Death Rates Table
Death Rate Report for Georgia by County
All Cancer Sites, 2019-2023
Black Non-Hispanic, Both Sexes, 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)
|
|---|---|---|---|---|---|---|---|
| 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) |
| Cherokee County | Urban | Yes | 93.0 (69.3, 121.7) | 130 (105, 130) | 13 |
falling
|
-4.3 (-6.8, -1.1) |
| Jones County | Urban | Yes | 99.8 (73.6, 133.4) | 129 (94, 130) | 10 |
falling
|
-3.6 (-5.9, -1.3) |
| Jenkins County | Rural | Yes | 108.7 (68.0, 166.1) | 128 (41, 130) | 4 |
falling
|
-3.6 (-6.9, -0.8) |
| Forsyth County | Urban | Yes | 112.2 (77.9, 155.3) | 127 (54, 130) | 8 |
|
|
| Lamar County | Rural | Yes | 112.4 (76.5, 159.8) | 126 (47, 130) | 6 |
falling
|
-2.8 (-5.6, -0.1) |
| Wilkinson County | Rural | Yes | 115.5 (74.0, 173.7) | 125 (33, 130) | 5 |
falling
|
-3.0 (-6.0, -0.1) |
| Jasper County | Urban | Yes | 117.9 (74.6, 180.3) | 124 (27, 130) | 4 |
falling
|
-14.1 (-20.6, -10.0) |
| Dooly County | Rural | No | 124.0 (89.6, 168.7) | 123 (41, 130) | 8 |
stable 
|
-1.8 (-4.0, 0.6) |
| Oglethorpe County | Urban | No | 128.2 (81.3, 195.6) | 122 (15, 130) | 4 |
|
|
| Columbia County | Urban | No | 131.3 (111.4, 153.6) | 121 (71, 128) | 35 |
stable
|
-2.3 (-4.4, 0.1) |
| Fayette County | Urban | No | 132.4 (114.5, 152.4) | 120 (76, 128) | 45 |
stable
|
-1.7 (-3.1, 0.4) |
| Johnson County | Rural | No | 133.3 (85.0, 200.1) | 119 (15, 130) | 5 |
stable
|
-0.3 (-3.1, 2.8) |
| Walker County | Urban | No | 135.9 (82.7, 209.8) | 118 (8, 130) | 4 |
falling
|
-4.3 (-7.6, -1.4) |
| Hall County | Urban | No | 136.4 (108.7, 168.6) | 117 (45, 129) | 19 |
falling
|
-2.6 (-4.3, -0.8) |
| Paulding County | Urban | No | 139.4 (116.2, 165.6) | 116 (48, 128) | 35 |
stable
|
-1.4 (-3.1, 1.2) |
| Camden County | Rural | No | 139.6 (107.2, 178.5) | 115 (33, 130) | 13 |
stable
|
-1.8 (-4.0, 0.6) |
| Lowndes County | Urban | No | 140.6 (123.0, 159.8) | 114 (65, 126) | 50 |
falling
|
-3.1 (-3.9, -2.3) |
| Cobb County | Urban | No | 142.0 (132.5, 151.8) | 113 (80, 121) | 217 |
falling
|
-1.3 (-2.0, -0.3) |
| Coffee County | Rural | No | 143.3 (111.9, 180.5) | 112 (31, 129) | 15 |
falling
|
-3.2 (-4.8, -1.5) |
| Crawford County | Urban | No | 144.3 (88.3, 224.7) | 111 (4, 130) | 5 |
|
|
| Wilcox County | Rural | No | 144.6 (93.2, 216.0) | 110 (10, 130) | 5 |
falling
|
-2.7 (-5.1, -0.3) |
| Rockdale County | Urban | No | 145.7 (129.9, 162.8) | 109 (61, 123) | 75 |
falling
|
-2.8 (-3.9, -1.2) |
| Gwinnett County | Urban | No | 146.6 (136.9, 156.7) | 108 (76, 119) | 245 |
falling
|
-1.3 (-1.9, -0.5) |
| Bulloch County | Rural | No | 146.9 (120.8, 176.8) | 107 (35, 126) | 25 |
falling
|
-9.6 (-22.7, -3.0) |
| Morgan County | Urban | No | 149.0 (107.5, 202.7) | 106 (14, 130) | 9 |
falling
|
-2.7 (-4.5, -1.0) |
| DeKalb County | Urban | No | 149.9 (144.3, 155.7) | 105 (79, 112) | 610 |
falling
|
-1.7 (-2.0, -1.2) |
| Houston County | Urban | No | 150.1 (132.9, 168.7) | 104 (55, 122) | 67 |
falling
|
-2.4 (-3.3, -1.4) |
| Putnam County | Rural | No | 150.7 (110.4, 201.5) | 103 (17, 130) | 10 |
stable
|
-1.5 (-3.5, 0.7) |
| Greene County | Rural | No | 151.0 (113.5, 197.8) | 102 (19, 129) | 11 |
falling
|
-2.9 (-4.3, -1.5) |
| Pulaski County | Rural | No | 151.2 (100.7, 219.6) | 101 (7, 130) | 6 |
stable
|
19.0 (-7.9, 44.1) |
| Stephens County | Rural | No | 152.3 (102.4, 219.5) | 100 (9, 130) | 6 |
falling
|
-2.9 (-5.8, -0.1) |
| Whitfield County | Urban | No | 155.0 (106.8, 218.1) | 99 (8, 130) | 7 |
stable
|
-1.4 (-4.6, 2.0) |
| Bibb County | Urban | No | 156.5 (144.5, 169.2) | 98 (58, 113) | 135 |
falling
|
-2.2 (-2.7, -1.6) |
| Burke County | Urban | No | 156.5 (125.3, 193.4) | 97 (20, 127) | 20 |
falling
|
-2.2 (-4.1, -0.5) |
| Montgomery County | Rural | No | 156.6 (95.6, 244.8) | 96 (3, 130) | 4 |
falling
|
-29.3 (-50.4, -0.6) |
| Henry County | Urban | No | 156.6 (143.9, 170.2) | 95 (54, 113) | 148 |
stable
|
-0.8 (-1.5, 0.3) |
| Clayton County | Urban | No | 157.2 (146.9, 168.0) | 94 (60, 110) | 243 |
falling
|
-1.4 (-1.9, -0.8) |
| Randolph County | Rural | No | 158.7 (113.9, 217.3) | 93 (8, 129) | 9 |
falling
|
-3.3 (-6.3, -0.8) |
| Jeff Davis County | Rural | No | 159.2 (99.6, 243.6) | 92 (3, 130) | 4 |
stable
|
-2.4 (-6.0, 1.4) |
| Newton County | Urban | No | 159.6 (142.3, 178.4) | 91 (42, 117) | 75 |
falling
|
-1.7 (-2.5, -0.8) |
| McIntosh County | Urban | No | 160.2 (112.7, 222.9) | 90 (5, 130) | 9 |
stable
|
-2.2 (-5.2, 0.5) |
| Clinch County | Rural | No | 160.9 (93.5, 265.3) | 89 (1, 130) | 3 |
|
|
| Clarke County | Urban | No | 162.6 (141.6, 185.7) | 88 (32, 118) | 49 |
falling
|
-3.0 (-4.2, -1.9) |
| Dodge County | Rural | No | 163.8 (122.7, 214.6) | 87 (10, 128) | 11 |
stable
|
-1.1 (-3.3, 1.3) |
| Muscogee County | Urban | No | 163.9 (152.3, 176.1) | 86 (47, 106) | 160 |
falling
|
-2.3 (-4.3, -1.7) |
| Decatur County | Rural | No | 164.4 (133.3, 200.5) | 85 (17, 124) | 20 |
falling
|
-1.6 (-3.0, -0.2) |
| Troup County | Rural | No | 165.1 (141.4, 191.6) | 84 (28, 119) | 38 |
falling
|
-2.3 (-3.3, -1.3) |
| Coweta County | Urban | No | 165.6 (142.5, 191.4) | 83 (27, 116) | 41 |
falling
|
-1.9 (-3.0, -0.6) |
| Chatham County | Urban | No | 166.0 (155.4, 177.2) | 82 (47, 102) | 192 |
falling
|
-1.9 (-2.3, -1.5) |
| Bryan County | Urban | No | 166.8 (117.2, 228.9) | 81 (5, 129) | 8 |
stable
|
-1.8 (-5.6, 2.3) |
| Cook County | Rural | No | 167.4 (119.3, 228.4) | 80 (5, 130) | 8 |
stable
|
-2.5 (-5.3, 0.1) |
| Calhoun County | Rural | No | 167.8 (115.0, 238.1) | 79 (3, 130) | 6 |
stable
|
-1.2 (-4.9, 2.5) |
| Jackson County | Rural | No | 168.7 (120.8, 228.4) | 78 (5, 128) | 9 |
falling
|
-3.0 (-5.3, -0.7) |
| Meriwether County | Urban | No | 169.0 (133.8, 211.2) | 77 (11, 125) | 17 |
stable
|
-0.7 (-2.3, 0.9) |
| Laurens County | Rural | No | 170.1 (145.1, 198.2) | 76 (22, 117) | 34 |
stable
|
-1.0 (-2.5, 0.6) |
| Carroll County | Urban | No | 170.8 (143.3, 201.7) | 75 (18, 119) | 31 |
falling
|
-2.3 (-3.7, -0.7) |
| Butts County | Urban | No | 170.8 (129.0, 221.8) | 74 (7, 126) | 12 |
stable
|
-1.5 (-3.6, 0.7) |
| Macon County | Rural | No | 170.8 (132.0, 218.0) | 73 (11, 127) | 14 |
stable
|
-0.9 (-2.4, 0.7) |
| Baldwin County | Rural | No | 170.9 (144.7, 200.5) | 72 (21, 119) | 32 |
stable
|
-1.0 (-2.0, 0.0) |
| Dougherty County | Urban | No | 171.2 (156.1, 187.4) | 71 (32, 104) | 103 |
falling
|
-1.9 (-2.9, -1.0) |
| Brooks County | Urban | No | 172.7 (130.6, 224.9) | 70 (7, 126) | 12 |
stable
|
-1.4 (-3.0, 0.1) |
| Grady County | Rural | No | 173.3 (135.5, 218.8) | 69 (10, 124) | 15 |
falling
|
-1.9 (-3.8, -0.1) |
| Fulton County | Urban | No | 174.8 (169.2, 180.5) | 68 (46, 80) | 790 |
falling
|
-2.0 (-2.2, -1.7) |
| McDuffie County | Urban | No | 175.3 (138.3, 219.2) | 67 (9, 123) | 17 |
stable
|
-1.7 (-4.2, 0.8) |
| Talbot County | Urban | No | 175.6 (121.4, 247.9) | 66 (3, 129) | 8 |
falling
|
-2.4 (-4.3, -0.6) |
| Irwin County | Rural | No | 175.9 (112.3, 264.0) | 65 (1, 130) | 4 |
falling
|
-2.6 (-5.2, -0.2) |
| Liberty County | Urban | No | 176.3 (150.3, 205.2) | 64 (18, 114) | 39 |
stable
|
-1.3 (-2.5, 0.1) |
| Hancock County | Rural | No | 176.7 (138.4, 223.6) | 63 (8, 124) | 15 |
stable
|
-1.2 (-3.8, 1.3) |
| Candler County | Rural | No | 177.6 (114.0, 264.1) | 62 (2, 130) | 5 |
|
|
| Lincoln County | Urban | No | 178.5 (116.8, 265.0) | 61 (1, 130) | 5 |
falling
|
-3.8 (-6.1, -1.8) |
| Glynn County | Urban | No | 178.7 (154.7, 205.4) | 60 (18, 109) | 42 |
falling
|
-2.4 (-3.7, -1.2) |
| Polk County | Rural | No | 179.7 (134.1, 236.2) | 59 (4, 126) | 11 |
stable
|
-2.1 (-4.7, 0.5) |
| Berrien County | Rural | No | 179.9 (108.1, 281.9) | 58 (1, 130) | 4 |
stable
|
-1.9 (-4.9, 1.3) |
| Telfair County | Rural | No | 180.4 (130.7, 243.7) | 57 (4, 127) | 9 |
stable
|
-1.4 (-4.1, 1.3) |
| Douglas County | Urban | No | 180.7 (160.5, 202.5) | 56 (21, 99) | 84 |
stable
|
-0.4 (-1.8, 1.7) |
| Washington County | Rural | No | 181.1 (147.5, 220.3) | 55 (10, 119) | 22 |
falling
|
-1.9 (-3.3, -0.5) |
| Seminole County | Rural | No | 181.2 (123.3, 258.0) | 54 (2, 129) | 6 |
stable
|
-2.2 (-5.5, 0.9) |
| Marion County | Urban | No | 183.3 (125.4, 264.0) | 53 (1, 130) | 6 |
stable
|
-2.2 (-5.0, 0.8) |
| Ben Hill County | Rural | No | 183.6 (138.9, 238.1) | 52 (4, 125) | 12 |
stable
|
-1.9 (-3.9, 0.0) |
| Harris County | Urban | No | 184.0 (143.9, 233.1) | 51 (5, 123) | 15 |
stable
|
-0.9 (-3.2, 1.7) |
| Hart County | Rural | No | 184.7 (137.0, 244.2) | 50 (4, 125) | 10 |
stable
|
0.7 (-1.9, 8.0) |
| Tift County | Rural | No | 185.5 (150.9, 225.5) | 49 (8, 118) | 21 |
falling
|
-1.6 (-2.6, -0.5) |
| Floyd County | Urban | No | 185.5 (153.9, 221.6) | 48 (8, 112) | 26 |
stable
|
-0.5 (-2.4, 1.6) |
| Pike County | Urban | No | 185.7 (117.8, 282.9) | 47 (1, 130) | 4 |
stable
|
-0.2 (-3.9, 3.6) |
| Richmond County | Urban | No | 185.9 (174.3, 198.1) | 46 (26, 76) | 215 |
falling
|
-1.6 (-2.2, -0.8) |
| Haralson County | Urban | No | 186.1 (106.6, 303.7) | 45 (1, 130) | 3 |
|
|
| Lee County | Urban | No | 186.4 (133.5, 251.5) | 44 (2, 127) | 10 |
stable
|
-1.0 (-4.7, 3.5) |
| Upson County | Rural | No | 188.8 (147.8, 237.8) | 43 (5, 120) | 16 |
falling
|
-1.8 (-3.4, -0.2) |
| Madison County | Urban | No | 189.3 (129.0, 269.0) | 42 (2, 129) | 6 |
stable
|
-2.2 (-4.9, 0.8) |
| Tattnall County | Rural | No | 189.6 (139.3, 251.6) | 41 (3, 126) | 10 |
stable
|
-2.3 (-5.1, 0.3) |
| Early County | Rural | No | 189.8 (142.4, 248.1) | 40 (4, 125) | 11 |
stable
|
-0.8 (-3.6, 1.8) |
| Wilkes County | Rural | No | 190.7 (142.2, 252.3) | 39 (3, 125) | 11 |
stable
|
-0.5 (-2.5, 1.6) |
| Colquitt County | Rural | No | 192.1 (154.2, 236.3) | 38 (5, 115) | 19 |
stable
|
-1.3 (-3.0, 0.3) |
| Twiggs County | Urban | No | 194.0 (135.3, 271.0) | 37 (1, 126) | 8 |
stable
|
-1.1 (-3.0, 0.7) |
| Worth County | Urban | No | 194.5 (150.4, 248.2) | 36 (4, 120) | 14 |
stable
|
-1.6 (-3.9, 0.7) |
| Effingham County | Urban | No | 195.9 (148.7, 252.1) | 35 (3, 120) | 14 |
stable
|
-1.7 (-4.0, 0.8) |
| Wayne County | Rural | No | 197.2 (146.6, 259.5) | 34 (2, 123) | 11 |
falling
|
-2.6 (-4.9, -1.0) |
| Barrow County | Urban | No | 199.0 (154.7, 251.0) | 33 (3, 119) | 17 |
stable
|
-0.3 (-2.3, 2.2) |
| Sumter County | Rural | No | 199.8 (165.2, 239.4) | 32 (5, 104) | 28 |
stable
|
-1.1 (-2.3, 0.1) |
| Taylor County | Rural | No | 200.6 (139.2, 281.4) | 31 (1, 127) | 7 |
falling
|
-3.2 (-5.4, -1.1) |
| Toombs County | Rural | No | 201.5 (155.4, 256.7) | 30 (3, 118) | 13 |
stable
|
-1.8 (-4.4, 0.5) |
| Monroe County | Urban | No | 201.5 (156.7, 255.5) | 29 (2, 118) | 14 |
stable
|
0.2 (-1.8, 2.4) |
| Atkinson County | Rural | No | 201.7 (121.0, 323.7) | 28 (1, 130) | 4 |
stable
|
-2.2 (-5.4, 0.9) |
| Ware County | Rural | No | 202.0 (163.1, 247.2) | 27 (4, 109) | 19 |
stable
|
-0.9 (-2.8, 1.0) |
| Chattooga County | Rural | No | 204.0 (137.3, 293.7) | 26 (1, 127) | 6 |
stable
|
1.5 (-1.9, 5.6) |
| Peach County | Urban | No | 204.3 (168.8, 245.0) | 25 (4, 102) | 25 |
stable
|
-1.9 (-3.7, 0.0) |
| Long County | Urban | No | 204.7 (133.3, 297.5) | 24 (1, 129) | 7 |
stable
|
-0.8 (-4.1, 3.2) |
| Bartow County | Urban | No | 205.6 (165.0, 252.6) | 23 (3, 106) | 20 |
stable
|
-1.1 (-2.8, 0.7) |
| Thomas County | Rural | No | 205.9 (177.3, 238.0) | 22 (5, 85) | 39 |
falling
|
-1.2 (-2.4, -0.1) |
| Mitchell County | Rural | No | 208.0 (171.2, 250.5) | 21 (4, 103) | 24 |
stable
|
-1.5 (-3.1, 0.1) |
| Emanuel County | Rural | No | 208.1 (161.7, 263.6) | 20 (2, 117) | 15 |
stable
|
-0.8 (-2.5, 0.9) |
| Turner County | Rural | No | 210.3 (147.3, 291.7) | 19 (1, 125) | 8 |
stable
|
-1.5 (-3.3, 0.5) |
| Spalding County | Urban | No | 212.8 (186.0, 242.4) | 18 (4, 72) | 50 |
stable
|
-0.4 (-1.8, 1.2) |
| Charlton County | Rural | No | 214.1 (139.4, 313.1) | 17 (1, 129) | 5 |
|
|
| Evans County | Rural | No | 218.5 (149.5, 307.7) | 16 (1, 127) | 6 |
stable
|
-1.3 (-4.3, 1.7) |
| Stewart County | Urban | No | 225.5 (157.5, 317.1) | 15 (1, 127) | 7 |
stable
|
0.5 (-1.6, 2.6) |
| Walton County | Urban | No | 229.3 (195.0, 267.7) | 14 (2, 72) | 37 |
stable
|
0.1 (-1.3, 2.0) |
| Bacon County | Rural | No | 234.4 (132.9, 378.7) | 13 (1, 130) | 3 |
|
|
| Screven County | Rural | No | 237.7 (188.0, 297.3) | 12 (1, 96) | 17 |
stable
|
-1.1 (-2.5, 0.3) |
| Crisp County | Rural | No | 238.5 (192.8, 291.6) | 11 (1, 74) | 21 |
stable
|
0.0 (-2.0, 2.2) |
| Warren County | Rural | No | 238.7 (177.6, 316.8) | 10 (1, 111) | 10 |
stable
|
-1.6 (-4.6, 1.3) |
| Elbert County | Rural | No | 239.8 (187.4, 302.8) | 9 (1, 93) | 15 |
stable
|
0.3 (-1.1, 1.9) |
| Franklin County | Rural | No | 240.9 (155.4, 357.5) | 8 (1, 127) | 5 |
|
|
| Jefferson County | Rural | No | 241.3 (196.3, 293.7) | 7 (1, 73) | 22 |
stable
|
0.0 (-2.5, 2.6) |
| Terrell County | Urban | No | 248.7 (193.3, 315.3) | 6 (1, 89) | 14 |
falling
|
-1.9 (-3.3, -0.6) |
| Appling County | Rural | No | 251.2 (181.2, 339.4) | 5 (1, 112) | 9 |
stable
|
-0.1 (-2.6, 2.8) |
| Miller County | Rural | No | 255.6 (162.4, 383.9) | 4 (1, 126) | 5 |
stable
|
0.8 (-3.0, 5.2) |
| Bleckley County | Rural | No | 260.6 (168.4, 381.5) | 3 (1, 126) | 5 |
stable
|
-1.9 (-5.7, 1.9) |
| Pierce County | Rural | No | 272.3 (175.6, 402.9) | 2 (1, 127) | 5 |
|
|
| Treutlen County | Rural | No | 300.8 (201.1, 432.7) | 1 (1, 108) | 6 |
rising 
|
2.7 (0.3, 5.8) |
| 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 03/24/2026 11:01 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.