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Incidence Rate Report for North Carolina 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 ascending
North Carolina 2 N/A 61.9 (61.3, 62.5) N/A 8,372 falling falling trend -3.7 (-4.7, -2.9)
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)
Graham County 2 Rural 81.4 (61.3, 107.6) 11 (1, 89) 12 stable stable trend 1.9 (-1.2, 5.6)
Northampton County 2 Rural 69.7 (56.4, 85.9) 43 (1, 91) 23 stable stable trend 1.9 (-0.4, 4.2)
Washington County 2 Rural 70.0 (53.7, 91.0) 42 (1, 97) 15 stable stable trend 1.1 (-1.6, 4.2)
Yadkin County 2 Urban 85.5 (75.1, 97.2) 4 (1, 46) 50 stable stable trend 1.1 (-1.0, 3.4)
Mitchell County 2 Rural 73.4 (59.4, 90.6) 27 (1, 88) 20 stable stable trend 0.8 (-1.1, 2.8)
Yancey County 2 Rural 81.4 (67.8, 97.5) 12 (1, 76) 27 stable stable trend 0.7 (-1.6, 3.2)
Hertford County 2 Rural 71.8 (59.2, 86.8) 33 (1, 88) 24 stable stable trend 0.5 (-1.9, 3.1)
Anson County 2 Urban 71.5 (58.9, 86.3) 35 (1, 88) 24 stable stable trend 0.4 (-1.9, 2.8)
Sampson County 2 Rural 84.3 (75.5, 94.0) 6 (1, 41) 69 stable stable trend 0.4 (-0.8, 1.7)
Transylvania County 2 Rural 56.5 (48.6, 65.7) 81 (36, 97) 41 stable stable trend 0.4 (-1.7, 2.7)
McDowell County 2 Rural 88.5 (78.8, 99.2) 1 (1, 35) 64 stable stable trend 0.3 (-0.8, 1.4)
Stokes County 2 Urban 79.1 (70.3, 88.9) 13 (1, 57) 61 stable stable trend 0.1 (-1.1, 1.4)
Wayne County 2 Urban 74.8 (68.6, 81.3) 22 (6, 55) 115 stable stable trend 0.1 (-0.8, 1.2)
Duplin County 2 Rural 66.0 (57.8, 75.2) 55 (11, 86) 48 stable stable trend 0.0 (-1.6, 1.7)
Martin County 2 Rural 67.6 (56.1, 81.1) 50 (3, 91) 26 stable stable trend -0.1 (-1.8, 1.7)
Caswell County 2 Rural 81.6 (68.8, 96.6) 10 (1, 66) 31 stable stable trend -0.2 (-2.8, 2.6)
Haywood County 2 Rural 68.3 (61.5, 76.0) 46 (11, 78) 77 stable stable trend -0.2 (-2.2, 2.1)
Richmond County 2 Rural 88.4 (77.9, 100.1) 3 (1, 38) 54 stable stable trend -0.2 (-1.5, 1.1)
Davie County 2 Urban 71.5 (62.7, 81.3) 36 (5, 78) 50 stable stable trend -0.3 (-1.9, 1.4)
Scotland County 2 Rural 82.0 (70.6, 94.9) 9 (1, 62) 39 stable stable trend -0.3 (-2.1, 1.6)
Alamance County 2 Urban 70.6 (65.7, 75.8) 39 (14, 63) 158 stable stable trend -0.4 (-1.3, 0.6)
Lenoir County 2 Rural 77.9 (69.4, 87.2) 15 (1, 61) 65 stable stable trend -0.4 (-2.1, 1.3)
Onslow County 2 Urban 88.5 (81.9, 95.5) 2 (1, 18) 139 stable stable trend -0.4 (-1.4, 0.7)
Pamlico County 2 Rural 61.6 (48.5, 78.9) 68 (4, 99) 17 stable stable trend -0.4 (-3.3, 2.8)
Bladen County 2 Rural 70.1 (60.0, 81.8) 41 (5, 83) 36 stable stable trend -0.5 (-2.2, 1.3)
Cherokee County 2 Rural 62.6 (53.8, 73.0) 64 (15, 92) 40 stable stable trend -0.5 (-2.5, 1.7)
Cleveland County 2 Rural 74.7 (68.4, 81.6) 23 (5, 58) 107 stable stable trend -0.5 (-1.4, 0.4)
Johnston County 2 Urban 71.3 (66.4, 76.4) 37 (12, 61) 171 stable stable trend -0.5 (-1.5, 0.6)
Pitt County 2 Urban 60.6 (55.6, 66.0) 71 (42, 86) 113 stable stable trend -0.5 (-1.4, 0.3)
Wilkes County 2 Rural 67.9 (61.0, 75.4) 48 (10, 79) 74 stable stable trend -0.5 (-1.6, 0.7)
Alleghany County 2 Rural 62.5 (47.7, 81.9) 65 (3, 100) 13 stable stable trend -0.6 (-3.5, 2.4)
Bertie County 2 Rural 57.9 (45.7, 72.9) 77 (11, 100) 17 stable stable trend -0.6 (-3.6, 2.4)
Cumberland County 2 Urban 70.2 (66.2, 74.4) 40 (16, 60) 236 falling falling trend -0.6 (-1.2, -0.1)
Jackson County 2 Rural 50.6 (42.7, 59.7) 88 (57, 100) 31 stable stable trend -0.6 (-2.5, 1.4)
Clay County 2 Rural 62.4 (48.4, 81.0) 66 (3, 100) 15 stable stable trend -0.7 (-4.0, 2.7)
Craven County 2 Rural 75.7 (69.3, 82.6) 19 (4, 58) 110 stable stable trend -0.7 (-1.7, 0.4)
Greene County 2 Rural 75.9 (61.7, 92.6) 18 (1, 85) 21 stable stable trend -0.7 (-2.9, 1.7)
Lincoln County 2 Urban 68.0 (61.6, 74.9) 47 (13, 79) 87 stable stable trend -0.7 (-1.8, 0.4)
Madison County 2 Urban 72.2 (59.8, 87.0) 29 (1, 87) 25 stable stable trend -0.7 (-2.7, 1.4)
Iredell County 2 Urban 64.0 (59.5, 68.8) 59 (33, 80) 157 stable stable trend -0.8 (-1.9, 0.3)
Chowan County 2 Rural 55.0 (42.5, 71.1) 82 (11, 100) 14 stable stable trend -0.9 (-3.0, 1.3)
Edgecombe County 2 Urban 67.8 (59.5, 77.1) 49 (9, 85) 51 stable stable trend -0.9 (-2.0, 0.3)
Vance County 2 Rural 75.5 (65.8, 86.4) 20 (1, 75) 46 stable stable trend -0.9 (-2.5, 0.8)
Pender County 2 Urban 64.0 (56.6, 72.2) 58 (16, 86) 57 stable stable trend -1.0 (-2.8, 1.0)
Perquimans County 2 Rural 59.9 (46.3, 77.3) 72 (6, 100) 15 stable stable trend -1.0 (-2.9, 1.1)
Wilson County 2 Rural 62.8 (56.4, 69.9) 62 (25, 87) 72 falling falling trend -1.0 (-1.7, -0.2)
Burke County 2 Urban 72.2 (65.8, 79.0) 30 (8, 65) 101 stable stable trend -1.1 (-2.2, 0.1)
Catawba County 2 Urban 59.9 (55.4, 64.7) 73 (46, 87) 135 stable stable trend -1.1 (-2.5, 0.4)
Granville County 2 Rural 72.1 (64.1, 80.9) 31 (5, 74) 62 falling falling trend -1.1 (-2.0, -0.2)
Guilford County 2 Urban 61.1 (58.3, 63.9) 69 (50, 81) 393 falling falling trend -1.1 (-1.7, -0.4)
Jones County 2 Rural 83.0 (64.3, 107.0) 7 (1, 85) 14 stable stable trend -1.1 (-3.2, 1.0)
Lee County 2 Rural 67.4 (59.6, 76.0) 51 (9, 83) 56 stable stable trend -1.1 (-2.4, 0.3)
Surry County 2 Rural 76.5 (69.2, 84.3) 17 (4, 58) 85 falling falling trend -1.1 (-5.2, -0.2)
Alexander County 2 Urban 65.4 (56.0, 76.1) 56 (9, 88) 36 stable stable trend -1.2 (-2.7, 0.4)
Buncombe County 2 Urban 58.3 (54.9, 61.8) 76 (57, 88) 236 falling falling trend -1.2 (-1.9, -0.5)
Randolph County 2 Urban 78.4 (73.0, 84.2) 14 (3, 46) 160 stable stable trend -1.2 (-8.1, 0.3)
Stanly County 2 Rural 75.5 (67.5, 84.2) 21 (3, 65) 68 falling falling trend -1.2 (-2.2, -0.1)
Carteret County 2 Rural 67.0 (60.4, 74.3) 52 (14, 83) 84 stable stable trend -1.3 (-3.1, 0.6)
Forsyth County 2 Urban 62.8 (59.6, 66.1) 63 (43, 77) 302 falling falling trend -1.3 (-1.8, -0.7)
Rockingham County 2 Urban 77.0 (70.7, 83.8) 16 (3, 54) 114 falling falling trend -1.4 (-2.5, -0.4)
Union County 2 Urban 58.4 (54.1, 62.9) 75 (53, 88) 149 stable stable trend -1.4 (-2.8, 0.1)
Ashe County 2 Rural 54.2 (45.4, 64.6) 85 (38, 100) 29 stable stable trend -1.5 (-3.4, 0.4)
Moore County 2 Urban 59.3 (54.0, 64.9) 74 (45, 89) 102 falling falling trend -1.6 (-2.9, -0.4)
Henderson County 2 Urban 53.0 (48.6, 57.8) 87 (67, 96) 114 falling falling trend -1.7 (-2.5, -0.8)
Polk County 2 Rural 43.2 (33.9, 55.3) 99 (67, 100) 18 stable stable trend -1.8 (-4.6, 1.1)
Rowan County 2 Urban 70.8 (65.6, 76.4) 38 (12, 65) 143 falling falling trend -1.8 (-4.3, -0.8)
Warren County 2 Rural 54.3 (43.8, 67.4) 84 (27, 100) 20 stable stable trend -1.8 (-3.9, 0.3)
Chatham County 2 Urban 44.4 (39.5, 49.9) 98 (85, 100) 62 falling falling trend -2.0 (-3.0, -0.9)
Montgomery County 2 Rural 63.3 (52.6, 75.8) 61 (10, 94) 27 falling falling trend -2.0 (-3.1, -0.9)
Pasquotank County 2 Rural 54.6 (46.1, 64.3) 83 (40, 99) 30 stable stable trend -2.0 (-15.2, 0.3)
Gates County 2 Urban 49.4 (35.2, 68.7) 90 (17, 100) 8 stable stable trend -2.1 (-5.9, 1.7)
Rutherford County 2 Rural 68.4 (61.3, 76.1) 45 (10, 78) 72 falling falling trend -2.1 (-7.6, -0.5)
Watauga County 2 Rural 43.0 (35.9, 51.2) 100 (80, 100) 28 falling falling trend -2.1 (-4.0, -0.1)
Caldwell County 2 Urban 71.6 (65.1, 78.7) 34 (9, 69) 92 falling falling trend -2.3 (-8.1, -1.1)
Orange County 2 Urban 46.3 (41.6, 51.3) 95 (82, 100) 77 falling falling trend -2.3 (-3.1, -1.5)
Avery County 2 Rural 45.4 (34.8, 58.9) 97 (57, 100) 13 falling falling trend -2.4 (-4.1, -0.9)
Beaufort County 2 Rural 62.0 (54.3, 70.8) 67 (21, 90) 50 falling falling trend -2.4 (-10.9, -0.9)
Dare County 2 Rural 50.0 (42.2, 59.2) 89 (54, 100) 32 falling falling trend -2.4 (-4.4, -0.4)
Hoke County 2 Urban 74.1 (63.1, 86.5) 25 (1, 81) 35 falling falling trend -2.4 (-4.1, -0.5)
Durham County 2 Urban 47.7 (44.4, 51.2) 92 (82, 100) 162 falling falling trend -2.7 (-3.5, -2.0)
Currituck County 2 Urban 49.1 (39.2, 60.9) 91 (46, 100) 19 falling falling trend -2.8 (-4.8, -0.7)
Cabarrus County 2 Urban 57.0 (52.8, 61.5) 80 (56, 90) 139 falling falling trend -2.9 (-4.3, -2.2)
Person County 2 Urban 66.8 (57.7, 77.2) 53 (8, 87) 41 falling falling trend -2.9 (-4.3, -1.8)
Macon County 2 Rural 57.1 (49.2, 66.1) 79 (36, 97) 42 falling falling trend -3.3 (-5.7, -2.0)
Robeson County 2 Rural 82.7 (76.1, 89.8) 8 (1, 33) 120 stable stable trend -3.4 (-8.8, 0.2)
Camden County 2 Urban 46.0 (31.1, 66.3) 96 (15, 100) 6 falling falling trend -3.6 (-7.0, -0.2)
Columbus County 2 Rural 68.4 (60.2, 77.5) 44 (9, 84) 53 falling falling trend -3.6 (-12.6, -1.1)
Davidson County 2 Urban 74.6 (69.8, 79.7) 24 (8, 52) 184 falling falling trend -3.6 (-7.8, -1.3)
Swain County 2 Rural 73.8 (58.2, 92.8) 26 (1, 92) 16 falling falling trend -4.0 (-22.9, -0.8)
Hyde County 2 Rural 63.7 (40.9, 98.1) 60 (1, 100) 5 falling falling trend -4.1 (-17.2, -0.8)
Mecklenburg County 2 Urban 47.1 (45.2, 49.0) 94 (86, 99) 489 falling falling trend -4.3 (-8.6, -2.3)
Wake County 2 Urban 47.4 (45.5, 49.3) 93 (86, 99) 517 falling falling trend -4.7 (-6.6, -2.6)
Nash County 2 Urban 57.2 (51.6, 63.3) 78 (48, 92) 80 falling falling trend -5.2 (-12.6, -2.0)
Harnett County 2 Rural 72.6 (66.4, 79.2) 28 (8, 65) 106 falling falling trend -6.2 (-10.3, -1.3)
Gaston County 2 Urban 72.0 (67.7, 76.5) 32 (11, 56) 215 falling falling trend -7.3 (-11.3, -2.4)
Brunswick County 2 Urban 60.7 (56.5, 65.4) 70 (44, 85) 185 falling falling trend -7.6 (-12.0, -2.2)
New Hanover County 2 Urban 54.1 (50.5, 58.0) 86 (66, 93) 170 falling falling trend -7.9 (-13.5, -1.8)
Franklin County 2 Urban 66.4 (59.0, 74.6) 54 (13, 85) 61 falling falling trend -9.3 (-16.0, -1.2)
Halifax County 2 Rural 64.1 (56.3, 72.9) 57 (15, 87) 50 falling falling trend -10.5 (-20.8, -0.5)
Tyrrell County 2 Rural 84.5 (54.6, 129.5) 5 (1, 100) 5
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/12/2026 11:07 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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