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Incidence Rates Table

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Incidence Rate Report for Virginia by County

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

White Non-Hispanic, Both Sexes, All Ages

Sorted by Recentaapc

County
 sort alphabetically by name ascending
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 ascending
Virginia 2 N/A 422.6 (420.5, 424.8) N/A 31,044 stable stable trend -0.3 (-0.6, 0.6)
US (SEER+NPCR) § 1 N/A 467.1 (466.7, 467.5) N/A 1,354,187 falling falling trend -1.1 (-1.7, -0.7)
Lancaster County 2 Rural 554.6 (485.2, 633.2) 8 (1, 69) 93 rising rising trend 7.3 (2.1, 17.1)
Dinwiddie County 2 Urban 518.9 (478.4, 562.2) 17 (4, 61) 132 stable stable trend 4.8 (0.0, 11.9)
Covington City 2 Rural 625.9 (538.1, 725.0) 1 (1, 37) 40 rising rising trend 4.1 (2.2, 6.1)
Powhatan County 2 Urban 462.4 (430.5, 496.3) 46 (16, 100) 175 rising rising trend 3.4 (1.3, 6.9)
Lexington City 2 Rural 532.5 (447.8, 630.0) 12 (1, 107) 32 rising rising trend 2.7 (0.3, 5.4)
Essex County 2 Rural 566.1 (498.0, 642.8) 6 (1, 56) 62 rising rising trend 2.5 (0.6, 9.8)
Orange County 2 Rural 509.9 (479.0, 542.5) 20 (7, 54) 226 rising rising trend 2.2 (0.5, 6.1)
Galax City 2 Rural 612.7 (531.9, 703.5) 3 (1, 40) 45 stable stable trend 1.7 (-0.5, 4.0)
Buena Vista City 2 Rural 572.6 (496.9, 657.4) 5 (1, 68) 45 stable stable trend 1.5 (-0.2, 3.2)
Fairfax County 2 Urban 367.7 (361.5, 374.0) 117 (109, 123) 2,815 rising rising trend 1.5 (0.1, 3.8)
Bath County 2 Rural 485.2 (409.3, 574.4) 31 (2, 120) 35 stable stable trend 1.2 (-0.7, 3.3)
Amherst County 2 Urban 462.3 (430.0, 496.6) 47 (15, 98) 170 stable stable trend 1.1 (-0.5, 6.3)
Craig County 2 Urban 444.7 (374.3, 526.5) 68 (6, 126) 34 stable stable trend 1.1 (-0.7, 3.0)
King and Queen County 2 Urban 539.5 (460.8, 629.8) 11 (1, 94) 40 stable stable trend 1.1 (-0.2, 2.6)
Sussex County 2 Urban 544.6 (465.0, 636.0) 10 (1, 98) 37 stable stable trend 1.1 (-0.6, 2.9)
Frederick County 2 Urban 402.2 (384.6, 420.4) 103 (76, 115) 432 stable stable trend 1.0 (-1.6, 3.1)
Hopewell City 2 Urban 598.3 (542.0, 659.4) 4 (1, 20) 93 stable stable trend 1.0 (-0.2, 2.2)
Mathews County 2 Urban 515.7 (456.8, 581.7) 18 (2, 96) 76 stable stable trend 1.0 (-0.1, 2.1)
Roanoke City 2 Urban 492.3 (470.2, 515.2) 28 (12, 62) 415 stable stable trend 1.0 (0.0, 4.0)
Wythe County 2 Rural 483.8 (452.5, 517.0) 33 (11, 78) 196 rising rising trend 1.0 (0.3, 1.8)
Halifax County with South Boston City 2 Rural 420.5 (388.0, 455.4) 91 (33, 117) 147 stable stable trend 0.9 (-0.3, 2.1)
Mecklenburg County 2 Rural 485.0 (448.1, 524.7) 32 (8, 89) 166 stable stable trend 0.9 (-0.1, 1.9)
Richmond County 2 Rural 445.9 (383.5, 517.4) 67 (8, 123) 43 stable stable trend 0.9 (-0.9, 2.7)
Colonial Heights City 2 Urban 520.9 (473.4, 572.3) 15 (2, 66) 103 stable stable trend 0.8 (-0.1, 1.7)
Charlotte County 2 Rural 435.9 (381.3, 497.0) 75 (10, 124) 54 stable stable trend 0.7 (-0.6, 2.1)
Fairfax City 2 Urban 412.2 (370.7, 457.4) 99 (33, 125) 77 stable stable trend 0.7 (-1.0, 2.3)
Floyd County 2 Urban 459.7 (418.6, 504.2) 51 (12, 109) 106 stable stable trend 0.7 (-0.5, 1.9)
Highland County 2 Rural 401.4 (296.3, 538.3) 104 (3, 133) 17 stable stable trend 0.7 (-1.2, 2.6)
Lunenburg County 2 Rural 500.3 (439.4, 568.4) 24 (3, 104) 57 stable stable trend 0.7 (-0.6, 2.0)
Petersburg City 2 Urban 615.8 (531.9, 710.3) 2 (1, 33) 44 stable stable trend 0.7 (-1.7, 3.1)
Southampton County 2 Rural 439.5 (395.0, 488.5) 73 (14, 118) 78 stable stable trend 0.7 (-0.7, 2.2)
Amelia County 2 Urban 554.8 (498.5, 616.2) 7 (1, 48) 79 stable stable trend 0.6 (-0.5, 1.8)
Botetourt County 2 Urban 451.2 (423.5, 480.5) 60 (22, 99) 228 stable stable trend 0.6 (-0.3, 1.5)
Martinsville City 2 Rural 503.0 (437.6, 576.7) 23 (2, 106) 49 stable stable trend 0.5 (-0.8, 1.8)
Suffolk City 2 Urban 496.3 (470.8, 523.1) 25 (9, 62) 305 stable stable trend 0.5 (-0.4, 1.4)
Carroll County 2 Rural 414.7 (386.8, 444.3) 95 (47, 117) 197 stable stable trend 0.4 (-1.3, 2.1)
New Kent County 2 Urban 548.0 (505.0, 593.9) 9 (1, 38) 139 stable stable trend 0.4 (-0.7, 1.7)
Norfolk City 2 Urban 463.6 (445.5, 482.4) 44 (26, 79) 534 stable stable trend 0.3 (-0.2, 0.7)
Nottoway County 2 Rural 513.9 (459.2, 574.3) 19 (2, 89) 69 stable stable trend 0.3 (-0.9, 1.5)
Salem City 2 Urban 477.2 (442.1, 514.7) 36 (11, 94) 149 stable stable trend 0.3 (-0.8, 1.5)
Shenandoah County 2 Rural 414.4 (390.3, 439.7) 96 (54, 114) 253 stable stable trend 0.3 (-0.6, 1.2)
Buckingham County 2 Rural 456.9 (408.7, 509.8) 56 (11, 111) 72 stable stable trend 0.2 (-1.0, 1.4)
Franklin County 2 Urban 439.1 (416.6, 462.5) 74 (35, 103) 346 stable stable trend 0.2 (-0.8, 1.2)
Brunswick County 2 Rural 456.7 (401.5, 519.5) 57 (7, 117) 57 stable stable trend 0.1 (-0.9, 1.0)
Grayson County 2 Rural 448.9 (407.9, 493.5) 64 (15, 111) 106 stable stable trend 0.1 (-1.0, 1.2)
King William County 2 Urban 520.7 (471.9, 573.4) 16 (2, 76) 90 stable stable trend 0.1 (-1.1, 1.4)
Roanoke County 2 Urban 430.1 (413.3, 447.5) 79 (54, 103) 553 stable stable trend 0.1 (-0.5, 0.8)
Augusta County 2 Urban 458.5 (439.7, 477.9) 53 (29, 82) 506 stable stable trend 0.0 (-0.5, 0.5)
Bland County 2 Rural 443.3 (383.9, 511.1) 70 (7, 123) 44 stable stable trend 0.0 (-2.2, 2.3)
Caroline County 2 Rural 506.1 (466.1, 548.8) 22 (5, 71) 128 stable stable trend 0.0 (-0.9, 0.9)
Chesapeake City 2 Urban 471.3 (456.5, 486.5) 39 (24, 68) 818 stable stable trend 0.0 (-0.7, 0.8)
Danville City 2 Rural 485.8 (448.0, 526.5) 30 (8, 84) 155 stable stable trend 0.0 (-1.0, 1.0)
Patrick County 2 Rural 391.6 (357.0, 429.3) 107 (56, 127) 113 stable stable trend 0.0 (-1.5, 1.6)
Waynesboro City 2 Urban 526.4 (484.5, 571.3) 13 (3, 60) 128 stable stable trend 0.0 (-1.0, 0.9)
Charles City County 2 Urban 469.5 (384.1, 572.7) 40 (2, 127) 25 stable stable trend -0.1 (-2.4, 2.4)
Gloucester County 2 Urban 486.0 (457.5, 515.9) 29 (11, 75) 244 stable stable trend -0.1 (-0.8, 0.6)
Warren County 2 Urban 430.8 (403.5, 459.5) 77 (37, 110) 206 stable stable trend -0.1 (-1.0, 0.9)
Emporia City 2 Rural 471.7 (352.6, 627.0) 38 (1, 131) 14 stable stable trend -0.2 (-3.2, 2.6)
Goochland County 2 Urban 475.1 (439.6, 513.3) 37 (12, 92) 158 stable stable trend -0.2 (-1.2, 0.9)
Louisa County 2 Rural 483.0 (452.6, 515.1) 34 (12, 78) 215 stable stable trend -0.2 (-1.0, 0.6)
Northumberland County 2 Rural 440.5 (389.1, 499.3) 72 (10, 121) 93 stable stable trend -0.2 (-1.9, 1.4)
Prince George County 2 Urban 506.5 (468.8, 546.6) 21 (6, 70) 141 stable stable trend -0.2 (-1.2, 0.9)
Rockingham County 2 Urban 419.2 (401.1, 437.9) 94 (61, 109) 449 stable stable trend -0.2 (-1.0, 0.6)
Alleghany County and Clifton Forge City 2 Rural 443.7 (403.6, 487.3) 69 (17, 114) 106 stable stable trend -0.3 (-1.4, 0.9)
Franklin City 2 Rural 424.6 (344.9, 520.3) 87 (7, 131) 24 stable stable trend -0.3 (-2.1, 1.6)
King George County 2 Rural 492.9 (452.1, 536.4) 27 (6, 87) 114 stable stable trend -0.3 (-1.4, 0.8)
Pulaski County 2 Urban 408.2 (381.7, 436.2) 100 (55, 119) 200 stable stable trend -0.3 (-0.7, 0.2)
Rockbridge County 2 Rural 430.2 (397.8, 465.1) 78 (32, 113) 158 stable stable trend -0.3 (-1.5, 0.8)
Henrico County 2 Urban 460.1 (447.9, 472.6) 50 (32, 72) 1,171 stable stable trend -0.4 (-1.7, 0.0)
Isle of Wight County 2 Urban 460.8 (429.9, 493.6) 49 (18, 97) 185 stable stable trend -0.4 (-1.3, 0.6)
Madison County 2 Rural 428.6 (384.9, 476.5) 82 (21, 122) 81 stable stable trend -0.4 (-1.4, 0.1)
Westmoreland County 2 Rural 452.1 (409.8, 498.6) 59 (12, 113) 106 stable stable trend -0.4 (-1.3, 0.4)
Culpeper County 2 Urban 469.3 (441.9, 498.0) 41 (16, 85) 236 stable stable trend -0.5 (-1.3, 0.3)
Prince Edward County 2 Rural 449.3 (399.3, 504.3) 63 (11, 120) 68 stable stable trend -0.5 (-2.3, 1.2)
Winchester City 2 Urban 413.6 (378.3, 451.6) 97 (37, 122) 111 stable stable trend -0.5 (-1.3, 0.3)
Chesterfield County 2 Urban 467.3 (456.1, 478.7) 42 (30, 66) 1,432 falling falling trend -0.6 (-1.0, -0.1)
Henry County 2 Rural 429.1 (404.0, 455.6) 81 (40, 108) 262 stable stable trend -0.6 (-1.6, 0.4)
Lynchburg City 2 Urban 413.0 (388.4, 438.9) 98 (57, 116) 234 stable stable trend -0.6 (-1.6, 0.3)
Campbell County 2 Urban 433.7 (410.4, 458.1) 76 (38, 107) 288 stable stable trend -0.7 (-1.6, 0.3)
Greene County 2 Urban 428.0 (390.0, 469.1) 83 (27, 118) 102 falling falling trend -0.7 (-1.3, -0.2)
Hampton City 2 Urban 458.4 (435.2, 482.5) 54 (26, 90) 328 falling falling trend -0.7 (-1.3, -0.2)
Hanover County 2 Urban 449.7 (432.9, 467.0) 62 (35, 91) 585 falling falling trend -0.7 (-1.2, -0.2)
Harrisonburg City 2 Urban 388.7 (356.2, 423.4) 109 (58, 127) 115 stable stable trend -0.7 (-1.4, 0.0)
Montgomery County 2 Urban 387.1 (368.4, 406.5) 110 (88, 121) 342 stable stable trend -0.7 (-1.4, 0.0)
Poquoson City 2 Urban 456.4 (409.4, 507.9) 58 (12, 112) 73 stable stable trend -0.7 (-1.8, 0.5)
Spotsylvania County 2 Urban 463.6 (446.0, 481.7) 45 (26, 76) 563 falling falling trend -0.7 (-1.3, -0.1)
Charlottesville City 2 Urban 377.4 (346.6, 410.3) 114 (78, 128) 119 stable stable trend -0.8 (-1.7, 0.1)
Fluvanna County 2 Urban 446.3 (412.6, 482.4) 66 (21, 108) 145 falling falling trend -0.8 (-1.4, -0.2)
Newport News City 2 Urban 427.8 (409.5, 446.9) 85 (51, 105) 441 falling falling trend -0.8 (-1.5, -0.2)
York County 2 Urban 422.0 (399.7, 445.2) 90 (49, 109) 288 falling falling trend -0.8 (-1.5, -0.1)
Alexandria City 2 Urban 359.4 (342.2, 377.2) 122 (104, 127) 351 falling falling trend -0.9 (-1.7, -0.1)
Appomattox County 2 Urban 374.2 (334.8, 417.5) 115 (67, 130) 72 stable stable trend -0.9 (-2.5, 0.8)
Bedford City and County 2 Urban 428.0 (409.7, 447.0) 84 (51, 104) 479 falling falling trend -0.9 (-2.1, -0.3)
Middlesex County 2 Rural 467.0 (415.9, 524.4) 43 (8, 112) 85 stable stable trend -0.9 (-6.2, 0.4)
Richmond City 2 Urban 450.8 (432.0, 470.4) 61 (31, 89) 471 falling falling trend -0.9 (-1.6, -0.2)
Fauquier County 2 Urban 389.2 (369.4, 409.9) 108 (82, 122) 313 stable stable trend -1.0 (-1.9, 0.0)
Stafford County 2 Urban 425.6 (407.7, 444.1) 86 (55, 105) 451 falling falling trend -1.0 (-1.7, -0.3)
Loudoun County 2 Urban 380.3 (369.4, 391.5) 113 (99, 121) 960 falling falling trend -1.1 (-1.6, -0.4)
Albemarle County 2 Urban 405.6 (389.2, 422.6) 101 (74, 113) 519 falling falling trend -1.2 (-1.8, -0.5)
Prince William County 2 Urban 380.7 (369.5, 392.1) 112 (100, 120) 920 falling falling trend -1.2 (-1.7, -0.6)
Accomack County 2 Rural 359.9 (330.4, 391.8) 120 (91, 130) 143 stable stable trend -1.3 (-2.8, 0.0)
Nelson County 2 Urban 424.6 (383.7, 469.5) 88 (24, 122) 99 falling falling trend -1.3 (-2.3, -0.4)
Pittsylvania County 2 Rural 359.6 (338.9, 381.4) 121 (102, 128) 264 falling falling trend -1.3 (-2.0, -0.5)
Smyth County 2 Rural 351.8 (326.4, 378.9) 123 (102, 130) 158 falling falling trend -1.4 (-4.0, -0.2)
Surry County 2 Urban 447.3 (369.1, 540.4) 65 (5, 128) 28 stable stable trend -1.4 (-10.4, 0.9)
Arlington County 2 Urban 341.5 (328.1, 355.4) 125 (116, 130) 507 falling falling trend -1.5 (-2.1, -0.9)
Clarke County 2 Urban 372.5 (333.7, 415.3) 116 (71, 130) 77 falling falling trend -1.5 (-2.7, -0.3)
James City County 2 Urban 422.9 (404.0, 442.6) 89 (57, 107) 469 falling falling trend -1.5 (-2.3, -0.1)
Manassas City 2 Urban 399.1 (359.8, 441.9) 106 (44, 126) 82 falling falling trend -1.6 (-2.8, -0.5)
Radford City 2 Urban 442.8 (386.1, 505.6) 71 (10, 123) 47 falling falling trend -1.6 (-2.8, -0.5)
Falls Church City 2 Urban 332.9 (289.4, 381.5) 127 (89, 132) 44 falling falling trend -1.7 (-3.2, -0.1)
Manassas Park City 2 Urban 419.8 (347.5, 503.3) 93 (9, 131) 25 stable stable trend -1.7 (-4.6, 1.3)
Rappahannock County 2 Urban 385.2 (329.8, 448.9) 111 (28, 131) 45 falling falling trend -1.7 (-2.9, -0.5)
Williamsburg City 2 Urban 364.5 (313.5, 422.8) 119 (58, 131) 48 falling falling trend -1.8 (-3.2, -0.4)
Russell County 2 Rural 346.2 (318.5, 376.0) 124 (103, 131) 131 falling falling trend -1.9 (-3.4, -0.5)
Buchanan County 2 Rural 300.3 (271.3, 332.0) 131 (120, 133) 91 falling falling trend -2.1 (-3.8, -0.6)
Norton City 2 Rural 429.8 (345.7, 529.9) 80 (4, 131) 19 falling falling trend -2.3 (-4.3, -0.5)
Cumberland County 2 Rural 399.8 (344.0, 463.6) 105 (22, 130) 42 falling falling trend -2.5 (-8.5, -0.9)
Dickenson County 2 Rural 332.9 (297.9, 371.4) 126 (102, 132) 74 falling falling trend -2.5 (-3.8, -1.3)
Tazewell County 2 Rural 324.4 (302.7, 347.4) 129 (116, 131) 189 falling falling trend -2.8 (-6.2, -1.8)
Wise County 2 Rural 365.3 (340.1, 392.0) 118 (94, 129) 171 falling falling trend -2.9 (-4.8, -1.4)
Washington County 2 Urban 314.5 (296.5, 333.5) 130 (122, 131) 261 falling falling trend -3.0 (-4.0, -2.1)
Lee County 2 Rural 326.8 (297.9, 358.1) 128 (111, 131) 106 falling falling trend -3.1 (-5.1, -1.3)
Page County 2 Rural 419.8 (388.5, 453.4) 92 (36, 117) 148 falling falling trend -3.5 (-11.3, -0.2)
Fredericksburg City 2 Urban 457.6 (412.2, 506.8) 55 (10, 109) 79 falling falling trend -4.4 (-12.4, -1.6)
Staunton City 2 Urban 477.8 (442.6, 515.3) 35 (11, 87) 152 stable stable trend -4.6 (-9.3, 0.0)
Bristol City 2 Urban 253.8 (223.4, 287.6) 132 (130, 133) 57 falling falling trend -4.8 (-8.2, -2.4)
Virginia Beach City 2 Urban 459.2 (449.2, 469.4) 52 (35, 72) 1,697 falling falling trend -4.9 (-7.0, -3.2)
Portsmouth City 2 Urban 461.3 (433.8, 490.3) 48 (19, 92) 230 stable stable trend -5.5 (-11.6, 0.3)
Scott County 2 Urban 252.3 (227.1, 279.8) 133 (130, 133) 85 falling falling trend -5.9 (-22.8, -3.9)
Giles County 2 Urban 493.5 (452.9, 537.2) 26 (7, 83) 120 falling falling trend -6.7 (-12.0, -2.4)
Northampton County 2 Rural 521.5 (459.1, 592.0) 14 (1, 87) 75 falling falling trend -7.5 (-14.0, -1.5)
Greensville County 2 Rural 404.0 (334.2, 487.2) 102 (11, 131) 25 falling falling trend -14.3 (-27.3, -0.7)

Notes:
Created by statecancerprofiles.cancer.gov on 03/14/2026 6:55 pm.

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 for United States does not include Puerto Rico.

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