Incidence Rates Table
Incidence Rate Report for Virginia by County
All Cancer Sites (All Stages^), 2018-2022
Black Non-Hispanic, Both Sexes, All Ages
Sorted by Count
County
|
2023 Rural-Urban Continuum Codes Φ
|
Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval)
|
CI*Rank ⋔ (95% Confidence Interval)
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend ‡ in Incidence Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|
| Virginia 2 | N/A | 436.3 (431.9, 440.7) | N/A | 8,167 |
falling
|
-0.9 (-2.2, -0.6) |
| US (SEER+NPCR) 1 | N/A | 452.3 (451.4, 453.2) | N/A | 199,962 |
falling
|
-1.0 (-1.5, -0.6) |
| Richmond City 2 | Urban | 483.3 (464.9, 502.3) | 38 (22, 62) | 585 |
stable
|
-0.3 (-0.7, 0.0) |
| Henrico County 2 | Urban | 470.3 (452.1, 489.1) | 46 (27, 68) | 539 |
stable
|
-0.5 (-1.2, 0.2) |
| Norfolk City 2 | Urban | 464.8 (445.0, 485.3) | 51 (29, 73) | 450 |
falling
|
-1.0 (-4.6, -0.1) |
| Chesterfield County 2 | Urban | 479.0 (456.7, 502.1) | 40 (21, 66) | 415 |
stable
|
-0.5 (-1.2, 0.3) |
| Fairfax County 2 | Urban | 316.0 (300.9, 331.5) | 111 (100, 112) | 373 |
falling
|
-1.9 (-2.6, -1.2) |
| Virginia Beach City 2 | Urban | 424.2 (404.1, 445.0) | 77 (50, 94) | 366 |
stable
|
-0.6 (-1.4, 0.3) |
| Newport News City 2 | Urban | 457.0 (434.7, 480.0) | 54 (31, 78) | 346 |
stable
|
-0.6 (-1.2, 0.0) |
| Chesapeake City 2 | Urban | 410.8 (390.9, 431.4) | 87 (59, 98) | 341 |
falling
|
-1.2 (-3.4, -0.6) |
| Hampton City 2 | Urban | 407.4 (387.4, 428.1) | 90 (60, 100) | 335 |
stable
|
2.3 (-2.6, 6.1) |
| Prince William County 2 | Urban | 351.6 (332.6, 371.4) | 106 (90, 109) | 324 |
stable
|
-1.1 (-2.1, 0.1) |
| Portsmouth City 2 | Urban | 436.0 (411.2, 461.8) | 66 (40, 92) | 250 |
stable
|
-0.5 (-1.0, 0.1) |
| Suffolk City 2 | Urban | 430.7 (402.8, 460.1) | 72 (40, 95) | 193 |
falling
|
-2.3 (-8.1, -0.6) |
| Petersburg City 2 | Urban | 511.7 (475.9, 549.6) | 22 (8, 60) | 168 |
stable
|
0.0 (-0.9, 0.9) |
| Roanoke City 2 | Urban | 502.5 (466.9, 540.2) | 27 (9, 64) | 160 |
stable
|
0.5 (-0.2, 1.3) |
| Danville City 2 | Rural | 484.6 (446.0, 525.8) | 36 (12, 76) | 129 |
stable
|
-0.2 (-1.7, 1.3) |
| Loudoun County 2 | Urban | 408.3 (374.8, 443.9) | 88 (47, 104) | 126 |
rising
|
7.6 (0.5, 13.3) |
| Spotsylvania County 2 | Urban | 475.3 (436.1, 517.0) | 42 (15, 80) | 122 |
stable
|
-0.7 (-2.1, 1.0) |
| Alexandria City 2 | Urban | 381.0 (349.3, 414.7) | 99 (64, 108) | 121 |
stable
|
-1.2 (-2.4, 0.0) |
| Stafford County 2 | Urban | 408.0 (369.8, 449.0) | 89 (44, 104) | 110 |
stable
|
-1.4 (-2.4, 0.0) |
| Lynchburg City 2 | Urban | 492.8 (450.4, 538.0) | 31 (11, 75) | 106 |
stable
|
0.4 (-0.6, 1.3) |
| Mecklenburg County 2 | Rural | 509.9 (459.1, 565.3) | 24 (5, 73) | 82 |
stable
|
-0.4 (-1.3, 0.5) |
| Pittsylvania County 2 | Rural | 385.7 (346.2, 429.0) | 96 (54, 109) | 80 |
falling
|
-1.2 (-2.3, -0.1) |
| Arlington County 2 | Urban | 359.1 (322.8, 398.3) | 103 (73, 110) | 78 |
falling
|
-1.5 (-2.4, -0.5) |
| Halifax County with South Boston City 2 | Rural | 405.4 (361.2, 453.9) | 91 (39, 106) | 74 |
stable
|
-0.6 (-1.9, 0.7) |
| Henry County 2 | Rural | 374.9 (334.1, 419.9) | 100 (59, 110) | 71 |
stable
|
-0.8 (-2.2, 0.7) |
| Dinwiddie County 2 | Urban | 570.0 (507.7, 638.5) | 6 (1, 48) | 69 |
stable
|
0.3 (-1.2, 1.9) |
| Hanover County 2 | Urban | 428.0 (379.8, 481.0) | 75 (25, 103) | 62 |
stable
|
-0.7 (-1.9, 0.6) |
| Brunswick County 2 | Rural | 524.1 (465.4, 588.9) | 16 (3, 74) | 61 |
rising
|
1.4 (0.3, 2.6) |
| James City County 2 | Urban | 423.8 (375.3, 477.2) | 78 (27, 104) | 59 |
stable
|
-0.8 (-2.1, 0.6) |
| Accomack County 2 | Rural | 461.6 (406.5, 522.5) | 53 (12, 98) | 57 |
stable
|
-0.4 (-1.9, 1.0) |
| Caroline County 2 | Rural | 464.2 (410.2, 524.0) | 52 (11, 96) | 57 |
stable
|
-1.0 (-2.2, 0.4) |
| Isle of Wight County 2 | Urban | 411.2 (361.7, 466.3) | 85 (29, 106) | 56 |
stable
|
-1.0 (-2.3, 0.2) |
| Prince George County 2 | Urban | 468.0 (412.7, 528.5) | 48 (10, 95) | 56 |
falling
|
-1.8 (-3.2, -0.3) |
| York County 2 | Urban | 413.8 (363.3, 469.7) | 84 (27, 107) | 51 |
falling
|
-1.7 (-2.8, -0.7) |
| Albemarle County 2 | Urban | 416.3 (364.7, 473.1) | 82 (27, 106) | 49 |
stable
|
-0.9 (-2.4, 0.7) |
| Campbell County 2 | Urban | 430.9 (376.8, 491.2) | 71 (19, 105) | 49 |
stable
|
1.5 (-0.5, 6.9) |
| Prince Edward County 2 | Rural | 559.7 (488.2, 639.2) | 8 (1, 63) | 47 |
stable
|
1.1 (-0.9, 3.1) |
| Hopewell City 2 | Urban | 499.8 (433.9, 572.5) | 28 (4, 94) | 44 |
stable
|
-1.4 (-2.9, 0.1) |
| Southampton County 2 | Rural | 455.7 (393.1, 526.8) | 55 (11, 101) | 44 |
stable
|
0.3 (-0.8, 1.4) |
| Martinsville City 2 | Rural | 623.5 (538.2, 718.6) | 3 (1, 39) | 44 |
stable
|
0.5 (-1.2, 2.1) |
| Charlottesville City 2 | Urban | 417.6 (359.7, 482.6) | 81 (22, 107) | 42 |
stable
|
-1.4 (-3.0, 0.1) |
| Sussex County 2 | Urban | 544.3 (470.6, 627.2) | 12 (1, 75) | 41 |
stable
|
1.4 (-0.2, 3.1) |
| Nottoway County 2 | Rural | 527.9 (457.0, 607.5) | 15 (2, 78) | 41 |
stable
|
0.0 (-1.3, 1.2) |
| Louisa County 2 | Rural | 426.7 (365.7, 496.1) | 76 (16, 108) | 40 |
falling
|
-3.1 (-4.9, -2.0) |
| Culpeper County 2 | Urban | 452.7 (390.2, 522.6) | 59 (11, 104) | 40 |
stable
|
-0.3 (-2.2, 1.8) |
| Greensville County 2 | Rural | 507.1 (435.5, 587.6) | 26 (3, 93) | 39 |
stable
|
-0.3 (-1.7, 1.3) |
| Amherst County 2 | Urban | 421.8 (360.0, 492.1) | 80 (19, 107) | 37 |
stable
|
-0.6 (-1.8, 0.6) |
| Fauquier County 2 | Urban | 444.1 (379.7, 517.3) | 63 (10, 106) | 37 |
stable
|
-1.2 (-2.9, 0.5) |
| Northampton County 2 | Rural | 542.9 (458.5, 640.1) | 13 (1, 85) | 35 |
stable
|
-0.4 (-2.2, 1.3) |
| Bedford City and County 2 | Urban | 431.3 (366.0, 505.8) | 70 (13, 107) | 35 |
stable
|
-0.7 (-2.1, 0.8) |
| Buckingham County 2 | Rural | 421.8 (359.8, 492.8) | 79 (17, 107) | 34 |
stable
|
-0.5 (-1.8, 0.8) |
| Lunenburg County 2 | Rural | 521.5 (441.0, 614.4) | 18 (2, 92) | 33 |
stable
|
-0.1 (-1.8, 1.6) |
| Orange County 2 | Rural | 560.4 (474.6, 657.5) | 7 (1, 74) | 33 |
stable
|
0.9 (-0.9, 2.8) |
| Roanoke County 2 | Urban | 489.0 (413.9, 573.7) | 34 (3, 99) | 33 |
stable
|
1.4 (-0.8, 4.2) |
| Goochland County 2 | Urban | 510.0 (431.9, 601.0) | 23 (3, 98) | 32 |
falling
|
-5.0 (-14.9, -1.5) |
| Westmoreland County 2 | Rural | 448.4 (375.4, 532.4) | 62 (8, 106) | 32 |
stable
|
-0.6 (-2.3, 1.1) |
| Fredericksburg City 2 | Urban | 546.9 (459.1, 646.0) | 11 (1, 86) | 31 |
stable
|
0.4 (-1.7, 2.8) |
| Franklin County 2 | Urban | 483.9 (404.1, 575.9) | 37 (3, 101) | 30 |
stable
|
0.6 (-1.5, 2.8) |
| Essex County 2 | Rural | 520.3 (434.8, 619.0) | 19 (2, 97) | 29 |
stable
|
0.3 (-1.8, 2.5) |
| Lancaster County 2 | Rural | 649.7 (540.4, 776.3) | 2 (1, 48) | 29 |
stable
|
1.9 (-0.1, 4.1) |
| Franklin City 2 | Rural | 539.6 (449.7, 642.5) | 14 (1, 93) | 28 |
stable
|
0.0 (-1.7, 1.7) |
| Gloucester County 2 | Urban | 548.7 (451.9, 662.1) | 10 (1, 93) | 27 |
stable
|
-0.4 (-2.5, 1.7) |
| Charlotte County 2 | Rural | 520.2 (430.0, 626.4) | 20 (2, 96) | 27 |
stable
|
0.1 (-1.8, 2.0) |
| Charles City County 2 | Urban | 453.2 (372.5, 550.9) | 56 (5, 107) | 26 |
stable
|
-1.2 (-5.1, 0.3) |
| Amelia County 2 | Urban | 486.0 (397.3, 592.9) | 35 (3, 103) | 24 |
stable
|
-0.4 (-3.7, 2.8) |
| Cumberland County 2 | Rural | 522.2 (423.7, 638.9) | 17 (1, 100) | 23 |
stable
|
1.1 (-1.6, 4.0) |
| Fluvanna County 2 | Urban | 465.1 (381.8, 561.8) | 50 (4, 107) | 23 |
stable
|
-1.3 (-3.4, 0.8) |
| Northumberland County 2 | Rural | 489.8 (400.1, 596.4) | 33 (2, 106) | 23 |
stable
|
-0.9 (-4.2, 2.5) |
| King George County 2 | Rural | 434.3 (353.5, 528.5) | 68 (9, 109) | 22 |
stable
|
-0.4 (-3.1, 2.7) |
| Manassas City 2 | Urban | 395.6 (315.6, 489.1) | 92 (14, 112) | 21 |
stable
|
-3.1 (-5.9, 0.1) |
| Surry County 2 | Urban | 428.4 (340.9, 535.4) | 74 (5, 110) | 21 |
stable
|
0.0 (-1.7, 1.8) |
| Emporia City 2 | Rural | 477.8 (385.8, 585.4) | 41 (3, 106) | 20 |
stable
|
-1.4 (-3.6, 0.9) |
| New Kent County 2 | Urban | 434.8 (349.3, 536.9) | 67 (7, 109) | 20 |
stable
|
-0.8 (-2.7, 1.5) |
| King William County 2 | Urban | 473.6 (380.4, 585.3) | 44 (3, 106) | 20 |
stable
|
-0.7 (-3.0, 1.5) |
| Powhatan County 2 | Urban | 453.1 (363.5, 562.3) | 57 (5, 109) | 20 |
stable
|
-1.2 (-3.0, 0.6) |
| Staunton City 2 | Urban | 475.2 (378.6, 589.8) | 43 (2, 106) | 18 |
stable
|
-1.2 (-4.0, 1.6) |
| Appomattox County 2 | Urban | 415.0 (328.1, 519.3) | 83 (7, 111) | 17 |
stable
|
-1.3 (-4.1, 1.4) |
| Augusta County 2 | Urban | 452.8 (358.6, 564.3) | 58 (3, 110) | 17 |
stable
|
0.3 (-2.1, 3.2) |
| Richmond County 2 | Rural | 491.4 (387.4, 616.6) | 32 (2, 107) | 16 |
stable
|
0.3 (-1.9, 2.8) |
| Waynesboro City 2 | Urban | 518.4 (402.3, 657.1) | 21 (1, 107) | 15 |
stable
|
0.4 (-1.5, 2.5) |
| King and Queen County 2 | Urban | 496.9 (382.1, 640.9) | 29 (1, 109) | 15 |
stable
|
0.8 (-2.3, 3.9) |
| Winchester City 2 | Urban | 466.8 (361.2, 592.9) | 49 (3, 108) | 15 |
stable
|
-0.9 (-4.1, 2.5) |
| Montgomery County 2 | Urban | 443.0 (340.5, 565.5) | 64 (3, 111) | 14 |
stable
|
0.7 (-2.7, 4.5) |
| Nelson County 2 | Urban | 468.1 (351.6, 616.8) | 47 (2, 110) | 14 |
falling
|
-12.6 (-33.0, -3.1) |
| Frederick County 2 | Urban | 352.5 (267.0, 455.7) | 105 (26, 112) | 14 |
stable
|
0.0 (-5.5, 7.3) |
| Colonial Heights City 2 | Urban | 593.5 (443.9, 773.7) | 4 (1, 104) | 13 |
|
|
| Middlesex County 2 | Rural | 383.8 (283.7, 515.1) | 97 (7, 112) | 13 |
stable
|
-0.5 (-2.7, 1.7) |
| Pulaski County 2 | Urban | 480.2 (361.7, 627.7) | 39 (1, 110) | 12 |
stable
|
-0.1 (-2.8, 2.8) |
| Williamsburg City 2 | Urban | 472.4 (349.6, 624.6) | 45 (2, 111) | 11 |
stable
|
-1.9 (-4.0, 0.2) |
| Harrisonburg City 2 | Urban | 382.4 (278.9, 509.7) | 98 (9, 112) | 11 |
falling
|
-4.0 (-13.7, -0.8) |
| Madison County 2 | Rural | 411.1 (297.6, 562.7) | 86 (4, 112) | 9 |
stable
|
-1.0 (-4.0, 2.1) |
| Warren County 2 | Urban | 367.8 (267.1, 494.3) | 102 (9, 112) | 9 |
stable
|
-1.5 (-4.4, 1.6) |
| Mathews County 2 | Urban | 710.4 (477.4, 1,036.9) | 1 (1, 102) | 9 |
stable
|
-0.7 (-4.5, 3.0) |
| Salem City 2 | Urban | 450.1 (318.4, 615.5) | 61 (2, 112) | 9 |
stable
|
1.5 (-1.5, 5.1) |
| Greene County 2 | Urban | 429.3 (300.2, 596.2) | 73 (2, 112) | 8 |
stable
|
0.8 (-3.1, 5.8) |
| Manassas Park City 2 | Urban | 337.9 (231.9, 474.7) | 109 (15, 112) | 8 |
|
|
| Botetourt County 2 | Urban | 338.8 (228.2, 496.4) | 108 (11, 112) | 7 |
stable
|
0.1 (-3.5, 4.6) |
| Patrick County 2 | Rural | 452.2 (305.0, 656.4) | 60 (1, 112) | 7 |
stable
|
1.8 (-1.7, 5.9) |
| Rockingham County 2 | Urban | 372.7 (249.8, 531.9) | 101 (5, 112) | 7 |
falling
|
-8.2 (-14.2, -5.0) |
| Alleghany County and Clifton Forge City 2 | Rural | 587.1 (363.3, 897.3) | 5 (1, 111) | 6 |
stable
|
-0.7 (-4.5, 3.0) |
| Fairfax City 2 | Urban | 388.6 (248.1, 582.3) | 93 (2, 112) | 6 |
stable
|
-0.6 (-6.7, 7.1) |
| Wythe County 2 | Rural | 431.9 (281.0, 642.9) | 69 (1, 112) | 5 |
stable
|
-0.3 (-3.9, 3.7) |
| Radford City 2 | Urban | 494.6 (302.7, 756.5) | 30 (1, 112) | 5 |
|
|
| Shenandoah County 2 | Rural | 346.7 (208.4, 538.0) | 107 (3, 112) | 4 |
|
|
| Clarke County 2 | Urban | 387.2 (220.4, 640.4) | 95 (1, 112) | 4 |
falling
|
-6.0 (-27.5, -0.2) |
| Covington City 2 | Rural | 322.6 (193.0, 519.9) | 110 (6, 112) | 4 |
stable
|
-1.6 (-5.5, 2.2) |
| Falls Church City 2 | Urban | 441.5 (262.5, 702.1) | 65 (1, 112) | 4 |
stable
|
0.5 (-3.7, 6.1) |
| Tazewell County 2 | Rural | 259.3 (155.0, 409.3) | 112 (28, 112) | 4 |
stable
|
1.1 (-3.1, 6.0) |
| Rockbridge County 2 | Rural | 387.9 (223.6, 627.4) | 94 (1, 112) | 4 |
stable
|
1.2 (-3.3, 6.2) |
| Galax City 2 | Rural | 558.4 (316.0, 930.4) | 9 (1, 112) | 3 |
stable
|
-3.3 (-8.2, 1.6) |
| Grayson County 2 | Rural | 358.4 (197.4, 607.7) | 104 (1, 112) | 3 |
|
|
| Lexington City 2 | Rural | 509.8 (282.2, 861.8) | 25 (1, 112) | 3 |
stable
|
2.8 (-1.1, 7.2) |
| Bath County 2 | Rural |
|
|
|
|
|
| Bland County 2 | Rural |
|
|
|
|
|
| Bristol City 2 | Urban |
|
|
|
|
|
| Buchanan County 2 | Rural |
|
|
|
|
|
| Buena Vista City 2 | Rural |
|
|
|
|
|
| Carroll County 2 | Rural |
|
|
|
|
|
| Craig County 2 | Urban |
|
|
|
|
|
| Dickenson County 2 | Rural |
|
|
|
|
|
| Floyd County 2 | Urban |
|
|
|
|
|
| Giles County 2 | Urban |
|
|
|
|
|
| Highland County 2 | Rural |
|
|
|
|
|
| Lee County 2 | Rural |
|
|
|
|
|
| Norton City 2 | Rural |
|
|
|
|
|
| Page County 2 | Rural |
|
|
|
|
|
| Poquoson City 2 | Urban |
|
|
|
|
|
| Rappahannock County 2 | Urban |
|
|
|
|
|
| Russell County 2 | Rural |
|
|
|
|
|
| Scott County 2 | Urban |
|
|
|
|
|
| Smyth County 2 | Rural |
|
|
|
|
|
| Washington County 2 | Urban |
|
|
|
|
|
| Wise County 2 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 03/28/2026 5:56 pm.
State Cancer Registries may provide more current or more local data.
Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.
† 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.


