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Incidence Rates Table

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Incidence Rate Report for North Carolina by County

Childhood (Ages <20, All Sites) (All Stages^), 2018-2022

All Races (includes Hispanic), Both Sexes

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 17.2 (16.5, 18.0) N/A 451 stable stable trend -2.1 (-8.8, 1.1)
US (SEER+NPCR) 1 N/A 18.4 (18.3, 18.6) N/A 15,285 falling falling trend -1.0 (-1.6, -0.5)
Lee County 2 Rural 24.2 (14.8, 37.4) 5 (1, 38) 4 rising rising trend 12.6 (4.4, 42.5)
Surry County 2 Rural 21.5 (12.7, 34.0) 9 (1, 39) 4 stable stable trend 3.4 (-1.8, 9.8)
Moore County 2 Urban 26.9 (18.4, 38.0) 2 (1, 32) 6 stable stable trend 2.9 (-1.5, 9.3)
Johnston County 2 Urban 24.7 (19.4, 31.1) 4 (1, 25) 15 rising rising trend 2.5 (0.3, 5.4)
Alamance County 2 Urban 19.7 (14.3, 26.5) 13 (2, 37) 9 stable stable trend 2.4 (-0.9, 6.4)
Wayne County 2 Urban 17.5 (11.5, 25.5) 22 (3, 39) 5 stable stable trend 1.9 (-2.2, 6.3)
Craven County 2 Rural 17.5 (10.8, 26.7) 23 (2, 39) 4 stable stable trend 1.7 (-1.8, 5.5)
Pender County 2 Urban 25.3 (15.2, 39.6) 3 (1, 39) 4 stable stable trend 1.7 (-3.3, 8.1)
Buncombe County 2 Urban 17.0 (12.5, 22.6) 26 (5, 39) 9 stable stable trend 1.3 (-2.6, 5.6)
Gaston County 2 Urban 18.3 (13.6, 24.0) 18 (4, 38) 10 stable stable trend 1.1 (-0.9, 3.4)
Union County 2 Urban 20.3 (15.8, 25.6) 12 (3, 34) 14 stable stable trend 1.1 (-1.4, 3.8)
Brunswick County 2 Urban 20.5 (13.0, 30.7) 11 (1, 39) 5 stable stable trend 1.0 (-3.8, 6.7)
Harnett County 2 Rural 18.6 (13.0, 25.7) 17 (3, 38) 7 stable stable trend 0.8 (-1.9, 3.8)
Wake County 2 Urban 17.7 (15.6, 20.0) 20 (10, 32) 53 stable stable trend 0.6 (-0.5, 1.9)
Durham County 2 Urban 16.9 (13.1, 21.5) 27 (7, 38) 13 stable stable trend 0.4 (-2.4, 3.6)
Mecklenburg County 2 Urban 16.8 (14.8, 19.1) 28 (12, 34) 49 stable stable trend 0.4 (-1.3, 2.2)
Rockingham County 2 Urban 18.7 (11.2, 29.2) 16 (2, 39) 4 stable stable trend 0.4 (-5.2, 5.9)
New Hanover County 2 Urban 17.8 (12.9, 23.8) 19 (3, 39) 9 stable stable trend 0.1 (-3.4, 3.9)
Davidson County 2 Urban 14.1 (9.3, 20.3) 34 (8, 39) 6 stable stable trend -0.1 (-3.2, 3.2)
Forsyth County 2 Urban 14.0 (10.9, 17.7) 35 (15, 39) 14 stable stable trend -0.9 (-4.0, 2.5)
Robeson County 2 Rural 12.3 (7.6, 18.9) 39 (10, 39) 4 stable stable trend -0.9 (-5.2, 3.3)
Guilford County 2 Urban 16.5 (13.6, 19.7) 30 (10, 38) 24 stable stable trend -1.2 (-3.1, 0.6)
Henderson County 2 Urban 19.6 (12.5, 29.2) 14 (1, 39) 5 stable stable trend -1.4 (-6.5, 3.5)
Rowan County 2 Urban 19.3 (13.5, 26.8) 15 (2, 38) 7 stable stable trend -1.4 (-4.6, 1.7)
Iredell County 2 Urban 17.5 (12.6, 23.9) 21 (4, 39) 8 stable stable trend -1.5 (-5.8, 2.9)
Onslow County 2 Urban 16.8 (12.4, 22.2) 29 (6, 39) 10 stable stable trend -1.5 (-4.7, 1.8)
Catawba County 2 Urban 13.4 (8.8, 19.6) 36 (10, 39) 5 stable stable trend -1.7 (-4.9, 1.2)
Orange County 2 Urban 12.8 (8.2, 19.3) 37 (10, 39) 5 stable stable trend -1.8 (-6.8, 3.2)
Cumberland County 2 Urban 14.3 (11.1, 18.2) 33 (13, 39) 13 falling falling trend -4.2 (-20.0, -1.2)
Cleveland County 2 Rural 16.2 (9.9, 25.1) 31 (3, 39) 4 stable stable trend -5.8 (-23.7, 0.4)
Cabarrus County 2 Urban 17.2 (12.9, 22.5) 25 (6, 38) 11 stable stable trend -6.1 (-25.7, 0.5)
Pitt County 2 Urban 12.6 (8.3, 18.2) 38 (12, 39) 6 falling falling trend -6.8 (-19.9, -1.6)
Burke County 2 Urban 17.4 (9.9, 28.3) 24 (2, 39) 3 falling falling trend -9.2 (-35.7, -2.1)
Chatham County 2 Urban 22.6 (13.6, 35.4) 7 (1, 39) 4
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Franklin County 2 Urban 21.4 (12.7, 33.9) 10 (1, 39) 4
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Nash County 2 Urban 15.4 (9.1, 24.4) 32 (4, 39) 4
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Randolph County 2 Urban 22.0 (15.6, 30.1) 8 (1, 35) 8
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Stanly County 2 Rural 35.9 (23.7, 52.3) 1 (1, 19) 5
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Wilkes County 2 Rural 23.2 (13.7, 36.9) 6 (1, 39) 4
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Alexander County 2 Urban
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3 or fewer
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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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Beaufort 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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Caldwell County 2 Urban
*
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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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Carteret County 2 Rural
*
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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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Davie County 2 Urban
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3 or fewer
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Duplin County 2 Rural
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3 or fewer
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Edgecombe County 2 Urban
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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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Granville County 2 Rural
*
*
3 or fewer
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Greene County 2 Rural
*
*
3 or fewer
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Halifax County 2 Rural
*
*
3 or fewer
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Haywood County 2 Rural
*
*
3 or fewer
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Hertford County 2 Rural
*
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3 or fewer
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Hoke County 2 Urban
*
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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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Jackson 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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Lenoir County 2 Rural
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3 or fewer
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Lincoln County 2 Urban
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3 or fewer
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Macon 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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McDowell 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
*
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3 or fewer
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Perquimans County 2 Rural
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3 or fewer
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Person County 2 Urban
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3 or fewer
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Polk County 2 Rural
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3 or fewer
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Richmond County 2 Rural
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3 or fewer
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Rutherford County 2 Rural
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3 or fewer
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Sampson County 2 Rural
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3 or fewer
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Scotland County 2 Rural
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3 or fewer
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Stokes County 2 Urban
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3 or fewer
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Swain County 2 Rural
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3 or fewer
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Transylvania County 2 Rural
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3 or fewer
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Tyrrell County 2 Rural
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3 or fewer
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Vance County 2 Rural
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3 or fewer
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Warren County 2 Rural
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3 or fewer
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Washington County 2 Rural
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3 or fewer
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Watauga County 2 Rural
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3 or fewer
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Wilson County 2 Rural
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3 or fewer
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Yadkin County 2 Urban
*
*
3 or fewer
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*
Yancey County 2 Rural
*
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3 or fewer
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Notes:
Created by statecancerprofiles.cancer.gov on 03/12/2026 1:47 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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