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