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