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Incidence Rates Table

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Incidence Rate Report for Virginia by County

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

All Races (includes Hispanic), Male, All Ages

Sorted by Recentaapc

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Virginia 2 N/A 445.3 (442.5, 448.0) N/A 21,837 stable stable trend -0.3 (-0.8, 0.5)
US (SEER+NPCR) 1 N/A 484.8 (484.4, 485.3) N/A 929,608 falling falling trend -1.3 (-1.8, -0.8)
Scott County 2 Urban 233.8 (201.4, 270.8) 133 (129, 133) 41 falling falling trend -7.1 (-30.6, -3.9)
Washington County 2 Urban 296.6 (272.5, 322.6) 130 (123, 133) 123 falling falling trend -4.3 (-5.5, -3.2)
Lee County 2 Rural 314.7 (276.3, 357.5) 129 (113, 132) 52 falling falling trend -3.8 (-5.6, -2.1)
Russell County 2 Rural 352.6 (313.3, 396.1) 120 (100, 131) 66 falling falling trend -3.8 (-11.4, -2.4)
Bristol City 2 Urban 263.0 (220.6, 311.7) 132 (123, 133) 29 stable stable trend -3.7 (-7.4, 8.0)
Virginia Beach City 2 Urban 478.3 (465.6, 491.3) 71 (51, 85) 1,141 falling falling trend -3.6 (-6.8, -0.6)
Tazewell County 2 Rural 339.3 (308.7, 372.5) 126 (109, 131) 99 falling falling trend -3.3 (-8.2, -2.0)
Wise County 2 Rural 364.9 (329.8, 402.9) 118 (98, 130) 86 falling falling trend -3.3 (-4.9, -2.0)
Dickenson County 2 Rural 339.7 (290.9, 395.5) 125 (100, 132) 38 falling falling trend -3.1 (-5.0, -1.4)
Manassas City 2 Urban 355.5 (313.5, 401.3) 119 (95, 131) 63 falling falling trend -3.1 (-4.5, -1.7)
Buchanan County 2 Rural 294.5 (256.4, 337.6) 131 (117, 133) 47 falling falling trend -2.9 (-4.7, -1.3)
Poquoson City 2 Urban 467.3 (402.8, 540.0) 77 (18, 120) 39 falling falling trend -2.9 (-11.4, -0.9)
Appomattox County 2 Urban 392.4 (341.9, 449.0) 112 (67, 129) 46 falling falling trend -2.7 (-5.7, -1.3)
Manassas Park City 2 Urban 349.3 (283.2, 425.4) 124 (72, 133) 23 stable stable trend -2.7 (-5.1, 0.2)
Fredericksburg City 2 Urban 514.2 (454.8, 578.9) 45 (10, 103) 59 falling falling trend -2.6 (-3.5, -1.6)
Pittsylvania County 2 Rural 375.6 (349.9, 402.9) 117 (100, 127) 177 falling falling trend -2.5 (-3.7, -1.3)
Norton City 2 Rural 452.7 (328.4, 610.5) 84 (4, 132) 9 stable stable trend -2.2 (-5.7, 1.1)
Arlington County 2 Urban 334.1 (318.0, 350.7) 128 (117, 130) 351 falling falling trend -2.1 (-2.8, -1.3)
Stafford County 2 Urban 437.3 (414.5, 461.1) 94 (69, 112) 316 falling falling trend -2.1 (-2.8, -1.4)
Alexandria City 2 Urban 351.5 (331.5, 372.4) 123 (112, 129) 253 falling falling trend -1.9 (-2.9, -1.0)
Emporia City 2 Rural 571.2 (460.4, 702.5) 19 (1, 112) 20 stable stable trend -1.9 (-4.3, 0.4)
Rappahannock County 2 Urban 388.6 (319.3, 471.8) 114 (44, 131) 26 falling falling trend -1.9 (-3.7, -0.1)
Hampton City 2 Urban 473.7 (450.9, 497.4) 73 (47, 97) 353 falling falling trend -1.8 (-2.6, -1.0)
Henry County 2 Rural 425.1 (395.5, 456.6) 103 (69, 117) 167 falling falling trend -1.8 (-2.9, -0.8)
Prince George County 2 Urban 508.7 (465.6, 554.7) 51 (17, 97) 110 falling falling trend -1.8 (-2.9, -0.6)
Williamsburg City 2 Urban 411.9 (347.2, 486.3) 108 (32, 129) 32 falling falling trend -1.8 (-3.2, -0.3)
Campbell County 2 Urban 448.3 (418.0, 480.5) 90 (54, 111) 172 falling falling trend -1.7 (-2.7, -0.7)
Accomack County 2 Rural 418.2 (382.0, 457.3) 106 (63, 122) 110 falling falling trend -1.6 (-2.7, -0.5)
Amherst County 2 Urban 500.8 (458.0, 547.1) 57 (19, 98) 110 falling falling trend -1.6 (-3.0, -0.2)
Bedford City and County 2 Urban 443.7 (418.9, 469.7) 91 (61, 110) 271 stable stable trend -1.6 (-6.1, 0.3)
Charlottesville City 2 Urban 431.4 (390.1, 475.8) 99 (51, 118) 89 falling falling trend -1.6 (-2.9, -0.2)
Fauquier County 2 Urban 407.9 (381.8, 435.4) 109 (83, 119) 195 falling falling trend -1.6 (-2.5, -0.7)
Nelson County 2 Urban 499.2 (441.4, 563.9) 58 (14, 107) 66 falling falling trend -1.6 (-2.7, -0.5)
Winchester City 2 Urban 435.3 (389.0, 485.9) 95 (40, 120) 68 falling falling trend -1.6 (-2.7, -0.4)
Falls Church City 2 Urban 336.9 (278.9, 403.4) 127 (85, 132) 26 stable stable trend -1.5 (-3.5, 0.6)
Goochland County 2 Urban 505.4 (460.7, 554.1) 53 (17, 99) 105 falling falling trend -1.5 (-2.7, -0.3)
Greene County 2 Urban 471.5 (418.5, 529.6) 76 (20, 114) 62 falling falling trend -1.5 (-2.8, -0.1)
Harrisonburg City 2 Urban 419.0 (376.9, 464.4) 105 (60, 122) 76 stable stable trend -1.4 (-2.7, 0.0)
Lynchburg City 2 Urban 454.7 (423.1, 488.0) 83 (46, 109) 162 falling falling trend -1.4 (-2.6, -0.3)
Albemarle County 2 Urban 451.9 (429.3, 475.4) 85 (59, 106) 316 falling falling trend -1.3 (-1.8, -0.7)
Clarke County 2 Urban 400.4 (346.8, 461.1) 111 (54, 129) 45 falling falling trend -1.3 (-2.3, -0.3)
Cumberland County 2 Rural 412.3 (347.8, 487.4) 107 (28, 129) 32 stable stable trend -1.3 (-3.4, 0.9)
Northumberland County 2 Rural 449.9 (392.6, 516.2) 88 (27, 120) 63 stable stable trend -1.3 (-3.2, 0.4)
Pulaski County 2 Urban 438.8 (401.7, 478.8) 93 (51, 117) 112 falling falling trend -1.3 (-2.4, -0.3)
York County 2 Urban 460.7 (431.4, 491.5) 81 (46, 108) 194 falling falling trend -1.3 (-2.1, -0.4)
Greensville County 2 Rural 556.8 (477.3, 646.4) 26 (3, 103) 41 stable stable trend -1.2 (-2.8, 0.4)
Louisa County 2 Rural 516.7 (477.7, 558.3) 43 (17, 87) 146 falling falling trend -1.2 (-2.2, -0.1)
Westmoreland County 2 Rural 493.3 (441.9, 550.1) 63 (16, 108) 77 falling falling trend -1.2 (-2.0, -0.3)
Chesapeake City 2 Urban 489.0 (471.0, 507.6) 67 (42, 82) 613 falling falling trend -1.1 (-1.7, -0.4)
Fluvanna County 2 Urban 512.9 (465.7, 564.1) 47 (14, 95) 94 stable stable trend -1.1 (-2.1, 0.0)
Franklin County 2 Urban 439.2 (410.1, 470.2) 92 (59, 112) 194 falling falling trend -1.1 (-2.1, -0.1)
Giles County 2 Urban 517.0 (458.1, 582.1) 42 (10, 103) 62 stable stable trend -1.1 (-3.0, 0.8)
Alleghany County and Clifton Forge City 2 Rural 433.3 (380.3, 492.9) 97 (37, 124) 54 stable stable trend -1.0 (-3.2, 1.2)
Caroline County 2 Rural 558.9 (509.4, 612.1) 25 (7, 75) 103 stable stable trend -1.0 (-2.5, 0.5)
Isle of Wight County 2 Urban 513.3 (473.3, 555.9) 46 (16, 89) 137 stable stable trend -1.0 (-2.4, 0.4)
King William County 2 Urban 562.9 (498.3, 633.9) 23 (3, 84) 60 stable stable trend -1.0 (-2.2, 0.4)
Portsmouth City 2 Urban 501.6 (472.7, 531.7) 55 (26, 85) 244 falling falling trend -1.0 (-1.8, -0.2)
Rockbridge County 2 Rural 434.2 (390.8, 482.0) 96 (43, 119) 85 stable stable trend -1.0 (-2.5, 0.5)
Rockingham County 2 Urban 448.3 (423.0, 474.9) 89 (58, 109) 249 falling falling trend -1.0 (-1.9, -0.1)
Staunton City 2 Urban 496.4 (447.8, 549.3) 61 (19, 104) 81 falling falling trend -1.0 (-1.6, -0.5)
Augusta County 2 Urban 466.1 (440.9, 492.6) 78 (48, 103) 273 falling falling trend -0.9 (-1.5, -0.3)
Culpeper County 2 Urban 497.4 (462.0, 534.9) 59 (24, 94) 155 stable stable trend -0.9 (-1.9, 0.2)
Danville City 2 Rural 548.7 (507.1, 593.0) 28 (11, 68) 141 stable stable trend -0.9 (-2.0, 0.2)
Grayson County 2 Rural 472.0 (417.9, 532.3) 75 (20, 114) 60 stable stable trend -0.9 (-2.1, 0.2)
King George County 2 Rural 492.8 (441.7, 548.3) 64 (18, 108) 73 stable stable trend -0.9 (-2.3, 0.7)
Montgomery County 2 Urban 433.2 (405.9, 462.0) 98 (66, 113) 198 stable stable trend -0.9 (-1.9, 0.3)
Roanoke City 2 Urban 517.9 (490.2, 546.8) 41 (22, 79) 285 falling falling trend -0.9 (-1.6, -0.2)
Gloucester County 2 Urban 548.4 (508.3, 591.1) 29 (10, 67) 155 stable stable trend -0.8 (-1.6, 0.1)
James City County 2 Urban 473.1 (448.1, 499.4) 74 (39, 100) 297 falling falling trend -0.8 (-1.4, -0.1)
Prince Edward County 2 Rural 537.6 (477.8, 603.2) 33 (6, 97) 63 stable stable trend -0.8 (-2.3, 0.7)
Carroll County 2 Rural 429.5 (391.5, 470.7) 101 (58, 119) 107 stable stable trend -0.7 (-2.9, 1.5)
Dinwiddie County 2 Urban 579.1 (529.2, 632.8) 17 (5, 60) 109 stable stable trend -0.7 (-1.9, 0.5)
Halifax County with South Boston City 2 Rural 426.7 (389.9, 466.4) 102 (60, 118) 112 stable stable trend -0.7 (-2.2, 0.7)
Patrick County 2 Rural 422.2 (375.6, 474.2) 104 (52, 124) 67 stable stable trend -0.7 (-2.3, 1.0)
Spotsylvania County 2 Urban 483.2 (460.5, 506.8) 70 (39, 92) 370 stable stable trend -0.7 (-2.0, 2.6)
Mecklenburg County 2 Rural 516.0 (474.7, 560.4) 44 (16, 90) 131 stable stable trend -0.6 (-1.3, 0.2)
Page County 2 Rural 465.8 (420.3, 515.5) 79 (28, 113) 84 stable stable trend -0.6 (-1.7, 0.6)
Roanoke County 2 Urban 462.1 (438.3, 487.1) 80 (52, 103) 302 stable stable trend -0.6 (-1.4, 0.1)
Warren County 2 Urban 450.0 (412.3, 490.4) 87 (40, 114) 117 stable stable trend -0.6 (-1.8, 0.6)
Charlotte County 2 Rural 497.1 (429.6, 573.5) 60 (10, 114) 44 stable stable trend -0.5 (-1.9, 0.9)
Middlesex County 2 Rural 503.8 (438.9, 578.1) 54 (9, 112) 55 stable stable trend -0.5 (-1.6, 0.6)
Norfolk City 2 Urban 500.9 (480.9, 521.5) 56 (32, 79) 525 falling falling trend -0.5 (-0.9, -0.1)
Waynesboro City 2 Urban 566.4 (509.0, 628.7) 21 (5, 74) 74 stable stable trend -0.5 (-1.7, 0.7)
Amelia County 2 Urban 618.9 (545.7, 700.1) 10 (1, 61) 59 stable stable trend -0.4 (-2.1, 1.4)
Bland County 2 Rural 533.3 (447.0, 635.2) 36 (3, 113) 28 stable stable trend -0.4 (-3.2, 2.6)
Buckingham County 2 Rural 485.0 (430.5, 545.3) 69 (17, 111) 61 stable stable trend -0.4 (-2.0, 1.3)
Franklin City 2 Rural 573.1 (474.3, 687.1) 18 (1, 103) 27 stable stable trend -0.4 (-2.2, 1.3)
Lunenburg County 2 Rural 562.7 (493.6, 639.9) 24 (3, 92) 52 stable stable trend -0.4 (-1.9, 1.2)
Nottoway County 2 Rural 564.2 (499.8, 635.1) 22 (4, 82) 58 stable stable trend -0.4 (-1.8, 1.1)
Petersburg City 2 Urban 671.5 (615.1, 731.7) 4 (1, 20) 117 stable stable trend -0.4 (-2.0, 1.1)
Richmond City 2 Urban 528.2 (508.0, 549.0) 38 (22, 62) 578 stable stable trend -0.4 (-1.1, 1.9)
Smyth County 2 Rural 351.9 (316.8, 390.3) 122 (104, 131) 78 stable stable trend -0.4 (-1.6, 0.8)
Brunswick County 2 Rural 553.0 (493.0, 619.2) 27 (5, 88) 66 stable stable trend -0.3 (-1.2, 0.6)
Radford City 2 Urban 534.1 (446.1, 634.2) 35 (3, 112) 29 stable stable trend -0.3 (-2.7, 2.1)
Suffolk City 2 Urban 535.6 (506.5, 566.0) 34 (16, 67) 277 stable stable trend -0.3 (-0.9, 0.4)
Henrico County 2 Urban 490.3 (475.5, 505.4) 66 (43, 80) 882 stable stable trend -0.2 (-1.1, 2.1)
Highland County 2 Rural 389.7 (283.8, 549.8) 113 (13, 133) 10 stable stable trend -0.2 (-3.2, 3.1)
New Kent County 2 Urban 608.8 (549.7, 672.9) 13 (1, 47) 93 stable stable trend -0.2 (-1.8, 1.8)
Richmond County 2 Rural 509.8 (432.2, 598.6) 49 (7, 114) 32 stable stable trend -0.2 (-1.9, 1.6)
Salem City 2 Urban 512.0 (461.6, 566.7) 48 (15, 98) 80 stable stable trend -0.1 (-2.0, 1.8)
Shenandoah County 2 Rural 458.2 (424.6, 494.0) 82 (42, 110) 148 stable stable trend -0.1 (-1.0, 0.8)
Bath County 2 Rural 546.4 (442.1, 674.8) 30 (1, 116) 22 stable stable trend 0.0 (-3.0, 3.2)
Northampton County 2 Rural 618.5 (546.7, 698.6) 11 (1, 56) 64 stable stable trend 0.0 (-0.6, 0.6)
Wythe County 2 Rural 507.3 (462.4, 555.9) 52 (17, 97) 102 stable stable trend 0.0 (-1.5, 1.5)
Charles City County 2 Urban 545.9 (456.8, 651.1) 31 (2, 110) 32 stable stable trend 0.2 (-2.1, 2.7)
Craig County 2 Urban 430.0 (338.4, 543.6) 100 (14, 131) 17 stable stable trend 0.2 (-1.8, 2.3)
Prince William County 2 Urban 376.7 (364.0, 389.6) 116 (108, 122) 784 stable stable trend 0.2 (-0.7, 1.6)
Hopewell City 2 Urban 658.0 (589.4, 732.3) 6 (1, 35) 74 stable stable trend 0.3 (-0.9, 1.5)
Loudoun County 2 Urban 386.9 (373.5, 400.6) 115 (104, 120) 705 stable stable trend 0.3 (-1.4, 5.1)
Southampton County 2 Rural 526.4 (472.2, 586.0) 39 (10, 96) 77 stable stable trend 0.3 (-1.4, 2.1)
Colonial Heights City 2 Urban 589.4 (524.0, 661.2) 16 (2, 62) 62 stable stable trend 0.4 (-1.1, 1.9)
Surry County 2 Urban 530.4 (441.4, 635.2) 37 (3, 114) 29 stable stable trend 0.4 (-1.1, 2.0)
Fairfax City 2 Urban 451.1 (395.1, 512.6) 86 (27, 123) 54 stable stable trend 0.5 (-1.4, 2.4)
King and Queen County 2 Urban 607.2 (511.0, 718.8) 14 (1, 89) 33 stable stable trend 0.5 (-1.0, 2.1)
Chesterfield County 2 Urban 509.3 (494.7, 524.3) 50 (31, 68) 1,006 stable stable trend 0.7 (-0.5, 3.8)
Floyd County 2 Urban 519.0 (459.0, 585.7) 40 (9, 103) 62 stable stable trend 0.7 (-0.5, 1.9)
Martinsville City 2 Rural 671.6 (568.8, 786.7) 3 (1, 61) 46 stable stable trend 0.7 (-0.8, 2.1)
Buena Vista City 2 Rural 639.0 (529.5, 765.8) 8 (1, 80) 25 stable stable trend 0.9 (-0.4, 2.4)
Sussex County 2 Urban 667.8 (583.3, 762.0) 5 (1, 44) 49 stable stable trend 0.9 (-0.4, 2.3)
Galax City 2 Rural 718.0 (592.6, 862.4) 1 (1, 51) 25 stable stable trend 1.0 (-1.5, 3.5)
Mathews County 2 Urban 601.8 (520.1, 696.0) 15 (1, 76) 49 stable stable trend 1.2 (-0.7, 3.2)
Hanover County 2 Urban 476.2 (453.1, 500.4) 72 (42, 98) 340 stable stable trend 1.3 (-1.0, 4.0)
Frederick County 2 Urban 402.3 (379.1, 426.7) 110 (91, 119) 237 stable stable trend 1.4 (-2.0, 3.8)
Fairfax County 2 Urban 352.4 (345.5, 359.3) 121 (116, 127) 2,150 stable stable trend 1.7 (-0.1, 4.7)
Lexington City 2 Rural 612.5 (492.9, 754.1) 12 (1, 103) 19 stable stable trend 2.1 (-0.5, 5.1)
Essex County 2 Rural 639.7 (558.4, 731.1) 7 (1, 51) 51 rising rising trend 2.3 (0.1, 10.3)
Madison County 2 Rural 486.1 (426.2, 553.4) 68 (14, 112) 52 stable stable trend 2.8 (0.0, 8.2)
Orange County 2 Rural 569.4 (526.6, 615.1) 20 (7, 59) 140 rising rising trend 2.8 (1.3, 5.1)
Newport News City 2 Urban 496.3 (474.6, 518.6) 62 (33, 83) 428 stable stable trend 2.9 (-1.3, 5.7)
Botetourt County 2 Urban 492.5 (453.2, 534.7) 65 (24, 101) 131 stable stable trend 3.0 (-0.7, 11.4)
Covington City 2 Rural 695.7 (565.6, 847.7) 2 (1, 75) 24 rising rising trend 3.2 (0.6, 6.1)
Powhatan County 2 Urban 541.0 (496.1, 589.2) 32 (10, 78) 120 stable stable trend 3.9 (-1.8, 14.4)
Lancaster County 2 Rural 638.6 (557.7, 730.2) 9 (1, 57) 67 stable stable trend 6.5 (-0.2, 18.2)

Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 4:46 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.


† 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.

‡ Incidence data come from different sources. 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.

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.

⋔ 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. The rates used in CI*Rank are all age-adjusted to the 2000 US standard population using 19 age groups for SEER and NPCR areas. More information about methodology can be found on the CI*Rank website.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

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.

1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2024 submission.

2 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2024 submission).

Data for United States does not include Puerto Rico.

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