Death Rates Table
Death Rate Report for Virginia 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)
|
|---|---|---|---|---|---|---|---|
| Virginia | N/A | No | 147.9 (146.9, 149.0) | N/A | 15,616 |
falling 
|
-1.3 (-1.5, -0.7) |
| United States | N/A | No | 145.4 (145.2, 145.6) | N/A | 605,771 |
falling
|
-1.3 (-1.5, -1.2) |
| Galax City | Rural | No | 273.1 (224.8, 329.2) | 1 (1, 28) | 23 |
falling
|
-8.9 (-19.0, -3.4) |
| Franklin City | Rural | No | 251.3 (210.7, 298.2) | 2 (1, 37) | 28 |
rising 
|
14.1 (3.5, 20.6) |
| Fairfax City | Urban | No | 249.9 (223.0, 279.3) | 3 (1, 15) | 65 |
rising
|
5.1 (1.3, 13.5) |
| Martinsville City | Rural | No | 244.3 (211.2, 281.3) | 4 (1, 28) | 41 |
rising
|
1.4 (0.1, 2.8) |
| Norton City | Rural | No | 241.6 (183.1, 314.5) | 5 (1, 107) | 11 |
stable 
|
-0.4 (-2.5, 1.8) |
| Petersburg City | Urban | No | 238.7 (217.4, 261.7) | 6 (1, 17) | 98 |
stable
|
1.1 (-0.3, 6.6) |
| Greensville County | Rural | No | 229.1 (193.0, 270.5) | 7 (1, 66) | 30 |
stable
|
0.2 (-1.7, 2.1) |
| Wise County | Rural | No | 226.4 (207.4, 246.9) | 8 (1, 26) | 110 |
stable
|
-0.5 (-1.1, 0.1) |
| Danville City | Rural | No | 221.3 (204.5, 239.3) | 9 (2, 27) | 138 |
rising
|
7.5 (5.5, 10.3) |
| Hopewell City | Urban | No | 219.3 (194.3, 246.8) | 10 (1, 48) | 58 |
stable
|
-0.9 (-1.7, 0.0) |
| Sussex County | Urban | No | 207.1 (174.5, 244.7) | 11 (1, 93) | 30 |
stable
|
-0.7 (-1.7, 0.3) |
| Lee County | Rural | No | 206.1 (184.9, 229.5) | 12 (3, 58) | 73 |
stable
|
-0.6 (-1.6, 0.4) |
| Smyth County | Rural | No | 205.9 (187.6, 225.7) | 13 (4, 51) | 99 |
stable
|
-0.3 (-0.9, 0.2) |
| Colonial Heights City | Urban | No | 205.0 (180.5, 232.3) | 14 (3, 71) | 53 |
stable
|
2.5 (-0.1, 11.0) |
| Nottoway County | Rural | No | 201.1 (175.1, 230.2) | 15 (3, 79) | 44 |
stable
|
-0.8 (-1.7, 0.1) |
| Buchanan County | Rural | No | 197.2 (175.8, 221.0) | 16 (5, 83) | 65 |
stable
|
0.7 (-1.0, 6.7) |
| Waynesboro City | Urban | No | 197.0 (174.9, 221.2) | 17 (5, 78) | 60 |
stable
|
-0.4 (-1.4, 0.6) |
| Prince Edward County | Rural | No | 196.4 (171.9, 223.5) | 18 (4, 85) | 50 |
stable
|
0.4 (-0.5, 3.9) |
| Covington City | Rural | No | 195.3 (153.7, 246.0) | 19 (1, 122) | 16 |
falling
|
-11.1 (-25.4, -5.1) |
| Dickenson County | Rural | No | 192.4 (166.8, 221.6) | 20 (4, 99) | 43 |
stable
|
-0.6 (-2.0, 0.8) |
| Patrick County | Rural | No | 190.5 (168.7, 215.0) | 21 (6, 87) | 62 |
stable
|
-0.3 (-1.3, 0.8) |
| Craig County | Urban | No | 189.8 (148.3, 241.9) | 22 (1, 124) | 16 |
stable
|
-0.2 (-2.3, 2.0) |
| Portsmouth City | Urban | No | 188.7 (177.1, 200.8) | 23 (12, 61) | 210 |
falling
|
-1.3 (-1.8, -0.8) |
| Roanoke City | Urban | No | 188.6 (177.8, 199.9) | 24 (13, 59) | 242 |
falling
|
-0.7 (-1.1, -0.3) |
| Russell County | Rural | No | 188.5 (169.4, 209.4) | 25 (8, 82) | 78 |
stable
|
-0.6 (-1.5, 0.2) |
| Halifax County with South Boston City | Rural | No | 187.6 (171.5, 205.0) | 26 (10, 79) | 111 |
stable
|
-0.5 (-1.3, 0.4) |
| King and Queen County | Urban | No | 187.0 (151.3, 230.3) | 27 (2, 121) | 21 |
stable
|
-1.2 (-2.6, 0.1) |
| Tazewell County | Rural | No | 186.8 (171.5, 203.2) | 28 (9, 76) | 119 |
stable
|
-0.2 (-1.0, 0.6) |
| Giles County | Urban | No | 186.5 (163.5, 212.4) | 29 (7, 99) | 49 |
stable
|
-1.0 (-2.0, 0.0) |
| Charlotte County | Rural | No | 186.2 (158.0, 218.7) | 30 (5, 117) | 33 |
stable
|
0.1 (-1.1, 4.6) |
| Brunswick County | Rural | No | 185.7 (161.9, 212.6) | 31 (7, 107) | 46 |
stable
|
0.6 (-2.0, 9.5) |
| Lynchburg City | Urban | No | 184.9 (171.9, 198.7) | 32 (12, 75) | 157 |
stable
|
0.0 (-0.8, 3.1) |
| Cumberland County | Rural | No | 184.7 (153.7, 220.9) | 33 (4, 118) | 28 |
stable
|
-1.1 (-2.3, 0.1) |
| Orange County | Rural | No | 184.1 (167.9, 201.6) | 34 (11, 88) | 99 |
falling
|
-1.1 (-1.8, -0.3) |
| Bristol City | Urban | No | 183.7 (161.0, 209.2) | 35 (8, 102) | 50 |
stable
|
-0.8 (-2.4, 0.6) |
| New Kent County | Urban | No | 183.7 (161.3, 208.5) | 36 (7, 103) | 55 |
stable
|
-0.9 (-2.1, 0.6) |
| Scott County | Urban | No | 183.4 (163.8, 205.2) | 37 (10, 94) | 69 |
stable
|
-0.7 (-1.9, 0.4) |
| Salem City | Urban | No | 183.2 (163.4, 204.9) | 38 (10, 96) | 66 |
stable
|
-0.6 (-1.7, 0.4) |
| Bath County | Rural | No | 182.7 (141.6, 235.8) | 39 (2, 128) | 14 |
stable
|
-0.8 (-3.1, 1.5) |
| Staunton City | Urban | No | 182.4 (163.4, 203.3) | 40 (10, 92) | 70 |
stable
|
-0.3 (-1.3, 0.8) |
| Lancaster County | Rural | No | 180.8 (154.1, 212.3) | 41 (7, 115) | 48 |
stable
|
-1.2 (-2.4, 0.0) |
| Buckingham County | Rural | No | 180.6 (157.5, 206.6) | 42 (8, 110) | 45 |
falling
|
-1.6 (-2.8, -0.4) |
| Norfolk City | Urban | No | 179.8 (171.8, 188.1) | 43 (21, 66) | 408 |
falling
|
-1.4 (-1.8, -1.0) |
| Warren County | Urban | No | 179.3 (163.1, 196.8) | 44 (13, 91) | 95 |
stable
|
-0.7 (-1.4, 0.0) |
| Wythe County | Rural | No | 178.9 (161.0, 198.4) | 45 (12, 99) | 78 |
stable
|
-0.7 (-1.6, 0.1) |
| Dinwiddie County | Urban | No | 178.5 (159.7, 199.2) | 46 (10, 104) | 69 |
falling
|
-1.8 (-2.6, -1.0) |
| Emporia City | Rural | No | 177.1 (136.0, 227.5) | 47 (3, 130) | 14 |
falling
|
-2.0 (-3.9, -0.3) |
| Shenandoah County | Rural | No | 177.1 (162.8, 192.3) | 48 (15, 89) | 121 |
stable
|
-0.5 (-1.2, 0.1) |
| Page County | Rural | No | 176.5 (157.8, 197.3) | 49 (11, 106) | 68 |
stable
|
-0.3 (-1.3, 0.8) |
| Lunenburg County | Rural | No | 175.5 (149.4, 205.5) | 50 (8, 119) | 34 |
stable
|
-1.3 (-2.5, 0.0) |
| Essex County | Rural | No | 174.9 (146.2, 208.4) | 51 (7, 122) | 29 |
stable
|
-1.1 (-2.6, 0.3) |
| Gloucester County | Urban | No | 174.6 (159.2, 191.3) | 52 (16, 101) | 100 |
falling
|
-1.2 (-2.2, -0.3) |
| Mecklenburg County | Rural | No | 174.6 (158.8, 191.9) | 53 (15, 103) | 98 |
falling
|
-0.9 (-1.6, -0.2) |
| Newport News City | Urban | No | 174.4 (166.0, 183.1) | 54 (27, 81) | 339 |
falling
|
-1.1 (-1.6, -0.7) |
| Amelia County | Urban | No | 172.7 (147.5, 201.7) | 55 (8, 122) | 35 |
falling
|
-1.6 (-2.7, -0.4) |
| Grayson County | Rural | No | 172.4 (150.3, 197.6) | 56 (11, 120) | 47 |
falling
|
-1.2 (-2.3, -0.2) |
| Radford City | Urban | No | 171.9 (139.2, 209.8) | 57 (5, 126) | 20 |
falling
|
-1.4 (-2.7, -0.1) |
| Richmond County | Rural | No | 171.7 (142.1, 206.5) | 58 (7, 126) | 25 |
stable
|
-0.6 (-1.8, 0.6) |
| Accomack County | Rural | No | 171.3 (155.9, 188.0) | 59 (19, 103) | 100 |
falling
|
-1.6 (-2.1, -1.0) |
| King William County | Urban | No | 170.6 (146.7, 197.4) | 60 (10, 121) | 38 |
falling
|
-2.0 (-3.1, -0.8) |
| Washington County | Urban | No | 170.6 (158.1, 183.9) | 61 (21, 97) | 152 |
stable
|
1.7 (-1.2, 7.1) |
| Henry County | Rural | No | 170.4 (157.6, 184.1) | 62 (23, 99) | 147 |
stable
|
-0.6 (-1.4, 0.2) |
| Falls Church City | Urban | No | 169.6 (142.2, 201.0) | 63 (9, 126) | 27 |
stable
|
11.8 (-2.6, 31.1) |
| Fredericksburg City | Urban | No | 169.5 (146.9, 194.6) | 64 (12, 120) | 42 |
falling
|
-2.4 (-3.5, -1.3) |
| Isle of Wight County | Urban | No | 168.6 (153.3, 185.2) | 65 (19, 107) | 94 |
falling
|
-1.7 (-2.6, -0.7) |
| Hampton City | Urban | No | 168.1 (159.1, 177.5) | 66 (36, 91) | 275 |
falling
|
-1.4 (-1.9, -0.8) |
| Nelson County | Urban | No | 166.3 (144.1, 191.6) | 67 (13, 122) | 46 |
stable
|
-0.8 (-1.9, 0.2) |
| Mathews County | Urban | No | 165.0 (135.7, 200.4) | 68 (9, 126) | 28 |
stable
|
-1.1 (-3.0, 0.7) |
| Surry County | Urban | No | 164.2 (129.6, 206.9) | 69 (4, 131) | 18 |
stable
|
-1.6 (-3.9, 0.7) |
| Buena Vista City | Rural | No | 164.2 (128.3, 207.9) | 70 (6, 132) | 15 |
falling
|
-1.6 (-3.3, -0.1) |
| Pittsylvania County | Rural | No | 163.8 (152.2, 176.1) | 71 (34, 107) | 164 |
falling
|
-1.1 (-1.7, -0.5) |
| Amherst County | Urban | No | 162.6 (146.8, 179.9) | 72 (27, 116) | 81 |
falling
|
-1.6 (-2.4, -0.9) |
| King George County | Rural | No | 161.7 (141.3, 184.2) | 73 (19, 124) | 48 |
falling
|
-1.7 (-2.8, -0.4) |
| Suffolk City | Urban | No | 161.4 (150.8, 172.5) | 74 (43, 109) | 181 |
falling
|
-2.1 (-2.6, -1.6) |
| Chesapeake City | Urban | No | 161.3 (154.4, 168.5) | 75 (51, 97) | 429 |
falling
|
-1.8 (-2.2, -1.5) |
| Southampton County | Rural | No | 161.1 (140.7, 184.2) | 76 (19, 123) | 47 |
falling
|
-1.5 (-2.4, -0.6) |
| Frederick County | Urban | No | 160.7 (150.7, 171.3) | 77 (40, 109) | 200 |
falling
|
-1.4 (-1.9, -0.8) |
| Poquoson City | Urban | No | 160.2 (134.9, 189.5) | 78 (13, 128) | 29 |
stable
|
-0.9 (-2.4, 0.8) |
| Caroline County | Rural | No | 159.4 (141.9, 178.5) | 79 (27, 121) | 64 |
falling
|
-2.0 (-2.7, -1.4) |
| Louisa County | Rural | No | 157.2 (142.3, 173.4) | 80 (35, 119) | 90 |
falling
|
-1.9 (-2.9, -1.0) |
| Winchester City | Urban | No | 157.0 (138.7, 177.1) | 81 (27, 124) | 55 |
falling
|
-1.9 (-2.8, -1.0) |
| Alleghany County and Clifton Forge City | Rural | No | 156.8 (135.8, 180.9) | 82 (24, 126) | 43 |
falling
|
-1.5 (-2.8, -0.3) |
| Culpeper County | Urban | No | 156.8 (143.1, 171.4) | 83 (42, 119) | 101 |
falling
|
-1.4 (-2.1, -0.7) |
| Bedford City and County | Urban | No | 156.5 (146.6, 167.0) | 84 (53, 115) | 200 |
falling
|
-0.9 (-1.5, -0.3) |
| Manassas City | Urban | No | 156.3 (136.6, 178.0) | 85 (23, 124) | 52 |
stable
|
1.4 (-2.1, 10.0) |
| Middlesex County | Rural | No | 155.8 (133.2, 182.8) | 86 (19, 127) | 38 |
falling
|
-1.5 (-2.5, -0.4) |
| Carroll County | Rural | No | 155.6 (140.5, 172.3) | 87 (37, 121) | 84 |
falling
|
-1.1 (-2.2, -0.1) |
| Pulaski County | Urban | No | 155.2 (140.3, 171.4) | 88 (38, 122) | 85 |
falling
|
-1.8 (-2.4, -1.2) |
| Madison County | Rural | No | 155.1 (131.3, 182.6) | 89 (19, 127) | 33 |
stable
|
-1.1 (-2.4, 0.2) |
| Westmoreland County | Rural | No | 155.0 (136.3, 176.3) | 90 (29, 124) | 54 |
falling
|
-2.3 (-3.7, -1.0) |
| Bland County | Rural | No | 154.6 (122.5, 194.9) | 91 (10, 132) | 16 |
stable
|
-1.1 (-3.0, 0.8) |
| Floyd County | Urban | No | 153.7 (132.2, 178.4) | 92 (19, 128) | 39 |
stable
|
-0.3 (-1.5, 0.9) |
| Prince George County | Urban | No | 153.5 (136.8, 171.7) | 93 (34, 125) | 64 |
falling
|
-1.7 (-2.6, -0.6) |
| Hanover County | Urban | No | 153.0 (144.2, 162.2) | 94 (62, 115) | 237 |
falling
|
-1.4 (-2.0, -0.9) |
| Appomattox County | Urban | No | 152.7 (130.9, 177.5) | 95 (20, 128) | 37 |
stable
|
-1.3 (-2.9, 0.3) |
| Campbell County | Urban | No | 152.1 (140.3, 164.8) | 96 (50, 120) | 129 |
falling
|
-1.6 (-2.4, -0.8) |
| Franklin County | Urban | No | 151.3 (139.4, 164.1) | 97 (54, 122) | 135 |
falling
|
-0.6 (-1.1, -0.1) |
| Charles City County | Urban | No | 151.0 (120.4, 189.4) | 98 (15, 132) | 18 |
falling
|
-2.2 (-4.0, -0.4) |
| Fauquier County | Urban | No | 151.0 (139.9, 162.8) | 99 (57, 120) | 143 |
falling
|
-1.2 (-2.0, -0.4) |
| Botetourt County | Urban | No | 150.9 (136.5, 166.7) | 100 (44, 123) | 85 |
stable
|
6.4 (-1.4, 12.3) |
| Williamsburg City | Urban | No | 150.6 (125.7, 179.8) | 101 (18, 130) | 27 |
falling
|
-23.0 (-40.1, -10.5) |
| Clarke County | Urban | No | 149.9 (129.0, 174.0) | 102 (29, 128) | 38 |
falling
|
-1.7 (-3.1, -0.4) |
| Henrico County | Urban | No | 148.6 (143.3, 154.0) | 103 (77, 116) | 621 |
falling
|
-1.3 (-1.7, -1.0) |
| Richmond City | Urban | No | 148.3 (141.2, 155.6) | 104 (74, 118) | 352 |
falling
|
-2.8 (-3.2, -2.5) |
| Virginia Beach City | Urban | No | 146.5 (141.9, 151.3) | 105 (83, 117) | 771 |
falling
|
-1.5 (-1.8, -1.3) |
| Stafford County | Urban | No | 146.1 (136.8, 155.8) | 106 (70, 122) | 203 |
falling
|
-2.0 (-2.3, -1.5) |
| Northumberland County | Rural | No | 145.6 (125.8, 169.4) | 107 (37, 129) | 44 |
falling
|
-1.7 (-2.9, -0.6) |
| Northampton County | Rural | No | 145.1 (123.0, 171.1) | 108 (34, 130) | 35 |
falling
|
-12.3 (-20.6, -2.8) |
| Rockingham County | Urban | No | 144.9 (135.4, 154.9) | 109 (74, 123) | 180 |
stable
|
2.9 (-1.6, 6.2) |
| Chesterfield County | Urban | No | 144.8 (139.6, 150.2) | 110 (87, 119) | 609 |
falling
|
-1.7 (-1.9, -1.4) |
| Lexington City | Rural | No | 144.7 (108.8, 190.2) | 111 (13, 132) | 11 |
falling
|
-16.3 (-37.5, -4.2) |
| Spotsylvania County | Urban | No | 144.5 (136.1, 153.4) | 112 (78, 122) | 231 |
falling
|
-1.8 (-2.4, -1.1) |
| Rockbridge County | Rural | No | 143.7 (127.0, 162.5) | 113 (54, 128) | 60 |
falling
|
-1.6 (-2.5, -0.6) |
| Augusta County | Urban | No | 142.8 (133.4, 152.8) | 114 (74, 125) | 178 |
stable
|
3.2 (-1.1, 6.3) |
| Charlottesville City | Urban | No | 142.2 (126.3, 159.5) | 115 (57, 128) | 62 |
falling
|
-1.9 (-2.6, -1.1) |
| Harrisonburg City | Urban | No | 141.7 (125.5, 159.5) | 116 (53, 129) | 57 |
stable
|
-1.1 (-2.4, 0.3) |
| Montgomery County | Urban | No | 139.7 (129.3, 150.8) | 117 (79, 126) | 136 |
falling
|
-1.3 (-1.9, -0.6) |
| Fluvanna County | Urban | No | 139.3 (123.2, 157.3) | 118 (59, 129) | 57 |
falling
|
-1.3 (-2.2, -0.3) |
| Roanoke County | Urban | No | 136.9 (128.5, 145.8) | 119 (93, 126) | 208 |
falling
|
-1.1 (-1.6, -0.5) |
| Goochland County | Urban | No | 132.5 (116.7, 150.2) | 120 (74, 130) | 56 |
falling
|
-2.2 (-3.2, -1.0) |
| Powhatan County | Urban | No | 131.0 (115.6, 148.1) | 121 (77, 131) | 57 |
falling
|
-2.8 (-3.5, -2.0) |
| Greene County | Urban | No | 129.6 (111.0, 150.8) | 122 (64, 132) | 36 |
falling
|
-1.6 (-2.8, -0.2) |
| Prince William County | Urban | No | 127.4 (122.4, 132.6) | 123 (115, 128) | 528 |
falling
|
-2.1 (-2.4, -1.8) |
| Highland County | Rural | No | 126.6 (87.4, 192.3) | 124 (14, 133) | 7 |
stable
|
-1.1 (-3.8, 1.6) |
| James City County | Urban | No | 124.4 (116.2, 133.1) | 125 (114, 130) | 185 |
falling
|
-1.2 (-2.0, -0.4) |
| York County | Urban | No | 124.2 (114.1, 135.1) | 126 (109, 131) | 113 |
falling
|
-2.7 (-3.4, -1.9) |
| Rappahannock County | Urban | Yes | 120.1 (94.7, 152.3) | 127 (56, 133) | 17 |
stable
|
-1.5 (-3.0, 0.2) |
| Alexandria City | Urban | Yes | 116.9 (109.2, 125.1) | 128 (119, 131) | 176 |
falling
|
-2.5 (-3.0, -1.9) |
| Albemarle County | Urban | Yes | 116.0 (108.7, 123.8) | 129 (121, 131) | 194 |
falling
|
-1.9 (-2.4, -1.4) |
| Loudoun County | Urban | Yes | 110.9 (106.0, 115.9) | 130 (125, 132) | 406 |
falling
|
-2.5 (-3.0, -1.9) |
| Arlington County | Urban | Yes | 106.5 (100.2, 113.0) | 131 (126, 133) | 225 |
falling
|
-2.3 (-2.7, -2.0) |
| Fairfax County | Urban | Yes | 103.3 (100.7, 105.8) | 132 (129, 133) | 1,311 |
falling
|
-2.2 (-2.4, -2.1) |
| Manassas Park City | Urban | Yes | 76.2 (55.4, 101.8) | 133 (127, 133) | 9 |
falling
|
-5.1 (-7.6, -2.7) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 2:34 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.