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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)
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CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
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Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Virginia 2 N/A 1,253.9 (1,248.2, 1,259.6) N/A 38,180 stable stable trend -0.2 (-0.5, 0.3)
US (SEER+NPCR) 1 N/A 1,350.7 (1,349.8, 1,351.7) N/A 1,608,177 falling falling trend -1.2 (-1.8, -0.7)
Russell County 2 Rural 983.6 (904.2, 1,068.1) 125 (111, 131) 118 falling falling trend -9.9 (-14.2, -6.6)
Williamsburg City 2 Urban 1,141.3 (1,007.8, 1,287.7) 108 (51, 129) 57 falling falling trend -6.5 (-12.7, -2.7)
Giles County 2 Urban 1,449.5 (1,330.2, 1,576.7) 38 (7, 92) 111 falling falling trend -6.4 (-13.8, -0.7)
Halifax County with South Boston City 2 Rural 1,216.6 (1,141.7, 1,295.1) 100 (63, 115) 206 falling falling trend -5.5 (-10.7, -2.8)
Bristol City 2 Urban 708.7 (624.7, 800.9) 133 (131, 133) 53 falling falling trend -5.4 (-8.2, -3.3)
Scott County 2 Urban 728.6 (656.7, 806.2) 132 (131, 133) 78 falling falling trend -4.3 (-7.0, -2.1)
Southampton County 2 Rural 1,369.5 (1,258.4, 1,488.0) 60 (18, 106) 116 falling falling trend -4.0 (-8.9, -1.2)
Virginia Beach City 2 Urban 1,333.8 (1,307.5, 1,360.4) 68 (53, 83) 2,034 falling falling trend -3.5 (-5.3, -1.6)
Page County 2 Rural 1,266.1 (1,173.0, 1,364.7) 91 (40, 113) 140 falling falling trend -3.3 (-10.3, -0.3)
Washington County 2 Urban 927.7 (875.3, 982.5) 130 (122, 131) 243 falling falling trend -3.2 (-4.2, -2.4)
Buchanan County 2 Rural 855.4 (774.1, 943.0) 131 (124, 133) 84 falling falling trend -3.1 (-6.0, -2.2)
Lee County 2 Rural 980.9 (894.2, 1,073.7) 126 (109, 131) 98 falling falling trend -3.1 (-5.4, -1.1)
Wise County 2 Rural 1,086.9 (1,010.6, 1,167.6) 115 (94, 128) 158 falling falling trend -2.9 (-4.2, -1.8)
Tazewell County 2 Rural 960.8 (897.1, 1,027.8) 129 (117, 131) 178 falling falling trend -2.6 (-7.3, -1.7)
Dickenson County 2 Rural 1,024.6 (917.1, 1,141.4) 123 (93, 131) 69 falling falling trend -2.4 (-4.0, -0.9)
Manassas City 2 Urban 1,079.0 (984.1, 1,180.5) 118 (93, 130) 109 falling falling trend -2.4 (-3.9, -1.0)
Harrisonburg City 2 Urban 1,104.2 (1,017.2, 1,196.6) 112 (85, 128) 123 falling falling trend -2.3 (-6.8, -1.2)
Manassas Park City 2 Urban 1,065.4 (916.1, 1,231.8) 121 (64, 131) 41 stable stable trend -2.1 (-4.6, 0.9)
Falls Church City 2 Urban 964.2 (844.4, 1,096.4) 128 (100, 132) 48 falling falling trend -1.8 (-3.2, -0.2)
Arlington County 2 Urban 980.7 (944.9, 1,017.5) 127 (118, 130) 591 falling falling trend -1.7 (-2.2, -1.2)
Frederick County 2 Urban 1,151.4 (1,101.8, 1,202.7) 107 (93, 120) 414 falling falling trend -1.6 (-2.1, -1.1)
Norton City 2 Rural 1,290.7 (1,037.6, 1,587.6) 85 (3, 131) 19 stable stable trend -1.5 (-3.6, 0.5)
Smyth County 2 Rural 1,064.6 (988.3, 1,145.2) 122 (99, 129) 148 stable stable trend -1.5 (-6.4, 0.0)
Pittsylvania County 2 Rural 1,081.2 (1,028.0, 1,136.5) 117 (104, 126) 321 falling falling trend -1.4 (-2.3, -0.6)
Albemarle County 2 Urban 1,211.4 (1,165.5, 1,258.7) 101 (79, 111) 544 falling falling trend -1.3 (-1.9, -0.5)
Charlottesville City 2 Urban 1,138.2 (1,054.3, 1,227.1) 109 (80, 125) 145 falling falling trend -1.3 (-2.2, -0.3)
Clarke County 2 Urban 1,091.8 (984.1, 1,208.1) 113 (81, 129) 77 falling falling trend -1.3 (-2.4, -0.2)
Fredericksburg City 2 Urban 1,453.2 (1,328.8, 1,586.1) 36 (6, 94) 105 falling falling trend -1.3 (-2.3, -0.3)
Fluvanna County 2 Urban 1,306.4 (1,214.0, 1,404.0) 80 (28, 109) 154 falling falling trend -1.2 (-1.8, -0.4)
Nelson County 2 Urban 1,338.7 (1,224.8, 1,460.5) 65 (19, 107) 111 falling falling trend -1.2 (-2.1, -0.3)
Radford City 2 Urban 1,371.0 (1,195.1, 1,565.2) 59 (5, 118) 46 stable stable trend -1.2 (-2.7, 0.2)
Surry County 2 Urban 1,335.6 (1,167.2, 1,522.0) 66 (8, 122) 47 stable stable trend -1.2 (-4.5, 0.1)
Accomack County 2 Rural 1,186.4 (1,110.8, 1,265.9) 103 (71, 119) 195 stable stable trend -1.1 (-2.3, 0.0)
Alexandria City 2 Urban 1,073.6 (1,029.5, 1,119.1) 119 (106, 125) 473 falling falling trend -1.1 (-1.8, -0.3)
Greene County 2 Urban 1,232.8 (1,125.6, 1,347.5) 95 (40, 120) 101 falling falling trend -1.1 (-1.9, -0.2)
Hampton City 2 Urban 1,309.2 (1,262.8, 1,356.8) 77 (51, 96) 630 falling falling trend -1.1 (-1.6, -0.6)
Rappahannock County 2 Urban 1,068.2 (926.9, 1,225.1) 120 (69, 131) 44 stable stable trend -1.1 (-2.8, 0.6)
Stafford County 2 Urban 1,295.6 (1,245.3, 1,347.4) 82 (51, 101) 549 falling falling trend -1.1 (-1.6, -0.5)
Richmond City 2 Urban 1,404.3 (1,363.5, 1,446.0) 46 (29, 68) 968 falling falling trend -1.0 (-1.6, -0.7)
Campbell County 2 Urban 1,283.6 (1,219.7, 1,350.0) 86 (49, 105) 311 falling falling trend -0.9 (-1.7, -0.1)
Emporia City 2 Rural 1,375.5 (1,165.8, 1,612.0) 54 (2, 123) 31 stable stable trend -0.9 (-2.5, 0.8)
Henry County 2 Rural 1,234.0 (1,172.7, 1,297.6) 94 (64, 111) 313 stable stable trend -0.9 (-1.9, 0.2)
Montgomery County 2 Urban 1,128.0 (1,072.6, 1,185.6) 110 (93, 122) 319 falling falling trend -0.9 (-1.6, -0.1)
Poquoson City 2 Urban 1,361.2 (1,221.2, 1,512.9) 61 (9, 112) 70 stable stable trend -0.9 (-1.9, 0.3)
Prince George County 2 Urban 1,477.8 (1,380.9, 1,579.8) 28 (8, 75) 180 stable stable trend -0.9 (-1.9, 0.2)
Spotsylvania County 2 Urban 1,372.5 (1,324.4, 1,422.0) 57 (31, 81) 648 falling falling trend -0.9 (-1.3, -0.4)
York County 2 Urban 1,295.4 (1,233.4, 1,359.7) 83 (48, 103) 335 falling falling trend -0.9 (-1.6, -0.2)
Appomattox County 2 Urban 1,184.5 (1,072.0, 1,305.8) 105 (45, 125) 84 stable stable trend -0.8 (-1.8, 0.3)
Hanover County 2 Urban 1,350.9 (1,302.3, 1,400.8) 63 (38, 88) 603 falling falling trend -0.8 (-1.2, -0.3)
Westmoreland County 2 Rural 1,354.5 (1,250.2, 1,465.3) 62 (20, 105) 133 stable stable trend -0.8 (-1.5, 0.0)
Amherst County 2 Urban 1,379.9 (1,293.1, 1,471.0) 53 (20, 96) 194 stable stable trend -0.7 (-1.6, 0.2)
Culpeper County 2 Urban 1,394.2 (1,318.3, 1,473.3) 50 (23, 91) 262 stable stable trend -0.7 (-1.6, 0.2)
Isle of Wight County 2 Urban 1,323.0 (1,244.5, 1,405.1) 74 (31, 102) 223 stable stable trend -0.7 (-1.4, 0.1)
Newport News City 2 Urban 1,324.6 (1,281.7, 1,368.6) 72 (47, 92) 749 falling falling trend -0.7 (-1.2, -0.2)
Northampton County 2 Rural 1,600.0 (1,461.9, 1,747.8) 14 (1, 57) 109 stable stable trend -0.7 (-1.5, 0.2)
Rockbridge County 2 Rural 1,279.1 (1,187.9, 1,375.4) 87 (37, 111) 153 stable stable trend -0.7 (-1.9, 0.4)
Winchester City 2 Urban 1,209.3 (1,113.0, 1,311.7) 102 (59, 121) 119 stable stable trend -0.7 (-1.5, 0.2)
Cumberland County 2 Rural 1,306.9 (1,162.3, 1,464.8) 79 (15, 119) 61 stable stable trend -0.6 (-1.8, 0.7)
Henrico County 2 Urban 1,375.4 (1,345.2, 1,406.0) 55 (40, 74) 1,630 falling falling trend -0.6 (-2.1, -0.2)
Alleghany County and Clifton Forge City 2 Rural 1,334.7 (1,220.8, 1,456.6) 67 (17, 108) 104 stable stable trend -0.5 (-1.9, 1.0)
James City County 2 Urban 1,295.0 (1,244.7, 1,346.8) 84 (51, 101) 523 stable stable trend -0.5 (-1.0, 0.0)
Louisa County 2 Rural 1,413.9 (1,332.1, 1,499.6) 44 (17, 86) 238 stable stable trend -0.5 (-1.5, 0.6)
Middlesex County 2 Rural 1,419.7 (1,288.1, 1,561.2) 41 (8, 102) 96 stable stable trend -0.5 (-3.0, 0.3)
King George County 2 Rural 1,492.5 (1,375.9, 1,616.2) 26 (5, 77) 128 stable stable trend -0.4 (-1.7, 1.1)
Portsmouth City 2 Urban 1,340.2 (1,283.2, 1,399.2) 64 (36, 94) 435 stable stable trend -0.4 (-1.1, 0.2)
Pulaski County 2 Urban 1,223.9 (1,147.1, 1,304.4) 99 (63, 116) 196 stable stable trend -0.4 (-1.0, 0.2)
Rockingham County 2 Urban 1,232.5 (1,179.9, 1,286.8) 96 (71, 109) 425 stable stable trend -0.4 (-1.1, 0.3)
Goochland County 2 Urban 1,452.1 (1,356.1, 1,553.1) 37 (10, 80) 180 stable stable trend -0.3 (-0.8, 0.2)
King William County 2 Urban 1,579.4 (1,443.1, 1,725.3) 15 (1, 67) 104 stable stable trend -0.3 (-1.6, 1.1)
Lynchburg City 2 Urban 1,329.2 (1,263.7, 1,397.3) 70 (37, 98) 317 stable stable trend -0.3 (-1.1, 0.5)
Roanoke City 2 Urban 1,454.5 (1,398.7, 1,512.0) 35 (17, 63) 535 stable stable trend -0.3 (-3.0, 0.9)
Warren County 2 Urban 1,257.7 (1,178.6, 1,340.7) 92 (51, 111) 198 stable stable trend -0.3 (-1.1, 0.6)
Charlotte County 2 Rural 1,332.2 (1,198.4, 1,477.0) 69 (16, 113) 74 stable stable trend -0.2 (-1.6, 1.4)
Chesapeake City 2 Urban 1,371.8 (1,334.4, 1,409.9) 58 (37, 78) 1,087 stable stable trend -0.2 (-0.6, 0.3)
Danville City 2 Rural 1,463.6 (1,384.3, 1,546.3) 33 (12, 74) 267 stable stable trend -0.2 (-1.1, 0.6)
Gloucester County 2 Urban 1,492.7 (1,410.3, 1,578.8) 25 (9, 62) 258 stable stable trend -0.2 (-1.0, 0.7)
Madison County 2 Rural 1,296.9 (1,173.7, 1,429.7) 81 (23, 116) 85 stable stable trend -0.2 (-1.0, 0.6)
Petersburg City 2 Urban 1,548.0 (1,450.0, 1,651.1) 19 (4, 55) 193 stable stable trend -0.2 (-1.0, 0.7)
Waynesboro City 2 Urban 1,555.9 (1,438.2, 1,680.7) 18 (2, 59) 133 stable stable trend -0.2 (-0.9, 0.6)
Augusta County 2 Urban 1,381.6 (1,326.6, 1,438.4) 52 (29, 80) 488 stable stable trend -0.1 (-0.7, 0.5)
Greensville County 2 Rural 1,471.7 (1,304.0, 1,655.3) 29 (2, 104) 59 stable stable trend -0.1 (-1.7, 1.5)
Prince Edward County 2 Rural 1,416.3 (1,295.6, 1,545.2) 43 (11, 98) 106 stable stable trend -0.1 (-1.3, 1.0)
Buckingham County 2 Rural 1,399.9 (1,277.6, 1,530.8) 49 (11, 102) 100 stable stable trend 0.0 (-1.1, 1.1)
Franklin County 2 Urban 1,308.4 (1,246.6, 1,372.4) 78 (40, 100) 354 stable stable trend 0.0 (-0.8, 0.8)
Grayson County 2 Rural 1,314.9 (1,200.7, 1,437.1) 76 (24, 111) 102 stable stable trend 0.0 (-1.4, 1.4)
Hopewell City 2 Urban 1,657.6 (1,531.0, 1,791.9) 7 (1, 34) 130 stable stable trend 0.0 (-0.8, 0.8)
Suffolk City 2 Urban 1,404.3 (1,346.0, 1,464.6) 45 (24, 78) 457 stable stable trend 0.0 (-0.6, 0.8)
Caroline County 2 Rural 1,532.8 (1,430.6, 1,640.4) 22 (3, 61) 175 stable stable trend 0.1 (-1.0, 1.3)
Highland County 2 Rural 1,089.4 (853.7, 1,372.5) 114 (19, 133) 17 stable stable trend 0.1 (-1.6, 1.9)
Lunenburg County 2 Rural 1,469.6 (1,328.4, 1,622.1) 30 (3, 97) 83 stable stable trend 0.1 (-1.2, 1.5)
Norfolk City 2 Urban 1,401.7 (1,360.5, 1,443.9) 47 (30, 71) 933 stable stable trend 0.1 (-0.3, 0.5)
Northumberland County 2 Rural 1,417.3 (1,294.6, 1,548.6) 42 (9, 97) 116 stable stable trend 0.1 (-1.2, 1.3)
Patrick County 2 Rural 1,165.6 (1,069.2, 1,268.5) 106 (59, 125) 112 stable stable trend 0.1 (-1.3, 1.5)
Roanoke County 2 Urban 1,276.5 (1,228.4, 1,326.1) 89 (60, 103) 546 stable stable trend 0.1 (-0.5, 0.8)
Staunton City 2 Urban 1,433.2 (1,333.8, 1,538.2) 40 (10, 88) 159 stable stable trend 0.1 (-0.7, 0.9)
Amelia County 2 Urban 1,657.2 (1,510.2, 1,814.7) 8 (1, 46) 97 stable stable trend 0.2 (-1.0, 1.6)
Bedford City and County 2 Urban 1,278.4 (1,226.9, 1,331.6) 88 (58, 103) 482 stable stable trend 0.2 (-1.1, 3.7)
Carroll County 2 Rural 1,227.8 (1,148.3, 1,311.3) 98 (59, 115) 185 stable stable trend 0.2 (-1.3, 1.8)
New Kent County 2 Urban 1,656.7 (1,533.2, 1,787.6) 9 (1, 32) 151 stable stable trend 0.2 (-0.5, 1.1)
Bland County 2 Rural 1,374.3 (1,191.1, 1,577.9) 56 (5, 117) 42 stable stable trend 0.3 (-2.4, 3.1)
Colonial Heights City 2 Urban 1,507.6 (1,382.8, 1,640.6) 24 (4, 83) 110 stable stable trend 0.3 (-0.5, 1.2)
Mecklenburg County 2 Rural 1,468.6 (1,383.4, 1,557.8) 31 (10, 71) 236 stable stable trend 0.3 (-0.5, 1.1)
Shenandoah County 2 Rural 1,240.5 (1,171.1, 1,313.1) 93 (58, 111) 245 stable stable trend 0.3 (-0.5, 1.2)
Fauquier County 2 Urban 1,186.0 (1,128.8, 1,245.4) 104 (79, 116) 334 stable stable trend 0.4 (-1.4, 5.4)
Botetourt County 2 Urban 1,322.1 (1,243.5, 1,404.3) 75 (33, 102) 218 stable stable trend 0.5 (-0.3, 1.3)
Charles City County 2 Urban 1,455.1 (1,281.8, 1,645.6) 34 (2, 104) 54 stable stable trend 0.5 (-1.2, 2.5)
Essex County 2 Rural 1,642.5 (1,487.0, 1,810.0) 10 (1, 53) 86 stable stable trend 0.5 (-0.8, 1.8)
Franklin City 2 Rural 1,536.8 (1,349.5, 1,742.8) 20 (1, 92) 51 stable stable trend 0.5 (-1.0, 2.0)
Nottoway County 2 Rural 1,674.4 (1,532.4, 1,826.0) 4 (1, 39) 105 stable stable trend 0.5 (-0.6, 1.7)
Craig County 2 Urban 1,271.1 (1,075.0, 1,492.6) 90 (8, 128) 31 stable stable trend 0.6 (-1.2, 2.6)
Fairfax County 2 Urban 1,016.4 (1,001.7, 1,031.4) 124 (118, 127) 3,753 stable stable trend 0.6 (-1.1, 3.2)
Loudoun County 2 Urban 1,106.4 (1,077.5, 1,136.0) 111 (105, 121) 1,180 stable stable trend 0.6 (-1.1, 3.6)
Martinsville City 2 Rural 1,666.6 (1,510.0, 1,835.1) 5 (1, 53) 86 stable stable trend 0.6 (-0.5, 1.7)
Mathews County 2 Urban 1,525.2 (1,374.1, 1,688.6) 23 (2, 88) 80 stable stable trend 0.6 (-0.6, 1.8)
Salem City 2 Urban 1,464.4 (1,360.1, 1,574.6) 32 (8, 83) 150 stable stable trend 0.6 (-0.6, 1.8)
Brunswick County 2 Rural 1,578.7 (1,448.6, 1,717.5) 16 (1, 62) 114 stable stable trend 0.7 (-0.2, 1.6)
Chesterfield County 2 Urban 1,400.3 (1,370.2, 1,430.8) 48 (32, 67) 1,749 stable stable trend 0.7 (-1.1, 3.6)
Richmond County 2 Rural 1,327.1 (1,171.6, 1,497.6) 71 (9, 119) 54 stable stable trend 0.8 (-1.0, 2.7)
Bath County 2 Rural 1,484.6 (1,267.5, 1,728.4) 27 (1, 111) 35 stable stable trend 1.0 (-1.0, 3.1)
Wythe County 2 Rural 1,446.0 (1,352.9, 1,543.8) 39 (11, 80) 185 rising rising trend 1.0 (0.2, 1.8)
Prince William County 2 Urban 1,085.1 (1,058.1, 1,112.6) 116 (107, 123) 1,355 stable stable trend 1.1 (-1.6, 4.0)
Buena Vista City 2 Rural 1,718.1 (1,497.0, 1,962.9) 2 (1, 63) 44 stable stable trend 1.2 (-0.1, 2.5)
Galax City 2 Rural 1,900.1 (1,660.5, 2,164.0) 1 (1, 24) 47 stable stable trend 1.4 (-0.2, 3.1)
King and Queen County 2 Urban 1,562.7 (1,374.0, 1,770.3) 17 (1, 97) 52 stable stable trend 1.4 (-0.1, 3.1)
Sussex County 2 Urban 1,659.6 (1,490.1, 1,843.2) 6 (1, 62) 72 rising rising trend 1.5 (0.6, 2.6)
Covington City 2 Rural 1,699.8 (1,469.8, 1,955.9) 3 (1, 75) 40 rising rising trend 2.4 (0.9, 4.0)
Floyd County 2 Urban 1,323.9 (1,207.8, 1,448.1) 73 (20, 110) 100 rising rising trend 2.4 (0.4, 7.2)
Orange County 2 Rural 1,535.2 (1,448.8, 1,625.4) 21 (5, 54) 242 rising rising trend 2.6 (0.4, 7.4)
Lexington City 2 Rural 1,621.0 (1,379.4, 1,893.2) 11 (1, 95) 34 rising rising trend 2.8 (0.7, 5.1)
Powhatan County 2 Urban 1,383.6 (1,291.6, 1,480.4) 51 (20, 96) 180 rising rising trend 2.9 (0.8, 6.3)
Dinwiddie County 2 Urban 1,600.9 (1,497.3, 1,709.8) 13 (1, 40) 184 stable stable trend 3.6 (-0.7, 10.2)
Lancaster County 2 Rural 1,605.0 (1,465.6, 1,754.2) 12 (1, 55) 116 stable stable trend 4.8 (-0.6, 12.4)
Fairfax City 2 Urban 1,228.2 (1,119.2, 1,345.1) 97 (41, 122) 97 stable stable trend 8.6 (0.0, 14.6)

Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 12:53 pm.

State Cancer Registries may provide more current or more local data.

† 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.

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.

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.

Source: SEER and NPCR data. For more specific information please see the table.

Data for United States does not include Puerto Rico.

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