State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Virginia by County

Breast, 2019-2023

All Races (includes Hispanic), Female, All Ages

Sorted by CI*Rank

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 15.3? : No
• Rate : The death rate is 19.9 with a 95% confidence interval from 19.4 to 20.5 and 1,130 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -1.6 to 0.3.

United States

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 19.2 with a 95% confidence interval from 19.1 to 19.3 and 42,257 average annual counts over 2019-2023.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.7 to -1.3.

Fairfax City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 45.3 with a 95% confidence interval from 31.2 to 63.8 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 1 (1, 34)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -2.3 to 5.1.

Hopewell City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 36.7 with a 95% confidence interval from 23.6 to 54.6 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 2 (1, 73)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -1.5 to 4.0.

Petersburg City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 35.3 with a 95% confidence interval from 25.1 to 48.5 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 3 (1, 56)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.1 to 1.4.

Amelia County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 35.2 with a 95% confidence interval from 18.9 to 60.7 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 4 (1, 80)
• Recent Trend :

Lunenburg County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 34.1 with a 95% confidence interval from 19.4 to 58.5 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 5 (1, 79)
• Recent Trend :

Colonial Heights City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 33.3 with a 95% confidence interval from 20.0 to 52.3 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 6 (1, 77)
• Recent Trend : The trend is rising because the trend is 4.1 with a 95% confidence interval from 1.6 to 7.4.

Wise County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 32.6 with a 95% confidence interval from 23.0 to 45.2 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 7 (1, 62)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.8 to 3.1.

Buchanan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 30.8 with a 95% confidence interval from 18.8 to 48.8 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 8 (1, 79)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -3.4 to 3.1.

Dickenson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 30.2 with a 95% confidence interval from 16.9 to 51.8 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 9 (1, 80)
• Recent Trend :

Brunswick County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 30.1 with a 95% confidence interval from 17.0 to 51.0 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 10 (1, 80)
• Recent Trend :

Nelson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 30.1 with a 95% confidence interval from 16.7 to 51.5 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 11 (1, 80)
• Recent Trend : The trend is stable because the trend is 30.8 with a 95% confidence interval from -1.0 to 64.0.

Danville City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 29.2 with a 95% confidence interval from 20.9 to 39.9 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 12 (1, 70)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.2 to 1.8.

Fredericksburg City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 29.0 with a 95% confidence interval from 17.5 to 45.1 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 13 (1, 79)
• Recent Trend :

Dinwiddie County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 28.4 with a 95% confidence interval from 18.5 to 42.3 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 14 (1, 78)
• Recent Trend :

Russell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 27.0 with a 95% confidence interval from 17.6 to 40.6 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 15 (1, 78)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.6 to 3.5.

Salem City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 26.5 with a 95% confidence interval from 17.0 to 40.2 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 16 (1, 79)
• Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 0.7 to 8.4.

Spotsylvania County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 26.5 with a 95% confidence interval from 21.7 to 32.1 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 17 (5, 57)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.2 to 2.3.

Orange County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 25.8 with a 95% confidence interval from 18.1 to 36.0 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 18 (2, 76)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -4.0 to 2.2.

Hampton City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 25.3 with a 95% confidence interval from 20.6 to 30.7 and 22 average annual counts over 2019-2023.
• CI*Rank ⋔ : 19 (6, 62)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.7 to -0.1.

Wythe County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 25.1 with a 95% confidence interval from 16.3 to 37.7 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 20 (2, 79)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.7 to 1.8.

New Kent County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 25.0 with a 95% confidence interval from 14.2 to 41.0 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 21 (1, 81)
• Recent Trend :

Portsmouth City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 24.6 with a 95% confidence interval from 19.2 to 31.0 and 15 average annual counts over 2019-2023.
• CI*Rank ⋔ : 22 (6, 71)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.7 to -0.7.

Manassas City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 24.4 with a 95% confidence interval from 15.1 to 37.1 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 23 (2, 81)
• Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -6.4 to 1.2.

Lynchburg City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 24.3 with a 95% confidence interval from 18.3 to 31.8 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 24 (4, 75)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -2.8 to 2.9.

Halifax County with South Boston City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 24.2 with a 95% confidence interval from 16.4 to 35.0 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 25 (3, 78)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -4.1 to 1.3.

Tazewell County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 24.1 with a 95% confidence interval from 16.6 to 34.4 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 26 (3, 78)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.7 to 2.7.

Scott County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 24.0 with a 95% confidence interval from 13.8 to 39.8 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 27 (1, 81)
• Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -6.9 to 1.1.

Isle of Wight County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 23.9 with a 95% confidence interval from 16.5 to 34.0 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 28 (3, 79)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -4.3 to 2.4.

Lee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 23.8 with a 95% confidence interval from 14.0 to 39.0 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 29 (2, 81)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -4.8 to 3.1.

Culpeper County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 23.7 with a 95% confidence interval from 16.8 to 32.8 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 30 (3, 78)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.5 to 1.0.

Bristol City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 23.4 with a 95% confidence interval from 14.4 to 37.9 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 31 (2, 81)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.8 to 0.4.

Roanoke City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 23.3 with a 95% confidence interval from 18.3 to 29.2 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 32 (8, 71)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.0 to 0.8.

Staunton City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 23.3 with a 95% confidence interval from 14.5 to 35.9 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 33 (2, 81)
• Recent Trend :

Richmond City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 22.8 with a 95% confidence interval from 19.1 to 27.0 and 29 average annual counts over 2019-2023.
• CI*Rank ⋔ : 34 (11, 67)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.3 to -1.3.

Suffolk City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 22.7 with a 95% confidence interval from 17.5 to 29.1 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 35 (7, 75)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.5 to -1.1.

Frederick County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 22.5 with a 95% confidence interval from 17.4 to 28.8 and 14 average annual counts over 2019-2023.
• CI*Rank ⋔ : 36 (7, 74)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.7 to 1.7.

Norfolk City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 22.4 with a 95% confidence interval from 18.8 to 26.6 and 28 average annual counts over 2019-2023.
• CI*Rank ⋔ : 37 (12, 68)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.9 to -0.5.

Fauquier County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 22.4 with a 95% confidence interval from 16.7 to 29.6 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 38 (7, 77)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.5 to -0.3.

Waynesboro City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 22.2 with a 95% confidence interval from 13.4 to 35.4 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 39 (3, 81)
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -5.9 to 1.3.

Charlottesville City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 22.1 with a 95% confidence interval from 14.3 to 32.8 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 40 (4, 80)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.6 to 2.6.

Shenandoah County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 22.1 with a 95% confidence interval from 15.3 to 31.2 and 7 average annual counts over 2019-2023.
• CI*Rank ⋔ : 41 (5, 79)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.5 to 2.5.

Warren County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 22.1 with a 95% confidence interval from 14.9 to 31.8 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 42 (5, 80)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -5.3 to -0.5.

Washington County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 22.0 with a 95% confidence interval from 16.1 to 29.9 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 43 (7, 78)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.5 to 1.2.

Chesapeake City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 21.9 with a 95% confidence interval from 18.6 to 25.7 and 32 average annual counts over 2019-2023.
• CI*Rank ⋔ : 44 (15, 69)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.5.

Accomack County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 21.8 with a 95% confidence interval from 13.5 to 33.6 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 45 (3, 81)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.0 to 5.1.

Hanover County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 21.5 with a 95% confidence interval from 17.1 to 26.8 and 17 average annual counts over 2019-2023.
• CI*Rank ⋔ : 46 (12, 75)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.3 to 0.6.

Stafford County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 21.3 with a 95% confidence interval from 16.8 to 26.6 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 47 (12, 76)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.2 to 0.5.

Newport News City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 21.3 with a 95% confidence interval from 17.5 to 25.7 and 23 average annual counts over 2019-2023.
• CI*Rank ⋔ : 48 (13, 74)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.5 to 0.1.

Gloucester County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 21.0 with a 95% confidence interval from 14.0 to 30.8 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 49 (5, 81)
• Recent Trend :

Mecklenburg County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 20.9 with a 95% confidence interval from 14.2 to 30.9 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 50 (5, 80)
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.6 to 0.3.

Henrico County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 20.7 with a 95% confidence interval from 18.2 to 23.6 and 49 average annual counts over 2019-2023.
• CI*Rank ⋔ : 51 (21, 68)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.8 to -1.2.

Carroll County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 20.7 with a 95% confidence interval from 14.0 to 30.8 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 52 (7, 81)
• Recent Trend :

Chesterfield County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 20.6 with a 95% confidence interval from 18.0 to 23.5 and 48 average annual counts over 2019-2023.
• CI*Rank ⋔ : 53 (23, 69)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.1 to 9.0.

Franklin County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 20.2 with a 95% confidence interval from 14.0 to 28.5 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 54 (8, 80)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.4 to 0.9.

Montgomery County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 19.8 with a 95% confidence interval from 14.5 to 26.4 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 55 (12, 79)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -4.2 to 1.7.

Bedford City and County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 19.5 with a 95% confidence interval from 14.6 to 25.8 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 56 (13, 79)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -2.9 to 0.2.

Page County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 19.3 with a 95% confidence interval from 11.2 to 31.9 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 57 (5, 81)
• Recent Trend :

Virginia Beach City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 19.2 with a 95% confidence interval from 16.9 to 21.6 and 54 average annual counts over 2019-2023.
• CI*Rank ⋔ : 58 (31, 73)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.6.

Roanoke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 19.1 with a 95% confidence interval from 15.0 to 24.2 and 16 average annual counts over 2019-2023.
• CI*Rank ⋔ : 59 (18, 78)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.5 to 1.7.

Botetourt County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 19.0 with a 95% confidence interval from 12.0 to 29.4 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 60 (7, 81)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.5 to 1.7.

Winchester City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 18.8 with a 95% confidence interval from 11.2 to 30.0 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 61 (6, 81)
• Recent Trend :

Goochland County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 18.7 with a 95% confidence interval from 11.1 to 30.7 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 62 (6, 81)
• Recent Trend : The trend is stable because the trend is -3.3 with a 95% confidence interval from -6.7 to 0.1.

Powhatan County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 18.7 with a 95% confidence interval from 11.5 to 29.5 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 63 (6, 81)
• Recent Trend :

Prince William County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 18.0 with a 95% confidence interval from 15.6 to 20.6 and 42 average annual counts over 2019-2023.
• CI*Rank ⋔ : 64 (36, 77)
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.3 to -1.2.

Pittsylvania County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 17.8 with a 95% confidence interval from 12.5 to 25.0 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 65 (13, 81)
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -4.9 to 0.2.

Henry County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 17.8 with a 95% confidence interval from 12.5 to 25.1 and 8 average annual counts over 2019-2023.
• CI*Rank ⋔ : 66 (14, 81)
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.4 to 0.7.

Rockbridge County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 17.3 with a 95% confidence interval from 10.4 to 28.9 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 67 (9, 81)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.0 to 2.8.

James City County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 17.1 with a 95% confidence interval from 12.8 to 22.6 and 12 average annual counts over 2019-2023.
• CI*Rank ⋔ : 68 (24, 80)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -4.4 to -0.6.

Arlington County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 16.9 with a 95% confidence interval from 13.7 to 20.7 and 19 average annual counts over 2019-2023.
• CI*Rank ⋔ : 69 (36, 79)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.4 to -1.0.

Fairfax County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 16.9 with a 95% confidence interval from 15.5 to 18.4 and 117 average annual counts over 2019-2023.
• CI*Rank ⋔ : 70 (52, 76)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.8 to -1.2.

Loudoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 16.9 with a 95% confidence interval from 14.4 to 19.6 and 35 average annual counts over 2019-2023.
• CI*Rank ⋔ : 71 (43, 79)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.7 to -0.5.

Prince George County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 16.8 with a 95% confidence interval from 9.4 to 27.6 and 3 average annual counts over 2019-2023.
• CI*Rank ⋔ : 72 (8, 81)
• Recent Trend :

Rockingham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 16.4 with a 95% confidence interval from 12.3 to 21.8 and 11 average annual counts over 2019-2023.
• CI*Rank ⋔ : 73 (27, 81)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -3.9 to 0.2.

Pulaski County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 16.1 with a 95% confidence interval from 10.4 to 24.7 and 5 average annual counts over 2019-2023.
• CI*Rank ⋔ : 74 (17, 81)
• Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -5.3 to -0.9.

Amherst County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 16.1 with a 95% confidence interval from 10.1 to 25.1 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 75 (15, 81)
• Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -5.8 to 0.7.

Augusta County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 16.0 with a 95% confidence interval from 11.8 to 21.5 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 76 (26, 81)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.7 to 0.8.

Alexandria City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : No
• Rate : The death rate is 15.7 with a 95% confidence interval from 12.2 to 20.0 and 13 average annual counts over 2019-2023.
• CI*Rank ⋔ : 77 (38, 81)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.7 to -0.3.

Louisa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : Yes
• Rate : The death rate is 15.1 with a 95% confidence interval from 9.5 to 23.4 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 78 (21, 81)
• Recent Trend :

Campbell County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : Yes
• Rate : The death rate is 13.4 with a 95% confidence interval from 8.9 to 19.7 and 6 average annual counts over 2019-2023.
• CI*Rank ⋔ : 79 (37, 81)
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.8 to 0.6.

Albemarle County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : Yes
• Rate : The death rate is 11.1 with a 95% confidence interval from 8.2 to 14.9 and 10 average annual counts over 2019-2023.
• CI*Rank ⋔ : 80 (67, 81)
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.7 to -0.9.

York County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : Yes
• Rate : The death rate is 9.9 with a 95% confidence interval from 6.3 to 15.1 and 4 average annual counts over 2019-2023.
• CI*Rank ⋔ : 81 (67, 81)
• Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -7.2 to 0.9.

Alleghany County and Clifton Forge City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Appomattox County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Bath County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Bland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Buckingham County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Buena Vista City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Caroline County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Charles City County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Charlotte County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Clarke County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Covington City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Craig County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Cumberland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Emporia City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Essex County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Falls Church City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Floyd County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Fluvanna County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Franklin City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Galax City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Giles County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Grayson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Greene County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Greensville County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Harrisonburg City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Highland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

King George County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

King William County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

King and Queen County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Lancaster County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Lexington City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Madison County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Manassas Park City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Martinsville City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Mathews County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Middlesex County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Northampton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Northumberland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Norton City

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Nottoway County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Patrick County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Poquoson City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Prince Edward County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Radford City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Rappahannock County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Richmond County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Smyth County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Southampton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Surry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Sussex County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Westmoreland County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Williamsburg City

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 15.3? : ***
• Rate :
• CI*Rank ⋔ : *
• Recent Trend : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/11/2026 1:21 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+).

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.