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Death Rates Table

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Death Rate Report for Virginia by County

All Cancer Sites, 2019-2023

All Races (includes Hispanic), Both Sexes, Ages 50+

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
Virginia N/A No 498.6 (495.0, 502.3) N/A 14,865 falling falling trend -1.3 (-1.5, -0.8)
United States N/A No 488.7 (488.1, 489.2) N/A 576,743 falling falling trend -1.5 (-1.7, -1.3)
Williamsburg City Urban No 512.5 (428.0, 609.3) 97 (15, 130) 26 falling falling trend -24.8 (-43.8, -12.3)
Lexington City Rural No 523.7 (393.8, 683.6) 88 (6, 132) 11 falling falling trend -15.2 (-33.2, -3.7)
Galax City Rural No 938.0 (771.8, 1,128.8) 1 (1, 19) 23 falling falling trend -9.6 (-18.2, -4.4)
Manassas Park City Urban No 250.4 (178.0, 341.4) 133 (127, 133) 8 falling falling trend -5.4 (-7.8, -3.0)
Northampton County Rural No 496.8 (423.0, 580.0) 105 (28, 130) 34 falling falling trend -2.8 (-3.8, -1.9)
Powhatan County Urban No 456.1 (402.0, 515.3) 121 (59, 130) 56 falling falling trend -2.7 (-3.6, -1.8)
Richmond City Urban No 496.0 (471.6, 521.3) 106 (74, 120) 333 falling falling trend -2.7 (-3.1, -2.4)
York County Urban No 429.9 (394.5, 467.7) 126 (102, 130) 110 falling falling trend -2.6 (-3.3, -1.8)
Loudoun County Urban No 375.4 (358.2, 393.2) 130 (125, 132) 374 falling falling trend -2.5 (-3.0, -1.9)
Arlington County Urban No 358.3 (336.5, 381.1) 131 (126, 133) 208 falling falling trend -2.4 (-2.8, -1.9)
Alexandria City Urban No 400.7 (373.3, 429.5) 129 (119, 131) 166 falling falling trend -2.3 (-2.9, -1.8)
Fairfax County Urban No 346.1 (337.3, 354.9) 132 (129, 133) 1,230 falling falling trend -2.3 (-2.5, -2.1)
Fredericksburg City Urban No 571.5 (493.0, 658.9) 57 (10, 121) 39 falling falling trend -2.2 (-3.4, -1.2)
Goochland County Urban No 440.7 (388.6, 497.9) 122 (75, 131) 54 falling falling trend -2.2 (-3.2, -1.0)
Caroline County Rural No 544.0 (483.6, 609.9) 72 (19, 122) 61 falling falling trend -2.1 (-2.7, -1.4)
Prince William County Urban No 431.7 (414.0, 449.9) 124 (114, 128) 491 falling falling trend -2.1 (-2.4, -1.8)
Suffolk City Urban No 542.4 (505.9, 580.7) 73 (37, 112) 171 falling falling trend -2.1 (-2.7, -1.5)
Surry County Urban No 507.5 (404.6, 629.3) 99 (12, 132) 17 falling falling trend -2.1 (-4.0, -0.1)
Charles City County Urban No 512.6 (411.0, 632.0) 96 (12, 132) 18 stable stable trend -2.0 (-3.7, 0.0)
Westmoreland County Rural No 534.2 (470.3, 604.5) 79 (21, 125) 53 falling falling trend -2.0 (-3.5, -0.6)
Charlottesville City Urban No 486.7 (431.1, 547.5) 113 (47, 128) 58 falling falling trend -1.9 (-2.7, -1.0)
Emporia City Rural No 549.5 (421.5, 704.1) 67 (6, 132) 13 falling falling trend -1.9 (-3.6, -0.3)
King William County Urban No 583.5 (500.7, 676.1) 52 (8, 122) 37 falling falling trend -1.9 (-3.1, -0.7)
Albemarle County Urban No 404.0 (378.5, 430.9) 128 (118, 131) 190 falling falling trend -1.8 (-2.4, -1.1)
Chesapeake City Urban No 546.5 (522.3, 571.6) 70 (46, 97) 406 falling falling trend -1.8 (-2.2, -1.5)
Dinwiddie County Urban No 589.6 (526.6, 658.1) 49 (13, 111) 66 falling falling trend -1.8 (-2.6, -1.0)
Louisa County Rural No 530.3 (479.7, 584.7) 83 (31, 120) 86 falling falling trend -1.8 (-2.5, -0.9)
Winchester City Urban No 545.9 (481.8, 616.2) 71 (17, 122) 53 falling falling trend -1.8 (-2.9, -0.9)
Brunswick County Rural No 612.7 (533.6, 700.4) 34 (7, 108) 44 falling falling trend -1.7 (-2.7, -0.7)
Chesterfield County Urban No 490.3 (472.1, 509.0) 109 (85, 120) 578 falling falling trend -1.7 (-2.0, -1.3)
Greene County Urban No 434.4 (371.0, 505.7) 123 (60, 132) 34 falling falling trend -1.7 (-2.9, -0.4)
Isle of Wight County Urban No 570.3 (518.0, 626.4) 59 (17, 109) 91 falling falling trend -1.7 (-2.6, -0.8)
King George County Rural No 537.0 (466.9, 614.5) 78 (20, 126) 45 falling falling trend -1.7 (-2.8, -0.4)
Prince George County Urban No 517.0 (459.1, 580.2) 94 (29, 127) 60 falling falling trend -1.7 (-2.6, -0.6)
Pulaski County Urban No 517.5 (467.7, 571.1) 93 (39, 124) 81 falling falling trend -1.7 (-2.2, -1.2)
Spotsylvania County Urban No 482.2 (453.2, 512.6) 115 (80, 124) 217 falling falling trend -1.7 (-2.4, -1.1)
Accomack County Rural No 578.2 (526.8, 633.3) 53 (16, 104) 97 falling falling trend -1.6 (-2.2, -0.9)
Buena Vista City Rural No 551.1 (430.6, 695.6) 66 (5, 132) 14 stable stable trend -1.6 (-3.5, 0.2)
Campbell County Urban No 506.2 (466.8, 548.1) 100 (54, 121) 124 falling falling trend -1.6 (-2.3, -0.9)
Virginia Beach City Urban No 489.9 (473.8, 506.3) 110 (86, 118) 728 falling falling trend -1.6 (-1.9, -1.3)
Madison County Rural No 495.4 (419.8, 580.8) 107 (26, 130) 31 falling falling trend -1.5 (-2.8, -0.2)
Rockbridge County Rural No 473.4 (419.8, 532.2) 117 (57, 129) 58 falling falling trend -1.5 (-2.4, -0.6)
Amelia County Urban No 602.2 (514.5, 700.8) 40 (6, 119) 35 falling falling trend -1.4 (-2.5, -0.2)
Amherst County Urban No 560.9 (506.5, 619.6) 62 (20, 114) 79 falling falling trend -1.4 (-2.1, -0.7)
Buckingham County Rural No 629.4 (548.4, 719.0) 22 (6, 103) 44 falling falling trend -1.4 (-2.8, -0.1)
Clarke County Urban No 524.9 (451.5, 606.9) 87 (21, 127) 37 falling falling trend -1.4 (-2.4, -0.3)
Frederick County Urban No 532.4 (498.7, 567.9) 80 (43, 113) 189 falling falling trend -1.4 (-1.9, -0.8)
Hampton City Urban No 562.1 (531.5, 594.0) 61 (31, 95) 262 falling falling trend -1.4 (-1.9, -0.9)
Hanover County Urban No 519.5 (489.4, 551.0) 91 (57, 116) 228 falling falling trend -1.4 (-1.9, -0.8)
Henry County Rural No 540.9 (501.1, 583.0) 75 (34, 113) 139 falling falling trend -1.4 (-5.8, -0.6)
Norfolk City Urban No 602.8 (575.3, 631.2) 39 (20, 67) 384 falling falling trend -1.4 (-1.8, -1.0)
Southampton County Rural No 558.8 (488.0, 637.2) 63 (13, 122) 46 falling falling trend -1.4 (-2.5, -0.3)
Alleghany County and Clifton Forge City Rural No 532.0 (462.3, 609.3) 81 (18, 127) 42 falling falling trend -1.3 (-2.5, -0.2)
Augusta County Urban No 487.9 (455.6, 521.9) 112 (70, 124) 173 falling falling trend -1.3 (-2.0, -0.7)
Culpeper County Urban No 530.5 (483.4, 580.9) 82 (32, 119) 96 falling falling trend -1.3 (-2.0, -0.6)
Essex County Rural No 558.6 (467.2, 662.6) 64 (10, 125) 27 stable stable trend -1.3 (-2.9, 0.3)
Henrico County Urban No 502.2 (484.1, 520.8) 103 (75, 116) 593 falling falling trend -1.3 (-1.7, -0.9)
King and Queen County Urban No 630.1 (510.9, 768.7) 21 (3, 120) 20 stable stable trend -1.3 (-2.8, 0.2)
Montgomery County Urban No 466.1 (430.5, 504.0) 118 (78, 127) 129 falling falling trend -1.3 (-1.9, -0.6)
Northumberland County Rural No 526.9 (455.3, 606.9) 85 (19, 127) 44 stable stable trend -1.3 (-2.6, 0.0)
Rappahannock County Urban No 407.9 (323.0, 508.5) 127 (55, 133) 16 stable stable trend -1.3 (-2.9, 0.5)
Fluvanna County Urban No 475.4 (419.8, 536.4) 116 (55, 129) 55 stable stable trend -1.2 (-2.2, 0.0)
Gloucester County Urban No 593.6 (540.8, 650.2) 46 (13, 99) 97 falling falling trend -1.2 (-2.0, -0.4)
Grayson County Rural No 576.6 (503.2, 657.8) 55 (12, 118) 45 falling falling trend -1.2 (-2.3, -0.1)
Lancaster County Rural No 563.9 (491.6, 644.8) 60 (13, 122) 47 falling falling trend -1.2 (-2.3, -0.1)
Lunenburg County Rural No 591.2 (503.2, 690.6) 48 (8, 121) 33 stable stable trend -1.2 (-2.5, 0.0)
Mathews County Urban No 503.7 (421.3, 598.2) 102 (21, 130) 27 stable stable trend -1.2 (-3.0, 0.5)
Pittsylvania County Rural No 529.7 (492.7, 568.7) 84 (42, 115) 156 falling falling trend -1.2 (-1.7, -0.6)
Fauquier County Urban No 520.1 (481.5, 561.1) 90 (45, 120) 138 stable stable trend -1.1 (-2.1, 0.0)
Giles County Urban No 626.9 (549.4, 712.3) 24 (7, 103) 48 falling falling trend -1.1 (-2.0, -0.1)
Newport News City Urban No 587.3 (558.4, 617.3) 50 (23, 77) 321 falling falling trend -1.1 (-1.6, -0.7)
Portsmouth City Urban No 634.6 (595.0, 676.2) 19 (11, 63) 199 falling falling trend -1.1 (-1.6, -0.6)
Radford City Urban No 577.6 (464.9, 709.0) 54 (6, 128) 19 stable stable trend -1.1 (-3.0, 0.6)
Rockingham County Urban No 493.0 (460.6, 527.1) 108 (70, 122) 175 falling falling trend -1.1 (-1.6, -0.5)
Washington County Urban No 546.8 (507.1, 588.8) 68 (32, 111) 144 falling falling trend -1.1 (-1.7, -0.5)
Bland County Rural No 525.3 (414.9, 656.6) 86 (11, 132) 16 stable stable trend -1.0 (-2.7, 0.8)
Cumberland County Rural No 571.2 (477.1, 678.8) 58 (9, 125) 26 stable stable trend -1.0 (-2.1, 0.2)
Harrisonburg City Urban No 486.4 (429.2, 548.9) 114 (48, 128) 54 stable stable trend -1.0 (-2.2, 0.2)
James City County Urban No 431.2 (403.3, 460.6) 125 (109, 129) 182 falling falling trend -1.0 (-1.8, -0.1)
Middlesex County Rural No 542.1 (465.5, 628.1) 74 (15, 125) 38 stable stable trend -1.0 (-2.3, 0.2)
Roanoke County Urban No 463.6 (435.1, 493.5) 119 (89, 126) 201 falling falling trend -1.0 (-1.6, -0.3)
Appomattox County Urban No 518.2 (443.9, 601.4) 92 (19, 128) 35 stable stable trend -0.9 (-2.5, 0.7)
Bristol City Urban No 617.0 (540.6, 701.2) 32 (7, 103) 48 stable stable trend -0.9 (-2.3, 0.4)
Carroll County Rural No 537.3 (486.1, 592.6) 77 (27, 120) 82 falling falling trend -0.9 (-1.7, -0.1)
New Kent County Urban No 627.4 (549.5, 713.2) 23 (7, 98) 53 stable stable trend -0.9 (-2.0, 0.5)
Orange County Rural No 622.0 (567.0, 680.9) 28 (10, 84) 96 falling falling trend -0.9 (-1.6, -0.2)
Sussex County Urban No 655.2 (550.2, 774.5) 16 (3, 112) 28 stable stable trend -0.9 (-2.1, 0.3)
Falls Church City Urban No 540.0 (448.2, 644.8) 76 (11, 129) 24 stable stable trend -0.8 (-2.6, 1.1)
Hopewell City Urban No 714.7 (631.1, 806.3) 10 (2, 57) 54 falling falling trend -0.8 (-1.5, -0.1)
Mecklenburg County Rural No 594.7 (541.7, 651.6) 45 (13, 95) 96 falling falling trend -0.8 (-1.4, -0.1)
Nelson County Urban No 558.1 (485.4, 638.9) 65 (13, 121) 45 stable stable trend -0.8 (-1.7, 0.1)
Bedford City and County Urban No 522.9 (489.9, 557.7) 89 (48, 116) 193 falling falling trend -0.7 (-1.3, -0.1)
Franklin County Urban No 488.6 (450.8, 528.7) 111 (64, 125) 129 stable stable trend -0.7 (-1.3, 0.0)
Petersburg City Urban No 767.2 (697.3, 842.3) 7 (2, 24) 92 stable stable trend -0.7 (-1.5, 0.1)
Poquoson City Urban No 546.8 (459.6, 645.8) 69 (11, 128) 28 stable stable trend -0.7 (-2.0, 0.7)
Roanoke City Urban No 625.9 (589.5, 664.0) 25 (12, 62) 229 falling falling trend -0.7 (-1.2, -0.2)
Russell County Rural No 611.4 (549.8, 678.2) 35 (11, 96) 74 stable stable trend -0.7 (-1.4, 0.1)
Salem City Urban No 606.8 (540.9, 678.5) 36 (10, 102) 63 stable stable trend -0.7 (-1.8, 0.4)
Scott County Urban No 597.2 (533.7, 666.3) 43 (11, 105) 65 stable stable trend -0.7 (-2.0, 0.6)
Warren County Urban No 599.7 (544.5, 658.9) 42 (12, 98) 91 stable stable trend -0.7 (-1.5, 0.1)
Bath County Rural No 616.5 (479.6, 780.8) 33 (2, 129) 14 stable stable trend -0.6 (-2.5, 1.3)
Botetourt County Urban No 512.2 (463.6, 564.5) 98 (39, 125) 83 stable stable trend -0.6 (-1.5, 0.5)
Dickenson County Rural No 633.1 (548.4, 727.4) 20 (6, 99) 41 stable stable trend -0.6 (-1.8, 0.7)
Shenandoah County Rural No 586.7 (539.5, 636.9) 51 (17, 93) 116 stable stable trend -0.6 (-1.2, 0.1)
Wise County Rural No 759.7 (694.7, 829.1) 8 (2, 22) 105 stable stable trend -0.6 (-1.2, 0.1)
Wythe County Rural No 591.5 (532.1, 655.7) 47 (12, 103) 74 stable stable trend -0.6 (-1.5, 0.3)
Highland County Rural No 458.3 (316.3, 647.0) 120 (11, 133) 7 stable stable trend -0.5 (-3.0, 1.9)
Lee County Rural No 703.2 (630.4, 782.1) 12 (3, 54) 70 stable stable trend -0.5 (-1.7, 0.6)
Craig County Urban No 622.8 (489.0, 782.0) 27 (2, 128) 15 stable stable trend -0.4 (-2.6, 1.9)
Floyd County Urban No 505.5 (435.3, 583.9) 101 (23, 128) 38 stable stable trend -0.4 (-1.5, 0.8)
Nottoway County Rural No 705.6 (614.0, 807.2) 11 (2, 65) 43 stable stable trend -0.4 (-1.5, 0.7)
Richmond County Rural No 574.2 (475.1, 688.3) 56 (8, 127) 24 stable stable trend -0.4 (-1.7, 1.1)
Smyth County Rural No 687.9 (627.2, 753.0) 13 (5, 51) 95 stable stable trend -0.4 (-0.9, 0.2)
Tazewell County Rural No 605.9 (556.0, 659.0) 38 (12, 87) 113 stable stable trend -0.4 (-1.2, 0.3)
Waynesboro City Urban No 648.6 (575.0, 729.1) 18 (6, 84) 57 stable stable trend -0.4 (-1.4, 0.7)
Charlotte County Rural No 596.3 (506.5, 697.5) 44 (7, 120) 32 stable stable trend -0.3 (-1.4, 4.2)
Halifax County with South Boston City Rural No 617.6 (565.7, 673.2) 31 (11, 83) 107 stable stable trend -0.3 (-1.1, 0.5)
Lynchburg City Urban No 620.1 (575.9, 666.7) 29 (12, 73) 150 stable stable trend -0.3 (-0.8, 0.2)
Patrick County Rural No 618.4 (549.4, 693.8) 30 (8, 99) 59 stable stable trend -0.3 (-1.1, 0.6)
Staunton City Urban No 606.3 (542.3, 675.8) 37 (11, 99) 67 stable stable trend -0.3 (-1.3, 0.7)
Covington City Rural No 658.2 (516.7, 826.8) 15 (1, 123) 15 stable stable trend -0.2 (-2.1, 1.7)
Page County Rural No 600.0 (536.4, 669.3) 41 (11, 105) 66 stable stable trend -0.1 (-1.0, 0.9)
Norton City Rural No 874.2 (662.5, 1,132.6) 3 (1, 87) 11 stable stable trend 0.0 (-2.1, 2.2)
Greensville County Rural No 784.8 (658.0, 928.9) 6 (1, 55) 29 stable stable trend 0.3 (-1.4, 2.1)
Manassas City Urban No 516.7 (447.6, 593.1) 95 (22, 127) 46 stable stable trend 0.3 (-3.6, 8.9)
Buchanan County Rural No 654.3 (583.0, 732.0) 17 (5, 77) 63 stable stable trend 0.9 (-1.5, 7.8)
Prince Edward County Rural No 625.1 (546.6, 711.7) 26 (7, 106) 47 stable stable trend 0.9 (-0.2, 5.2)
Stafford County Urban No 497.8 (465.2, 532.1) 104 (63, 121) 190 stable stable trend 0.9 (-0.5, 3.6)
Martinsville City Rural No 835.2 (720.8, 962.5) 5 (1, 25) 40 stable stable trend 1.5 (0.0, 3.0)
Colonial Heights City Urban No 664.8 (584.5, 753.2) 14 (4, 81) 50 stable stable trend 1.8 (-0.2, 8.5)
Fairfax City Urban No 877.4 (781.6, 981.5) 2 (1, 11) 63 stable stable trend 5.4 (-5.0, 17.4)
Danville City Rural No 736.2 (680.2, 795.6) 9 (3, 23) 133 rising rising trend 6.7 (1.3, 12.6)
Franklin City Rural No 855.9 (717.7, 1,013.2) 4 (1, 37) 28 rising rising trend 12.8 (0.7, 20.8)

Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 2:12 am.

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 for United States does not include Puerto Rico.

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