Death Rates Table
Death Rate Report for Virginia 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)
|
|---|---|---|---|---|---|---|---|
| Virginia | N/A | Yes | 43.7 (43.0, 44.3) | N/A | 4,147 |
falling 
|
-1.7 (-1.9, -0.7) |
| United States | N/A | Yes | 44.0 (43.9, 44.1) | N/A | 158,490 |
falling
|
-1.5 (-1.8, -1.3) |
| Norton City | Rural | Yes | 92.5 (55.1, 148.5) | 1 (1, 118) | 3 |
|
|
| Galax City | Rural | Yes | 91.7 (63.1, 130.1) | 2 (1, 97) | 7 |
stable 
|
2.2 (-0.1, 4.9) |
| Petersburg City | Urban | Yes | 90.1 (75.5, 106.7) | 3 (1, 32) | 30 |
stable
|
-1.0 (-2.4, 0.3) |
| Martinsville City | Rural | Yes | 87.9 (67.5, 113.1) | 4 (1, 56) | 13 |
stable
|
1.7 (-0.2, 3.8) |
| Dickenson County | Rural | Yes | 87.0 (66.9, 112.1) | 5 (1, 58) | 14 |
stable
|
0.7 (-2.2, 3.7) |
| Sussex County | Urban | Yes | 85.8 (62.3, 116.1) | 6 (1, 89) | 9 |
stable
|
1.0 (-0.5, 2.5) |
| Hopewell City | Urban | Yes | 85.2 (68.5, 104.9) | 7 (1, 48) | 19 |
stable
|
-0.8 (-2.3, 0.6) |
| Franklin City | Rural | Yes | 83.7 (57.9, 117.9) | 8 (1, 103) | 8 |
stable
|
0.5 (-1.7, 2.8) |
| Danville City | Rural | Yes | 82.8 (70.7, 96.6) | 9 (1, 39) | 37 |
stable
|
0.5 (-0.9, 1.8) |
| Buchanan County | Rural | Yes | 82.4 (66.5, 101.8) | 10 (1, 57) | 20 |
stable
|
0.3 (-1.8, 2.2) |
| Wise County | Rural | Yes | 80.2 (67.9, 94.4) | 11 (1, 43) | 32 |
stable
|
0.8 (-0.4, 4.4) |
| Brunswick County | Rural | Yes | 79.9 (62.4, 101.6) | 12 (1, 68) | 16 |
stable
|
0.1 (-1.7, 1.8) |
| Craig County | Urban | Yes | 77.8 (47.5, 123.9) | 13 (1, 120) | 5 |
stable
|
0.0 (-3.3, 3.6) |
| Tazewell County | Rural | Yes | 76.9 (65.4, 90.1) | 14 (1, 49) | 35 |
rising 
|
0.9 (0.1, 1.8) |
| Prince Edward County | Rural | Yes | 76.7 (59.1, 98.2) | 15 (1, 88) | 14 |
stable
|
-1.2 (-3.0, 0.4) |
| Colonial Heights City | Urban | Yes | 75.3 (58.4, 95.8) | 16 (1, 80) | 15 |
rising
|
4.8 (1.3, 15.6) |
| Emporia City | Rural | Yes | 74.6 (44.3, 118.3) | 17 (1, 127) | 4 |
|
|
| King and Queen County | Urban | Yes | 74.3 (49.4, 109.9) | 18 (1, 118) | 6 |
stable
|
-1.0 (-3.4, 1.4) |
| Cumberland County | Rural | Yes | 73.2 (50.1, 104.1) | 19 (1, 117) | 8 |
stable
|
-1.2 (-3.7, 1.2) |
| Russell County | Rural | Yes | 73.1 (59.3, 89.6) | 20 (1, 74) | 23 |
stable
|
0.2 (-1.6, 1.9) |
| Smyth County | Rural | Yes | 72.3 (59.6, 87.2) | 21 (2, 68) | 25 |
stable
|
-0.8 (-2.0, 0.3) |
| Covington City | Rural | Yes | 71.9 (45.7, 109.8) | 22 (1, 124) | 5 |
stable
|
-16.0 (-46.3, 5.8) |
| Lee County | Rural | Yes | 71.7 (57.5, 88.9) | 23 (2, 79) | 19 |
stable
|
-1.2 (-2.8, 0.3) |
| Patrick County | Rural | Yes | 70.6 (54.4, 90.9) | 24 (1, 93) | 15 |
stable
|
-0.3 (-2.5, 1.8) |
| Roanoke City | Urban | Yes | 69.2 (62.1, 77.1) | 25 (9, 52) | 73 |
falling
|
-1.2 (-2.2, -0.2) |
| Wythe County | Rural | Yes | 69.0 (56.6, 83.7) | 26 (4, 78) | 24 |
stable
|
3.8 (-1.3, 18.2) |
| Scott County | Urban | Yes | 68.6 (54.1, 86.3) | 27 (3, 88) | 17 |
stable
|
-1.2 (-2.6, 0.1) |
| Henry County | Rural | Yes | 66.6 (56.7, 77.9) | 28 (6, 76) | 39 |
stable
|
-0.3 (-1.4, 0.6) |
| Lancaster County | Rural | Yes | 65.3 (42.8, 96.9) | 29 (1, 122) | 8 |
stable
|
-1.7 (-4.5, 1.0) |
| Waynesboro City | Urban | Yes | 64.9 (50.7, 82.1) | 30 (3, 99) | 15 |
stable
|
-0.4 (-2.2, 1.4) |
| Essex County | Rural | Yes | 64.2 (44.0, 91.5) | 31 (1, 121) | 7 |
stable
|
0.0 (-2.7, 2.9) |
| Portsmouth City | Urban | Yes | 64.0 (56.9, 71.8) | 32 (14, 68) | 63 |
falling
|
-1.7 (-2.3, -1.1) |
| Halifax County with South Boston City | Rural | Yes | 63.3 (51.6, 77.1) | 33 (7, 93) | 24 |
stable
|
-1.0 (-2.9, 0.6) |
| Lynchburg City | Urban | Yes | 63.1 (54.2, 72.9) | 34 (12, 78) | 39 |
stable
|
0.4 (-1.3, 8.1) |
| Staunton City | Urban | Yes | 60.9 (48.1, 76.3) | 35 (7, 105) | 17 |
stable
|
0.0 (-1.4, 1.4) |
| Bath County | Rural | Yes | 60.8 (33.1, 108.2) | 36 (1, 129) | 3 |
|
|
| Washington County | Urban | Yes | 60.7 (51.7, 71.0) | 37 (14, 89) | 38 |
stable
|
3.5 (-3.3, 14.0) |
| Mathews County | Urban | Yes | 60.7 (37.4, 94.6) | 38 (1, 129) | 5 |
stable
|
-0.5 (-4.2, 2.6) |
| Salem City | Urban | Yes | 60.4 (47.4, 76.2) | 39 (8, 110) | 16 |
stable
|
-0.7 (-2.1, 0.6) |
| Charlotte County | Rural | Yes | 60.2 (41.5, 85.2) | 40 (2, 125) | 8 |
stable
|
-1.9 (-4.3, 0.2) |
| Warren County | Urban | Yes | 60.1 (50.4, 71.4) | 41 (13, 90) | 30 |
falling
|
-1.5 (-2.8, -0.3) |
| Bristol City | Urban | Yes | 59.4 (44.0, 78.8) | 42 (4, 117) | 10 |
stable
|
-1.0 (-3.0, 0.9) |
| Middlesex County | Rural | Yes | 59.3 (42.2, 83.6) | 43 (4, 122) | 9 |
stable
|
-1.5 (-3.3, 0.3) |
| Shenandoah County | Rural | Yes | 59.3 (49.6, 70.5) | 44 (14, 96) | 29 |
stable
|
-0.5 (-1.4, 0.5) |
| Giles County | Urban | Yes | 59.1 (44.5, 77.7) | 45 (6, 118) | 12 |
stable
|
-1.1 (-2.7, 0.5) |
| Pittsylvania County | Rural | Yes | 58.7 (50.4, 68.2) | 46 (16, 89) | 42 |
stable
|
-0.9 (-2.2, 0.4) |
| Nottoway County | Rural | Yes | 58.5 (44.1, 76.9) | 47 (6, 116) | 11 |
falling
|
-1.6 (-3.0, -0.2) |
| Page County | Rural | Yes | 58.3 (46.2, 73.1) | 48 (11, 112) | 18 |
stable
|
-0.2 (-1.8, 1.4) |
| Greensville County | Rural | Yes | 57.9 (40.6, 81.3) | 49 (3, 123) | 7 |
stable
|
-0.3 (-2.8, 2.2) |
| Madison County | Rural | Yes | 57.8 (40.4, 80.6) | 50 (4, 122) | 8 |
stable
|
-0.3 (-2.1, 1.4) |
| Buckingham County | Rural | Yes | 57.6 (43.8, 75.2) | 51 (9, 119) | 12 |
stable
|
-1.5 (-3.4, 0.5) |
| Norfolk City | Urban | Yes | 56.7 (52.1, 61.5) | 52 (30, 78) | 125 |
falling
|
-1.8 (-2.5, -1.1) |
| Mecklenburg County | Rural | Yes | 56.5 (45.6, 69.7) | 53 (12, 112) | 22 |
falling
|
-4.8 (-21.9, -1.1) |
| Alleghany County and Clifton Forge City | Rural | Yes | 56.5 (41.7, 76.0) | 54 (7, 120) | 11 |
stable
|
-2.0 (-4.6, 0.3) |
| Nelson County | Urban | Yes | 56.2 (40.6, 76.9) | 55 (6, 120) | 10 |
stable
|
-1.4 (-4.0, 0.9) |
| Dinwiddie County | Urban | Yes | 56.1 (44.6, 70.0) | 56 (14, 113) | 19 |
falling
|
-1.6 (-3.2, -0.1) |
| Amherst County | Urban | Yes | 55.5 (45.1, 67.9) | 57 (16, 110) | 22 |
falling
|
-2.1 (-3.5, -0.7) |
| Lunenburg County | Rural | Yes | 55.1 (38.5, 77.5) | 58 (5, 124) | 8 |
stable
|
-1.8 (-5.1, 1.1) |
| Newport News City | Urban | Yes | 54.8 (49.9, 60.0) | 59 (33, 84) | 100 |
falling
|
-1.4 (-2.1, -0.7) |
| Franklin County | Urban | Yes | 54.4 (45.9, 64.2) | 60 (22, 107) | 36 |
stable
|
-0.6 (-1.6, 0.4) |
| Fredericksburg City | Urban | Yes | 54.4 (41.9, 69.3) | 61 (13, 118) | 13 |
falling
|
-4.1 (-6.4, -2.0) |
| Hampton City | Urban | Yes | 54.1 (48.5, 60.1) | 62 (32, 92) | 78 |
falling
|
-1.4 (-2.0, -0.7) |
| Richmond County | Rural | Yes | 53.8 (35.0, 80.5) | 63 (3, 129) | 5 |
falling
|
-2.3 (-4.8, -0.1) |
| Grayson County | Rural | Yes | 53.5 (38.9, 72.8) | 64 (9, 124) | 10 |
falling
|
-1.8 (-3.4, -0.3) |
| Accomack County | Rural | Yes | 53.5 (43.2, 65.8) | 65 (18, 113) | 22 |
falling
|
-1.5 (-2.8, -0.3) |
| Pulaski County | Urban | Yes | 53.3 (43.3, 65.3) | 66 (20, 113) | 22 |
falling
|
-1.5 (-2.7, -0.4) |
| Rockbridge County | Rural | Yes | 52.5 (40.1, 68.2) | 67 (15, 120) | 14 |
falling
|
-2.0 (-4.2, -0.2) |
| Orange County | Rural | Yes | 51.7 (42.0, 63.1) | 68 (23, 114) | 22 |
falling
|
-1.9 (-3.2, -0.6) |
| Louisa County | Rural | Yes | 51.6 (42.6, 62.3) | 69 (25, 115) | 27 |
falling
|
-2.5 (-4.0, -1.0) |
| New Kent County | Urban | Yes | 51.6 (40.2, 65.7) | 70 (19, 120) | 15 |
stable
|
-1.0 (-3.5, 1.8) |
| Appomattox County | Urban | Yes | 51.4 (37.1, 69.9) | 71 (11, 127) | 9 |
stable
|
-0.9 (-3.5, 1.7) |
| Frederick County | Urban | Yes | 51.2 (45.0, 58.0) | 72 (35, 107) | 54 |
falling
|
-1.4 (-2.4, -0.3) |
| King George County | Rural | Yes | 51.0 (40.0, 64.3) | 73 (21, 120) | 15 |
stable
|
-1.6 (-4.3, 1.1) |
| Gloucester County | Urban | Yes | 50.2 (41.2, 60.9) | 74 (25, 115) | 25 |
stable
|
-1.2 (-3.0, 0.6) |
| Fairfax City | Urban | Yes | 49.9 (38.5, 63.8) | 75 (21, 122) | 13 |
falling
|
-3.7 (-7.0, -0.9) |
| King William County | Urban | Yes | 48.7 (36.1, 64.9) | 76 (19, 124) | 10 |
falling
|
-2.6 (-4.5, -0.6) |
| Suffolk City | Urban | Yes | 48.5 (42.7, 55.0) | 77 (44, 111) | 53 |
falling
|
-2.1 (-3.0, -1.2) |
| Fluvanna County | Urban | Yes | 48.5 (38.0, 61.4) | 78 (23, 122) | 16 |
stable
|
-0.4 (-1.7, 0.9) |
| Campbell County | Urban | Yes | 48.5 (40.7, 57.4) | 79 (34, 115) | 31 |
falling
|
-1.6 (-2.9, -0.4) |
| Caroline County | Rural | Yes | 48.4 (38.6, 60.1) | 80 (27, 119) | 18 |
falling
|
-2.5 (-4.1, -1.0) |
| Surry County | Urban | Yes | 47.8 (24.8, 84.4) | 81 (1, 129) | 3 |
stable
|
-1.5 (-4.4, 1.3) |
| Westmoreland County | Rural | Yes | 47.8 (35.3, 64.0) | 82 (19, 126) | 11 |
falling
|
-15.5 (-26.8, -2.9) |
| Richmond City | Urban | Yes | 47.5 (43.4, 52.0) | 83 (56, 105) | 106 |
falling
|
-3.8 (-4.4, -3.2) |
| Bedford City and County | Urban | Yes | 47.4 (41.2, 54.5) | 84 (44, 113) | 48 |
falling
|
-1.9 (-2.7, -1.1) |
| Winchester City | Urban | Yes | 47.3 (36.9, 60.1) | 85 (28, 123) | 14 |
falling
|
-2.0 (-4.0, -0.1) |
| Floyd County | Urban | Yes | 46.6 (32.6, 65.4) | 86 (19, 128) | 8 |
stable
|
-0.1 (-2.5, 2.2) |
| Prince George County | Urban | Yes | 46.5 (37.4, 57.4) | 87 (33, 121) | 18 |
stable
|
-0.8 (-2.8, 1.2) |
| Northampton County | Rural | Yes | 46.1 (30.8, 67.7) | 88 (16, 129) | 7 |
|
|
| Culpeper County | Urban | Yes | 45.9 (38.2, 54.8) | 89 (40, 120) | 26 |
falling
|
-2.0 (-3.5, -0.6) |
| Chesapeake City | Urban | Yes | 45.6 (41.9, 49.4) | 90 (64, 109) | 125 |
falling
|
-2.0 (-2.5, -1.4) |
| Radford City | Urban | Yes | 45.5 (29.3, 67.8) | 91 (11, 129) | 5 |
falling
|
-3.0 (-6.2, -0.2) |
| Carroll County | Rural | Yes | 45.2 (35.6, 57.3) | 92 (30, 124) | 17 |
stable
|
-1.6 (-3.8, 0.4) |
| Falls Church City | Urban | Yes | 45.2 (30.8, 64.3) | 93 (18, 129) | 6 |
|
|
| Isle of Wight County | Urban | Yes | 45.0 (36.4, 55.3) | 94 (38, 122) | 22 |
falling
|
-1.7 (-3.3, -0.1) |
| Bland County | Rural | Yes | 44.9 (25.8, 76.5) | 95 (8, 129) | 3 |
|
|
| Southampton County | Rural | Yes | 44.8 (33.5, 59.7) | 96 (29, 127) | 11 |
falling
|
-2.5 (-4.1, -1.1) |
| Spotsylvania County | Urban | Yes | 44.5 (39.9, 49.6) | 97 (60, 114) | 71 |
falling
|
-2.1 (-2.9, -1.4) |
| Charlottesville City | Urban | Yes | 44.0 (35.4, 54.2) | 98 (43, 123) | 19 |
stable
|
10.7 (-3.3, 22.2) |
| Amelia County | Urban | Yes | 43.8 (30.2, 62.3) | 99 (21, 129) | 8 |
falling
|
-2.5 (-4.8, -0.2) |
| Manassas City | Urban | Yes | 43.4 (34.9, 53.4) | 100 (44, 125) | 18 |
stable
|
-1.5 (-3.1, 0.3) |
| Hanover County | Urban | Yes | 43.1 (38.1, 48.7) | 101 (63, 117) | 58 |
falling
|
-1.9 (-2.7, -1.1) |
| Virginia Beach City | Urban | Yes | 43.0 (40.3, 45.8) | 102 (77, 112) | 205 |
stable
|
-1.0 (-1.6, 0.7) |
| Montgomery County | Urban | Yes | 42.4 (36.2, 49.5) | 103 (60, 121) | 34 |
falling
|
-1.9 (-3.1, -0.7) |
| Rockingham County | Urban | Yes | 41.8 (35.9, 48.5) | 104 (64, 121) | 39 |
falling
|
-1.8 (-2.6, -1.1) |
| Henrico County | Urban | Yes | 41.6 (38.6, 44.7) | 105 (81, 116) | 154 |
falling
|
-2.0 (-2.5, -1.6) |
| Northumberland County | Rural | Yes | 41.4 (28.0, 62.0) | 106 (26, 129) | 7 |
falling
|
-2.4 (-4.5, -0.6) |
| Augusta County | Urban | Yes | 41.0 (35.2, 47.7) | 107 (66, 121) | 39 |
falling
|
-2.8 (-12.6, -1.1) |
| Botetourt County | Urban | Yes | 40.7 (32.0, 51.3) | 108 (47, 128) | 18 |
falling
|
-2.8 (-4.8, -1.0) |
| Clarke County | Urban | Yes | 40.1 (28.6, 56.1) | 109 (34, 129) | 8 |
stable
|
-2.4 (-5.6, 0.6) |
| Roanoke County | Urban | Yes | 40.0 (34.7, 46.0) | 110 (72, 121) | 45 |
falling
|
-1.6 (-2.5, -0.7) |
| Fauquier County | Urban | Yes | 39.7 (33.9, 46.4) | 111 (68, 123) | 36 |
falling
|
-2.5 (-4.1, -0.9) |
| Williamsburg City | Urban | Yes | 39.5 (24.8, 60.9) | 112 (22, 129) | 5 |
|
|
| Chesterfield County | Urban | Yes | 38.8 (36.1, 41.7) | 113 (90, 119) | 156 |
falling
|
-1.9 (-2.4, -1.5) |
| Stafford County | Urban | Yes | 37.0 (33.0, 41.4) | 114 (91, 123) | 63 |
falling
|
-2.3 (-3.2, -1.2) |
| Harrisonburg City | Urban | Yes | 37.0 (28.7, 47.0) | 115 (61, 129) | 14 |
stable
|
-1.9 (-4.0, 0.1) |
| Goochland County | Urban | Yes | 37.0 (27.4, 49.5) | 116 (54, 129) | 12 |
stable
|
-2.0 (-4.2, 0.1) |
| Charles City County | Urban | Yes | 36.2 (19.4, 65.5) | 117 (16, 129) | 3 |
falling
|
-3.4 (-6.2, -0.8) |
| Rappahannock County | Urban | Yes | 34.5 (18.5, 61.9) | 118 (25, 129) | 3 |
|
|
| Greene County | Urban | Yes | 33.8 (23.8, 47.1) | 119 (61, 129) | 8 |
stable
|
-1.8 (-4.3, 0.7) |
| Prince William County | Urban | Yes | 32.8 (30.6, 35.2) | 120 (110, 125) | 166 |
falling
|
-2.7 (-3.3, -2.2) |
| James City County | Urban | Yes | 32.3 (27.1, 38.4) | 121 (101, 129) | 30 |
falling
|
-2.3 (-3.8, -0.8) |
| Poquoson City | Urban | Yes | 31.8 (19.5, 49.7) | 122 (46, 129) | 4 |
falling
|
-25.5 (-52.6, -0.2) |
| Powhatan County | Urban | Yes | 30.8 (23.6, 40.0) | 123 (88, 129) | 13 |
falling
|
-2.9 (-4.7, -1.1) |
| York County | Urban | Yes | 30.7 (25.4, 37.0) | 124 (102, 129) | 25 |
falling
|
-3.5 (-5.0, -2.2) |
| Fairfax County | Urban | Yes | 28.3 (26.9, 29.7) | 125 (118, 129) | 351 |
falling
|
-2.4 (-2.9, -2.0) |
| Albemarle County | Urban | Yes | 28.0 (23.8, 32.8) | 126 (113, 129) | 34 |
falling
|
-2.5 (-3.9, -1.2) |
| Alexandria City | Urban | Yes | 28.0 (24.4, 32.0) | 127 (115, 129) | 44 |
falling
|
-3.5 (-4.7, -2.4) |
| Arlington County | Urban | Yes | 26.5 (23.5, 29.8) | 128 (118, 129) | 58 |
falling
|
-3.1 (-3.9, -2.3) |
| Loudoun County | Urban | Yes | 26.0 (23.9, 28.3) | 129 (121, 129) | 115 |
falling
|
-2.9 (-3.6, -2.2) |
| Buena Vista City | Rural | *** |
|
|
|
|
|
| Highland County | Rural | *** |
|
|
|
|
|
| Lexington City | Rural | *** |
|
|
|
|
|
| Manassas Park City | Urban | *** |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 11:47 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.