Death Rates Table
Death Rate Report for North Carolina by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Both Sexes, Ages <65
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)
|
|---|---|---|---|---|---|---|---|
| North Carolina | N/A | Yes | 46.9 (46.3, 47.5) | N/A | 5,455 |
falling 
|
-2.4 (-3.5, -1.9) |
| United States | N/A | Yes | 44.0 (43.9, 44.1) | N/A | 158,490 |
falling
|
-1.5 (-1.8, -1.3) |
| Swain County | Rural | Yes | 89.9 (68.6, 116.2) | 1 (1, 43) | 13 |
stable 
|
0.1 (-1.9, 2.1) |
| Bertie County | Rural | Yes | 80.7 (62.5, 103.1) | 2 (1, 61) | 15 |
stable
|
-0.4 (-2.2, 1.3) |
| Anson County | Urban | Yes | 79.9 (63.7, 99.4) | 3 (1, 41) | 18 |
stable
|
0.4 (-0.8, 1.7) |
| Vance County | Rural | Yes | 77.5 (65.9, 90.7) | 4 (1, 29) | 35 |
stable
|
-0.5 (-1.8, 0.7) |
| Halifax County | Rural | Yes | 76.0 (65.5, 87.9) | 5 (1, 29) | 43 |
falling
|
-0.9 (-1.8, -0.1) |
| Columbus County | Rural | Yes | 74.3 (64.2, 85.7) | 6 (1, 35) | 43 |
stable
|
-0.5 (-1.9, 0.9) |
| Washington County | Rural | Yes | 73.2 (50.5, 103.3) | 7 (1, 91) | 8 |
stable
|
-0.6 (-3.2, 1.8) |
| Richmond County | Rural | Yes | 72.4 (61.5, 84.9) | 8 (1, 44) | 34 |
stable
|
-1.2 (-2.6, 0.0) |
| Duplin County | Rural | Yes | 71.2 (60.8, 82.9) | 9 (1, 48) | 37 |
stable
|
2.9 (-0.1, 13.5) |
| Scotland County | Rural | Yes | 70.6 (58.6, 84.6) | 10 (1, 56) | 26 |
stable
|
-0.7 (-2.9, 1.3) |
| Wayne County | Urban | Yes | 70.1 (63.4, 77.4) | 11 (2, 30) | 87 |
stable
|
-0.6 (-1.3, 0.2) |
| Edgecombe County | Urban | Yes | 69.4 (59.5, 80.5) | 12 (1, 47) | 41 |
falling
|
-1.5 (-2.3, -0.7) |
| Robeson County | Rural | Yes | 68.3 (61.7, 75.4) | 13 (3, 35) | 84 |
stable
|
-0.7 (-1.5, 0.1) |
| Cleveland County | Rural | Yes | 67.7 (60.7, 75.3) | 14 (3, 37) | 76 |
stable
|
-0.4 (-1.6, 0.7) |
| Camden County | Urban | Yes | 67.4 (48.1, 93.0) | 15 (1, 92) | 8 |
stable
|
-0.2 (-4.0, 3.9) |
| Caldwell County | Urban | Yes | 66.4 (59.1, 74.5) | 16 (3, 45) | 67 |
stable
|
-0.6 (-1.3, 0.2) |
| Pamlico County | Rural | Yes | 66.0 (46.3, 92.5) | 17 (1, 95) | 10 |
stable
|
-0.6 (-2.1, 0.9) |
| Mitchell County | Rural | Yes | 65.8 (48.5, 87.9) | 18 (1, 89) | 11 |
stable
|
0.5 (-1.4, 2.4) |
| Northampton County | Rural | Yes | 64.9 (48.2, 86.2) | 19 (1, 88) | 13 |
stable
|
-1.3 (-2.9, 0.0) |
| Rutherford County | Rural | Yes | 63.6 (55.5, 72.7) | 20 (4, 59) | 50 |
falling
|
-0.8 (-1.6, -0.1) |
| Bladen County | Rural | Yes | 63.1 (51.1, 77.4) | 21 (2, 78) | 21 |
stable
|
-1.1 (-3.0, 0.5) |
| Martin County | Rural | Yes | 63.0 (49.1, 80.0) | 22 (1, 86) | 16 |
falling
|
-2.6 (-4.9, -0.7) |
| Onslow County | Urban | Yes | 62.3 (56.6, 68.4) | 23 (7, 51) | 93 |
stable
|
-0.4 (-1.4, 0.7) |
| Lenoir County | Rural | Yes | 61.9 (52.9, 72.1) | 24 (5, 65) | 39 |
falling
|
-1.8 (-2.9, -0.9) |
| Hertford County | Rural | Yes | 60.5 (46.6, 77.9) | 25 (2, 90) | 14 |
falling
|
-2.1 (-3.3, -0.9) |
| Madison County | Urban | Yes | 59.9 (46.0, 77.0) | 26 (2, 91) | 14 |
stable
|
-0.8 (-2.9, 1.2) |
| McDowell County | Rural | Yes | 59.1 (50.0, 69.7) | 27 (6, 75) | 32 |
stable
|
-0.3 (-1.7, 1.0) |
| Cumberland County | Urban | Yes | 58.9 (55.0, 63.1) | 28 (15, 53) | 178 |
falling
|
-1.3 (-1.9, -0.7) |
| Sampson County | Rural | Yes | 57.9 (49.8, 67.1) | 29 (9, 76) | 39 |
falling
|
-1.4 (-2.4, -0.4) |
| Burke County | Urban | Yes | 57.6 (50.9, 65.0) | 30 (12, 70) | 61 |
stable
|
-0.7 (-1.6, 0.2) |
| Alexander County | Urban | Yes | 57.3 (47.4, 69.0) | 31 (5, 84) | 25 |
stable
|
0.0 (-1.2, 1.3) |
| Pasquotank County | Rural | Yes | 56.5 (46.6, 68.0) | 32 (7, 87) | 25 |
falling
|
-1.5 (-2.8, -0.2) |
| Randolph County | Urban | Yes | 56.5 (51.3, 62.1) | 33 (17, 67) | 96 |
falling
|
-1.0 (-2.0, -0.1) |
| Harnett County | Rural | Yes | 55.9 (50.3, 62.0) | 34 (17, 71) | 76 |
falling
|
-1.2 (-1.9, -0.4) |
| Gaston County | Urban | Yes | 55.9 (51.8, 60.3) | 35 (21, 64) | 149 |
falling
|
-1.7 (-2.1, -1.3) |
| Wilkes County | Rural | Yes | 55.6 (48.1, 64.2) | 36 (11, 77) | 45 |
falling
|
-1.3 (-2.3, -0.4) |
| Nash County | Urban | Yes | 55.6 (49.3, 62.6) | 37 (15, 73) | 62 |
falling
|
-1.5 (-2.5, -0.6) |
| Jones County | Rural | Yes | 55.5 (36.5, 82.4) | 38 (1, 98) | 6 |
stable
|
-1.7 (-4.7, 1.1) |
| Surry County | Rural | Yes | 55.4 (48.2, 63.6) | 39 (13, 79) | 47 |
falling
|
-1.1 (-2.1, -0.2) |
| Hoke County | Urban | Yes | 55.4 (46.5, 65.5) | 40 (9, 86) | 28 |
falling
|
-2.3 (-3.4, -1.0) |
| Granville County | Rural | Yes | 55.4 (47.8, 63.9) | 41 (13, 81) | 41 |
stable
|
1.6 (-1.4, 6.0) |
| Rockingham County | Urban | Yes | 55.0 (48.6, 62.0) | 42 (17, 75) | 62 |
falling
|
-1.5 (-2.4, -0.8) |
| Gates County | Urban | Yes | 55.0 (36.3, 80.9) | 43 (1, 98) | 6 |
falling
|
-2.4 (-4.5, -0.7) |
| Pitt County | Urban | Yes | 54.9 (49.8, 60.5) | 44 (19, 71) | 89 |
stable
|
-0.2 (-1.5, 5.3) |
| Wilson County | Rural | Yes | 54.9 (48.0, 62.7) | 45 (14, 81) | 49 |
falling
|
-1.7 (-2.5, -0.9) |
| Craven County | Rural | Yes | 54.5 (48.1, 61.5) | 46 (17, 77) | 59 |
falling
|
-1.3 (-2.1, -0.5) |
| Person County | Urban | Yes | 54.4 (45.3, 65.1) | 47 (9, 86) | 28 |
stable
|
-1.0 (-2.3, 0.4) |
| Greene County | Rural | Yes | 54.1 (41.4, 69.9) | 48 (4, 95) | 13 |
stable
|
-1.6 (-3.8, 0.5) |
| Chowan County | Rural | Yes | 54.0 (38.1, 75.2) | 49 (2, 98) | 9 |
stable
|
-1.7 (-4.2, 0.6) |
| Stokes County | Urban | Yes | 52.8 (43.7, 63.4) | 50 (13, 91) | 28 |
falling
|
-1.8 (-3.3, -0.5) |
| Davidson County | Urban | Yes | 52.7 (48.2, 57.6) | 51 (24, 74) | 110 |
falling
|
-1.5 (-2.2, -0.9) |
| Catawba County | Urban | Yes | 52.7 (47.9, 57.9) | 52 (23, 75) | 97 |
falling
|
-1.4 (-2.0, -0.9) |
| Polk County | Rural | Yes | 52.7 (37.5, 72.5) | 53 (2, 98) | 10 |
stable
|
0.2 (-1.7, 1.9) |
| Yadkin County | Urban | Yes | 52.7 (42.7, 64.5) | 54 (10, 92) | 22 |
stable
|
-1.3 (-3.3, 0.4) |
| Graham County | Rural | Yes | 52.5 (33.0, 81.0) | 55 (1, 98) | 5 |
stable
|
-0.2 (-3.3, 2.9) |
| Caswell County | Rural | Yes | 52.1 (40.4, 66.9) | 56 (7, 95) | 15 |
falling
|
-1.6 (-3.1, -0.2) |
| Alamance County | Urban | Yes | 52.0 (47.4, 56.9) | 57 (26, 77) | 102 |
falling
|
-1.4 (-2.0, -0.7) |
| Perquimans County | Rural | Yes | 51.8 (36.5, 72.8) | 58 (3, 98) | 9 |
falling
|
-2.3 (-3.8, -0.8) |
| Haywood County | Rural | Yes | 51.8 (44.2, 60.4) | 59 (17, 88) | 38 |
falling
|
-1.5 (-2.5, -0.6) |
| Dare County | Rural | Yes | 51.5 (42.1, 62.7) | 60 (14, 93) | 25 |
stable
|
-0.6 (-1.8, 0.6) |
| Rowan County | Urban | Yes | 50.7 (45.8, 56.0) | 61 (29, 83) | 87 |
falling
|
-3.8 (-8.9, -1.9) |
| Montgomery County | Rural | Yes | 50.6 (39.1, 64.7) | 62 (9, 97) | 15 |
stable
|
-1.2 (-3.3, 0.6) |
| Moore County | Urban | Yes | 49.9 (43.9, 56.6) | 63 (25, 86) | 55 |
falling
|
-2.0 (-2.9, -1.1) |
| Macon County | Rural | Yes | 49.7 (40.2, 61.2) | 64 (15, 94) | 22 |
falling
|
-1.7 (-2.9, -0.5) |
| Warren County | Rural | Yes | 48.8 (35.9, 65.5) | 65 (8, 98) | 11 |
stable
|
-2.1 (-4.3, 0.0) |
| Beaufort County | Rural | Yes | 48.5 (40.0, 58.4) | 66 (18, 94) | 27 |
falling
|
-1.7 (-3.3, -0.2) |
| Henderson County | Urban | Yes | 48.4 (43.0, 54.4) | 67 (32, 89) | 66 |
falling
|
-1.4 (-2.6, -0.4) |
| Carteret County | Rural | Yes | 47.2 (40.8, 54.6) | 68 (26, 92) | 46 |
falling
|
-2.0 (-3.2, -0.9) |
| Currituck County | Urban | Yes | 47.1 (37.7, 58.6) | 69 (21, 97) | 19 |
falling
|
-2.0 (-3.2, -0.8) |
| Davie County | Urban | Yes | 46.7 (38.4, 56.5) | 70 (24, 96) | 24 |
stable
|
-0.3 (-1.9, 1.4) |
| Stanly County | Rural | Yes | 46.4 (39.4, 54.5) | 71 (26, 94) | 33 |
falling
|
-2.2 (-3.7, -0.9) |
| Forsyth County | Urban | Yes | 46.0 (43.1, 49.2) | 72 (53, 86) | 193 |
falling
|
-2.0 (-2.7, -1.4) |
| Ashe County | Rural | Yes | 45.9 (35.9, 58.5) | 73 (18, 98) | 17 |
stable
|
-0.9 (-3.1, 1.3) |
| Lincoln County | Urban | Yes | 45.8 (40.2, 52.2) | 74 (40, 92) | 52 |
falling
|
-1.9 (-3.0, -0.9) |
| Lee County | Rural | Yes | 45.2 (38.3, 53.1) | 75 (33, 96) | 32 |
stable
|
-1.6 (-16.1, 7.7) |
| Franklin County | Urban | Yes | 45.0 (38.7, 52.2) | 76 (36, 94) | 39 |
falling
|
-2.0 (-3.4, -0.6) |
| Brunswick County | Urban | Yes | 44.8 (39.9, 50.2) | 77 (48, 92) | 84 |
falling
|
-6.3 (-12.6, -2.6) |
| Pender County | Urban | Yes | 44.5 (37.9, 52.1) | 78 (38, 95) | 35 |
falling
|
-2.6 (-3.4, -1.8) |
| Guilford County | Urban | Yes | 44.1 (41.6, 46.7) | 79 (61, 88) | 250 |
falling
|
-1.4 (-1.9, -1.0) |
| Cherokee County | Rural | Yes | 44.0 (33.4, 57.3) | 80 (17, 98) | 15 |
stable
|
-1.4 (-3.0, 0.0) |
| Alleghany County | Rural | Yes | 43.9 (28.1, 66.7) | 81 (5, 98) | 6 |
stable
|
-1.9 (-5.1, 1.2) |
| Iredell County | Urban | Yes | 43.7 (39.8, 47.9) | 82 (55, 91) | 99 |
falling
|
-2.3 (-3.2, -1.5) |
| Yancey County | Rural | Yes | 43.4 (32.4, 58.1) | 83 (19, 98) | 11 |
falling
|
-2.0 (-3.7, -0.4) |
| Jackson County | Rural | Yes | 42.6 (34.0, 52.9) | 84 (31, 98) | 19 |
stable
|
-1.2 (-2.8, 0.2) |
| Johnston County | Urban | Yes | 42.5 (38.9, 46.3) | 85 (61, 93) | 106 |
falling
|
-4.8 (-12.3, -2.5) |
| Clay County | Rural | Yes | 42.4 (28.6, 63.1) | 86 (11, 98) | 7 |
stable
|
-0.6 (-3.2, 2.1) |
| Buncombe County | Urban | Yes | 41.5 (38.2, 45.0) | 87 (65, 93) | 128 |
falling
|
-2.1 (-2.7, -1.4) |
| New Hanover County | Urban | Yes | 41.3 (37.6, 45.2) | 88 (65, 94) | 102 |
falling
|
-2.1 (-2.9, -1.3) |
| Transylvania County | Rural | Yes | 40.2 (30.7, 52.1) | 89 (30, 98) | 14 |
stable
|
0.3 (-2.9, 12.4) |
| Durham County | Urban | Yes | 39.9 (36.8, 43.2) | 90 (71, 95) | 127 |
falling
|
-2.8 (-3.2, -2.4) |
| Cabarrus County | Urban | Yes | 39.6 (36.1, 43.4) | 91 (70, 95) | 97 |
falling
|
-2.7 (-3.3, -2.0) |
| Watauga County | Rural | Yes | 36.6 (29.0, 45.8) | 92 (59, 98) | 18 |
falling
|
-2.4 (-4.1, -0.9) |
| Mecklenburg County | Urban | Yes | 35.2 (33.6, 36.8) | 93 (88, 97) | 399 |
falling
|
-3.6 (-9.6, -2.7) |
| Union County | Urban | Yes | 34.9 (31.8, 38.2) | 94 (85, 98) | 96 |
falling
|
-2.4 (-3.4, -1.4) |
| Chatham County | Urban | Yes | 34.3 (28.8, 40.7) | 95 (77, 98) | 32 |
falling
|
-3.2 (-4.7, -1.8) |
| Avery County | Rural | Yes | 33.8 (23.5, 48.1) | 96 (48, 98) | 7 |
falling
|
-2.6 (-5.3, -0.2) |
| Orange County | Urban | Yes | 33.0 (28.9, 37.5) | 97 (86, 98) | 50 |
falling
|
-3.2 (-4.3, -2.2) |
| Wake County | Urban | Yes | 30.7 (29.3, 32.1) | 98 (93, 98) | 369 |
falling
|
-2.9 (-3.3, -2.5) |
| Hyde County | Rural | *** |
|
|
|
|
|
| Tyrrell County | Rural | *** |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 3:30 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.