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Incidence Rates Table

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Incidence Rate Report for Virginia 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
Virginia 2 N/A 33.8 (33.3, 34.3) N/A 3,417 falling falling trend -0.8 (-1.2, -0.3)
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)
Bath County 2 Rural 61.4 (36.0, 101.3) 1 (1, 126) 4 stable stable trend 2.2 (-1.8, 6.4)
Craig County 2 Urban 60.8 (36.4, 97.6) 2 (1, 127) 4
*
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Covington City 2 Rural 57.9 (35.9, 89.6) 3 (1, 127) 5 stable stable trend 2.9 (-1.2, 7.4)
Lancaster County 2 Rural 57.0 (39.4, 80.9) 4 (1, 110) 11 rising rising trend 13.9 (2.7, 39.2)
Bland County 2 Rural 57.0 (37.7, 85.2) 5 (1, 123) 6 stable stable trend -0.2 (-5.0, 5.0)
Greensville County 2 Rural 56.7 (39.9, 78.6) 6 (1, 110) 8 stable stable trend -0.7 (-4.6, 3.1)
Essex County 2 Rural 56.0 (40.0, 77.2) 7 (1, 106) 9 stable stable trend -0.6 (-3.5, 2.5)
Martinsville City 2 Rural 55.6 (40.0, 75.5) 8 (1, 104) 9 stable stable trend -0.7 (-4.6, 2.9)
Lexington City 2 Rural 53.6 (29.5, 89.9) 9 (1, 128) 3 stable stable trend 2.1 (-4.4, 9.6)
Hopewell City 2 Urban 53.5 (41.2, 68.4) 10 (1, 83) 13 stable stable trend -0.8 (-4.1, 2.5)
Danville City 2 Rural 52.5 (44.3, 61.8) 11 (1, 50) 32 stable stable trend -0.1 (-1.8, 1.5)
Mathews County 2 Urban 51.7 (35.6, 74.6) 12 (1, 118) 8 stable stable trend -1.2 (-6.5, 3.9)
Franklin City 2 Rural 50.9 (32.7, 76.2) 13 (1, 127) 5 stable stable trend -1.8 (-6.3, 2.5)
Cumberland County 2 Rural 50.9 (33.7, 74.3) 14 (1, 125) 7 stable stable trend -1.7 (-6.1, 2.7)
Richmond County 2 Rural 50.5 (34.6, 72.3) 15 (1, 124) 7 stable stable trend -1.0 (-5.3, 3.7)
Halifax County with South Boston City 2 Rural 50.0 (41.0, 60.6) 16 (2, 71) 26 stable stable trend -0.8 (-3.2, 1.6)
Brunswick County 2 Rural 48.7 (36.4, 64.4) 17 (1, 110) 11 stable stable trend -1.3 (-3.7, 1.1)
Floyd County 2 Urban 48.7 (35.6, 65.5) 18 (1, 118) 11 stable stable trend -0.5 (-4.8, 3.9)
Amherst County 2 Urban 47.7 (38.5, 58.7) 19 (2, 95) 21 stable stable trend 2.8 (-2.7, 16.6)
Northumberland County 2 Rural 47.5 (34.8, 65.2) 20 (1, 117) 13 stable stable trend 0.4 (-2.6, 3.5)
Alleghany County and Clifton Forge City 2 Rural 46.2 (34.5, 61.4) 21 (1, 119) 12 stable stable trend -0.6 (-2.8, 1.7)
Buena Vista City 2 Rural 46.2 (28.4, 72.4) 22 (1, 128) 4 stable stable trend -0.3 (-4.6, 4.2)
Petersburg City 2 Urban 45.0 (35.8, 56.0) 23 (3, 108) 18 stable stable trend -1.4 (-3.4, 0.4)
Appomattox County 2 Urban 44.6 (32.6, 60.0) 24 (1, 122) 10 stable stable trend -0.3 (-2.8, 2.5)
Giles County 2 Urban 43.7 (32.4, 58.1) 25 (2, 124) 11 stable stable trend -1.9 (-4.2, 0.3)
Charles City County 2 Urban 43.6 (27.8, 68.1) 26 (1, 128) 5 stable stable trend -0.6 (-5.1, 4.4)
Dinwiddie County 2 Urban 43.0 (33.9, 54.1) 27 (4, 115) 16 stable stable trend -2.1 (-4.3, 0.1)
Charlotte County 2 Rural 42.7 (28.6, 61.8) 28 (1, 128) 7 falling falling trend -9.8 (-17.5, -6.0)
Caroline County 2 Rural 42.2 (33.2, 52.9) 29 (5, 116) 16 stable stable trend -0.6 (-3.0, 2.1)
Fredericksburg City 2 Urban 42.1 (31.3, 55.4) 30 (4, 125) 11 stable stable trend -0.5 (-2.9, 2.1)
Carroll County 2 Rural 41.9 (33.4, 52.1) 31 (5, 115) 20 stable stable trend -0.8 (-3.4, 1.6)
Galax City 2 Rural 41.7 (23.6, 68.7) 32 (1, 128) 3 stable stable trend -2.4 (-5.9, 0.5)
Orange County 2 Rural 41.7 (33.7, 51.1) 33 (6, 111) 21 stable stable trend 2.7 (-0.4, 11.8)
Waynesboro City 2 Urban 41.4 (30.9, 54.5) 34 (3, 124) 11 stable stable trend -2.2 (-5.3, 0.6)
New Kent County 2 Urban 41.1 (30.6, 54.2) 35 (4, 125) 12 stable stable trend 0.5 (-2.5, 4.5)
Page County 2 Rural 41.0 (31.7, 52.5) 36 (6, 122) 14 falling falling trend -21.2 (-28.2, -14.3)
Rockbridge County 2 Rural 40.7 (31.8, 52.0) 37 (4, 121) 16 falling falling trend -2.9 (-5.6, -0.2)
Wythe County 2 Rural 40.6 (32.2, 50.9) 38 (7, 120) 17 stable stable trend -0.4 (-2.9, 2.1)
Amelia County 2 Urban 40.6 (28.0, 57.5) 39 (2, 128) 7 stable stable trend -2.0 (-5.7, 1.7)
Henry County 2 Rural 40.5 (34.1, 47.9) 40 (12, 105) 33 falling falling trend -2.2 (-4.4, -0.2)
Salem City 2 Urban 40.4 (31.2, 51.9) 41 (6, 124) 14 stable stable trend -0.5 (-2.5, 1.4)
Accomack County 2 Rural 40.3 (31.9, 50.5) 42 (7, 120) 19 stable stable trend -1.0 (-4.2, 1.9)
Madison County 2 Rural 40.3 (28.4, 56.1) 43 (3, 128) 8 stable stable trend -2.6 (-5.4, 0.1)
Staunton City 2 Urban 39.8 (30.4, 51.3) 44 (6, 124) 13 falling falling trend -2.2 (-4.1, -0.5)
Roanoke City 2 Urban 39.8 (34.8, 45.3) 45 (16, 99) 49 falling falling trend -1.5 (-3.0, -0.1)
Colonial Heights City 2 Urban 39.7 (28.7, 53.7) 46 (4, 127) 9 stable stable trend -2.7 (-6.1, 0.3)
Campbell County 2 Urban 39.2 (32.9, 46.3) 47 (12, 111) 31 falling falling trend -2.2 (-4.2, -0.3)
Richmond City 2 Urban 39.0 (35.3, 43.0) 48 (22, 89) 88 falling falling trend -2.2 (-3.3, -1.2)
Nottoway County 2 Rural 39.0 (27.8, 53.6) 49 (3, 127) 8 stable stable trend -2.1 (-4.5, 0.3)
Buckingham County 2 Rural 38.9 (28.1, 53.0) 50 (4, 127) 9 stable stable trend -0.3 (-3.3, 3.0)
Rappahannock County 2 Urban 38.6 (23.9, 61.1) 51 (2, 128) 5 stable stable trend -2.2 (-6.3, 2.0)
King William County 2 Urban 38.0 (26.5, 52.8) 52 (4, 128) 8 falling falling trend -3.2 (-6.5, -0.1)
Lynchburg City 2 Urban 38.0 (31.9, 44.9) 53 (16, 115) 30 stable stable trend -1.0 (-2.4, 0.3)
Powhatan County 2 Urban 37.8 (29.4, 48.0) 54 (9, 124) 15 stable stable trend -1.6 (-3.8, 1.0)
Grayson County 2 Rural 37.8 (26.6, 52.6) 55 (4, 128) 9 stable stable trend -0.9 (-4.7, 2.4)
Shenandoah County 2 Rural 37.8 (31.1, 45.6) 56 (15, 120) 24 stable stable trend 3.5 (-0.8, 16.7)
Hanover County 2 Urban 37.8 (33.2, 42.8) 57 (22, 103) 54 stable stable trend -1.8 (-4.0, 0.4)
Southampton County 2 Rural 37.7 (27.0, 51.5) 58 (6, 127) 10 falling falling trend -2.5 (-4.7, -0.4)
Nelson County 2 Urban 37.7 (25.7, 53.8) 59 (3, 128) 8 stable stable trend -1.9 (-4.9, 1.0)
Manassas Park City 2 Urban 37.5 (24.0, 55.5) 60 (3, 128) 5 stable stable trend -4.1 (-9.5, 2.5)
Botetourt County 2 Urban 37.4 (29.4, 47.0) 61 (11, 125) 18 stable stable trend -0.5 (-3.5, 2.6)
Suffolk City 2 Urban 37.2 (32.1, 43.0) 62 (19, 111) 40 falling falling trend -2.1 (-3.8, -0.4)
Henrico County 2 Urban 36.8 (34.1, 39.6) 63 (35, 96) 144 falling falling trend -1.5 (-2.6, -0.4)
Bedford City and County 2 Urban 36.8 (31.7, 42.5) 64 (23, 113) 44 stable stable trend 0.5 (-1.9, 8.7)
Radford City 2 Urban 36.7 (22.4, 56.6) 65 (2, 128) 4 stable stable trend -2.0 (-5.0, 0.9)
Franklin County 2 Urban 36.7 (30.7, 43.6) 66 (19, 119) 31 falling falling trend -12.9 (-22.3, -6.5)
Isle of Wight County 2 Urban 36.6 (29.0, 45.7) 67 (11, 125) 18 stable stable trend -1.3 (-3.7, 1.2)
Prince Edward County 2 Rural 36.5 (25.6, 50.6) 68 (6, 128) 8 stable stable trend -2.7 (-6.9, 1.1)
Louisa County 2 Rural 36.4 (29.1, 45.0) 69 (15, 124) 20 stable stable trend -2.3 (-4.9, 0.3)
Augusta County 2 Urban 36.3 (31.4, 41.9) 70 (26, 114) 42 stable stable trend -1.5 (-3.6, 0.7)
Sussex County 2 Urban 36.2 (23.7, 54.0) 71 (3, 128) 5 stable stable trend 0.0 (-3.1, 3.2)
Goochland County 2 Urban 36.2 (27.6, 47.1) 72 (12, 126) 13 falling falling trend -4.1 (-17.1, -0.8)
Montgomery County 2 Urban 36.2 (30.8, 42.2) 73 (20, 118) 34 stable stable trend -1.4 (-2.9, 0.2)
Prince George County 2 Urban 36.0 (28.2, 45.3) 74 (14, 126) 15 stable stable trend -2.8 (-5.9, 0.4)
King and Queen County 2 Urban 35.6 (19.8, 60.6) 75 (1, 128) 4 stable stable trend -1.2 (-5.3, 2.9)
Northampton County 2 Rural 35.6 (23.7, 52.3) 76 (5, 128) 7 stable stable trend -3.1 (-7.2, 0.3)
Culpeper County 2 Urban 35.5 (29.1, 42.9) 77 (20, 124) 23 falling falling trend -3.1 (-4.7, -1.6)
Portsmouth City 2 Urban 35.5 (30.4, 41.1) 78 (25, 119) 38 falling falling trend -2.9 (-4.5, -1.6)
Westmoreland County 2 Rural 35.4 (25.6, 48.3) 79 (9, 128) 10 falling falling trend -3.4 (-5.6, -1.5)
Gloucester County 2 Urban 35.2 (28.2, 43.5) 80 (14, 125) 20 stable stable trend 1.8 (-1.7, 7.3)
Fauquier County 2 Urban 35.2 (29.8, 41.3) 81 (25, 121) 32 stable stable trend -1.4 (-3.5, 0.9)
Mecklenburg County 2 Rural 34.7 (27.0, 44.1) 82 (17, 127) 17 stable stable trend -0.7 (-3.7, 2.3)
Frederick County 2 Urban 34.5 (29.8, 39.9) 83 (29, 120) 40 stable stable trend -1.1 (-2.6, 0.6)
Newport News City 2 Urban 34.4 (30.7, 38.5) 84 (39, 116) 65 stable stable trend 5.1 (-2.7, 11.9)
Pittsylvania County 2 Rural 34.4 (29.1, 40.6) 85 (28, 122) 33 falling falling trend -2.3 (-3.5, -1.2)
Norfolk City 2 Urban 34.4 (31.0, 38.1) 86 (41, 115) 79 stable stable trend 4.7 (-2.7, 9.9)
Warren County 2 Urban 34.3 (27.1, 42.8) 87 (19, 127) 17 falling falling trend -2.9 (-4.9, -0.9)
Chesterfield County 2 Urban 34.0 (31.5, 36.7) 88 (51, 109) 141 stable stable trend -1.3 (-8.7, 5.1)
Tazewell County 2 Rural 33.9 (27.3, 41.7) 89 (24, 126) 20 stable stable trend -1.6 (-5.0, 1.5)
Roanoke County 2 Urban 33.8 (29.4, 38.7) 90 (36, 121) 46 falling falling trend -2.0 (-3.8, -0.3)
Manassas City 2 Urban 33.8 (25.4, 43.9) 91 (15, 128) 12 stable stable trend -2.4 (-6.0, 1.3)
Harrisonburg City 2 Urban 33.7 (26.1, 42.8) 92 (19, 128) 14 falling falling trend -3.0 (-5.5, -0.7)
Hampton City 2 Urban 33.3 (29.2, 37.9) 93 (37, 120) 51 stable stable trend 12.7 (-2.0, 21.6)
Pulaski County 2 Urban 33.1 (26.0, 41.7) 94 (21, 127) 17 stable stable trend -2.1 (-4.7, 0.2)
Lunenburg County 2 Rural 33.0 (21.4, 49.2) 95 (9, 128) 6 falling falling trend -4.0 (-7.9, -0.8)
Charlottesville City 2 Urban 32.9 (25.5, 41.7) 96 (20, 128) 15 stable stable trend -0.8 (-3.7, 2.3)
James City County 2 Urban 32.8 (28.2, 38.1) 97 (36, 124) 42 stable stable trend -1.1 (-2.6, 0.5)
Rockingham County 2 Urban 32.7 (27.9, 38.1) 98 (33, 124) 36 falling falling trend -1.9 (-3.5, -0.3)
Virginia Beach City 2 Urban 32.6 (30.4, 35.0) 99 (63, 112) 165 falling falling trend -2.2 (-3.1, -1.3)
Fluvanna County 2 Urban 32.4 (24.4, 42.5) 100 (17, 128) 12 falling falling trend -3.6 (-6.5, -0.8)
Wise County 2 Rural 32.4 (25.2, 41.1) 101 (23, 128) 15 falling falling trend -5.1 (-7.9, -2.9)
Buchanan County 2 Rural 32.1 (23.9, 42.9) 102 (20, 128) 11 falling falling trend -26.6 (-44.0, -5.8)
York County 2 Urban 32.0 (26.6, 38.1) 103 (35, 126) 26 stable stable trend 1.2 (-1.8, 11.0)
Fairfax City 2 Urban 31.9 (22.8, 43.5) 104 (16, 128) 8 stable stable trend -0.4 (-2.4, 1.7)
Chesapeake City 2 Urban 31.8 (28.8, 35.1) 105 (57, 120) 85 falling falling trend -2.5 (-4.0, -1.0)
King George County 2 Rural 31.2 (22.7, 42.1) 106 (19, 128) 9 falling falling trend -4.3 (-7.2, -1.3)
Clarke County 2 Urban 31.0 (21.1, 44.7) 107 (14, 128) 7 falling falling trend -4.2 (-6.2, -2.4)
Spotsylvania County 2 Urban 31.0 (27.2, 35.2) 108 (55, 124) 50 falling falling trend -2.8 (-4.1, -1.5)
Greene County 2 Urban 30.9 (21.7, 42.9) 109 (16, 128) 8 stable stable trend -3.5 (-7.1, 0.1)
Stafford County 2 Urban 30.9 (26.9, 35.4) 110 (54, 125) 45 falling falling trend -3.3 (-4.9, -1.5)
Patrick County 2 Rural 30.6 (21.3, 43.1) 111 (16, 128) 9 stable stable trend -2.4 (-5.6, 0.4)
Poquoson City 2 Urban 30.3 (19.2, 46.1) 112 (12, 128) 5 falling falling trend -6.0 (-9.6, -3.0)
Middlesex County 2 Rural 30.1 (19.9, 45.8) 113 (14, 128) 7 stable stable trend -1.9 (-4.6, 0.7)
Prince William County 2 Urban 30.0 (27.7, 32.5) 114 (75, 122) 135 falling falling trend -2.2 (-3.2, -1.0)
Alexandria City 2 Urban 29.9 (26.1, 34.1) 115 (62, 126) 47 falling falling trend -1.8 (-3.5, -0.1)
Albemarle County 2 Urban 28.7 (24.7, 33.2) 116 (64, 127) 41 falling falling trend -3.1 (-4.3, -2.0)
Winchester City 2 Urban 28.3 (20.8, 37.8) 117 (32, 128) 10 falling falling trend -2.6 (-5.3, -0.2)
Loudoun County 2 Urban 28.3 (25.9, 30.8) 118 (87, 125) 113 stable stable trend 1.1 (-3.3, 9.3)
Washington County 2 Urban 28.3 (23.1, 34.4) 119 (55, 128) 23 falling falling trend -4.3 (-7.2, -1.9)
Smyth County 2 Rural 28.3 (21.4, 36.8) 120 (34, 128) 13 stable stable trend -7.3 (-23.2, 0.1)
Fairfax County 2 Urban 27.6 (26.3, 28.9) 121 (103, 125) 349 stable stable trend 2.5 (-1.6, 8.5)
Williamsburg City 2 Urban 27.5 (16.6, 43.5) 122 (18, 128) 5
*
*
Russell County 2 Rural 27.4 (20.1, 36.8) 123 (38, 128) 11
*
*
Dickenson County 2 Rural 26.4 (17.3, 39.4) 124 (21, 128) 6 falling falling trend -4.0 (-8.3, -0.3)
Lee County 2 Rural 26.3 (18.9, 36.1) 125 (40, 128) 9 falling falling trend -5.9 (-9.0, -3.7)
Scott County 2 Urban 25.1 (17.8, 34.8) 126 (47, 128) 8 stable stable trend -2.8 (-6.1, 0.1)
Arlington County 2 Urban 24.6 (21.7, 27.8) 127 (105, 128) 54 falling falling trend -3.5 (-4.8, -2.3)
Bristol City 2 Urban 22.7 (14.6, 34.0) 128 (51, 128) 5 falling falling trend -4.7 (-8.7, -1.9)
Emporia City 2 Rural
*
*
3 or fewer
*
*
Falls Church City 2 Urban
*
*
3 or fewer
*
*
Highland County 2 Rural
*
*
3 or fewer
*
*
Norton City 2 Rural
*
*
3 or fewer
*
*
Surry County 2 Urban
*
*
3 or fewer
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/17/2026 12:26 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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