State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Virginia by County

All Cancer Sites (All Stages^), 2018-2022

All Races (includes Hispanic), Male, All Ages

Sorted by Count

Explanation of Column Headers
Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

Recent Trends - This is an interpretation of the AAPC/APC:

• Rising when 95% confidence interval of AAPC/APC is above 0.
• Stable when 95% confidence interval of AAPC/APC includes 0.
• Falling when 95% confidence interval of AAPC/APC is below 0.

AAPC/APC (95% Confidence Interval) - the change in rate over time

• Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
• Annual Percent Change - APCs calculated in SEER*Stat.

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

Virginia²

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 445.3 with a 95% confidence interval from 442.5 to 448.0 and 21,837 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.5.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 484.8 with a 95% confidence interval from 484.4 to 485.3 and 929,608 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.8.

Norton City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 452.7 with a 95% confidence interval from 328.4 to 610.5 and 9 average annual cases over 2018-2022.
• CI*Rank ⋔ : 84 (4, 132)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -5.7 to 1.1.

Highland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 389.7 with a 95% confidence interval from 283.8 to 549.8 and 10 average annual cases over 2018-2022.
• CI*Rank ⋔ : 113 (13, 133)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -3.2 to 3.1.

Craig County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 430.0 with a 95% confidence interval from 338.4 to 543.6 and 17 average annual cases over 2018-2022.
• CI*Rank ⋔ : 100 (14, 131)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.8 to 2.3.

Lexington City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 612.5 with a 95% confidence interval from 492.9 to 754.1 and 19 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (1, 103)
• Recent Trend : The trend is because the trend is 2.1 with a 95% confidence interval from -0.5 to 5.1.

Emporia City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 571.2 with a 95% confidence interval from 460.4 to 702.5 and 20 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (1, 112)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -4.3 to 0.4.

Bath County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 546.4 with a 95% confidence interval from 442.1 to 674.8 and 22 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (1, 116)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -3.0 to 3.2.

Manassas Park City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 349.3 with a 95% confidence interval from 283.2 to 425.4 and 23 average annual cases over 2018-2022.
• CI*Rank ⋔ : 124 (72, 133)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -5.1 to 0.2.

Covington City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 695.7 with a 95% confidence interval from 565.6 to 847.7 and 24 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 75)
• Recent Trend : The trend is because the trend is 3.2 with a 95% confidence interval from 0.6 to 6.1.

Galax City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 718.0 with a 95% confidence interval from 592.6 to 862.4 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 51)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -1.5 to 3.5.

Buena Vista City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 639.0 with a 95% confidence interval from 529.5 to 765.8 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (1, 80)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.4 to 2.4.

Rappahannock County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 388.6 with a 95% confidence interval from 319.3 to 471.8 and 26 average annual cases over 2018-2022.
• CI*Rank ⋔ : 114 (44, 131)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.7 to -0.1.

Falls Church City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 336.9 with a 95% confidence interval from 278.9 to 403.4 and 26 average annual cases over 2018-2022.
• CI*Rank ⋔ : 127 (85, 132)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -3.5 to 0.6.

Franklin City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 573.1 with a 95% confidence interval from 474.3 to 687.1 and 27 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (1, 103)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -2.2 to 1.3.

Bland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 533.3 with a 95% confidence interval from 447.0 to 635.2 and 28 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (3, 113)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -3.2 to 2.6.

Bristol City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 263.0 with a 95% confidence interval from 220.6 to 311.7 and 29 average annual cases over 2018-2022.
• CI*Rank ⋔ : 132 (123, 133)
• Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -7.4 to 8.0.

Radford City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 534.1 with a 95% confidence interval from 446.1 to 634.2 and 29 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (3, 112)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -2.7 to 2.1.

Surry County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 530.4 with a 95% confidence interval from 441.4 to 635.2 and 29 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (3, 114)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.1 to 2.0.

Charles City County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 545.9 with a 95% confidence interval from 456.8 to 651.1 and 32 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (2, 110)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -2.1 to 2.7.

Cumberland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 412.3 with a 95% confidence interval from 347.8 to 487.4 and 32 average annual cases over 2018-2022.
• CI*Rank ⋔ : 107 (28, 129)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -3.4 to 0.9.

Williamsburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 411.9 with a 95% confidence interval from 347.2 to 486.3 and 32 average annual cases over 2018-2022.
• CI*Rank ⋔ : 108 (32, 129)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -3.2 to -0.3.

Richmond County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 509.8 with a 95% confidence interval from 432.2 to 598.6 and 32 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (7, 114)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.9 to 1.6.

King and Queen County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 607.2 with a 95% confidence interval from 511.0 to 718.8 and 33 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (1, 89)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.0 to 2.1.

Dickenson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 339.7 with a 95% confidence interval from 290.9 to 395.5 and 38 average annual cases over 2018-2022.
• CI*Rank ⋔ : 125 (100, 132)
• Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -5.0 to -1.4.

Poquoson City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 467.3 with a 95% confidence interval from 402.8 to 540.0 and 39 average annual cases over 2018-2022.
• CI*Rank ⋔ : 77 (18, 120)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -11.4 to -0.9.

Greensville County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 556.8 with a 95% confidence interval from 477.3 to 646.4 and 41 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (3, 103)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.8 to 0.4.

Scott County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 233.8 with a 95% confidence interval from 201.4 to 270.8 and 41 average annual cases over 2018-2022.
• CI*Rank ⋔ : 133 (129, 133)
• Recent Trend : The trend is because the trend is -7.1 with a 95% confidence interval from -30.6 to -3.9.

Charlotte County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 497.1 with a 95% confidence interval from 429.6 to 573.5 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (10, 114)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.9 to 0.9.

Clarke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 400.4 with a 95% confidence interval from 346.8 to 461.1 and 45 average annual cases over 2018-2022.
• CI*Rank ⋔ : 111 (54, 129)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.3 to -0.3.

Martinsville City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 671.6 with a 95% confidence interval from 568.8 to 786.7 and 46 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 61)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.8 to 2.1.

Appomattox County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 392.4 with a 95% confidence interval from 341.9 to 449.0 and 46 average annual cases over 2018-2022.
• CI*Rank ⋔ : 112 (67, 129)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -5.7 to -1.3.

Buchanan County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 294.5 with a 95% confidence interval from 256.4 to 337.6 and 47 average annual cases over 2018-2022.
• CI*Rank ⋔ : 131 (117, 133)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -4.7 to -1.3.

Sussex County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 667.8 with a 95% confidence interval from 583.3 to 762.0 and 49 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 44)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.4 to 2.3.

Mathews County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 601.8 with a 95% confidence interval from 520.1 to 696.0 and 49 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (1, 76)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -0.7 to 3.2.

Essex County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 639.7 with a 95% confidence interval from 558.4 to 731.1 and 51 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (1, 51)
• Recent Trend : The trend is because the trend is 2.3 with a 95% confidence interval from 0.1 to 10.3.

Madison County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 486.1 with a 95% confidence interval from 426.2 to 553.4 and 52 average annual cases over 2018-2022.
• CI*Rank ⋔ : 68 (14, 112)
• Recent Trend : The trend is because the trend is 2.8 with a 95% confidence interval from 0.0 to 8.2.

Lee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 314.7 with a 95% confidence interval from 276.3 to 357.5 and 52 average annual cases over 2018-2022.
• CI*Rank ⋔ : 129 (113, 132)
• Recent Trend : The trend is because the trend is -3.8 with a 95% confidence interval from -5.6 to -2.1.

Lunenburg County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 562.7 with a 95% confidence interval from 493.6 to 639.9 and 52 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (3, 92)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.2.

Fairfax City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 451.1 with a 95% confidence interval from 395.1 to 512.6 and 54 average annual cases over 2018-2022.
• CI*Rank ⋔ : 86 (27, 123)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.4 to 2.4.

Alleghany County and Clifton Forge City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 433.3 with a 95% confidence interval from 380.3 to 492.9 and 54 average annual cases over 2018-2022.
• CI*Rank ⋔ : 97 (37, 124)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -3.2 to 1.2.

Middlesex County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 503.8 with a 95% confidence interval from 438.9 to 578.1 and 55 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (9, 112)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.6 to 0.6.

Nottoway County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 564.2 with a 95% confidence interval from 499.8 to 635.1 and 58 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (4, 82)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.8 to 1.1.

Amelia County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 618.9 with a 95% confidence interval from 545.7 to 700.1 and 59 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (1, 61)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -2.1 to 1.4.

Fredericksburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 514.2 with a 95% confidence interval from 454.8 to 578.9 and 59 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (10, 103)
• Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -3.5 to -1.6.

Grayson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 472.0 with a 95% confidence interval from 417.9 to 532.3 and 60 average annual cases over 2018-2022.
• CI*Rank ⋔ : 75 (20, 114)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.2.

King William County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 562.9 with a 95% confidence interval from 498.3 to 633.9 and 60 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (3, 84)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.2 to 0.4.

Buckingham County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 485.0 with a 95% confidence interval from 430.5 to 545.3 and 61 average annual cases over 2018-2022.
• CI*Rank ⋔ : 69 (17, 111)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -2.0 to 1.3.

Colonial Heights City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 589.4 with a 95% confidence interval from 524.0 to 661.2 and 62 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (2, 62)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.1 to 1.9.

Floyd County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 519.0 with a 95% confidence interval from 459.0 to 585.7 and 62 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (9, 103)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.5 to 1.9.

Giles County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 517.0 with a 95% confidence interval from 458.1 to 582.1 and 62 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (10, 103)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -3.0 to 0.8.

Greene County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 471.5 with a 95% confidence interval from 418.5 to 529.6 and 62 average annual cases over 2018-2022.
• CI*Rank ⋔ : 76 (20, 114)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.8 to -0.1.

Northumberland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 449.9 with a 95% confidence interval from 392.6 to 516.2 and 63 average annual cases over 2018-2022.
• CI*Rank ⋔ : 88 (27, 120)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -3.2 to 0.4.

Prince Edward County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 537.6 with a 95% confidence interval from 477.8 to 603.2 and 63 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (6, 97)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.3 to 0.7.

Manassas City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 355.5 with a 95% confidence interval from 313.5 to 401.3 and 63 average annual cases over 2018-2022.
• CI*Rank ⋔ : 119 (95, 131)
• Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -4.5 to -1.7.

Northampton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 618.5 with a 95% confidence interval from 546.7 to 698.6 and 64 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (1, 56)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.6 to 0.6.

Brunswick County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 553.0 with a 95% confidence interval from 493.0 to 619.2 and 66 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (5, 88)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.2 to 0.6.

Nelson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 499.2 with a 95% confidence interval from 441.4 to 563.9 and 66 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (14, 107)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.7 to -0.5.

Russell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 352.6 with a 95% confidence interval from 313.3 to 396.1 and 66 average annual cases over 2018-2022.
• CI*Rank ⋔ : 120 (100, 131)
• Recent Trend : The trend is because the trend is -3.8 with a 95% confidence interval from -11.4 to -2.4.

Patrick County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 422.2 with a 95% confidence interval from 375.6 to 474.2 and 67 average annual cases over 2018-2022.
• CI*Rank ⋔ : 104 (52, 124)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.3 to 1.0.

Lancaster County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 638.6 with a 95% confidence interval from 557.7 to 730.2 and 67 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (1, 57)
• Recent Trend : The trend is because the trend is 6.5 with a 95% confidence interval from -0.2 to 18.2.

Winchester City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 435.3 with a 95% confidence interval from 389.0 to 485.9 and 68 average annual cases over 2018-2022.
• CI*Rank ⋔ : 95 (40, 120)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.7 to -0.4.

King George County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 492.8 with a 95% confidence interval from 441.7 to 548.3 and 73 average annual cases over 2018-2022.
• CI*Rank ⋔ : 64 (18, 108)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.3 to 0.7.

Waynesboro City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 566.4 with a 95% confidence interval from 509.0 to 628.7 and 74 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (5, 74)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.7 to 0.7.

Hopewell City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 658.0 with a 95% confidence interval from 589.4 to 732.3 and 74 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 35)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.9 to 1.5.

Harrisonburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 419.0 with a 95% confidence interval from 376.9 to 464.4 and 76 average annual cases over 2018-2022.
• CI*Rank ⋔ : 105 (60, 122)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.7 to 0.0.

Southampton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 526.4 with a 95% confidence interval from 472.2 to 586.0 and 77 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (10, 96)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.4 to 2.1.

Westmoreland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 493.3 with a 95% confidence interval from 441.9 to 550.1 and 77 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (16, 108)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.3.

Smyth County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 351.9 with a 95% confidence interval from 316.8 to 390.3 and 78 average annual cases over 2018-2022.
• CI*Rank ⋔ : 122 (104, 131)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.6 to 0.8.

Salem City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 512.0 with a 95% confidence interval from 461.6 to 566.7 and 80 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (15, 98)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -2.0 to 1.8.

Staunton City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 496.4 with a 95% confidence interval from 447.8 to 549.3 and 81 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (19, 104)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.5.

Page County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 465.8 with a 95% confidence interval from 420.3 to 515.5 and 84 average annual cases over 2018-2022.
• CI*Rank ⋔ : 79 (28, 113)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.7 to 0.6.

Rockbridge County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 434.2 with a 95% confidence interval from 390.8 to 482.0 and 85 average annual cases over 2018-2022.
• CI*Rank ⋔ : 96 (43, 119)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.5 to 0.5.

Wise County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 364.9 with a 95% confidence interval from 329.8 to 402.9 and 86 average annual cases over 2018-2022.
• CI*Rank ⋔ : 118 (98, 130)
• Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -4.9 to -2.0.

Charlottesville City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 431.4 with a 95% confidence interval from 390.1 to 475.8 and 89 average annual cases over 2018-2022.
• CI*Rank ⋔ : 99 (51, 118)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.9 to -0.2.

New Kent County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 608.8 with a 95% confidence interval from 549.7 to 672.9 and 93 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (1, 47)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.8 to 1.8.

Fluvanna County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 512.9 with a 95% confidence interval from 465.7 to 564.1 and 94 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (14, 95)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.1 to 0.0.

Tazewell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 339.3 with a 95% confidence interval from 308.7 to 372.5 and 99 average annual cases over 2018-2022.
• CI*Rank ⋔ : 126 (109, 131)
• Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -8.2 to -2.0.

Wythe County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 507.3 with a 95% confidence interval from 462.4 to 555.9 and 102 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (17, 97)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.5 to 1.5.

Caroline County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 558.9 with a 95% confidence interval from 509.4 to 612.1 and 103 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (7, 75)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.5 to 0.5.

Goochland County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 505.4 with a 95% confidence interval from 460.7 to 554.1 and 105 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (17, 99)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.7 to -0.3.

Carroll County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 429.5 with a 95% confidence interval from 391.5 to 470.7 and 107 average annual cases over 2018-2022.
• CI*Rank ⋔ : 101 (58, 119)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.9 to 1.5.

Dinwiddie County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 579.1 with a 95% confidence interval from 529.2 to 632.8 and 109 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (5, 60)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.5.

Prince George County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 508.7 with a 95% confidence interval from 465.6 to 554.7 and 110 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (17, 97)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.9 to -0.6.

Amherst County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 500.8 with a 95% confidence interval from 458.0 to 547.1 and 110 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (19, 98)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -3.0 to -0.2.

Accomack County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 418.2 with a 95% confidence interval from 382.0 to 457.3 and 110 average annual cases over 2018-2022.
• CI*Rank ⋔ : 106 (63, 122)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.7 to -0.5.

Halifax County with South Boston City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 426.7 with a 95% confidence interval from 389.9 to 466.4 and 112 average annual cases over 2018-2022.
• CI*Rank ⋔ : 102 (60, 118)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.2 to 0.7.

Pulaski County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 438.8 with a 95% confidence interval from 401.7 to 478.8 and 112 average annual cases over 2018-2022.
• CI*Rank ⋔ : 93 (51, 117)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.4 to -0.3.

Warren County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 450.0 with a 95% confidence interval from 412.3 to 490.4 and 117 average annual cases over 2018-2022.
• CI*Rank ⋔ : 87 (40, 114)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.8 to 0.6.

Petersburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 671.5 with a 95% confidence interval from 615.1 to 731.7 and 117 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 20)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -2.0 to 1.1.

Powhatan County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 541.0 with a 95% confidence interval from 496.1 to 589.2 and 120 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (10, 78)
• Recent Trend : The trend is because the trend is 3.9 with a 95% confidence interval from -1.8 to 14.4.

Washington County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 296.6 with a 95% confidence interval from 272.5 to 322.6 and 123 average annual cases over 2018-2022.
• CI*Rank ⋔ : 130 (123, 133)
• Recent Trend : The trend is because the trend is -4.3 with a 95% confidence interval from -5.5 to -3.2.

Botetourt County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 492.5 with a 95% confidence interval from 453.2 to 534.7 and 131 average annual cases over 2018-2022.
• CI*Rank ⋔ : 65 (24, 101)
• Recent Trend : The trend is because the trend is 3.0 with a 95% confidence interval from -0.7 to 11.4.

Mecklenburg County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 516.0 with a 95% confidence interval from 474.7 to 560.4 and 131 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (16, 90)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.2.

Isle of Wight County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 513.3 with a 95% confidence interval from 473.3 to 555.9 and 137 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (16, 89)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.4 to 0.4.

Orange County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 569.4 with a 95% confidence interval from 526.6 to 615.1 and 140 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (7, 59)
• Recent Trend : The trend is because the trend is 2.8 with a 95% confidence interval from 1.3 to 5.1.

Danville City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 548.7 with a 95% confidence interval from 507.1 to 593.0 and 141 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (11, 68)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.0 to 0.2.

Louisa County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 516.7 with a 95% confidence interval from 477.7 to 558.3 and 146 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (17, 87)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.2 to -0.1.

Shenandoah County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 458.2 with a 95% confidence interval from 424.6 to 494.0 and 148 average annual cases over 2018-2022.
• CI*Rank ⋔ : 82 (42, 110)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.8.

Gloucester County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 548.4 with a 95% confidence interval from 508.3 to 591.1 and 155 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (10, 67)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.6 to 0.1.

Culpeper County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 497.4 with a 95% confidence interval from 462.0 to 534.9 and 155 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (24, 94)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.2.

Lynchburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 454.7 with a 95% confidence interval from 423.1 to 488.0 and 162 average annual cases over 2018-2022.
• CI*Rank ⋔ : 83 (46, 109)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.6 to -0.3.

Henry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 425.1 with a 95% confidence interval from 395.5 to 456.6 and 167 average annual cases over 2018-2022.
• CI*Rank ⋔ : 103 (69, 117)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.9 to -0.8.

Campbell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 448.3 with a 95% confidence interval from 418.0 to 480.5 and 172 average annual cases over 2018-2022.
• CI*Rank ⋔ : 90 (54, 111)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.7 to -0.7.

Pittsylvania County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 375.6 with a 95% confidence interval from 349.9 to 402.9 and 177 average annual cases over 2018-2022.
• CI*Rank ⋔ : 117 (100, 127)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -3.7 to -1.3.

York County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 460.7 with a 95% confidence interval from 431.4 to 491.5 and 194 average annual cases over 2018-2022.
• CI*Rank ⋔ : 81 (46, 108)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.4.

Franklin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 439.2 with a 95% confidence interval from 410.1 to 470.2 and 194 average annual cases over 2018-2022.
• CI*Rank ⋔ : 92 (59, 112)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.1 to -0.1.

Fauquier County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 407.9 with a 95% confidence interval from 381.8 to 435.4 and 195 average annual cases over 2018-2022.
• CI*Rank ⋔ : 109 (83, 119)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.5 to -0.7.

Montgomery County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 433.2 with a 95% confidence interval from 405.9 to 462.0 and 198 average annual cases over 2018-2022.
• CI*Rank ⋔ : 98 (66, 113)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.3.

Frederick County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 402.3 with a 95% confidence interval from 379.1 to 426.7 and 237 average annual cases over 2018-2022.
• CI*Rank ⋔ : 110 (91, 119)
• Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from -2.0 to 3.8.

Portsmouth City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 501.6 with a 95% confidence interval from 472.7 to 531.7 and 244 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (26, 85)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.2.

Rockingham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 448.3 with a 95% confidence interval from 423.0 to 474.9 and 249 average annual cases over 2018-2022.
• CI*Rank ⋔ : 89 (58, 109)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.9 to -0.1.

Alexandria City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 351.5 with a 95% confidence interval from 331.5 to 372.4 and 253 average annual cases over 2018-2022.
• CI*Rank ⋔ : 123 (112, 129)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -2.9 to -1.0.

Bedford City and County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 443.7 with a 95% confidence interval from 418.9 to 469.7 and 271 average annual cases over 2018-2022.
• CI*Rank ⋔ : 91 (61, 110)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -6.1 to 0.3.

Augusta County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 466.1 with a 95% confidence interval from 440.9 to 492.6 and 273 average annual cases over 2018-2022.
• CI*Rank ⋔ : 78 (48, 103)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.3.

Suffolk City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 535.6 with a 95% confidence interval from 506.5 to 566.0 and 277 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (16, 67)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.9 to 0.4.

Roanoke City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 517.9 with a 95% confidence interval from 490.2 to 546.8 and 285 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (22, 79)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.2.

James City County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 473.1 with a 95% confidence interval from 448.1 to 499.4 and 297 average annual cases over 2018-2022.
• CI*Rank ⋔ : 74 (39, 100)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.1.

Roanoke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 462.1 with a 95% confidence interval from 438.3 to 487.1 and 302 average annual cases over 2018-2022.
• CI*Rank ⋔ : 80 (52, 103)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.1.

Stafford County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 437.3 with a 95% confidence interval from 414.5 to 461.1 and 316 average annual cases over 2018-2022.
• CI*Rank ⋔ : 94 (69, 112)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -2.8 to -1.4.

Albemarle County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 451.9 with a 95% confidence interval from 429.3 to 475.4 and 316 average annual cases over 2018-2022.
• CI*Rank ⋔ : 85 (59, 106)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.7.

Hanover County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 476.2 with a 95% confidence interval from 453.1 to 500.4 and 340 average annual cases over 2018-2022.
• CI*Rank ⋔ : 72 (42, 98)
• Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -1.0 to 4.0.

Arlington County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 334.1 with a 95% confidence interval from 318.0 to 350.7 and 351 average annual cases over 2018-2022.
• CI*Rank ⋔ : 128 (117, 130)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -2.8 to -1.3.

Hampton City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 473.7 with a 95% confidence interval from 450.9 to 497.4 and 353 average annual cases over 2018-2022.
• CI*Rank ⋔ : 73 (47, 97)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.6 to -1.0.

Spotsylvania County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 483.2 with a 95% confidence interval from 460.5 to 506.8 and 370 average annual cases over 2018-2022.
• CI*Rank ⋔ : 70 (39, 92)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.0 to 2.6.

Newport News City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 496.3 with a 95% confidence interval from 474.6 to 518.6 and 428 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (33, 83)
• Recent Trend : The trend is because the trend is 2.9 with a 95% confidence interval from -1.3 to 5.7.

Norfolk City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 500.9 with a 95% confidence interval from 480.9 to 521.5 and 525 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (32, 79)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -0.9 to -0.1.

Richmond City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 528.2 with a 95% confidence interval from 508.0 to 549.0 and 578 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (22, 62)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.1 to 1.9.

Chesapeake City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 489.0 with a 95% confidence interval from 471.0 to 507.6 and 613 average annual cases over 2018-2022.
• CI*Rank ⋔ : 67 (42, 82)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.4.

Loudoun County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 386.9 with a 95% confidence interval from 373.5 to 400.6 and 705 average annual cases over 2018-2022.
• CI*Rank ⋔ : 115 (104, 120)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.4 to 5.1.

Prince William County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 376.7 with a 95% confidence interval from 364.0 to 389.6 and 784 average annual cases over 2018-2022.
• CI*Rank ⋔ : 116 (108, 122)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.7 to 1.6.

Henrico County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 490.3 with a 95% confidence interval from 475.5 to 505.4 and 882 average annual cases over 2018-2022.
• CI*Rank ⋔ : 66 (43, 80)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.1 to 2.1.

Chesterfield County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 509.3 with a 95% confidence interval from 494.7 to 524.3 and 1,006 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (31, 68)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.5 to 3.8.

Virginia Beach City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 478.3 with a 95% confidence interval from 465.6 to 491.3 and 1,141 average annual cases over 2018-2022.
• CI*Rank ⋔ : 71 (51, 85)
• Recent Trend : The trend is because the trend is -3.6 with a 95% confidence interval from -6.8 to -0.6.

Fairfax County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 352.4 with a 95% confidence interval from 345.5 to 359.3 and 2,150 average annual cases over 2018-2022.
• CI*Rank ⋔ : 121 (116, 127)
• Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from -0.1 to 4.7.

Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 5:38 pm.

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

† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (SEER areas use 20 age groups and NPCR areas use 19 age groups). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used for SEER and NPCR incidence rates.

Rates and trends are computed using different standards for malignancy. For more information see malignant.html.

^ All Stages refers to any stage. Due to changes in stage coding, Combined Summary Stage with Expanded Regional Codes (2004+) is used for data from Surveillance, Epidemiology, and End Results (SEER) databases and Merged Summary Stage is used for data from National Program of Cancer Registries databases. Due to the increased complexity with staging, other staging variables maybe used if necessary.

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.

Source: SEER and NPCR data. For more specific information please see the table.

Data for United States does not include Puerto Rico.