State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Virginia by County

All Cancer Sites (All Stages^), 2018-2022

White Non-Hispanic, Both Sexes, All Ages

Sorted by Recentaapc

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

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

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

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

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

Other Notes

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

Line by Line Interpretation of the Report

Virginia²

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 422.6 with a 95% confidence interval from 420.5 to 424.8 and 31,044 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 0.6.

US (SEER+NPCR) § ¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 467.1 with a 95% confidence interval from 466.7 to 467.5 and 1,354,187 average annual cases over 2018-2022.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.7.

Lancaster County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 554.6 with a 95% confidence interval from 485.2 to 633.2 and 93 average annual cases over 2018-2022.
• CI*Rank ⋔ : 8 (1, 69)
• Recent Trend : The trend is because the trend is 7.3 with a 95% confidence interval from 2.1 to 17.1.

Dinwiddie County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 518.9 with a 95% confidence interval from 478.4 to 562.2 and 132 average annual cases over 2018-2022.
• CI*Rank ⋔ : 17 (4, 61)
• Recent Trend : The trend is because the trend is 4.8 with a 95% confidence interval from 0.0 to 11.9.

Covington City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 625.9 with a 95% confidence interval from 538.1 to 725.0 and 40 average annual cases over 2018-2022.
• CI*Rank ⋔ : 1 (1, 37)
• Recent Trend : The trend is because the trend is 4.1 with a 95% confidence interval from 2.2 to 6.1.

Powhatan County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 462.4 with a 95% confidence interval from 430.5 to 496.3 and 175 average annual cases over 2018-2022.
• CI*Rank ⋔ : 46 (16, 100)
• Recent Trend : The trend is because the trend is 3.4 with a 95% confidence interval from 1.3 to 6.9.

Lexington City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 532.5 with a 95% confidence interval from 447.8 to 630.0 and 32 average annual cases over 2018-2022.
• CI*Rank ⋔ : 12 (1, 107)
• Recent Trend : The trend is because the trend is 2.7 with a 95% confidence interval from 0.3 to 5.4.

Essex County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 566.1 with a 95% confidence interval from 498.0 to 642.8 and 62 average annual cases over 2018-2022.
• CI*Rank ⋔ : 6 (1, 56)
• Recent Trend : The trend is because the trend is 2.5 with a 95% confidence interval from 0.6 to 9.8.

Orange County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 509.9 with a 95% confidence interval from 479.0 to 542.5 and 226 average annual cases over 2018-2022.
• CI*Rank ⋔ : 20 (7, 54)
• Recent Trend : The trend is because the trend is 2.2 with a 95% confidence interval from 0.5 to 6.1.

Galax City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 612.7 with a 95% confidence interval from 531.9 to 703.5 and 45 average annual cases over 2018-2022.
• CI*Rank ⋔ : 3 (1, 40)
• Recent Trend : The trend is because the trend is 1.7 with a 95% confidence interval from -0.5 to 4.0.

Buena Vista City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 572.6 with a 95% confidence interval from 496.9 to 657.4 and 45 average annual cases over 2018-2022.
• CI*Rank ⋔ : 5 (1, 68)
• Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from -0.2 to 3.2.

Fairfax County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 367.7 with a 95% confidence interval from 361.5 to 374.0 and 2,815 average annual cases over 2018-2022.
• CI*Rank ⋔ : 117 (109, 123)
• Recent Trend : The trend is because the trend is 1.5 with a 95% confidence interval from 0.1 to 3.8.

Bath County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 485.2 with a 95% confidence interval from 409.3 to 574.4 and 35 average annual cases over 2018-2022.
• CI*Rank ⋔ : 31 (2, 120)
• Recent Trend : The trend is because the trend is 1.2 with a 95% confidence interval from -0.7 to 3.3.

Amherst County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 462.3 with a 95% confidence interval from 430.0 to 496.6 and 170 average annual cases over 2018-2022.
• CI*Rank ⋔ : 47 (15, 98)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -0.5 to 6.3.

Craig County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 444.7 with a 95% confidence interval from 374.3 to 526.5 and 34 average annual cases over 2018-2022.
• CI*Rank ⋔ : 68 (6, 126)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -0.7 to 3.0.

King and Queen County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 539.5 with a 95% confidence interval from 460.8 to 629.8 and 40 average annual cases over 2018-2022.
• CI*Rank ⋔ : 11 (1, 94)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -0.2 to 2.6.

Sussex County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 544.6 with a 95% confidence interval from 465.0 to 636.0 and 37 average annual cases over 2018-2022.
• CI*Rank ⋔ : 10 (1, 98)
• Recent Trend : The trend is because the trend is 1.1 with a 95% confidence interval from -0.6 to 2.9.

Frederick County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 402.2 with a 95% confidence interval from 384.6 to 420.4 and 432 average annual cases over 2018-2022.
• CI*Rank ⋔ : 103 (76, 115)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -1.6 to 3.1.

Hopewell City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 598.3 with a 95% confidence interval from 542.0 to 659.4 and 93 average annual cases over 2018-2022.
• CI*Rank ⋔ : 4 (1, 20)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.2 to 2.2.

Mathews County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 515.7 with a 95% confidence interval from 456.8 to 581.7 and 76 average annual cases over 2018-2022.
• CI*Rank ⋔ : 18 (2, 96)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from -0.1 to 2.1.

Roanoke City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 492.3 with a 95% confidence interval from 470.2 to 515.2 and 415 average annual cases over 2018-2022.
• CI*Rank ⋔ : 28 (12, 62)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.0 to 4.0.

Wythe County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 483.8 with a 95% confidence interval from 452.5 to 517.0 and 196 average annual cases over 2018-2022.
• CI*Rank ⋔ : 33 (11, 78)
• Recent Trend : The trend is because the trend is 1.0 with a 95% confidence interval from 0.3 to 1.8.

Halifax County with South Boston City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 420.5 with a 95% confidence interval from 388.0 to 455.4 and 147 average annual cases over 2018-2022.
• CI*Rank ⋔ : 91 (33, 117)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.3 to 2.1.

Mecklenburg County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 485.0 with a 95% confidence interval from 448.1 to 524.7 and 166 average annual cases over 2018-2022.
• CI*Rank ⋔ : 32 (8, 89)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.1 to 1.9.

Richmond County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 445.9 with a 95% confidence interval from 383.5 to 517.4 and 43 average annual cases over 2018-2022.
• CI*Rank ⋔ : 67 (8, 123)
• Recent Trend : The trend is because the trend is 0.9 with a 95% confidence interval from -0.9 to 2.7.

Colonial Heights City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 520.9 with a 95% confidence interval from 473.4 to 572.3 and 103 average annual cases over 2018-2022.
• CI*Rank ⋔ : 15 (2, 66)
• Recent Trend : The trend is because the trend is 0.8 with a 95% confidence interval from -0.1 to 1.7.

Charlotte County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 435.9 with a 95% confidence interval from 381.3 to 497.0 and 54 average annual cases over 2018-2022.
• CI*Rank ⋔ : 75 (10, 124)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.6 to 2.1.

Fairfax City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 412.2 with a 95% confidence interval from 370.7 to 457.4 and 77 average annual cases over 2018-2022.
• CI*Rank ⋔ : 99 (33, 125)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.0 to 2.3.

Floyd County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 459.7 with a 95% confidence interval from 418.6 to 504.2 and 106 average annual cases over 2018-2022.
• CI*Rank ⋔ : 51 (12, 109)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.5 to 1.9.

Highland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 401.4 with a 95% confidence interval from 296.3 to 538.3 and 17 average annual cases over 2018-2022.
• CI*Rank ⋔ : 104 (3, 133)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.2 to 2.6.

Lunenburg County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 500.3 with a 95% confidence interval from 439.4 to 568.4 and 57 average annual cases over 2018-2022.
• CI*Rank ⋔ : 24 (3, 104)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.6 to 2.0.

Petersburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 615.8 with a 95% confidence interval from 531.9 to 710.3 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 2 (1, 33)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -1.7 to 3.1.

Southampton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 439.5 with a 95% confidence interval from 395.0 to 488.5 and 78 average annual cases over 2018-2022.
• CI*Rank ⋔ : 73 (14, 118)
• Recent Trend : The trend is because the trend is 0.7 with a 95% confidence interval from -0.7 to 2.2.

Amelia County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 554.8 with a 95% confidence interval from 498.5 to 616.2 and 79 average annual cases over 2018-2022.
• CI*Rank ⋔ : 7 (1, 48)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.5 to 1.8.

Botetourt County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 451.2 with a 95% confidence interval from 423.5 to 480.5 and 228 average annual cases over 2018-2022.
• CI*Rank ⋔ : 60 (22, 99)
• Recent Trend : The trend is because the trend is 0.6 with a 95% confidence interval from -0.3 to 1.5.

Martinsville City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 503.0 with a 95% confidence interval from 437.6 to 576.7 and 49 average annual cases over 2018-2022.
• CI*Rank ⋔ : 23 (2, 106)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.8 to 1.8.

Suffolk City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 496.3 with a 95% confidence interval from 470.8 to 523.1 and 305 average annual cases over 2018-2022.
• CI*Rank ⋔ : 25 (9, 62)
• Recent Trend : The trend is because the trend is 0.5 with a 95% confidence interval from -0.4 to 1.4.

Carroll County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 414.7 with a 95% confidence interval from 386.8 to 444.3 and 197 average annual cases over 2018-2022.
• CI*Rank ⋔ : 95 (47, 117)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -1.3 to 2.1.

New Kent County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 548.0 with a 95% confidence interval from 505.0 to 593.9 and 139 average annual cases over 2018-2022.
• CI*Rank ⋔ : 9 (1, 38)
• Recent Trend : The trend is because the trend is 0.4 with a 95% confidence interval from -0.7 to 1.7.

Norfolk City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 463.6 with a 95% confidence interval from 445.5 to 482.4 and 534 average annual cases over 2018-2022.
• CI*Rank ⋔ : 44 (26, 79)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.2 to 0.7.

Nottoway County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 513.9 with a 95% confidence interval from 459.2 to 574.3 and 69 average annual cases over 2018-2022.
• CI*Rank ⋔ : 19 (2, 89)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.9 to 1.5.

Salem City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 477.2 with a 95% confidence interval from 442.1 to 514.7 and 149 average annual cases over 2018-2022.
• CI*Rank ⋔ : 36 (11, 94)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.8 to 1.5.

Shenandoah County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 414.4 with a 95% confidence interval from 390.3 to 439.7 and 253 average annual cases over 2018-2022.
• CI*Rank ⋔ : 96 (54, 114)
• Recent Trend : The trend is because the trend is 0.3 with a 95% confidence interval from -0.6 to 1.2.

Buckingham County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 456.9 with a 95% confidence interval from 408.7 to 509.8 and 72 average annual cases over 2018-2022.
• CI*Rank ⋔ : 56 (11, 111)
• 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 439.1 with a 95% confidence interval from 416.6 to 462.5 and 346 average annual cases over 2018-2022.
• CI*Rank ⋔ : 74 (35, 103)
• Recent Trend : The trend is because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.2.

Brunswick County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 456.7 with a 95% confidence interval from 401.5 to 519.5 and 57 average annual cases over 2018-2022.
• CI*Rank ⋔ : 57 (7, 117)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.9 to 1.0.

Grayson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 448.9 with a 95% confidence interval from 407.9 to 493.5 and 106 average annual cases over 2018-2022.
• CI*Rank ⋔ : 64 (15, 111)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.0 to 1.2.

King William County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 520.7 with a 95% confidence interval from 471.9 to 573.4 and 90 average annual cases over 2018-2022.
• CI*Rank ⋔ : 16 (2, 76)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -1.1 to 1.4.

Roanoke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 430.1 with a 95% confidence interval from 413.3 to 447.5 and 553 average annual cases over 2018-2022.
• CI*Rank ⋔ : 79 (54, 103)
• Recent Trend : The trend is because the trend is 0.1 with a 95% confidence interval from -0.5 to 0.8.

Augusta County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 458.5 with a 95% confidence interval from 439.7 to 477.9 and 506 average annual cases over 2018-2022.
• CI*Rank ⋔ : 53 (29, 82)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.5 to 0.5.

Bland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 443.3 with a 95% confidence interval from 383.9 to 511.1 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 70 (7, 123)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -2.2 to 2.3.

Caroline County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 506.1 with a 95% confidence interval from 466.1 to 548.8 and 128 average annual cases over 2018-2022.
• CI*Rank ⋔ : 22 (5, 71)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.9 to 0.9.

Chesapeake City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 471.3 with a 95% confidence interval from 456.5 to 486.5 and 818 average annual cases over 2018-2022.
• CI*Rank ⋔ : 39 (24, 68)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -0.7 to 0.8.

Danville City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 485.8 with a 95% confidence interval from 448.0 to 526.5 and 155 average annual cases over 2018-2022.
• CI*Rank ⋔ : 30 (8, 84)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.0.

Patrick County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 391.6 with a 95% confidence interval from 357.0 to 429.3 and 113 average annual cases over 2018-2022.
• CI*Rank ⋔ : 107 (56, 127)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.5 to 1.6.

Waynesboro City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 526.4 with a 95% confidence interval from 484.5 to 571.3 and 128 average annual cases over 2018-2022.
• CI*Rank ⋔ : 13 (3, 60)
• Recent Trend : The trend is because the trend is 0.0 with a 95% confidence interval from -1.0 to 0.9.

Charles City County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 469.5 with a 95% confidence interval from 384.1 to 572.7 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 40 (2, 127)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -2.4 to 2.4.

Gloucester County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 486.0 with a 95% confidence interval from 457.5 to 515.9 and 244 average annual cases over 2018-2022.
• CI*Rank ⋔ : 29 (11, 75)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.6.

Warren County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 430.8 with a 95% confidence interval from 403.5 to 459.5 and 206 average annual cases over 2018-2022.
• CI*Rank ⋔ : 77 (37, 110)
• Recent Trend : The trend is because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.9.

Emporia City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 471.7 with a 95% confidence interval from 352.6 to 627.0 and 14 average annual cases over 2018-2022.
• CI*Rank ⋔ : 38 (1, 131)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -3.2 to 2.6.

Goochland County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 475.1 with a 95% confidence interval from 439.6 to 513.3 and 158 average annual cases over 2018-2022.
• CI*Rank ⋔ : 37 (12, 92)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.2 to 0.9.

Louisa County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 483.0 with a 95% confidence interval from 452.6 to 515.1 and 215 average annual cases over 2018-2022.
• CI*Rank ⋔ : 34 (12, 78)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.6.

Northumberland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 440.5 with a 95% confidence interval from 389.1 to 499.3 and 93 average annual cases over 2018-2022.
• CI*Rank ⋔ : 72 (10, 121)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.9 to 1.4.

Prince George County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 506.5 with a 95% confidence interval from 468.8 to 546.6 and 141 average annual cases over 2018-2022.
• CI*Rank ⋔ : 21 (6, 70)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.2 to 0.9.

Rockingham County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 419.2 with a 95% confidence interval from 401.1 to 437.9 and 449 average annual cases over 2018-2022.
• CI*Rank ⋔ : 94 (61, 109)
• Recent Trend : The trend is because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.6.

Alleghany County and Clifton Forge City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 443.7 with a 95% confidence interval from 403.6 to 487.3 and 106 average annual cases over 2018-2022.
• CI*Rank ⋔ : 69 (17, 114)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.9.

Franklin City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 424.6 with a 95% confidence interval from 344.9 to 520.3 and 24 average annual cases over 2018-2022.
• CI*Rank ⋔ : 87 (7, 131)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -2.1 to 1.6.

King George County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 492.9 with a 95% confidence interval from 452.1 to 536.4 and 114 average annual cases over 2018-2022.
• CI*Rank ⋔ : 27 (6, 87)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.8.

Pulaski County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 408.2 with a 95% confidence interval from 381.7 to 436.2 and 200 average annual cases over 2018-2022.
• CI*Rank ⋔ : 100 (55, 119)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -0.7 to 0.2.

Rockbridge County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 430.2 with a 95% confidence interval from 397.8 to 465.1 and 158 average annual cases over 2018-2022.
• CI*Rank ⋔ : 78 (32, 113)
• Recent Trend : The trend is because the trend is -0.3 with a 95% confidence interval from -1.5 to 0.8.

Henrico County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 460.1 with a 95% confidence interval from 447.9 to 472.6 and 1,171 average annual cases over 2018-2022.
• CI*Rank ⋔ : 50 (32, 72)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.7 to 0.0.

Isle of Wight County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 460.8 with a 95% confidence interval from 429.9 to 493.6 and 185 average annual cases over 2018-2022.
• CI*Rank ⋔ : 49 (18, 97)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.6.

Madison County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 428.6 with a 95% confidence interval from 384.9 to 476.5 and 81 average annual cases over 2018-2022.
• CI*Rank ⋔ : 82 (21, 122)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.1.

Westmoreland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 452.1 with a 95% confidence interval from 409.8 to 498.6 and 106 average annual cases over 2018-2022.
• CI*Rank ⋔ : 59 (12, 113)
• Recent Trend : The trend is because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.4.

Culpeper County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 469.3 with a 95% confidence interval from 441.9 to 498.0 and 236 average annual cases over 2018-2022.
• CI*Rank ⋔ : 41 (16, 85)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.3.

Prince Edward County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 449.3 with a 95% confidence interval from 399.3 to 504.3 and 68 average annual cases over 2018-2022.
• CI*Rank ⋔ : 63 (11, 120)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -2.3 to 1.2.

Winchester City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 413.6 with a 95% confidence interval from 378.3 to 451.6 and 111 average annual cases over 2018-2022.
• CI*Rank ⋔ : 97 (37, 122)
• Recent Trend : The trend is because the trend is -0.5 with a 95% confidence interval from -1.3 to 0.3.

Chesterfield County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 467.3 with a 95% confidence interval from 456.1 to 478.7 and 1,432 average annual cases over 2018-2022.
• CI*Rank ⋔ : 42 (30, 66)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.0 to -0.1.

Henry County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 429.1 with a 95% confidence interval from 404.0 to 455.6 and 262 average annual cases over 2018-2022.
• CI*Rank ⋔ : 81 (40, 108)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.4.

Lynchburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 413.0 with a 95% confidence interval from 388.4 to 438.9 and 234 average annual cases over 2018-2022.
• CI*Rank ⋔ : 98 (57, 116)
• Recent Trend : The trend is because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.3.

Campbell County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 433.7 with a 95% confidence interval from 410.4 to 458.1 and 288 average annual cases over 2018-2022.
• CI*Rank ⋔ : 76 (38, 107)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.3.

Greene County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 428.0 with a 95% confidence interval from 390.0 to 469.1 and 102 average annual cases over 2018-2022.
• CI*Rank ⋔ : 83 (27, 118)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.2.

Hampton City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 458.4 with a 95% confidence interval from 435.2 to 482.5 and 328 average annual cases over 2018-2022.
• CI*Rank ⋔ : 54 (26, 90)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.2.

Hanover County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 449.7 with a 95% confidence interval from 432.9 to 467.0 and 585 average annual cases over 2018-2022.
• CI*Rank ⋔ : 62 (35, 91)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.2 to -0.2.

Harrisonburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 388.7 with a 95% confidence interval from 356.2 to 423.4 and 115 average annual cases over 2018-2022.
• CI*Rank ⋔ : 109 (58, 127)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.

Montgomery County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 387.1 with a 95% confidence interval from 368.4 to 406.5 and 342 average annual cases over 2018-2022.
• CI*Rank ⋔ : 110 (88, 121)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.

Poquoson City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 456.4 with a 95% confidence interval from 409.4 to 507.9 and 73 average annual cases over 2018-2022.
• CI*Rank ⋔ : 58 (12, 112)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.8 to 0.5.

Spotsylvania County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 463.6 with a 95% confidence interval from 446.0 to 481.7 and 563 average annual cases over 2018-2022.
• CI*Rank ⋔ : 45 (26, 76)
• Recent Trend : The trend is because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.

Charlottesville City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 377.4 with a 95% confidence interval from 346.6 to 410.3 and 119 average annual cases over 2018-2022.
• CI*Rank ⋔ : 114 (78, 128)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.1.

Fluvanna County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 446.3 with a 95% confidence interval from 412.6 to 482.4 and 145 average annual cases over 2018-2022.
• CI*Rank ⋔ : 66 (21, 108)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.2.

Newport News City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 427.8 with a 95% confidence interval from 409.5 to 446.9 and 441 average annual cases over 2018-2022.
• CI*Rank ⋔ : 85 (51, 105)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.2.

York County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 422.0 with a 95% confidence interval from 399.7 to 445.2 and 288 average annual cases over 2018-2022.
• CI*Rank ⋔ : 90 (49, 109)
• Recent Trend : The trend is because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.1.

Alexandria City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 359.4 with a 95% confidence interval from 342.2 to 377.2 and 351 average annual cases over 2018-2022.
• CI*Rank ⋔ : 122 (104, 127)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.7 to -0.1.

Appomattox County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 374.2 with a 95% confidence interval from 334.8 to 417.5 and 72 average annual cases over 2018-2022.
• CI*Rank ⋔ : 115 (67, 130)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.5 to 0.8.

Bedford City and County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 428.0 with a 95% confidence interval from 409.7 to 447.0 and 479 average annual cases over 2018-2022.
• CI*Rank ⋔ : 84 (51, 104)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -2.1 to -0.3.

Middlesex County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 467.0 with a 95% confidence interval from 415.9 to 524.4 and 85 average annual cases over 2018-2022.
• CI*Rank ⋔ : 43 (8, 112)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -6.2 to 0.4.

Richmond City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 450.8 with a 95% confidence interval from 432.0 to 470.4 and 471 average annual cases over 2018-2022.
• CI*Rank ⋔ : 61 (31, 89)
• Recent Trend : The trend is because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.2.

Fauquier County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 389.2 with a 95% confidence interval from 369.4 to 409.9 and 313 average annual cases over 2018-2022.
• CI*Rank ⋔ : 108 (82, 122)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.9 to 0.0.

Stafford County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 425.6 with a 95% confidence interval from 407.7 to 444.1 and 451 average annual cases over 2018-2022.
• CI*Rank ⋔ : 86 (55, 105)
• Recent Trend : The trend is because the trend is -1.0 with a 95% confidence interval from -1.7 to -0.3.

Loudoun County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 380.3 with a 95% confidence interval from 369.4 to 391.5 and 960 average annual cases over 2018-2022.
• CI*Rank ⋔ : 113 (99, 121)
• Recent Trend : The trend is because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.4.

Albemarle County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 405.6 with a 95% confidence interval from 389.2 to 422.6 and 519 average annual cases over 2018-2022.
• CI*Rank ⋔ : 101 (74, 113)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.5.

Prince William County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 380.7 with a 95% confidence interval from 369.5 to 392.1 and 920 average annual cases over 2018-2022.
• CI*Rank ⋔ : 112 (100, 120)
• Recent Trend : The trend is because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.6.

Accomack County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 359.9 with a 95% confidence interval from 330.4 to 391.8 and 143 average annual cases over 2018-2022.
• CI*Rank ⋔ : 120 (91, 130)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.8 to 0.0.

Nelson County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 424.6 with a 95% confidence interval from 383.7 to 469.5 and 99 average annual cases over 2018-2022.
• CI*Rank ⋔ : 88 (24, 122)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.3 to -0.4.

Pittsylvania County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 359.6 with a 95% confidence interval from 338.9 to 381.4 and 264 average annual cases over 2018-2022.
• CI*Rank ⋔ : 121 (102, 128)
• Recent Trend : The trend is because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.5.

Smyth County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 351.8 with a 95% confidence interval from 326.4 to 378.9 and 158 average annual cases over 2018-2022.
• CI*Rank ⋔ : 123 (102, 130)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -4.0 to -0.2.

Surry County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 447.3 with a 95% confidence interval from 369.1 to 540.4 and 28 average annual cases over 2018-2022.
• CI*Rank ⋔ : 65 (5, 128)
• Recent Trend : The trend is because the trend is -1.4 with a 95% confidence interval from -10.4 to 0.9.

Arlington County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 341.5 with a 95% confidence interval from 328.1 to 355.4 and 507 average annual cases over 2018-2022.
• CI*Rank ⋔ : 125 (116, 130)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.1 to -0.9.

Clarke County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 372.5 with a 95% confidence interval from 333.7 to 415.3 and 77 average annual cases over 2018-2022.
• CI*Rank ⋔ : 116 (71, 130)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.7 to -0.3.

James City County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 422.9 with a 95% confidence interval from 404.0 to 442.6 and 469 average annual cases over 2018-2022.
• CI*Rank ⋔ : 89 (57, 107)
• Recent Trend : The trend is because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.1.

Manassas City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 399.1 with a 95% confidence interval from 359.8 to 441.9 and 82 average annual cases over 2018-2022.
• CI*Rank ⋔ : 106 (44, 126)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.8 to -0.5.

Radford City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 442.8 with a 95% confidence interval from 386.1 to 505.6 and 47 average annual cases over 2018-2022.
• CI*Rank ⋔ : 71 (10, 123)
• Recent Trend : The trend is because the trend is -1.6 with a 95% confidence interval from -2.8 to -0.5.

Falls Church City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 332.9 with a 95% confidence interval from 289.4 to 381.5 and 44 average annual cases over 2018-2022.
• CI*Rank ⋔ : 127 (89, 132)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -3.2 to -0.1.

Manassas Park City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 419.8 with a 95% confidence interval from 347.5 to 503.3 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 93 (9, 131)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -4.6 to 1.3.

Rappahannock County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 385.2 with a 95% confidence interval from 329.8 to 448.9 and 45 average annual cases over 2018-2022.
• CI*Rank ⋔ : 111 (28, 131)
• Recent Trend : The trend is because the trend is -1.7 with a 95% confidence interval from -2.9 to -0.5.

Williamsburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 364.5 with a 95% confidence interval from 313.5 to 422.8 and 48 average annual cases over 2018-2022.
• CI*Rank ⋔ : 119 (58, 131)
• Recent Trend : The trend is because the trend is -1.8 with a 95% confidence interval from -3.2 to -0.4.

Russell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 346.2 with a 95% confidence interval from 318.5 to 376.0 and 131 average annual cases over 2018-2022.
• CI*Rank ⋔ : 124 (103, 131)
• Recent Trend : The trend is because the trend is -1.9 with a 95% confidence interval from -3.4 to -0.5.

Buchanan County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 300.3 with a 95% confidence interval from 271.3 to 332.0 and 91 average annual cases over 2018-2022.
• CI*Rank ⋔ : 131 (120, 133)
• Recent Trend : The trend is because the trend is -2.1 with a 95% confidence interval from -3.8 to -0.6.

Norton City²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 429.8 with a 95% confidence interval from 345.7 to 529.9 and 19 average annual cases over 2018-2022.
• CI*Rank ⋔ : 80 (4, 131)
• Recent Trend : The trend is because the trend is -2.3 with a 95% confidence interval from -4.3 to -0.5.

Cumberland County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 399.8 with a 95% confidence interval from 344.0 to 463.6 and 42 average annual cases over 2018-2022.
• CI*Rank ⋔ : 105 (22, 130)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -8.5 to -0.9.

Dickenson County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 332.9 with a 95% confidence interval from 297.9 to 371.4 and 74 average annual cases over 2018-2022.
• CI*Rank ⋔ : 126 (102, 132)
• Recent Trend : The trend is because the trend is -2.5 with a 95% confidence interval from -3.8 to -1.3.

Tazewell County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 324.4 with a 95% confidence interval from 302.7 to 347.4 and 189 average annual cases over 2018-2022.
• CI*Rank ⋔ : 129 (116, 131)
• Recent Trend : The trend is because the trend is -2.8 with a 95% confidence interval from -6.2 to -1.8.

Wise County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 365.3 with a 95% confidence interval from 340.1 to 392.0 and 171 average annual cases over 2018-2022.
• CI*Rank ⋔ : 118 (94, 129)
• Recent Trend : The trend is because the trend is -2.9 with a 95% confidence interval from -4.8 to -1.4.

Washington County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 314.5 with a 95% confidence interval from 296.5 to 333.5 and 261 average annual cases over 2018-2022.
• CI*Rank ⋔ : 130 (122, 131)
• Recent Trend : The trend is because the trend is -3.0 with a 95% confidence interval from -4.0 to -2.1.

Lee County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 326.8 with a 95% confidence interval from 297.9 to 358.1 and 106 average annual cases over 2018-2022.
• CI*Rank ⋔ : 128 (111, 131)
• Recent Trend : The trend is because the trend is -3.1 with a 95% confidence interval from -5.1 to -1.3.

Page County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 419.8 with a 95% confidence interval from 388.5 to 453.4 and 148 average annual cases over 2018-2022.
• CI*Rank ⋔ : 92 (36, 117)
• Recent Trend : The trend is because the trend is -3.5 with a 95% confidence interval from -11.3 to -0.2.

Fredericksburg City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 457.6 with a 95% confidence interval from 412.2 to 506.8 and 79 average annual cases over 2018-2022.
• CI*Rank ⋔ : 55 (10, 109)
• Recent Trend : The trend is because the trend is -4.4 with a 95% confidence interval from -12.4 to -1.6.

Staunton City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 477.8 with a 95% confidence interval from 442.6 to 515.3 and 152 average annual cases over 2018-2022.
• CI*Rank ⋔ : 35 (11, 87)
• Recent Trend : The trend is because the trend is -4.6 with a 95% confidence interval from -9.3 to 0.0.

Bristol City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 253.8 with a 95% confidence interval from 223.4 to 287.6 and 57 average annual cases over 2018-2022.
• CI*Rank ⋔ : 132 (130, 133)
• Recent Trend : The trend is because the trend is -4.8 with a 95% confidence interval from -8.2 to -2.4.

Virginia Beach City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 459.2 with a 95% confidence interval from 449.2 to 469.4 and 1,697 average annual cases over 2018-2022.
• CI*Rank ⋔ : 52 (35, 72)
• Recent Trend : The trend is because the trend is -4.9 with a 95% confidence interval from -7.0 to -3.2.

Portsmouth City²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 461.3 with a 95% confidence interval from 433.8 to 490.3 and 230 average annual cases over 2018-2022.
• CI*Rank ⋔ : 48 (19, 92)
• Recent Trend : The trend is because the trend is -5.5 with a 95% confidence interval from -11.6 to 0.3.

Scott County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 252.3 with a 95% confidence interval from 227.1 to 279.8 and 85 average annual cases over 2018-2022.
• CI*Rank ⋔ : 133 (130, 133)
• Recent Trend : The trend is because the trend is -5.9 with a 95% confidence interval from -22.8 to -3.9.

Giles County²

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 493.5 with a 95% confidence interval from 452.9 to 537.2 and 120 average annual cases over 2018-2022.
• CI*Rank ⋔ : 26 (7, 83)
• Recent Trend : The trend is because the trend is -6.7 with a 95% confidence interval from -12.0 to -2.4.

Northampton County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 521.5 with a 95% confidence interval from 459.1 to 592.0 and 75 average annual cases over 2018-2022.
• CI*Rank ⋔ : 14 (1, 87)
• Recent Trend : The trend is because the trend is -7.5 with a 95% confidence interval from -14.0 to -1.5.

Greensville County²

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 404.0 with a 95% confidence interval from 334.2 to 487.2 and 25 average annual cases over 2018-2022.
• CI*Rank ⋔ : 102 (11, 131)
• Recent Trend : The trend is because the trend is -14.3 with a 95% confidence interval from -27.3 to -0.7.

Notes:
Created by statecancerprofiles.cancer.gov on 03/16/2026 10:37 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.