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Death Rates Table

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Death Rate Report for Virginia by County

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Recentaapc

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Met Healthy People Objective of 122.7?
Age-Adjusted Death Rate
deaths per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank ⋔
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Death Rates
(95% Confidence Interval)
 sort by trend descending
Virginia N/A No 147.9 (146.9, 149.0) N/A 15,616 falling falling trend -1.3 (-1.5, -0.7)
United States N/A No 145.4 (145.2, 145.6) N/A 605,771 falling falling trend -1.3 (-1.5, -1.2)
Williamsburg City Urban No 150.6 (125.7, 179.8) 101 (18, 130) 27 falling falling trend -23.0 (-40.1, -10.5)
Lexington City Rural No 144.7 (108.8, 190.2) 111 (13, 132) 11 falling falling trend -16.3 (-37.5, -4.2)
Northampton County Rural No 145.1 (123.0, 171.1) 108 (34, 130) 35 falling falling trend -12.3 (-20.6, -2.8)
Covington City Rural No 195.3 (153.7, 246.0) 19 (1, 122) 16 falling falling trend -11.1 (-25.4, -5.1)
Galax City Rural No 273.1 (224.8, 329.2) 1 (1, 28) 23 falling falling trend -8.9 (-19.0, -3.4)
Manassas Park City Urban Yes 76.2 (55.4, 101.8) 133 (127, 133) 9 falling falling trend -5.1 (-7.6, -2.7)
Powhatan County Urban No 131.0 (115.6, 148.1) 121 (77, 131) 57 falling falling trend -2.8 (-3.5, -2.0)
Richmond City Urban No 148.3 (141.2, 155.6) 104 (74, 118) 352 falling falling trend -2.8 (-3.2, -2.5)
York County Urban No 124.2 (114.1, 135.1) 126 (109, 131) 113 falling falling trend -2.7 (-3.4, -1.9)
Alexandria City Urban Yes 116.9 (109.2, 125.1) 128 (119, 131) 176 falling falling trend -2.5 (-3.0, -1.9)
Loudoun County Urban Yes 110.9 (106.0, 115.9) 130 (125, 132) 406 falling falling trend -2.5 (-3.0, -1.9)
Fredericksburg City Urban No 169.5 (146.9, 194.6) 64 (12, 120) 42 falling falling trend -2.4 (-3.5, -1.3)
Arlington County Urban Yes 106.5 (100.2, 113.0) 131 (126, 133) 225 falling falling trend -2.3 (-2.7, -2.0)
Westmoreland County Rural No 155.0 (136.3, 176.3) 90 (29, 124) 54 falling falling trend -2.3 (-3.7, -1.0)
Charles City County Urban No 151.0 (120.4, 189.4) 98 (15, 132) 18 falling falling trend -2.2 (-4.0, -0.4)
Fairfax County Urban Yes 103.3 (100.7, 105.8) 132 (129, 133) 1,311 falling falling trend -2.2 (-2.4, -2.1)
Goochland County Urban No 132.5 (116.7, 150.2) 120 (74, 130) 56 falling falling trend -2.2 (-3.2, -1.0)
Prince William County Urban No 127.4 (122.4, 132.6) 123 (115, 128) 528 falling falling trend -2.1 (-2.4, -1.8)
Suffolk City Urban No 161.4 (150.8, 172.5) 74 (43, 109) 181 falling falling trend -2.1 (-2.6, -1.6)
Caroline County Rural No 159.4 (141.9, 178.5) 79 (27, 121) 64 falling falling trend -2.0 (-2.7, -1.4)
Emporia City Rural No 177.1 (136.0, 227.5) 47 (3, 130) 14 falling falling trend -2.0 (-3.9, -0.3)
King William County Urban No 170.6 (146.7, 197.4) 60 (10, 121) 38 falling falling trend -2.0 (-3.1, -0.8)
Stafford County Urban No 146.1 (136.8, 155.8) 106 (70, 122) 203 falling falling trend -2.0 (-2.3, -1.5)
Albemarle County Urban Yes 116.0 (108.7, 123.8) 129 (121, 131) 194 falling falling trend -1.9 (-2.4, -1.4)
Charlottesville City Urban No 142.2 (126.3, 159.5) 115 (57, 128) 62 falling falling trend -1.9 (-2.6, -1.1)
Louisa County Rural No 157.2 (142.3, 173.4) 80 (35, 119) 90 falling falling trend -1.9 (-2.9, -1.0)
Winchester City Urban No 157.0 (138.7, 177.1) 81 (27, 124) 55 falling falling trend -1.9 (-2.8, -1.0)
Chesapeake City Urban No 161.3 (154.4, 168.5) 75 (51, 97) 429 falling falling trend -1.8 (-2.2, -1.5)
Dinwiddie County Urban No 178.5 (159.7, 199.2) 46 (10, 104) 69 falling falling trend -1.8 (-2.6, -1.0)
Pulaski County Urban No 155.2 (140.3, 171.4) 88 (38, 122) 85 falling falling trend -1.8 (-2.4, -1.2)
Spotsylvania County Urban No 144.5 (136.1, 153.4) 112 (78, 122) 231 falling falling trend -1.8 (-2.4, -1.1)
Chesterfield County Urban No 144.8 (139.6, 150.2) 110 (87, 119) 609 falling falling trend -1.7 (-1.9, -1.4)
Clarke County Urban No 149.9 (129.0, 174.0) 102 (29, 128) 38 falling falling trend -1.7 (-3.1, -0.4)
Isle of Wight County Urban No 168.6 (153.3, 185.2) 65 (19, 107) 94 falling falling trend -1.7 (-2.6, -0.7)
King George County Rural No 161.7 (141.3, 184.2) 73 (19, 124) 48 falling falling trend -1.7 (-2.8, -0.4)
Northumberland County Rural No 145.6 (125.8, 169.4) 107 (37, 129) 44 falling falling trend -1.7 (-2.9, -0.6)
Prince George County Urban No 153.5 (136.8, 171.7) 93 (34, 125) 64 falling falling trend -1.7 (-2.6, -0.6)
Accomack County Rural No 171.3 (155.9, 188.0) 59 (19, 103) 100 falling falling trend -1.6 (-2.1, -1.0)
Amelia County Urban No 172.7 (147.5, 201.7) 55 (8, 122) 35 falling falling trend -1.6 (-2.7, -0.4)
Amherst County Urban No 162.6 (146.8, 179.9) 72 (27, 116) 81 falling falling trend -1.6 (-2.4, -0.9)
Buckingham County Rural No 180.6 (157.5, 206.6) 42 (8, 110) 45 falling falling trend -1.6 (-2.8, -0.4)
Buena Vista City Rural No 164.2 (128.3, 207.9) 70 (6, 132) 15 falling falling trend -1.6 (-3.3, -0.1)
Campbell County Urban No 152.1 (140.3, 164.8) 96 (50, 120) 129 falling falling trend -1.6 (-2.4, -0.8)
Greene County Urban No 129.6 (111.0, 150.8) 122 (64, 132) 36 falling falling trend -1.6 (-2.8, -0.2)
Rockbridge County Rural No 143.7 (127.0, 162.5) 113 (54, 128) 60 falling falling trend -1.6 (-2.5, -0.6)
Surry County Urban No 164.2 (129.6, 206.9) 69 (4, 131) 18 stable stable trend -1.6 (-3.9, 0.7)
Alleghany County and Clifton Forge City Rural No 156.8 (135.8, 180.9) 82 (24, 126) 43 falling falling trend -1.5 (-2.8, -0.3)
Middlesex County Rural No 155.8 (133.2, 182.8) 86 (19, 127) 38 falling falling trend -1.5 (-2.5, -0.4)
Rappahannock County Urban Yes 120.1 (94.7, 152.3) 127 (56, 133) 17 stable stable trend -1.5 (-3.0, 0.2)
Southampton County Rural No 161.1 (140.7, 184.2) 76 (19, 123) 47 falling falling trend -1.5 (-2.4, -0.6)
Virginia Beach City Urban No 146.5 (141.9, 151.3) 105 (83, 117) 771 falling falling trend -1.5 (-1.8, -1.3)
Culpeper County Urban No 156.8 (143.1, 171.4) 83 (42, 119) 101 falling falling trend -1.4 (-2.1, -0.7)
Frederick County Urban No 160.7 (150.7, 171.3) 77 (40, 109) 200 falling falling trend -1.4 (-1.9, -0.8)
Hampton City Urban No 168.1 (159.1, 177.5) 66 (36, 91) 275 falling falling trend -1.4 (-1.9, -0.8)
Hanover County Urban No 153.0 (144.2, 162.2) 94 (62, 115) 237 falling falling trend -1.4 (-2.0, -0.9)
Norfolk City Urban No 179.8 (171.8, 188.1) 43 (21, 66) 408 falling falling trend -1.4 (-1.8, -1.0)
Radford City Urban No 171.9 (139.2, 209.8) 57 (5, 126) 20 falling falling trend -1.4 (-2.7, -0.1)
Appomattox County Urban No 152.7 (130.9, 177.5) 95 (20, 128) 37 stable stable trend -1.3 (-2.9, 0.3)
Fluvanna County Urban No 139.3 (123.2, 157.3) 118 (59, 129) 57 falling falling trend -1.3 (-2.2, -0.3)
Henrico County Urban No 148.6 (143.3, 154.0) 103 (77, 116) 621 falling falling trend -1.3 (-1.7, -1.0)
Lunenburg County Rural No 175.5 (149.4, 205.5) 50 (8, 119) 34 stable stable trend -1.3 (-2.5, 0.0)
Montgomery County Urban No 139.7 (129.3, 150.8) 117 (79, 126) 136 falling falling trend -1.3 (-1.9, -0.6)
Portsmouth City Urban No 188.7 (177.1, 200.8) 23 (12, 61) 210 falling falling trend -1.3 (-1.8, -0.8)
Fauquier County Urban No 151.0 (139.9, 162.8) 99 (57, 120) 143 falling falling trend -1.2 (-2.0, -0.4)
Gloucester County Urban No 174.6 (159.2, 191.3) 52 (16, 101) 100 falling falling trend -1.2 (-2.2, -0.3)
Grayson County Rural No 172.4 (150.3, 197.6) 56 (11, 120) 47 falling falling trend -1.2 (-2.3, -0.2)
James City County Urban No 124.4 (116.2, 133.1) 125 (114, 130) 185 falling falling trend -1.2 (-2.0, -0.4)
King and Queen County Urban No 187.0 (151.3, 230.3) 27 (2, 121) 21 stable stable trend -1.2 (-2.6, 0.1)
Lancaster County Rural No 180.8 (154.1, 212.3) 41 (7, 115) 48 stable stable trend -1.2 (-2.4, 0.0)
Bland County Rural No 154.6 (122.5, 194.9) 91 (10, 132) 16 stable stable trend -1.1 (-3.0, 0.8)
Carroll County Rural No 155.6 (140.5, 172.3) 87 (37, 121) 84 falling falling trend -1.1 (-2.2, -0.1)
Cumberland County Rural No 184.7 (153.7, 220.9) 33 (4, 118) 28 stable stable trend -1.1 (-2.3, 0.1)
Essex County Rural No 174.9 (146.2, 208.4) 51 (7, 122) 29 stable stable trend -1.1 (-2.6, 0.3)
Harrisonburg City Urban No 141.7 (125.5, 159.5) 116 (53, 129) 57 stable stable trend -1.1 (-2.4, 0.3)
Highland County Rural No 126.6 (87.4, 192.3) 124 (14, 133) 7 stable stable trend -1.1 (-3.8, 1.6)
Madison County Rural No 155.1 (131.3, 182.6) 89 (19, 127) 33 stable stable trend -1.1 (-2.4, 0.2)
Mathews County Urban No 165.0 (135.7, 200.4) 68 (9, 126) 28 stable stable trend -1.1 (-3.0, 0.7)
Newport News City Urban No 174.4 (166.0, 183.1) 54 (27, 81) 339 falling falling trend -1.1 (-1.6, -0.7)
Orange County Rural No 184.1 (167.9, 201.6) 34 (11, 88) 99 falling falling trend -1.1 (-1.8, -0.3)
Pittsylvania County Rural No 163.8 (152.2, 176.1) 71 (34, 107) 164 falling falling trend -1.1 (-1.7, -0.5)
Roanoke County Urban No 136.9 (128.5, 145.8) 119 (93, 126) 208 falling falling trend -1.1 (-1.6, -0.5)
Giles County Urban No 186.5 (163.5, 212.4) 29 (7, 99) 49 stable stable trend -1.0 (-2.0, 0.0)
Bedford City and County Urban No 156.5 (146.6, 167.0) 84 (53, 115) 200 falling falling trend -0.9 (-1.5, -0.3)
Hopewell City Urban No 219.3 (194.3, 246.8) 10 (1, 48) 58 stable stable trend -0.9 (-1.7, 0.0)
Mecklenburg County Rural No 174.6 (158.8, 191.9) 53 (15, 103) 98 falling falling trend -0.9 (-1.6, -0.2)
New Kent County Urban No 183.7 (161.3, 208.5) 36 (7, 103) 55 stable stable trend -0.9 (-2.1, 0.6)
Poquoson City Urban No 160.2 (134.9, 189.5) 78 (13, 128) 29 stable stable trend -0.9 (-2.4, 0.8)
Bath County Rural No 182.7 (141.6, 235.8) 39 (2, 128) 14 stable stable trend -0.8 (-3.1, 1.5)
Bristol City Urban No 183.7 (161.0, 209.2) 35 (8, 102) 50 stable stable trend -0.8 (-2.4, 0.6)
Nelson County Urban No 166.3 (144.1, 191.6) 67 (13, 122) 46 stable stable trend -0.8 (-1.9, 0.2)
Nottoway County Rural No 201.1 (175.1, 230.2) 15 (3, 79) 44 stable stable trend -0.8 (-1.7, 0.1)
Roanoke City Urban No 188.6 (177.8, 199.9) 24 (13, 59) 242 falling falling trend -0.7 (-1.1, -0.3)
Scott County Urban No 183.4 (163.8, 205.2) 37 (10, 94) 69 stable stable trend -0.7 (-1.9, 0.4)
Sussex County Urban No 207.1 (174.5, 244.7) 11 (1, 93) 30 stable stable trend -0.7 (-1.7, 0.3)
Warren County Urban No 179.3 (163.1, 196.8) 44 (13, 91) 95 stable stable trend -0.7 (-1.4, 0.0)
Wythe County Rural No 178.9 (161.0, 198.4) 45 (12, 99) 78 stable stable trend -0.7 (-1.6, 0.1)
Dickenson County Rural No 192.4 (166.8, 221.6) 20 (4, 99) 43 stable stable trend -0.6 (-2.0, 0.8)
Franklin County Urban No 151.3 (139.4, 164.1) 97 (54, 122) 135 falling falling trend -0.6 (-1.1, -0.1)
Henry County Rural No 170.4 (157.6, 184.1) 62 (23, 99) 147 stable stable trend -0.6 (-1.4, 0.2)
Lee County Rural No 206.1 (184.9, 229.5) 12 (3, 58) 73 stable stable trend -0.6 (-1.6, 0.4)
Richmond County Rural No 171.7 (142.1, 206.5) 58 (7, 126) 25 stable stable trend -0.6 (-1.8, 0.6)
Russell County Rural No 188.5 (169.4, 209.4) 25 (8, 82) 78 stable stable trend -0.6 (-1.5, 0.2)
Salem City Urban No 183.2 (163.4, 204.9) 38 (10, 96) 66 stable stable trend -0.6 (-1.7, 0.4)
Halifax County with South Boston City Rural No 187.6 (171.5, 205.0) 26 (10, 79) 111 stable stable trend -0.5 (-1.3, 0.4)
Shenandoah County Rural No 177.1 (162.8, 192.3) 48 (15, 89) 121 stable stable trend -0.5 (-1.2, 0.1)
Wise County Rural No 226.4 (207.4, 246.9) 8 (1, 26) 110 stable stable trend -0.5 (-1.1, 0.1)
Norton City Rural No 241.6 (183.1, 314.5) 5 (1, 107) 11 stable stable trend -0.4 (-2.5, 1.8)
Waynesboro City Urban No 197.0 (174.9, 221.2) 17 (5, 78) 60 stable stable trend -0.4 (-1.4, 0.6)
Floyd County Urban No 153.7 (132.2, 178.4) 92 (19, 128) 39 stable stable trend -0.3 (-1.5, 0.9)
Page County Rural No 176.5 (157.8, 197.3) 49 (11, 106) 68 stable stable trend -0.3 (-1.3, 0.8)
Patrick County Rural No 190.5 (168.7, 215.0) 21 (6, 87) 62 stable stable trend -0.3 (-1.3, 0.8)
Smyth County Rural No 205.9 (187.6, 225.7) 13 (4, 51) 99 stable stable trend -0.3 (-0.9, 0.2)
Staunton City Urban No 182.4 (163.4, 203.3) 40 (10, 92) 70 stable stable trend -0.3 (-1.3, 0.8)
Craig County Urban No 189.8 (148.3, 241.9) 22 (1, 124) 16 stable stable trend -0.2 (-2.3, 2.0)
Tazewell County Rural No 186.8 (171.5, 203.2) 28 (9, 76) 119 stable stable trend -0.2 (-1.0, 0.6)
Lynchburg City Urban No 184.9 (171.9, 198.7) 32 (12, 75) 157 stable stable trend 0.0 (-0.8, 3.1)
Charlotte County Rural No 186.2 (158.0, 218.7) 30 (5, 117) 33 stable stable trend 0.1 (-1.1, 4.6)
Greensville County Rural No 229.1 (193.0, 270.5) 7 (1, 66) 30 stable stable trend 0.2 (-1.7, 2.1)
Prince Edward County Rural No 196.4 (171.9, 223.5) 18 (4, 85) 50 stable stable trend 0.4 (-0.5, 3.9)
Brunswick County Rural No 185.7 (161.9, 212.6) 31 (7, 107) 46 stable stable trend 0.6 (-2.0, 9.5)
Buchanan County Rural No 197.2 (175.8, 221.0) 16 (5, 83) 65 stable stable trend 0.7 (-1.0, 6.7)
Petersburg City Urban No 238.7 (217.4, 261.7) 6 (1, 17) 98 stable stable trend 1.1 (-0.3, 6.6)
Manassas City Urban No 156.3 (136.6, 178.0) 85 (23, 124) 52 stable stable trend 1.4 (-2.1, 10.0)
Martinsville City Rural No 244.3 (211.2, 281.3) 4 (1, 28) 41 rising rising trend 1.4 (0.1, 2.8)
Washington County Urban No 170.6 (158.1, 183.9) 61 (21, 97) 152 stable stable trend 1.7 (-1.2, 7.1)
Colonial Heights City Urban No 205.0 (180.5, 232.3) 14 (3, 71) 53 stable stable trend 2.5 (-0.1, 11.0)
Rockingham County Urban No 144.9 (135.4, 154.9) 109 (74, 123) 180 stable stable trend 2.9 (-1.6, 6.2)
Augusta County Urban No 142.8 (133.4, 152.8) 114 (74, 125) 178 stable stable trend 3.2 (-1.1, 6.3)
Fairfax City Urban No 249.9 (223.0, 279.3) 3 (1, 15) 65 rising rising trend 5.1 (1.3, 13.5)
Botetourt County Urban No 150.9 (136.5, 166.7) 100 (44, 123) 85 stable stable trend 6.4 (-1.4, 12.3)
Danville City Rural No 221.3 (204.5, 239.3) 9 (2, 27) 138 rising rising trend 7.5 (5.5, 10.3)
Falls Church City Urban No 169.6 (142.2, 201.0) 63 (9, 126) 27 stable stable trend 11.8 (-2.6, 31.1)
Franklin City Rural No 251.3 (210.7, 298.2) 2 (1, 37) 28 rising rising trend 14.1 (3.5, 20.6)

Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 1:33 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.


† 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.

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