Death Rates Table
Death Rate Report for Georgia by County
All Cancer Sites, 2019-2023
Black Non-Hispanic, Both Sexes, All Ages
Sorted by CI*Rank
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)
|
|---|---|---|---|---|---|---|---|
| Georgia | N/A | No | 161.5 (159.4, 163.6) | N/A | 5,130 |
falling
|
-1.9 (-2.0, -1.7) |
| United States | N/A | No | 166.5 (165.9, 167.1) | N/A | 70,844 |
falling
|
-2.0 (-2.0, -1.9) |
| Treutlen County | Rural | No | 300.8 (201.1, 432.7) | 1 (1, 108) | 6 |
rising
|
2.7 (0.3, 5.8) |
| Pierce County | Rural | No | 272.3 (175.6, 402.9) | 2 (1, 127) | 5 |
|
|
| Bleckley County | Rural | No | 260.6 (168.4, 381.5) | 3 (1, 126) | 5 |
stable
|
-1.9 (-5.7, 1.9) |
| Miller County | Rural | No | 255.6 (162.4, 383.9) | 4 (1, 126) | 5 |
stable
|
0.8 (-3.0, 5.2) |
| Appling County | Rural | No | 251.2 (181.2, 339.4) | 5 (1, 112) | 9 |
stable
|
-0.1 (-2.6, 2.8) |
| Terrell County | Urban | No | 248.7 (193.3, 315.3) | 6 (1, 89) | 14 |
falling
|
-1.9 (-3.3, -0.6) |
| Jefferson County | Rural | No | 241.3 (196.3, 293.7) | 7 (1, 73) | 22 |
stable
|
0.0 (-2.5, 2.6) |
| Franklin County | Rural | No | 240.9 (155.4, 357.5) | 8 (1, 127) | 5 |
|
|
| Elbert County | Rural | No | 239.8 (187.4, 302.8) | 9 (1, 93) | 15 |
stable
|
0.3 (-1.1, 1.9) |
| Warren County | Rural | No | 238.7 (177.6, 316.8) | 10 (1, 111) | 10 |
stable
|
-1.6 (-4.6, 1.3) |
| Crisp County | Rural | No | 238.5 (192.8, 291.6) | 11 (1, 74) | 21 |
stable
|
0.0 (-2.0, 2.2) |
| Screven County | Rural | No | 237.7 (188.0, 297.3) | 12 (1, 96) | 17 |
stable
|
-1.1 (-2.5, 0.3) |
| Bacon County | Rural | No | 234.4 (132.9, 378.7) | 13 (1, 130) | 3 |
|
|
| Walton County | Urban | No | 229.3 (195.0, 267.7) | 14 (2, 72) | 37 |
stable
|
0.1 (-1.3, 2.0) |
| Stewart County | Urban | No | 225.5 (157.5, 317.1) | 15 (1, 127) | 7 |
stable
|
0.5 (-1.6, 2.6) |
| Evans County | Rural | No | 218.5 (149.5, 307.7) | 16 (1, 127) | 6 |
stable
|
-1.3 (-4.3, 1.7) |
| Charlton County | Rural | No | 214.1 (139.4, 313.1) | 17 (1, 129) | 5 |
|
|
| Spalding County | Urban | No | 212.8 (186.0, 242.4) | 18 (4, 72) | 50 |
stable
|
-0.4 (-1.8, 1.2) |
| Turner County | Rural | No | 210.3 (147.3, 291.7) | 19 (1, 125) | 8 |
stable
|
-1.5 (-3.3, 0.5) |
| Emanuel County | Rural | No | 208.1 (161.7, 263.6) | 20 (2, 117) | 15 |
stable
|
-0.8 (-2.5, 0.9) |
| Mitchell County | Rural | No | 208.0 (171.2, 250.5) | 21 (4, 103) | 24 |
stable
|
-1.5 (-3.1, 0.1) |
| Thomas County | Rural | No | 205.9 (177.3, 238.0) | 22 (5, 85) | 39 |
falling
|
-1.2 (-2.4, -0.1) |
| Bartow County | Urban | No | 205.6 (165.0, 252.6) | 23 (3, 106) | 20 |
stable
|
-1.1 (-2.8, 0.7) |
| Long County | Urban | No | 204.7 (133.3, 297.5) | 24 (1, 129) | 7 |
stable
|
-0.8 (-4.1, 3.2) |
| Peach County | Urban | No | 204.3 (168.8, 245.0) | 25 (4, 102) | 25 |
stable
|
-1.9 (-3.7, 0.0) |
| Chattooga County | Rural | No | 204.0 (137.3, 293.7) | 26 (1, 127) | 6 |
stable
|
1.5 (-1.9, 5.6) |
| Ware County | Rural | No | 202.0 (163.1, 247.2) | 27 (4, 109) | 19 |
stable
|
-0.9 (-2.8, 1.0) |
| Atkinson County | Rural | No | 201.7 (121.0, 323.7) | 28 (1, 130) | 4 |
stable
|
-2.2 (-5.4, 0.9) |
| Monroe County | Urban | No | 201.5 (156.7, 255.5) | 29 (2, 118) | 14 |
stable
|
0.2 (-1.8, 2.4) |
| Toombs County | Rural | No | 201.5 (155.4, 256.7) | 30 (3, 118) | 13 |
stable
|
-1.8 (-4.4, 0.5) |
| Taylor County | Rural | No | 200.6 (139.2, 281.4) | 31 (1, 127) | 7 |
falling
|
-3.2 (-5.4, -1.1) |
| Sumter County | Rural | No | 199.8 (165.2, 239.4) | 32 (5, 104) | 28 |
stable
|
-1.1 (-2.3, 0.1) |
| Barrow County | Urban | No | 199.0 (154.7, 251.0) | 33 (3, 119) | 17 |
stable
|
-0.3 (-2.3, 2.2) |
| Wayne County | Rural | No | 197.2 (146.6, 259.5) | 34 (2, 123) | 11 |
falling
|
-2.6 (-4.9, -1.0) |
| Effingham County | Urban | No | 195.9 (148.7, 252.1) | 35 (3, 120) | 14 |
stable
|
-1.7 (-4.0, 0.8) |
| Worth County | Urban | No | 194.5 (150.4, 248.2) | 36 (4, 120) | 14 |
stable
|
-1.6 (-3.9, 0.7) |
| Twiggs County | Urban | No | 194.0 (135.3, 271.0) | 37 (1, 126) | 8 |
stable
|
-1.1 (-3.0, 0.7) |
| Colquitt County | Rural | No | 192.1 (154.2, 236.3) | 38 (5, 115) | 19 |
stable
|
-1.3 (-3.0, 0.3) |
| Wilkes County | Rural | No | 190.7 (142.2, 252.3) | 39 (3, 125) | 11 |
stable
|
-0.5 (-2.5, 1.6) |
| Early County | Rural | No | 189.8 (142.4, 248.1) | 40 (4, 125) | 11 |
stable
|
-0.8 (-3.6, 1.8) |
| Tattnall County | Rural | No | 189.6 (139.3, 251.6) | 41 (3, 126) | 10 |
stable
|
-2.3 (-5.1, 0.3) |
| Madison County | Urban | No | 189.3 (129.0, 269.0) | 42 (2, 129) | 6 |
stable
|
-2.2 (-4.9, 0.8) |
| Upson County | Rural | No | 188.8 (147.8, 237.8) | 43 (5, 120) | 16 |
falling
|
-1.8 (-3.4, -0.2) |
| Lee County | Urban | No | 186.4 (133.5, 251.5) | 44 (2, 127) | 10 |
stable
|
-1.0 (-4.7, 3.5) |
| Haralson County | Urban | No | 186.1 (106.6, 303.7) | 45 (1, 130) | 3 |
|
|
| Richmond County | Urban | No | 185.9 (174.3, 198.1) | 46 (26, 76) | 215 |
falling
|
-1.6 (-2.2, -0.8) |
| Pike County | Urban | No | 185.7 (117.8, 282.9) | 47 (1, 130) | 4 |
stable
|
-0.2 (-3.9, 3.6) |
| Floyd County | Urban | No | 185.5 (153.9, 221.6) | 48 (8, 112) | 26 |
stable
|
-0.5 (-2.4, 1.6) |
| Tift County | Rural | No | 185.5 (150.9, 225.5) | 49 (8, 118) | 21 |
falling
|
-1.6 (-2.6, -0.5) |
| Hart County | Rural | No | 184.7 (137.0, 244.2) | 50 (4, 125) | 10 |
stable
|
0.7 (-1.9, 8.0) |
| Harris County | Urban | No | 184.0 (143.9, 233.1) | 51 (5, 123) | 15 |
stable
|
-0.9 (-3.2, 1.7) |
| Ben Hill County | Rural | No | 183.6 (138.9, 238.1) | 52 (4, 125) | 12 |
stable
|
-1.9 (-3.9, 0.0) |
| Marion County | Urban | No | 183.3 (125.4, 264.0) | 53 (1, 130) | 6 |
stable
|
-2.2 (-5.0, 0.8) |
| Seminole County | Rural | No | 181.2 (123.3, 258.0) | 54 (2, 129) | 6 |
stable
|
-2.2 (-5.5, 0.9) |
| Washington County | Rural | No | 181.1 (147.5, 220.3) | 55 (10, 119) | 22 |
falling
|
-1.9 (-3.3, -0.5) |
| Douglas County | Urban | No | 180.7 (160.5, 202.5) | 56 (21, 99) | 84 |
stable
|
-0.4 (-1.8, 1.7) |
| Telfair County | Rural | No | 180.4 (130.7, 243.7) | 57 (4, 127) | 9 |
stable
|
-1.4 (-4.1, 1.3) |
| Berrien County | Rural | No | 179.9 (108.1, 281.9) | 58 (1, 130) | 4 |
stable
|
-1.9 (-4.9, 1.3) |
| Polk County | Rural | No | 179.7 (134.1, 236.2) | 59 (4, 126) | 11 |
stable
|
-2.1 (-4.7, 0.5) |
| Glynn County | Urban | No | 178.7 (154.7, 205.4) | 60 (18, 109) | 42 |
falling
|
-2.4 (-3.7, -1.2) |
| Lincoln County | Urban | No | 178.5 (116.8, 265.0) | 61 (1, 130) | 5 |
falling
|
-3.8 (-6.1, -1.8) |
| Candler County | Rural | No | 177.6 (114.0, 264.1) | 62 (2, 130) | 5 |
|
|
| Hancock County | Rural | No | 176.7 (138.4, 223.6) | 63 (8, 124) | 15 |
stable
|
-1.2 (-3.8, 1.3) |
| Liberty County | Urban | No | 176.3 (150.3, 205.2) | 64 (18, 114) | 39 |
stable
|
-1.3 (-2.5, 0.1) |
| Irwin County | Rural | No | 175.9 (112.3, 264.0) | 65 (1, 130) | 4 |
falling
|
-2.6 (-5.2, -0.2) |
| Talbot County | Urban | No | 175.6 (121.4, 247.9) | 66 (3, 129) | 8 |
falling
|
-2.4 (-4.3, -0.6) |
| McDuffie County | Urban | No | 175.3 (138.3, 219.2) | 67 (9, 123) | 17 |
stable
|
-1.7 (-4.2, 0.8) |
| Fulton County | Urban | No | 174.8 (169.2, 180.5) | 68 (46, 80) | 790 |
falling
|
-2.0 (-2.2, -1.7) |
| Grady County | Rural | No | 173.3 (135.5, 218.8) | 69 (10, 124) | 15 |
falling
|
-1.9 (-3.8, -0.1) |
| Brooks County | Urban | No | 172.7 (130.6, 224.9) | 70 (7, 126) | 12 |
stable
|
-1.4 (-3.0, 0.1) |
| Dougherty County | Urban | No | 171.2 (156.1, 187.4) | 71 (32, 104) | 103 |
falling
|
-1.9 (-2.9, -1.0) |
| Baldwin County | Rural | No | 170.9 (144.7, 200.5) | 72 (21, 119) | 32 |
stable
|
-1.0 (-2.0, 0.0) |
| Macon County | Rural | No | 170.8 (132.0, 218.0) | 73 (11, 127) | 14 |
stable
|
-0.9 (-2.4, 0.7) |
| Butts County | Urban | No | 170.8 (129.0, 221.8) | 74 (7, 126) | 12 |
stable
|
-1.5 (-3.6, 0.7) |
| Carroll County | Urban | No | 170.8 (143.3, 201.7) | 75 (18, 119) | 31 |
falling
|
-2.3 (-3.7, -0.7) |
| Laurens County | Rural | No | 170.1 (145.1, 198.2) | 76 (22, 117) | 34 |
stable
|
-1.0 (-2.5, 0.6) |
| Meriwether County | Urban | No | 169.0 (133.8, 211.2) | 77 (11, 125) | 17 |
stable
|
-0.7 (-2.3, 0.9) |
| Jackson County | Rural | No | 168.7 (120.8, 228.4) | 78 (5, 128) | 9 |
falling
|
-3.0 (-5.3, -0.7) |
| Calhoun County | Rural | No | 167.8 (115.0, 238.1) | 79 (3, 130) | 6 |
stable
|
-1.2 (-4.9, 2.5) |
| Cook County | Rural | No | 167.4 (119.3, 228.4) | 80 (5, 130) | 8 |
stable
|
-2.5 (-5.3, 0.1) |
| Bryan County | Urban | No | 166.8 (117.2, 228.9) | 81 (5, 129) | 8 |
stable
|
-1.8 (-5.6, 2.3) |
| Chatham County | Urban | No | 166.0 (155.4, 177.2) | 82 (47, 102) | 192 |
falling
|
-1.9 (-2.3, -1.5) |
| Coweta County | Urban | No | 165.6 (142.5, 191.4) | 83 (27, 116) | 41 |
falling
|
-1.9 (-3.0, -0.6) |
| Troup County | Rural | No | 165.1 (141.4, 191.6) | 84 (28, 119) | 38 |
falling
|
-2.3 (-3.3, -1.3) |
| Decatur County | Rural | No | 164.4 (133.3, 200.5) | 85 (17, 124) | 20 |
falling
|
-1.6 (-3.0, -0.2) |
| Muscogee County | Urban | No | 163.9 (152.3, 176.1) | 86 (47, 106) | 160 |
falling
|
-2.3 (-4.3, -1.7) |
| Dodge County | Rural | No | 163.8 (122.7, 214.6) | 87 (10, 128) | 11 |
stable
|
-1.1 (-3.3, 1.3) |
| Clarke County | Urban | No | 162.6 (141.6, 185.7) | 88 (32, 118) | 49 |
falling
|
-3.0 (-4.2, -1.9) |
| Clinch County | Rural | No | 160.9 (93.5, 265.3) | 89 (1, 130) | 3 |
|
|
| McIntosh County | Urban | No | 160.2 (112.7, 222.9) | 90 (5, 130) | 9 |
stable
|
-2.2 (-5.2, 0.5) |
| Newton County | Urban | No | 159.6 (142.3, 178.4) | 91 (42, 117) | 75 |
falling
|
-1.7 (-2.5, -0.8) |
| Jeff Davis County | Rural | No | 159.2 (99.6, 243.6) | 92 (3, 130) | 4 |
stable
|
-2.4 (-6.0, 1.4) |
| Randolph County | Rural | No | 158.7 (113.9, 217.3) | 93 (8, 129) | 9 |
falling
|
-3.3 (-6.3, -0.8) |
| Clayton County | Urban | No | 157.2 (146.9, 168.0) | 94 (60, 110) | 243 |
falling
|
-1.4 (-1.9, -0.8) |
| Henry County | Urban | No | 156.6 (143.9, 170.2) | 95 (54, 113) | 148 |
stable
|
-0.8 (-1.5, 0.3) |
| Montgomery County | Rural | No | 156.6 (95.6, 244.8) | 96 (3, 130) | 4 |
falling
|
-29.3 (-50.4, -0.6) |
| Burke County | Urban | No | 156.5 (125.3, 193.4) | 97 (20, 127) | 20 |
falling
|
-2.2 (-4.1, -0.5) |
| Bibb County | Urban | No | 156.5 (144.5, 169.2) | 98 (58, 113) | 135 |
falling
|
-2.2 (-2.7, -1.6) |
| Whitfield County | Urban | No | 155.0 (106.8, 218.1) | 99 (8, 130) | 7 |
stable
|
-1.4 (-4.6, 2.0) |
| Stephens County | Rural | No | 152.3 (102.4, 219.5) | 100 (9, 130) | 6 |
falling
|
-2.9 (-5.8, -0.1) |
| Pulaski County | Rural | No | 151.2 (100.7, 219.6) | 101 (7, 130) | 6 |
stable
|
19.0 (-7.9, 44.1) |
| Greene County | Rural | No | 151.0 (113.5, 197.8) | 102 (19, 129) | 11 |
falling
|
-2.9 (-4.3, -1.5) |
| Putnam County | Rural | No | 150.7 (110.4, 201.5) | 103 (17, 130) | 10 |
stable
|
-1.5 (-3.5, 0.7) |
| Houston County | Urban | No | 150.1 (132.9, 168.7) | 104 (55, 122) | 67 |
falling
|
-2.4 (-3.3, -1.4) |
| DeKalb County | Urban | No | 149.9 (144.3, 155.7) | 105 (79, 112) | 610 |
falling
|
-1.7 (-2.0, -1.2) |
| Morgan County | Urban | No | 149.0 (107.5, 202.7) | 106 (14, 130) | 9 |
falling
|
-2.7 (-4.5, -1.0) |
| Bulloch County | Rural | No | 146.9 (120.8, 176.8) | 107 (35, 126) | 25 |
falling
|
-9.6 (-22.7, -3.0) |
| Gwinnett County | Urban | No | 146.6 (136.9, 156.7) | 108 (76, 119) | 245 |
falling
|
-1.3 (-1.9, -0.5) |
| Rockdale County | Urban | No | 145.7 (129.9, 162.8) | 109 (61, 123) | 75 |
falling
|
-2.8 (-3.9, -1.2) |
| Wilcox County | Rural | No | 144.6 (93.2, 216.0) | 110 (10, 130) | 5 |
falling
|
-2.7 (-5.1, -0.3) |
| Crawford County | Urban | No | 144.3 (88.3, 224.7) | 111 (4, 130) | 5 |
|
|
| Coffee County | Rural | No | 143.3 (111.9, 180.5) | 112 (31, 129) | 15 |
falling
|
-3.2 (-4.8, -1.5) |
| Cobb County | Urban | No | 142.0 (132.5, 151.8) | 113 (80, 121) | 217 |
falling
|
-1.3 (-2.0, -0.3) |
| Lowndes County | Urban | No | 140.6 (123.0, 159.8) | 114 (65, 126) | 50 |
falling
|
-3.1 (-3.9, -2.3) |
| Camden County | Rural | No | 139.6 (107.2, 178.5) | 115 (33, 130) | 13 |
stable
|
-1.8 (-4.0, 0.6) |
| Paulding County | Urban | No | 139.4 (116.2, 165.6) | 116 (48, 128) | 35 |
stable
|
-1.4 (-3.1, 1.2) |
| Hall County | Urban | No | 136.4 (108.7, 168.6) | 117 (45, 129) | 19 |
falling
|
-2.6 (-4.3, -0.8) |
| Walker County | Urban | No | 135.9 (82.7, 209.8) | 118 (8, 130) | 4 |
falling
|
-4.3 (-7.6, -1.4) |
| Johnson County | Rural | No | 133.3 (85.0, 200.1) | 119 (15, 130) | 5 |
stable
|
-0.3 (-3.1, 2.8) |
| Fayette County | Urban | No | 132.4 (114.5, 152.4) | 120 (76, 128) | 45 |
stable
|
-1.7 (-3.1, 0.4) |
| Columbia County | Urban | No | 131.3 (111.4, 153.6) | 121 (71, 128) | 35 |
stable
|
-2.3 (-4.4, 0.1) |
| Oglethorpe County | Urban | No | 128.2 (81.3, 195.6) | 122 (15, 130) | 4 |
|
|
| Dooly County | Rural | No | 124.0 (89.6, 168.7) | 123 (41, 130) | 8 |
stable
|
-1.8 (-4.0, 0.6) |
| Jasper County | Urban | Yes | 117.9 (74.6, 180.3) | 124 (27, 130) | 4 |
falling
|
-14.1 (-20.6, -10.0) |
| Wilkinson County | Rural | Yes | 115.5 (74.0, 173.7) | 125 (33, 130) | 5 |
falling
|
-3.0 (-6.0, -0.1) |
| Lamar County | Rural | Yes | 112.4 (76.5, 159.8) | 126 (47, 130) | 6 |
falling
|
-2.8 (-5.6, -0.1) |
| Forsyth County | Urban | Yes | 112.2 (77.9, 155.3) | 127 (54, 130) | 8 |
|
|
| Jenkins County | Rural | Yes | 108.7 (68.0, 166.1) | 128 (41, 130) | 4 |
falling
|
-3.6 (-6.9, -0.8) |
| Jones County | Urban | Yes | 99.8 (73.6, 133.4) | 129 (94, 130) | 10 |
falling
|
-3.6 (-5.9, -1.3) |
| Cherokee County | Urban | Yes | 93.0 (69.3, 121.7) | 130 (105, 130) | 13 |
falling
|
-4.3 (-6.8, -1.1) |
| Baker County | Rural | *** |
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| Banks County | Rural | *** |
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| Brantley County | Urban | *** |
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| Catoosa County | Urban | *** |
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| Chattahoochee County | Urban | *** |
|
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| Clay County | Rural | *** |
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| Dade County | Urban | *** |
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| Dawson County | Urban | *** |
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| Echols County | Urban | *** |
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| Fannin County | Rural | *** |
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| Gilmer County | Rural | *** |
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| Glascock County | Rural | *** |
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| Gordon County | Rural | *** |
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| Habersham County | Rural | *** |
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| Heard County | Urban | *** |
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| Lanier County | Urban | *** |
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| Lumpkin County | Urban | *** |
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| Murray County | Urban | *** |
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| Oconee County | Urban | *** |
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| Pickens County | Urban | *** |
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| Quitman County | Rural | *** |
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| Rabun County | Rural | *** |
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| Schley County | Rural | *** |
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| Taliaferro County | Rural | *** |
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| Towns County | Rural | *** |
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| Union County | Rural | *** |
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| Webster County | Rural | *** |
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| Wheeler County | Rural | *** |
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| White County | Rural | *** |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 8:28 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.


