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Incidence Rates Table

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Incidence Rate Report for Michigan by County

Colon & Rectum (All Stages^), 2018-2022

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

Sorted by Rate

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 ascending
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
Michigan 2 N/A 35.6 (35.1, 36.1) N/A 4,456 falling falling trend -1.9 (-3.4, -0.8)
US (SEER+NPCR) 1 N/A 36.7 (36.6, 36.7) N/A 145,073 falling falling trend -0.9 (-1.0, -0.8)
Montmorency County 2 Rural 55.5 (37.5, 80.4) 1 (1, 68) 9 stable stable trend -0.1 (-3.7, 3.7)
Alcona County 2 Rural 49.6 (32.4, 74.0) 2 (1, 75) 8 stable stable trend -1.6 (-5.1, 1.2)
Isabella County 2 Rural 49.4 (41.6, 58.3) 3 (1, 34) 31 stable stable trend -0.9 (-2.8, 0.9)
Osceola County 2 Rural 49.2 (39.0, 61.6) 4 (1, 54) 17 stable stable trend -0.5 (-3.1, 2.1)
Manistee County 2 Rural 47.2 (37.3, 59.3) 5 (1, 56) 19 falling falling trend -3.4 (-6.1, -1.2)
Missaukee County 2 Rural 44.7 (32.8, 60.2) 6 (1, 73) 10 stable stable trend -0.8 (-4.0, 2.5)
Gratiot County 2 Rural 43.7 (35.9, 52.8) 7 (1, 59) 23 falling falling trend -2.8 (-12.0, -1.0)
Huron County 2 Rural 42.3 (34.5, 51.6) 8 (1, 64) 23 falling falling trend -2.5 (-5.2, -0.2)
Chippewa County 2 Rural 41.8 (33.6, 51.5) 9 (1, 69) 19 stable stable trend -0.1 (-2.6, 2.5)
Wexford County 2 Rural 41.7 (33.3, 51.8) 10 (1, 68) 19 stable stable trend -0.7 (-3.4, 2.0)
Hillsdale County 2 Rural 41.2 (34.1, 49.6) 11 (1, 65) 26 stable stable trend -1.3 (-3.5, 0.9)
Saginaw County 2 Urban 41.0 (37.3, 44.9) 12 (4, 45) 100 falling falling trend -2.1 (-3.6, -0.8)
Gladwin County 2 Rural 41.0 (31.6, 52.6) 13 (1, 72) 16 stable stable trend 5.5 (-1.7, 25.7)
Sanilac County 2 Rural 40.3 (33.3, 48.6) 14 (2, 67) 25 falling falling trend -2.1 (-3.9, -0.5)
Bay County 2 Urban 40.1 (35.4, 45.2) 15 (3, 56) 58 falling falling trend -1.5 (-2.7, -0.2)
Jackson County 2 Urban 40.0 (36.1, 44.3) 16 (5, 50) 82 stable stable trend 5.3 (-2.3, 14.1)
Newaygo County 2 Rural 39.9 (32.9, 48.0) 17 (2, 68) 26 stable stable trend 4.7 (-1.5, 20.0)
Montcalm County 2 Urban 39.8 (33.8, 46.6) 18 (3, 63) 33 stable stable trend -0.8 (-2.9, 1.2)
Wayne County 2 Urban 39.4 (38.1, 40.6) 19 (12, 36) 822 falling falling trend -3.8 (-5.3, -2.8)
Lake County 2 Rural 39.2 (27.6, 55.3) 20 (1, 77) 8 stable stable trend -1.9 (-4.1, 0.2)
Mecosta County 2 Rural 38.9 (31.0, 48.3) 21 (2, 72) 19 stable stable trend 0.3 (-2.1, 2.8)
Berrien County 2 Urban 38.6 (34.8, 42.7) 22 (6, 55) 83 stable stable trend -1.1 (-3.8, 4.4)
Roscommon County 2 Rural 38.6 (29.2, 50.7) 23 (1, 76) 17 stable stable trend -1.9 (-4.6, 0.4)
Branch County 2 Rural 38.5 (31.5, 46.8) 24 (2, 71) 22 stable stable trend -0.5 (-2.2, 1.2)
Iosco County 2 Rural 38.3 (29.1, 49.8) 25 (1, 75) 16 stable stable trend -0.6 (-3.1, 1.6)
St. Clair County 2 Urban 38.2 (34.4, 42.3) 26 (7, 56) 82 falling falling trend -2.4 (-3.6, -1.2)
Iron County 2 Rural 38.1 (25.7, 55.6) 27 (1, 80) 8 falling falling trend -4.7 (-8.0, -1.9)
Arenac County 2 Rural 38.0 (27.0, 52.7) 28 (1, 78) 9 stable stable trend 2.9 (-0.9, 14.8)
St. Joseph County 2 Rural 37.9 (31.9, 44.9) 29 (3, 69) 30 falling falling trend -1.9 (-3.3, -0.7)
Macomb County 2 Urban 37.9 (36.3, 39.6) 30 (15, 44) 423 falling falling trend -1.7 (-2.3, -1.2)
Clare County 2 Rural 37.9 (30.1, 47.4) 31 (2, 74) 19 stable stable trend -0.1 (-2.6, 2.5)
Oscoda County 2 Rural 37.5 (24.1, 57.9) 32 (1, 80) 6 stable stable trend -1.8 (-6.7, 2.8)
Calhoun County 2 Urban 37.5 (33.3, 42.0) 33 (8, 61) 63 stable stable trend 1.2 (-1.9, 8.8)
Lapeer County 2 Urban 37.4 (32.4, 43.0) 34 (6, 66) 44 falling falling trend -2.6 (-3.8, -1.4)
Menominee County 2 Rural 37.4 (28.5, 48.6) 35 (1, 76) 14 rising rising trend 3.5 (0.5, 14.9)
Alpena County 2 Rural 37.0 (29.3, 46.5) 36 (3, 75) 18 falling falling trend -2.7 (-4.8, -0.9)
Cheboygan County 2 Rural 36.8 (27.9, 48.0) 37 (2, 77) 15 stable stable trend -2.1 (-5.7, 1.1)
Ionia County 2 Urban 36.8 (30.7, 43.7) 38 (5, 71) 27 stable stable trend -1.2 (-2.7, 0.4)
Ogemaw County 2 Rural 36.2 (27.4, 47.6) 39 (2, 76) 14 falling falling trend -3.5 (-6.6, -0.8)
Barry County 2 Urban 36.2 (30.2, 43.0) 40 (5, 73) 29 stable stable trend 3.8 (-4.2, 27.8)
Oceana County 2 Rural 36.1 (27.3, 47.1) 41 (2, 78) 13 stable stable trend -3.1 (-6.7, 0.0)
Oakland County 2 Urban 36.1 (34.8, 37.5) 42 (23, 50) 581 stable stable trend -0.6 (-1.7, 2.5)
Tuscola County 2 Rural 35.8 (29.8, 42.9) 43 (5, 74) 27 falling falling trend -1.9 (-3.8, -0.1)
Shiawassee County 2 Rural 35.4 (29.8, 41.8) 44 (8, 73) 31 stable stable trend -1.7 (-4.1, 0.5)
Grand Traverse County 2 Urban 35.2 (30.6, 40.4) 45 (10, 70) 45 stable stable trend -1.4 (-2.9, 0.1)
Presque Isle County 2 Rural 35.0 (23.1, 51.9) 46 (1, 81) 8 stable stable trend -2.1 (-5.6, 0.9)
Van Buren County 2 Rural 34.5 (29.3, 40.5) 47 (9, 73) 33 stable stable trend -1.4 (-3.1, 0.2)
Emmet County 2 Rural 34.5 (27.1, 43.5) 48 (4, 77) 17 stable stable trend 18.0 (-1.3, 32.2)
Eaton County 2 Urban 34.3 (29.9, 39.1) 49 (13, 71) 48 falling falling trend -1.7 (-3.2, -0.3)
Kalkaska County 2 Urban 34.1 (23.9, 47.5) 50 (2, 80) 8 stable stable trend -1.5 (-3.9, 0.8)
Mackinac County 2 Rural 34.0 (22.4, 51.0) 51 (1, 80) 7 stable stable trend -1.8 (-7.5, 3.6)
Lenawee County 2 Rural 33.9 (29.4, 39.0) 52 (12, 72) 44 stable stable trend -0.7 (-2.8, 1.3)
Midland County 2 Urban 33.9 (29.1, 39.4) 53 (11, 74) 38 stable stable trend 2.9 (-1.6, 13.4)
Kent County 2 Urban 33.3 (31.4, 35.4) 54 (32, 64) 226 falling falling trend -1.8 (-2.8, -0.9)
Kalamazoo County 2 Urban 33.2 (30.2, 36.4) 55 (26, 69) 95 stable stable trend 0.7 (-2.3, 6.9)
Crawford County 2 Rural 33.0 (23.5, 46.4) 56 (3, 80) 8 stable stable trend -2.7 (-5.6, 0.0)
Livingston County 2 Urban 32.6 (29.4, 36.1) 57 (28, 72) 82 falling falling trend -2.4 (-3.5, -1.3)
Clinton County 2 Urban 32.1 (27.2, 37.8) 58 (15, 75) 32 stable stable trend 2.8 (-1.1, 14.1)
Mason County 2 Rural 32.0 (24.2, 41.7) 59 (6, 78) 14 stable stable trend -3.4 (-7.9, 0.2)
Ingham County 2 Urban 32.0 (29.0, 35.1) 60 (33, 71) 92 falling falling trend -2.1 (-3.3, -1.1)
Monroe County 2 Urban 31.6 (28.1, 35.5) 61 (30, 74) 64 falling falling trend -2.3 (-4.1, -0.6)
Marquette County 2 Rural 30.8 (25.3, 37.2) 62 (17, 77) 25 stable stable trend -1.6 (-4.7, 1.4)
Delta County 2 Rural 30.3 (23.8, 38.3) 63 (13, 79) 18 falling falling trend -4.1 (-7.7, -1.2)
Allegan County 2 Rural 29.9 (25.9, 34.4) 64 (33, 76) 43 falling falling trend -3.1 (-4.6, -1.8)
Washtenaw County 2 Urban 29.4 (27.0, 32.0) 65 (49, 76) 115 stable stable trend -0.3 (-2.7, 5.6)
Antrim County 2 Rural 29.3 (21.6, 39.4) 66 (8, 81) 12 falling falling trend -3.5 (-6.7, -0.9)
Genesee County 2 Urban 29.1 (26.9, 31.3) 67 (51, 75) 147 falling falling trend -3.1 (-4.3, -2.0)
Otsego County 2 Rural 28.5 (21.1, 38.1) 68 (11, 80) 11 falling falling trend -3.4 (-5.5, -1.5)
Alger County 2 Rural 28.4 (16.8, 46.6) 69 (2, 81) 4 stable stable trend -2.1 (-6.0, 1.2)
Ottawa County 2 Urban 28.3 (25.7, 31.1) 70 (51, 77) 92 stable stable trend 1.6 (-2.6, 9.5)
Cass County 2 Urban 28.0 (22.6, 34.4) 71 (31, 79) 21 stable stable trend -2.1 (-5.3, 1.0)
Charlevoix County 2 Rural 27.9 (20.7, 37.2) 72 (14, 81) 11 stable stable trend -2.2 (-4.7, 0.2)
Muskegon County 2 Urban 27.5 (24.3, 31.0) 73 (50, 78) 58 falling falling trend -2.6 (-4.3, -1.1)
Benzie County 2 Urban 26.6 (18.0, 38.3) 74 (11, 81) 8 falling falling trend -4.3 (-7.7, -1.6)
Baraga County 2 Rural 24.6 (14.2, 41.6) 75 (6, 81) 3 stable stable trend -2.7 (-6.8, 1.4)
Leelanau County 2 Urban 23.9 (17.5, 32.6) 76 (38, 81) 11 falling falling trend -3.1 (-5.9, -0.4)
Schoolcraft County 2 Rural 23.2 (13.1, 40.6) 77 (10, 81) 3 falling falling trend -5.6 (-11.7, -0.8)
Ontonagon County 2 Rural 21.6 (12.5, 44.1) 78 (14, 81) 3 stable stable trend -3.5 (-8.1, 0.5)
Gogebic County 2 Rural 20.0 (12.8, 30.9) 79 (46, 81) 6 falling falling trend -15.8 (-36.0, -5.7)
Houghton County 2 Rural 18.3 (12.6, 25.7) 80 (64, 81) 8 falling falling trend -3.5 (-6.7, -0.8)
Dickinson County 2 Rural 16.6 (11.6, 23.6) 81 (72, 81) 7
*
*
Keweenaw County 2 Rural
*
*
3 or fewer
*
*
Luce County 2 Rural
*
*
3 or fewer
*
*

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