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Death Rate Report for Virginia by County

All Cancer Sites, 2019-2023

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

Sorted by Count

County
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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 868.7 (861.5, 875.9) N/A 11,468 falling falling trend -0.8 (-1.4, -0.2)
United States N/A No 846.2 (845.1, 847.3) N/A 447,280 falling falling trend -1.4 (-1.7, -1.3)
Highland County Rural No 845.2 (566.6, 1,210.9) 109 (4, 133) 6 stable stable trend -0.1 (-2.4, 2.3)
Manassas Park City Urban No 480.2 (328.5, 677.6) 133 (117, 133) 6
*
*
Norton City Rural No 1,272.3 (904.3, 1,740.7) 6 (1, 130) 8 stable stable trend -0.7 (-2.7, 1.4)
Lexington City Rural No 845.8 (618.4, 1,129.3) 108 (6, 133) 9 falling falling trend -14.0 (-31.9, -2.9)
Emporia City Rural No 885.3 (650.5, 1,176.1) 97 (4, 133) 9 falling falling trend -2.8 (-5.3, -0.9)
Covington City Rural No 1,048.4 (782.8, 1,375.3) 23 (2, 132) 10 stable stable trend -0.3 (-2.5, 1.7)
Craig County Urban No 964.1 (723.8, 1,258.9) 60 (3, 132) 11 stable stable trend -0.7 (-2.7, 1.3)
Bath County Rural No 1,025.1 (776.9, 1,327.9) 35 (2, 132) 11 stable stable trend -1.1 (-2.8, 0.7)
Bland County Rural No 913.5 (703.7, 1,166.8) 82 (6, 133) 13 stable stable trend -0.9 (-3.1, 1.4)
Buena Vista City Rural No 1,084.8 (838.3, 1,381.4) 18 (2, 130) 13 stable stable trend -1.1 (-3.1, 0.8)
Rappahannock County Urban No 712.0 (552.4, 903.1) 129 (46, 133) 13 stable stable trend -1.3 (-3.3, 1.0)
King and Queen County Urban No 966.5 (750.5, 1,225.0) 57 (4, 132) 14 stable stable trend -1.6 (-3.4, 0.2)
Charles City County Urban No 944.6 (739.2, 1,189.5) 65 (5, 132) 15 falling falling trend -1.9 (-3.6, -0.1)
Surry County Urban No 969.1 (759.0, 1,220.1) 56 (4, 131) 15 stable stable trend -1.5 (-3.8, 0.9)
Radford City Urban No 1,045.2 (817.9, 1,315.5) 27 (2, 130) 15 stable stable trend -0.8 (-2.5, 0.8)
Galax City Rural No 1,526.9 (1,208.3, 1,901.1) 2 (1, 40) 16 falling falling trend -11.2 (-23.1, -4.9)
Richmond County Rural No 986.1 (798.6, 1,204.0) 51 (4, 130) 19 stable stable trend 0.3 (-1.3, 2.0)
Cumberland County Rural No 955.7 (777.3, 1,163.0) 63 (6, 130) 20 stable stable trend -0.9 (-2.0, 0.4)
Franklin City Rural No 1,410.5 (1,150.1, 1,711.8) 4 (1, 58) 20 rising rising trend 12.3 (0.5, 20.1)
Sussex County Urban No 1,045.4 (851.7, 1,270.3) 26 (3, 126) 20 falling falling trend -1.5 (-2.5, -0.5)
Falls Church City Urban No 1,029.8 (840.8, 1,248.3) 33 (4, 128) 21 stable stable trend -0.2 (-2.0, 2.0)
Essex County Rural No 940.4 (768.0, 1,139.8) 67 (7, 130) 21 falling falling trend -1.7 (-3.1, -0.4)
Williamsburg City Urban No 918.5 (755.0, 1,106.7) 78 (9, 131) 22 falling falling trend -22.5 (-39.9, -10.4)
Greensville County Rural No 1,412.7 (1,157.4, 1,708.6) 3 (1, 51) 23 stable stable trend 0.3 (-1.4, 2.2)
Mathews County Urban No 886.1 (730.9, 1,064.5) 96 (12, 132) 23 stable stable trend -1.1 (-2.7, 0.5)
Poquoson City Urban No 1,048.1 (870.7, 1,251.0) 24 (4, 122) 24 stable stable trend -0.5 (-1.9, 1.1)
Madison County Rural No 828.3 (688.2, 988.5) 113 (21, 132) 25 stable stable trend -1.5 (-3.1, 0.2)
Charlotte County Rural No 1,057.4 (880.9, 1,258.7) 21 (4, 123) 25 stable stable trend 0.2 (-11.7, 8.4)
Lunenburg County Rural No 1,007.4 (840.7, 1,197.8) 43 (5, 126) 26 stable stable trend -1.1 (-2.5, 0.4)
Amelia County Urban No 1,064.4 (891.6, 1,261.1) 20 (3, 118) 27 stable stable trend -1.4 (-2.9, 0.2)
Appomattox County Urban No 853.0 (715.6, 1,009.4) 105 (20, 131) 27 stable stable trend -1.5 (-3.0, 0.2)
Northampton County Rural No 829.6 (695.8, 981.5) 112 (23, 132) 27 falling falling trend -2.8 (-4.0, -1.7)
Martinsville City Rural No 1,325.3 (1,109.4, 1,570.8) 5 (1, 60) 27 stable stable trend 1.1 (-0.8, 2.9)
King William County Urban No 1,012.6 (848.3, 1,199.9) 42 (5, 124) 28 falling falling trend -1.8 (-3.2, -0.2)
Greene County Urban No 791.9 (664.0, 937.4) 121 (38, 132) 28 stable stable trend -1.4 (-2.6, 0.0)
Fredericksburg City Urban No 965.6 (811.0, 1,141.2) 58 (7, 127) 28 falling falling trend -1.7 (-2.9, -0.5)
Middlesex County Rural No 823.1 (694.2, 969.1) 115 (28, 132) 29 stable stable trend -1.5 (-3.3, 0.4)
Clarke County Urban No 909.0 (766.3, 1,070.5) 86 (12, 130) 29 falling falling trend -1.6 (-2.8, -0.4)
Dickenson County Rural No 921.1 (777.9, 1,083.4) 75 (9, 130) 29 stable stable trend -1.2 (-2.6, 0.2)
Brunswick County Rural No 917.0 (775.9, 1,076.5) 80 (12, 130) 30 falling falling trend -2.5 (-3.7, -1.3)
Floyd County Urban No 894.0 (757.7, 1,047.9) 90 (15, 131) 31 stable stable trend -0.4 (-1.6, 1.0)
Alleghany County and Clifton Forge City Rural No 850.4 (723.7, 993.0) 106 (23, 131) 32 stable stable trend -1.3 (-2.7, 0.1)
King George County Rural No 926.6 (786.5, 1,084.5) 72 (11, 129) 32 stable stable trend -1.6 (-3.1, 0.0)
Nottoway County Rural No 1,186.3 (1,009.4, 1,385.1) 9 (2, 86) 32 stable stable trend -0.5 (-2.1, 1.0)
Buckingham County Rural No 1,031.0 (878.0, 1,203.2) 31 (5, 120) 33 falling falling trend -1.8 (-3.2, -0.3)
Manassas City Urban No 937.0 (793.7, 1,098.6) 69 (10, 129) 33 stable stable trend 1.1 (-2.3, 11.3)
Southampton County Rural No 965.4 (826.5, 1,120.9) 59 (9, 124) 35 stable stable trend -1.2 (-2.4, 0.1)
Prince Edward County Rural No 1,023.1 (877.2, 1,186.1) 37 (6, 116) 35 stable stable trend 1.1 (-3.1, 7.1)
Nelson County Urban No 926.8 (793.3, 1,076.7) 71 (11, 128) 36 stable stable trend -0.6 (-2.1, 1.0)
Grayson County Rural No 993.9 (854.6, 1,149.5) 46 (7, 123) 36 stable stable trend -1.0 (-2.2, 0.3)
Northumberland County Rural No 865.6 (744.2, 1,001.2) 100 (22, 130) 36 falling falling trend -1.5 (-2.9, -0.1)
Giles County Urban No 1,067.6 (919.3, 1,233.1) 19 (4, 109) 37 stable stable trend -0.9 (-1.9, 0.2)
Colonial Heights City Urban No 1,102.2 (950.4, 1,271.2) 15 (3, 107) 38 stable stable trend 0.0 (-1.2, 1.2)
Hopewell City Urban No 1,146.5 (989.1, 1,321.9) 11 (3, 90) 38 stable stable trend -0.8 (-1.7, 0.1)
Bristol City Urban No 1,043.4 (902.2, 1,200.5) 28 (6, 111) 39 stable stable trend -0.8 (-2.4, 0.7)
New Kent County Urban No 1,096.8 (939.9, 1,272.5) 17 (4, 106) 39 stable stable trend -0.7 (-2.1, 0.8)
Lancaster County Rural No 978.6 (847.4, 1,124.2) 54 (8, 123) 40 falling falling trend -1.1 (-2.1, -0.2)
Winchester City Urban No 914.7 (791.6, 1,051.4) 81 (14, 127) 40 falling falling trend -1.8 (-2.7, -0.9)
Fluvanna County Urban No 767.3 (663.8, 882.5) 125 (53, 132) 41 falling falling trend -1.6 (-2.7, -0.4)
Westmoreland County Rural No 896.6 (778.8, 1,027.3) 89 (19, 128) 42 stable stable trend -1.8 (-3.7, 0.1)
Charlottesville City Urban No 821.1 (712.1, 941.9) 117 (40, 131) 43 falling falling trend -1.9 (-2.8, -1.0)
Harrisonburg City Urban No 865.6 (752.0, 991.2) 101 (23, 130) 43 stable stable trend -0.8 (-2.0, 0.4)
Goochland County Urban No 792.7 (689.2, 907.5) 120 (52, 132) 43 falling falling trend -2.1 (-3.2, -0.7)
Powhatan County Urban No 823.9 (714.3, 945.8) 114 (35, 131) 44 falling falling trend -2.7 (-3.8, -1.4)
Waynesboro City Urban No 1,109.9 (968.6, 1,266.1) 14 (4, 100) 44 stable stable trend -0.3 (-1.3, 0.7)
Buchanan County Rural No 990.6 (864.9, 1,129.8) 50 (8, 119) 45 stable stable trend 1.7 (-1.6, 12.4)
Prince George County Urban No 892.9 (778.8, 1,019.1) 91 (17, 128) 45 falling falling trend -2.0 (-3.2, -0.8)
Rockbridge County Rural No 774.5 (676.6, 882.5) 123 (59, 132) 45 falling falling trend -1.4 (-2.6, -0.2)
Caroline County Rural No 926.6 (807.8, 1,058.0) 73 (15, 126) 45 falling falling trend -1.9 (-2.8, -0.9)
Patrick County Rural No 1,019.9 (892.4, 1,160.7) 40 (6, 113) 46 stable stable trend -0.3 (-1.1, 0.6)
Salem City Urban No 1,031.8 (906.7, 1,169.2) 30 (6, 111) 49 stable stable trend -0.6 (-1.9, 0.7)
Page County Rural No 993.9 (873.7, 1,126.1) 47 (9, 117) 50 stable stable trend -0.4 (-1.4, 0.7)
Dinwiddie County Urban No 1,024.6 (900.2, 1,161.5) 36 (6, 109) 50 falling falling trend -1.8 (-3.0, -0.6)
Fairfax City Urban No 1,632.7 (1,436.1, 1,848.4) 1 (1, 6) 51 rising rising trend 5.4 (2.2, 16.8)
Scott County Urban No 977.4 (861.5, 1,104.6) 55 (11, 117) 51 stable stable trend -0.6 (-1.8, 0.7)
Staunton City Urban No 1,022.4 (902.5, 1,153.8) 39 (7, 109) 53 stable stable trend -0.3 (-1.5, 0.9)
Lee County Rural No 1,135.0 (1,001.2, 1,282.0) 12 (3, 80) 53 stable stable trend -0.3 (-1.4, 0.8)
Wythe County Rural No 938.3 (828.4, 1,058.9) 68 (15, 122) 54 stable stable trend -0.6 (-1.6, 0.3)
Russell County Rural No 985.6 (871.3, 1,110.7) 52 (10, 118) 55 falling falling trend -1.0 (-1.9, -0.2)
Amherst County Urban No 903.3 (802.6, 1,013.2) 87 (22, 126) 59 falling falling trend -1.4 (-2.2, -0.6)
Louisa County Rural No 886.9 (788.4, 994.2) 95 (26, 128) 62 falling falling trend -1.7 (-2.7, -0.7)
Pulaski County Urban No 859.0 (765.3, 960.9) 103 (38, 128) 62 falling falling trend -1.9 (-2.6, -1.2)
Warren County Urban No 1,003.3 (895.6, 1,120.4) 44 (10, 108) 65 stable stable trend -0.4 (-1.3, 0.6)
Carroll County Rural No 918.6 (821.5, 1,024.1) 77 (20, 122) 66 stable stable trend -0.9 (-1.8, 0.1)
Botetourt County Urban No 912.7 (817.3, 1,016.2) 83 (22, 123) 67 stable stable trend -0.2 (-1.2, 1.0)
Petersburg City Urban No 1,266.4 (1,133.0, 1,411.1) 7 (2, 35) 68 stable stable trend -0.4 (-1.4, 0.6)
Isle of Wight County Urban No 1,022.6 (918.3, 1,135.5) 38 (9, 99) 72 falling falling trend -1.7 (-2.6, -0.7)
Smyth County Rural No 1,129.1 (1,016.3, 1,250.9) 13 (5, 65) 73 stable stable trend -0.1 (-0.6, 0.5)
Culpeper County Urban No 923.3 (830.4, 1,023.7) 74 (20, 122) 74 falling falling trend -1.2 (-2.1, -0.3)
Gloucester County Urban No 1,034.6 (930.8, 1,146.8) 29 (7, 105) 75 falling falling trend -1.2 (-2.1, -0.3)
Mecklenburg County Rural No 991.1 (893.4, 1,096.5) 49 (11, 113) 76 stable stable trend -0.5 (-1.2, 0.3)
Orange County Rural No 1,099.6 (992.0, 1,215.8) 16 (6, 73) 77 stable stable trend -0.7 (-1.6, 0.2)
Accomack County Rural No 985.4 (888.5, 1,090.0) 53 (12, 108) 77 falling falling trend -1.6 (-2.4, -0.8)
Wise County Rural No 1,236.9 (1,114.3, 1,369.4) 8 (2, 37) 78 stable stable trend -0.5 (-1.3, 0.3)
Tazewell County Rural No 946.0 (856.6, 1,042.2) 64 (19, 116) 84 stable stable trend -0.7 (-1.6, 0.1)
Halifax County with South Boston City Rural No 1,046.8 (950.4, 1,150.2) 25 (8, 89) 87 stable stable trend -0.1 (-1.0, 0.7)
York County Urban No 770.5 (700.0, 846.1) 124 (81, 131) 88 falling falling trend -2.3 (-3.1, -1.5)
Shenandoah County Rural No 991.3 (902.4, 1,086.6) 48 (13, 106) 92 stable stable trend -0.6 (-1.2, 0.1)
Campbell County Urban No 868.6 (793.2, 949.1) 99 (44, 126) 98 falling falling trend -1.6 (-2.4, -0.8)
Franklin County Urban No 821.2 (749.0, 898.5) 116 (65, 129) 98 stable stable trend -1.0 (-5.4, 1.0)
Danville City Rural No 1,178.7 (1,076.9, 1,287.4) 10 (3, 47) 100 stable stable trend 5.3 (0.0, 13.0)
Montgomery County Urban No 812.0 (742.3, 886.5) 118 (67, 129) 101 falling falling trend -1.0 (-1.6, -0.4)
Fauquier County Urban No 920.2 (842.9, 1,002.7) 76 (27, 117) 106 stable stable trend -0.7 (-1.9, 0.5)
Henry County Rural No 887.9 (814.6, 966.0) 94 (36, 122) 108 stable stable trend -0.8 (-1.7, 0.1)
Washington County Urban No 930.1 (854.7, 1,010.5) 70 (24, 115) 114 falling falling trend -1.1 (-1.9, -0.2)
Lynchburg City Urban No 1,027.4 (945.3, 1,114.6) 34 (11, 90) 117 stable stable trend -0.3 (-0.8, 0.3)
Pittsylvania County Rural No 889.7 (819.9, 963.9) 92 (39, 122) 122 falling falling trend -1.3 (-1.9, -0.6)
Suffolk City Urban No 941.5 (868.9, 1,018.6) 66 (23, 112) 128 falling falling trend -2.1 (-2.7, -1.5)
Alexandria City Urban No 732.1 (676.2, 791.2) 127 (104, 131) 131 stable stable trend -0.6 (-2.6, 5.0)
Augusta County Urban No 846.1 (784.0, 911.9) 107 (57, 125) 138 falling falling trend -1.3 (-1.9, -0.6)
Stafford County Urban No 899.8 (832.5, 971.2) 88 (36, 118) 140 stable stable trend 0.9 (-2.3, 5.7)
Rockingham County Urban No 857.1 (794.6, 923.1) 104 (56, 123) 140 stable stable trend 3.9 (-0.9, 7.4)
Frederick County Urban No 917.9 (851.9, 987.6) 79 (31, 113) 146 falling falling trend -1.4 (-2.1, -0.6)
Portsmouth City Urban No 1,050.5 (974.4, 1,131.0) 22 (10, 77) 146 falling falling trend -1.1 (-1.8, -0.4)
Bedford City and County Urban No 910.0 (845.4, 978.1) 85 (35, 117) 151 stable stable trend -0.6 (-1.3, 0.1)
James City County Urban No 760.5 (707.7, 816.1) 126 (98, 130) 155 stable stable trend -0.8 (-1.6, 0.1)
Albemarle County Urban No 724.5 (674.9, 776.8) 128 (109, 131) 160 falling falling trend -1.7 (-2.5, -0.9)
Spotsylvania County Urban No 835.8 (777.7, 897.1) 111 (66, 126) 160 falling falling trend -1.6 (-2.4, -0.8)
Roanoke County Urban No 806.8 (752.1, 864.5) 119 (80, 128) 163 falling falling trend -0.9 (-1.6, -0.2)
Arlington County Urban No 659.0 (614.5, 705.9) 131 (123, 133) 167 falling falling trend -2.1 (-2.7, -1.5)
Roanoke City Urban No 1,013.8 (945.2, 1,085.9) 41 (15, 83) 169 stable stable trend -0.4 (-1.1, 0.2)
Hanover County Urban No 912.4 (852.8, 974.9) 84 (35, 113) 178 falling falling trend -1.3 (-1.8, -0.7)
Hampton City Urban No 956.3 (896.7, 1,018.7) 62 (26, 100) 197 falling falling trend -1.4 (-1.9, -0.8)
Newport News City Urban No 1,001.1 (944.6, 1,060.2) 45 (19, 83) 239 falling falling trend -1.0 (-1.5, -0.6)
Richmond City Urban No 844.6 (796.5, 894.8) 110 (69, 122) 246 falling falling trend -2.4 (-2.9, -2.0)
Norfolk City Urban No 1,030.9 (976.5, 1,087.6) 32 (15, 69) 282 falling falling trend -1.3 (-1.7, -0.8)
Loudoun County Urban No 697.3 (661.6, 734.4) 130 (121, 132) 291 falling falling trend -2.4 (-2.9, -1.8)
Chesapeake City Urban No 961.5 (912.6, 1,012.3) 61 (31, 90) 304 falling falling trend -1.8 (-2.2, -1.4)
Prince William County Urban No 781.0 (744.4, 818.9) 122 (101, 128) 362 falling falling trend -1.9 (-2.4, -1.5)
Chesterfield County Urban No 877.7 (840.9, 915.6) 98 (64, 112) 452 falling falling trend -1.4 (-1.6, -0.8)
Henrico County Urban No 888.5 (852.4, 925.6) 93 (60, 110) 467 falling falling trend -1.1 (-1.5, -0.7)
Virginia Beach City Urban No 862.2 (830.4, 894.9) 102 (73, 115) 565 falling falling trend -1.5 (-1.9, -1.2)
Fairfax County Urban No 621.5 (603.8, 639.5) 132 (129, 133) 959 falling falling trend -2.2 (-2.4, -2.0)

Notes:
Created by statecancerprofiles.cancer.gov on 03/22/2026 6:07 pm.

State Cancer Registries may provide more current or more local data.

Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.


† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+).

The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal.

Population counts for denominators are based on Census populations as modified by NCI.

The US Population Data File is used with mortality data.

‡ The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.

If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

Data for United States does not include Puerto Rico.

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