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