Death Rates Table
Death Rate Report for Virginia by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Female, All Ages
Sorted by Recentaapc
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) |
| Fluvanna County | Urban | Yes | 108.0 (89.3, 130.0) | 122 (54, 132) | 24 |
falling
|
-11.8 (-23.5, -2.9) |
| Galax City | Rural | No | 233.9 (176.8, 305.3) | 2 (1, 76) | 12 |
falling
|
-9.9 (-20.8, -4.0) |
| Manassas Park City | Urban | Yes | 75.2 (49.1, 110.1) | 132 (86, 132) | 5 |
falling
|
-4.6 (-7.1, -2.1) |
| Northampton County | Rural | Yes | 107.4 (81.2, 141.7) | 124 (35, 132) | 14 |
falling
|
-4.3 (-5.4, -3.3) |
| Powhatan County | Urban | Yes | 100.4 (82.5, 121.7) | 128 (75, 132) | 23 |
falling
|
-2.8 (-4.2, -1.3) |
| Richmond City | Urban | No | 124.5 (115.8, 133.6) | 105 (66, 118) | 166 |
falling
|
-2.6 (-3.0, -2.2) |
| Arlington County | Urban | Yes | 97.9 (89.9, 106.4) | 129 (113, 132) | 113 |
falling
|
-2.4 (-2.9, -2.0) |
| Goochland County | Urban | Yes | 113.7 (93.8, 137.6) | 116 (44, 132) | 25 |
falling
|
-2.4 (-4.4, -0.2) |
| Charles City County | Urban | Yes | 121.9 (83.8, 176.9) | 108 (5, 132) | 8 |
falling
|
-2.3 (-4.4, -0.2) |
| King George County | Rural | No | 144.5 (118.1, 175.3) | 56 (8, 124) | 21 |
falling
|
-2.3 (-4.2, -0.3) |
| Loudoun County | Urban | Yes | 102.2 (96.0, 108.8) | 126 (110, 130) | 205 |
falling
|
-2.3 (-2.8, -1.6) |
| Westmoreland County | Rural | Yes | 119.7 (97.4, 146.9) | 114 (23, 132) | 22 |
falling
|
-2.3 (-3.5, -1.2) |
| York County | Urban | Yes | 109.7 (96.9, 123.8) | 121 (74, 131) | 55 |
falling
|
-2.3 (-3.4, -1.2) |
| Fairfax County | Urban | Yes | 92.9 (89.7, 96.2) | 131 (123, 132) | 642 |
falling
|
-2.2 (-2.5, -1.9) |
| Prince William County | Urban | Yes | 113.4 (107.2, 119.9) | 117 (96, 125) | 258 |
falling
|
-2.2 (-2.5, -1.8) |
| 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) |
| Fredericksburg City | Urban | No | 148.4 (120.8, 180.4) | 49 (4, 122) | 20 |
falling
|
-2.0 (-3.6, -0.6) |
| Suffolk City | Urban | No | 135.1 (122.2, 149.1) | 79 (33, 116) | 82 |
falling
|
-2.0 (-2.7, -1.3) |
| Surry County | Urban | No | 132.4 (90.7, 190.8) | 86 (3, 132) | 7 |
stable
|
-2.0 (-4.7, 0.6) |
| Winchester City | Urban | Yes | 120.2 (99.1, 144.9) | 111 (28, 131) | 23 |
falling
|
-2.0 (-3.8, -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) |
| Brunswick County | Rural | No | 156.4 (124.9, 194.8) | 34 (3, 120) | 20 |
falling
|
-1.9 (-3.6, -0.3) |
| Clarke County | Urban | No | 125.5 (99.2, 158.1) | 103 (15, 132) | 16 |
falling
|
-1.9 (-3.4, -0.4) |
| Poquoson City | Urban | No | 133.0 (101.9, 172.0) | 85 (7, 131) | 12 |
stable
|
-1.8 (-3.9, 0.4) |
| Buena Vista City | Rural | No | 139.1 (96.8, 196.6) | 69 (2, 132) | 7 |
stable
|
-1.7 (-3.9, 0.5) |
| Campbell County | Urban | Yes | 121.1 (106.9, 137.1) | 109 (51, 127) | 56 |
falling
|
-1.7 (-2.6, -0.8) |
| Emporia City | Rural | No | 139.7 (91.8, 205.6) | 66 (1, 132) | 6 |
stable
|
-1.7 (-4.7, 0.9) |
| Manassas City | Urban | No | 144.1 (119.5, 172.1) | 57 (7, 122) | 26 |
stable
|
-1.7 (-3.8, 0.5) |
| Pulaski County | Urban | No | 127.9 (109.8, 148.7) | 98 (30, 126) | 38 |
falling
|
-1.7 (-2.8, -0.6) |
| Radford City | Urban | No | 139.3 (101.3, 187.1) | 67 (3, 132) | 9 |
stable
|
-1.7 (-4.4, 0.7) |
| Culpeper County | Urban | No | 137.2 (120.0, 156.4) | 75 (21, 117) | 47 |
falling
|
-1.6 (-2.6, -0.6) |
| Southampton County | Rural | Yes | 120.1 (95.7, 150.0) | 112 (23, 132) | 18 |
falling
|
-1.6 (-3.3, -0.1) |
| Chesterfield County | Urban | No | 127.4 (120.9, 134.2) | 99 (65, 111) | 300 |
falling
|
-1.5 (-1.8, -1.1) |
| Greene County | Urban | Yes | 100.7 (78.7, 127.4) | 127 (62, 132) | 15 |
falling
|
-1.5 (-2.6, -0.2) |
| Louisa County | Rural | No | 130.8 (112.2, 151.9) | 92 (24, 125) | 38 |
stable
|
-1.5 (-2.9, 0.0) |
| Stafford County | Urban | No | 130.4 (118.8, 142.7) | 93 (43, 118) | 98 |
falling
|
-1.5 (-2.4, -0.6) |
| Virginia Beach City | Urban | No | 128.0 (122.2, 134.0) | 97 (67, 110) | 379 |
falling
|
-1.5 (-2.0, -1.1) |
| Caroline County | Rural | No | 131.2 (110.0, 155.7) | 91 (22, 128) | 28 |
falling
|
-1.4 (-2.6, -0.1) |
| Charlottesville City | Urban | No | 139.2 (118.6, 162.5) | 68 (15, 123) | 33 |
falling
|
-1.4 (-2.4, -0.5) |
| Chesapeake City | Urban | No | 141.3 (132.7, 150.2) | 62 (35, 95) | 212 |
falling
|
-1.4 (-1.9, -0.9) |
| Dinwiddie County | Urban | No | 147.0 (124.2, 173.2) | 52 (8, 118) | 31 |
stable
|
-1.4 (-2.9, 0.2) |
| Frederick County | Urban | No | 135.7 (123.1, 149.4) | 78 (33, 113) | 89 |
falling
|
-1.4 (-2.3, -0.5) |
| Grayson County | Rural | No | 147.3 (118.9, 182.3) | 51 (5, 124) | 20 |
stable
|
-1.4 (-2.9, 0.0) |
| Hopewell City | Urban | No | 164.1 (135.8, 196.9) | 21 (3, 114) | 25 |
stable
|
-1.4 (-3.2, 0.2) |
| Montgomery County | Urban | Yes | 115.8 (103.0, 129.9) | 115 (66, 129) | 62 |
falling
|
-1.4 (-2.4, -0.5) |
| Rockbridge County | Rural | No | 128.2 (106.8, 153.8) | 96 (25, 130) | 28 |
falling
|
-1.4 (-2.6, -0.2) |
| Spotsylvania County | Urban | No | 126.9 (116.3, 138.2) | 101 (51, 119) | 110 |
falling
|
-1.4 (-2.1, -0.7) |
| Fauquier County | Urban | No | 138.7 (124.3, 154.5) | 71 (23, 114) | 69 |
stable
|
-1.3 (-2.7, 0.1) |
| King and Queen County | Urban | No | 134.1 (95.3, 188.4) | 82 (3, 132) | 8 |
stable
|
-1.3 (-3.1, 0.5) |
| Lunenburg County | Rural | No | 136.7 (105.3, 176.7) | 77 (6, 131) | 14 |
stable
|
-1.3 (-3.0, 0.4) |
| Mathews County | Urban | No | 152.2 (109.0, 209.6) | 40 (1, 131) | 12 |
stable
|
-1.3 (-3.0, 0.3) |
| Rockingham County | Urban | No | 124.0 (112.1, 137.1) | 106 (56, 123) | 84 |
falling
|
-1.3 (-2.2, -0.4) |
| Accomack County | Rural | No | 142.8 (123.2, 165.3) | 58 (11, 119) | 43 |
falling
|
-1.2 (-2.2, -0.3) |
| Amelia County | Urban | No | 148.8 (116.9, 188.3) | 48 (2, 128) | 16 |
stable
|
-1.2 (-2.9, 0.6) |
| Hampton City | Urban | No | 142.0 (131.1, 153.7) | 59 (29, 99) | 133 |
falling
|
-1.2 (-2.0, -0.4) |
| James City County | Urban | Yes | 104.5 (94.3, 115.9) | 125 (99, 131) | 84 |
falling
|
-1.2 (-2.2, -0.2) |
| Middlesex County | Rural | No | 127.1 (97.4, 166.6) | 100 (7, 132) | 16 |
stable
|
-1.2 (-3.0, 0.7) |
| Norfolk City | Urban | No | 156.0 (146.2, 166.3) | 36 (15, 71) | 200 |
falling
|
-1.2 (-1.9, -0.5) |
| Orange County | Rural | No | 157.5 (137.4, 180.1) | 32 (6, 101) | 47 |
falling
|
-1.2 (-2.3, -0.1) |
| Bedford City and County | Urban | No | 131.7 (119.2, 145.3) | 87 (38, 118) | 88 |
falling
|
-1.1 (-1.7, -0.4) |
| Cumberland County | Rural | No | 150.2 (110.9, 200.3) | 45 (1, 132) | 11 |
stable
|
-1.1 (-3.4, 1.2) |
| Harrisonburg City | Urban | No | 123.4 (103.1, 146.6) | 107 (31, 130) | 27 |
stable
|
-1.1 (-2.9, 0.7) |
| Henrico County | Urban | No | 134.4 (127.8, 141.2) | 81 (53, 101) | 324 |
falling
|
-1.1 (-1.4, -0.8) |
| Madison County | Rural | No | 129.0 (97.9, 167.8) | 94 (9, 132) | 13 |
stable
|
-1.1 (-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) |
| Isle of Wight County | Urban | No | 137.9 (119.5, 158.8) | 73 (20, 122) | 42 |
stable
|
-1.0 (-2.1, 0.3) |
| Portsmouth City | Urban | No | 163.5 (149.3, 178.8) | 22 (7, 67) | 103 |
falling
|
-1.0 (-1.7, -0.4) |
| Buckingham County | Rural | No | 157.3 (126.5, 194.6) | 33 (3, 122) | 19 |
stable
|
-0.9 (-2.6, 0.8) |
| Charlotte County | Rural | No | 131.6 (99.7, 172.1) | 88 (7, 132) | 13 |
stable
|
-0.9 (-2.5, 0.7) |
| Gloucester County | Urban | No | 141.7 (122.9, 163.0) | 61 (17, 119) | 43 |
stable
|
-0.9 (-2.1, 0.4) |
| King William County | Urban | No | 149.1 (119.3, 184.6) | 47 (4, 127) | 18 |
stable
|
-0.9 (-2.3, 0.7) |
| New Kent County | Urban | No | 162.3 (133.6, 195.8) | 24 (2, 114) | 25 |
stable
|
-0.9 (-2.3, 0.8) |
| Pittsylvania County | Rural | No | 140.4 (125.6, 156.9) | 64 (19, 112) | 74 |
falling
|
-0.9 (-1.7, -0.1) |
| Prince George County | Urban | No | 142.0 (119.6, 167.4) | 60 (11, 121) | 29 |
stable
|
-0.9 (-2.4, 0.8) |
| Bland County | Rural | No | 125.7 (86.2, 184.0) | 102 (4, 132) | 7 |
stable
|
-0.8 (-3.5, 2.0) |
| Hanover County | Urban | No | 139.9 (128.6, 152.1) | 65 (29, 106) | 117 |
stable
|
-0.8 (-1.6, 0.0) |
| Newport News City | Urban | No | 150.8 (140.6, 161.5) | 42 (20, 81) | 169 |
falling
|
-0.8 (-1.3, -0.3) |
| Nottoway County | Rural | No | 166.1 (134.4, 204.4) | 19 (1, 113) | 20 |
stable
|
-0.8 (-2.4, 0.9) |
| Richmond County | Rural | No | 138.9 (101.8, 188.3) | 70 (3, 132) | 11 |
stable
|
-0.8 (-3.5, 1.9) |
| Roanoke County | Urban | Yes | 120.9 (110.4, 132.4) | 110 (66, 123) | 103 |
stable
|
-0.8 (-1.6, 0.0) |
| Scott County | Urban | No | 156.2 (130.2, 186.9) | 35 (4, 117) | 29 |
stable
|
-0.8 (-2.2, 0.6) |
| Warren County | Urban | No | 146.2 (126.5, 168.4) | 53 (11, 113) | 41 |
stable
|
-0.8 (-2.2, 0.7) |
| Washington County | Urban | No | 153.5 (137.2, 171.6) | 38 (10, 95) | 73 |
stable
|
-0.8 (-2.0, 0.4) |
| Amherst County | Urban | No | 138.6 (118.9, 161.1) | 72 (16, 120) | 38 |
stable
|
-0.7 (-1.6, 0.1) |
| Rappahannock County | Urban | Yes | 111.1 (76.8, 160.5) | 118 (12, 132) | 8 |
stable
|
-0.7 (-3.8, 2.7) |
| Staunton City | Urban | No | 154.0 (131.1, 180.4) | 37 (6, 109) | 34 |
stable
|
-0.7 (-2.0, 0.6) |
| Waynesboro City | Urban | No | 166.2 (139.2, 197.3) | 18 (3, 107) | 28 |
stable
|
-0.7 (-2.0, 0.5) |
| Williamsburg City | Urban | No | 133.3 (102.0, 173.2) | 84 (6, 132) | 13 |
stable
|
-0.7 (-4.4, 3.3) |
| Giles County | Urban | No | 162.1 (132.7, 197.3) | 25 (2, 115) | 23 |
stable
|
-0.6 (-2.6, 1.4) |
| Shenandoah County | Rural | No | 145.9 (128.0, 165.9) | 54 (12, 110) | 52 |
stable
|
-0.6 (-1.3, 0.0) |
| Essex County | Rural | No | 134.9 (101.8, 177.4) | 80 (5, 132) | 12 |
stable
|
-0.5 (-2.1, 1.0) |
| Lancaster County | Rural | No | 147.9 (115.6, 190.1) | 50 (3, 128) | 21 |
stable
|
-0.5 (-12.5, 8.8) |
| Mecklenburg County | Rural | No | 151.3 (131.4, 174.2) | 41 (8, 109) | 47 |
stable
|
-0.5 (-1.4, 0.3) |
| Northumberland County | Rural | No | 128.6 (103.0, 162.8) | 95 (14, 131) | 19 |
stable
|
-0.5 (-1.5, 0.5) |
| Carroll County | Rural | No | 136.8 (117.3, 159.5) | 76 (14, 123) | 38 |
stable
|
-0.4 (-1.7, 0.9) |
| Petersburg City | Urban | No | 186.4 (162.2, 213.5) | 8 (1, 56) | 46 |
stable
|
-0.4 (-1.7, 0.9) |
| Russell County | Rural | No | 172.9 (147.7, 202.0) | 13 (2, 88) | 37 |
stable
|
-0.4 (-2.1, 1.3) |
| Sussex County | Urban | No | 171.9 (128.9, 226.6) | 15 (1, 122) | 12 |
stable
|
-0.4 (-2.4, 1.6) |
| Botetourt County | Urban | Yes | 110.6 (94.0, 129.9) | 119 (65, 132) | 34 |
stable
|
-0.3 (-1.2, 0.7) |
| Colonial Heights City | Urban | No | 158.9 (130.2, 192.6) | 29 (3, 115) | 23 |
stable
|
-0.3 (-1.4, 0.9) |
| Franklin County | Urban | No | 134.1 (118.3, 151.7) | 83 (25, 118) | 61 |
stable
|
-0.3 (-1.4, 0.8) |
| Lynchburg City | Urban | No | 152.9 (137.2, 170.0) | 39 (11, 94) | 75 |
stable
|
-0.3 (-1.1, 0.4) |
| Nelson County | Urban | No | 131.4 (104.5, 164.9) | 89 (12, 131) | 19 |
stable
|
-0.3 (-2.5, 1.9) |
| Smyth County | Rural | No | 173.3 (150.7, 199.0) | 12 (2, 86) | 46 |
stable
|
-0.3 (-1.6, 1.1) |
| Wise County | Rural | No | 196.1 (172.0, 223.1) | 6 (1, 39) | 51 |
stable
|
-0.3 (-0.9, 0.4) |
| Wythe County | Rural | No | 162.4 (139.4, 188.7) | 23 (4, 102) | 38 |
stable
|
-0.3 (-1.4, 0.8) |
| Page County | Rural | No | 144.7 (121.6, 171.7) | 55 (10, 120) | 29 |
stable
|
-0.2 (-1.9, 1.5) |
| Dickenson County | Rural | No | 172.2 (138.2, 213.4) | 14 (1, 114) | 19 |
stable
|
-0.1 (-2.2, 2.0) |
| 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) |
| Lee County | Rural | No | 182.4 (154.6, 214.7) | 9 (1, 71) | 33 |
stable
|
-0.1 (-1.5, 1.4) |
| Appomattox County | Urban | No | 150.4 (120.4, 186.6) | 44 (3, 125) | 18 |
stable
|
0.0 (-2.2, 2.2) |
| Bristol City | Urban | No | 160.3 (132.3, 193.4) | 28 (2, 113) | 25 |
stable
|
0.0 (-1.6, 1.5) |
| Henry County | Rural | No | 150.6 (133.9, 169.1) | 43 (11, 102) | 69 |
stable
|
0.0 (-0.9, 1.0) |
| Roanoke City | Urban | No | 168.3 (154.8, 182.8) | 17 (7, 56) | 123 |
stable
|
0.1 (-0.5, 0.6) |
| Floyd County | Urban | No | 131.2 (103.3, 165.7) | 90 (10, 131) | 17 |
stable
|
0.2 (-1.4, 1.9) |
| Franklin City | Rural | No | 173.9 (131.6, 227.3) | 11 (1, 123) | 12 |
stable
|
0.3 (-1.7, 2.2) |
| Patrick County | Rural | No | 170.0 (141.7, 203.9) | 16 (2, 102) | 29 |
stable
|
0.3 (-1.2, 1.8) |
| Tazewell County | Rural | No | 166.1 (146.2, 188.4) | 20 (4, 80) | 56 |
stable
|
0.3 (-0.6, 1.1) |
| Covington City | Rural | No | 137.7 (95.1, 196.8) | 74 (2, 132) | 6 |
stable
|
0.4 (-2.4, 3.2) |
| Buchanan County | Rural | No | 181.9 (153.0, 215.7) | 10 (1, 70) | 31 |
stable
|
0.6 (-3.1, 8.5) |
| Norton City | Rural | No | 237.6 (162.0, 340.5) | 1 (1, 112) | 6 |
stable
|
0.6 (-2.2, 3.4) |
| Greensville County | Rural | No | 207.4 (158.3, 268.8) | 4 (1, 93) | 13 |
stable
|
0.9 (-1.1, 3.0) |
| Martinsville City | Rural | No | 187.9 (150.5, 232.4) | 7 (1, 99) | 18 |
stable
|
0.9 (-0.8, 2.6) |
| Salem City | Urban | No | 160.9 (136.4, 189.1) | 26 (3, 103) | 33 |
stable
|
1.0 (-0.1, 3.5) |
| Lexington City | Rural | Yes | 110.1 (71.5, 167.3) | 120 (8, 132) | 5 |
stable
|
1.3 (-1.3, 5.9) |
| Fairfax City | Urban | No | 215.8 (183.6, 252.3) | 3 (1, 34) | 32 |
rising 
|
3.9 (1.0, 9.2) |
| Augusta County | Urban | No | 124.7 (112.5, 138.2) | 104 (52, 123) | 81 |
rising
|
4.8 (1.8, 10.2) |
| Craig County | Urban | No | 150.1 (103.5, 217.5) | 46 (1, 132) | 7 |
stable
|
9.5 (-12.6, 39.7) |
| Falls Church City | Urban | No | 157.8 (123.9, 198.9) | 30 (3, 125) | 15 |
rising
|
12.1 (0.9, 36.2) |
| Danville City | Rural | No | 196.1 (175.3, 219.0) | 5 (1, 32) | 73 |
rising
|
14.1 (9.8, 21.8) |
| Highland County | Rural | *** |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 5:09 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.