State Cancer Profiles

Interpretation of Incidence Rates Data

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

Explanation of Column Headers
Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

Recent Trends - This is an interpretation of the AAPC/APC:

• Rising when 95% confidence interval of AAPC/APC is above 0.
• Stable when 95% confidence interval of AAPC/APC includes 0.
• Falling when 95% confidence interval of AAPC/APC is below 0.

AAPC/APC (95% Confidence Interval) - the change in rate over time

• Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
• Annual Percent Change - APCs calculated in SEER*Stat.

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Virginia²

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 1,253.9 with a 95% confidence interval from 1,248.2 to 1,259.6 and 38,180 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.5 to 0.3.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 1,350.7 with a 95% confidence interval from 1,349.8 to 1,351.7 and 1,608,177 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.7.

Russell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 983.6 with a 95% confidence interval from 904.2 to 1,068.1 and 118 average annual cases over 2018-2022.
• CI*Rank ⋔ : 125 (111, 131)
• Recent Trend : The trend is because the trend is -9.9 with a 95% confidence interval from -14.2 to -6.6.

Williamsburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,141.3 with a 95% confidence interval from 1,007.8 to 1,287.7 and 57 average annual cases over 2018-2022.
• CI*Rank ⋔ : 108 (51, 129)
• Recent Trend : The trend is because the trend is -6.5 with a 95% confidence interval from -12.7 to -2.7.

Giles County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,449.5 with a 95% confidence interval from 1,330.2 to 1,576.7 and 111 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (7, 92)
• Recent Trend : The trend is because the trend is -6.4 with a 95% confidence interval from -13.8 to -0.7.

Halifax County with South Boston City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,216.6 with a 95% confidence interval from 1,141.7 to 1,295.1 and 206 average annual cases over 2018-2022.
• CI*Rank ⋔ : 100 (63, 115)
• Recent Trend : The trend is because the trend is -5.5 with a 95% confidence interval from -10.7 to -2.8.

Bristol City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 708.7 with a 95% confidence interval from 624.7 to 800.9 and 53 average annual cases over 2018-2022.
• CI*Rank ⋔ : 133 (131, 133)
• Recent Trend : The trend is because the trend is -5.4 with a 95% confidence interval from -8.2 to -3.3.

Scott County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 728.6 with a 95% confidence interval from 656.7 to 806.2 and 78 average annual cases over 2018-2022.
• CI*Rank ⋔ : 132 (131, 133)
• Recent Trend : The trend is because the trend is -4.3 with a 95% confidence interval from -7.0 to -2.1.

Southampton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,369.5 with a 95% confidence interval from 1,258.4 to 1,488.0 and 116 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (18, 106)
• Recent Trend : The trend is because the trend is -4.0 with a 95% confidence interval from -8.9 to -1.2.

Virginia Beach City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,333.8 with a 95% confidence interval from 1,307.5 to 1,360.4 and 2,034 average annual cases over 2018-2022.
• CI*Rank ⋔ : 68 (53, 83)
• Recent Trend : The trend is because the trend is -3.5 with a 95% confidence interval from -5.3 to -1.6.

Page County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,266.1 with a 95% confidence interval from 1,173.0 to 1,364.7 and 140 average annual cases over 2018-2022.
• CI*Rank ⋔ : 91 (40, 113)
• Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -10.3 to -0.3.

Washington County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 927.7 with a 95% confidence interval from 875.3 to 982.5 and 243 average annual cases over 2018-2022.
• CI*Rank ⋔ : 130 (122, 131)
• Recent Trend : The trend is because the trend is -3.2 with a 95% confidence interval from -4.2 to -2.4.

Buchanan County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 855.4 with a 95% confidence interval from 774.1 to 943.0 and 84 average annual cases over 2018-2022.
• CI*Rank ⋔ : 131 (124, 133)
• Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -6.0 to -2.2.

Lee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 980.9 with a 95% confidence interval from 894.2 to 1,073.7 and 98 average annual cases over 2018-2022.
• CI*Rank ⋔ : 126 (109, 131)
• Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -5.4 to -1.1.

Wise County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,086.9 with a 95% confidence interval from 1,010.6 to 1,167.6 and 158 average annual cases over 2018-2022.
• CI*Rank ⋔ : 115 (94, 128)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -4.2 to -1.8.

Tazewell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 960.8 with a 95% confidence interval from 897.1 to 1,027.8 and 178 average annual cases over 2018-2022.
• CI*Rank ⋔ : 129 (117, 131)
• Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -7.3 to -1.7.

Dickenson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,024.6 with a 95% confidence interval from 917.1 to 1,141.4 and 69 average annual cases over 2018-2022.
• CI*Rank ⋔ : 123 (93, 131)
• Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -4.0 to -0.9.

Manassas City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,079.0 with a 95% confidence interval from 984.1 to 1,180.5 and 109 average annual cases over 2018-2022.
• CI*Rank ⋔ : 118 (93, 130)
• Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -3.9 to -1.0.

Harrisonburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,104.2 with a 95% confidence interval from 1,017.2 to 1,196.6 and 123 average annual cases over 2018-2022.
• CI*Rank ⋔ : 112 (85, 128)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -6.8 to -1.2.

Manassas Park City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,065.4 with a 95% confidence interval from 916.1 to 1,231.8 and 41 average annual cases over 2018-2022.
• CI*Rank ⋔ : 121 (64, 131)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -4.6 to 0.9.

Falls Church City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 964.2 with a 95% confidence interval from 844.4 to 1,096.4 and 48 average annual cases over 2018-2022.
• CI*Rank ⋔ : 128 (100, 132)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -3.2 to -0.2.

Arlington County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 980.7 with a 95% confidence interval from 944.9 to 1,017.5 and 591 average annual cases over 2018-2022.
• CI*Rank ⋔ : 127 (118, 130)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.2 to -1.2.

Frederick County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,151.4 with a 95% confidence interval from 1,101.8 to 1,202.7 and 414 average annual cases over 2018-2022.
• CI*Rank ⋔ : 107 (93, 120)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.1.

Norton City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,290.7 with a 95% confidence interval from 1,037.6 to 1,587.6 and 19 average annual cases over 2018-2022.
• CI*Rank ⋔ : 85 (3, 131)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -3.6 to 0.5.

Smyth County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,064.6 with a 95% confidence interval from 988.3 to 1,145.2 and 148 average annual cases over 2018-2022.
• CI*Rank ⋔ : 122 (99, 129)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -6.4 to 0.0.

Pittsylvania County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,081.2 with a 95% confidence interval from 1,028.0 to 1,136.5 and 321 average annual cases over 2018-2022.
• CI*Rank ⋔ : 117 (104, 126)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.3 to -0.6.

Albemarle County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,211.4 with a 95% confidence interval from 1,165.5 to 1,258.7 and 544 average annual cases over 2018-2022.
• CI*Rank ⋔ : 101 (79, 111)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.5.

Charlottesville City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,138.2 with a 95% confidence interval from 1,054.3 to 1,227.1 and 145 average annual cases over 2018-2022.
• CI*Rank ⋔ : 109 (80, 125)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.2 to -0.3.

Clarke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,091.8 with a 95% confidence interval from 984.1 to 1,208.1 and 77 average annual cases over 2018-2022.
• CI*Rank ⋔ : 113 (81, 129)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.4 to -0.2.

Fredericksburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,453.2 with a 95% confidence interval from 1,328.8 to 1,586.1 and 105 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (6, 94)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.3 to -0.3.

Fluvanna County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,306.4 with a 95% confidence interval from 1,214.0 to 1,404.0 and 154 average annual cases over 2018-2022.
• CI*Rank ⋔ : 80 (28, 109)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.4.

Nelson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,338.7 with a 95% confidence interval from 1,224.8 to 1,460.5 and 111 average annual cases over 2018-2022.
• CI*Rank ⋔ : 65 (19, 107)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.3.

Radford City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,371.0 with a 95% confidence interval from 1,195.1 to 1,565.2 and 46 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (5, 118)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.7 to 0.2.

Surry County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,335.6 with a 95% confidence interval from 1,167.2 to 1,522.0 and 47 average annual cases over 2018-2022.
• CI*Rank ⋔ : 66 (8, 122)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -4.5 to 0.1.

Accomack County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,186.4 with a 95% confidence interval from 1,110.8 to 1,265.9 and 195 average annual cases over 2018-2022.
• CI*Rank ⋔ : 103 (71, 119)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.3 to 0.0.

Alexandria City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,073.6 with a 95% confidence interval from 1,029.5 to 1,119.1 and 473 average annual cases over 2018-2022.
• CI*Rank ⋔ : 119 (106, 125)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.3.

Greene County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,232.8 with a 95% confidence interval from 1,125.6 to 1,347.5 and 101 average annual cases over 2018-2022.
• CI*Rank ⋔ : 95 (40, 120)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.2.

Hampton City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,309.2 with a 95% confidence interval from 1,262.8 to 1,356.8 and 630 average annual cases over 2018-2022.
• CI*Rank ⋔ : 77 (51, 96)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.6.

Rappahannock County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,068.2 with a 95% confidence interval from 926.9 to 1,225.1 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 120 (69, 131)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.8 to 0.6.

Stafford County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,295.6 with a 95% confidence interval from 1,245.3 to 1,347.4 and 549 average annual cases over 2018-2022.
• CI*Rank ⋔ : 82 (51, 101)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.5.

Richmond City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,404.3 with a 95% confidence interval from 1,363.5 to 1,446.0 and 968 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (29, 68)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.7.

Campbell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,283.6 with a 95% confidence interval from 1,219.7 to 1,350.0 and 311 average annual cases over 2018-2022.
• CI*Rank ⋔ : 86 (49, 105)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.7 to -0.1.

Emporia City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,375.5 with a 95% confidence interval from 1,165.8 to 1,612.0 and 31 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (2, 123)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.5 to 0.8.

Henry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,234.0 with a 95% confidence interval from 1,172.7 to 1,297.6 and 313 average annual cases over 2018-2022.
• CI*Rank ⋔ : 94 (64, 111)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.2.

Montgomery County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,128.0 with a 95% confidence interval from 1,072.6 to 1,185.6 and 319 average annual cases over 2018-2022.
• CI*Rank ⋔ : 110 (93, 122)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.1.

Poquoson City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,361.2 with a 95% confidence interval from 1,221.2 to 1,512.9 and 70 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (9, 112)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.3.

Prince George County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,477.8 with a 95% confidence interval from 1,380.9 to 1,579.8 and 180 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (8, 75)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.2.

Spotsylvania County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,372.5 with a 95% confidence interval from 1,324.4 to 1,422.0 and 648 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (31, 81)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.4.

York County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,295.4 with a 95% confidence interval from 1,233.4 to 1,359.7 and 335 average annual cases over 2018-2022.
• CI*Rank ⋔ : 83 (48, 103)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.2.

Appomattox County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,184.5 with a 95% confidence interval from 1,072.0 to 1,305.8 and 84 average annual cases over 2018-2022.
• CI*Rank ⋔ : 105 (45, 125)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.8 to 0.3.

Hanover County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,350.9 with a 95% confidence interval from 1,302.3 to 1,400.8 and 603 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (38, 88)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.3.

Westmoreland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,354.5 with a 95% confidence interval from 1,250.2 to 1,465.3 and 133 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (20, 105)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.5 to 0.0.

Amherst County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,379.9 with a 95% confidence interval from 1,293.1 to 1,471.0 and 194 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (20, 96)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.2.

Culpeper County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,394.2 with a 95% confidence interval from 1,318.3 to 1,473.3 and 262 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (23, 91)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.2.

Isle of Wight County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,323.0 with a 95% confidence interval from 1,244.5 to 1,405.1 and 223 average annual cases over 2018-2022.
• CI*Rank ⋔ : 74 (31, 102)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.1.

Newport News City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,324.6 with a 95% confidence interval from 1,281.7 to 1,368.6 and 749 average annual cases over 2018-2022.
• CI*Rank ⋔ : 72 (47, 92)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

Northampton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,600.0 with a 95% confidence interval from 1,461.9 to 1,747.8 and 109 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (1, 57)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.2.

Rockbridge County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,279.1 with a 95% confidence interval from 1,187.9 to 1,375.4 and 153 average annual cases over 2018-2022.
• CI*Rank ⋔ : 87 (37, 111)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.4.

Winchester City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,209.3 with a 95% confidence interval from 1,113.0 to 1,311.7 and 119 average annual cases over 2018-2022.
• CI*Rank ⋔ : 102 (59, 121)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.2.

Cumberland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,306.9 with a 95% confidence interval from 1,162.3 to 1,464.8 and 61 average annual cases over 2018-2022.
• CI*Rank ⋔ : 79 (15, 119)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.8 to 0.7.

Henrico County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,375.4 with a 95% confidence interval from 1,345.2 to 1,406.0 and 1,630 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (40, 74)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.1 to -0.2.

Alleghany County and Clifton Forge City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,334.7 with a 95% confidence interval from 1,220.8 to 1,456.6 and 104 average annual cases over 2018-2022.
• CI*Rank ⋔ : 67 (17, 108)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.9 to 1.0.

James City County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,295.0 with a 95% confidence interval from 1,244.7 to 1,346.8 and 523 average annual cases over 2018-2022.
• CI*Rank ⋔ : 84 (51, 101)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.0.

Louisa County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,413.9 with a 95% confidence interval from 1,332.1 to 1,499.6 and 238 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (17, 86)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.6.

Middlesex County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,419.7 with a 95% confidence interval from 1,288.1 to 1,561.2 and 96 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (8, 102)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -3.0 to 0.3.

King George County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,492.5 with a 95% confidence interval from 1,375.9 to 1,616.2 and 128 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (5, 77)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.7 to 1.1.

Portsmouth City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,340.2 with a 95% confidence interval from 1,283.2 to 1,399.2 and 435 average annual cases over 2018-2022.
• CI*Rank ⋔ : 64 (36, 94)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.1 to 0.2.

Pulaski County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,223.9 with a 95% confidence interval from 1,147.1 to 1,304.4 and 196 average annual cases over 2018-2022.
• CI*Rank ⋔ : 99 (63, 116)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.2.

Rockingham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,232.5 with a 95% confidence interval from 1,179.9 to 1,286.8 and 425 average annual cases over 2018-2022.
• CI*Rank ⋔ : 96 (71, 109)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.1 to 0.3.

Goochland County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,452.1 with a 95% confidence interval from 1,356.1 to 1,553.1 and 180 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (10, 80)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.2.

King William County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,579.4 with a 95% confidence interval from 1,443.1 to 1,725.3 and 104 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (1, 67)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.6 to 1.1.

Lynchburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,329.2 with a 95% confidence interval from 1,263.7 to 1,397.3 and 317 average annual cases over 2018-2022.
• CI*Rank ⋔ : 70 (37, 98)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.5.

Roanoke City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,454.5 with a 95% confidence interval from 1,398.7 to 1,512.0 and 535 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (17, 63)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -3.0 to 0.9.

Warren County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,257.7 with a 95% confidence interval from 1,178.6 to 1,340.7 and 198 average annual cases over 2018-2022.
• CI*Rank ⋔ : 92 (51, 111)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.1 to 0.6.

Charlotte County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,332.2 with a 95% confidence interval from 1,198.4 to 1,477.0 and 74 average annual cases over 2018-2022.
• CI*Rank ⋔ : 69 (16, 113)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.6 to 1.4.

Chesapeake City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,371.8 with a 95% confidence interval from 1,334.4 to 1,409.9 and 1,087 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (37, 78)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.3.

Danville City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,463.6 with a 95% confidence interval from 1,384.3 to 1,546.3 and 267 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (12, 74)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.6.

Gloucester County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,492.7 with a 95% confidence interval from 1,410.3 to 1,578.8 and 258 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (9, 62)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.7.

Madison County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,296.9 with a 95% confidence interval from 1,173.7 to 1,429.7 and 85 average annual cases over 2018-2022.
• CI*Rank ⋔ : 81 (23, 116)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.6.

Petersburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,548.0 with a 95% confidence interval from 1,450.0 to 1,651.1 and 193 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (4, 55)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.7.

Waynesboro City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,555.9 with a 95% confidence interval from 1,438.2 to 1,680.7 and 133 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (2, 59)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.9 to 0.6.

Augusta County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,381.6 with a 95% confidence interval from 1,326.6 to 1,438.4 and 488 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (29, 80)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.5.

Greensville County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,471.7 with a 95% confidence interval from 1,304.0 to 1,655.3 and 59 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (2, 104)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.7 to 1.5.

Prince Edward County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,416.3 with a 95% confidence interval from 1,295.6 to 1,545.2 and 106 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (11, 98)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.3 to 1.0.

Buckingham County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,399.9 with a 95% confidence interval from 1,277.6 to 1,530.8 and 100 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (11, 102)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.1 to 1.1.

Franklin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,308.4 with a 95% confidence interval from 1,246.6 to 1,372.4 and 354 average annual cases over 2018-2022.
• CI*Rank ⋔ : 78 (40, 100)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.8 to 0.8.

Grayson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,314.9 with a 95% confidence interval from 1,200.7 to 1,437.1 and 102 average annual cases over 2018-2022.
• CI*Rank ⋔ : 76 (24, 111)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.4 to 1.4.

Hopewell City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,657.6 with a 95% confidence interval from 1,531.0 to 1,791.9 and 130 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (1, 34)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.8 to 0.8.

Suffolk City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,404.3 with a 95% confidence interval from 1,346.0 to 1,464.6 and 457 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (24, 78)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.6 to 0.8.

Caroline County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,532.8 with a 95% confidence interval from 1,430.6 to 1,640.4 and 175 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (3, 61)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.0 to 1.3.

Highland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,089.4 with a 95% confidence interval from 853.7 to 1,372.5 and 17 average annual cases over 2018-2022.
• CI*Rank ⋔ : 114 (19, 133)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.6 to 1.9.

Lunenburg County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,469.6 with a 95% confidence interval from 1,328.4 to 1,622.1 and 83 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (3, 97)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.2 to 1.5.

Norfolk City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,401.7 with a 95% confidence interval from 1,360.5 to 1,443.9 and 933 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (30, 71)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.3 to 0.5.

Northumberland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,417.3 with a 95% confidence interval from 1,294.6 to 1,548.6 and 116 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (9, 97)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.2 to 1.3.

Patrick County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,165.6 with a 95% confidence interval from 1,069.2 to 1,268.5 and 112 average annual cases over 2018-2022.
• CI*Rank ⋔ : 106 (59, 125)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.3 to 1.5.

Roanoke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,276.5 with a 95% confidence interval from 1,228.4 to 1,326.1 and 546 average annual cases over 2018-2022.
• CI*Rank ⋔ : 89 (60, 103)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.8.

Staunton City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,433.2 with a 95% confidence interval from 1,333.8 to 1,538.2 and 159 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (10, 88)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.7 to 0.9.

Amelia County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,657.2 with a 95% confidence interval from 1,510.2 to 1,814.7 and 97 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (1, 46)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.6.

Bedford City and County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,278.4 with a 95% confidence interval from 1,226.9 to 1,331.6 and 482 average annual cases over 2018-2022.
• CI*Rank ⋔ : 88 (58, 103)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.1 to 3.7.

Carroll County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,227.8 with a 95% confidence interval from 1,148.3 to 1,311.3 and 185 average annual cases over 2018-2022.
• CI*Rank ⋔ : 98 (59, 115)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.3 to 1.8.

New Kent County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,656.7 with a 95% confidence interval from 1,533.2 to 1,787.6 and 151 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (1, 32)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.5 to 1.1.

Bland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,374.3 with a 95% confidence interval from 1,191.1 to 1,577.9 and 42 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (5, 117)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -2.4 to 3.1.

Colonial Heights City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,507.6 with a 95% confidence interval from 1,382.8 to 1,640.6 and 110 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (4, 83)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.5 to 1.2.

Mecklenburg County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,468.6 with a 95% confidence interval from 1,383.4 to 1,557.8 and 236 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (10, 71)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.5 to 1.1.

Shenandoah County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,240.5 with a 95% confidence interval from 1,171.1 to 1,313.1 and 245 average annual cases over 2018-2022.
• CI*Rank ⋔ : 93 (58, 111)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.5 to 1.2.

Fauquier County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,186.0 with a 95% confidence interval from 1,128.8 to 1,245.4 and 334 average annual cases over 2018-2022.
• CI*Rank ⋔ : 104 (79, 116)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.4 to 5.4.

Botetourt County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,322.1 with a 95% confidence interval from 1,243.5 to 1,404.3 and 218 average annual cases over 2018-2022.
• CI*Rank ⋔ : 75 (33, 102)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.3 to 1.3.

Charles City County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,455.1 with a 95% confidence interval from 1,281.8 to 1,645.6 and 54 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (2, 104)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.2 to 2.5.

Essex County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,642.5 with a 95% confidence interval from 1,487.0 to 1,810.0 and 86 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (1, 53)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.8 to 1.8.

Franklin City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,536.8 with a 95% confidence interval from 1,349.5 to 1,742.8 and 51 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (1, 92)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.0 to 2.0.

Nottoway County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,674.4 with a 95% confidence interval from 1,532.4 to 1,826.0 and 105 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 39)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.6 to 1.7.

Craig County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,271.1 with a 95% confidence interval from 1,075.0 to 1,492.6 and 31 average annual cases over 2018-2022.
• CI*Rank ⋔ : 90 (8, 128)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -1.2 to 2.6.

Fairfax County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,016.4 with a 95% confidence interval from 1,001.7 to 1,031.4 and 3,753 average annual cases over 2018-2022.
• CI*Rank ⋔ : 124 (118, 127)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -1.1 to 3.2.

Loudoun County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,106.4 with a 95% confidence interval from 1,077.5 to 1,136.0 and 1,180 average annual cases over 2018-2022.
• CI*Rank ⋔ : 111 (105, 121)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -1.1 to 3.6.

Martinsville City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,666.6 with a 95% confidence interval from 1,510.0 to 1,835.1 and 86 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 53)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.5 to 1.7.

Mathews County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,525.2 with a 95% confidence interval from 1,374.1 to 1,688.6 and 80 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (2, 88)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.6 to 1.8.

Salem City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,464.4 with a 95% confidence interval from 1,360.1 to 1,574.6 and 150 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (8, 83)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.6 to 1.8.

Brunswick County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,578.7 with a 95% confidence interval from 1,448.6 to 1,717.5 and 114 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (1, 62)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.2 to 1.6.

Chesterfield County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,400.3 with a 95% confidence interval from 1,370.2 to 1,430.8 and 1,749 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (32, 67)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.1 to 3.6.

Richmond County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,327.1 with a 95% confidence interval from 1,171.6 to 1,497.6 and 54 average annual cases over 2018-2022.
• CI*Rank ⋔ : 71 (9, 119)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -1.0 to 2.7.

Bath County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,484.6 with a 95% confidence interval from 1,267.5 to 1,728.4 and 35 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (1, 111)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -1.0 to 3.1.

Wythe County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,446.0 with a 95% confidence interval from 1,352.9 to 1,543.8 and 185 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (11, 80)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.2 to 1.8.

Prince William County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,085.1 with a 95% confidence interval from 1,058.1 to 1,112.6 and 1,355 average annual cases over 2018-2022.
• CI*Rank ⋔ : 116 (107, 123)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -1.6 to 4.0.

Buena Vista City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,718.1 with a 95% confidence interval from 1,497.0 to 1,962.9 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 63)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -0.1 to 2.5.

Galax City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,900.1 with a 95% confidence interval from 1,660.5 to 2,164.0 and 47 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 24)
• Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from -0.2 to 3.1.

King and Queen County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,562.7 with a 95% confidence interval from 1,374.0 to 1,770.3 and 52 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (1, 97)
• Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from -0.1 to 3.1.

Sussex County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,659.6 with a 95% confidence interval from 1,490.1 to 1,843.2 and 72 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 62)
• Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from 0.6 to 2.6.

Covington City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,699.8 with a 95% confidence interval from 1,469.8 to 1,955.9 and 40 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 75)
• Recent Trend : The trend is because the trend is 2.4 with a 95% confidence interval from 0.9 to 4.0.

Floyd County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,323.9 with a 95% confidence interval from 1,207.8 to 1,448.1 and 100 average annual cases over 2018-2022.
• CI*Rank ⋔ : 73 (20, 110)
• Recent Trend : The trend is because the trend is 2.4 with a 95% confidence interval from 0.4 to 7.2.

Orange County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,535.2 with a 95% confidence interval from 1,448.8 to 1,625.4 and 242 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (5, 54)
• Recent Trend : The trend is because the trend is 2.6 with a 95% confidence interval from 0.4 to 7.4.

Lexington City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,621.0 with a 95% confidence interval from 1,379.4 to 1,893.2 and 34 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (1, 95)
• Recent Trend : The trend is because the trend is 2.8 with a 95% confidence interval from 0.7 to 5.1.

Powhatan County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,383.6 with a 95% confidence interval from 1,291.6 to 1,480.4 and 180 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (20, 96)
• Recent Trend : The trend is because the trend is 2.9 with a 95% confidence interval from 0.8 to 6.3.

Dinwiddie County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,600.9 with a 95% confidence interval from 1,497.3 to 1,709.8 and 184 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (1, 40)
• Recent Trend : The trend is because the trend is 3.6 with a 95% confidence interval from -0.7 to 10.2.

Lancaster County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,605.0 with a 95% confidence interval from 1,465.6 to 1,754.2 and 116 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (1, 55)
• Recent Trend : The trend is because the trend is 4.8 with a 95% confidence interval from -0.6 to 12.4.

Fairfax City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,228.2 with a 95% confidence interval from 1,119.2 to 1,345.1 and 97 average annual cases over 2018-2022.
• CI*Rank ⋔ : 97 (41, 122)
• Recent Trend : The trend is because the trend is 8.6 with a 95% confidence interval from 0.0 to 14.6.

Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2026 3:46 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.

‡ 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.

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.