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 65+

Sorted by CI*Rank

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

Galax City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,972.5 with a 95% confidence interval from 2,524.8 to 3,475.1 and 32 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 21)
• Recent Trend : The trend is because the trend is 6.0 with a 95% confidence interval from 4.0 to 9.5.

Amelia County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,592.4 with a 95% confidence interval from 2,319.6 to 2,888.7 and 67 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 32)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.6 to 2.6.

Buena Vista City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,576.6 with a 95% confidence interval from 2,191.5 to 3,010.2 and 32 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 71)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.7 to 2.4.

New Kent County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,555.2 with a 95% confidence interval from 2,320.3 to 2,807.8 and 100 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 32)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.4 to 1.5.

Martinsville City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,463.9 with a 95% confidence interval from 2,179.3 to 2,775.4 and 56 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 63)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.5 to 2.1.

Hopewell City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,457.8 with a 95% confidence interval from 2,229.4 to 2,703.4 and 86 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 45)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.1 to 2.1.

Nottoway County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,427.6 with a 95% confidence interval from 2,176.0 to 2,700.4 and 69 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (1, 56)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.2 to 2.1.

Waynesboro City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,374.8 with a 95% confidence interval from 2,164.4 to 2,600.1 and 94 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (1, 53)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.6.

King and Queen County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,369.2 with a 95% confidence interval from 2,030.7 to 2,748.8 and 37 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (1, 91)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -0.9 to 3.6.

Orange County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,359.9 with a 95% confidence interval from 2,202.7 to 2,525.4 and 170 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (2, 38)
• Recent Trend : The trend is because the trend is 2.8 with a 95% confidence interval from 0.4 to 8.4.

Mathews County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,352.7 with a 95% confidence interval from 2,098.9 to 2,629.0 and 63 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (1, 65)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.7 to 2.8.

Lexington City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,337.6 with a 95% confidence interval from 1,946.5 to 2,784.1 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (1, 106)
• Recent Trend : The trend is because the trend is 3.2 with a 95% confidence interval from 0.9 to 6.0.

Bath County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,335.6 with a 95% confidence interval from 1,956.3 to 2,767.2 and 27 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (1, 106)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -0.6 to 3.1.

Radford City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,308.8 with a 95% confidence interval from 1,964.5 to 2,695.9 and 33 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (1, 106)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -2.1 to 1.7.

King William County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,303.5 with a 95% confidence interval from 2,054.5 to 2,574.7 and 66 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (2, 75)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.2 to 1.0.

Essex County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,298.7 with a 95% confidence interval from 2,034.2 to 2,588.5 and 57 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (1, 83)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.3 to 2.2.

Dinwiddie County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,287.2 with a 95% confidence interval from 2,101.2 to 2,485.3 and 115 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (3, 63)
• Recent Trend : The trend is because the trend is 3.5 with a 95% confidence interval from -1.5 to 11.0.

Northampton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,279.9 with a 95% confidence interval from 2,055.9 to 2,521.7 and 77 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (2, 77)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.8 to 0.6.

Petersburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,277.6 with a 95% confidence interval from 2,099.9 to 2,466.5 and 126 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (3, 58)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.7 to 1.1.

King George County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,271.4 with a 95% confidence interval from 2,050.7 to 2,509.6 and 81 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (2, 73)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -2.3 to 1.1.

Sussex County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,256.0 with a 95% confidence interval from 1,967.3 to 2,575.4 and 45 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (2, 95)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -0.7 to 3.1.

Charles City County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,240.1 with a 95% confidence interval from 1,923.1 to 2,594.6 and 37 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (1, 104)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -5.3 to 1.8.

Covington City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,225.1 with a 95% confidence interval from 1,842.5 to 2,664.6 and 24 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (1, 116)
• Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from -0.2 to 2.9.

Caroline County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,216.9 with a 95% confidence interval from 2,032.2 to 2,414.0 and 110 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (4, 72)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.7 to 2.0.

Staunton City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,211.3 with a 95% confidence interval from 2,033.9 to 2,400.2 and 116 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (4, 73)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.5 to 1.3.

Salem City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,204.8 with a 95% confidence interval from 2,019.3 to 2,402.7 and 106 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (5, 76)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.9 to 1.6.

Giles County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,194.8 with a 95% confidence interval from 1,981.9 to 2,424.6 and 79 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (4, 86)
• Recent Trend : The trend is because the trend is -5.3 with a 95% confidence interval from -10.3 to -1.5.

Colonial Heights City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,190.5 with a 95% confidence interval from 1,973.6 to 2,424.7 and 75 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (3, 88)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.3 to 1.0.

Charlotte County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,177.6 with a 95% confidence interval from 1,927.7 to 2,451.3 and 56 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (3, 97)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.3 to 2.8.

Brunswick County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,167.7 with a 95% confidence interval from 1,950.0 to 2,403.4 and 74 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (3, 93)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.4 to 1.1.

Lancaster County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,160.7 with a 95% confidence interval from 1,961.0 to 2,375.1 and 86 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (5, 86)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.3.

Gloucester County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,156.8 with a 95% confidence interval from 2,009.0 to 2,312.8 and 164 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (9, 76)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.4.

Lunenburg County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,145.0 with a 95% confidence interval from 1,900.1 to 2,413.1 and 57 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (4, 101)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.5 to 1.6.

Fredericksburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,140.4 with a 95% confidence interval from 1,909.5 to 2,391.6 and 65 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (3, 96)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.4 to 0.0.

Goochland County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,133.2 with a 95% confidence interval from 1,961.9 to 2,315.6 and 121 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (8, 84)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.7.

Greensville County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,127.8 with a 95% confidence interval from 1,821.8 to 2,471.5 and 37 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (2, 113)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.2 to 1.1.

Mecklenburg County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,111.6 with a 95% confidence interval from 1,969.6 to 2,261.2 and 167 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (11, 82)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.6 to 1.6.

Chesterfield County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,099.0 with a 95% confidence interval from 2,043.1 to 2,155.9 and 1,138 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (24, 57)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -1.2 to 4.1.

Prince George County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,095.6 with a 95% confidence interval from 1,921.5 to 2,281.3 and 111 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (10, 89)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.6 to 0.3.

Powhatan County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,083.2 with a 95% confidence interval from 1,911.9 to 2,266.0 and 117 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (10, 90)
• Recent Trend : The trend is because the trend is 3.0 with a 95% confidence interval from 0.0 to 8.2.

Richmond City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,075.0 with a 95% confidence interval from 1,999.3 to 2,152.9 and 610 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (24, 67)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.2.

Poquoson City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,067.6 with a 95% confidence interval from 1,816.5 to 2,343.9 and 49 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (4, 111)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.2 to 0.5.

Culpeper County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,059.5 with a 95% confidence interval from 1,921.2 to 2,205.2 and 170 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (16, 89)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.3.

Wythe County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,057.5 with a 95% confidence interval from 1,896.2 to 2,228.9 and 123 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (12, 92)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from 0.0 to 1.9.

Northumberland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,057.1 with a 95% confidence interval from 1,870.2 to 2,257.7 and 90 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (9, 102)
• Recent Trend : The trend is because the trend is 4.6 with a 95% confidence interval from -0.7 to 11.1.

Surry County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,048.2 with a 95% confidence interval from 1,736.2 to 2,400.7 and 32 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (3, 120)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.6 to 1.8.

Suffolk City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,046.1 with a 95% confidence interval from 1,938.5 to 2,158.3 and 280 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (21, 82)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.9 to 1.0.

Roanoke City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,046.1 with a 95% confidence interval from 1,948.3 to 2,147.6 and 342 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (23, 77)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.7.

Spotsylvania County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,044.9 with a 95% confidence interval from 1,954.7 to 2,138.2 and 405 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (24, 76)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.5 to -0.2.

Middlesex County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,039.0 with a 95% confidence interval from 1,832.5 to 2,262.7 and 71 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (11, 105)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.4 to 1.7.

Henrico County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,037.7 with a 95% confidence interval from 1,982.7 to 2,093.8 and 1,071 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (31, 67)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.1 to -0.1.

Chesapeake City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,007.0 with a 95% confidence interval from 1,937.6 to 2,078.3 and 663 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (32, 78)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.3.

Danville City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,997.1 with a 95% confidence interval from 1,865.2 to 2,135.9 and 174 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (22, 97)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.4.

Norfolk City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,995.8 with a 95% confidence interval from 1,920.6 to 2,073.1 and 562 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (33, 83)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.6.

Hanover County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,994.4 with a 95% confidence interval from 1,906.2 to 2,085.7 and 394 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (29, 84)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -3.5 to -0.2.

Fairfax City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,989.9 with a 95% confidence interval from 1,779.5 to 2,218.4 and 67 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (12, 111)
• Recent Trend : The trend is because the trend is 9.0 with a 95% confidence interval from 0.4 to 15.7.

Augusta County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,983.7 with a 95% confidence interval from 1,888.1 to 2,082.9 and 327 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (28, 89)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.9 to 0.7.

Franklin City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,983.5 with a 95% confidence interval from 1,677.0 to 2,329.7 and 30 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (3, 123)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.5 to 1.3.

Prince Edward County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,982.7 with a 95% confidence interval from 1,777.9 to 2,204.5 and 70 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (12, 111)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.4 to 1.3.

Richmond County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,981.3 with a 95% confidence interval from 1,709.0 to 2,284.6 and 38 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (5, 120)
• Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from -0.2 to 2.9.

Botetourt County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,976.9 with a 95% confidence interval from 1,837.0 to 2,124.8 and 152 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (22, 100)
• Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from 0.4 to 4.7.

Louisa County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,975.7 with a 95% confidence interval from 1,830.6 to 2,129.5 and 146 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (22, 100)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.8.

Virginia Beach City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,954.4 with a 95% confidence interval from 1,906.5 to 2,003.3 and 1,299 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (44, 81)
• Recent Trend : The trend is because the trend is -3.7 with a 95% confidence interval from -6.2 to -0.9.

Westmoreland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,950.8 with a 95% confidence interval from 1,776.2 to 2,138.1 and 93 average annual cases over 2018-2022.
• CI*Rank ⋔ : 64 (18, 111)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.6.

Stafford County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,946.7 with a 95% confidence interval from 1,849.5 to 2,047.6 and 319 average annual cases over 2018-2022.
• CI*Rank ⋔ : 65 (34, 94)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.1 to -0.8.

James City County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,944.6 with a 95% confidence interval from 1,859.2 to 2,033.0 and 391 average annual cases over 2018-2022.
• CI*Rank ⋔ : 66 (39, 92)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.3.

Nelson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,931.8 with a 95% confidence interval from 1,739.3 to 2,140.1 and 78 average annual cases over 2018-2022.
• CI*Rank ⋔ : 67 (18, 115)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.4.

Portsmouth City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,921.3 with a 95% confidence interval from 1,818.8 to 2,028.2 and 272 average annual cases over 2018-2022.
• CI*Rank ⋔ : 68 (36, 99)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.2 to 0.5.

Amherst County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,921.1 with a 95% confidence interval from 1,774.2 to 2,077.0 and 128 average annual cases over 2018-2022.
• CI*Rank ⋔ : 69 (29, 109)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.0 to 0.1.

Lynchburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,913.1 with a 95% confidence interval from 1,799.5 to 2,032.0 and 214 average annual cases over 2018-2022.
• CI*Rank ⋔ : 70 (36, 102)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.7.

York County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,909.3 with a 95% confidence interval from 1,797.5 to 2,026.3 and 220 average annual cases over 2018-2022.
• CI*Rank ⋔ : 71 (34, 105)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.2 to -0.2.

Franklin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,902.0 with a 95% confidence interval from 1,794.4 to 2,014.4 and 242 average annual cases over 2018-2022.
• CI*Rank ⋔ : 72 (38, 104)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.0 to 1.0.

Floyd County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,896.1 with a 95% confidence interval from 1,697.6 to 2,111.6 and 68 average annual cases over 2018-2022.
• CI*Rank ⋔ : 73 (20, 118)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.7 to 2.0.

Fluvanna County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,893.0 with a 95% confidence interval from 1,730.1 to 2,067.2 and 102 average annual cases over 2018-2022.
• CI*Rank ⋔ : 74 (27, 114)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.0 to -0.2.

Newport News City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,891.0 with a 95% confidence interval from 1,813.3 to 1,971.2 and 457 average annual cases over 2018-2022.
• CI*Rank ⋔ : 75 (49, 99)
• Recent Trend : The trend is because the trend is 3.6 with a 95% confidence interval from -0.2 to 7.0.

Bedford City and County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,886.9 with a 95% confidence interval from 1,794.5 to 1,982.7 and 323 average annual cases over 2018-2022.
• CI*Rank ⋔ : 76 (48, 103)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -3.5 to -0.2.

Roanoke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,881.4 with a 95% confidence interval from 1,797.5 to 1,968.2 and 383 average annual cases over 2018-2022.
• CI*Rank ⋔ : 77 (49, 101)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.8.

Rockbridge County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,877.5 with a 95% confidence interval from 1,723.8 to 2,041.3 and 111 average annual cases over 2018-2022.
• CI*Rank ⋔ : 78 (32, 113)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.1.

Emporia City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,877.5 with a 95% confidence interval from 1,522.6 to 2,289.5 and 20 average annual cases over 2018-2022.
• CI*Rank ⋔ : 79 (4, 127)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.8 to 0.9.

Norton City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,875.9 with a 95% confidence interval from 1,434.1 to 2,412.2 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 80 (3, 131)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -4.8 to 0.4.

Isle of Wight County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,870.5 with a 95% confidence interval from 1,731.5 to 2,017.8 and 139 average annual cases over 2018-2022.
• CI*Rank ⋔ : 81 (36, 113)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.6 to 0.0.

Alleghany County and Clifton Forge City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,862.7 with a 95% confidence interval from 1,673.7 to 2,067.4 and 71 average annual cases over 2018-2022.
• CI*Rank ⋔ : 82 (23, 118)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.0 to 0.8.

Shenandoah County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,855.7 with a 95% confidence interval from 1,733.7 to 1,983.9 and 174 average annual cases over 2018-2022.
• CI*Rank ⋔ : 83 (37, 111)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.5 to 1.1.

Greene County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,853.9 with a 95% confidence interval from 1,659.0 to 2,065.7 and 69 average annual cases over 2018-2022.
• CI*Rank ⋔ : 84 (25, 119)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.6 to 0.7.

Hampton City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,849.0 with a 95% confidence interval from 1,767.0 to 1,933.8 and 393 average annual cases over 2018-2022.
• CI*Rank ⋔ : 85 (55, 105)
• Recent Trend : The trend is because the trend is 1.9 with a 95% confidence interval from -0.6 to 5.2.

Southampton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,834.3 with a 95% confidence interval from 1,643.1 to 2,041.9 and 69 average annual cases over 2018-2022.
• CI*Rank ⋔ : 86 (27, 120)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.5 to 1.4.

Winchester City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,831.6 with a 95% confidence interval from 1,656.6 to 2,020.2 and 82 average annual cases over 2018-2022.
• CI*Rank ⋔ : 87 (29, 119)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.8 to 0.4.

Campbell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,815.2 with a 95% confidence interval from 1,705.2 to 1,930.4 and 205 average annual cases over 2018-2022.
• CI*Rank ⋔ : 88 (48, 113)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.1 to 0.0.

Rockingham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,814.9 with a 95% confidence interval from 1,722.6 to 1,910.9 and 293 average annual cases over 2018-2022.
• CI*Rank ⋔ : 89 (58, 110)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.2 to 0.2.

Buckingham County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,813.9 with a 95% confidence interval from 1,610.7 to 2,035.9 and 60 average annual cases over 2018-2022.
• CI*Rank ⋔ : 90 (29, 122)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.7 to 0.0.

Grayson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,808.8 with a 95% confidence interval from 1,620.5 to 2,012.9 and 68 average annual cases over 2018-2022.
• CI*Rank ⋔ : 91 (34, 120)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.8 to 0.7.

Page County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,807.4 with a 95% confidence interval from 1,646.2 to 1,980.3 and 94 average annual cases over 2018-2022.
• CI*Rank ⋔ : 92 (39, 119)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -7.2 to -0.9.

Madison County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,803.2 with a 95% confidence interval from 1,593.8 to 2,032.7 and 55 average annual cases over 2018-2022.
• CI*Rank ⋔ : 93 (28, 124)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.6.

Warren County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,799.3 with a 95% confidence interval from 1,655.4 to 1,952.4 and 120 average annual cases over 2018-2022.
• CI*Rank ⋔ : 94 (41, 118)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.6.

Cumberland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,793.0 with a 95% confidence interval from 1,548.2 to 2,066.1 and 39 average annual cases over 2018-2022.
• CI*Rank ⋔ : 95 (22, 126)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.6 to 0.9.

Albemarle County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,788.8 with a 95% confidence interval from 1,708.9 to 1,871.5 and 383 average annual cases over 2018-2022.
• CI*Rank ⋔ : 96 (67, 110)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.1 to -0.6.

Manassas City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,772.3 with a 95% confidence interval from 1,582.4 to 1,978.9 and 70 average annual cases over 2018-2022.
• CI*Rank ⋔ : 97 (38, 124)
• Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -4.3 to -0.5.

Pulaski County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,767.4 with a 95% confidence interval from 1,634.6 to 1,908.3 and 134 average annual cases over 2018-2022.
• CI*Rank ⋔ : 98 (54, 118)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.2 to 0.5.

Henry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,764.2 with a 95% confidence interval from 1,660.2 to 1,872.9 and 215 average annual cases over 2018-2022.
• CI*Rank ⋔ : 99 (66, 117)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.4 to 0.2.

Appomattox County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,757.9 with a 95% confidence interval from 1,559.5 to 1,974.6 and 58 average annual cases over 2018-2022.
• CI*Rank ⋔ : 100 (35, 124)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.8.

Fauquier County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,747.7 with a 95% confidence interval from 1,642.4 to 1,858.1 and 210 average annual cases over 2018-2022.
• CI*Rank ⋔ : 101 (66, 117)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.0 to 0.2.

Craig County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,735.3 with a 95% confidence interval from 1,406.8 to 2,117.8 and 20 average annual cases over 2018-2022.
• CI*Rank ⋔ : 102 (12, 131)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -10.2 to -0.3.

Bland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,730.5 with a 95% confidence interval from 1,443.9 to 2,058.6 and 26 average annual cases over 2018-2022.
• CI*Rank ⋔ : 103 (18, 130)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.8 to 1.0.

Montgomery County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,728.3 with a 95% confidence interval from 1,626.4 to 1,834.9 and 220 average annual cases over 2018-2022.
• CI*Rank ⋔ : 104 (72, 118)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.

Patrick County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,727.7 with a 95% confidence interval from 1,562.0 to 1,906.3 and 80 average annual cases over 2018-2022.
• CI*Rank ⋔ : 105 (50, 123)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -2.3 to 1.7.

Harrisonburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,723.2 with a 95% confidence interval from 1,560.3 to 1,898.5 and 85 average annual cases over 2018-2022.
• CI*Rank ⋔ : 106 (54, 124)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -5.3 to -1.1.

Frederick County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,711.0 with a 95% confidence interval from 1,620.8 to 1,804.8 and 275 average annual cases over 2018-2022.
• CI*Rank ⋔ : 107 (80, 118)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.5 to -1.0.

Halifax County with South Boston City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,707.8 with a 95% confidence interval from 1,584.4 to 1,838.2 and 143 average annual cases over 2018-2022.
• CI*Rank ⋔ : 108 (69, 122)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.4 to 1.6.

Carroll County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,686.8 with a 95% confidence interval from 1,555.6 to 1,826.1 and 124 average annual cases over 2018-2022.
• CI*Rank ⋔ : 109 (71, 123)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.8 to 1.1.

Manassas Park City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,669.3 with a 95% confidence interval from 1,374.8 to 2,008.9 and 23 average annual cases over 2018-2022.
• CI*Rank ⋔ : 110 (20, 130)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -5.3 to 1.4.

Charlottesville City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,667.5 with a 95% confidence interval from 1,514.0 to 1,832.3 and 93 average annual cases over 2018-2022.
• CI*Rank ⋔ : 111 (66, 125)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.4 to -0.5.

Williamsburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,658.5 with a 95% confidence interval from 1,439.2 to 1,901.8 and 41 average annual cases over 2018-2022.
• CI*Rank ⋔ : 112 (48, 130)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -3.1 to -0.1.

Loudoun County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,636.9 with a 95% confidence interval from 1,581.3 to 1,693.9 and 671 average annual cases over 2018-2022.
• CI*Rank ⋔ : 113 (99, 120)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -1.0 to 5.2.

Prince William County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,635.3 with a 95% confidence interval from 1,583.0 to 1,688.9 and 790 average annual cases over 2018-2022.
• CI*Rank ⋔ : 114 (99, 119)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.7.

Clarke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,624.5 with a 95% confidence interval from 1,429.4 to 1,838.9 and 51 average annual cases over 2018-2022.
• CI*Rank ⋔ : 115 (57, 129)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.5 to 0.1.

Alexandria City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,605.0 with a 95% confidence interval from 1,521.9 to 1,691.4 and 294 average annual cases over 2018-2022.
• CI*Rank ⋔ : 116 (98, 123)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.0 to -0.2.

Accomack County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,594.3 with a 95% confidence interval from 1,471.2 to 1,725.0 and 127 average annual cases over 2018-2022.
• CI*Rank ⋔ : 117 (90, 126)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.6 to -0.3.

Highland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,546.6 with a 95% confidence interval from 1,168.6 to 2,007.6 and 12 average annual cases over 2018-2022.
• CI*Rank ⋔ : 118 (13, 133)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -2.2 to 2.4.

Wise County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,522.3 with a 95% confidence interval from 1,389.3 to 1,664.7 and 101 average annual cases over 2018-2022.
• CI*Rank ⋔ : 119 (98, 129)
• Recent Trend : The trend is because the trend is -3.2 with a 95% confidence interval from -4.5 to -2.0.

Fairfax County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,522.2 with a 95% confidence interval from 1,494.5 to 1,550.3 and 2,374 average annual cases over 2018-2022.
• CI*Rank ⋔ : 120 (113, 125)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.7.

Pittsylvania County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,496.4 with a 95% confidence interval from 1,406.4 to 1,590.8 and 210 average annual cases over 2018-2022.
• CI*Rank ⋔ : 121 (109, 128)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -2.7 to -0.8.

Arlington County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,478.7 with a 95% confidence interval from 1,411.2 to 1,548.7 and 374 average annual cases over 2018-2022.
• CI*Rank ⋔ : 122 (114, 127)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.4 to -1.1.

Rappahannock County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,476.8 with a 95% confidence interval from 1,246.5 to 1,737.6 and 30 average annual cases over 2018-2022.
• CI*Rank ⋔ : 123 (71, 131)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -3.3 to -0.1.

Smyth County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,469.8 with a 95% confidence interval from 1,341.6 to 1,606.9 and 98 average annual cases over 2018-2022.
• CI*Rank ⋔ : 124 (106, 130)
• Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -9.4 to -0.3.

Falls Church City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,431.8 with a 95% confidence interval from 1,211.9 to 1,680.4 and 31 average annual cases over 2018-2022.
• CI*Rank ⋔ : 125 (88, 131)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.8 to 0.2.

Dickenson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,356.5 with a 95% confidence interval from 1,182.9 to 1,548.8 and 45 average annual cases over 2018-2022.
• CI*Rank ⋔ : 126 (108, 131)
• Recent Trend : The trend is because the trend is -2.6 with a 95% confidence interval from -4.1 to -1.1.

Washington County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,336.7 with a 95% confidence interval from 1,247.0 to 1,431.1 and 168 average annual cases over 2018-2022.
• CI*Rank ⋔ : 127 (120, 131)
• Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -4.2 to -2.4.

Russell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,313.2 with a 95% confidence interval from 1,182.2 to 1,454.8 and 75 average annual cases over 2018-2022.
• CI*Rank ⋔ : 128 (117, 131)
• Recent Trend : The trend is because the trend is -10.4 with a 95% confidence interval from -15.5 to -6.6.

Lee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,307.4 with a 95% confidence interval from 1,166.7 to 1,460.7 and 64 average annual cases over 2018-2022.
• CI*Rank ⋔ : 129 (116, 131)
• Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -5.8 to -1.1.

Tazewell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,303.2 with a 95% confidence interval from 1,198.3 to 1,415.0 and 117 average annual cases over 2018-2022.
• CI*Rank ⋔ : 130 (121, 131)
• Recent Trend : The trend is because the trend is -3.3 with a 95% confidence interval from -8.0 to -2.3.

Buchanan County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,125.4 with a 95% confidence interval from 991.8 to 1,272.0 and 52 average annual cases over 2018-2022.
• CI*Rank ⋔ : 131 (126, 133)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -4.1 to -1.0.

Scott County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 982.1 with a 95% confidence interval from 865.8 to 1,109.7 and 52 average annual cases over 2018-2022.
• CI*Rank ⋔ : 132 (130, 133)
• Recent Trend : The trend is because the trend is -7.0 with a 95% confidence interval from -25.1 to -4.8.

Bristol City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 894.9 with a 95% confidence interval from 763.6 to 1,042.2 and 33 average annual cases over 2018-2022.
• CI*Rank ⋔ : 133 (131, 133)
• Recent Trend : The trend is because the trend is -9.0 with a 95% confidence interval from -27.4 to -6.5.

Notes:
Created by statecancerprofiles.cancer.gov on 03/21/2026 9:26 am.

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.

⋔ 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.

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

Data for United States does not include Puerto Rico.