State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Virginia by County

All Cancer Sites, 2019-2023

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

Sorted by Rate

Explanation of Column Headers

Death Rate (95% Confidence Interval) - The death rate is based upon 100,000 people and is for 5 year(s). Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population (the Healthy People 2020 goals are based on rates adjusted using different methods but the differences should be minimal).

Recent Trends - This is an interpretation of the AAPC:

• 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.

AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Virginia

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 868.7 with a 95% confidence interval from 861.5 to 875.9 and 11,468 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.2.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 846.2 with a 95% confidence interval from 845.1 to 847.3 and 447,280 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.7 to -1.3.

Manassas Park City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 480.2 with a 95% confidence interval from 328.5 to 677.6 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 133 (117, 133)
• Recent Trend :

Fairfax County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 621.5 with a 95% confidence interval from 603.8 to 639.5 and 959 average annual counts over 2019-2023.
• CI*Rank ⋔ : 132 (129, 133)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.4 to -2.0.

Arlington County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 659.0 with a 95% confidence interval from 614.5 to 705.9 and 167 average annual counts over 2019-2023.
• CI*Rank ⋔ : 131 (123, 133)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.7 to -1.5.

Loudoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 697.3 with a 95% confidence interval from 661.6 to 734.4 and 291 average annual counts over 2019-2023.
• CI*Rank ⋔ : 130 (121, 132)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -2.9 to -1.8.

Rappahannock County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 712.0 with a 95% confidence interval from 552.4 to 903.1 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 129 (46, 133)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.3 to 1.0.

Albemarle County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 724.5 with a 95% confidence interval from 674.9 to 776.8 and 160 average annual counts over 2019-2023.
• CI*Rank ⋔ : 128 (109, 131)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.5 to -0.9.

Alexandria City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 732.1 with a 95% confidence interval from 676.2 to 791.2 and 131 average annual counts over 2019-2023.
• CI*Rank ⋔ : 127 (104, 131)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.6 to 5.0.

James City County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 760.5 with a 95% confidence interval from 707.7 to 816.1 and 155 average annual counts over 2019-2023.
• CI*Rank ⋔ : 126 (98, 130)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.6 to 0.1.

Fluvanna County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 767.3 with a 95% confidence interval from 663.8 to 882.5 and 41 average annual counts over 2019-2023.
• CI*Rank ⋔ : 125 (53, 132)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.7 to -0.4.

York County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 770.5 with a 95% confidence interval from 700.0 to 846.1 and 88 average annual counts over 2019-2023.
• CI*Rank ⋔ : 124 (81, 131)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.1 to -1.5.

Rockbridge County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 774.5 with a 95% confidence interval from 676.6 to 882.5 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 123 (59, 132)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.6 to -0.2.

Prince William County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 781.0 with a 95% confidence interval from 744.4 to 818.9 and 362 average annual counts over 2019-2023.
• CI*Rank ⋔ : 122 (101, 128)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.4 to -1.5.

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 791.9 with a 95% confidence interval from 664.0 to 937.4 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 121 (38, 132)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -2.6 to 0.0.

Goochland County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 792.7 with a 95% confidence interval from 689.2 to 907.5 and 43 average annual counts over 2019-2023.
• CI*Rank ⋔ : 120 (52, 132)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.2 to -0.7.

Roanoke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 806.8 with a 95% confidence interval from 752.1 to 864.5 and 163 average annual counts over 2019-2023.
• CI*Rank ⋔ : 119 (80, 128)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.2.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 812.0 with a 95% confidence interval from 742.3 to 886.5 and 101 average annual counts over 2019-2023.
• CI*Rank ⋔ : 118 (67, 129)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.4.

Charlottesville City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 821.1 with a 95% confidence interval from 712.1 to 941.9 and 43 average annual counts over 2019-2023.
• CI*Rank ⋔ : 117 (40, 131)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.8 to -1.0.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 821.2 with a 95% confidence interval from 749.0 to 898.5 and 98 average annual counts over 2019-2023.
• CI*Rank ⋔ : 116 (65, 129)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -5.4 to 1.0.

Middlesex County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 823.1 with a 95% confidence interval from 694.2 to 969.1 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 115 (28, 132)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.3 to 0.4.

Powhatan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 823.9 with a 95% confidence interval from 714.3 to 945.8 and 44 average annual counts over 2019-2023.
• CI*Rank ⋔ : 114 (35, 131)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -3.8 to -1.4.

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 828.3 with a 95% confidence interval from 688.2 to 988.5 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 113 (21, 132)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.1 to 0.2.

Northampton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 829.6 with a 95% confidence interval from 695.8 to 981.5 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 112 (23, 132)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.0 to -1.7.

Spotsylvania County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 835.8 with a 95% confidence interval from 777.7 to 897.1 and 160 average annual counts over 2019-2023.
• CI*Rank ⋔ : 111 (66, 126)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.4 to -0.8.

Richmond City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 844.6 with a 95% confidence interval from 796.5 to 894.8 and 246 average annual counts over 2019-2023.
• CI*Rank ⋔ : 110 (69, 122)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -2.9 to -2.0.

Highland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 845.2 with a 95% confidence interval from 566.6 to 1,210.9 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 109 (4, 133)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.4 to 2.3.

Lexington City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 845.8 with a 95% confidence interval from 618.4 to 1,129.3 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 108 (6, 133)
• Recent Trend : The trend is falling because the trend is -14.0 with a 95% confidence interval from -31.9 to -2.9.

Augusta County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 846.1 with a 95% confidence interval from 784.0 to 911.9 and 138 average annual counts over 2019-2023.
• CI*Rank ⋔ : 107 (57, 125)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.6.

Alleghany County and Clifton Forge City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 850.4 with a 95% confidence interval from 723.7 to 993.0 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 106 (23, 131)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.7 to 0.1.

Appomattox County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 853.0 with a 95% confidence interval from 715.6 to 1,009.4 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 105 (20, 131)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.0 to 0.2.

Rockingham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 857.1 with a 95% confidence interval from 794.6 to 923.1 and 140 average annual counts over 2019-2023.
• CI*Rank ⋔ : 104 (56, 123)
• Recent Trend : The trend is stable because the trend is 3.9 with a 95% confidence interval from -0.9 to 7.4.

Pulaski County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 859.0 with a 95% confidence interval from 765.3 to 960.9 and 62 average annual counts over 2019-2023.
• CI*Rank ⋔ : 103 (38, 128)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.6 to -1.2.

Virginia Beach City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 862.2 with a 95% confidence interval from 830.4 to 894.9 and 565 average annual counts over 2019-2023.
• CI*Rank ⋔ : 102 (73, 115)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.2.

Harrisonburg City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 865.6 with a 95% confidence interval from 752.0 to 991.2 and 43 average annual counts over 2019-2023.
• CI*Rank ⋔ : 101 (23, 130)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.0 to 0.4.

Northumberland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 865.6 with a 95% confidence interval from 744.2 to 1,001.2 and 36 average annual counts over 2019-2023.
• CI*Rank ⋔ : 100 (22, 130)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.9 to -0.1.

Campbell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 868.6 with a 95% confidence interval from 793.2 to 949.1 and 98 average annual counts over 2019-2023.
• CI*Rank ⋔ : 99 (44, 126)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.4 to -0.8.

Chesterfield County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 877.7 with a 95% confidence interval from 840.9 to 915.6 and 452 average annual counts over 2019-2023.
• CI*Rank ⋔ : 98 (64, 112)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.6 to -0.8.

Emporia City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 885.3 with a 95% confidence interval from 650.5 to 1,176.1 and 9 average annual counts over 2019-2023.
• CI*Rank ⋔ : 97 (4, 133)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -5.3 to -0.9.

Mathews County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 886.1 with a 95% confidence interval from 730.9 to 1,064.5 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 96 (12, 132)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.7 to 0.5.

Louisa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 886.9 with a 95% confidence interval from 788.4 to 994.2 and 62 average annual counts over 2019-2023.
• CI*Rank ⋔ : 95 (26, 128)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.7 to -0.7.

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 887.9 with a 95% confidence interval from 814.6 to 966.0 and 108 average annual counts over 2019-2023.
• CI*Rank ⋔ : 94 (36, 122)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.1.

Henrico County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 888.5 with a 95% confidence interval from 852.4 to 925.6 and 467 average annual counts over 2019-2023.
• CI*Rank ⋔ : 93 (60, 110)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.5 to -0.7.

Pittsylvania County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 889.7 with a 95% confidence interval from 819.9 to 963.9 and 122 average annual counts over 2019-2023.
• CI*Rank ⋔ : 92 (39, 122)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.6.

Prince George County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 892.9 with a 95% confidence interval from 778.8 to 1,019.1 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 91 (17, 128)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.2 to -0.8.

Floyd County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 894.0 with a 95% confidence interval from 757.7 to 1,047.9 and 31 average annual counts over 2019-2023.
• CI*Rank ⋔ : 90 (15, 131)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.6 to 1.0.

Westmoreland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 896.6 with a 95% confidence interval from 778.8 to 1,027.3 and 42 average annual counts over 2019-2023.
• CI*Rank ⋔ : 89 (19, 128)
• Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -3.7 to 0.1.

Stafford County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 899.8 with a 95% confidence interval from 832.5 to 971.2 and 140 average annual counts over 2019-2023.
• CI*Rank ⋔ : 88 (36, 118)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -2.3 to 5.7.

Amherst County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 903.3 with a 95% confidence interval from 802.6 to 1,013.2 and 59 average annual counts over 2019-2023.
• CI*Rank ⋔ : 87 (22, 126)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.6.

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 909.0 with a 95% confidence interval from 766.3 to 1,070.5 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 86 (12, 130)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.8 to -0.4.

Bedford City and County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 910.0 with a 95% confidence interval from 845.4 to 978.1 and 151 average annual counts over 2019-2023.
• CI*Rank ⋔ : 85 (35, 117)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.1.

Hanover County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 912.4 with a 95% confidence interval from 852.8 to 974.9 and 178 average annual counts over 2019-2023.
• CI*Rank ⋔ : 84 (35, 113)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.7.

Botetourt County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 912.7 with a 95% confidence interval from 817.3 to 1,016.2 and 67 average annual counts over 2019-2023.
• CI*Rank ⋔ : 83 (22, 123)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.2 to 1.0.

Bland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 913.5 with a 95% confidence interval from 703.7 to 1,166.8 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 82 (6, 133)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.1 to 1.4.

Winchester City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 914.7 with a 95% confidence interval from 791.6 to 1,051.4 and 40 average annual counts over 2019-2023.
• CI*Rank ⋔ : 81 (14, 127)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.7 to -0.9.

Brunswick County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 917.0 with a 95% confidence interval from 775.9 to 1,076.5 and 30 average annual counts over 2019-2023.
• CI*Rank ⋔ : 80 (12, 130)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.7 to -1.3.

Frederick County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 917.9 with a 95% confidence interval from 851.9 to 987.6 and 146 average annual counts over 2019-2023.
• CI*Rank ⋔ : 79 (31, 113)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.1 to -0.6.

Williamsburg City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 918.5 with a 95% confidence interval from 755.0 to 1,106.7 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 78 (9, 131)
• Recent Trend : The trend is falling because the trend is -22.5 with a 95% confidence interval from -39.9 to -10.4.

Carroll County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 918.6 with a 95% confidence interval from 821.5 to 1,024.1 and 66 average annual counts over 2019-2023.
• CI*Rank ⋔ : 77 (20, 122)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.1.

Fauquier County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 920.2 with a 95% confidence interval from 842.9 to 1,002.7 and 106 average annual counts over 2019-2023.
• CI*Rank ⋔ : 76 (27, 117)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.5.

Dickenson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 921.1 with a 95% confidence interval from 777.9 to 1,083.4 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 75 (9, 130)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.6 to 0.2.

Culpeper County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 923.3 with a 95% confidence interval from 830.4 to 1,023.7 and 74 average annual counts over 2019-2023.
• CI*Rank ⋔ : 74 (20, 122)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.3.

Caroline County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 926.6 with a 95% confidence interval from 807.8 to 1,058.0 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 73 (15, 126)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.8 to -0.9.

King George County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 926.6 with a 95% confidence interval from 786.5 to 1,084.5 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 72 (11, 129)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.1 to 0.0.

Nelson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 926.8 with a 95% confidence interval from 793.3 to 1,076.7 and 36 average annual counts over 2019-2023.
• CI*Rank ⋔ : 71 (11, 128)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.1 to 1.0.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 930.1 with a 95% confidence interval from 854.7 to 1,010.5 and 114 average annual counts over 2019-2023.
• CI*Rank ⋔ : 70 (24, 115)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.2.

Manassas City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 937.0 with a 95% confidence interval from 793.7 to 1,098.6 and 33 average annual counts over 2019-2023.
• CI*Rank ⋔ : 69 (10, 129)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -2.3 to 11.3.

Wythe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 938.3 with a 95% confidence interval from 828.4 to 1,058.9 and 54 average annual counts over 2019-2023.
• CI*Rank ⋔ : 68 (15, 122)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.3.

Essex County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 940.4 with a 95% confidence interval from 768.0 to 1,139.8 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 67 (7, 130)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.1 to -0.4.

Suffolk City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 941.5 with a 95% confidence interval from 868.9 to 1,018.6 and 128 average annual counts over 2019-2023.
• CI*Rank ⋔ : 66 (23, 112)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.7 to -1.5.

Charles City County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 944.6 with a 95% confidence interval from 739.2 to 1,189.5 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 65 (5, 132)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.6 to -0.1.

Tazewell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 946.0 with a 95% confidence interval from 856.6 to 1,042.2 and 84 average annual counts over 2019-2023.
• CI*Rank ⋔ : 64 (19, 116)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.1.

Cumberland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 955.7 with a 95% confidence interval from 777.3 to 1,163.0 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 63 (6, 130)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.0 to 0.4.

Hampton City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 956.3 with a 95% confidence interval from 896.7 to 1,018.7 and 197 average annual counts over 2019-2023.
• CI*Rank ⋔ : 62 (26, 100)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.9 to -0.8.

Chesapeake City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 961.5 with a 95% confidence interval from 912.6 to 1,012.3 and 304 average annual counts over 2019-2023.
• CI*Rank ⋔ : 61 (31, 90)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.2 to -1.4.

Craig County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 964.1 with a 95% confidence interval from 723.8 to 1,258.9 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 60 (3, 132)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.7 to 1.3.

Southampton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 965.4 with a 95% confidence interval from 826.5 to 1,120.9 and 35 average annual counts over 2019-2023.
• CI*Rank ⋔ : 59 (9, 124)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.4 to 0.1.

Fredericksburg City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 965.6 with a 95% confidence interval from 811.0 to 1,141.2 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 58 (7, 127)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.9 to -0.5.

King and Queen County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 966.5 with a 95% confidence interval from 750.5 to 1,225.0 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 57 (4, 132)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.4 to 0.2.

Surry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 969.1 with a 95% confidence interval from 759.0 to 1,220.1 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 56 (4, 131)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.8 to 0.9.

Scott County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 977.4 with a 95% confidence interval from 861.5 to 1,104.6 and 51 average annual counts over 2019-2023.
• CI*Rank ⋔ : 55 (11, 117)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.8 to 0.7.

Lancaster County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 978.6 with a 95% confidence interval from 847.4 to 1,124.2 and 40 average annual counts over 2019-2023.
• CI*Rank ⋔ : 54 (8, 123)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.1 to -0.2.

Accomack County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 985.4 with a 95% confidence interval from 888.5 to 1,090.0 and 77 average annual counts over 2019-2023.
• CI*Rank ⋔ : 53 (12, 108)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.4 to -0.8.

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 985.6 with a 95% confidence interval from 871.3 to 1,110.7 and 55 average annual counts over 2019-2023.
• CI*Rank ⋔ : 52 (10, 118)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.9 to -0.2.

Richmond County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 986.1 with a 95% confidence interval from 798.6 to 1,204.0 and 19 average annual counts over 2019-2023.
• CI*Rank ⋔ : 51 (4, 130)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.3 to 2.0.

Buchanan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 990.6 with a 95% confidence interval from 864.9 to 1,129.8 and 45 average annual counts over 2019-2023.
• CI*Rank ⋔ : 50 (8, 119)
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -1.6 to 12.4.

Mecklenburg County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 991.1 with a 95% confidence interval from 893.4 to 1,096.5 and 76 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (11, 113)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.2 to 0.3.

Shenandoah County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 991.3 with a 95% confidence interval from 902.4 to 1,086.6 and 92 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (13, 106)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.1.

Page County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 993.9 with a 95% confidence interval from 873.7 to 1,126.1 and 50 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (9, 117)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.7.

Grayson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 993.9 with a 95% confidence interval from 854.6 to 1,149.5 and 36 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (7, 123)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.2 to 0.3.

Newport News City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,001.1 with a 95% confidence interval from 944.6 to 1,060.2 and 239 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (19, 83)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.6.

Warren County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,003.3 with a 95% confidence interval from 895.6 to 1,120.4 and 65 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (10, 108)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.6.

Lunenburg County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,007.4 with a 95% confidence interval from 840.7 to 1,197.8 and 26 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (5, 126)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.5 to 0.4.

King William County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,012.6 with a 95% confidence interval from 848.3 to 1,199.9 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (5, 124)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.2 to -0.2.

Roanoke City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,013.8 with a 95% confidence interval from 945.2 to 1,085.9 and 169 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (15, 83)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.1 to 0.2.

Patrick County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,019.9 with a 95% confidence interval from 892.4 to 1,160.7 and 46 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (6, 113)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.6.

Staunton City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,022.4 with a 95% confidence interval from 902.5 to 1,153.8 and 53 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (7, 109)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.5 to 0.9.

Isle of Wight County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,022.6 with a 95% confidence interval from 918.3 to 1,135.5 and 72 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (9, 99)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.6 to -0.7.

Prince Edward County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,023.1 with a 95% confidence interval from 877.2 to 1,186.1 and 35 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (6, 116)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -3.1 to 7.1.

Dinwiddie County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,024.6 with a 95% confidence interval from 900.2 to 1,161.5 and 50 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (6, 109)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.0 to -0.6.

Bath County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,025.1 with a 95% confidence interval from 776.9 to 1,327.9 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (2, 132)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.8 to 0.7.

Lynchburg City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,027.4 with a 95% confidence interval from 945.3 to 1,114.6 and 117 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (11, 90)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.3.

Falls Church City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,029.8 with a 95% confidence interval from 840.8 to 1,248.3 and 21 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (4, 128)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.0 to 2.0.

Norfolk City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,030.9 with a 95% confidence interval from 976.5 to 1,087.6 and 282 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (15, 69)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.7 to -0.8.

Buckingham County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,031.0 with a 95% confidence interval from 878.0 to 1,203.2 and 33 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (5, 120)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.2 to -0.3.

Salem City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,031.8 with a 95% confidence interval from 906.7 to 1,169.2 and 49 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (6, 111)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.9 to 0.7.

Gloucester County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,034.6 with a 95% confidence interval from 930.8 to 1,146.8 and 75 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (7, 105)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.3.

Bristol City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,043.4 with a 95% confidence interval from 902.2 to 1,200.5 and 39 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (6, 111)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.4 to 0.7.

Radford City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,045.2 with a 95% confidence interval from 817.9 to 1,315.5 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (2, 130)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.5 to 0.8.

Sussex County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,045.4 with a 95% confidence interval from 851.7 to 1,270.3 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (3, 126)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.5 to -0.5.

Halifax County with South Boston City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,046.8 with a 95% confidence interval from 950.4 to 1,150.2 and 87 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (8, 89)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.7.

Poquoson City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,048.1 with a 95% confidence interval from 870.7 to 1,251.0 and 24 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (4, 122)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.9 to 1.1.

Covington City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,048.4 with a 95% confidence interval from 782.8 to 1,375.3 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (2, 132)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.5 to 1.7.

Portsmouth City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,050.5 with a 95% confidence interval from 974.4 to 1,131.0 and 146 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (10, 77)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.4.

Charlotte County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,057.4 with a 95% confidence interval from 880.9 to 1,258.7 and 25 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (4, 123)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -11.7 to 8.4.

Amelia County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,064.4 with a 95% confidence interval from 891.6 to 1,261.1 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (3, 118)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -2.9 to 0.2.

Giles County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,067.6 with a 95% confidence interval from 919.3 to 1,233.1 and 37 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (4, 109)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.2.

Buena Vista City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,084.8 with a 95% confidence interval from 838.3 to 1,381.4 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (2, 130)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.1 to 0.8.

New Kent County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,096.8 with a 95% confidence interval from 939.9 to 1,272.5 and 39 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (4, 106)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.1 to 0.8.

Orange County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,099.6 with a 95% confidence interval from 992.0 to 1,215.8 and 77 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (6, 73)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.2.

Colonial Heights City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,102.2 with a 95% confidence interval from 950.4 to 1,271.2 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (3, 107)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.2 to 1.2.

Waynesboro City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,109.9 with a 95% confidence interval from 968.6 to 1,266.1 and 44 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (4, 100)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.3 to 0.7.

Smyth County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,129.1 with a 95% confidence interval from 1,016.3 to 1,250.9 and 73 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (5, 65)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.6 to 0.5.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,135.0 with a 95% confidence interval from 1,001.2 to 1,282.0 and 53 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (3, 80)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.8.

Hopewell City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,146.5 with a 95% confidence interval from 989.1 to 1,321.9 and 38 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (3, 90)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.1.

Danville City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,178.7 with a 95% confidence interval from 1,076.9 to 1,287.4 and 100 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (3, 47)
• Recent Trend : The trend is stable because the trend is 5.3 with a 95% confidence interval from 0.0 to 13.0.

Nottoway County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,186.3 with a 95% confidence interval from 1,009.4 to 1,385.1 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (2, 86)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.1 to 1.0.

Wise County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,236.9 with a 95% confidence interval from 1,114.3 to 1,369.4 and 78 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (2, 37)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.3.

Petersburg City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,266.4 with a 95% confidence interval from 1,133.0 to 1,411.1 and 68 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (2, 35)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.6.

Norton City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,272.3 with a 95% confidence interval from 904.3 to 1,740.7 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 130)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.7 to 1.4.

Martinsville City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,325.3 with a 95% confidence interval from 1,109.4 to 1,570.8 and 27 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 60)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.8 to 2.9.

Franklin City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,410.5 with a 95% confidence interval from 1,150.1 to 1,711.8 and 20 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 58)
• Recent Trend : The trend is rising because the trend is 12.3 with a 95% confidence interval from 0.5 to 20.1.

Greensville County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,412.7 with a 95% confidence interval from 1,157.4 to 1,708.6 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 51)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.4 to 2.2.

Galax City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,526.9 with a 95% confidence interval from 1,208.3 to 1,901.1 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 40)
• Recent Trend : The trend is falling because the trend is -11.2 with a 95% confidence interval from -23.1 to -4.9.

Fairfax City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 1,632.7 with a 95% confidence interval from 1,436.1 to 1,848.4 and 51 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 6)
• Recent Trend : The trend is rising because the trend is 5.4 with a 95% confidence interval from 2.2 to 16.8.

Notes:
Created by statecancerprofiles.cancer.gov on 03/24/2026 9:33 am.

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+).

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.