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)
|
|---|---|---|---|---|---|---|---|
| Virginia | N/A | No | 498.6 (495.0, 502.3) | N/A | 14,865 |
falling 
|
-1.3 (-1.5, -0.8) |
| United States | N/A | No | 488.7 (488.1, 489.2) | N/A | 576,743 |
falling
|
-1.5 (-1.7, -1.3) |
| 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 03/22/2026 5:05 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.
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.