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, All Ages

Sorted by Name

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 414.6 with a 95% confidence interval from 412.8 to 416.4 and 43,276 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.6 to 0.7.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 448.6 with a 95% confidence interval from 448.3 to 448.9 and 1,821,045 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.5.

Accomack County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 387.2 with a 95% confidence interval from 362.2 to 413.8 and 209 average annual cases over 2018-2022.
• CI*Rank ⋔ : 108 (74, 123)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.1 to 0.0.

Albemarle County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 401.6 with a 95% confidence interval from 386.8 to 416.8 and 604 average annual cases over 2018-2022.
• CI*Rank ⋔ : 101 (82, 112)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.5.

Alexandria City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 357.0 with a 95% confidence interval from 343.7 to 370.8 and 573 average annual cases over 2018-2022.
• CI*Rank ⋔ : 120 (107, 126)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.7 to -0.3.

Alleghany County and Clifton Forge City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 448.8 with a 95% confidence interval from 409.5 to 491.5 and 113 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (16, 109)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.8.

Amelia County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 535.0 with a 95% confidence interval from 487.8 to 586.0 and 105 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (1, 49)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.5 to 1.4.

Amherst County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 450.0 with a 95% confidence interval from 421.8 to 479.7 and 211 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (22, 101)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.3.

Appomattox County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 380.0 with a 95% confidence interval from 344.4 to 418.7 and 90 average annual cases over 2018-2022.
• CI*Rank ⋔ : 110 (64, 128)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -2.1 to 0.1.

Arlington County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 331.2 with a 95% confidence interval from 320.4 to 342.3 and 740 average annual cases over 2018-2022.
• CI*Rank ⋔ : 127 (119, 130)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.0 to -1.0.

Augusta County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 453.4 with a 95% confidence interval from 435.5 to 471.9 and 532 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (30, 86)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.6 to 0.6.

Bath County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 479.8 with a 95% confidence interval from 406.7 to 565.1 and 37 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (1, 119)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -0.8 to 3.2.

Bedford City and County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 427.0 with a 95% confidence interval from 409.7 to 444.9 and 526 average annual cases over 2018-2022.
• CI*Rank ⋔ : 85 (50, 104)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.6 to -0.3.

Bland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 445.8 with a 95% confidence interval from 387.8 to 511.9 and 46 average annual cases over 2018-2022.
• CI*Rank ⋔ : 66 (5, 122)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -2.4 to 2.6.

Botetourt County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 444.5 with a 95% confidence interval from 417.9 to 472.5 and 238 average annual cases over 2018-2022.
• CI*Rank ⋔ : 69 (25, 101)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.4 to 1.4.

Bristol City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 248.3 with a 95% confidence interval from 219.7 to 280.0 and 60 average annual cases over 2018-2022.
• CI*Rank ⋔ : 133 (130, 133)
• Recent Trend : The trend is because the trend is -4.9 with a 95% confidence interval from -7.9 to -2.5.

Brunswick County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 491.7 with a 95% confidence interval from 451.7 to 534.9 and 121 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (4, 83)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.0 to 1.6.

Buchanan County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 296.8 with a 95% confidence interval from 268.8 to 327.2 and 94 average annual cases over 2018-2022.
• CI*Rank ⋔ : 131 (122, 133)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.9 to -0.6.

Buckingham County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 437.6 with a 95% confidence interval from 400.3 to 478.0 and 107 average annual cases over 2018-2022.
• CI*Rank ⋔ : 75 (20, 114)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.1 to 1.0.

Buena Vista City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 554.1 with a 95% confidence interval from 483.5 to 632.9 and 48 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 72)
• Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from -0.1 to 3.0.

Campbell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 429.9 with a 95% confidence interval from 408.9 to 451.8 and 344 average annual cases over 2018-2022.
• CI*Rank ⋔ : 82 (45, 106)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.2.

Caroline County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 488.2 with a 95% confidence interval from 456.9 to 521.3 and 191 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (6, 73)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.2 to 0.8.

Carroll County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 409.1 with a 95% confidence interval from 382.0 to 437.9 and 200 average annual cases over 2018-2022.
• CI*Rank ⋔ : 97 (50, 116)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.4 to 2.0.

Charles City County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 470.8 with a 95% confidence interval from 412.7 to 536.6 and 57 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (2, 111)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.5 to 2.2.

Charlotte County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 455.2 with a 95% confidence interval from 408.9 to 505.9 and 82 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (8, 109)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.6 to 1.5.

Charlottesville City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 376.4 with a 95% confidence interval from 350.6 to 403.6 and 170 average annual cases over 2018-2022.
• CI*Rank ⋔ : 111 (85, 126)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.0 to -0.2.

Chesapeake City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 447.6 with a 95% confidence interval from 436.2 to 459.3 and 1,240 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (41, 83)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -0.6 to 0.3.

Chesterfield County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 458.4 with a 95% confidence interval from 449.1 to 467.8 and 1,981 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (36, 71)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.0 to -0.1.

Clarke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 364.3 with a 95% confidence interval from 328.3 to 403.7 and 84 average annual cases over 2018-2022.
• CI*Rank ⋔ : 117 (79, 130)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -2.5 to -0.4.

Colonial Heights City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 515.5 with a 95% confidence interval from 474.2 to 559.7 and 124 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (1, 62)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.2 to 1.7.

Covington City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 564.5 with a 95% confidence interval from 489.2 to 649.0 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 72)
• Recent Trend : The trend is because the trend is 3.3 with a 95% confidence interval from 1.8 to 4.8.

Craig County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 443.9 with a 95% confidence interval from 374.7 to 524.0 and 34 average annual cases over 2018-2022.
• CI*Rank ⋔ : 72 (3, 125)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -0.5 to 3.0.

Culpeper County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 457.5 with a 95% confidence interval from 433.8 to 482.2 and 294 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (23, 90)
• Recent Trend : The trend is because the trend is -0.6 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 436.5 with a 95% confidence interval from 387.8 to 490.3 and 66 average annual cases over 2018-2022.
• CI*Rank ⋔ : 77 (12, 118)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.5 to 0.8.

Danville City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 479.6 with a 95% confidence interval from 453.8 to 506.6 and 290 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (11, 72)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.7.

Dickenson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 332.3 with a 95% confidence interval from 297.5 to 370.6 and 74 average annual cases over 2018-2022.
• CI*Rank ⋔ : 126 (103, 131)
• Recent Trend : The trend is because the trend is -2.4 with a 95% confidence interval from -3.8 to -1.1.

Dinwiddie County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 527.1 with a 95% confidence interval from 493.7 to 562.2 and 203 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (1, 43)
• Recent Trend : The trend is because the trend is 4.6 with a 95% confidence interval from 0.6 to 10.2.

Emporia City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 475.1 with a 95% confidence interval from 404.3 to 555.2 and 35 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (1, 116)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -2.4 to 0.7.

Essex County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 550.9 with a 95% confidence interval from 498.4 to 608.3 and 94 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 45)
• Recent Trend : The trend is because the trend is 2.2 with a 95% confidence interval from -1.9 to 9.6.

Fairfax City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 408.6 with a 95% confidence interval from 374.6 to 444.8 and 112 average annual cases over 2018-2022.
• CI*Rank ⋔ : 99 (37, 120)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.3 to 2.1.

Fairfax County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 344.5 with a 95% confidence interval from 339.9 to 349.2 and 4,432 average annual cases over 2018-2022.
• CI*Rank ⋔ : 123 (118, 127)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -1.0 to 3.3.

Falls Church City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 334.1 with a 95% confidence interval from 295.9 to 376.1 and 57 average annual cases over 2018-2022.
• CI*Rank ⋔ : 125 (97, 132)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.6 to 0.2.

Fauquier County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 388.1 with a 95% confidence interval from 370.1 to 406.8 and 371 average annual cases over 2018-2022.
• CI*Rank ⋔ : 107 (88, 119)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.4.

Floyd County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 455.7 with a 95% confidence interval from 415.9 to 498.8 and 110 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (12, 108)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.3 to 1.5.

Fluvanna County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 444.4 with a 95% confidence interval from 414.0 to 476.7 and 173 average annual cases over 2018-2022.
• CI*Rank ⋔ : 70 (23, 104)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.4.

Franklin City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 493.5 with a 95% confidence interval from 433.9 to 559.4 and 55 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (1, 105)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.4.

Franklin County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 444.2 with a 95% confidence interval from 422.9 to 466.5 and 386 average annual cases over 2018-2022.
• CI*Rank ⋔ : 71 (31, 97)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.9.

Frederick County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 392.8 with a 95% confidence interval from 376.6 to 409.6 and 471 average annual cases over 2018-2022.
• CI*Rank ⋔ : 105 (86, 116)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.2 to -0.9.

Fredericksburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 475.3 with a 95% confidence interval from 437.4 to 515.7 and 121 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (7, 94)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.3.

Galax City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 605.2 with a 95% confidence interval from 530.9 to 687.5 and 51 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 39)
• Recent Trend : The trend is because the trend is 1.4 with a 95% confidence interval from -0.5 to 3.3.

Giles County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 482.1 with a 95% confidence interval from 442.8 to 524.3 and 122 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (7, 93)
• Recent Trend : The trend is because the trend is -7.2 with a 95% confidence interval from -12.4 to -3.1.

Gloucester County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 489.6 with a 95% confidence interval from 463.0 to 517.6 and 281 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (7, 65)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.6.

Goochland County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 474.8 with a 95% confidence interval from 443.3 to 508.3 and 195 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (11, 84)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.2.

Grayson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 436.9 with a 95% confidence interval from 398.7 to 478.4 and 110 average annual cases over 2018-2022.
• CI*Rank ⋔ : 76 (19, 113)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.0.

Greene County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 420.1 with a 95% confidence interval from 385.1 to 457.7 and 115 average annual cases over 2018-2022.
• CI*Rank ⋔ : 91 (31, 116)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.1.

Greensville County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 467.7 with a 95% confidence interval from 417.2 to 523.1 and 66 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (5, 107)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -2.2 to 1.7.

Halifax County with South Boston City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 411.3 with a 95% confidence interval from 385.5 to 438.5 and 224 average annual cases over 2018-2022.
• CI*Rank ⋔ : 95 (50, 114)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.8 to 1.4.

Hampton City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 424.6 with a 95% confidence interval from 410.1 to 439.6 and 696 average annual cases over 2018-2022.
• CI*Rank ⋔ : 88 (57, 102)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.6.

Hanover County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 444.8 with a 95% confidence interval from 429.3 to 460.8 and 669 average annual cases over 2018-2022.
• CI*Rank ⋔ : 68 (38, 90)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.

Harrisonburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 368.7 with a 95% confidence interval from 342.1 to 396.7 and 149 average annual cases over 2018-2022.
• CI*Rank ⋔ : 114 (91, 127)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -5.3 to -1.0.

Henrico County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 451.0 with a 95% confidence interval from 441.6 to 460.5 and 1,839 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (41, 78)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.4 to -0.2.

Henry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 413.9 with a 95% confidence interval from 393.0 to 435.8 and 340 average annual cases over 2018-2022.
• CI*Rank ⋔ : 92 (57, 111)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.4.

Highland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 393.6 with a 95% confidence interval from 293.2 to 523.9 and 18 average annual cases over 2018-2022.
• CI*Rank ⋔ : 104 (2, 133)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -1.4 to 2.3.

Hopewell City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 541.0 with a 95% confidence interval from 501.4 to 583.1 and 145 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (1, 36)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.8 to 1.0.

Isle of Wight County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 447.9 with a 95% confidence interval from 422.0 to 475.1 and 248 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (24, 99)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.1 to 0.2.

James City County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 430.0 with a 95% confidence interval from 413.0 to 447.5 and 565 average annual cases over 2018-2022.
• CI*Rank ⋔ : 81 (49, 101)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.9 to -0.4.

King George County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 485.9 with a 95% confidence interval from 450.3 to 523.6 and 146 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (6, 82)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.4 to 1.1.

King William County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 513.1 with a 95% confidence interval from 470.7 to 558.6 and 116 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (2, 66)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.3 to 1.0.

King and Queen County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 525.6 with a 95% confidence interval from 461.5 to 597.5 and 57 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (1, 85)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -0.1 to 2.5.

Lancaster County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 558.5 with a 95% confidence interval from 504.1 to 618.2 and 123 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 45)
• Recent Trend : The trend is because the trend is 5.7 with a 95% confidence interval from 1.5 to 13.3.

Lee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 317.3 with a 95% confidence interval from 289.7 to 347.1 and 107 average annual cases over 2018-2022.
• CI*Rank ⋔ : 129 (115, 132)
• Recent Trend : The trend is because the trend is -3.2 with a 95% confidence interval from -5.0 to -1.5.

Lexington City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 504.0 with a 95% confidence interval from 429.2 to 589.0 and 36 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (1, 108)
• Recent Trend : The trend is because the trend is 2.5 with a 95% confidence interval from 0.4 to 4.7.

Loudoun County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 369.0 with a 95% confidence interval from 360.3 to 377.8 and 1,457 average annual cases over 2018-2022.
• CI*Rank ⋔ : 113 (105, 121)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -1.2 to 3.2.

Louisa County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 469.4 with a 95% confidence interval from 442.7 to 497.4 and 262 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (17, 86)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.4.

Lunenburg County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 495.9 with a 95% confidence interval from 449.0 to 547.0 and 92 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (2, 91)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -1.0 to 1.6.

Lynchburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 430.7 with a 95% confidence interval from 410.0 to 452.2 and 350 average annual cases over 2018-2022.
• CI*Rank ⋔ : 79 (43, 103)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.5.

Madison County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 426.0 with a 95% confidence interval from 385.5 to 470.1 and 92 average annual cases over 2018-2022.
• CI*Rank ⋔ : 86 (23, 117)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -2.1 to 0.0.

Manassas City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 364.9 with a 95% confidence interval from 336.4 to 395.1 and 136 average annual cases over 2018-2022.
• CI*Rank ⋔ : 116 (90, 128)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.2 to -0.5.

Manassas Park City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 357.4 with a 95% confidence interval from 312.8 to 406.2 and 52 average annual cases over 2018-2022.
• CI*Rank ⋔ : 119 (76, 131)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -3.6 to 0.7.

Martinsville City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 541.6 with a 95% confidence interval from 492.0 to 595.1 and 94 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 48)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.8 to 1.6.

Mathews County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 525.7 with a 95% confidence interval from 469.6 to 588.0 and 86 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (1, 79)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.7 to 1.9.

Mecklenburg County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 487.4 with a 95% confidence interval from 458.4 to 518.1 and 253 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (6, 73)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.5 to 1.3.

Middlesex County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 453.7 with a 95% confidence interval from 408.4 to 503.9 and 100 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (7, 110)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -3.6 to 0.2.

Montgomery County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 375.4 with a 95% confidence interval from 358.0 to 393.4 and 367 average annual cases over 2018-2022.
• CI*Rank ⋔ : 112 (95, 122)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.6 to 0.0.

Nelson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 428.8 with a 95% confidence interval from 391.2 to 469.7 and 117 average annual cases over 2018-2022.
• CI*Rank ⋔ : 84 (25, 114)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.2 to -0.1.

New Kent County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 530.0 with a 95% confidence interval from 492.0 to 570.3 and 165 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (1, 43)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.6 to 1.5.

Newport News City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 436.2 with a 95% confidence interval from 422.8 to 449.8 and 856 average annual cases over 2018-2022.
• CI*Rank ⋔ : 78 (49, 94)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.1 to -0.1.

Norfolk City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 454.4 with a 95% confidence interval from 441.8 to 467.3 and 1,060 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (33, 79)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -2.5 to 0.1.

Northampton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 524.3 with a 95% confidence interval from 476.8 to 576.0 and 115 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (1, 63)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.5.

Northumberland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 446.3 with a 95% confidence interval from 404.0 to 493.1 and 120 average annual cases over 2018-2022.
• CI*Rank ⋔ : 65 (12, 112)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.7 to 1.0.

Norton City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 410.0 with a 95% confidence interval from 331.5 to 502.9 and 20 average annual cases over 2018-2022.
• CI*Rank ⋔ : 96 (3, 131)
• Recent Trend : The trend is because the trend is -2.2 with a 95% confidence interval from -4.0 to -0.6.

Nottoway County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 516.2 with a 95% confidence interval from 473.3 to 562.2 and 112 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (1, 64)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.4.

Orange County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 510.7 with a 95% confidence interval from 482.5 to 540.3 and 267 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (3, 48)
• Recent Trend : The trend is because the trend is 2.7 with a 95% confidence interval from -0.5 to 6.1.

Page County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 413.4 with a 95% confidence interval from 383.0 to 445.8 and 152 average annual cases over 2018-2022.
• CI*Rank ⋔ : 94 (45, 118)
• Recent Trend : The trend is because the trend is -4.0 with a 95% confidence interval from -12.7 to -0.6.

Patrick County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 388.8 with a 95% confidence interval from 355.7 to 424.6 and 121 average annual cases over 2018-2022.
• CI*Rank ⋔ : 106 (62, 126)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.6 to 1.6.

Petersburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 520.7 with a 95% confidence interval from 488.7 to 554.3 and 217 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (2, 40)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.1 to 1.0.

Pittsylvania County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 366.4 with a 95% confidence interval from 348.2 to 385.4 and 352 average annual cases over 2018-2022.
• CI*Rank ⋔ : 115 (100, 126)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.6.

Poquoson City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 452.9 with a 95% confidence interval from 407.9 to 502.0 and 78 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (10, 111)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.3.

Portsmouth City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 448.3 with a 95% confidence interval from 430.3 to 466.9 and 498 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (34, 91)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.9 to 0.2.

Powhatan County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 463.9 with a 95% confidence interval from 434.1 to 495.3 and 201 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (15, 94)
• Recent Trend : The trend is because the trend is 3.2 with a 95% confidence interval from 0.7 to 7.7.

Prince Edward County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 481.5 with a 95% confidence interval from 441.4 to 524.3 and 118 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (5, 96)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.2 to 1.1.

Prince George County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 480.9 with a 95% confidence interval from 451.5 to 511.9 and 207 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (11, 81)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.3.

Prince William County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 360.5 with a 95% confidence interval from 352.4 to 368.7 and 1,636 average annual cases over 2018-2022.
• CI*Rank ⋔ : 118 (109, 123)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -1.3 to 3.9.

Pulaski County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 408.7 with a 95% confidence interval from 383.2 to 435.7 and 215 average annual cases over 2018-2022.
• CI*Rank ⋔ : 98 (56, 115)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.2.

Radford City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 445.2 with a 95% confidence interval from 391.6 to 504.1 and 53 average annual cases over 2018-2022.
• CI*Rank ⋔ : 67 (7, 120)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -2.6 to 0.4.

Rappahannock County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 385.4 with a 95% confidence interval from 332.5 to 445.6 and 48 average annual cases over 2018-2022.
• CI*Rank ⋔ : 109 (30, 130)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.8 to -0.4.

Richmond City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 458.2 with a 95% confidence interval from 445.7 to 471.0 and 1,103 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (32, 75)
• Recent Trend : The trend is because the trend is -2.0 with a 95% confidence interval from -4.1 to -0.2.

Richmond County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 452.6 with a 95% confidence interval from 401.0 to 509.9 and 60 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (5, 114)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.6 to 2.1.

Roanoke City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 484.2 with a 95% confidence interval from 466.5 to 502.5 and 603 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (15, 58)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from 0.0 to 2.7.

Roanoke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 429.6 with a 95% confidence interval from 413.8 to 446.0 and 606 average annual cases over 2018-2022.
• CI*Rank ⋔ : 83 (52, 100)
• 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 430.0 with a 95% confidence interval from 398.5 to 463.7 and 166 average annual cases over 2018-2022.
• CI*Rank ⋔ : 80 (29, 110)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.7.

Rockingham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 413.4 with a 95% confidence interval from 396.3 to 431.2 and 473 average annual cases over 2018-2022.
• CI*Rank ⋔ : 93 (66, 108)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.0 to 0.5.

Russell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 343.5 with a 95% confidence interval from 316.2 to 372.9 and 133 average annual cases over 2018-2022.
• CI*Rank ⋔ : 124 (103, 131)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -3.1 to -0.6.

Salem City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 474.0 with a 95% confidence interval from 440.9 to 509.1 and 164 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (9, 92)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.8 to 1.6.

Scott County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 250.8 with a 95% confidence interval from 226.1 to 277.9 and 86 average annual cases over 2018-2022.
• CI*Rank ⋔ : 132 (131, 133)
• Recent Trend : The trend is because the trend is -5.9 with a 95% confidence interval from -20.0 to -3.9.

Shenandoah County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 408.2 with a 95% confidence interval from 385.5 to 432.0 and 267 average annual cases over 2018-2022.
• CI*Rank ⋔ : 100 (59, 114)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.6 to 1.2.

Smyth County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 346.2 with a 95% confidence interval from 321.5 to 372.4 and 160 average annual cases over 2018-2022.
• CI*Rank ⋔ : 122 (105, 130)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -5.2 to -0.3.

Southampton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 446.9 with a 95% confidence interval from 410.8 to 485.8 and 125 average annual cases over 2018-2022.
• CI*Rank ⋔ : 64 (18, 107)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.5 to 1.7.

Spotsylvania County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 459.0 with a 95% confidence interval from 444.0 to 474.5 and 745 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (28, 78)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.2 to -0.3.

Stafford County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 420.9 with a 95% confidence interval from 405.9 to 436.3 and 642 average annual cases over 2018-2022.
• CI*Rank ⋔ : 90 (63, 104)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.5.

Staunton City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 475.7 with a 95% confidence interval from 443.4 to 509.9 and 175 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (10, 85)
• Recent Trend : The trend is because the trend is -2.8 with a 95% confidence interval from -7.6 to 0.2.

Suffolk City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 467.0 with a 95% confidence interval from 448.7 to 485.8 and 521 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (22, 74)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.8.

Surry County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 438.8 with a 95% confidence interval from 381.0 to 504.4 and 50 average annual cases over 2018-2022.
• CI*Rank ⋔ : 74 (6, 123)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -7.8 to 2.9.

Sussex County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 537.9 with a 95% confidence interval from 484.5 to 596.1 and 79 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (1, 61)
• Recent Trend : The trend is because the trend is 1.3 with a 95% confidence interval from 0.3 to 2.3.

Tazewell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 323.5 with a 95% confidence interval from 302.5 to 345.8 and 197 average annual cases over 2018-2022.
• CI*Rank ⋔ : 128 (116, 131)
• Recent Trend : The trend is because the trend is -2.7 with a 95% confidence interval from -7.7 to -1.7.

Virginia Beach City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 443.5 with a 95% confidence interval from 435.3 to 451.8 and 2,333 average annual cases over 2018-2022.
• CI*Rank ⋔ : 73 (49, 82)
• Recent Trend : The trend is because the trend is -3.2 with a 95% confidence interval from -4.9 to -1.7.

Warren County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 421.6 with a 95% confidence interval from 396.2 to 448.3 and 223 average annual cases over 2018-2022.
• CI*Rank ⋔ : 89 (41, 110)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.7.

Washington County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 311.3 with a 95% confidence interval from 293.7 to 329.9 and 266 average annual cases over 2018-2022.
• CI*Rank ⋔ : 130 (122, 131)
• Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -4.0 to -2.1.

Waynesboro City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 509.3 with a 95% confidence interval from 472.1 to 548.7 and 147 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (3, 60)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.9.

Westmoreland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 451.9 with a 95% confidence interval from 416.0 to 490.5 and 143 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (16, 105)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.1 to 0.3.

Williamsburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 395.6 with a 95% confidence interval from 349.4 to 446.7 and 63 average annual cases over 2018-2022.
• CI*Rank ⋔ : 103 (37, 129)
• Recent Trend : The trend is because the trend is -4.7 with a 95% confidence interval from -9.7 to -1.5.

Winchester City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 400.4 with a 95% confidence interval from 370.0 to 432.7 and 135 average annual cases over 2018-2022.
• CI*Rank ⋔ : 102 (55, 120)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.1.

Wise County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 357.0 with a 95% confidence interval from 332.9 to 382.6 and 175 average annual cases over 2018-2022.
• CI*Rank ⋔ : 121 (100, 129)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -4.6 to -1.5.

Wythe County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 480.8 with a 95% confidence interval from 450.3 to 513.0 and 203 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (10, 79)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.2 to 1.8.

York County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 425.3 with a 95% confidence interval from 405.9 to 445.6 and 375 average annual cases over 2018-2022.
• CI*Rank ⋔ : 87 (50, 105)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.

Notes:
Created by statecancerprofiles.cancer.gov on 03/16/2026 12:51 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.

‡ 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.