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Death Rates Table

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Death Rate Report for North Carolina by County

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Both Sexes, Ages <65

Sorted by Recentaapc

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Met Healthy People Objective of 122.7?
Age-Adjusted Death Rate
deaths per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank ⋔
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Death Rates
(95% Confidence Interval)
 sort by trend descending
North Carolina N/A Yes 46.9 (46.3, 47.5) N/A 5,455 falling falling trend -2.4 (-3.5, -1.9)
United States N/A Yes 44.0 (43.9, 44.1) N/A 158,490 falling falling trend -1.5 (-1.8, -1.3)
Brunswick County Urban Yes 44.8 (39.9, 50.2) 77 (48, 92) 84 falling falling trend -6.3 (-12.6, -2.6)
Johnston County Urban Yes 42.5 (38.9, 46.3) 85 (61, 93) 106 falling falling trend -4.8 (-12.3, -2.5)
Rowan County Urban Yes 50.7 (45.8, 56.0) 61 (29, 83) 87 falling falling trend -3.8 (-8.9, -1.9)
Mecklenburg County Urban Yes 35.2 (33.6, 36.8) 93 (88, 97) 399 falling falling trend -3.6 (-9.6, -2.7)
Chatham County Urban Yes 34.3 (28.8, 40.7) 95 (77, 98) 32 falling falling trend -3.2 (-4.7, -1.8)
Orange County Urban Yes 33.0 (28.9, 37.5) 97 (86, 98) 50 falling falling trend -3.2 (-4.3, -2.2)
Wake County Urban Yes 30.7 (29.3, 32.1) 98 (93, 98) 369 falling falling trend -2.9 (-3.3, -2.5)
Durham County Urban Yes 39.9 (36.8, 43.2) 90 (71, 95) 127 falling falling trend -2.8 (-3.2, -2.4)
Cabarrus County Urban Yes 39.6 (36.1, 43.4) 91 (70, 95) 97 falling falling trend -2.7 (-3.3, -2.0)
Avery County Rural Yes 33.8 (23.5, 48.1) 96 (48, 98) 7 falling falling trend -2.6 (-5.3, -0.2)
Martin County Rural Yes 63.0 (49.1, 80.0) 22 (1, 86) 16 falling falling trend -2.6 (-4.9, -0.7)
Pender County Urban Yes 44.5 (37.9, 52.1) 78 (38, 95) 35 falling falling trend -2.6 (-3.4, -1.8)
Gates County Urban Yes 55.0 (36.3, 80.9) 43 (1, 98) 6 falling falling trend -2.4 (-4.5, -0.7)
Union County Urban Yes 34.9 (31.8, 38.2) 94 (85, 98) 96 falling falling trend -2.4 (-3.4, -1.4)
Watauga County Rural Yes 36.6 (29.0, 45.8) 92 (59, 98) 18 falling falling trend -2.4 (-4.1, -0.9)
Hoke County Urban Yes 55.4 (46.5, 65.5) 40 (9, 86) 28 falling falling trend -2.3 (-3.4, -1.0)
Iredell County Urban Yes 43.7 (39.8, 47.9) 82 (55, 91) 99 falling falling trend -2.3 (-3.2, -1.5)
Perquimans County Rural Yes 51.8 (36.5, 72.8) 58 (3, 98) 9 falling falling trend -2.3 (-3.8, -0.8)
Stanly County Rural Yes 46.4 (39.4, 54.5) 71 (26, 94) 33 falling falling trend -2.2 (-3.7, -0.9)
Buncombe County Urban Yes 41.5 (38.2, 45.0) 87 (65, 93) 128 falling falling trend -2.1 (-2.7, -1.4)
Hertford County Rural Yes 60.5 (46.6, 77.9) 25 (2, 90) 14 falling falling trend -2.1 (-3.3, -0.9)
New Hanover County Urban Yes 41.3 (37.6, 45.2) 88 (65, 94) 102 falling falling trend -2.1 (-2.9, -1.3)
Warren County Rural Yes 48.8 (35.9, 65.5) 65 (8, 98) 11 stable stable trend -2.1 (-4.3, 0.0)
Carteret County Rural Yes 47.2 (40.8, 54.6) 68 (26, 92) 46 falling falling trend -2.0 (-3.2, -0.9)
Currituck County Urban Yes 47.1 (37.7, 58.6) 69 (21, 97) 19 falling falling trend -2.0 (-3.2, -0.8)
Forsyth County Urban Yes 46.0 (43.1, 49.2) 72 (53, 86) 193 falling falling trend -2.0 (-2.7, -1.4)
Franklin County Urban Yes 45.0 (38.7, 52.2) 76 (36, 94) 39 falling falling trend -2.0 (-3.4, -0.6)
Moore County Urban Yes 49.9 (43.9, 56.6) 63 (25, 86) 55 falling falling trend -2.0 (-2.9, -1.1)
Yancey County Rural Yes 43.4 (32.4, 58.1) 83 (19, 98) 11 falling falling trend -2.0 (-3.7, -0.4)
Alleghany County Rural Yes 43.9 (28.1, 66.7) 81 (5, 98) 6 stable stable trend -1.9 (-5.1, 1.2)
Lincoln County Urban Yes 45.8 (40.2, 52.2) 74 (40, 92) 52 falling falling trend -1.9 (-3.0, -0.9)
Lenoir County Rural Yes 61.9 (52.9, 72.1) 24 (5, 65) 39 falling falling trend -1.8 (-2.9, -0.9)
Stokes County Urban Yes 52.8 (43.7, 63.4) 50 (13, 91) 28 falling falling trend -1.8 (-3.3, -0.5)
Beaufort County Rural Yes 48.5 (40.0, 58.4) 66 (18, 94) 27 falling falling trend -1.7 (-3.3, -0.2)
Chowan County Rural Yes 54.0 (38.1, 75.2) 49 (2, 98) 9 stable stable trend -1.7 (-4.2, 0.6)
Gaston County Urban Yes 55.9 (51.8, 60.3) 35 (21, 64) 149 falling falling trend -1.7 (-2.1, -1.3)
Jones County Rural Yes 55.5 (36.5, 82.4) 38 (1, 98) 6 stable stable trend -1.7 (-4.7, 1.1)
Macon County Rural Yes 49.7 (40.2, 61.2) 64 (15, 94) 22 falling falling trend -1.7 (-2.9, -0.5)
Wilson County Rural Yes 54.9 (48.0, 62.7) 45 (14, 81) 49 falling falling trend -1.7 (-2.5, -0.9)
Caswell County Rural Yes 52.1 (40.4, 66.9) 56 (7, 95) 15 falling falling trend -1.6 (-3.1, -0.2)
Greene County Rural Yes 54.1 (41.4, 69.9) 48 (4, 95) 13 stable stable trend -1.6 (-3.8, 0.5)
Lee County Rural Yes 45.2 (38.3, 53.1) 75 (33, 96) 32 stable stable trend -1.6 (-16.1, 7.7)
Davidson County Urban Yes 52.7 (48.2, 57.6) 51 (24, 74) 110 falling falling trend -1.5 (-2.2, -0.9)
Edgecombe County Urban Yes 69.4 (59.5, 80.5) 12 (1, 47) 41 falling falling trend -1.5 (-2.3, -0.7)
Haywood County Rural Yes 51.8 (44.2, 60.4) 59 (17, 88) 38 falling falling trend -1.5 (-2.5, -0.6)
Nash County Urban Yes 55.6 (49.3, 62.6) 37 (15, 73) 62 falling falling trend -1.5 (-2.5, -0.6)
Pasquotank County Rural Yes 56.5 (46.6, 68.0) 32 (7, 87) 25 falling falling trend -1.5 (-2.8, -0.2)
Rockingham County Urban Yes 55.0 (48.6, 62.0) 42 (17, 75) 62 falling falling trend -1.5 (-2.4, -0.8)
Alamance County Urban Yes 52.0 (47.4, 56.9) 57 (26, 77) 102 falling falling trend -1.4 (-2.0, -0.7)
Catawba County Urban Yes 52.7 (47.9, 57.9) 52 (23, 75) 97 falling falling trend -1.4 (-2.0, -0.9)
Cherokee County Rural Yes 44.0 (33.4, 57.3) 80 (17, 98) 15 stable stable trend -1.4 (-3.0, 0.0)
Guilford County Urban Yes 44.1 (41.6, 46.7) 79 (61, 88) 250 falling falling trend -1.4 (-1.9, -1.0)
Henderson County Urban Yes 48.4 (43.0, 54.4) 67 (32, 89) 66 falling falling trend -1.4 (-2.6, -0.4)
Sampson County Rural Yes 57.9 (49.8, 67.1) 29 (9, 76) 39 falling falling trend -1.4 (-2.4, -0.4)
Craven County Rural Yes 54.5 (48.1, 61.5) 46 (17, 77) 59 falling falling trend -1.3 (-2.1, -0.5)
Cumberland County Urban Yes 58.9 (55.0, 63.1) 28 (15, 53) 178 falling falling trend -1.3 (-1.9, -0.7)
Northampton County Rural Yes 64.9 (48.2, 86.2) 19 (1, 88) 13 stable stable trend -1.3 (-2.9, 0.0)
Wilkes County Rural Yes 55.6 (48.1, 64.2) 36 (11, 77) 45 falling falling trend -1.3 (-2.3, -0.4)
Yadkin County Urban Yes 52.7 (42.7, 64.5) 54 (10, 92) 22 stable stable trend -1.3 (-3.3, 0.4)
Harnett County Rural Yes 55.9 (50.3, 62.0) 34 (17, 71) 76 falling falling trend -1.2 (-1.9, -0.4)
Jackson County Rural Yes 42.6 (34.0, 52.9) 84 (31, 98) 19 stable stable trend -1.2 (-2.8, 0.2)
Montgomery County Rural Yes 50.6 (39.1, 64.7) 62 (9, 97) 15 stable stable trend -1.2 (-3.3, 0.6)
Richmond County Rural Yes 72.4 (61.5, 84.9) 8 (1, 44) 34 stable stable trend -1.2 (-2.6, 0.0)
Bladen County Rural Yes 63.1 (51.1, 77.4) 21 (2, 78) 21 stable stable trend -1.1 (-3.0, 0.5)
Surry County Rural Yes 55.4 (48.2, 63.6) 39 (13, 79) 47 falling falling trend -1.1 (-2.1, -0.2)
Person County Urban Yes 54.4 (45.3, 65.1) 47 (9, 86) 28 stable stable trend -1.0 (-2.3, 0.4)
Randolph County Urban Yes 56.5 (51.3, 62.1) 33 (17, 67) 96 falling falling trend -1.0 (-2.0, -0.1)
Ashe County Rural Yes 45.9 (35.9, 58.5) 73 (18, 98) 17 stable stable trend -0.9 (-3.1, 1.3)
Halifax County Rural Yes 76.0 (65.5, 87.9) 5 (1, 29) 43 falling falling trend -0.9 (-1.8, -0.1)
Madison County Urban Yes 59.9 (46.0, 77.0) 26 (2, 91) 14 stable stable trend -0.8 (-2.9, 1.2)
Rutherford County Rural Yes 63.6 (55.5, 72.7) 20 (4, 59) 50 falling falling trend -0.8 (-1.6, -0.1)
Burke County Urban Yes 57.6 (50.9, 65.0) 30 (12, 70) 61 stable stable trend -0.7 (-1.6, 0.2)
Robeson County Rural Yes 68.3 (61.7, 75.4) 13 (3, 35) 84 stable stable trend -0.7 (-1.5, 0.1)
Scotland County Rural Yes 70.6 (58.6, 84.6) 10 (1, 56) 26 stable stable trend -0.7 (-2.9, 1.3)
Caldwell County Urban Yes 66.4 (59.1, 74.5) 16 (3, 45) 67 stable stable trend -0.6 (-1.3, 0.2)
Clay County Rural Yes 42.4 (28.6, 63.1) 86 (11, 98) 7 stable stable trend -0.6 (-3.2, 2.1)
Dare County Rural Yes 51.5 (42.1, 62.7) 60 (14, 93) 25 stable stable trend -0.6 (-1.8, 0.6)
Pamlico County Rural Yes 66.0 (46.3, 92.5) 17 (1, 95) 10 stable stable trend -0.6 (-2.1, 0.9)
Washington County Rural Yes 73.2 (50.5, 103.3) 7 (1, 91) 8 stable stable trend -0.6 (-3.2, 1.8)
Wayne County Urban Yes 70.1 (63.4, 77.4) 11 (2, 30) 87 stable stable trend -0.6 (-1.3, 0.2)
Columbus County Rural Yes 74.3 (64.2, 85.7) 6 (1, 35) 43 stable stable trend -0.5 (-1.9, 0.9)
Vance County Rural Yes 77.5 (65.9, 90.7) 4 (1, 29) 35 stable stable trend -0.5 (-1.8, 0.7)
Bertie County Rural Yes 80.7 (62.5, 103.1) 2 (1, 61) 15 stable stable trend -0.4 (-2.2, 1.3)
Cleveland County Rural Yes 67.7 (60.7, 75.3) 14 (3, 37) 76 stable stable trend -0.4 (-1.6, 0.7)
Onslow County Urban Yes 62.3 (56.6, 68.4) 23 (7, 51) 93 stable stable trend -0.4 (-1.4, 0.7)
Davie County Urban Yes 46.7 (38.4, 56.5) 70 (24, 96) 24 stable stable trend -0.3 (-1.9, 1.4)
McDowell County Rural Yes 59.1 (50.0, 69.7) 27 (6, 75) 32 stable stable trend -0.3 (-1.7, 1.0)
Camden County Urban Yes 67.4 (48.1, 93.0) 15 (1, 92) 8 stable stable trend -0.2 (-4.0, 3.9)
Graham County Rural Yes 52.5 (33.0, 81.0) 55 (1, 98) 5 stable stable trend -0.2 (-3.3, 2.9)
Pitt County Urban Yes 54.9 (49.8, 60.5) 44 (19, 71) 89 stable stable trend -0.2 (-1.5, 5.3)
Alexander County Urban Yes 57.3 (47.4, 69.0) 31 (5, 84) 25 stable stable trend 0.0 (-1.2, 1.3)
Swain County Rural Yes 89.9 (68.6, 116.2) 1 (1, 43) 13 stable stable trend 0.1 (-1.9, 2.1)
Polk County Rural Yes 52.7 (37.5, 72.5) 53 (2, 98) 10 stable stable trend 0.2 (-1.7, 1.9)
Transylvania County Rural Yes 40.2 (30.7, 52.1) 89 (30, 98) 14 stable stable trend 0.3 (-2.9, 12.4)
Anson County Urban Yes 79.9 (63.7, 99.4) 3 (1, 41) 18 stable stable trend 0.4 (-0.8, 1.7)
Mitchell County Rural Yes 65.8 (48.5, 87.9) 18 (1, 89) 11 stable stable trend 0.5 (-1.4, 2.4)
Granville County Rural Yes 55.4 (47.8, 63.9) 41 (13, 81) 41 stable stable trend 1.6 (-1.4, 6.0)
Duplin County Rural Yes 71.2 (60.8, 82.9) 9 (1, 48) 37 stable stable trend 2.9 (-0.1, 13.5)
Hyde County Rural ***
*
*
3 or fewer
*
*
Tyrrell County Rural ***
*
*
3 or fewer
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 4:54 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.


† 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.

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