Death Rates Table
Death Rate Report for Virginia by County
All Cancer Sites, 2019-2023
All Races (includes Hispanic), Both Sexes, Ages 50+
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)
|
|---|---|---|---|---|---|---|---|
| Galax City | Rural | No | 938.0 (771.8, 1,128.8) | 1 (1, 19) | 23 |
falling 
|
-9.6 (-18.2, -4.4) |
| Fairfax City | Urban | No | 877.4 (781.6, 981.5) | 2 (1, 11) | 63 |
stable 
|
5.4 (-5.0, 17.4) |
| Norton City | Rural | No | 874.2 (662.5, 1,132.6) | 3 (1, 87) | 11 |
stable
|
0.0 (-2.1, 2.2) |
| Franklin City | Rural | No | 855.9 (717.7, 1,013.2) | 4 (1, 37) | 28 |
rising 
|
12.8 (0.7, 20.8) |
| Martinsville City | Rural | No | 835.2 (720.8, 962.5) | 5 (1, 25) | 40 |
stable
|
1.5 (0.0, 3.0) |
| Greensville County | Rural | No | 784.8 (658.0, 928.9) | 6 (1, 55) | 29 |
stable
|
0.3 (-1.4, 2.1) |
| Petersburg City | Urban | No | 767.2 (697.3, 842.3) | 7 (2, 24) | 92 |
stable
|
-0.7 (-1.5, 0.1) |
| Wise County | Rural | No | 759.7 (694.7, 829.1) | 8 (2, 22) | 105 |
stable
|
-0.6 (-1.2, 0.1) |
| Danville City | Rural | No | 736.2 (680.2, 795.6) | 9 (3, 23) | 133 |
rising
|
6.7 (1.3, 12.6) |
| Hopewell City | Urban | No | 714.7 (631.1, 806.3) | 10 (2, 57) | 54 |
falling
|
-0.8 (-1.5, -0.1) |
| Nottoway County | Rural | No | 705.6 (614.0, 807.2) | 11 (2, 65) | 43 |
stable
|
-0.4 (-1.5, 0.7) |
| Lee County | Rural | No | 703.2 (630.4, 782.1) | 12 (3, 54) | 70 |
stable
|
-0.5 (-1.7, 0.6) |
| Smyth County | Rural | No | 687.9 (627.2, 753.0) | 13 (5, 51) | 95 |
stable
|
-0.4 (-0.9, 0.2) |
| Colonial Heights City | Urban | No | 664.8 (584.5, 753.2) | 14 (4, 81) | 50 |
stable
|
1.8 (-0.2, 8.5) |
| Covington City | Rural | No | 658.2 (516.7, 826.8) | 15 (1, 123) | 15 |
stable
|
-0.2 (-2.1, 1.7) |
| Sussex County | Urban | No | 655.2 (550.2, 774.5) | 16 (3, 112) | 28 |
stable
|
-0.9 (-2.1, 0.3) |
| Buchanan County | Rural | No | 654.3 (583.0, 732.0) | 17 (5, 77) | 63 |
stable
|
0.9 (-1.5, 7.8) |
| Waynesboro City | Urban | No | 648.6 (575.0, 729.1) | 18 (6, 84) | 57 |
stable
|
-0.4 (-1.4, 0.7) |
| Portsmouth City | Urban | No | 634.6 (595.0, 676.2) | 19 (11, 63) | 199 |
falling
|
-1.1 (-1.6, -0.6) |
| Dickenson County | Rural | No | 633.1 (548.4, 727.4) | 20 (6, 99) | 41 |
stable
|
-0.6 (-1.8, 0.7) |
| King and Queen County | Urban | No | 630.1 (510.9, 768.7) | 21 (3, 120) | 20 |
stable
|
-1.3 (-2.8, 0.2) |
| Buckingham County | Rural | No | 629.4 (548.4, 719.0) | 22 (6, 103) | 44 |
falling
|
-1.4 (-2.8, -0.1) |
| New Kent County | Urban | No | 627.4 (549.5, 713.2) | 23 (7, 98) | 53 |
stable
|
-0.9 (-2.0, 0.5) |
| Giles County | Urban | No | 626.9 (549.4, 712.3) | 24 (7, 103) | 48 |
falling
|
-1.1 (-2.0, -0.1) |
| Roanoke City | Urban | No | 625.9 (589.5, 664.0) | 25 (12, 62) | 229 |
falling
|
-0.7 (-1.2, -0.2) |
| Prince Edward County | Rural | No | 625.1 (546.6, 711.7) | 26 (7, 106) | 47 |
stable
|
0.9 (-0.2, 5.2) |
| Craig County | Urban | No | 622.8 (489.0, 782.0) | 27 (2, 128) | 15 |
stable
|
-0.4 (-2.6, 1.9) |
| Orange County | Rural | No | 622.0 (567.0, 680.9) | 28 (10, 84) | 96 |
falling
|
-0.9 (-1.6, -0.2) |
| Lynchburg City | Urban | No | 620.1 (575.9, 666.7) | 29 (12, 73) | 150 |
stable
|
-0.3 (-0.8, 0.2) |
| Patrick County | Rural | No | 618.4 (549.4, 693.8) | 30 (8, 99) | 59 |
stable
|
-0.3 (-1.1, 0.6) |
| Halifax County with South Boston City | Rural | No | 617.6 (565.7, 673.2) | 31 (11, 83) | 107 |
stable
|
-0.3 (-1.1, 0.5) |
| Bristol City | Urban | No | 617.0 (540.6, 701.2) | 32 (7, 103) | 48 |
stable
|
-0.9 (-2.3, 0.4) |
| Bath County | Rural | No | 616.5 (479.6, 780.8) | 33 (2, 129) | 14 |
stable
|
-0.6 (-2.5, 1.3) |
| Brunswick County | Rural | No | 612.7 (533.6, 700.4) | 34 (7, 108) | 44 |
falling
|
-1.7 (-2.7, -0.7) |
| Russell County | Rural | No | 611.4 (549.8, 678.2) | 35 (11, 96) | 74 |
stable
|
-0.7 (-1.4, 0.1) |
| Salem City | Urban | No | 606.8 (540.9, 678.5) | 36 (10, 102) | 63 |
stable
|
-0.7 (-1.8, 0.4) |
| Staunton City | Urban | No | 606.3 (542.3, 675.8) | 37 (11, 99) | 67 |
stable
|
-0.3 (-1.3, 0.7) |
| Tazewell County | Rural | No | 605.9 (556.0, 659.0) | 38 (12, 87) | 113 |
stable
|
-0.4 (-1.2, 0.3) |
| Norfolk City | Urban | No | 602.8 (575.3, 631.2) | 39 (20, 67) | 384 |
falling
|
-1.4 (-1.8, -1.0) |
| Amelia County | Urban | No | 602.2 (514.5, 700.8) | 40 (6, 119) | 35 |
falling
|
-1.4 (-2.5, -0.2) |
| Page County | Rural | No | 600.0 (536.4, 669.3) | 41 (11, 105) | 66 |
stable
|
-0.1 (-1.0, 0.9) |
| Warren County | Urban | No | 599.7 (544.5, 658.9) | 42 (12, 98) | 91 |
stable
|
-0.7 (-1.5, 0.1) |
| Scott County | Urban | No | 597.2 (533.7, 666.3) | 43 (11, 105) | 65 |
stable
|
-0.7 (-2.0, 0.6) |
| Charlotte County | Rural | No | 596.3 (506.5, 697.5) | 44 (7, 120) | 32 |
stable
|
-0.3 (-1.4, 4.2) |
| Mecklenburg County | Rural | No | 594.7 (541.7, 651.6) | 45 (13, 95) | 96 |
falling
|
-0.8 (-1.4, -0.1) |
| Gloucester County | Urban | No | 593.6 (540.8, 650.2) | 46 (13, 99) | 97 |
falling
|
-1.2 (-2.0, -0.4) |
| Wythe County | Rural | No | 591.5 (532.1, 655.7) | 47 (12, 103) | 74 |
stable
|
-0.6 (-1.5, 0.3) |
| Lunenburg County | Rural | No | 591.2 (503.2, 690.6) | 48 (8, 121) | 33 |
stable
|
-1.2 (-2.5, 0.0) |
| Dinwiddie County | Urban | No | 589.6 (526.6, 658.1) | 49 (13, 111) | 66 |
falling
|
-1.8 (-2.6, -1.0) |
| Newport News City | Urban | No | 587.3 (558.4, 617.3) | 50 (23, 77) | 321 |
falling
|
-1.1 (-1.6, -0.7) |
| Shenandoah County | Rural | No | 586.7 (539.5, 636.9) | 51 (17, 93) | 116 |
stable
|
-0.6 (-1.2, 0.1) |
| King William County | Urban | No | 583.5 (500.7, 676.1) | 52 (8, 122) | 37 |
falling
|
-1.9 (-3.1, -0.7) |
| Accomack County | Rural | No | 578.2 (526.8, 633.3) | 53 (16, 104) | 97 |
falling
|
-1.6 (-2.2, -0.9) |
| Radford City | Urban | No | 577.6 (464.9, 709.0) | 54 (6, 128) | 19 |
stable
|
-1.1 (-3.0, 0.6) |
| Grayson County | Rural | No | 576.6 (503.2, 657.8) | 55 (12, 118) | 45 |
falling
|
-1.2 (-2.3, -0.1) |
| Richmond County | Rural | No | 574.2 (475.1, 688.3) | 56 (8, 127) | 24 |
stable
|
-0.4 (-1.7, 1.1) |
| Fredericksburg City | Urban | No | 571.5 (493.0, 658.9) | 57 (10, 121) | 39 |
falling
|
-2.2 (-3.4, -1.2) |
| Cumberland County | Rural | No | 571.2 (477.1, 678.8) | 58 (9, 125) | 26 |
stable
|
-1.0 (-2.1, 0.2) |
| Isle of Wight County | Urban | No | 570.3 (518.0, 626.4) | 59 (17, 109) | 91 |
falling
|
-1.7 (-2.6, -0.8) |
| Lancaster County | Rural | No | 563.9 (491.6, 644.8) | 60 (13, 122) | 47 |
falling
|
-1.2 (-2.3, -0.1) |
| Hampton City | Urban | No | 562.1 (531.5, 594.0) | 61 (31, 95) | 262 |
falling
|
-1.4 (-1.9, -0.9) |
| Amherst County | Urban | No | 560.9 (506.5, 619.6) | 62 (20, 114) | 79 |
falling
|
-1.4 (-2.1, -0.7) |
| Southampton County | Rural | No | 558.8 (488.0, 637.2) | 63 (13, 122) | 46 |
falling
|
-1.4 (-2.5, -0.3) |
| Essex County | Rural | No | 558.6 (467.2, 662.6) | 64 (10, 125) | 27 |
stable
|
-1.3 (-2.9, 0.3) |
| Nelson County | Urban | No | 558.1 (485.4, 638.9) | 65 (13, 121) | 45 |
stable
|
-0.8 (-1.7, 0.1) |
| Buena Vista City | Rural | No | 551.1 (430.6, 695.6) | 66 (5, 132) | 14 |
stable
|
-1.6 (-3.5, 0.2) |
| Emporia City | Rural | No | 549.5 (421.5, 704.1) | 67 (6, 132) | 13 |
falling
|
-1.9 (-3.6, -0.3) |
| Washington County | Urban | No | 546.8 (507.1, 588.8) | 68 (32, 111) | 144 |
falling
|
-1.1 (-1.7, -0.5) |
| Poquoson City | Urban | No | 546.8 (459.6, 645.8) | 69 (11, 128) | 28 |
stable
|
-0.7 (-2.0, 0.7) |
| Chesapeake City | Urban | No | 546.5 (522.3, 571.6) | 70 (46, 97) | 406 |
falling
|
-1.8 (-2.2, -1.5) |
| Winchester City | Urban | No | 545.9 (481.8, 616.2) | 71 (17, 122) | 53 |
falling
|
-1.8 (-2.9, -0.9) |
| Caroline County | Rural | No | 544.0 (483.6, 609.9) | 72 (19, 122) | 61 |
falling
|
-2.1 (-2.7, -1.4) |
| Suffolk City | Urban | No | 542.4 (505.9, 580.7) | 73 (37, 112) | 171 |
falling
|
-2.1 (-2.7, -1.5) |
| Middlesex County | Rural | No | 542.1 (465.5, 628.1) | 74 (15, 125) | 38 |
stable
|
-1.0 (-2.3, 0.2) |
| Henry County | Rural | No | 540.9 (501.1, 583.0) | 75 (34, 113) | 139 |
falling
|
-1.4 (-5.8, -0.6) |
| Falls Church City | Urban | No | 540.0 (448.2, 644.8) | 76 (11, 129) | 24 |
stable
|
-0.8 (-2.6, 1.1) |
| Carroll County | Rural | No | 537.3 (486.1, 592.6) | 77 (27, 120) | 82 |
falling
|
-0.9 (-1.7, -0.1) |
| King George County | Rural | No | 537.0 (466.9, 614.5) | 78 (20, 126) | 45 |
falling
|
-1.7 (-2.8, -0.4) |
| Westmoreland County | Rural | No | 534.2 (470.3, 604.5) | 79 (21, 125) | 53 |
falling
|
-2.0 (-3.5, -0.6) |
| Frederick County | Urban | No | 532.4 (498.7, 567.9) | 80 (43, 113) | 189 |
falling
|
-1.4 (-1.9, -0.8) |
| Alleghany County and Clifton Forge City | Rural | No | 532.0 (462.3, 609.3) | 81 (18, 127) | 42 |
falling
|
-1.3 (-2.5, -0.2) |
| Culpeper County | Urban | No | 530.5 (483.4, 580.9) | 82 (32, 119) | 96 |
falling
|
-1.3 (-2.0, -0.6) |
| Louisa County | Rural | No | 530.3 (479.7, 584.7) | 83 (31, 120) | 86 |
falling
|
-1.8 (-2.5, -0.9) |
| Pittsylvania County | Rural | No | 529.7 (492.7, 568.7) | 84 (42, 115) | 156 |
falling
|
-1.2 (-1.7, -0.6) |
| Northumberland County | Rural | No | 526.9 (455.3, 606.9) | 85 (19, 127) | 44 |
stable
|
-1.3 (-2.6, 0.0) |
| Bland County | Rural | No | 525.3 (414.9, 656.6) | 86 (11, 132) | 16 |
stable
|
-1.0 (-2.7, 0.8) |
| Clarke County | Urban | No | 524.9 (451.5, 606.9) | 87 (21, 127) | 37 |
falling
|
-1.4 (-2.4, -0.3) |
| Lexington City | Rural | No | 523.7 (393.8, 683.6) | 88 (6, 132) | 11 |
falling
|
-15.2 (-33.2, -3.7) |
| Bedford City and County | Urban | No | 522.9 (489.9, 557.7) | 89 (48, 116) | 193 |
falling
|
-0.7 (-1.3, -0.1) |
| Fauquier County | Urban | No | 520.1 (481.5, 561.1) | 90 (45, 120) | 138 |
stable
|
-1.1 (-2.1, 0.0) |
| Hanover County | Urban | No | 519.5 (489.4, 551.0) | 91 (57, 116) | 228 |
falling
|
-1.4 (-1.9, -0.8) |
| Appomattox County | Urban | No | 518.2 (443.9, 601.4) | 92 (19, 128) | 35 |
stable
|
-0.9 (-2.5, 0.7) |
| Pulaski County | Urban | No | 517.5 (467.7, 571.1) | 93 (39, 124) | 81 |
falling
|
-1.7 (-2.2, -1.2) |
| Prince George County | Urban | No | 517.0 (459.1, 580.2) | 94 (29, 127) | 60 |
falling
|
-1.7 (-2.6, -0.6) |
| Manassas City | Urban | No | 516.7 (447.6, 593.1) | 95 (22, 127) | 46 |
stable
|
0.3 (-3.6, 8.9) |
| Charles City County | Urban | No | 512.6 (411.0, 632.0) | 96 (12, 132) | 18 |
stable
|
-2.0 (-3.7, 0.0) |
| Williamsburg City | Urban | No | 512.5 (428.0, 609.3) | 97 (15, 130) | 26 |
falling
|
-24.8 (-43.8, -12.3) |
| Botetourt County | Urban | No | 512.2 (463.6, 564.5) | 98 (39, 125) | 83 |
stable
|
-0.6 (-1.5, 0.5) |
| Surry County | Urban | No | 507.5 (404.6, 629.3) | 99 (12, 132) | 17 |
falling
|
-2.1 (-4.0, -0.1) |
| Campbell County | Urban | No | 506.2 (466.8, 548.1) | 100 (54, 121) | 124 |
falling
|
-1.6 (-2.3, -0.9) |
| Floyd County | Urban | No | 505.5 (435.3, 583.9) | 101 (23, 128) | 38 |
stable
|
-0.4 (-1.5, 0.8) |
| Mathews County | Urban | No | 503.7 (421.3, 598.2) | 102 (21, 130) | 27 |
stable
|
-1.2 (-3.0, 0.5) |
| Henrico County | Urban | No | 502.2 (484.1, 520.8) | 103 (75, 116) | 593 |
falling
|
-1.3 (-1.7, -0.9) |
| Stafford County | Urban | No | 497.8 (465.2, 532.1) | 104 (63, 121) | 190 |
stable
|
0.9 (-0.5, 3.6) |
| Northampton County | Rural | No | 496.8 (423.0, 580.0) | 105 (28, 130) | 34 |
falling
|
-2.8 (-3.8, -1.9) |
| Richmond City | Urban | No | 496.0 (471.6, 521.3) | 106 (74, 120) | 333 |
falling
|
-2.7 (-3.1, -2.4) |
| Madison County | Rural | No | 495.4 (419.8, 580.8) | 107 (26, 130) | 31 |
falling
|
-1.5 (-2.8, -0.2) |
| Rockingham County | Urban | No | 493.0 (460.6, 527.1) | 108 (70, 122) | 175 |
falling
|
-1.1 (-1.6, -0.5) |
| Chesterfield County | Urban | No | 490.3 (472.1, 509.0) | 109 (85, 120) | 578 |
falling
|
-1.7 (-2.0, -1.3) |
| Virginia Beach City | Urban | No | 489.9 (473.8, 506.3) | 110 (86, 118) | 728 |
falling
|
-1.6 (-1.9, -1.3) |
| Franklin County | Urban | No | 488.6 (450.8, 528.7) | 111 (64, 125) | 129 |
stable
|
-0.7 (-1.3, 0.0) |
| Augusta County | Urban | No | 487.9 (455.6, 521.9) | 112 (70, 124) | 173 |
falling
|
-1.3 (-2.0, -0.7) |
| Charlottesville City | Urban | No | 486.7 (431.1, 547.5) | 113 (47, 128) | 58 |
falling
|
-1.9 (-2.7, -1.0) |
| Harrisonburg City | Urban | No | 486.4 (429.2, 548.9) | 114 (48, 128) | 54 |
stable
|
-1.0 (-2.2, 0.2) |
| Spotsylvania County | Urban | No | 482.2 (453.2, 512.6) | 115 (80, 124) | 217 |
falling
|
-1.7 (-2.4, -1.1) |
| Fluvanna County | Urban | No | 475.4 (419.8, 536.4) | 116 (55, 129) | 55 |
stable
|
-1.2 (-2.2, 0.0) |
| Rockbridge County | Rural | No | 473.4 (419.8, 532.2) | 117 (57, 129) | 58 |
falling
|
-1.5 (-2.4, -0.6) |
| Montgomery County | Urban | No | 466.1 (430.5, 504.0) | 118 (78, 127) | 129 |
falling
|
-1.3 (-1.9, -0.6) |
| Roanoke County | Urban | No | 463.6 (435.1, 493.5) | 119 (89, 126) | 201 |
falling
|
-1.0 (-1.6, -0.3) |
| Highland County | Rural | No | 458.3 (316.3, 647.0) | 120 (11, 133) | 7 |
stable
|
-0.5 (-3.0, 1.9) |
| Powhatan County | Urban | No | 456.1 (402.0, 515.3) | 121 (59, 130) | 56 |
falling
|
-2.7 (-3.6, -1.8) |
| Goochland County | Urban | No | 440.7 (388.6, 497.9) | 122 (75, 131) | 54 |
falling
|
-2.2 (-3.2, -1.0) |
| Greene County | Urban | No | 434.4 (371.0, 505.7) | 123 (60, 132) | 34 |
falling
|
-1.7 (-2.9, -0.4) |
| Prince William County | Urban | No | 431.7 (414.0, 449.9) | 124 (114, 128) | 491 |
falling
|
-2.1 (-2.4, -1.8) |
| James City County | Urban | No | 431.2 (403.3, 460.6) | 125 (109, 129) | 182 |
falling
|
-1.0 (-1.8, -0.1) |
| York County | Urban | No | 429.9 (394.5, 467.7) | 126 (102, 130) | 110 |
falling
|
-2.6 (-3.3, -1.8) |
| Rappahannock County | Urban | No | 407.9 (323.0, 508.5) | 127 (55, 133) | 16 |
stable
|
-1.3 (-2.9, 0.5) |
| Albemarle County | Urban | No | 404.0 (378.5, 430.9) | 128 (118, 131) | 190 |
falling
|
-1.8 (-2.4, -1.1) |
| Alexandria City | Urban | No | 400.7 (373.3, 429.5) | 129 (119, 131) | 166 |
falling
|
-2.3 (-2.9, -1.8) |
| Loudoun County | Urban | No | 375.4 (358.2, 393.2) | 130 (125, 132) | 374 |
falling
|
-2.5 (-3.0, -1.9) |
| Arlington County | Urban | No | 358.3 (336.5, 381.1) | 131 (126, 133) | 208 |
falling
|
-2.4 (-2.8, -1.9) |
| Fairfax County | Urban | No | 346.1 (337.3, 354.9) | 132 (129, 133) | 1,230 |
falling
|
-2.3 (-2.5, -2.1) |
| Manassas Park City | Urban | No | 250.4 (178.0, 341.4) | 133 (127, 133) | 8 |
falling
|
-5.4 (-7.8, -3.0) |
Notes:
Created by statecancerprofiles.cancer.gov on 03/23/2026 5:15 pm.
State Cancer Registries may provide more current or more local data.
† 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+).
Population counts for denominators are based on Census populations as modified by NCI.
The US Population Data File is used with mortality data.
⋔ 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.
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 for United States does not include Puerto Rico.