Death Rates Table
Death Rate Report for Iowa 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)
|
|---|---|---|---|---|---|---|---|
| Iowa | N/A | No | 149.2 (147.5, 150.9) | N/A | 6,318 |
falling 
|
-1.6 (-2.5, -1.2) |
| United States | N/A | No | 145.4 (145.2, 145.6) | N/A | 605,771 |
falling
|
-1.3 (-1.5, -1.2) |
| Palo Alto County | Rural | No | 206.6 (172.8, 246.0) | 1 (1, 52) | 29 |
rising 
|
3.2 (0.2, 14.7) |
| Clarke County | Rural | No | 186.9 (154.9, 224.0) | 2 (1, 84) | 25 |
stable 
|
-0.1 (-2.2, 2.0) |
| Van Buren County | Rural | No | 184.8 (149.9, 226.5) | 3 (1, 87) | 21 |
stable
|
-0.2 (-2.4, 2.0) |
| Ringgold County | Rural | No | 183.6 (142.3, 235.2) | 4 (1, 95) | 14 |
stable
|
-18.8 (-38.2, 0.7) |
| Wapello County | Rural | No | 181.9 (164.8, 200.3) | 5 (1, 43) | 87 |
stable
|
-0.7 (-1.4, 0.0) |
| Emmet County | Rural | No | 180.3 (149.4, 216.4) | 6 (1, 83) | 27 |
stable
|
-0.1 (-1.4, 1.2) |
| Greene County | Rural | No | 178.2 (147.5, 214.3) | 7 (1, 85) | 26 |
stable
|
0.0 (-1.4, 1.3) |
| Mahaska County | Rural | No | 176.1 (155.3, 199.3) | 8 (1, 64) | 54 |
stable
|
-0.2 (-0.8, 0.5) |
| Pocahontas County | Rural | No | 175.8 (142.9, 215.5) | 9 (1, 89) | 22 |
stable
|
-0.6 (-2.0, 0.8) |
| Franklin County | Rural | No | 175.1 (146.2, 208.8) | 10 (1, 88) | 27 |
stable
|
0.3 (-1.6, 2.1) |
| Madison County | Urban | No | 175.0 (150.4, 202.8) | 11 (1, 78) | 37 |
stable
|
0.0 (-1.4, 1.5) |
| Pottawattamie County | Urban | No | 174.7 (164.2, 185.7) | 12 (2, 41) | 217 |
falling
|
-1.0 (-1.5, -0.5) |
| Monroe County | Rural | No | 174.5 (141.1, 214.5) | 13 (1, 93) | 19 |
stable
|
-0.3 (-1.7, 1.1) |
| Clayton County | Rural | No | 172.3 (150.5, 197.0) | 14 (1, 75) | 51 |
stable
|
-0.6 (-1.5, 0.3) |
| Des Moines County | Rural | No | 172.2 (157.1, 188.6) | 15 (2, 60) | 100 |
stable
|
-0.8 (-1.7, 0.1) |
| Cass County | Rural | No | 169.6 (144.8, 198.2) | 16 (1, 85) | 37 |
stable
|
-1.9 (-12.7, 0.2) |
| Boone County | Urban | No | 167.8 (149.2, 188.4) | 17 (2, 76) | 62 |
stable
|
-0.4 (-1.2, 0.3) |
| Clinton County | Rural | No | 167.6 (153.9, 182.3) | 18 (3, 62) | 115 |
falling
|
-0.8 (-1.5, -0.1) |
| Marion County | Rural | No | 167.5 (151.2, 185.1) | 19 (2, 67) | 81 |
stable
|
-0.5 (-1.0, 0.0) |
| Chickasaw County | Rural | No | 167.3 (140.8, 197.9) | 20 (1, 89) | 31 |
stable
|
-0.2 (-1.4, 0.9) |
| Louisa County | Rural | No | 167.2 (138.5, 200.7) | 21 (1, 91) | 25 |
falling
|
-1.8 (-3.2, -0.3) |
| Howard County | Rural | No | 166.8 (137.6, 201.1) | 22 (1, 93) | 24 |
stable
|
-0.4 (-1.8, 0.9) |
| Fremont County | Rural | No | 166.6 (132.8, 207.8) | 23 (1, 97) | 18 |
stable
|
0.9 (-1.5, 8.6) |
| Lee County | Rural | No | 164.8 (149.1, 181.8) | 24 (4, 71) | 86 |
falling
|
-1.3 (-2.3, -0.4) |
| Tama County | Rural | No | 163.8 (141.2, 189.3) | 25 (2, 88) | 40 |
stable
|
-0.3 (-1.1, 0.5) |
| Woodbury County | Urban | No | 163.1 (152.9, 173.8) | 26 (8, 62) | 198 |
falling
|
-0.8 (-1.4, -0.4) |
| Buchanan County | Rural | No | 162.9 (141.7, 186.6) | 27 (2, 87) | 44 |
stable
|
-0.6 (-1.8, 0.5) |
| Montgomery County | Rural | No | 162.7 (135.5, 194.5) | 28 (1, 93) | 27 |
stable
|
-0.1 (-1.3, 1.2) |
| Grundy County | Urban | No | 162.2 (136.9, 191.3) | 29 (1, 91) | 30 |
stable
|
-0.5 (-2.0, 1.0) |
| Floyd County | Rural | No | 161.2 (138.9, 186.6) | 30 (2, 88) | 40 |
stable
|
-0.1 (-1.0, 0.8) |
| Ida County | Rural | No | 160.8 (129.9, 198.4) | 31 (1, 97) | 19 |
stable
|
-0.7 (-2.2, 0.7) |
| Page County | Rural | No | 160.6 (138.8, 185.4) | 32 (2, 88) | 41 |
falling
|
-1.5 (-2.8, -0.3) |
| Lucas County | Rural | No | 160.4 (131.7, 194.6) | 33 (1, 96) | 22 |
stable
|
-0.8 (-1.9, 0.3) |
| Harrison County | Urban | No | 160.2 (136.6, 187.1) | 34 (2, 93) | 34 |
falling
|
-1.7 (-2.7, -0.7) |
| Webster County | Rural | No | 159.8 (144.4, 176.6) | 35 (5, 78) | 84 |
falling
|
-1.2 (-2.1, -0.4) |
| Appanoose County | Rural | No | 159.6 (135.7, 187.2) | 36 (2, 92) | 33 |
stable
|
-0.5 (-2.3, 1.2) |
| Polk County | Urban | No | 159.0 (154.1, 164.1) | 37 (20, 54) | 826 |
falling
|
-1.2 (-1.5, -0.9) |
| Iowa County | Rural | No | 158.5 (136.4, 183.6) | 38 (2, 91) | 39 |
stable
|
-0.7 (-1.7, 0.3) |
| Union County | Rural | No | 158.1 (132.0, 188.3) | 39 (1, 95) | 28 |
stable
|
-1.2 (-2.8, 0.3) |
| Wayne County | Rural | No | 157.4 (122.9, 199.6) | 40 (1, 99) | 16 |
stable
|
-0.8 (-2.4, 0.7) |
| Winnebago County | Rural | No | 156.9 (130.3, 188.0) | 41 (2, 96) | 26 |
stable
|
0.0 (-1.2, 1.3) |
| Henry County | Rural | No | 156.6 (136.9, 178.7) | 42 (3, 91) | 47 |
stable
|
-0.9 (-2.2, 0.4) |
| Osceola County | Rural | No | 156.0 (122.8, 197.1) | 43 (1, 99) | 16 |
stable
|
-0.8 (-2.5, 0.8) |
| Jackson County | Rural | No | 155.2 (135.6, 177.2) | 44 (4, 91) | 48 |
stable
|
-0.8 (-1.8, 0.1) |
| Marshall County | Rural | No | 155.1 (140.5, 171.0) | 45 (10, 84) | 85 |
falling
|
-1.5 (-2.4, -0.7) |
| Allamakee County | Rural | No | 153.6 (129.9, 180.7) | 46 (3, 95) | 33 |
stable
|
-1.1 (-2.4, 0.2) |
| Black Hawk County | Urban | No | 153.4 (144.9, 162.3) | 47 (21, 73) | 253 |
falling
|
-1.0 (-1.5, -0.6) |
| Mitchell County | Rural | No | 153.0 (127.3, 183.3) | 48 (3, 96) | 27 |
stable
|
-0.1 (-1.3, 1.2) |
| Cherokee County | Rural | No | 152.6 (127.9, 181.4) | 49 (2, 96) | 31 |
stable
|
-0.7 (-2.2, 0.6) |
| Jasper County | Urban | No | 152.2 (137.7, 167.9) | 50 (11, 86) | 84 |
falling
|
-1.2 (-2.1, -0.5) |
| Scott County | Urban | No | 151.0 (143.7, 158.5) | 51 (28, 72) | 338 |
falling
|
-1.5 (-1.9, -1.1) |
| Calhoun County | Rural | No | 151.0 (124.6, 182.2) | 52 (3, 98) | 25 |
stable
|
-0.6 (-2.0, 0.7) |
| Decatur County | Rural | No | 150.9 (119.7, 188.7) | 53 (1, 99) | 17 |
falling
|
-6.1 (-21.5, -1.5) |
| Hardin County | Rural | No | 150.6 (130.3, 173.7) | 54 (5, 93) | 43 |
falling
|
-1.3 (-2.5, -0.2) |
| Audubon County | Rural | No | 150.4 (115.5, 194.2) | 55 (1, 99) | 14 |
stable
|
-1.5 (-3.2, 0.1) |
| Davis County | Rural | No | 150.3 (118.9, 187.7) | 56 (1, 99) | 17 |
stable
|
0.1 (-1.6, 1.8) |
| Keokuk County | Rural | No | 150.0 (122.6, 182.5) | 57 (2, 99) | 23 |
stable
|
-0.7 (-2.3, 0.9) |
| Muscatine County | Rural | No | 150.0 (135.7, 165.5) | 58 (13, 88) | 84 |
falling
|
-1.6 (-2.5, -0.7) |
| Adair County | Rural | No | 149.5 (119.7, 185.6) | 59 (2, 99) | 19 |
stable
|
-1.0 (-2.6, 0.6) |
| Cerro Gordo County | Rural | No | 146.7 (133.7, 160.7) | 60 (20, 90) | 104 |
falling
|
-1.3 (-2.1, -0.6) |
| O'Brien County | Rural | No | 145.9 (123.1, 172.1) | 61 (6, 98) | 32 |
falling
|
-1.7 (-3.0, -0.5) |
| Guthrie County | Urban | No | 145.7 (120.6, 175.4) | 62 (4, 99) | 26 |
stable
|
-1.0 (-2.4, 0.4) |
| Monona County | Rural | No | 144.6 (118.3, 176.3) | 63 (5, 99) | 22 |
falling
|
-1.6 (-3.2, -0.2) |
| Mills County | Urban | No | 144.2 (120.8, 171.2) | 64 (5, 98) | 29 |
stable
|
-1.2 (-2.9, 0.5) |
| Delaware County | Rural | No | 143.7 (123.8, 166.4) | 65 (10, 98) | 40 |
falling
|
-1.0 (-1.8, -0.2) |
| Washington County | Urban | No | 142.6 (124.6, 162.7) | 66 (15, 96) | 48 |
stable
|
0.0 (-1.4, 1.4) |
| Adams County | Rural | No | 142.0 (99.0, 199.7) | 67 (1, 99) | 8 |
stable
|
-1.0 (-3.7, 1.4) |
| Butler County | Rural | No | 141.3 (119.7, 166.1) | 68 (10, 99) | 33 |
stable
|
-1.0 (-2.1, 0.1) |
| Benton County | Urban | No | 141.0 (123.9, 160.1) | 69 (18, 96) | 52 |
stable
|
-0.8 (-1.7, 0.0) |
| Fayette County | Rural | No | 140.6 (121.6, 162.0) | 70 (14, 97) | 44 |
falling
|
-1.5 (-2.6, -0.6) |
| Linn County | Urban | No | 140.4 (134.3, 146.7) | 71 (51, 86) | 408 |
falling
|
-1.4 (-1.7, -1.0) |
| Dubuque County | Urban | No | 140.0 (131.1, 149.4) | 72 (42, 90) | 194 |
falling
|
-1.5 (-1.9, -1.0) |
| Poweshiek County | Rural | No | 139.4 (121.0, 160.4) | 73 (16, 98) | 42 |
stable
|
-0.9 (-1.9, 0.0) |
| Crawford County | Rural | No | 139.0 (117.4, 163.7) | 74 (9, 99) | 30 |
falling
|
-1.8 (-2.8, -0.8) |
| Carroll County | Rural | No | 137.2 (119.6, 157.1) | 75 (22, 98) | 46 |
falling
|
-1.5 (-2.8, -0.2) |
| Warren County | Urban | No | 137.1 (124.6, 150.6) | 76 (33, 95) | 90 |
falling
|
-1.3 (-2.1, -0.4) |
| Jefferson County | Rural | No | 136.2 (115.6, 159.9) | 77 (16, 99) | 35 |
stable
|
-0.6 (-1.6, 0.4) |
| Wright County | Rural | No | 136.0 (113.0, 162.8) | 78 (11, 99) | 27 |
falling
|
-1.9 (-3.2, -0.7) |
| Bremer County | Urban | No | 136.0 (118.8, 155.1) | 79 (20, 98) | 48 |
stable
|
0.1 (-0.8, 2.9) |
| Hancock County | Rural | No | 135.9 (111.5, 164.9) | 80 (6, 99) | 24 |
stable
|
-1.0 (-4.4, 7.1) |
| Sac County | Rural | No | 135.6 (110.6, 165.4) | 81 (7, 99) | 23 |
falling
|
-1.4 (-2.8, -0.1) |
| Hamilton County | Rural | No | 135.2 (114.5, 159.1) | 82 (16, 99) | 32 |
falling
|
-1.6 (-2.7, -0.6) |
| Cedar County | Rural | No | 134.8 (115.8, 156.3) | 83 (21, 99) | 38 |
falling
|
-1.6 (-2.8, -0.4) |
| Dickinson County | Rural | No | 134.1 (116.4, 154.4) | 84 (25, 99) | 46 |
falling
|
-1.4 (-2.6, -0.2) |
| Humboldt County | Rural | No | 134.1 (108.5, 164.7) | 85 (12, 99) | 20 |
stable
|
-1.2 (-2.5, 0.0) |
| Plymouth County | Rural | No | 133.8 (117.1, 152.3) | 86 (27, 99) | 48 |
falling
|
-1.5 (-2.4, -0.5) |
| Lyon County | Rural | No | 132.8 (108.9, 160.9) | 87 (14, 99) | 23 |
stable
|
-0.5 (-2.2, 1.1) |
| Worth County | Rural | No | 132.7 (104.6, 167.4) | 88 (5, 99) | 15 |
stable
|
-1.6 (-3.4, 0.1) |
| Shelby County | Rural | No | 132.6 (110.3, 159.0) | 89 (14, 99) | 27 |
falling
|
-1.7 (-2.8, -0.6) |
| Jones County | Urban | No | 132.5 (114.7, 152.6) | 90 (26, 99) | 42 |
falling
|
-1.6 (-2.5, -0.6) |
| Kossuth County | Rural | No | 129.4 (108.8, 153.2) | 91 (20, 99) | 33 |
falling
|
-1.1 (-1.9, -0.2) |
| Buena Vista County | Rural | No | 127.2 (107.8, 149.2) | 92 (29, 99) | 32 |
falling
|
-1.4 (-2.6, -0.3) |
| Story County | Urban | No | 126.2 (116.0, 137.0) | 93 (63, 98) | 118 |
falling
|
-3.2 (-8.8, -1.5) |
| Taylor County | Rural | Yes | 121.2 (92.3, 158.0) | 94 (12, 99) | 12 |
falling
|
-5.9 (-26.4, -1.3) |
| Winneshiek County | Rural | Yes | 120.9 (103.8, 140.5) | 95 (49, 99) | 39 |
falling
|
-1.6 (-2.5, -0.7) |
| Clay County | Rural | Yes | 117.8 (99.7, 138.7) | 96 (49, 99) | 32 |
falling
|
-4.6 (-11.7, -2.7) |
| Dallas County | Urban | Yes | 113.7 (104.5, 123.5) | 97 (83, 99) | 116 |
falling
|
-2.4 (-3.1, -1.6) |
| Johnson County | Urban | Yes | 111.4 (103.8, 119.4) | 98 (88, 99) | 166 |
falling
|
-4.5 (-9.3, -2.5) |
| Sioux County | Rural | Yes | 107.7 (94.3, 122.6) | 99 (79, 99) | 48 |
falling
|
-1.5 (-2.3, -0.8) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 12:19 pm.
State Cancer Registries may provide more current or more local data.
Trend
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.
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 for United States does not include Puerto Rico.