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Incidence Rates Table

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Incidence Rate Report for Virginia by County

Lung & Bronchus (All Stages^), 2018-2022

All Races (includes 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 descending
Virginia 2 N/A 50.9 (50.3, 51.5) N/A 5,510 falling falling trend -2.1 (-2.5, -1.8)
US (SEER+NPCR) 1 N/A 52.5 (52.4, 52.6) N/A 222,606 falling falling trend -3.5 (-4.0, -3.1)
Bath County 2 Rural 83.9 (57.6, 123.0) 9 (1, 119) 7 stable stable trend -24.8 (-50.7, 5.5)
Charlottesville City 2 Urban 36.6 (29.1, 45.6) 125 (97, 132) 17 falling falling trend -16.9 (-35.1, -2.9)
Sussex County 2 Urban 96.5 (75.4, 122.6) 3 (1, 48) 15 stable stable trend -14.2 (-28.9, 2.6)
Giles County 2 Urban 69.2 (56.0, 85.1) 32 (3, 108) 20 falling falling trend -13.7 (-25.7, -1.0)
Fauquier County 2 Urban 40.7 (35.2, 46.9) 120 (98, 128) 41 falling falling trend -9.0 (-15.3, -3.2)
Pulaski County 2 Urban 64.5 (55.1, 75.2) 47 (10, 106) 36 stable stable trend -6.9 (-14.1, 0.2)
Harrisonburg City 2 Urban 34.9 (27.0, 44.4) 127 (99, 132) 14 falling falling trend -6.8 (-21.9, -3.0)
Stafford County 2 Urban 54.8 (49.3, 60.8) 86 (45, 112) 79 falling falling trend -5.2 (-9.4, -3.3)
Gloucester County 2 Urban 67.1 (57.9, 77.6) 36 (9, 96) 41 falling falling trend -5.1 (-19.4, -0.7)
Bristol City 2 Urban 44.6 (34.1, 58.0) 115 (43, 130) 12 falling falling trend -5.0 (-9.4, -1.8)
Falls Church City 2 Urban 27.3 (17.2, 41.5) 130 (105, 132) 5 stable stable trend -4.1 (-8.5, 0.2)
Scott County 2 Urban 52.3 (42.3, 64.6) 98 (30, 124) 20 falling falling trend -4.0 (-6.8, -1.7)
Arlington County 2 Urban 25.9 (22.8, 29.2) 132 (127, 132) 54 falling falling trend -3.8 (-7.3, -2.6)
Lee County 2 Rural 65.2 (54.1, 78.6) 43 (8, 110) 25 falling falling trend -3.8 (-5.6, -2.2)
Accomack County 2 Rural 49.5 (41.9, 58.4) 107 (46, 125) 31 falling falling trend -3.6 (-5.1, -2.2)
Fairfax County 2 Urban 26.9 (25.6, 28.3) 131 (127, 132) 342 falling falling trend -3.4 (-3.9, -2.9)
Manassas City 2 Urban 40.1 (30.3, 51.8) 122 (63, 132) 13 falling falling trend -3.4 (-6.1, -0.8)
Surry County 2 Urban 52.7 (36.0, 77.4) 96 (6, 132) 7 stable stable trend -3.4 (-8.6, 8.6)
Albemarle County 2 Urban 36.5 (32.4, 41.1) 126 (112, 129) 59 falling falling trend -3.3 (-4.5, -2.1)
Manassas Park City 2 Urban 51.4 (34.5, 73.3) 99 (6, 132) 6 stable stable trend -3.3 (-8.1, 2.2)
Buchanan County 2 Rural 46.9 (36.9, 59.5) 113 (32, 129) 16 falling falling trend -3.2 (-5.1, -1.5)
Northampton County 2 Rural 66.3 (50.4, 86.5) 41 (3, 119) 15 falling falling trend -3.2 (-5.6, -1.0)
Alexandria City 2 Urban 29.5 (25.7, 33.8) 129 (122, 132) 45 falling falling trend -3.1 (-4.2, -2.1)
Smyth County 2 Rural 70.6 (60.5, 82.4) 27 (5, 88) 36 falling falling trend -3.1 (-6.3, -1.6)
Wise County 2 Rural 75.7 (65.3, 87.4) 22 (2, 66) 40 falling falling trend -3.1 (-4.9, -1.7)
Bland County 2 Rural 38.1 (23.7, 61.5) 124 (28, 132) 4 stable stable trend -2.9 (-7.5, 1.5)
Covington City 2 Rural 78.0 (53.5, 111.5) 16 (1, 124) 7 stable stable trend -2.9 (-18.9, 1.7)
Dickenson County 2 Rural 63.1 (49.2, 80.5) 50 (5, 120) 15 falling falling trend -2.9 (-5.8, -0.3)
Richmond City 2 Urban 60.4 (55.9, 65.2) 57 (33, 90) 147 falling falling trend -2.9 (-9.1, -2.1)
Russell County 2 Rural 59.0 (49.1, 70.8) 63 (15, 118) 26 falling falling trend -2.9 (-4.8, -1.2)
Loudoun County 2 Urban 32.2 (29.5, 35.0) 128 (121, 130) 114 falling falling trend -2.8 (-3.9, -1.6)
Cumberland County 2 Rural 51.0 (36.3, 70.8) 103 (15, 131) 9 stable stable trend -2.6 (-6.2, 1.0)
Prince William County 2 Urban 41.3 (38.4, 44.3) 118 (107, 125) 172 falling falling trend -2.6 (-3.6, -1.5)
Appomattox County 2 Urban 56.9 (44.5, 72.3) 75 (13, 125) 15 falling falling trend -2.5 (-7.6, -0.8)
Frederick County 2 Urban 48.6 (43.3, 54.5) 109 (66, 121) 63 falling falling trend -2.5 (-3.9, -1.1)
Culpeper County 2 Urban 50.1 (42.7, 58.6) 106 (48, 124) 33 falling falling trend -2.4 (-4.4, -0.4)
Isle of Wight County 2 Urban 51.0 (43.1, 60.2) 100 (42, 123) 31 falling falling trend -2.4 (-4.0, -0.6)
Washington County 2 Urban 54.0 (47.3, 61.6) 89 (40, 118) 50 falling falling trend -2.4 (-3.4, -1.4)
Campbell County 2 Urban 59.5 (52.3, 67.7) 60 (26, 109) 51 falling falling trend -2.3 (-3.9, -0.8)
Chesterfield County 2 Urban 51.0 (48.0, 54.2) 101 (72, 112) 224 falling falling trend -2.3 (-3.1, -1.4)
Goochland County 2 Urban 50.7 (41.4, 62.0) 104 (35, 124) 22 stable stable trend -2.3 (-4.6, 0.3)
Amherst County 2 Urban 65.2 (55.4, 76.6) 44 (9, 103) 33 falling falling trend -2.2 (-4.1, -0.3)
Middlesex County 2 Rural 70.4 (55.6, 89.9) 28 (2, 111) 18 falling falling trend -2.2 (-5.7, -0.1)
Radford City 2 Urban 55.0 (37.4, 78.0) 83 (5, 131) 7 stable stable trend -2.2 (-5.1, 0.4)
Rappahannock County 2 Urban 41.9 (27.8, 63.3) 117 (26, 132) 6 stable stable trend -2.2 (-5.5, 1.4)
Williamsburg City 2 Urban 40.5 (27.0, 59.1) 121 (36, 132) 7 stable stable trend -2.2 (-6.0, 1.8)
Montgomery County 2 Urban 39.8 (34.3, 45.8) 123 (99, 129) 40 falling falling trend -2.1 (-3.8, -0.5)
Nelson County 2 Urban 60.8 (48.4, 76.4) 56 (8, 119) 18 stable stable trend -2.1 (-4.4, 0.3)
Winchester City 2 Urban 58.2 (47.4, 70.8) 67 (16, 120) 21 falling falling trend -2.1 (-3.9, -0.3)
Clarke County 2 Urban 46.0 (34.9, 60.5) 114 (39, 131) 12 stable stable trend -2.0 (-5.1, 1.1)
Petersburg City 2 Urban 71.4 (60.5, 83.8) 26 (4, 84) 33 falling falling trend -2.0 (-3.4, -0.6)
Pittsylvania County 2 Rural 50.7 (44.5, 57.7) 105 (51, 120) 52 falling falling trend -2.0 (-3.5, -0.6)
Roanoke City 2 Urban 76.7 (70.0, 84.0) 21 (5, 46) 100 falling falling trend -2.0 (-4.0, -1.2)
Tazewell County 2 Rural 56.3 (48.1, 65.7) 79 (25, 118) 37 falling falling trend -2.0 (-3.7, -0.5)
Chesapeake City 2 Urban 56.0 (52.0, 60.2) 80 (47, 103) 157 falling falling trend -1.9 (-2.7, -1.1)
Greene County 2 Urban 54.8 (43.2, 69.0) 85 (16, 124) 16 stable stable trend -1.9 (-3.9, 0.4)
Hampton City 2 Urban 57.6 (52.5, 63.1) 71 (38, 103) 100 falling falling trend -1.9 (-2.8, -1.0)
Hanover County 2 Urban 52.5 (47.5, 58.0) 97 (52, 115) 82 falling falling trend -1.9 (-3.3, -0.3)
Newport News City 2 Urban 54.6 (50.1, 59.5) 87 (47, 108) 110 falling falling trend -1.9 (-2.8, -1.0)
York County 2 Urban 47.5 (41.3, 54.4) 110 (63, 124) 43 falling falling trend -1.9 (-3.6, -0.1)
Craig County 2 Urban 53.0 (31.3, 86.7) 92 (1, 132) 4 stable stable trend -1.8 (-6.1, 2.9)
Grayson County 2 Rural 62.3 (49.8, 77.9) 51 (8, 117) 18 falling falling trend -1.8 (-3.1, -0.5)
Mathews County 2 Urban 54.9 (40.0, 76.2) 84 (10, 129) 10 stable stable trend -1.8 (-4.3, 0.7)
Southampton County 2 Rural 53.5 (42.3, 67.5) 90 (23, 125) 16 stable stable trend -1.8 (-5.0, 1.5)
Danville City 2 Rural 63.1 (54.5, 72.9) 49 (14, 106) 41 falling falling trend -1.7 (-3.3, -0.3)
Louisa County 2 Rural 61.3 (52.5, 71.4) 53 (17, 109) 37 stable stable trend -1.7 (-3.5, 0.2)
Powhatan County 2 Urban 57.1 (47.4, 68.5) 73 (20, 117) 26 stable stable trend -1.7 (-3.6, 0.4)
King and Queen County 2 Urban 82.7 (59.5, 114.0) 10 (1, 114) 9 stable stable trend -1.6 (-4.9, 1.9)
New Kent County 2 Urban 81.7 (67.2, 98.6) 12 (1, 73) 26 stable stable trend -1.6 (-4.0, 1.3)
Greensville County 2 Rural 47.4 (32.7, 67.2) 111 (17, 132) 7 stable stable trend -1.5 (-5.4, 2.5)
Hopewell City 2 Urban 84.4 (69.8, 101.4) 8 (1, 62) 24 stable stable trend -1.5 (-3.1, 0.0)
Lynchburg City 2 Urban 60.1 (52.9, 68.2) 58 (23, 105) 51 falling falling trend -1.5 (-3.1, -0.1)
Suffolk City 2 Urban 56.7 (50.6, 63.5) 76 (35, 109) 65 stable stable trend -1.5 (-2.9, 0.1)
Virginia Beach City 2 Urban 56.9 (54.1, 59.9) 74 (51, 95) 306 falling falling trend -1.5 (-2.5, -0.6)
Nottoway County 2 Rural 72.5 (57.4, 90.8) 24 (2, 108) 16 stable stable trend -1.4 (-3.6, 0.8)
Salem City 2 Urban 58.2 (47.5, 70.9) 66 (16, 121) 21 stable stable trend -1.4 (-3.3, 0.4)
Spotsylvania County 2 Urban 59.3 (54.0, 65.0) 61 (33, 100) 97 falling falling trend -1.4 (-2.6, -0.1)
Westmoreland County 2 Rural 70.2 (57.9, 85.0) 30 (4, 102) 25 stable stable trend -1.4 (-3.5, 0.7)
Augusta County 2 Urban 61.2 (55.2, 67.8) 54 (24, 98) 78 stable stable trend -1.3 (-2.6, 0.2)
Emporia City 2 Rural 57.9 (36.8, 88.2) 69 (2, 132) 5 stable stable trend -1.3 (-4.6, 1.9)
Halifax County with South Boston City 2 Rural 52.7 (44.3, 62.5) 95 (31, 122) 31 stable stable trend -1.3 (-2.7, 0.2)
Henry County 2 Rural 55.5 (48.7, 63.2) 82 (35, 116) 51 falling falling trend -1.3 (-2.5, -0.1)
Shenandoah County 2 Rural 47.2 (40.1, 55.5) 112 (58, 126) 33 stable stable trend -1.3 (-3.0, 0.5)
Alleghany County and Clifton Forge City 2 Rural 77.6 (63.2, 95.1) 19 (1, 89) 21 stable stable trend -1.2 (-3.5, 1.0)
Fluvanna County 2 Urban 55.5 (45.7, 67.2) 81 (22, 121) 23 stable stable trend -1.2 (-4.0, 1.8)
Henrico County 2 Urban 56.3 (53.1, 59.7) 78 (52, 99) 235 falling falling trend -1.2 (-1.8, -0.6)
Portsmouth City 2 Urban 63.6 (57.1, 70.7) 48 (20, 92) 73 stable stable trend -1.1 (-2.3, 0.1)
Franklin City 2 Rural 51.0 (34.7, 73.6) 102 (9, 132) 6 stable stable trend -1.0 (-3.8, 1.6)
Bedford City and County 2 Urban 59.0 (53.2, 65.4) 64 (32, 103) 80 stable stable trend -0.9 (-2.2, 0.3)
James City County 2 Urban 42.6 (37.9, 47.9) 116 (93, 127) 62 stable stable trend -0.9 (-2.3, 0.7)
Caroline County 2 Rural 77.7 (66.0, 91.2) 17 (2, 67) 32 stable stable trend -0.8 (-3.2, 1.8)
Fredericksburg City 2 Urban 64.6 (51.0, 80.6) 46 (5, 116) 16 stable stable trend -0.8 (-3.7, 2.4)
Page County 2 Rural 66.4 (55.3, 79.4) 39 (7, 108) 26 stable stable trend -0.8 (-2.7, 1.1)
Staunton City 2 Urban 62.1 (51.7, 74.4) 52 (11, 112) 25 stable stable trend -0.8 (-2.9, 1.4)
Essex County 2 Rural 65.9 (49.3, 87.4) 42 (2, 119) 12 stable stable trend -0.7 (-3.3, 1.9)
King William County 2 Urban 77.4 (62.2, 95.5) 20 (1, 96) 19 stable stable trend -0.7 (-4.8, 4.0)
Roanoke County 2 Urban 52.8 (47.7, 58.4) 94 (54, 114) 82 stable stable trend -0.7 (-2.1, 0.7)
Fairfax City 2 Urban 40.7 (30.6, 53.3) 119 (55, 132) 11 stable stable trend -0.6 (-3.4, 2.0)
Prince George County 2 Urban 78.3 (66.7, 91.5) 15 (1, 68) 33 stable stable trend -0.6 (-2.4, 1.4)
Warren County 2 Urban 66.8 (57.3, 77.6) 37 (9, 95) 37 stable stable trend -0.6 (-2.7, 1.7)
Charles City County 2 Urban 59.1 (41.7, 84.5) 62 (4, 128) 8 stable stable trend -0.5 (-3.9, 3.4)
Martinsville City 2 Rural 60.9 (45.9, 79.8) 55 (6, 126) 12 stable stable trend -0.5 (-3.8, 2.6)
Norfolk City 2 Urban 69.3 (64.4, 74.3) 31 (14, 59) 164 stable stable trend -0.5 (-1.2, 0.2)
Amelia County 2 Urban 90.0 (72.8, 110.8) 4 (1, 65) 20 stable stable trend -0.4 (-2.0, 1.4)
Waynesboro City 2 Urban 77.6 (64.2, 93.4) 18 (1, 80) 24 stable stable trend -0.4 (-2.3, 1.6)
Carroll County 2 Rural 56.4 (47.8, 66.6) 77 (24, 117) 32 stable stable trend -0.3 (-2.3, 1.8)
Dinwiddie County 2 Urban 87.5 (74.4, 102.4) 5 (1, 44) 35 stable stable trend -0.3 (-2.8, 2.6)
Northumberland County 2 Rural 66.6 (52.9, 84.9) 38 (3, 113) 19 stable stable trend -0.3 (-4.1, 3.6)
Patrick County 2 Rural 53.5 (42.8, 66.9) 91 (23, 125) 18 stable stable trend -0.3 (-3.1, 2.6)
Buckingham County 2 Rural 71.4 (57.2, 88.7) 25 (2, 111) 18 stable stable trend -0.2 (-2.8, 2.7)
Rockingham County 2 Urban 49.3 (43.9, 55.3) 108 (64, 120) 62 stable stable trend -0.2 (-1.5, 1.3)
Wythe County 2 Rural 66.3 (56.0, 78.3) 40 (9, 106) 31 stable stable trend -0.2 (-1.6, 1.2)
Brunswick County 2 Rural 65.1 (51.8, 81.4) 45 (5, 117) 18 stable stable trend 0.0 (-2.4, 2.6)
King George County 2 Rural 78.8 (64.7, 95.0) 14 (1, 83) 23 stable stable trend 0.0 (-3.6, 4.2)
Prince Edward County 2 Rural 85.2 (69.5, 103.7) 6 (1, 66) 22 stable stable trend 0.0 (-2.3, 2.4)
Franklin County 2 Urban 57.3 (50.4, 65.0) 72 (31, 111) 55 stable stable trend 0.1 (-1.6, 2.0)
Orange County 2 Rural 70.2 (60.5, 81.2) 29 (7, 89) 39 stable stable trend 0.1 (-2.2, 2.5)
Charlotte County 2 Rural 68.4 (52.8, 88.2) 35 (2, 114) 14 stable stable trend 0.2 (-2.5, 3.2)
Colonial Heights City 2 Urban 69.1 (55.6, 85.2) 33 (4, 110) 18 stable stable trend 0.4 (-1.9, 2.7)
Poquoson City 2 Urban 54.4 (40.1, 72.9) 88 (10, 129) 10 stable stable trend 0.4 (-3.3, 5.0)
Botetourt County 2 Urban 59.7 (50.7, 70.2) 59 (18, 113) 34 stable stable trend 0.5 (-0.9, 2.1)
Mecklenburg County 2 Rural 73.7 (63.9, 84.9) 23 (4, 68) 44 stable stable trend 0.5 (-0.6, 1.7)
Richmond County 2 Rural 69.0 (51.1, 92.5) 34 (2, 121) 10 stable stable trend 0.5 (-2.8, 4.2)
Floyd County 2 Urban 57.7 (44.8, 73.8) 70 (10, 124) 15 stable stable trend 0.6 (-1.4, 2.8)
Madison County 2 Rural 58.3 (44.9, 75.3) 65 (10, 124) 13 stable stable trend 0.7 (-1.4, 3.0)
Lunenburg County 2 Rural 80.9 (63.6, 102.2) 13 (1, 87) 16 stable stable trend 0.9 (-1.8, 3.8)
Lancaster County 2 Rural 84.7 (66.2, 108.5) 7 (1, 84) 20 rising rising trend 1.9 (0.2, 3.7)
Galax City 2 Rural 99.1 (70.9, 135.4) 2 (1, 87) 9 stable stable trend 2.6 (-0.8, 6.4)
Rockbridge County 2 Rural 58.0 (47.5, 70.7) 68 (16, 117) 24 rising rising trend 3.8 (0.9, 10.8)
Buena Vista City 2 Rural 100.7 (74.3, 134.8) 1 (1, 78) 10
*
*
Highland County 2 Rural 82.5 (42.0, 156.3) 11 (1, 131) 4
*
*
Lexington City 2 Rural 52.9 (31.7, 84.7) 93 (2, 132) 4
*
*
Norton City 2 Rural
*
*
3 or fewer
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/11/2026 5:25 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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