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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 <50

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 95.4 (94.3, 96.6) N/A 5,072 falling falling trend -0.4 (-1.1, -0.1)
US (SEER+NPCR) 1 N/A 105.7 (105.5, 105.9) N/A 211,922 stable stable trend 0.1 (-0.1, 0.2)
Salem City 2 Urban 96.0 (74.4, 122.0) 76 (7, 127) 14 falling falling trend -22.9 (-43.3, -1.1)
Buckingham County 2 Rural 71.6 (50.6, 98.6) 125 (29, 128) 8 falling falling trend -18.8 (-32.8, -2.4)
Mecklenburg County 2 Rural 114.9 (91.9, 141.9) 24 (2, 117) 17 stable stable trend -14.1 (-27.0, 1.2)
Smyth County 2 Rural 73.2 (56.1, 94.0) 124 (41, 128) 13 falling falling trend -8.8 (-24.9, -0.4)
Spotsylvania County 2 Urban 111.6 (101.8, 122.0) 32 (9, 77) 96 falling falling trend -8.5 (-14.0, -3.7)
Scott County 2 Urban 69.7 (50.1, 94.6) 126 (40, 128) 8 falling falling trend -6.7 (-41.2, -3.3)
Fredericksburg City 2 Urban 102.9 (81.2, 128.2) 56 (5, 124) 16 falling falling trend -5.4 (-20.6, -0.8)
Augusta County 2 Urban 99.0 (86.2, 113.0) 68 (14, 116) 44 falling falling trend -4.6 (-14.0, -0.3)
Goochland County 2 Urban 103.6 (80.7, 131.1) 59 (5, 124) 14 stable stable trend -3.6 (-27.5, 1.7)
Lee County 2 Rural 65.1 (47.0, 88.0) 128 (55, 128) 9 falling falling trend -3.5 (-7.0, -0.7)
Rappahannock County 2 Urban 127.1 (80.4, 191.3) 10 (1, 128) 5 stable stable trend -3.2 (-7.7, 0.3)
Wise County 2 Rural 79.8 (63.9, 98.5) 117 (38, 128) 18 stable stable trend -2.8 (-6.2, 0.0)
Bristol City 2 Urban 73.9 (51.7, 102.5) 123 (25, 128) 7 stable stable trend -2.4 (-6.1, 0.6)
Caroline County 2 Rural 91.1 (72.6, 112.8) 95 (15, 127) 17 falling falling trend -2.3 (-4.2, -0.5)
Dickenson County 2 Rural 69.2 (45.6, 100.9) 127 (22, 128) 5 stable stable trend -2.3 (-5.2, 0.1)
James City County 2 Urban 101.6 (88.2, 116.3) 66 (16, 114) 42 falling falling trend -2.2 (-7.8, -0.1)
Madison County 2 Rural 95.2 (66.3, 132.5) 84 (4, 128) 7 stable stable trend -2.2 (-24.5, 1.7)
Washington County 2 Urban 77.4 (63.8, 93.1) 119 (54, 128) 23 stable stable trend -2.2 (-4.8, 0.1)
Sussex County 2 Urban 111.6 (77.8, 155.4) 37 (1, 127) 7 stable stable trend -1.9 (-12.7, 0.4)
Nottoway County 2 Rural 72.9 (50.7, 101.6) 121 (24, 128) 7 stable stable trend -1.8 (-4.4, 0.6)
Northumberland County 2 Rural 77.0 (44.8, 123.1) 120 (5, 128) 3 stable stable trend -1.7 (-8.3, 3.6)
Arlington County 2 Urban 84.4 (78.2, 90.9) 113 (77, 120) 148 stable stable trend -1.6 (-10.9, 0.3)
Charles City County 2 Urban 96.7 (54.8, 158.6) 80 (1, 128) 3 stable stable trend -1.6 (-6.2, 2.2)
Louisa County 2 Rural 109.8 (90.6, 131.9) 40 (5, 118) 23 falling falling trend -1.6 (-4.9, -0.2)
Appomattox County 2 Urban 74.2 (51.3, 103.8) 122 (26, 128) 7 stable stable trend -1.5 (-4.6, 1.3)
Buchanan County 2 Rural 85.1 (62.8, 112.9) 110 (8, 128) 10 stable stable trend -1.5 (-5.5, 1.8)
Clarke County 2 Urban 85.2 (58.9, 119.4) 105 (7, 128) 7 stable stable trend -1.5 (-4.6, 1.1)
Tazewell County 2 Rural 81.7 (66.0, 100.1) 116 (38, 128) 19 stable stable trend -1.2 (-3.8, 1.1)
Bland County 2 Rural 93.0 (56.5, 146.9) 93 (1, 128) 4 stable stable trend -1.0 (-3.3, 1.2)
Chesapeake City 2 Urban 96.4 (89.7, 103.5) 81 (42, 106) 153 stable stable trend -1.0 (-11.0, 2.2)
Fauquier County 2 Urban 85.0 (73.1, 98.3) 112 (43, 126) 37 stable stable trend -1.0 (-2.3, 0.3)
Winchester City 2 Urban 93.3 (73.5, 116.5) 92 (11, 127) 16 stable stable trend -0.8 (-2.9, 1.2)
Alexandria City 2 Urban 84.7 (77.2, 92.8) 111 (68, 122) 100 stable stable trend -0.7 (-2.0, 0.6)
Emporia City 2 Rural 133.8 (81.2, 206.4) 5 (1, 128) 4 stable stable trend -0.7 (-5.0, 3.3)
Franklin City 2 Rural 96.9 (58.9, 149.2) 78 (1, 128) 4 stable stable trend -0.7 (-3.8, 2.0)
Greensville County 2 Rural 85.9 (59.6, 120.6) 108 (8, 128) 7 stable stable trend -0.7 (-4.9, 3.2)
Montgomery County 2 Urban 89.1 (77.8, 101.5) 97 (40, 123) 47 stable stable trend -0.7 (-2.0, 0.6)
Page County 2 Rural 89.5 (67.9, 115.8) 99 (8, 128) 12 stable stable trend -0.7 (-3.3, 1.6)
Albemarle County 2 Urban 94.1 (83.7, 105.5) 88 (31, 118) 60 stable stable trend -0.6 (-1.7, 0.4)
Nelson County 2 Urban 82.9 (55.9, 118.6) 115 (9, 128) 6 stable stable trend -0.6 (-4.6, 3.0)
Orange County 2 Rural 121.8 (101.4, 145.2) 15 (2, 97) 25 stable stable trend -0.6 (-2.1, 1.0)
Pittsylvania County 2 Rural 94.4 (79.9, 110.7) 85 (17, 121) 31 stable stable trend -0.6 (-2.1, 0.7)
Powhatan County 2 Urban 114.9 (93.8, 139.3) 26 (2, 112) 21 stable stable trend -0.6 (-2.8, 1.5)
Williamsburg City 2 Urban 113.0 (76.2, 160.4) 29 (1, 127) 7 stable stable trend -0.6 (-3.6, 2.7)
Charlottesville City 2 Urban 87.1 (71.7, 104.8) 106 (25, 127) 25 stable stable trend -0.5 (-2.7, 1.7)
Loudoun County 2 Urban 88.7 (84.0, 93.5) 101 (71, 113) 276 stable stable trend -0.5 (-1.3, 0.4)
Stafford County 2 Urban 88.1 (80.2, 96.5) 104 (55, 120) 92 stable stable trend -0.5 (-1.3, 0.2)
Russell County 2 Rural 101.0 (78.9, 127.5) 67 (6, 126) 14 stable stable trend -0.4 (-3.2, 2.0)
Hampton City 2 Urban 88.5 (79.1, 98.7) 103 (49, 121) 66 stable stable trend -0.3 (-1.5, 0.8)
Martinsville City 2 Rural 112.3 (80.4, 152.3) 28 (1, 127) 8 stable stable trend -0.3 (-4.7, 3.6)
Radford City 2 Urban 93.4 (63.7, 131.8) 91 (3, 128) 7 stable stable trend -0.3 (-3.3, 2.9)
Richmond City 2 Urban 98.3 (90.7, 106.4) 73 (35, 105) 133 stable stable trend -0.3 (-1.3, 0.7)
Hanover County 2 Urban 100.8 (90.1, 112.4) 69 (23, 110) 65 stable stable trend -0.2 (-2.2, 1.7)
Newport News City 2 Urban 98.5 (90.1, 107.4) 74 (30, 107) 106 stable stable trend -0.2 (-1.0, 0.6)
Prince William County 2 Urban 85.1 (80.7, 89.6) 109 (82, 118) 280 stable stable trend -0.2 (-1.1, 0.7)
Pulaski County 2 Urban 99.3 (80.1, 121.8) 72 (8, 123) 19 stable stable trend -0.2 (-2.4, 2.0)
Accomack County 2 Rural 82.5 (64.0, 104.6) 114 (21, 128) 14 stable stable trend -0.1 (-2.0, 1.6)
Culpeper County 2 Urban 101.2 (86.1, 118.0) 64 (11, 118) 32 stable stable trend -0.1 (-1.6, 1.4)
Fluvanna County 2 Urban 117.5 (95.0, 143.7) 18 (2, 112) 19 stable stable trend -0.1 (-2.1, 1.8)
Halifax County with South Boston City 2 Rural 105.8 (84.9, 130.2) 52 (6, 123) 18 stable stable trend -0.1 (-2.5, 2.2)
Lynchburg City 2 Urban 88.6 (74.9, 103.8) 100 (33, 125) 32 stable stable trend -0.1 (-1.5, 1.3)
Chesterfield County 2 Urban 99.9 (94.2, 105.8) 70 (36, 92) 230 stable stable trend 0.0 (-0.7, 0.7)
Fairfax County 2 Urban 89.1 (86.1, 92.2) 96 (75, 108) 675 stable stable trend 0.0 (-0.5, 0.4)
Galax City 2 Rural 112.9 (69.4, 172.7) 30 (1, 128) 4 stable stable trend 0.0 (-6.3, 6.3)
Patrick County 2 Rural 93.9 (67.8, 126.9) 90 (5, 128) 9 stable stable trend 0.0 (-3.9, 3.4)
Staunton City 2 Urban 112.1 (89.2, 139.1) 33 (3, 118) 17 stable stable trend 0.0 (-2.3, 2.3)
Grayson County 2 Rural 100.3 (72.2, 135.8) 58 (2, 128) 9 stable stable trend 0.1 (-4.1, 3.9)
Roanoke County 2 Urban 107.3 (95.5, 120.2) 45 (12, 98) 60 stable stable trend 0.1 (-0.9, 1.2)
Shenandoah County 2 Rural 92.1 (75.7, 110.9) 94 (17, 126) 22 stable stable trend 0.1 (-1.6, 1.8)
Frederick County 2 Urban 105.1 (93.3, 118.1) 54 (15, 104) 57 stable stable trend 0.2 (-1.7, 2.1)
King William County 2 Urban 106.2 (80.2, 138.0) 47 (3, 125) 11 stable stable trend 0.2 (-2.4, 2.9)
Poquoson City 2 Urban 108.2 (77.5, 147.0) 46 (1, 127) 8 stable stable trend 0.2 (-3.0, 3.5)
Portsmouth City 2 Urban 109.2 (97.2, 122.2) 41 (10, 96) 62 stable stable trend 0.2 (-1.3, 1.6)
Bedford City and County 2 Urban 103.8 (90.4, 118.6) 57 (13, 112) 44 stable stable trend 0.3 (-1.4, 1.9)
Campbell County 2 Urban 105.8 (90.3, 123.3) 51 (8, 115) 33 stable stable trend 0.3 (-1.0, 1.5)
Norfolk City 2 Urban 94.0 (86.5, 101.9) 87 (44, 112) 126 stable stable trend 0.3 (-0.8, 1.4)
Prince George County 2 Urban 102.2 (85.4, 121.2) 63 (10, 120) 27 stable stable trend 0.3 (-1.6, 2.2)
Richmond County 2 Rural 121.0 (83.0, 170.8) 16 (1, 128) 7 stable stable trend 0.3 (-5.2, 5.2)
Roanoke City 2 Urban 115.6 (103.6, 128.6) 22 (7, 79) 68 stable stable trend 0.3 (-1.1, 1.8)
Middlesex County 2 Rural 86.5 (51.7, 135.3) 107 (3, 128) 4 stable stable trend 0.4 (-3.3, 3.6)
Prince Edward County 2 Rural 126.9 (97.0, 162.6) 11 (1, 116) 13 stable stable trend 0.4 (-2.2, 3.0)
Suffolk City 2 Urban 110.1 (98.4, 122.9) 39 (8, 89) 64 stable stable trend 0.4 (-1.3, 2.1)
Warren County 2 Urban 103.5 (85.9, 123.6) 55 (8, 120) 24 stable stable trend 0.4 (-2.0, 2.7)
Waynesboro City 2 Urban 111.7 (87.5, 140.5) 36 (2, 123) 15 stable stable trend 0.4 (-1.4, 2.2)
Amherst County 2 Urban 95.4 (75.5, 118.9) 79 (9, 126) 16 stable stable trend 0.5 (-1.6, 2.5)
Cumberland County 2 Rural 106.1 (69.7, 154.6) 49 (1, 128) 5 stable stable trend 0.5 (-3.7, 4.9)
Danville City 2 Rural 103.4 (85.1, 124.3) 50 (7, 118) 23 stable stable trend 0.5 (-1.1, 2.2)
Isle of Wight County 2 Urban 116.0 (96.6, 138.0) 21 (3, 107) 25 stable stable trend 0.5 (-1.3, 2.2)
King George County 2 Rural 103.4 (82.9, 127.4) 60 (7, 123) 18 stable stable trend 0.5 (-1.8, 3.0)
Rockingham County 2 Urban 102.2 (89.6, 116.0) 62 (16, 111) 48 stable stable trend 0.6 (-0.9, 2.1)
York County 2 Urban 94.9 (82.2, 109.0) 86 (23, 120) 40 stable stable trend 0.6 (-1.4, 2.5)
King and Queen County 2 Urban 132.1 (83.5, 198.9) 7 (1, 128) 5 stable stable trend 0.7 (-4.2, 5.2)
Petersburg City 2 Urban 130.8 (107.7, 157.2) 8 (1, 91) 23 stable stable trend 0.7 (-1.1, 2.6)
Virginia Beach City 2 Urban 105.0 (99.7, 110.5) 53 (28, 78) 298 stable stable trend 0.7 (-0.2, 1.6)
Alleghany County and Clifton Forge City 2 Rural 112.7 (81.2, 152.2) 31 (1, 127) 9 stable stable trend 0.8 (-2.1, 3.6)
Botetourt County 2 Urban 109.9 (89.2, 134.0) 38 (4, 117) 20 stable stable trend 0.8 (-2.0, 3.5)
Gloucester County 2 Urban 107.6 (88.8, 129.1) 43 (5, 119) 23 stable stable trend 0.8 (-0.9, 2.5)
Greene County 2 Urban 111.9 (86.7, 142.2) 34 (3, 120) 13 stable stable trend 0.8 (-1.0, 2.6)
Henrico County 2 Urban 98.6 (92.7, 104.9) 71 (37, 96) 206 stable stable trend 0.8 (-0.3, 3.9)
Manassas Park City 2 Urban 88.7 (66.5, 115.8) 102 (15, 128) 11 stable stable trend 0.8 (-1.1, 2.9)
Henry County 2 Rural 102.7 (85.9, 121.8) 61 (10, 120) 27 stable stable trend 1.0 (-1.0, 2.9)
Franklin County 2 Urban 113.2 (96.0, 132.6) 20 (4, 98) 31 stable stable trend 1.1 (-1.3, 3.3)
Giles County 2 Urban 114.9 (86.3, 149.9) 25 (1, 123) 11 stable stable trend 1.1 (-1.6, 4.0)
Hopewell City 2 Urban 116.9 (91.7, 146.6) 19 (2, 116) 15 stable stable trend 1.1 (-0.9, 3.1)
Falls Church City 2 Urban 95.3 (69.9, 127.2) 83 (5, 128) 9 stable stable trend 1.2 (-1.9, 4.6)
Lunenburg County 2 Rural 126.5 (91.8, 170.1) 13 (1, 122) 9 stable stable trend 1.2 (-1.9, 4.4)
Mathews County 2 Urban 146.7 (97.5, 212.4) 2 (1, 124) 6 stable stable trend 1.2 (-4.3, 6.8)
New Kent County 2 Urban 101.7 (79.3, 128.5) 65 (6, 125) 14 stable stable trend 1.2 (-0.7, 3.3)
Southampton County 2 Rural 96.4 (71.0, 128.1) 82 (5, 127) 10 stable stable trend 1.3 (-1.0, 3.7)
Fairfax City 2 Urban 94.9 (74.1, 119.8) 77 (7, 127) 14 stable stable trend 1.4 (-1.0, 4.1)
Brunswick County 2 Rural 78.1 (54.8, 108.2) 118 (17, 128) 7 stable stable trend 1.5 (-0.6, 3.5)
Carroll County 2 Rural 98.3 (76.9, 123.9) 75 (7, 126) 15 stable stable trend 1.5 (-2.3, 5.0)
Westmoreland County 2 Rural 109.2 (80.6, 144.6) 42 (2, 126) 10 stable stable trend 1.5 (-0.7, 3.8)
Amelia County 2 Urban 105.6 (74.2, 145.6) 44 (1, 128) 7 stable stable trend 1.6 (-2.3, 5.5)
Floyd County 2 Urban 123.7 (92.4, 162.3) 12 (1, 118) 11 stable stable trend 1.7 (-1.8, 5.3)
Essex County 2 Rural 136.7 (96.5, 188.0) 4 (1, 120) 8 stable stable trend 1.9 (-1.8, 5.9)
Rockbridge County 2 Rural 107.8 (82.3, 138.6) 48 (3, 125) 12 stable stable trend 1.9 (-0.6, 4.5)
Northampton County 2 Rural 115.7 (78.5, 164.1) 23 (1, 127) 6 stable stable trend 2.1 (-2.2, 6.2)
Manassas City 2 Urban 94.0 (78.8, 111.3) 89 (17, 124) 27 rising rising trend 2.2 (0.2, 9.5)
Charlotte County 2 Rural 122.7 (85.7, 170.0) 14 (1, 127) 7 stable stable trend 2.6 (-1.7, 7.1)
Wythe County 2 Rural 114.3 (92.2, 140.2) 27 (2, 117) 19 stable stable trend 2.8 (-4.8, 18.4)
Colonial Heights City 2 Urban 137.7 (107.0, 174.3) 3 (1, 95) 14 rising rising trend 3.1 (1.3, 5.1)
Lancaster County 2 Rural 156.9 (107.0, 221.5) 1 (1, 121) 6 rising rising trend 3.8 (0.6, 7.3)
Harrisonburg City 2 Urban 88.2 (72.9, 105.6) 98 (26, 126) 25 stable stable trend 6.8 (-1.4, 22.4)
Dinwiddie County 2 Urban 119.3 (96.1, 146.2) 17 (1, 110) 19 rising rising trend 17.2 (2.2, 28.9)
Buena Vista City 2 Rural 111.8 (66.2, 175.3) 35 (1, 128) 4
*
*
Covington City 2 Rural 133.5 (81.2, 205.7) 6 (1, 128) 4
*
*
Craig County 2 Urban 130.5 (75.2, 211.3) 9 (1, 128) 3
*
*
Bath County 2 Rural
*
*
3 or fewer
*
*
Highland County 2 Rural
*
*
3 or fewer
*
*
Lexington City 2 Rural
*
*
3 or fewer
*
*
Norton City 2 Rural
*
*
3 or fewer
*
*
Surry County 2 Urban
*
*
3 or fewer
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 11:52 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 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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