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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

Black Non-Hispanic, Both Sexes, All Ages

Sorted by Rate

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 436.3 (431.9, 440.7) N/A 8,167 falling falling trend -0.9 (-2.2, -0.6)
US (SEER+NPCR) 1 N/A 452.3 (451.4, 453.2) N/A 199,962 falling falling trend -1.0 (-1.5, -0.6)
Tazewell County 2 Rural 259.3 (155.0, 409.3) 112 (28, 112) 4 stable stable trend 1.1 (-3.1, 6.0)
Fairfax County 2 Urban 316.0 (300.9, 331.5) 111 (100, 112) 373 falling falling trend -1.9 (-2.6, -1.2)
Covington City 2 Rural 322.6 (193.0, 519.9) 110 (6, 112) 4 stable stable trend -1.6 (-5.5, 2.2)
Manassas Park City 2 Urban 337.9 (231.9, 474.7) 109 (15, 112) 8
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Botetourt County 2 Urban 338.8 (228.2, 496.4) 108 (11, 112) 7 stable stable trend 0.1 (-3.5, 4.6)
Shenandoah County 2 Rural 346.7 (208.4, 538.0) 107 (3, 112) 4
*
*
Prince William County 2 Urban 351.6 (332.6, 371.4) 106 (90, 109) 324 stable stable trend -1.1 (-2.1, 0.1)
Frederick County 2 Urban 352.5 (267.0, 455.7) 105 (26, 112) 14 stable stable trend 0.0 (-5.5, 7.3)
Grayson County 2 Rural 358.4 (197.4, 607.7) 104 (1, 112) 3
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*
Arlington County 2 Urban 359.1 (322.8, 398.3) 103 (73, 110) 78 falling falling trend -1.5 (-2.4, -0.5)
Warren County 2 Urban 367.8 (267.1, 494.3) 102 (9, 112) 9 stable stable trend -1.5 (-4.4, 1.6)
Rockingham County 2 Urban 372.7 (249.8, 531.9) 101 (5, 112) 7 falling falling trend -8.2 (-14.2, -5.0)
Henry County 2 Rural 374.9 (334.1, 419.9) 100 (59, 110) 71 stable stable trend -0.8 (-2.2, 0.7)
Alexandria City 2 Urban 381.0 (349.3, 414.7) 99 (64, 108) 121 stable stable trend -1.2 (-2.4, 0.0)
Harrisonburg City 2 Urban 382.4 (278.9, 509.7) 98 (9, 112) 11 falling falling trend -4.0 (-13.7, -0.8)
Middlesex County 2 Rural 383.8 (283.7, 515.1) 97 (7, 112) 13 stable stable trend -0.5 (-2.7, 1.7)
Pittsylvania County 2 Rural 385.7 (346.2, 429.0) 96 (54, 109) 80 falling falling trend -1.2 (-2.3, -0.1)
Clarke County 2 Urban 387.2 (220.4, 640.4) 95 (1, 112) 4 falling falling trend -6.0 (-27.5, -0.2)
Rockbridge County 2 Rural 387.9 (223.6, 627.4) 94 (1, 112) 4 stable stable trend 1.2 (-3.3, 6.2)
Fairfax City 2 Urban 388.6 (248.1, 582.3) 93 (2, 112) 6 stable stable trend -0.6 (-6.7, 7.1)
Manassas City 2 Urban 395.6 (315.6, 489.1) 92 (14, 112) 21 stable stable trend -3.1 (-5.9, 0.1)
Halifax County with South Boston City 2 Rural 405.4 (361.2, 453.9) 91 (39, 106) 74 stable stable trend -0.6 (-1.9, 0.7)
Hampton City 2 Urban 407.4 (387.4, 428.1) 90 (60, 100) 335 stable stable trend 2.3 (-2.6, 6.1)
Stafford County 2 Urban 408.0 (369.8, 449.0) 89 (44, 104) 110 stable stable trend -1.4 (-2.4, 0.0)
Loudoun County 2 Urban 408.3 (374.8, 443.9) 88 (47, 104) 126 rising rising trend 7.6 (0.5, 13.3)
Chesapeake City 2 Urban 410.8 (390.9, 431.4) 87 (59, 98) 341 falling falling trend -1.2 (-3.4, -0.6)
Madison County 2 Rural 411.1 (297.6, 562.7) 86 (4, 112) 9 stable stable trend -1.0 (-4.0, 2.1)
Isle of Wight County 2 Urban 411.2 (361.7, 466.3) 85 (29, 106) 56 stable stable trend -1.0 (-2.3, 0.2)
York County 2 Urban 413.8 (363.3, 469.7) 84 (27, 107) 51 falling falling trend -1.7 (-2.8, -0.7)
Appomattox County 2 Urban 415.0 (328.1, 519.3) 83 (7, 111) 17 stable stable trend -1.3 (-4.1, 1.4)
Albemarle County 2 Urban 416.3 (364.7, 473.1) 82 (27, 106) 49 stable stable trend -0.9 (-2.4, 0.7)
Charlottesville City 2 Urban 417.6 (359.7, 482.6) 81 (22, 107) 42 stable stable trend -1.4 (-3.0, 0.1)
Amherst County 2 Urban 421.8 (360.0, 492.1) 80 (19, 107) 37 stable stable trend -0.6 (-1.8, 0.6)
Buckingham County 2 Rural 421.8 (359.8, 492.8) 79 (17, 107) 34 stable stable trend -0.5 (-1.8, 0.8)
James City County 2 Urban 423.8 (375.3, 477.2) 78 (27, 104) 59 stable stable trend -0.8 (-2.1, 0.6)
Virginia Beach City 2 Urban 424.2 (404.1, 445.0) 77 (50, 94) 366 stable stable trend -0.6 (-1.4, 0.3)
Louisa County 2 Rural 426.7 (365.7, 496.1) 76 (16, 108) 40 falling falling trend -3.1 (-4.9, -2.0)
Hanover County 2 Urban 428.0 (379.8, 481.0) 75 (25, 103) 62 stable stable trend -0.7 (-1.9, 0.6)
Surry County 2 Urban 428.4 (340.9, 535.4) 74 (5, 110) 21 stable stable trend 0.0 (-1.7, 1.8)
Greene County 2 Urban 429.3 (300.2, 596.2) 73 (2, 112) 8 stable stable trend 0.8 (-3.1, 5.8)
Suffolk City 2 Urban 430.7 (402.8, 460.1) 72 (40, 95) 193 falling falling trend -2.3 (-8.1, -0.6)
Campbell County 2 Urban 430.9 (376.8, 491.2) 71 (19, 105) 49 stable stable trend 1.5 (-0.5, 6.9)
Bedford City and County 2 Urban 431.3 (366.0, 505.8) 70 (13, 107) 35 stable stable trend -0.7 (-2.1, 0.8)
Wythe County 2 Rural 431.9 (281.0, 642.9) 69 (1, 112) 5 stable stable trend -0.3 (-3.9, 3.7)
King George County 2 Rural 434.3 (353.5, 528.5) 68 (9, 109) 22 stable stable trend -0.4 (-3.1, 2.7)
New Kent County 2 Urban 434.8 (349.3, 536.9) 67 (7, 109) 20 stable stable trend -0.8 (-2.7, 1.5)
Portsmouth City 2 Urban 436.0 (411.2, 461.8) 66 (40, 92) 250 stable stable trend -0.5 (-1.0, 0.1)
Falls Church City 2 Urban 441.5 (262.5, 702.1) 65 (1, 112) 4 stable stable trend 0.5 (-3.7, 6.1)
Montgomery County 2 Urban 443.0 (340.5, 565.5) 64 (3, 111) 14 stable stable trend 0.7 (-2.7, 4.5)
Fauquier County 2 Urban 444.1 (379.7, 517.3) 63 (10, 106) 37 stable stable trend -1.2 (-2.9, 0.5)
Westmoreland County 2 Rural 448.4 (375.4, 532.4) 62 (8, 106) 32 stable stable trend -0.6 (-2.3, 1.1)
Salem City 2 Urban 450.1 (318.4, 615.5) 61 (2, 112) 9 stable stable trend 1.5 (-1.5, 5.1)
Patrick County 2 Rural 452.2 (305.0, 656.4) 60 (1, 112) 7 stable stable trend 1.8 (-1.7, 5.9)
Culpeper County 2 Urban 452.7 (390.2, 522.6) 59 (11, 104) 40 stable stable trend -0.3 (-2.2, 1.8)
Augusta County 2 Urban 452.8 (358.6, 564.3) 58 (3, 110) 17 stable stable trend 0.3 (-2.1, 3.2)
Powhatan County 2 Urban 453.1 (363.5, 562.3) 57 (5, 109) 20 stable stable trend -1.2 (-3.0, 0.6)
Charles City County 2 Urban 453.2 (372.5, 550.9) 56 (5, 107) 26 stable stable trend -1.2 (-5.1, 0.3)
Southampton County 2 Rural 455.7 (393.1, 526.8) 55 (11, 101) 44 stable stable trend 0.3 (-0.8, 1.4)
Newport News City 2 Urban 457.0 (434.7, 480.0) 54 (31, 78) 346 stable stable trend -0.6 (-1.2, 0.0)
Accomack County 2 Rural 461.6 (406.5, 522.5) 53 (12, 98) 57 stable stable trend -0.4 (-1.9, 1.0)
Caroline County 2 Rural 464.2 (410.2, 524.0) 52 (11, 96) 57 stable stable trend -1.0 (-2.2, 0.4)
Norfolk City 2 Urban 464.8 (445.0, 485.3) 51 (29, 73) 450 falling falling trend -1.0 (-4.6, -0.1)
Fluvanna County 2 Urban 465.1 (381.8, 561.8) 50 (4, 107) 23 stable stable trend -1.3 (-3.4, 0.8)
Winchester City 2 Urban 466.8 (361.2, 592.9) 49 (3, 108) 15 stable stable trend -0.9 (-4.1, 2.5)
Prince George County 2 Urban 468.0 (412.7, 528.5) 48 (10, 95) 56 falling falling trend -1.8 (-3.2, -0.3)
Nelson County 2 Urban 468.1 (351.6, 616.8) 47 (2, 110) 14 falling falling trend -12.6 (-33.0, -3.1)
Henrico County 2 Urban 470.3 (452.1, 489.1) 46 (27, 68) 539 stable stable trend -0.5 (-1.2, 0.2)
Williamsburg City 2 Urban 472.4 (349.6, 624.6) 45 (2, 111) 11 stable stable trend -1.9 (-4.0, 0.2)
King William County 2 Urban 473.6 (380.4, 585.3) 44 (3, 106) 20 stable stable trend -0.7 (-3.0, 1.5)
Staunton City 2 Urban 475.2 (378.6, 589.8) 43 (2, 106) 18 stable stable trend -1.2 (-4.0, 1.6)
Spotsylvania County 2 Urban 475.3 (436.1, 517.0) 42 (15, 80) 122 stable stable trend -0.7 (-2.1, 1.0)
Emporia City 2 Rural 477.8 (385.8, 585.4) 41 (3, 106) 20 stable stable trend -1.4 (-3.6, 0.9)
Chesterfield County 2 Urban 479.0 (456.7, 502.1) 40 (21, 66) 415 stable stable trend -0.5 (-1.2, 0.3)
Pulaski County 2 Urban 480.2 (361.7, 627.7) 39 (1, 110) 12 stable stable trend -0.1 (-2.8, 2.8)
Richmond City 2 Urban 483.3 (464.9, 502.3) 38 (22, 62) 585 stable stable trend -0.3 (-0.7, 0.0)
Franklin County 2 Urban 483.9 (404.1, 575.9) 37 (3, 101) 30 stable stable trend 0.6 (-1.5, 2.8)
Danville City 2 Rural 484.6 (446.0, 525.8) 36 (12, 76) 129 stable stable trend -0.2 (-1.7, 1.3)
Amelia County 2 Urban 486.0 (397.3, 592.9) 35 (3, 103) 24 stable stable trend -0.4 (-3.7, 2.8)
Roanoke County 2 Urban 489.0 (413.9, 573.7) 34 (3, 99) 33 stable stable trend 1.4 (-0.8, 4.2)
Northumberland County 2 Rural 489.8 (400.1, 596.4) 33 (2, 106) 23 stable stable trend -0.9 (-4.2, 2.5)
Richmond County 2 Rural 491.4 (387.4, 616.6) 32 (2, 107) 16 stable stable trend 0.3 (-1.9, 2.8)
Lynchburg City 2 Urban 492.8 (450.4, 538.0) 31 (11, 75) 106 stable stable trend 0.4 (-0.6, 1.3)
Radford City 2 Urban 494.6 (302.7, 756.5) 30 (1, 112) 5
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*
King and Queen County 2 Urban 496.9 (382.1, 640.9) 29 (1, 109) 15 stable stable trend 0.8 (-2.3, 3.9)
Hopewell City 2 Urban 499.8 (433.9, 572.5) 28 (4, 94) 44 stable stable trend -1.4 (-2.9, 0.1)
Roanoke City 2 Urban 502.5 (466.9, 540.2) 27 (9, 64) 160 stable stable trend 0.5 (-0.2, 1.3)
Greensville County 2 Rural 507.1 (435.5, 587.6) 26 (3, 93) 39 stable stable trend -0.3 (-1.7, 1.3)
Lexington City 2 Rural 509.8 (282.2, 861.8) 25 (1, 112) 3 stable stable trend 2.8 (-1.1, 7.2)
Mecklenburg County 2 Rural 509.9 (459.1, 565.3) 24 (5, 73) 82 stable stable trend -0.4 (-1.3, 0.5)
Goochland County 2 Urban 510.0 (431.9, 601.0) 23 (3, 98) 32 falling falling trend -5.0 (-14.9, -1.5)
Petersburg City 2 Urban 511.7 (475.9, 549.6) 22 (8, 60) 168 stable stable trend 0.0 (-0.9, 0.9)
Waynesboro City 2 Urban 518.4 (402.3, 657.1) 21 (1, 107) 15 stable stable trend 0.4 (-1.5, 2.5)
Charlotte County 2 Rural 520.2 (430.0, 626.4) 20 (2, 96) 27 stable stable trend 0.1 (-1.8, 2.0)
Essex County 2 Rural 520.3 (434.8, 619.0) 19 (2, 97) 29 stable stable trend 0.3 (-1.8, 2.5)
Lunenburg County 2 Rural 521.5 (441.0, 614.4) 18 (2, 92) 33 stable stable trend -0.1 (-1.8, 1.6)
Cumberland County 2 Rural 522.2 (423.7, 638.9) 17 (1, 100) 23 stable stable trend 1.1 (-1.6, 4.0)
Brunswick County 2 Rural 524.1 (465.4, 588.9) 16 (3, 74) 61 rising rising trend 1.4 (0.3, 2.6)
Nottoway County 2 Rural 527.9 (457.0, 607.5) 15 (2, 78) 41 stable stable trend 0.0 (-1.3, 1.2)
Franklin City 2 Rural 539.6 (449.7, 642.5) 14 (1, 93) 28 stable stable trend 0.0 (-1.7, 1.7)
Northampton County 2 Rural 542.9 (458.5, 640.1) 13 (1, 85) 35 stable stable trend -0.4 (-2.2, 1.3)
Sussex County 2 Urban 544.3 (470.6, 627.2) 12 (1, 75) 41 stable stable trend 1.4 (-0.2, 3.1)
Fredericksburg City 2 Urban 546.9 (459.1, 646.0) 11 (1, 86) 31 stable stable trend 0.4 (-1.7, 2.8)
Gloucester County 2 Urban 548.7 (451.9, 662.1) 10 (1, 93) 27 stable stable trend -0.4 (-2.5, 1.7)
Galax City 2 Rural 558.4 (316.0, 930.4) 9 (1, 112) 3 stable stable trend -3.3 (-8.2, 1.6)
Prince Edward County 2 Rural 559.7 (488.2, 639.2) 8 (1, 63) 47 stable stable trend 1.1 (-0.9, 3.1)
Orange County 2 Rural 560.4 (474.6, 657.5) 7 (1, 74) 33 stable stable trend 0.9 (-0.9, 2.8)
Dinwiddie County 2 Urban 570.0 (507.7, 638.5) 6 (1, 48) 69 stable stable trend 0.3 (-1.2, 1.9)
Alleghany County and Clifton Forge City 2 Rural 587.1 (363.3, 897.3) 5 (1, 111) 6 stable stable trend -0.7 (-4.5, 3.0)
Colonial Heights City 2 Urban 593.5 (443.9, 773.7) 4 (1, 104) 13
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*
Martinsville City 2 Rural 623.5 (538.2, 718.6) 3 (1, 39) 44 stable stable trend 0.5 (-1.2, 2.1)
Lancaster County 2 Rural 649.7 (540.4, 776.3) 2 (1, 48) 29 stable stable trend 1.9 (-0.1, 4.1)
Mathews County 2 Urban 710.4 (477.4, 1,036.9) 1 (1, 102) 9 stable stable trend -0.7 (-4.5, 3.0)
Bath County 2 Rural
*
*
3 or fewer
*
*
Bland County 2 Rural
*
*
3 or fewer
*
*
Bristol City 2 Urban
*
*
3 or fewer
*
*
Buchanan County 2 Rural
*
*
3 or fewer
*
*
Buena Vista City 2 Rural
*
*
3 or fewer
*
*
Carroll County 2 Rural
*
*
3 or fewer
*
*
Craig County 2 Urban
*
*
3 or fewer
*
*
Dickenson County 2 Rural
*
*
3 or fewer
*
*
Floyd County 2 Urban
*
*
3 or fewer
*
*
Giles County 2 Urban
*
*
3 or fewer
*
*
Highland County 2 Rural
*
*
3 or fewer
*
*
Lee County 2 Rural
*
*
3 or fewer
*
*
Norton City 2 Rural
*
*
3 or fewer
*
*
Page County 2 Rural
*
*
3 or fewer
*
*
Poquoson City 2 Urban
*
*
3 or fewer
*
*
Rappahannock County 2 Urban
*
*
3 or fewer
*
*
Russell County 2 Rural
*
*
3 or fewer
*
*
Scott County 2 Urban
*
*
3 or fewer
*
*
Smyth County 2 Rural
*
*
3 or fewer
*
*
Washington County 2 Urban
*
*
3 or fewer
*
*
Wise County 2 Rural
*
*
3 or fewer
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 6:23 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.


† 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 has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.

Data for United States does not include Puerto Rico.

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