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Incidence Rates Table

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Incidence Rate Report for North Dakota by County

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

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Name

County
 sort alphabetically by name descending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
North Dakota 2 N/A 453.6 (447.2, 460.1) N/A 4,078 stable stable trend -0.2 (-0.5, 0.0)
US (SEER+NPCR) 1 N/A 448.6 (448.3, 448.9) N/A 1,821,045 falling falling trend -1.0 (-1.6, -0.5)
Adams County 2 Rural 329.7 (248.2, 434.9) 48 (11, 51) 14 stable stable trend -2.0 (-4.3, 0.1)
Barnes County 2 Rural 441.3 (393.7, 493.7) 22 (5, 40) 72 falling falling trend -1.0 (-2.0, -0.1)
Benson County 2 Rural 501.9 (424.4, 589.7) 6 (1, 36) 33 stable stable trend 0.3 (-1.3, 1.8)
Bottineau County 2 Rural 466.8 (402.7, 539.1) 17 (1, 39) 46 stable stable trend -0.7 (-2.3, 0.7)
Bowman County 2 Rural 395.6 (310.6, 498.7) 32 (3, 50) 17 stable stable trend -1.4 (-4.8, 1.7)
Burke County 2 Rural 390.3 (290.8, 515.4) 35 (2, 51) 12 stable stable trend -1.4 (-4.1, 1.1)
Burleigh County 2 Urban 470.4 (452.7, 488.7) 15 (6, 24) 564 stable stable trend 0.1 (-0.3, 0.6)
Cass County 2 Urban 505.8 (490.8, 521.0) 4 (2, 14) 912 rising rising trend 3.3 (0.8, 5.0)
Cavalier County 2 Rural 406.7 (330.3, 497.5) 29 (3, 49) 25 stable stable trend -0.3 (-1.9, 1.3)
Dickey County 2 Rural 301.2 (243.7, 369.2) 49 (31, 51) 21 stable stable trend -1.6 (-4.3, 0.9)
Divide County 2 Rural 331.4 (250.5, 435.8) 47 (13, 51) 13 stable stable trend -0.5 (-3.5, 2.5)
Dunn County 2 Rural 353.7 (279.7, 441.9) 44 (12, 51) 18 stable stable trend -0.5 (-2.2, 1.2)
Eddy County 2 Rural 542.5 (426.3, 682.6) 2 (1, 41) 18 stable stable trend 0.4 (-3.1, 3.7)
Emmons County 2 Rural 381.9 (306.6, 473.5) 37 (6, 50) 23 falling falling trend -23.3 (-34.3, -8.3)
Foster County 2 Rural 479.7 (396.0, 578.2) 12 (1, 42) 26 stable stable trend 0.7 (-1.6, 3.0)
Golden Valley County 2 Rural 387.9 (282.3, 524.9) 36 (2, 51) 11 stable stable trend -1.4 (-3.7, 0.8)
Grand Forks County 2 Urban 456.7 (434.4, 479.9) 19 (8, 29) 335 stable stable trend -0.5 (-1.1, 0.1)
Grant County 2 Rural 363.1 (275.4, 474.6) 42 (6, 51) 16 stable stable trend 0.0 (-2.4, 2.3)
Griggs County 2 Rural 440.2 (345.1, 558.6) 23 (1, 49) 19 stable stable trend -1.5 (-4.2, 1.0)
Hettinger County 2 Rural 490.4 (389.3, 612.4) 9 (1, 44) 19 stable stable trend 1.0 (-1.4, 3.5)
Kidder County 2 Rural 371.7 (286.1, 479.2) 39 (5, 51) 15 stable stable trend 0.7 (-2.1, 3.6)
LaMoure County 2 Rural 394.0 (321.4, 479.8) 33 (5, 49) 26 stable stable trend -0.8 (-2.6, 0.8)
Logan County 2 Rural 294.4 (210.9, 406.1) 50 (21, 51) 10 stable stable trend -1.6 (-4.7, 1.1)
McHenry County 2 Urban 502.3 (431.8, 582.3) 5 (1, 33) 40 stable stable trend 0.6 (-1.8, 2.9)
McIntosh County 2 Rural 351.5 (276.3, 446.6) 45 (10, 51) 19 stable stable trend -0.6 (-3.4, 2.0)
McKenzie County 2 Rural 345.6 (296.8, 399.8) 46 (26, 51) 39 stable stable trend -0.2 (-1.8, 1.7)
McLean County 2 Rural 487.2 (434.9, 544.6) 11 (1, 33) 76 stable stable trend -0.2 (-1.4, 1.1)
Mercer County 2 Rural 500.1 (441.3, 565.2) 7 (1, 31) 60 stable stable trend 0.8 (-0.7, 2.5)
Morton County 2 Urban 488.6 (457.8, 521.0) 10 (2, 24) 200 stable stable trend 0.5 (-0.3, 1.2)
Mountrail County 2 Rural 442.7 (383.4, 508.5) 21 (3, 43) 44 stable stable trend 0.0 (-1.8, 2.0)
Nelson County 2 Rural 516.2 (423.9, 626.1) 3 (1, 37) 28 stable stable trend 0.6 (-1.4, 2.5)
Oliver County 2 Urban 245.1 (163.1, 358.2) 51 (32, 51) 7 stable stable trend -2.2 (-6.2, 1.4)
Pembina County 2 Rural 496.5 (433.3, 567.2) 8 (1, 32) 54 stable stable trend 1.4 (0.0, 2.9)
Pierce County 2 Rural 408.6 (336.3, 493.6) 28 (3, 49) 26 stable stable trend -1.0 (-3.4, 1.2)
Ramsey County 2 Rural 468.0 (420.3, 520.2) 16 (2, 35) 78 stable stable trend -0.5 (-1.5, 0.6)
Ransom County 2 Rural 402.9 (340.2, 474.9) 30 (6, 48) 33 falling falling trend -1.9 (-3.6, -0.3)
Renville County 2 Urban 392.3 (298.0, 510.2) 34 (2, 51) 14 stable stable trend 0.4 (-2.7, 3.7)
Richland County 2 Rural 471.4 (428.7, 517.4) 14 (2, 32) 101 stable stable trend 0.0 (-1.2, 1.1)
Rolette County 2 Rural 575.6 (515.3, 641.1) 1 (1, 12) 72 stable stable trend 0.4 (-1.1, 2.0)
Sargent County 2 Rural 474.9 (394.5, 568.6) 13 (1, 43) 28 stable stable trend -1.0 (-3.1, 1.0)
Sheridan County 2 Rural 419.3 (284.6, 603.5) 26 (1, 51) 10 stable stable trend -1.1 (-5.2, 2.9)
Sioux County 2 Rural 361.4 (271.2, 471.2) 43 (4, 51) 12 stable stable trend -0.7 (-3.5, 2.3)
Stark County 2 Rural 424.6 (393.2, 457.8) 25 (13, 38) 144 stable stable trend -0.1 (-0.8, 0.7)
Steele County 2 Rural 410.2 (300.8, 550.4) 27 (1, 51) 11 stable stable trend 2.2 (-1.0, 5.5)
Stutsman County 2 Rural 366.7 (335.0, 400.8) 40 (27, 48) 110 falling falling trend -3.3 (-7.7, -2.1)
Towner County 2 Rural 377.9 (282.1, 500.2) 38 (3, 51) 14 stable stable trend -2.2 (-5.4, 0.6)
Traill County 2 Rural 458.6 (401.0, 522.6) 18 (2, 38) 51 stable stable trend 0.2 (-1.2, 1.6)
Walsh County 2 Rural 449.0 (400.2, 502.6) 20 (3, 37) 70 stable stable trend 1.0 (-0.3, 2.2)
Ward County 2 Urban 433.1 (411.3, 455.7) 24 (14, 34) 311 stable stable trend -1.0 (-2.3, 0.1)
Wells County 2 Rural 396.1 (328.1, 476.9) 31 (5, 49) 29 stable stable trend 0.1 (-1.2, 1.5)
Williams County 2 Rural 364.1 (334.4, 395.7) 41 (28, 48) 122 falling falling trend -1.7 (-6.8, -0.8)
Billings County 2 Rural
*
*
3 or fewer
*
*
Slope County 2 Rural
*
*
3 or fewer
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/13/2026 11:37 am.

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

Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.


† 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.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

Φ Rural–urban county classifications are based on the 2023 USDA Rural–Urban Continuum Codes (except for Connecticut Counties which use 2013 codes). State-level cancer rates for rural areas are calculated using cancer cases registered exclusively in rural counties, while state-level cancer rates for urban areas are calculated using cases registered exclusively in urban counties.

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 has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.

Data for United States does not include Puerto Rico.

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