Death Rates Table
Death Rate Report for North Carolina by County
All Cancer Sites, 2018-2022
All Races (includes Hispanic), Both Sexes, Ages 50+
Sorted by CI*Rank
County
|
2023 Rural-Urban Continuum Codes Φ
|
Met Healthy People Objective of 122.7? |
Age-Adjusted Death Rate † deaths per 100,000 (95% Confidence Interval)
|
CI*Rank ⋔ (95% Confidence Interval) 
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend ‡ in Death Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|---|
| North Carolina | N/A | No | 517.0 (513.6, 520.3) | N/A | 19,094 |
falling 
|
-1.7 (-2.0, -1.5) |
| United States | N/A | No | 490.4 (489.9, 491.0) | N/A | 573,761 |
falling
|
-1.7 (-1.9, -1.6) |
| Orange County | Urban | No | 401.9 (375.8, 429.2) | 100 (91, 100) | 184 |
falling
|
-2.6 (-6.2, -2.1) |
| Wake County | Urban | No | 420.1 (409.5, 430.9) | 99 (91, 100) | 1,248 |
falling
|
-4.6 (-6.3, -3.3) |
| Chatham County | Urban | No | 420.1 (391.8, 449.9) | 98 (85, 100) | 167 |
falling
|
-1.5 (-1.9, -1.1) |
| Watauga County | Rural | No | 427.5 (384.9, 473.4) | 97 (72, 100) | 76 |
falling
|
-1.2 (-1.7, -0.6) |
| Polk County | Rural | No | 434.8 (384.1, 490.6) | 96 (61, 100) | 56 |
falling
|
-1.5 (-1.9, -1.0) |
| Jackson County | Rural | No | 437.2 (393.1, 484.8) | 95 (66, 100) | 75 |
falling
|
-10.9 (-16.6, -2.2) |
| Transylvania County | Rural | No | 437.8 (397.2, 481.7) | 94 (68, 100) | 91 |
falling
|
-1.6 (-2.2, -1.1) |
| Clay County | Rural | No | 440.8 (369.9, 521.7) | 93 (38, 100) | 30 |
falling
|
-1.3 (-1.8, -0.8) |
| Mecklenburg County | Urban | No | 445.2 (434.0, 456.7) | 92 (85, 97) | 1,259 |
falling
|
-2.3 (-4.3, -1.8) |
| Avery County | Rural | No | 447.0 (383.9, 517.5) | 91 (36, 100) | 37 |
falling
|
-1.3 (-2.0, -0.5) |
| Durham County | Urban | No | 453.4 (433.9, 473.5) | 90 (79, 97) | 427 |
falling
|
-3.8 (-5.9, -2.4) |
| Buncombe County | Urban | No | 458.4 (440.7, 476.6) | 89 (77, 96) | 521 |
falling
|
-1.5 (-1.7, -1.3) |
| Pamlico County | Rural | No | 467.2 (398.7, 544.5) | 88 (27, 100) | 35 |
falling
|
-1.7 (-2.4, -1.0) |
| Cabarrus County | Urban | No | 475.0 (451.2, 499.7) | 87 (65, 94) | 310 |
falling
|
-2.2 (-3.5, -1.6) |
| Union County | Urban | No | 483.1 (459.5, 507.6) | 86 (61, 93) | 331 |
falling
|
-1.4 (-1.7, -1.0) |
| Henderson County | Urban | No | 483.2 (458.5, 508.8) | 85 (60, 93) | 296 |
falling
|
-1.0 (-1.4, -0.6) |
| Iredell County | Urban | No | 485.7 (461.8, 510.6) | 84 (60, 93) | 319 |
falling
|
-2.8 (-6.9, -1.3) |
| Madison County | Urban | No | 485.9 (425.9, 552.1) | 83 (21, 100) | 49 |
stable 
|
0.7 (-2.7, 8.2) |
| Hyde County | Rural | No | 486.9 (361.3, 642.8) | 82 (2, 100) | 10 |
falling
|
-10.9 (-29.1, -0.8) |
| Dare County | Rural | No | 490.0 (442.0, 541.7) | 81 (33, 98) | 83 |
falling
|
-1.4 (-1.9, -0.7) |
| Macon County | Rural | No | 494.3 (451.2, 540.6) | 80 (34, 96) | 102 |
falling
|
-0.8 (-1.3, -0.3) |
| Currituck County | Urban | No | 494.7 (432.5, 563.2) | 79 (15, 100) | 51 |
falling
|
-2.0 (-2.6, -1.3) |
| New Hanover County | Urban | No | 496.1 (475.1, 517.9) | 78 (55, 89) | 429 |
falling
|
-1.4 (-1.7, -1.1) |
| Gates County | Urban | No | 496.4 (409.4, 596.3) | 77 (8, 100) | 23 |
falling
|
-1.6 (-2.3, -0.8) |
| Northampton County | Rural | No | 496.9 (435.8, 564.3) | 76 (18, 100) | 50 |
falling
|
-1.5 (-2.2, -0.8) |
| Moore County | Urban | No | 502.0 (474.1, 531.2) | 75 (46, 90) | 251 |
falling
|
-1.1 (-1.4, -0.9) |
| Lincoln County | Urban | No | 503.7 (470.0, 539.2) | 74 (39, 91) | 173 |
falling
|
-5.4 (-9.3, -1.1) |
| Cherokee County | Rural | No | 504.0 (456.1, 555.7) | 73 (23, 96) | 86 |
falling
|
-1.0 (-1.5, -0.5) |
| Guilford County | Urban | No | 504.2 (489.4, 519.3) | 72 (56, 85) | 902 |
falling
|
-1.3 (-1.5, -1.1) |
| Pitt County | Urban | No | 509.7 (482.0, 538.6) | 71 (40, 88) | 263 |
falling
|
-1.5 (-1.8, -1.3) |
| Catawba County | Urban | No | 510.5 (485.3, 536.6) | 70 (42, 88) | 316 |
falling
|
-1.5 (-3.2, -1.2) |
| Lee County | Rural | No | 511.2 (470.2, 554.8) | 69 (30, 92) | 118 |
falling
|
-1.3 (-1.7, -0.9) |
| Brunswick County | Urban | No | 513.6 (490.2, 537.9) | 68 (44, 86) | 413 |
falling
|
-1.2 (-1.4, -0.9) |
| Montgomery County | Rural | No | 517.0 (458.9, 580.5) | 67 (15, 96) | 60 |
falling
|
-1.1 (-1.7, -0.5) |
| Alleghany County | Rural | No | 517.6 (439.6, 605.9) | 66 (6, 100) | 32 |
falling
|
-1.3 (-2.2, -0.4) |
| Ashe County | Rural | No | 521.2 (469.5, 577.3) | 65 (16, 94) | 76 |
falling
|
-0.9 (-1.4, -0.3) |
| Duplin County | Rural | No | 524.2 (479.5, 571.9) | 64 (21, 91) | 104 |
falling
|
-1.5 (-1.9, -1.1) |
| Franklin County | Urban | No | 525.1 (484.8, 567.9) | 63 (21, 90) | 132 |
falling
|
-1.9 (-6.2, -1.2) |
| Perquimans County | Rural | No | 526.6 (453.0, 609.2) | 62 (4, 99) | 38 |
falling
|
-1.4 (-1.9, -0.8) |
| Forsyth County | Urban | No | 528.5 (510.9, 546.4) | 61 (40, 77) | 704 |
falling
|
-1.5 (-2.2, -1.2) |
| Pasquotank County | Rural | No | 529.2 (478.5, 583.9) | 60 (14, 91) | 82 |
falling
|
-1.2 (-1.7, -0.8) |
| Davie County | Urban | No | 530.3 (485.1, 578.5) | 59 (17, 91) | 103 |
stable
|
-0.4 (-0.9, 0.1) |
| Chowan County | Rural | No | 530.6 (456.0, 614.1) | 58 (4, 99) | 38 |
falling
|
-0.8 (-1.4, -0.2) |
| Haywood County | Rural | No | 533.1 (497.0, 571.2) | 57 (21, 85) | 167 |
falling
|
-0.6 (-1.0, -0.2) |
| Burke County | Urban | No | 535.9 (503.7, 569.6) | 56 (23, 82) | 211 |
falling
|
-1.7 (-5.2, -0.8) |
| Stokes County | Urban | No | 539.2 (495.3, 585.9) | 55 (15, 86) | 113 |
falling
|
-1.2 (-1.7, -0.6) |
| Camden County | Urban | No | 543.2 (440.1, 662.8) | 54 (1, 100) | 20 |
stable
|
1.6 (-1.9, 12.7) |
| Gaston County | Urban | No | 543.6 (520.9, 567.1) | 53 (27, 72) | 444 |
falling
|
-1.3 (-1.9, -1.0) |
| Nash County | Urban | No | 546.6 (513.0, 581.7) | 52 (18, 80) | 205 |
falling
|
-3.9 (-7.7, -1.1) |
| Alexander County | Urban | No | 550.1 (498.5, 605.6) | 51 (9, 87) | 85 |
falling
|
-0.7 (-1.1, -0.1) |
| Carteret County | Rural | No | 550.4 (515.7, 586.9) | 50 (16, 80) | 195 |
falling
|
-1.2 (-1.5, -0.9) |
| Johnston County | Urban | No | 551.1 (524.5, 578.6) | 49 (18, 71) | 348 |
falling
|
-1.3 (-2.6, -1.0) |
| Lenoir County | Rural | No | 552.0 (510.4, 596.2) | 48 (13, 83) | 134 |
falling
|
-1.1 (-1.5, -0.8) |
| Jones County | Rural | No | 552.5 (458.6, 660.4) | 47 (1, 100) | 25 |
stable
|
-0.3 (-1.4, 0.8) |
| Wilkes County | Rural | No | 553.1 (516.1, 591.9) | 46 (15, 80) | 170 |
falling
|
-0.6 (-0.9, -0.2) |
| Yadkin County | Urban | No | 554.2 (503.9, 608.1) | 45 (8, 85) | 90 |
falling
|
-0.7 (-1.1, -0.2) |
| Hertford County | Rural | No | 554.6 (488.1, 627.6) | 44 (5, 91) | 52 |
falling
|
-1.7 (-2.3, -1.1) |
| Rowan County | Urban | No | 556.6 (528.8, 585.5) | 43 (17, 70) | 308 |
falling
|
-3.8 (-6.9, -1.2) |
| Warren County | Rural | No | 558.4 (492.9, 630.3) | 42 (4, 91) | 55 |
falling
|
-1.1 (-1.8, -0.4) |
| Pender County | Urban | No | 561.8 (518.5, 607.6) | 41 (11, 80) | 131 |
falling
|
-0.8 (-1.4, -0.2) |
| Beaufort County | Rural | No | 562.3 (517.8, 609.6) | 40 (10, 78) | 123 |
falling
|
-1.0 (-1.5, -0.5) |
| Granville County | Rural | No | 564.7 (521.3, 610.7) | 39 (9, 80) | 130 |
falling
|
-2.2 (-5.9, -1.2) |
| Hoke County | Urban | No | 566.1 (505.4, 631.9) | 38 (3, 85) | 71 |
falling
|
-1.6 (-2.2, -0.8) |
| Washington County | Rural | No | 566.5 (480.5, 663.7) | 37 (2, 96) | 32 |
falling
|
-1.3 (-2.3, -0.4) |
| Rockingham County | Urban | No | 567.3 (534.5, 601.6) | 36 (14, 68) | 228 |
falling
|
-1.4 (-2.4, -1.1) |
| Bladen County | Rural | No | 568.4 (512.8, 628.5) | 35 (4, 83) | 79 |
falling
|
-0.9 (-1.6, -0.2) |
| Bertie County | Rural | No | 571.0 (500.0, 649.4) | 34 (2, 93) | 49 |
falling
|
-1.7 (-2.4, -1.1) |
| Randolph County | Urban | No | 571.4 (543.3, 600.5) | 33 (13, 63) | 319 |
falling
|
-0.6 (-0.8, -0.3) |
| Wilson County | Rural | No | 572.5 (534.9, 612.1) | 32 (11, 71) | 177 |
falling
|
-0.9 (-1.3, -0.6) |
| Mitchell County | Rural | No | 573.7 (499.6, 655.8) | 31 (2, 91) | 44 |
falling
|
-0.8 (-1.3, -0.3) |
| Yancey County | Rural | No | 573.9 (507.4, 646.8) | 30 (2, 89) | 56 |
stable
|
0.0 (-0.5, 0.6) |
| Rutherford County | Rural | No | 574.2 (535.3, 615.2) | 29 (9, 71) | 166 |
falling
|
-0.6 (-0.9, -0.2) |
| Cumberland County | Urban | No | 574.3 (552.1, 597.1) | 28 (15, 56) | 522 |
falling
|
-1.2 (-1.4, -1.0) |
| Stanly County | Rural | No | 578.1 (535.7, 622.8) | 27 (7, 74) | 142 |
falling
|
-0.8 (-1.4, -0.5) |
| Person County | Urban | No | 580.0 (528.7, 635.0) | 26 (3, 79) | 97 |
falling
|
-0.7 (-1.3, -0.1) |
| Caswell County | Rural | No | 582.4 (518.3, 652.3) | 25 (2, 87) | 62 |
falling
|
-1.0 (-1.5, -0.3) |
| Alamance County | Urban | No | 584.2 (557.6, 611.7) | 24 (11, 54) | 368 |
falling
|
-0.7 (-1.0, -0.4) |
| Craven County | Rural | No | 585.0 (551.8, 619.6) | 23 (8, 60) | 241 |
falling
|
-1.0 (-1.2, -0.7) |
| Davidson County | Urban | No | 585.5 (559.6, 612.3) | 22 (12, 53) | 393 |
falling
|
-0.5 (-0.9, -0.1) |
| Harnett County | Rural | No | 588.6 (554.4, 624.5) | 21 (8, 58) | 228 |
falling
|
-1.0 (-1.3, -0.7) |
| Martin County | Rural | No | 591.8 (527.6, 661.7) | 20 (2, 79) | 64 |
falling
|
-1.6 (-2.1, -1.0) |
| Greene County | Rural | No | 592.0 (514.3, 678.1) | 19 (1, 87) | 43 |
stable
|
-0.9 (-10.9, 1.2) |
| Caldwell County | Urban | No | 594.4 (558.1, 632.5) | 18 (5, 60) | 205 |
falling
|
-0.7 (-1.0, -0.4) |
| Graham County | Rural | No | 596.6 (491.7, 717.5) | 17 (1, 95) | 23 |
falling
|
-1.0 (-1.9, -0.1) |
| Anson County | Urban | No | 607.6 (537.4, 684.4) | 16 (1, 77) | 56 |
stable
|
-0.4 (-0.9, 0.2) |
| Cleveland County | Rural | No | 610.7 (576.0, 647.0) | 15 (4, 44) | 238 |
falling
|
-0.7 (-4.0, -0.2) |
| Vance County | Rural | No | 622.1 (569.2, 678.6) | 14 (2, 54) | 105 |
falling
|
-0.9 (-1.3, -0.5) |
| Wayne County | Urban | No | 631.9 (597.8, 667.5) | 13 (2, 32) | 263 |
falling
|
-0.8 (-1.1, -0.5) |
| Surry County | Rural | No | 633.9 (594.5, 675.3) | 12 (2, 39) | 196 |
stable
|
-0.1 (-0.4, 0.2) |
| Columbus County | Rural | No | 641.2 (593.4, 691.8) | 11 (1, 43) | 137 |
falling
|
-0.8 (-1.2, -0.4) |
| McDowell County | Rural | No | 641.4 (591.3, 694.6) | 10 (1, 43) | 124 |
stable
|
0.1 (-0.3, 0.5) |
| Edgecombe County | Urban | No | 644.0 (595.2, 695.8) | 9 (1, 41) | 134 |
stable
|
-0.1 (-0.6, 0.6) |
| Halifax County | Rural | No | 650.7 (602.9, 701.3) | 8 (1, 35) | 141 |
falling
|
-0.5 (-0.8, -0.2) |
| Sampson County | Rural | No | 651.8 (604.5, 701.8) | 7 (1, 34) | 144 |
stable
|
-0.2 (-0.5, 0.2) |
| Tyrrell County | Rural | No | 652.3 (493.4, 848.5) | 6 (1, 100) | 11 |
stable
|
-0.6 (-2.2, 1.1) |
| Scotland County | Rural | No | 653.2 (591.7, 719.3) | 5 (1, 47) | 85 |
stable
|
-0.4 (-1.0, 0.2) |
| Onslow County | Urban | No | 654.8 (620.1, 690.9) | 4 (1, 24) | 278 |
falling
|
-0.7 (-1.1, -0.2) |
| Richmond County | Rural | No | 661.6 (606.4, 720.6) | 3 (1, 34) | 109 |
stable
|
-0.4 (-0.8, 0.0) |
| Robeson County | Rural | No | 662.9 (626.7, 700.7) | 2 (1, 19) | 261 |
falling
|
-0.6 (-3.8, -0.2) |
| Swain County | Rural | No | 766.7 (668.1, 875.9) | 1 (1, 21) | 45 |
stable
|
0.5 (-0.3, 1.3) |
Notes:
Created by statecancerprofiles.cancer.gov on 06/17/2025 4:06 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.
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.
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.
Created by statecancerprofiles.cancer.gov on 06/17/2025 4:06 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.
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 (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.
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.
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.