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 Rate
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) |
| Swain County | Rural | No | 766.7 (668.1, 875.9) | 1 (1, 21) | 45 |
stable 
|
0.5 (-0.3, 1.3) |
| Robeson County | Rural | No | 662.9 (626.7, 700.7) | 2 (1, 19) | 261 |
falling
|
-0.6 (-3.8, -0.2) |
| Richmond County | Rural | No | 661.6 (606.4, 720.6) | 3 (1, 34) | 109 |
stable
|
-0.4 (-0.8, 0.0) |
| Onslow County | Urban | No | 654.8 (620.1, 690.9) | 4 (1, 24) | 278 |
falling
|
-0.7 (-1.1, -0.2) |
| Scotland County | Rural | No | 653.2 (591.7, 719.3) | 5 (1, 47) | 85 |
stable
|
-0.4 (-1.0, 0.2) |
| Tyrrell County | Rural | No | 652.3 (493.4, 848.5) | 6 (1, 100) | 11 |
stable
|
-0.6 (-2.2, 1.1) |
| Sampson County | Rural | No | 651.8 (604.5, 701.8) | 7 (1, 34) | 144 |
stable
|
-0.2 (-0.5, 0.2) |
| Halifax County | Rural | No | 650.7 (602.9, 701.3) | 8 (1, 35) | 141 |
falling
|
-0.5 (-0.8, -0.2) |
| Edgecombe County | Urban | No | 644.0 (595.2, 695.8) | 9 (1, 41) | 134 |
stable
|
-0.1 (-0.6, 0.6) |
| McDowell County | Rural | No | 641.4 (591.3, 694.6) | 10 (1, 43) | 124 |
stable
|
0.1 (-0.3, 0.5) |
| Columbus County | Rural | No | 641.2 (593.4, 691.8) | 11 (1, 43) | 137 |
falling
|
-0.8 (-1.2, -0.4) |
| Surry County | Rural | No | 633.9 (594.5, 675.3) | 12 (2, 39) | 196 |
stable
|
-0.1 (-0.4, 0.2) |
| Wayne County | Urban | No | 631.9 (597.8, 667.5) | 13 (2, 32) | 263 |
falling
|
-0.8 (-1.1, -0.5) |
| Vance County | Rural | No | 622.1 (569.2, 678.6) | 14 (2, 54) | 105 |
falling
|
-0.9 (-1.3, -0.5) |
| Cleveland County | Rural | No | 610.7 (576.0, 647.0) | 15 (4, 44) | 238 |
falling
|
-0.7 (-4.0, -0.2) |
| Anson County | Urban | No | 607.6 (537.4, 684.4) | 16 (1, 77) | 56 |
stable
|
-0.4 (-0.9, 0.2) |
| Graham County | Rural | No | 596.6 (491.7, 717.5) | 17 (1, 95) | 23 |
falling
|
-1.0 (-1.9, -0.1) |
| Caldwell County | Urban | No | 594.4 (558.1, 632.5) | 18 (5, 60) | 205 |
falling
|
-0.7 (-1.0, -0.4) |
| Greene County | Rural | No | 592.0 (514.3, 678.1) | 19 (1, 87) | 43 |
stable
|
-0.9 (-10.9, 1.2) |
| Martin County | Rural | No | 591.8 (527.6, 661.7) | 20 (2, 79) | 64 |
falling
|
-1.6 (-2.1, -1.0) |
| Harnett County | Rural | No | 588.6 (554.4, 624.5) | 21 (8, 58) | 228 |
falling
|
-1.0 (-1.3, -0.7) |
| Davidson County | Urban | No | 585.5 (559.6, 612.3) | 22 (12, 53) | 393 |
falling
|
-0.5 (-0.9, -0.1) |
| Craven County | Rural | No | 585.0 (551.8, 619.6) | 23 (8, 60) | 241 |
falling
|
-1.0 (-1.2, -0.7) |
| Alamance County | Urban | No | 584.2 (557.6, 611.7) | 24 (11, 54) | 368 |
falling
|
-0.7 (-1.0, -0.4) |
| Caswell County | Rural | No | 582.4 (518.3, 652.3) | 25 (2, 87) | 62 |
falling
|
-1.0 (-1.5, -0.3) |
| Person County | Urban | No | 580.0 (528.7, 635.0) | 26 (3, 79) | 97 |
falling
|
-0.7 (-1.3, -0.1) |
| Stanly County | Rural | No | 578.1 (535.7, 622.8) | 27 (7, 74) | 142 |
falling
|
-0.8 (-1.4, -0.5) |
| Cumberland County | Urban | No | 574.3 (552.1, 597.1) | 28 (15, 56) | 522 |
falling
|
-1.2 (-1.4, -1.0) |
| Rutherford County | Rural | No | 574.2 (535.3, 615.2) | 29 (9, 71) | 166 |
falling
|
-0.6 (-0.9, -0.2) |
| Yancey County | Rural | No | 573.9 (507.4, 646.8) | 30 (2, 89) | 56 |
stable
|
0.0 (-0.5, 0.6) |
| Mitchell County | Rural | No | 573.7 (499.6, 655.8) | 31 (2, 91) | 44 |
falling
|
-0.8 (-1.3, -0.3) |
| Wilson County | Rural | No | 572.5 (534.9, 612.1) | 32 (11, 71) | 177 |
falling
|
-0.9 (-1.3, -0.6) |
| Randolph County | Urban | No | 571.4 (543.3, 600.5) | 33 (13, 63) | 319 |
falling
|
-0.6 (-0.8, -0.3) |
| Bertie County | Rural | No | 571.0 (500.0, 649.4) | 34 (2, 93) | 49 |
falling
|
-1.7 (-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) |
| Rockingham County | Urban | No | 567.3 (534.5, 601.6) | 36 (14, 68) | 228 |
falling
|
-1.4 (-2.4, -1.1) |
| Washington County | Rural | No | 566.5 (480.5, 663.7) | 37 (2, 96) | 32 |
falling
|
-1.3 (-2.3, -0.4) |
| Hoke County | Urban | No | 566.1 (505.4, 631.9) | 38 (3, 85) | 71 |
falling
|
-1.6 (-2.2, -0.8) |
| Granville County | Rural | No | 564.7 (521.3, 610.7) | 39 (9, 80) | 130 |
falling
|
-2.2 (-5.9, -1.2) |
| Beaufort County | Rural | No | 562.3 (517.8, 609.6) | 40 (10, 78) | 123 |
falling
|
-1.0 (-1.5, -0.5) |
| Pender County | Urban | No | 561.8 (518.5, 607.6) | 41 (11, 80) | 131 |
falling
|
-0.8 (-1.4, -0.2) |
| Warren County | Rural | No | 558.4 (492.9, 630.3) | 42 (4, 91) | 55 |
falling
|
-1.1 (-1.8, -0.4) |
| Rowan County | Urban | No | 556.6 (528.8, 585.5) | 43 (17, 70) | 308 |
falling
|
-3.8 (-6.9, -1.2) |
| Hertford County | Rural | No | 554.6 (488.1, 627.6) | 44 (5, 91) | 52 |
falling
|
-1.7 (-2.3, -1.1) |
| Yadkin County | Urban | No | 554.2 (503.9, 608.1) | 45 (8, 85) | 90 |
falling
|
-0.7 (-1.1, -0.2) |
| Wilkes County | Rural | No | 553.1 (516.1, 591.9) | 46 (15, 80) | 170 |
falling
|
-0.6 (-0.9, -0.2) |
| Jones County | Rural | No | 552.5 (458.6, 660.4) | 47 (1, 100) | 25 |
stable
|
-0.3 (-1.4, 0.8) |
| Lenoir County | Rural | No | 552.0 (510.4, 596.2) | 48 (13, 83) | 134 |
falling
|
-1.1 (-1.5, -0.8) |
| Johnston County | Urban | No | 551.1 (524.5, 578.6) | 49 (18, 71) | 348 |
falling
|
-1.3 (-2.6, -1.0) |
| Carteret County | Rural | No | 550.4 (515.7, 586.9) | 50 (16, 80) | 195 |
falling
|
-1.2 (-1.5, -0.9) |
| Alexander County | Urban | No | 550.1 (498.5, 605.6) | 51 (9, 87) | 85 |
falling
|
-0.7 (-1.1, -0.1) |
| Nash County | Urban | No | 546.6 (513.0, 581.7) | 52 (18, 80) | 205 |
falling
|
-3.9 (-7.7, -1.1) |
| Gaston County | Urban | No | 543.6 (520.9, 567.1) | 53 (27, 72) | 444 |
falling
|
-1.3 (-1.9, -1.0) |
| Camden County | Urban | No | 543.2 (440.1, 662.8) | 54 (1, 100) | 20 |
stable
|
1.6 (-1.9, 12.7) |
| Stokes County | Urban | No | 539.2 (495.3, 585.9) | 55 (15, 86) | 113 |
falling
|
-1.2 (-1.7, -0.6) |
| Burke County | Urban | No | 535.9 (503.7, 569.6) | 56 (23, 82) | 211 |
falling
|
-1.7 (-5.2, -0.8) |
| Haywood County | Rural | No | 533.1 (497.0, 571.2) | 57 (21, 85) | 167 |
falling
|
-0.6 (-1.0, -0.2) |
| Chowan County | Rural | No | 530.6 (456.0, 614.1) | 58 (4, 99) | 38 |
falling
|
-0.8 (-1.4, -0.2) |
| Davie County | Urban | No | 530.3 (485.1, 578.5) | 59 (17, 91) | 103 |
stable
|
-0.4 (-0.9, 0.1) |
| Pasquotank County | Rural | No | 529.2 (478.5, 583.9) | 60 (14, 91) | 82 |
falling
|
-1.2 (-1.7, -0.8) |
| Forsyth County | Urban | No | 528.5 (510.9, 546.4) | 61 (40, 77) | 704 |
falling
|
-1.5 (-2.2, -1.2) |
| Perquimans County | Rural | No | 526.6 (453.0, 609.2) | 62 (4, 99) | 38 |
falling
|
-1.4 (-1.9, -0.8) |
| Franklin County | Urban | No | 525.1 (484.8, 567.9) | 63 (21, 90) | 132 |
falling
|
-1.9 (-6.2, -1.2) |
| Duplin County | Rural | No | 524.2 (479.5, 571.9) | 64 (21, 91) | 104 |
falling
|
-1.5 (-1.9, -1.1) |
| Ashe County | Rural | No | 521.2 (469.5, 577.3) | 65 (16, 94) | 76 |
falling
|
-0.9 (-1.4, -0.3) |
| Alleghany County | Rural | No | 517.6 (439.6, 605.9) | 66 (6, 100) | 32 |
falling
|
-1.3 (-2.2, -0.4) |
| Montgomery County | Rural | No | 517.0 (458.9, 580.5) | 67 (15, 96) | 60 |
falling
|
-1.1 (-1.7, -0.5) |
| Brunswick County | Urban | No | 513.6 (490.2, 537.9) | 68 (44, 86) | 413 |
falling
|
-1.2 (-1.4, -0.9) |
| Lee County | Rural | No | 511.2 (470.2, 554.8) | 69 (30, 92) | 118 |
falling
|
-1.3 (-1.7, -0.9) |
| Catawba County | Urban | No | 510.5 (485.3, 536.6) | 70 (42, 88) | 316 |
falling
|
-1.5 (-3.2, -1.2) |
| Pitt County | Urban | No | 509.7 (482.0, 538.6) | 71 (40, 88) | 263 |
falling
|
-1.5 (-1.8, -1.3) |
| Guilford County | Urban | No | 504.2 (489.4, 519.3) | 72 (56, 85) | 902 |
falling
|
-1.3 (-1.5, -1.1) |
| Cherokee County | Rural | No | 504.0 (456.1, 555.7) | 73 (23, 96) | 86 |
falling
|
-1.0 (-1.5, -0.5) |
| Lincoln County | Urban | No | 503.7 (470.0, 539.2) | 74 (39, 91) | 173 |
falling
|
-5.4 (-9.3, -1.1) |
| Moore County | Urban | No | 502.0 (474.1, 531.2) | 75 (46, 90) | 251 |
falling
|
-1.1 (-1.4, -0.9) |
| Northampton County | Rural | No | 496.9 (435.8, 564.3) | 76 (18, 100) | 50 |
falling
|
-1.5 (-2.2, -0.8) |
| Gates County | Urban | No | 496.4 (409.4, 596.3) | 77 (8, 100) | 23 |
falling
|
-1.6 (-2.3, -0.8) |
| New Hanover County | Urban | No | 496.1 (475.1, 517.9) | 78 (55, 89) | 429 |
falling
|
-1.4 (-1.7, -1.1) |
| Currituck County | Urban | No | 494.7 (432.5, 563.2) | 79 (15, 100) | 51 |
falling
|
-2.0 (-2.6, -1.3) |
| Macon County | Rural | No | 494.3 (451.2, 540.6) | 80 (34, 96) | 102 |
falling
|
-0.8 (-1.3, -0.3) |
| Dare County | Rural | No | 490.0 (442.0, 541.7) | 81 (33, 98) | 83 |
falling
|
-1.4 (-1.9, -0.7) |
| Hyde County | Rural | No | 486.9 (361.3, 642.8) | 82 (2, 100) | 10 |
falling
|
-10.9 (-29.1, -0.8) |
| Madison County | Urban | No | 485.9 (425.9, 552.1) | 83 (21, 100) | 49 |
stable
|
0.7 (-2.7, 8.2) |
| Iredell County | Urban | No | 485.7 (461.8, 510.6) | 84 (60, 93) | 319 |
falling
|
-2.8 (-6.9, -1.3) |
| Henderson County | Urban | No | 483.2 (458.5, 508.8) | 85 (60, 93) | 296 |
falling
|
-1.0 (-1.4, -0.6) |
| Union County | Urban | No | 483.1 (459.5, 507.6) | 86 (61, 93) | 331 |
falling
|
-1.4 (-1.7, -1.0) |
| Cabarrus County | Urban | No | 475.0 (451.2, 499.7) | 87 (65, 94) | 310 |
falling
|
-2.2 (-3.5, -1.6) |
| Pamlico County | Rural | No | 467.2 (398.7, 544.5) | 88 (27, 100) | 35 |
falling
|
-1.7 (-2.4, -1.0) |
| Buncombe County | Urban | No | 458.4 (440.7, 476.6) | 89 (77, 96) | 521 |
falling
|
-1.5 (-1.7, -1.3) |
| Durham County | Urban | No | 453.4 (433.9, 473.5) | 90 (79, 97) | 427 |
falling
|
-3.8 (-5.9, -2.4) |
| Avery County | Rural | No | 447.0 (383.9, 517.5) | 91 (36, 100) | 37 |
falling
|
-1.3 (-2.0, -0.5) |
| Mecklenburg County | Urban | No | 445.2 (434.0, 456.7) | 92 (85, 97) | 1,259 |
falling
|
-2.3 (-4.3, -1.8) |
| Clay County | Rural | No | 440.8 (369.9, 521.7) | 93 (38, 100) | 30 |
falling
|
-1.3 (-1.8, -0.8) |
| Transylvania County | Rural | No | 437.8 (397.2, 481.7) | 94 (68, 100) | 91 |
falling
|
-1.6 (-2.2, -1.1) |
| Jackson County | Rural | No | 437.2 (393.1, 484.8) | 95 (66, 100) | 75 |
falling
|
-10.9 (-16.6, -2.2) |
| Polk County | Rural | No | 434.8 (384.1, 490.6) | 96 (61, 100) | 56 |
falling
|
-1.5 (-1.9, -1.0) |
| Watauga County | Rural | No | 427.5 (384.9, 473.4) | 97 (72, 100) | 76 |
falling
|
-1.2 (-1.7, -0.6) |
| Chatham County | Urban | No | 420.1 (391.8, 449.9) | 98 (85, 100) | 167 |
falling
|
-1.5 (-1.9, -1.1) |
| Wake County | Urban | No | 420.1 (409.5, 430.9) | 99 (91, 100) | 1,248 |
falling
|
-4.6 (-6.3, -3.3) |
| Orange County | Urban | No | 401.9 (375.8, 429.2) | 100 (91, 100) | 184 |
falling
|
-2.6 (-6.2, -2.1) |
Notes:
Created by statecancerprofiles.cancer.gov on 07/15/2025 9:46 am.
State Cancer Registries may provide more current or more local data.
† Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (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.
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 07/15/2025 9:46 am.
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.
⋔ 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.
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.