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Incidence Rates Table

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Incidence Rate Report for North Carolina by County

Brain & ONS (All Stages^), 2018-2022

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

Sorted by CI*Rank

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
North Carolina 2 N/A 6.4 (6.2, 6.6) N/A 758 stable stable trend -0.5 (-0.9, 0.0)
US (SEER+NPCR) 1 N/A 6.3 (6.2, 6.3) N/A 23,548 falling falling trend -1.6 (-2.1, -1.1)
Polk County 2 Rural 12.1 (6.1, 21.8) 1 (1, 63) 3
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Jackson County 2 Rural 10.1 (6.2, 15.5) 2 (1, 60) 5 rising rising trend 10.5 (0.7, 52.8)
Richmond County 2 Rural 9.3 (5.7, 14.3) 3 (1, 61) 4
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Duplin County 2 Rural 9.0 (5.5, 13.7) 4 (1, 62) 5 rising rising trend 5.8 (1.5, 11.7)
Stanly County 2 Rural 8.5 (5.7, 12.4) 5 (1, 61) 6 stable stable trend -0.5 (-5.1, 4.3)
Beaufort County 2 Rural 8.4 (5.0, 13.4) 6 (1, 63) 4
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Franklin County 2 Urban 8.4 (5.7, 12.0) 7 (1, 61) 7 stable stable trend 0.0 (-3.7, 4.3)
Onslow County 2 Urban 8.4 (6.4, 10.7) 8 (1, 53) 13 stable stable trend 0.0 (-3.2, 3.4)
Person County 2 Urban 8.0 (4.6, 13.0) 9 (1, 63) 4
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Transylvania County 2 Rural 7.9 (4.5, 13.4) 10 (1, 63) 4 stable stable trend 0.0 (-5.9, 6.2)
Pender County 2 Urban 7.9 (5.2, 11.5) 11 (1, 62) 6 stable stable trend 0.0 (-3.7, 4.2)
Moore County 2 Urban 7.9 (5.7, 10.7) 12 (1, 58) 10 stable stable trend 1.4 (-1.4, 4.6)
Davie County 2 Urban 7.9 (4.6, 12.6) 13 (1, 63) 4 stable stable trend -6.2 (-25.5, 0.2)
Buncombe County 2 Urban 7.7 (6.4, 9.3) 14 (3, 46) 26 stable stable trend -0.4 (-2.5, 1.9)
Halifax County 2 Rural 7.7 (4.5, 12.2) 15 (1, 63) 4
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Stokes County 2 Urban 7.5 (4.4, 12.0) 16 (1, 63) 4 stable stable trend -1.6 (-6.1, 3.2)
Hoke County 2 Urban 7.5 (4.5, 11.8) 17 (1, 63) 4 stable stable trend 0.8 (-3.1, 5.8)
Brunswick County 2 Urban 7.3 (5.4, 9.7) 18 (2, 60) 15 stable stable trend 0.5 (-2.5, 4.1)
Cabarrus County 2 Urban 7.3 (5.8, 9.1) 19 (3, 57) 17 stable stable trend -0.9 (-3.5, 1.8)
Henderson County 2 Urban 7.2 (5.3, 9.6) 20 (2, 61) 12 stable stable trend -2.0 (-4.9, 0.8)
Rutherford County 2 Rural 7.1 (4.7, 10.5) 21 (1, 63) 6 stable stable trend -1.1 (-4.3, 2.0)
Burke County 2 Urban 7.0 (5.0, 9.7) 22 (2, 62) 9 stable stable trend 1.5 (-1.0, 4.5)
Granville County 2 Rural 7.0 (4.4, 10.6) 23 (1, 63) 5 stable stable trend -1.3 (-6.5, 4.0)
Union County 2 Urban 6.9 (5.5, 8.6) 24 (5, 58) 18 stable stable trend -0.6 (-2.7, 1.9)
Pitt County 2 Urban 6.8 (5.1, 8.9) 25 (4, 61) 11 stable stable trend 1.6 (-1.3, 4.9)
Wake County 2 Urban 6.8 (6.1, 7.5) 26 (12, 47) 78 stable stable trend 0.0 (-1.2, 1.4)
Chatham County 2 Urban 6.8 (4.7, 9.5) 27 (2, 62) 8 stable stable trend -0.8 (-4.8, 3.9)
Iredell County 2 Urban 6.7 (5.2, 8.5) 28 (5, 60) 14 stable stable trend -0.7 (-2.7, 1.3)
Macon County 2 Rural 6.7 (3.5, 11.7) 29 (1, 63) 3
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Lincoln County 2 Urban 6.7 (4.6, 9.4) 30 (3, 62) 8 stable stable trend -0.9 (-4.2, 3.1)
Johnston County 2 Urban 6.6 (5.1, 8.3) 31 (6, 60) 15 stable stable trend 0.0 (-2.2, 2.4)
Rowan County 2 Urban 6.6 (5.0, 8.5) 32 (5, 61) 13 stable stable trend -0.9 (-2.9, 1.0)
Lenoir County 2 Rural 6.6 (4.2, 10.0) 33 (2, 63) 5 stable stable trend -1.3 (-5.5, 3.1)
Rockingham County 2 Urban 6.4 (4.4, 9.1) 34 (3, 63) 7 stable stable trend 0.1 (-3.5, 3.8)
Randolph County 2 Urban 6.4 (4.8, 8.4) 35 (6, 62) 11 stable stable trend -1.2 (-5.3, 0.8)
Edgecombe County 2 Urban 6.3 (3.6, 10.4) 36 (2, 63) 4 stable stable trend 1.8 (-24.5, 30.2)
Catawba County 2 Urban 6.3 (4.8, 8.2) 37 (6, 62) 12 stable stable trend -1.5 (-4.5, 1.6)
Orange County 2 Urban 6.2 (4.6, 8.4) 38 (6, 62) 10 stable stable trend -0.7 (-4.0, 2.9)
Gaston County 2 Urban 6.2 (4.9, 7.8) 39 (8, 62) 16 stable stable trend -0.5 (-2.5, 1.6)
Alamance County 2 Urban 6.1 (4.6, 8.0) 40 (7, 62) 12 stable stable trend -0.9 (-3.9, 2.2)
Cleveland County 2 Rural 6.1 (4.1, 8.7) 41 (4, 63) 7 stable stable trend -0.5 (-3.6, 2.5)
New Hanover County 2 Urban 6.1 (4.8, 7.7) 42 (8, 62) 16 falling falling trend -2.5 (-4.8, -0.2)
Wilson County 2 Rural 6.1 (4.0, 8.9) 43 (3, 63) 6 stable stable trend 0.9 (-3.9, 6.6)
Cumberland County 2 Urban 6.1 (4.9, 7.4) 44 (11, 61) 20 stable stable trend 0.4 (-1.9, 2.8)
Guilford County 2 Urban 6.0 (5.1, 7.0) 45 (15, 59) 34 stable stable trend -1.1 (-2.7, 0.5)
Davidson County 2 Urban 6.0 (4.6, 7.7) 46 (8, 62) 13 stable stable trend -0.4 (-3.3, 2.7)
Craven County 2 Rural 5.9 (4.1, 8.3) 47 (5, 63) 8 falling falling trend -3.5 (-6.7, -0.5)
Sampson County 2 Rural 5.9 (3.6, 9.2) 48 (3, 63) 4
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Forsyth County 2 Urban 5.9 (4.9, 7.1) 49 (15, 60) 26 stable stable trend -0.8 (-2.4, 0.8)
Caldwell County 2 Urban 5.9 (4.0, 8.5) 50 (5, 63) 6 stable stable trend -1.9 (-6.7, 2.6)
Durham County 2 Urban 5.9 (4.7, 7.2) 51 (13, 61) 19 stable stable trend -1.1 (-3.7, 1.9)
Wilkes County 2 Rural 5.8 (3.6, 8.9) 52 (4, 63) 5 stable stable trend -2.5 (-5.4, 0.3)
Watauga County 2 Rural 5.7 (3.1, 9.6) 53 (2, 63) 3 stable stable trend -0.9 (-3.9, 2.3)
Harnett County 2 Rural 5.7 (4.0, 7.8) 54 (8, 63) 8 stable stable trend -0.4 (-3.6, 3.2)
Mecklenburg County 2 Urban 5.5 (4.9, 6.2) 55 (28, 60) 61 falling falling trend -2.3 (-7.6, -0.8)
Surry County 2 Rural 5.5 (3.5, 8.4) 56 (4, 63) 5 stable stable trend -0.9 (-6.1, 4.6)
McDowell County 2 Rural 5.5 (3.0, 9.3) 57 (3, 63) 3 stable stable trend -1.4 (-6.5, 3.8)
Carteret County 2 Rural 5.2 (3.4, 7.8) 58 (8, 63) 6 stable stable trend -2.7 (-7.8, 2.0)
Nash County 2 Urban 5.0 (3.3, 7.3) 59 (10, 63) 6 stable stable trend 1.3 (-1.9, 5.0)
Haywood County 2 Rural 5.0 (3.0, 7.9) 60 (7, 63) 5 stable stable trend -2.0 (-7.4, 3.7)
Robeson County 2 Rural 4.7 (3.1, 6.7) 61 (17, 63) 6 stable stable trend -2.1 (-5.5, 1.1)
Wayne County 2 Urban 4.6 (3.1, 6.6) 62 (18, 63) 6 falling falling trend -5.6 (-10.9, -3.2)
Lee County 2 Rural 4.1 (2.3, 6.8) 63 (16, 63) 3
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Alexander County 2 Urban
*
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3 or fewer
*
*
Alleghany County 2 Rural
*
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3 or fewer
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*
Anson County 2 Urban
*
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3 or fewer
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*
Ashe County 2 Rural
*
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3 or fewer
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Avery County 2 Rural
*
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3 or fewer
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Bertie County 2 Rural
*
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3 or fewer
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*
Bladen County 2 Rural
*
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3 or fewer
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Camden County 2 Urban
*
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3 or fewer
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Caswell County 2 Rural
*
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3 or fewer
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Cherokee County 2 Rural
*
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3 or fewer
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Chowan County 2 Rural
*
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3 or fewer
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Clay County 2 Rural
*
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3 or fewer
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Columbus County 2 Rural
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3 or fewer
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Currituck County 2 Urban
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3 or fewer
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Dare County 2 Rural
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3 or fewer
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Gates County 2 Urban
*
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3 or fewer
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Graham County 2 Rural
*
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3 or fewer
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Greene County 2 Rural
*
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3 or fewer
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Hertford County 2 Rural
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3 or fewer
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Hyde County 2 Rural
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3 or fewer
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Jones County 2 Rural
*
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3 or fewer
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Madison County 2 Urban
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3 or fewer
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Martin County 2 Rural
*
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3 or fewer
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Mitchell County 2 Rural
*
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3 or fewer
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Montgomery County 2 Rural
*
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3 or fewer
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Northampton County 2 Rural
*
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3 or fewer
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*
Pamlico County 2 Rural
*
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3 or fewer
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*
Pasquotank County 2 Rural
*
*
3 or fewer
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*
Perquimans County 2 Rural
*
*
3 or fewer
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*
Scotland County 2 Rural
*
*
3 or fewer
*
*
Swain County 2 Rural
*
*
3 or fewer
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*
Tyrrell County 2 Rural
*
*
3 or fewer
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*
Vance County 2 Rural
*
*
3 or fewer
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*
Warren County 2 Rural
*
*
3 or fewer
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*
Washington County 2 Rural
*
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3 or fewer
*
*
Yadkin County 2 Urban
*
*
3 or fewer
*
*
Yancey County 2 Rural
*
*
3 or fewer
*
*

Notes:
Created by statecancerprofiles.cancer.gov on 03/11/2026 7:02 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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