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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), Both Sexes, Ages <65

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 208.0 (206.6, 209.4) N/A 18,566 stable stable trend -0.2 (-0.6, 0.9)
US (SEER+NPCR) 1 N/A 223.5 (223.3, 223.8) N/A 753,674 falling falling trend -0.2 (-0.3, -0.1)
Salem City 2 Urban 223.6 (197.3, 252.6) 72 (12, 116) 58 stable stable trend -10.9 (-22.5, 0.5)
Page County 2 Rural 211.7 (186.4, 239.9) 92 (23, 124) 58 stable stable trend -9.3 (-18.2, 0.1)
Scott County 2 Urban 145.0 (122.7, 170.7) 133 (110, 133) 34 falling falling trend -3.7 (-6.5, -1.4)
Waynesboro City 2 Urban 239.4 (210.2, 271.6) 37 (4, 109) 53 stable stable trend -3.6 (-11.8, 0.0)
Bristol City 2 Urban 154.8 (128.6, 185.1) 132 (94, 133) 27 falling falling trend -3.5 (-6.7, -0.8)
Lee County 2 Rural 174.0 (150.4, 200.8) 126 (76, 133) 43 falling falling trend -3.0 (-5.2, -1.3)
Washington County 2 Urban 163.0 (147.7, 179.6) 130 (105, 133) 98 falling falling trend -2.7 (-4.1, -1.4)
Wise County 2 Rural 188.5 (168.9, 209.8) 111 (65, 131) 74 falling falling trend -2.6 (-5.1, -0.5)
Radford City 2 Urban 175.6 (141.1, 216.1) 123 (37, 133) 20 falling falling trend -2.5 (-4.7, -0.4)
Virginia Beach City 2 Urban 224.9 (218.6, 231.3) 66 (42, 87) 1,034 stable stable trend -2.5 (-5.0, 0.4)
Norton City 2 Rural 197.9 (137.8, 277.0) 106 (2, 133) 8 stable stable trend -2.2 (-5.5, 0.7)
Dickenson County 2 Rural 184.1 (153.9, 219.3) 113 (32, 133) 30 falling falling trend -2.1 (-4.0, -0.5)
Goochland County 2 Urban 234.9 (209.1, 263.5) 48 (9, 106) 74 falling falling trend -2.1 (-9.0, -0.7)
Norfolk City 2 Urban 231.4 (222.0, 241.1) 55 (27, 85) 498 stable stable trend -2.1 (-5.6, 0.0)
Buchanan County 2 Rural 176.9 (151.8, 205.4) 120 (60, 133) 41 falling falling trend -1.7 (-3.5, -0.3)
Clarke County 2 Urban 182.0 (152.6, 216.1) 115 (42, 133) 33 falling falling trend -1.6 (-3.0, -0.3)
Rappahannock County 2 Urban 227.5 (178.3, 287.6) 60 (2, 133) 19 stable stable trend -1.5 (-4.0, 0.7)
Madison County 2 Rural 226.8 (192.4, 266.1) 63 (6, 127) 37 stable stable trend -1.4 (-10.0, 0.5)
Nelson County 2 Urban 211.4 (179.2, 248.5) 93 (10, 130) 39 stable stable trend -1.4 (-3.8, 0.8)
Richmond City 2 Urban 224.3 (215.1, 233.8) 69 (39, 93) 493 falling falling trend -1.4 (-5.2, -0.5)
Appomattox County 2 Urban 180.7 (152.4, 213.2) 117 (51, 133) 33 stable stable trend -1.3 (-2.8, 0.0)
Arlington County 2 Urban 165.2 (157.6, 173.1) 129 (115, 133) 365 falling falling trend -1.3 (-2.2, -0.4)
Fauquier County 2 Urban 191.4 (177.6, 206.0) 109 (79, 126) 160 falling falling trend -1.3 (-2.3, -0.4)
James City County 2 Urban 210.9 (196.0, 226.6) 95 (45, 115) 173 falling falling trend -1.3 (-7.4, -0.2)
Manassas City 2 Urban 161.3 (144.2, 180.0) 131 (107, 133) 66 stable stable trend -1.3 (-2.8, 0.3)
Williamsburg City 2 Urban 212.9 (171.6, 261.3) 88 (7, 132) 22 stable stable trend -1.3 (-2.7, 0.2)
Caroline County 2 Rural 238.2 (214.5, 263.9) 42 (7, 104) 81 falling falling trend -1.2 (-2.3, -0.2)
Harrisonburg City 2 Urban 172.7 (153.9, 193.2) 127 (92, 133) 64 falling falling trend -1.2 (-2.3, -0.1)
Prince William County 2 Urban 176.0 (170.7, 181.5) 122 (110, 129) 846 falling falling trend -1.2 (-1.9, -0.4)
Fredericksburg City 2 Urban 234.5 (207.2, 264.2) 50 (6, 111) 57 stable stable trend -1.1 (-2.6, 0.3)
Montgomery County 2 Urban 179.6 (166.4, 193.7) 119 (96, 131) 146 falling falling trend -1.1 (-1.8, -0.5)
Powhatan County 2 Urban 229.6 (206.6, 254.8) 56 (12, 109) 84 falling falling trend -1.1 (-2.2, -0.1)
Russell County 2 Rural 203.3 (178.7, 230.6) 100 (25, 129) 58 stable stable trend -1.0 (-3.2, 0.8)
Smyth County 2 Rural 183.6 (162.7, 206.8) 114 (71, 132) 63 stable stable trend -1.0 (-6.5, 0.1)
Alexandria City 2 Urban 176.5 (167.2, 186.2) 121 (105, 130) 280 stable stable trend -0.9 (-1.9, 0.0)
Accomack County 2 Rural 212.6 (190.4, 236.9) 90 (25, 120) 81 stable stable trend -0.8 (-6.6, 0.2)
Albemarle County 2 Urban 200.9 (188.7, 213.8) 103 (68, 117) 221 falling falling trend -0.8 (-1.6, -0.1)
Frederick County 2 Urban 202.1 (189.1, 215.9) 102 (62, 117) 196 stable stable trend -0.8 (-1.6, 0.2)
Manassas Park City 2 Urban 167.6 (140.9, 197.9) 128 (82, 133) 28 stable stable trend -0.8 (-2.1, 0.8)
Tazewell County 2 Rural 181.8 (163.3, 202.0) 116 (80, 132) 80 stable stable trend -0.8 (-2.7, 0.9)
Charlottesville City 2 Urban 189.6 (170.4, 210.4) 110 (68, 131) 77 stable stable trend -0.7 (-1.5, 0.1)
Emporia City 2 Rural 272.2 (211.4, 345.5) 8 (1, 126) 16 stable stable trend -0.7 (-2.6, 1.3)
Fluvanna County 2 Urban 234.8 (209.6, 262.5) 49 (8, 106) 70 stable stable trend -0.7 (-2.1, 0.6)
Hanover County 2 Urban 220.7 (208.5, 233.4) 78 (35, 103) 275 stable stable trend -0.7 (-1.5, 0.1)
Loudoun County 2 Urban 185.6 (179.8, 191.5) 112 (101, 122) 786 stable stable trend -0.7 (-1.3, 0.0)
Pittsylvania County 2 Rural 202.9 (186.8, 220.1) 101 (55, 121) 142 stable stable trend -0.7 (-1.8, 0.3)
Winchester City 2 Urban 193.3 (170.0, 219.1) 108 (40, 131) 53 stable stable trend -0.7 (-2.0, 0.8)
Poquoson City 2 Urban 219.3 (183.7, 260.5) 81 (6, 130) 29 stable stable trend -0.6 (-2.4, 1.2)
Spotsylvania County 2 Urban 229.6 (218.4, 241.2) 57 (26, 91) 339 stable stable trend -0.6 (-1.3, 0.0)
Chesterfield County 2 Urban 221.0 (214.2, 228.0) 77 (46, 92) 843 stable stable trend -0.5 (-1.0, 0.1)
Falls Church City 2 Urban 175.3 (146.1, 209.0) 124 (52, 133) 27 stable stable trend -0.5 (-2.7, 1.8)
Hampton City 2 Urban 218.6 (207.0, 230.6) 82 (39, 103) 303 stable stable trend -0.5 (-1.2, 0.1)
Newport News City 2 Urban 225.7 (215.5, 236.3) 65 (35, 92) 398 falling falling trend -0.5 (-1.0, -0.1)
Culpeper County 2 Urban 225.8 (207.7, 245.0) 64 (19, 105) 124 stable stable trend -0.4 (-1.5, 0.8)
Henrico County 2 Urban 221.4 (214.3, 228.8) 76 (44, 94) 768 stable stable trend -0.4 (-1.0, 0.3)
Louisa County 2 Rural 251.5 (229.6, 275.1) 26 (4, 88) 116 stable stable trend -0.4 (-1.4, 0.8)
Portsmouth City 2 Urban 235.2 (221.0, 250.0) 46 (17, 90) 226 stable stable trend -0.4 (-1.1, 0.4)
Giles County 2 Urban 234.3 (202.2, 270.5) 51 (5, 118) 43 stable stable trend -0.3 (-1.5, 0.9)
Hopewell City 2 Urban 263.7 (233.1, 297.3) 12 (2, 89) 58 stable stable trend -0.3 (-1.1, 0.6)
Petersburg City 2 Urban 266.5 (240.8, 294.2) 10 (2, 69) 91 stable stable trend -0.3 (-1.5, 0.9)
Stafford County 2 Urban 200.1 (190.3, 210.3) 104 (78, 116) 323 stable stable trend -0.3 (-1.1, 0.6)
Amelia County 2 Urban 237.4 (201.3, 278.6) 43 (3, 117) 38 stable stable trend -0.2 (-1.9, 1.5)
Bedford City and County 2 Urban 215.8 (201.3, 231.1) 85 (37, 110) 203 stable stable trend -0.2 (-1.3, 0.9)
Campbell County 2 Urban 229.5 (211.6, 248.5) 58 (17, 101) 139 stable stable trend -0.2 (-1.1, 0.7)
Lynchburg City 2 Urban 216.3 (199.4, 234.1) 84 (32, 112) 136 stable stable trend -0.2 (-1.0, 0.6)
Martinsville City 2 Rural 263.5 (225.3, 306.6) 13 (1, 99) 38 stable stable trend -0.2 (-2.1, 1.7)
Nottoway County 2 Rural 239.6 (207.5, 275.9) 36 (3, 111) 43 stable stable trend -0.2 (-1.4, 1.1)
Pulaski County 2 Urban 212.2 (190.5, 235.9) 91 (25, 121) 80 stable stable trend -0.2 (-1.1, 0.6)
Staunton City 2 Urban 224.6 (198.4, 253.4) 67 (10, 117) 59 stable stable trend -0.2 (-1.3, 0.9)
Charles City County 2 Urban 214.8 (168.1, 272.8) 86 (4, 133) 20 stable stable trend -0.1 (-3.0, 2.7)
Chesapeake City 2 Urban 222.1 (213.8, 230.6) 75 (41, 94) 577 stable stable trend -0.1 (-0.7, 0.5)
Prince Edward County 2 Rural 264.3 (229.8, 302.5) 11 (1, 95) 48 stable stable trend -0.1 (-1.9, 1.7)
Westmoreland County 2 Rural 235.0 (203.1, 270.9) 47 (5, 116) 49 stable stable trend -0.1 (-1.3, 1.0)
Greene County 2 Urban 212.7 (184.7, 244.0) 89 (15, 126) 46 stable stable trend 0.0 (-1.4, 1.3)
Isle of Wight County 2 Urban 242.1 (220.6, 265.3) 34 (6, 95) 109 stable stable trend 0.0 (-1.1, 1.1)
Northampton County 2 Rural 270.4 (227.5, 319.6) 9 (1, 102) 38 stable stable trend 0.0 (-1.8, 1.6)
Prince George County 2 Urban 247.3 (225.2, 271.1) 29 (5, 90) 96 stable stable trend 0.0 (-1.1, 1.0)
Richmond County 2 Rural 231.5 (188.5, 282.3) 54 (3, 129) 22 stable stable trend 0.0 (-2.2, 2.1)
Rockingham County 2 Urban 210.7 (196.4, 225.8) 96 (48, 112) 180 stable stable trend 0.0 (-0.8, 0.9)
Warren County 2 Urban 222.3 (202.2, 243.9) 74 (20, 110) 103 stable stable trend 0.0 (-1.3, 1.4)
York County 2 Urban 210.7 (195.5, 226.8) 97 (39, 113) 155 stable stable trend 0.0 (-1.2, 1.2)
Alleghany County and Clifton Forge City 2 Rural 244.3 (209.1, 284.3) 32 (2, 115) 42 stable stable trend 0.1 (-1.6, 1.7)
Henry County 2 Rural 218.6 (200.1, 238.4) 83 (26, 112) 124 stable stable trend 0.1 (-1.0, 1.1)
Northumberland County 2 Rural 213.3 (174.1, 260.0) 87 (6, 132) 30 stable stable trend 0.1 (-2.1, 2.2)
Augusta County 2 Urban 232.0 (217.1, 247.8) 53 (20, 91) 205 stable stable trend 0.2 (-0.5, 0.9)
Botetourt County 2 Urban 222.8 (200.3, 247.3) 73 (17, 111) 87 stable stable trend 0.2 (-1.1, 1.5)
Charlotte County 2 Rural 206.1 (168.3, 250.2) 98 (10, 133) 26 stable stable trend 0.2 (-1.9, 2.1)
Greensville County 2 Rural 227.5 (191.4, 269.3) 61 (4, 130) 29 stable stable trend 0.2 (-2.4, 2.8)
King George County 2 Rural 227.6 (202.7, 254.7) 59 (11, 111) 65 stable stable trend 0.2 (-1.2, 1.7)
New Kent County 2 Urban 237.0 (210.4, 266.4) 45 (6, 106) 65 stable stable trend 0.2 (-1.0, 1.5)
Roanoke City 2 Urban 258.3 (243.9, 273.3) 20 (5, 49) 261 stable stable trend 0.2 (-1.0, 1.4)
Roanoke County 2 Urban 219.6 (206.2, 233.7) 80 (32, 104) 223 stable stable trend 0.2 (-0.5, 1.0)
Suffolk City 2 Urban 238.5 (224.7, 253.0) 40 (16, 84) 242 stable stable trend 0.2 (-0.9, 1.4)
Middlesex County 2 Rural 224.4 (183.0, 273.6) 68 (2, 131) 28 stable stable trend 0.3 (-1.6, 2.1)
Shenandoah County 2 Rural 198.8 (180.0, 219.1) 105 (48, 127) 93 stable stable trend 0.3 (-0.6, 1.2)
Franklin County 2 Urban 233.3 (214.8, 253.2) 52 (13, 98) 144 stable stable trend 0.4 (-0.9, 1.7)
Mecklenburg County 2 Rural 252.5 (226.7, 280.7) 25 (4, 93) 86 stable stable trend 0.4 (-0.9, 1.7)
Rockbridge County 2 Rural 220.6 (192.6, 251.8) 79 (10, 125) 55 stable stable trend 0.4 (-1.2, 2.0)
Surry County 2 Urban 206.0 (159.2, 264.1) 99 (5, 133) 19 stable stable trend 0.4 (-2.1, 3.0)
Cumberland County 2 Rural 240.2 (198.2, 289.4) 35 (2, 124) 27 stable stable trend 0.5 (-2.2, 3.4)
Fairfax City 2 Urban 179.8 (156.2, 206.1) 118 (72, 133) 45 stable stable trend 0.5 (-1.2, 2.4)
Gloucester County 2 Urban 248.5 (227.0, 271.6) 28 (6, 90) 117 stable stable trend 0.5 (-0.6, 1.7)
Halifax County with South Boston City 2 Rural 223.7 (200.5, 249.1) 71 (14, 112) 81 stable stable trend 0.5 (-0.7, 1.7)
Mathews County 2 Urban 261.3 (210.0, 322.7) 16 (1, 118) 23 stable stable trend 0.5 (-1.9, 2.8)
King William County 2 Urban 254.1 (222.1, 289.7) 23 (2, 98) 50 stable stable trend 0.6 (-1.0, 2.3)
Patrick County 2 Rural 195.1 (166.3, 228.0) 107 (27, 133) 40 stable stable trend 0.6 (-1.7, 2.9)
Danville City 2 Rural 260.1 (237.8, 284.0) 17 (3, 70) 117 stable stable trend 0.7 (-0.2, 1.6)
Floyd County 2 Urban 247.3 (212.5, 286.7) 30 (3, 112) 42 stable stable trend 0.7 (-0.9, 2.3)
Galax City 2 Rural 262.7 (209.5, 326.1) 14 (1, 126) 19 stable stable trend 0.7 (-1.9, 3.4)
Grayson County 2 Rural 238.5 (204.8, 276.7) 41 (4, 115) 42 stable stable trend 0.7 (-0.7, 2.1)
Lunenburg County 2 Rural 257.4 (217.9, 302.6) 21 (2, 107) 34 stable stable trend 0.7 (-1.2, 2.6)
Highland County 2 Rural 226.8 (131.4, 370.8) 62 (1, 133) 6 stable stable trend 0.8 (-1.9, 3.2)
Franklin City 2 Rural 277.9 (227.3, 336.9) 5 (1, 107) 25 stable stable trend 1.0 (-0.8, 3.0)
Bath County 2 Rural 211.3 (150.8, 291.0) 94 (2, 133) 10 stable stable trend 1.1 (-2.6, 4.7)
Bland County 2 Rural 260.0 (209.4, 321.7) 18 (1, 119) 20 stable stable trend 1.1 (-1.9, 4.2)
King and Queen County 2 Urban 258.9 (205.8, 323.1) 19 (1, 123) 20 stable stable trend 1.1 (-0.6, 2.9)
Carroll County 2 Rural 224.2 (200.0, 250.9) 70 (13, 114) 76 stable stable trend 1.2 (-0.9, 3.4)
Essex County 2 Rural 298.1 (252.6, 350.3) 3 (1, 82) 37 stable stable trend 1.3 (-1.1, 3.8)
Fairfax County 2 Urban 174.2 (170.7, 177.6) 125 (112, 129) 2,057 stable stable trend 1.3 (-0.9, 3.7)
Brunswick County 2 Rural 249.3 (216.5, 286.2) 27 (3, 107) 47 rising rising trend 1.4 (0.4, 2.4)
Southampton County 2 Rural 246.2 (215.9, 280.1) 31 (3, 105) 57 rising rising trend 1.4 (0.1, 2.7)
Buckingham County 2 Rural 238.5 (208.1, 272.8) 39 (4, 112) 48 rising rising trend 1.5 (0.3, 2.8)
Sussex County 2 Urban 289.3 (245.6, 339.3) 4 (1, 85) 34 stable stable trend 1.5 (0.0, 3.2)
Amherst County 2 Urban 237.2 (213.2, 263.3) 44 (8, 104) 83 stable stable trend 1.6 (-0.1, 7.5)
Lexington City 2 Rural 238.7 (176.8, 315.7) 38 (1, 133) 11 stable stable trend 1.7 (-1.4, 5.3)
Orange County 2 Rural 243.2 (220.6, 267.7) 33 (5, 94) 97 stable stable trend 1.7 (-1.0, 8.7)
Wythe County 2 Rural 252.7 (227.1, 280.6) 24 (3, 90) 80 stable stable trend 1.9 (-4.0, 7.9)
Colonial Heights City 2 Urban 273.2 (238.3, 311.9) 6 (1, 82) 49 rising rising trend 2.0 (0.6, 3.4)
Buena Vista City 2 Rural 261.6 (204.8, 329.6) 15 (1, 125) 16 stable stable trend 2.2 (-0.9, 5.5)
Craig County 2 Urban 257.1 (195.7, 333.9) 22 (1, 130) 15 stable stable trend 2.3 (-0.4, 5.1)
Lancaster County 2 Rural 326.7 (272.6, 389.4) 1 (1, 48) 37 rising rising trend 3.0 (0.6, 5.5)
Covington City 2 Rural 324.3 (259.9, 400.6) 2 (1, 73) 20 rising rising trend 5.4 (3.2, 8.0)
Dinwiddie County 2 Urban 272.4 (245.8, 301.4) 7 (1, 60) 88 rising rising trend 5.6 (0.6, 12.6)

Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 12:44 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 for United States does not include Puerto Rico.

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