State Cancer Profiles

Interpretation of Death Rates Data

Death Rate Report for Michigan by County

All Cancer Sites, 2018-2022

White Non-Hispanic, Both Sexes, All Ages

Sorted by Count

Explanation of Column Headers

Objective - The objective of 122.7 is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

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

Michigan

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.4 with a 95% confidence interval from 157.3 to 159.5 and 17,719 average annual deaths over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.6 to -1.0.

United States (6)

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.3 with a 95% confidence interval from 151.1 to 151.5 and 463,400 average annual deaths over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.5 to -1.1.

Wayne County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 159.1 with a 95% confidence interval from 155.9 to 162.3 and 2,005 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 58 (42, 66)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.8 to -1.4.

Oakland County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.6 with a 95% confidence interval from 136.7 to 142.6 and 1,882 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 76 (70, 81)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.5 to -1.3.

Macomb County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 162.3 with a 95% confidence interval from 158.8 to 165.9 and 1,687 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 51 (35, 62)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.1 to -0.9.

Kent County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.6 with a 95% confidence interval from 146.2 to 155.1 and 931 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 69 (56, 75)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.1 to -0.9.

Genesee County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 168.3 with a 95% confidence interval from 162.8 to 174.0 and 745 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 36 (22, 56)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -3.7 to -0.9.

Ottawa County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 136.9 with a 95% confidence interval from 131.2 to 142.8 and 446 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 78 (70, 82)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.1 to -0.6.

Washtenaw County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 134.2 with a 95% confidence interval from 128.5 to 140.1 and 440 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 81 (72, 83)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.6 to -1.2.

Kalamazoo County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 154.0 with a 95% confidence interval from 147.3 to 161.0 and 412 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 62 (44, 75)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.8.

Ingham County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 161.0 with a 95% confidence interval from 153.8 to 168.5 and 394 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 53 (28, 70)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.1 to 0.3.

Livingston County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 147.6 with a 95% confidence interval from 140.7 to 154.7 and 374 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 72 (53, 80)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -1.8 to -1.2.

St. Clair County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.5 with a 95% confidence interval from 161.7 to 177.7 and 373 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 35 (16, 60)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.8.

Muskegon County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.7 with a 95% confidence interval from 167.4 to 184.5 and 352 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 27 (11, 50)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -0.9 to -0.4.

Jackson County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 169.8 with a 95% confidence interval from 161.7 to 178.3 and 346 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 34 (16, 61)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.1 to -0.5.

Monroe County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.4 with a 95% confidence interval from 158.4 to 174.7 and 344 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 39 (19, 64)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.8.

Saginaw County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 154.7 with a 95% confidence interval from 147.1 to 162.6 and 338 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 61 (38, 75)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.3 to -0.8.

Berrien County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 161.2 with a 95% confidence interval from 153.1 to 169.6 and 321 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 52 (26, 71)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.2 to -0.6.

Calhoun County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 185.4 with a 95% confidence interval from 175.7 to 195.6 and 288 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 15 (4, 36)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.3.

Bay County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 171.9 with a 95% confidence interval from 162.3 to 182.0 and 258 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 32 (13, 60)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.0 to -0.6.

Allegan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 163.5 with a 95% confidence interval from 154.0 to 173.4 and 237 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 47 (20, 70)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.1 to -0.5.

Eaton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 156.7 with a 95% confidence interval from 147.3 to 166.7 and 219 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 60 (28, 75)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.0 to -0.4.

Lenawee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 160.6 with a 95% confidence interval from 150.7 to 171.0 and 210 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 55 (22, 74)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.3.

Lapeer County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.4 with a 95% confidence interval from 155.9 to 177.5 and 201 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 40 (15, 69)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.5.

Grand Traverse County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 139.5 with a 95% confidence interval from 130.6 to 149.1 and 192 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 77 (61, 82)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.6 to -0.8.

Midland County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.1 with a 95% confidence interval from 142.0 to 162.9 and 178 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 66 (33, 80)
• Recent Trend : The trend is rising because the trend is 2.3 with a 95% confidence interval from 0.6 to 5.9.

Montcalm County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 180.9 with a 95% confidence interval from 168.0 to 194.5 and 154 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 19 (5, 53)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.5.

Van Buren County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 163.7 with a 95% confidence interval from 151.8 to 176.3 and 154 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 46 (16, 73)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.1 to -0.2.

Shiawassee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.1 with a 95% confidence interval from 153.3 to 177.7 and 153 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 44 (14, 73)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.5.

Marquette County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 153.5 with a 95% confidence interval from 141.9 to 165.9 and 139 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 63 (28, 79)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.3.

Tuscola County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.4 with a 95% confidence interval from 161.1 to 188.6 and 137 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 30 (7, 65)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.2.

Clinton County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.3 with a 95% confidence interval from 125.1 to 146.2 and 135 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 80 (61, 83)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.7 to -0.9.

Barry County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.7 with a 95% confidence interval from 140.7 to 165.6 and 126 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 64 (28, 81)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -3.9 to -0.9.

St. Joseph County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 163.3 with a 95% confidence interval from 150.5 to 177.1 and 126 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 48 (16, 74)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.6.

Cass County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 170.1 with a 95% confidence interval from 156.6 to 184.7 and 125 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 33 (9, 71)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.4.

Hillsdale County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 188.5 with a 95% confidence interval from 173.5 to 204.7 and 124 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 13 (2, 47)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.0.

Ionia County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 166.5 with a 95% confidence interval from 153.1 to 180.8 and 120 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 38 (11, 73)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.5.

Newaygo County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.5 with a 95% confidence interval from 151.6 to 180.5 and 114 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 41 (12, 74)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.4.

Sanilac County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 180.8 with a 95% confidence interval from 165.4 to 197.4 and 113 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 20 (4, 64)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.1 to -0.2.

Isabella County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.9 with a 95% confidence interval from 164.4 to 196.5 and 105 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 22 (4, 62)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.1.

Delta County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 167.1 with a 95% confidence interval from 152.3 to 183.2 and 105 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 37 (9, 75)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.5.

Clare County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 207.2 with a 95% confidence interval from 188.8 to 227.3 and 104 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 3 (1, 25)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.0 to -0.2.

Mecosta County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 182.7 with a 95% confidence interval from 166.2 to 200.7 and 98 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 17 (3, 61)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -0.9 to 0.0.

Branch County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 164.0 with a 95% confidence interval from 149.3 to 179.9 and 97 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 45 (12, 76)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

Iosco County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 200.3 with a 95% confidence interval from 181.0 to 221.6 and 96 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 5 (1, 36)
• Recent Trend : The trend is stable because the trend is 5.2 with a 95% confidence interval from -1.1 to 12.3.

Gratiot County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.1 with a 95% confidence interval from 162.7 to 196.9 and 92 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 24 (3, 67)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.2.

Huron County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 162.6 with a 95% confidence interval from 147.4 to 179.4 and 92 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 49 (13, 78)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.1 to -0.3.

Roscommon County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 186.8 with a 95% confidence interval from 167.9 to 208.1 and 90 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 14 (1, 59)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.5.

Alpena County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 180.2 with a 95% confidence interval from 163.1 to 199.0 and 89 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 21 (3, 67)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.3.

Gladwin County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 190.1 with a 95% confidence interval from 171.2 to 211.0 and 86 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 11 (1, 54)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.3 to 0.0.

Mason County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 179.3 with a 95% confidence interval from 161.5 to 198.9 and 84 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 23 (3, 68)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.2 to -0.1.

Emmet County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 152.6 with a 95% confidence interval from 137.5 to 169.2 and 82 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 65 (19, 82)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

Houghton County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 175.4 with a 95% confidence interval from 158.1 to 194.3 and 80 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 28 (4, 70)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.4.

Chippewa County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 183.0 with a 95% confidence interval from 164.7 to 203.2 and 79 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 16 (2, 65)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.1.

Wexford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.5 with a 95% confidence interval from 148.9 to 183.6 and 79 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 42 (9, 78)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.1.

Manistee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 173.7 with a 95% confidence interval from 155.6 to 193.8 and 77 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 31 (4, 72)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.6.

Cheboygan County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 162.4 with a 95% confidence interval from 145.2 to 181.6 and 75 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 50 (10, 80)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.3.

Ogemaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 191.3 with a 95% confidence interval from 170.5 to 214.5 and 71 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 10 (1, 56)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.4.

Charlevoix County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 160.8 with a 95% confidence interval from 143.4 to 180.1 and 70 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 54 (11, 80)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.3.

Menominee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 160.1 with a 95% confidence interval from 142.8 to 179.5 and 67 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 56 (12, 80)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.0.

Antrim County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.4 with a 95% confidence interval from 134.1 to 170.8 and 64 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 68 (19, 82)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.9 to -0.9.

Oceana County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 158.2 with a 95% confidence interval from 140.1 to 178.4 and 61 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 59 (9, 81)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.

Osceola County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 177.6 with a 95% confidence interval from 157.6 to 199.8 and 61 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 26 (3, 72)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

Dickinson County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 141.3 with a 95% confidence interval from 125.3 to 159.3 and 61 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 75 (36, 83)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.7.

Otsego County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 159.4 with a 95% confidence interval from 141.2 to 179.7 and 60 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 57 (11, 81)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.3.

Kalkaska County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 227.1 with a 95% confidence interval from 199.7 to 257.6 and 55 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 1 (1, 20)
• Recent Trend : The trend is stable because the trend is 7.8 with a 95% confidence interval from -0.8 to 14.4.

Leelanau County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : Yes
• Rate : The death rate is 114.6 with a 95% confidence interval from 100.2 to 131.4 and 55 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 83 (76, 83)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.0 to -0.8.

Crawford County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 196.7 with a 95% confidence interval from 171.6 to 225.6 and 49 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 6 (1, 59)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.0.

Benzie County

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 148.6 with a 95% confidence interval from 128.2 to 171.9 and 46 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 71 (15, 83)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.4.

Arenac County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 178.6 with a 95% confidence interval from 154.1 to 206.7 and 45 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 25 (1, 77)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.2.

Alcona County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 182.4 with a 95% confidence interval from 157.3 to 213.0 and 44 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 18 (1, 75)
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.1.

Iron County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 174.9 with a 95% confidence interval from 148.6 to 205.8 and 40 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 29 (2, 80)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.5.

Presque Isle County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 146.8 with a 95% confidence interval from 124.9 to 172.7 and 40 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 73 (15, 83)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.5.

Montmorency County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 211.8 with a 95% confidence interval from 179.4 to 250.2 and 39 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 2 (1, 49)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.5.

Lake County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 192.2 with a 95% confidence interval from 163.4 to 226.1 and 38 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 9 (1, 71)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.3.

Missaukee County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 165.4 with a 95% confidence interval from 141.6 to 192.6 and 37 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 43 (4, 82)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.2.

Gogebic County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 135.7 with a 95% confidence interval from 115.5 to 159.4 and 37 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 79 (31, 83)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -14.4 to -1.6.

Oscoda County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 194.7 with a 95% confidence interval from 162.8 to 233.0 and 30 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 8 (1, 77)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.8.

Schoolcraft County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 189.4 with a 95% confidence interval from 157.8 to 228.0 and 28 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 12 (1, 78)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.6.

Mackinac County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 145.3 with a 95% confidence interval from 119.4 to 177.8 and 27 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 74 (9, 83)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.6 to -1.0.

Ontonagon County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 151.9 with a 95% confidence interval from 124.8 to 189.8 and 23 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 67 (7, 83)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.8 to 0.1.

Baraga County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 196.3 with a 95% confidence interval from 160.5 to 240.1 and 23 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 7 (1, 77)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.2 to 0.4.

Alger County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 150.5 with a 95% confidence interval from 121.5 to 186.4 and 21 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 70 (5, 83)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.1.

Luce County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 207.1 with a 95% confidence interval from 164.8 to 259.8 and 19 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 4 (1, 78)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.3.

Keweenaw County

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Met Healthy People Objective of 122.7? : No
• Rate : The death rate is 133.9 with a 95% confidence interval from 87.3 to 210.4 and 6 average annual deaths over 2018-2022.
• CI*Rank ⋔ : 82 (1, 83)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.6 to -0.2.

Notes:
Created by statecancerprofiles.cancer.gov on 06/14/2025 7:10 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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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.

Healthy People 2030 Objectives provided by the Centers for Disease Control and Prevention.
⁶ Hispanic mortality recent trend data for the United States has been excluded for the following states: Louisiana, New Hampshire, and Oklahoma. The data on Hispanic and non-Hispanic mortality for these states may be unreliable for the time period used in the generation of the recent trend (1990 - 2022) and has been excluded from the calculation of the United States recent trend. This was based on the NCHS Policy.

Φ Rural-Urban Continuum Codes provided by the USDA.


Please note that the data comes from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

Data for United States does not include Puerto Rico.