Death Rates Table
Death Rate Report for Virginia by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Female, All Ages
Sorted by Count
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 | 128.3 (127.0, 129.6) | N/A | 7,430 |
stable 
|
-0.2 (-1.1, 0.3) |
| United States | N/A | No | 126.3 (126.1, 126.6) | N/A | 287,034 |
falling 
|
-1.1 (-1.2, -1.0) |
| Bath County | Rural | No | 140.6 (88.9, 219.6) | 63 (1, 132) | 5 |
stable
|
-31.0 (-61.2, 0.8) |
| Lexington City | Rural | Yes | 110.1 (71.5, 167.3) | 120 (8, 132) | 5 |
stable
|
1.3 (-1.3, 5.9) |
| Manassas Park City | Urban | Yes | 75.2 (49.1, 110.1) | 132 (86, 132) | 5 |
falling
|
-4.6 (-7.1, -2.1) |
| Emporia City | Rural | No | 139.7 (91.8, 205.6) | 66 (1, 132) | 6 |
stable
|
-1.7 (-4.7, 0.9) |
| Norton City | Rural | No | 237.6 (162.0, 340.5) | 1 (1, 112) | 6 |
stable
|
0.6 (-2.2, 3.4) |
| Covington City | Rural | No | 137.7 (95.1, 196.8) | 74 (2, 132) | 6 |
stable
|
0.4 (-2.4, 3.2) |
| Bland County | Rural | No | 125.7 (86.2, 184.0) | 102 (4, 132) | 7 |
stable
|
-0.8 (-3.5, 2.0) |
| Craig County | Urban | No | 150.1 (103.5, 217.5) | 46 (1, 132) | 7 |
stable
|
9.5 (-12.6, 39.7) |
| Buena Vista City | Rural | No | 139.1 (96.8, 196.6) | 69 (2, 132) | 7 |
stable
|
-1.7 (-3.9, 0.5) |
| Surry County | Urban | No | 132.4 (90.7, 190.8) | 86 (3, 132) | 7 |
stable
|
-2.0 (-4.7, 0.6) |
| Rappahannock County | Urban | Yes | 111.1 (76.8, 160.5) | 118 (12, 132) | 8 |
stable
|
-0.7 (-3.8, 2.7) |
| Charles City County | Urban | Yes | 121.9 (83.8, 176.9) | 108 (5, 132) | 8 |
falling
|
-2.3 (-4.4, -0.2) |
| King and Queen County | Urban | No | 134.1 (95.3, 188.4) | 82 (3, 132) | 8 |
stable
|
-1.3 (-3.1, 0.5) |
| Radford City | Urban | No | 139.3 (101.3, 187.1) | 67 (3, 132) | 9 |
stable
|
-1.7 (-4.4, 0.7) |
| Richmond County | Rural | No | 138.9 (101.8, 188.3) | 70 (3, 132) | 11 |
stable
|
-0.8 (-3.5, 1.9) |
| Cumberland County | Rural | No | 150.2 (110.9, 200.3) | 45 (1, 132) | 11 |
stable
|
-1.1 (-3.4, 1.2) |
| Franklin City | Rural | No | 173.9 (131.6, 227.3) | 11 (1, 123) | 12 |
stable
|
0.3 (-1.7, 2.2) |
| Galax City | Rural | No | 233.9 (176.8, 305.3) | 2 (1, 76) | 12 |
falling
|
-9.9 (-20.8, -4.0) |
| Essex County | Rural | No | 134.9 (101.8, 177.4) | 80 (5, 132) | 12 |
stable
|
-0.5 (-2.1, 1.0) |
| Mathews County | Urban | No | 152.2 (109.0, 209.6) | 40 (1, 131) | 12 |
stable
|
-1.3 (-3.0, 0.3) |
| Poquoson City | Urban | No | 133.0 (101.9, 172.0) | 85 (7, 131) | 12 |
stable
|
-1.8 (-3.9, 0.4) |
| Sussex County | Urban | No | 171.9 (128.9, 226.6) | 15 (1, 122) | 12 |
stable
|
-0.4 (-2.4, 1.6) |
| Charlotte County | Rural | No | 131.6 (99.7, 172.1) | 88 (7, 132) | 13 |
stable
|
-0.9 (-2.5, 0.7) |
| Greensville County | Rural | No | 207.4 (158.3, 268.8) | 4 (1, 93) | 13 |
stable
|
0.9 (-1.1, 3.0) |
| Williamsburg City | Urban | No | 133.3 (102.0, 173.2) | 84 (6, 132) | 13 |
stable
|
-0.7 (-4.4, 3.3) |
| Madison County | Rural | No | 129.0 (97.9, 167.8) | 94 (9, 132) | 13 |
stable
|
-1.1 (-2.3, 0.1) |
| Northampton County | Rural | Yes | 107.4 (81.2, 141.7) | 124 (35, 132) | 14 |
falling
|
-4.3 (-5.4, -3.3) |
| Lunenburg County | Rural | No | 136.7 (105.3, 176.7) | 77 (6, 131) | 14 |
stable
|
-1.3 (-3.0, 0.4) |
| Falls Church City | Urban | No | 157.8 (123.9, 198.9) | 30 (3, 125) | 15 |
rising 
|
12.1 (0.9, 36.2) |
| Greene County | Urban | Yes | 100.7 (78.7, 127.4) | 127 (62, 132) | 15 |
falling
|
-1.5 (-2.6, -0.2) |
| Middlesex County | Rural | No | 127.1 (97.4, 166.6) | 100 (7, 132) | 16 |
stable
|
-1.2 (-3.0, 0.7) |
| Amelia County | Urban | No | 148.8 (116.9, 188.3) | 48 (2, 128) | 16 |
stable
|
-1.2 (-2.9, 0.6) |
| Clarke County | Urban | No | 125.5 (99.2, 158.1) | 103 (15, 132) | 16 |
falling
|
-1.9 (-3.4, -0.4) |
| Alleghany County and Clifton Forge City | Rural | Yes | 120.0 (93.9, 152.9) | 113 (18, 132) | 17 |
falling
|
-1.9 (-4.0, -0.1) |
| Floyd County | Urban | No | 131.2 (103.3, 165.7) | 90 (10, 131) | 17 |
stable
|
0.2 (-1.4, 1.9) |
| Southampton County | Rural | Yes | 120.1 (95.7, 150.0) | 112 (23, 132) | 18 |
falling
|
-1.6 (-3.3, -0.1) |
| King William County | Urban | No | 149.1 (119.3, 184.6) | 47 (4, 127) | 18 |
stable
|
-0.9 (-2.3, 0.7) |
| Appomattox County | Urban | No | 150.4 (120.4, 186.6) | 44 (3, 125) | 18 |
stable
|
0.0 (-2.2, 2.2) |
| Martinsville City | Rural | No | 187.9 (150.5, 232.4) | 7 (1, 99) | 18 |
stable
|
0.9 (-0.8, 2.6) |
| Nelson County | Urban | No | 131.4 (104.5, 164.9) | 89 (12, 131) | 19 |
stable
|
-0.3 (-2.5, 1.9) |
| Buckingham County | Rural | No | 157.3 (126.5, 194.6) | 33 (3, 122) | 19 |
stable
|
-0.9 (-2.6, 0.8) |
| Dickenson County | Rural | No | 172.2 (138.2, 213.4) | 14 (1, 114) | 19 |
stable
|
-0.1 (-2.2, 2.0) |
| Northumberland County | Rural | No | 128.6 (103.0, 162.8) | 95 (14, 131) | 19 |
stable
|
-0.5 (-1.5, 0.5) |
| Nottoway County | Rural | No | 166.1 (134.4, 204.4) | 19 (1, 113) | 20 |
stable
|
-0.8 (-2.4, 0.9) |
| Brunswick County | Rural | No | 156.4 (124.9, 194.8) | 34 (3, 120) | 20 |
falling
|
-1.9 (-3.6, -0.3) |
| Fredericksburg City | Urban | No | 148.4 (120.8, 180.4) | 49 (4, 122) | 20 |
falling
|
-2.0 (-3.6, -0.6) |
| Grayson County | Rural | No | 147.3 (118.9, 182.3) | 51 (5, 124) | 20 |
stable
|
-1.4 (-2.9, 0.0) |
| King George County | Rural | No | 144.5 (118.1, 175.3) | 56 (8, 124) | 21 |
falling
|
-2.3 (-4.2, -0.3) |
| Lancaster County | Rural | No | 147.9 (115.6, 190.1) | 50 (3, 128) | 21 |
stable
|
-0.5 (-12.5, 8.8) |
| Westmoreland County | Rural | Yes | 119.7 (97.4, 146.9) | 114 (23, 132) | 22 |
falling
|
-2.3 (-3.5, -1.2) |
| Giles County | Urban | No | 162.1 (132.7, 197.3) | 25 (2, 115) | 23 |
stable
|
-0.6 (-2.6, 1.4) |
| Prince Edward County | Rural | No | 157.6 (128.5, 192.0) | 31 (3, 117) | 23 |
stable
|
-1.1 (-2.5, 0.3) |
| Colonial Heights City | Urban | No | 158.9 (130.2, 192.6) | 29 (3, 115) | 23 |
stable
|
-0.3 (-1.4, 0.9) |
| Powhatan County | Urban | Yes | 100.4 (82.5, 121.7) | 128 (75, 132) | 23 |
falling
|
-2.8 (-4.2, -1.3) |
| Winchester City | Urban | Yes | 120.2 (99.1, 144.9) | 111 (28, 131) | 23 |
falling
|
-2.0 (-3.8, -0.4) |
| Fluvanna County | Urban | Yes | 108.0 (89.3, 130.0) | 122 (54, 132) | 24 |
falling
|
-11.8 (-23.5, -2.9) |
| Hopewell City | Urban | No | 164.1 (135.8, 196.9) | 21 (3, 114) | 25 |
stable
|
-1.4 (-3.2, 0.2) |
| Goochland County | Urban | Yes | 113.7 (93.8, 137.6) | 116 (44, 132) | 25 |
falling
|
-2.4 (-4.4, -0.2) |
| New Kent County | Urban | No | 162.3 (133.6, 195.8) | 24 (2, 114) | 25 |
stable
|
-0.9 (-2.3, 0.8) |
| Bristol City | Urban | No | 160.3 (132.3, 193.4) | 28 (2, 113) | 25 |
stable
|
0.0 (-1.6, 1.5) |
| Manassas City | Urban | No | 144.1 (119.5, 172.1) | 57 (7, 122) | 26 |
stable
|
-1.7 (-3.8, 0.5) |
| Harrisonburg City | Urban | No | 123.4 (103.1, 146.6) | 107 (31, 130) | 27 |
stable
|
-1.1 (-2.9, 0.7) |
| Caroline County | Rural | No | 131.2 (110.0, 155.7) | 91 (22, 128) | 28 |
falling
|
-1.4 (-2.6, -0.1) |
| Rockbridge County | Rural | No | 128.2 (106.8, 153.8) | 96 (25, 130) | 28 |
falling
|
-1.4 (-2.6, -0.2) |
| Waynesboro City | Urban | No | 166.2 (139.2, 197.3) | 18 (3, 107) | 28 |
stable
|
-0.7 (-2.0, 0.5) |
| Scott County | Urban | No | 156.2 (130.2, 186.9) | 35 (4, 117) | 29 |
stable
|
-0.8 (-2.2, 0.6) |
| Patrick County | Rural | No | 170.0 (141.7, 203.9) | 16 (2, 102) | 29 |
stable
|
0.3 (-1.2, 1.8) |
| Page County | Rural | No | 144.7 (121.6, 171.7) | 55 (10, 120) | 29 |
stable
|
-0.2 (-1.9, 1.5) |
| Prince George County | Urban | No | 142.0 (119.6, 167.4) | 60 (11, 121) | 29 |
stable
|
-0.9 (-2.4, 0.8) |
| Dinwiddie County | Urban | No | 147.0 (124.2, 173.2) | 52 (8, 118) | 31 |
stable
|
-1.4 (-2.9, 0.2) |
| Buchanan County | Rural | No | 181.9 (153.0, 215.7) | 10 (1, 70) | 31 |
stable
|
0.6 (-3.1, 8.5) |
| Fairfax City | Urban | No | 215.8 (183.6, 252.3) | 3 (1, 34) | 32 |
rising
|
3.9 (1.0, 9.2) |
| Salem City | Urban | No | 160.9 (136.4, 189.1) | 26 (3, 103) | 33 |
stable
|
1.0 (-0.1, 3.5) |
| Lee County | Rural | No | 182.4 (154.6, 214.7) | 9 (1, 71) | 33 |
stable
|
-0.1 (-1.5, 1.4) |
| Charlottesville City | Urban | No | 139.2 (118.6, 162.5) | 68 (15, 123) | 33 |
falling
|
-1.4 (-2.4, -0.5) |
| Botetourt County | Urban | Yes | 110.6 (94.0, 129.9) | 119 (65, 132) | 34 |
stable
|
-0.3 (-1.2, 0.7) |
| Staunton City | Urban | No | 154.0 (131.1, 180.4) | 37 (6, 109) | 34 |
stable
|
-0.7 (-2.0, 0.6) |
| Russell County | Rural | No | 172.9 (147.7, 202.0) | 13 (2, 88) | 37 |
stable
|
-0.4 (-2.1, 1.3) |
| Amherst County | Urban | No | 138.6 (118.9, 161.1) | 72 (16, 120) | 38 |
stable
|
-0.7 (-1.6, 0.1) |
| Pulaski County | Urban | No | 127.9 (109.8, 148.7) | 98 (30, 126) | 38 |
falling
|
-1.7 (-2.8, -0.6) |
| Wythe County | Rural | No | 162.4 (139.4, 188.7) | 23 (4, 102) | 38 |
stable
|
-0.3 (-1.4, 0.8) |
| Carroll County | Rural | No | 136.8 (117.3, 159.5) | 76 (14, 123) | 38 |
stable
|
-0.4 (-1.7, 0.9) |
| Louisa County | Rural | No | 130.8 (112.2, 151.9) | 92 (24, 125) | 38 |
stable
|
-1.5 (-2.9, 0.0) |
| Warren County | Urban | No | 146.2 (126.5, 168.4) | 53 (11, 113) | 41 |
stable
|
-0.8 (-2.2, 0.7) |
| Isle of Wight County | Urban | No | 137.9 (119.5, 158.8) | 73 (20, 122) | 42 |
stable
|
-1.0 (-2.1, 0.3) |
| Accomack County | Rural | No | 142.8 (123.2, 165.3) | 58 (11, 119) | 43 |
falling
|
-1.2 (-2.2, -0.3) |
| Gloucester County | Urban | No | 141.7 (122.9, 163.0) | 61 (17, 119) | 43 |
stable
|
-0.9 (-2.1, 0.4) |
| Smyth County | Rural | No | 173.3 (150.7, 199.0) | 12 (2, 86) | 46 |
stable
|
-0.3 (-1.6, 1.1) |
| Petersburg City | Urban | No | 186.4 (162.2, 213.5) | 8 (1, 56) | 46 |
stable
|
-0.4 (-1.7, 0.9) |
| Mecklenburg County | Rural | No | 151.3 (131.4, 174.2) | 41 (8, 109) | 47 |
stable
|
-0.5 (-1.4, 0.3) |
| Orange County | Rural | No | 157.5 (137.4, 180.1) | 32 (6, 101) | 47 |
falling
|
-1.2 (-2.3, -0.1) |
| Culpeper County | Urban | No | 137.2 (120.0, 156.4) | 75 (21, 117) | 47 |
falling
|
-1.6 (-2.6, -0.6) |
| Wise County | Rural | No | 196.1 (172.0, 223.1) | 6 (1, 39) | 51 |
stable
|
-0.3 (-0.9, 0.4) |
| Halifax County with South Boston City | Rural | No | 160.4 (139.7, 183.7) | 27 (5, 97) | 51 |
stable
|
-0.1 (-1.1, 0.9) |
| Shenandoah County | Rural | No | 145.9 (128.0, 165.9) | 54 (12, 110) | 52 |
stable
|
-0.6 (-1.3, 0.0) |
| York County | Urban | Yes | 109.7 (96.9, 123.8) | 121 (74, 131) | 55 |
falling
|
-2.3 (-3.4, -1.2) |
| Campbell County | Urban | Yes | 121.1 (106.9, 137.1) | 109 (51, 127) | 56 |
falling
|
-1.7 (-2.6, -0.8) |
| Tazewell County | Rural | No | 166.1 (146.2, 188.4) | 20 (4, 80) | 56 |
stable
|
0.3 (-0.6, 1.1) |
| Franklin County | Urban | No | 134.1 (118.3, 151.7) | 83 (25, 118) | 61 |
stable
|
-0.3 (-1.4, 0.8) |
| Montgomery County | Urban | Yes | 115.8 (103.0, 129.9) | 115 (66, 129) | 62 |
falling
|
-1.4 (-2.4, -0.5) |
| Fauquier County | Urban | No | 138.7 (124.3, 154.5) | 71 (23, 114) | 69 |
stable
|
-1.3 (-2.7, 0.1) |
| Henry County | Rural | No | 150.6 (133.9, 169.1) | 43 (11, 102) | 69 |
stable
|
0.0 (-0.9, 1.0) |
| Washington County | Urban | No | 153.5 (137.2, 171.6) | 38 (10, 95) | 73 |
stable
|
-0.8 (-2.0, 0.4) |
| Danville City | Rural | No | 196.1 (175.3, 219.0) | 5 (1, 32) | 73 |
rising
|
14.1 (9.8, 21.8) |
| Pittsylvania County | Rural | No | 140.4 (125.6, 156.9) | 64 (19, 112) | 74 |
falling
|
-0.9 (-1.7, -0.1) |
| Lynchburg City | Urban | No | 152.9 (137.2, 170.0) | 39 (11, 94) | 75 |
stable
|
-0.3 (-1.1, 0.4) |
| Augusta County | Urban | No | 124.7 (112.5, 138.2) | 104 (52, 123) | 81 |
rising
|
4.8 (1.8, 10.2) |
| Suffolk City | Urban | No | 135.1 (122.2, 149.1) | 79 (33, 116) | 82 |
falling
|
-2.0 (-2.7, -1.3) |
| Rockingham County | Urban | No | 124.0 (112.1, 137.1) | 106 (56, 123) | 84 |
falling
|
-1.3 (-2.2, -0.4) |
| James City County | Urban | Yes | 104.5 (94.3, 115.9) | 125 (99, 131) | 84 |
falling
|
-1.2 (-2.2, -0.2) |
| Bedford City and County | Urban | No | 131.7 (119.2, 145.3) | 87 (38, 118) | 88 |
falling
|
-1.1 (-1.7, -0.4) |
| Frederick County | Urban | No | 135.7 (123.1, 149.4) | 78 (33, 113) | 89 |
falling
|
-1.4 (-2.3, -0.5) |
| Albemarle County | Urban | Yes | 96.1 (87.1, 105.8) | 130 (112, 132) | 91 |
falling
|
-2.0 (-2.7, -1.3) |
| Alexandria City | Urban | Yes | 107.8 (98.0, 118.4) | 123 (91, 130) | 92 |
falling
|
-2.0 (-2.6, -1.5) |
| Stafford County | Urban | No | 130.4 (118.8, 142.7) | 93 (43, 118) | 98 |
falling
|
-1.5 (-2.4, -0.6) |
| Portsmouth City | Urban | No | 163.5 (149.3, 178.8) | 22 (7, 67) | 103 |
falling
|
-1.0 (-1.7, -0.4) |
| Roanoke County | Urban | Yes | 120.9 (110.4, 132.4) | 110 (66, 123) | 103 |
stable
|
-0.8 (-1.6, 0.0) |
| Spotsylvania County | Urban | No | 126.9 (116.3, 138.2) | 101 (51, 119) | 110 |
falling
|
-1.4 (-2.1, -0.7) |
| Arlington County | Urban | Yes | 97.9 (89.9, 106.4) | 129 (113, 132) | 113 |
falling
|
-2.4 (-2.9, -2.0) |
| Hanover County | Urban | No | 139.9 (128.6, 152.1) | 65 (29, 106) | 117 |
stable
|
-0.8 (-1.6, 0.0) |
| Roanoke City | Urban | No | 168.3 (154.8, 182.8) | 17 (7, 56) | 123 |
stable
|
0.1 (-0.5, 0.6) |
| Hampton City | Urban | No | 142.0 (131.1, 153.7) | 59 (29, 99) | 133 |
falling
|
-1.2 (-2.0, -0.4) |
| Richmond City | Urban | No | 124.5 (115.8, 133.6) | 105 (66, 118) | 166 |
falling
|
-2.6 (-3.0, -2.2) |
| Newport News City | Urban | No | 150.8 (140.6, 161.5) | 42 (20, 81) | 169 |
falling
|
-0.8 (-1.3, -0.3) |
| Norfolk City | Urban | No | 156.0 (146.2, 166.3) | 36 (15, 71) | 200 |
falling
|
-1.2 (-1.9, -0.5) |
| Loudoun County | Urban | Yes | 102.2 (96.0, 108.8) | 126 (110, 130) | 205 |
falling
|
-2.3 (-2.8, -1.6) |
| Chesapeake City | Urban | No | 141.3 (132.7, 150.2) | 62 (35, 95) | 212 |
falling
|
-1.4 (-1.9, -0.9) |
| Prince William County | Urban | Yes | 113.4 (107.2, 119.9) | 117 (96, 125) | 258 |
falling
|
-2.2 (-2.5, -1.8) |
| Chesterfield County | Urban | No | 127.4 (120.9, 134.2) | 99 (65, 111) | 300 |
falling
|
-1.5 (-1.8, -1.1) |
| Henrico County | Urban | No | 134.4 (127.8, 141.2) | 81 (53, 101) | 324 |
falling
|
-1.1 (-1.4, -0.8) |
| Virginia Beach City | Urban | No | 128.0 (122.2, 134.0) | 97 (67, 110) | 379 |
falling
|
-1.5 (-2.0, -1.1) |
| Fairfax County | Urban | Yes | 92.9 (89.7, 96.2) | 131 (123, 132) | 642 |
falling
|
-2.2 (-2.5, -1.9) |
| Highland County | Rural | *** |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 1:00 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 has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.
If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
Data for United States does not include Puerto Rico.