CI*Rank ⋔ : 27 (1, 38)
- Recent Trend : The trend is stable
because the trend is -2.3 with a 95% confidence interval from -5.2 to 0.5.
Franklin County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : Yes
- Rate : The death rate is 122.3 with a 95% confidence interval from 107.1 to 139.0 and 48 average annual counts over 2019-2023.
- CI*Rank ⋔ : 29 (8, 38)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -3.5 to -0.8.
Pend Oreille County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : Yes
- Rate : The death rate is 122.6 with a 95% confidence interval from 95.5 to 157.1 and 15 average annual counts over 2019-2023.
- CI*Rank ⋔ : 28 (2, 38)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -3.4 to -0.7.
Kitsap County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : Yes
- Rate : The death rate is 118.2 with a 95% confidence interval from 111.2 to 125.4 and 233 average annual counts over 2019-2023.
- CI*Rank ⋔ : 32 (21, 37)
- Recent Trend : The trend is falling
because the trend is -2.0 with a 95% confidence interval from -2.4 to -1.5.
Adams County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : Yes
- Rate : The death rate is 119.7 with a 95% confidence interval from 90.3 to 155.6 and 11 average annual counts over 2019-2023.
- CI*Rank ⋔ : 31 (2, 38)
- Recent Trend : The trend is stable
because the trend is -1.6 with a 95% confidence interval from -4.0 to 0.5.
Benton County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 130.5 with a 95% confidence interval from 121.5 to 139.9 and 164 average annual counts over 2019-2023.
- CI*Rank ⋔ : 20 (8, 32)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.1.
Grant County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 129.6 with a 95% confidence interval from 116.3 to 144.1 and 71 average annual counts over 2019-2023.
- CI*Rank ⋔ : 21 (6, 36)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.8 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 135.2 with a 95% confidence interval from 129.5 to 141.1 and 436 average annual counts over 2019-2023.
- CI*Rank ⋔ : 15 (7, 26)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.1.
Whatcom County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : Yes
- Rate : The death rate is 113.0 with a 95% confidence interval from 105.4 to 121.0 and 174 average annual counts over 2019-2023.
- CI*Rank ⋔ : 35 (25, 38)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.6.
Asotin County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : Yes
- Rate : The death rate is 118.0 with a 95% confidence interval from 96.5 to 143.7 and 24 average annual counts over 2019-2023.
- CI*Rank ⋔ : 33 (6, 38)
- Recent Trend : The trend is stable
because the trend is -1.4 with a 95% confidence interval from -3.4 to 0.6.
Douglas County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 125.0 with a 95% confidence interval from 107.0 to 145.4 and 36 average annual counts over 2019-2023.
- CI*Rank ⋔ : 26 (5, 38)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.5.
Lewis County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 149.0 with a 95% confidence interval from 135.5 to 163.6 and 97 average annual counts over 2019-2023.
- CI*Rank ⋔ : 6 (1, 22)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -2.1 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 136.8 with a 95% confidence interval from 132.4 to 141.4 and 745 average annual counts over 2019-2023.
- CI*Rank ⋔ : 10 (7, 24)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -1.6 to -1.1.
Skagit County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 134.2 with a 95% confidence interval from 124.0 to 145.1 and 140 average annual counts over 2019-2023.
- CI*Rank ⋔ : 17 (6, 31)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.6.
Thurston County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 135.3 with a 95% confidence interval from 128.2 to 142.7 and 285 average annual counts over 2019-2023.
- CI*Rank ⋔ : 14 (7, 28)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.7.
Jefferson County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : Yes
- Rate : The death rate is 117.0 with a 95% confidence interval from 100.5 to 136.8 and 48 average annual counts over 2019-2023.
- CI*Rank ⋔ : 34 (9, 38)
- Recent Trend : The trend is stable
because the trend is -1.2 with a 95% confidence interval from -2.4 to 0.0.
Chelan County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 126.0 with a 95% confidence interval from 113.1 to 140.0 and 76 average annual counts over 2019-2023.
- CI*Rank ⋔ : 24 (8, 37)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.6.
Clallam 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 118.0 to 141.3 and 114 average annual counts over 2019-2023.
- CI*Rank ⋔ : 22 (7, 34)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.5.
Ferry County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 165.9 with a 95% confidence interval from 123.2 to 223.3 and 12 average annual counts over 2019-2023.
- CI*Rank ⋔ : 2 (1, 37)
- Recent Trend : The trend is stable
because the trend is -1.1 with a 95% confidence interval from -3.9 to 2.1.
Pacific County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 159.2 with a 95% confidence interval from 135.6 to 187.0 and 38 average annual counts over 2019-2023.
- CI*Rank ⋔ : 3 (1, 27)
- Recent Trend : The trend is stable
because the trend is -1.1 with a 95% confidence interval from -2.4 to 0.3.
Spokane County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 135.6 with a 95% confidence interval from 130.2 to 141.2 and 493 average annual counts over 2019-2023.
- CI*Rank ⋔ : 13 (7, 26)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.7.
Walla Walla County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : Yes
- Rate : The death rate is 121.0 with a 95% confidence interval from 106.4 to 137.2 and 56 average annual counts over 2019-2023.
- CI*Rank ⋔ : 30 (9, 38)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.2.
Kittitas County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 125.4 with a 95% confidence interval from 107.4 to 146.0 and 35 average annual counts over 2019-2023.
- CI*Rank ⋔ : 25 (5, 38)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.8 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 134.7 with a 95% confidence interval from 130.1 to 139.5 and 658 average annual counts over 2019-2023.
- CI*Rank ⋔ : 16 (9, 26)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.6.
Columbia County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 144.7 with a 95% confidence interval from 93.3 to 222.9 and 6 average annual counts over 2019-2023.
- CI*Rank ⋔ : 8 (1, 38)
- Recent Trend : The trend is stable
because the trend is -0.9 with a 95% confidence interval from -3.2 to 1.4.
Cowlitz County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 158.9 with a 95% confidence interval from 146.5 to 172.1 and 129 average annual counts over 2019-2023.
- CI*Rank ⋔ : 4 (1, 12)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.3.
Grays Harbor County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 166.8 with a 95% confidence interval from 151.7 to 183.1 and 101 average annual counts over 2019-2023.
- CI*Rank ⋔ : 1 (1, 9)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.1.
Whitman County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 133.2 with a 95% confidence interval from 111.2 to 158.2 and 27 average annual counts over 2019-2023.
- CI*Rank ⋔ : 18 (2, 38)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -2.3 to 1.1.
San Juan County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : Yes
- Rate : The death rate is 112.6 with a 95% confidence interval from 91.7 to 139.3 and 23 average annual counts over 2019-2023.
- CI*Rank ⋔ : 36 (7, 38)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -2.5 to 1.4.
Yakima County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 143.8 with a 95% confidence interval from 135.1 to 153.0 and 208 average annual counts over 2019-2023.
- CI*Rank ⋔ : 9 (4, 21)
- Recent Trend : The trend is falling
because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.2.
King County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : Yes
- Rate : The death rate is 110.3 with a 95% confidence interval from 107.7 to 112.9 and 1,439 average annual counts over 2019-2023.
- CI*Rank ⋔ : 37 (30, 38)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.8 to 0.6.
Klickitat County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 131.1 with a 95% confidence interval from 108.0 to 158.6 and 25 average annual counts over 2019-2023.
- CI*Rank ⋔ : 19 (2, 38)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.2.
Okanogan County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 148.2 with a 95% confidence interval from 129.5 to 169.3 and 50 average annual counts over 2019-2023.
- CI*Rank ⋔ : 7 (1, 29)
- Recent Trend : The trend is stable
because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.7.
Lincoln 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 96.8 to 170.6 and 12 average annual counts over 2019-2023.
- CI*Rank ⋔ : 23 (1, 38)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -1.6 to 2.5.
Mason County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 156.7 with a 95% confidence interval from 141.6 to 173.4 and 86 average annual counts over 2019-2023.
- CI*Rank ⋔ : 5 (1, 18)
- Recent Trend : The trend is stable
because the trend is 0.8 with a 95% confidence interval from -1.3 to 8.6.
Island County
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 135.9 with a 95% confidence interval from 123.5 to 149.4 and 103 average annual counts over 2019-2023.
- CI*Rank ⋔ : 12 (4, 32)
- Recent Trend : The trend is stable
because the trend is 1.1 with a 95% confidence interval from -0.7 to 7.2.
Stevens County
- 2023 Rural-Urban Continuum Codes Φ : Urban
- Met Healthy People Objective of 122.7? : No
- Rate : The death rate is 136.2 with a 95% confidence interval from 119.3 to 155.1 and 53 average annual counts over 2019-2023.
- CI*Rank ⋔ : 11 (2, 35)
- Recent Trend : The trend is stable
because the trend is 2.8 with a 95% confidence interval from -0.1 to 9.2.
- 2023 Rural-Urban Continuum Codes Φ : Rural
- Met Healthy People Objective of 122.7? : ***
- Rate :
- CI*Rank ⋔ : *
- Recent Trend : *
Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 1:21 am.
State Cancer Registries may provide more current or more local data.
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.
† 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+).
The Healthy People 2030 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 US Population Data File is used with mortality data.
‡ The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.
⋔ 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.
Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.
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.


