Interpretation of Incidence Rates Data
Incidence Rate Report for Florida by County
Lung & Bronchus (All Stages^), 2016-2020
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Recentaapc
Explanation of Column HeadersObjective - The objective of *** is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.
Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.Recent Trends - This is an interpretation of the AAPC/APC:
- Rising when 95% confidence interval of AAPC/APC is above 0.
- Stable when 95% confidence interval of AAPC/APC includes 0.
- Falling when 95% confidence interval of AAPC/APC is below 0.
AAPC/APC (95% Confidence Interval) - the change in rate over time
- Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
- Annual Percent Change - APCs calculated in SEER*Stat.
Other Notes
- Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
- Data is currently being suppressed if there are fewer than 16 counts for the time period.
Line by Line Interpretation of the Report
Florida6
- Rate : The incidence rate is 54.4 with a 95% confidence interval from 54.0 to 54.8 and 17,677 average annual cases over 2016-2020.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -2.9 to -2.0.
US (SEER+NPCR)1
- Rate : The incidence rate is 54.0 with a 95% confidence interval from 53.9 to 54.1 and 215,307 average annual cases over 2016-2020.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -1.8 with a 95% confidence interval from -2.0 to -1.7.
Washington County6
- Rate : The incidence rate is 65.2 with a 95% confidence interval from 53.5 to 78.8 and 23 average annual cases over 2016-2020.
- CI*Rank⋔ : 28 (5, 63)
- Recent Trend : The trend is falling
because the trend is -10.6 with a 95% confidence interval from -18.7 to -0.4.
Highlands County6
- Rate : The incidence rate is 60.7 with a 95% confidence interval from 55.9 to 66.0 and 144 average annual cases over 2016-2020.
- CI*Rank⋔ : 40 (23, 53)
- Recent Trend : The trend is falling
because the trend is -7.3 with a 95% confidence interval from -12.8 to -1.7.
Gulf County6
- Rate : The incidence rate is 60.2 with a 95% confidence interval from 47.5 to 76.1 and 16 average annual cases over 2016-2020.
- CI*Rank⋔ : 41 (7, 66)
- Recent Trend : The trend is falling
because the trend is -7.2 with a 95% confidence interval from -21.3 to -2.8.
Palm Beach County6
- Rate : The incidence rate is 43.8 with a 95% confidence interval from 42.7 to 45.0 and 1,154 average annual cases over 2016-2020.
- CI*Rank⋔ : 64 (61, 65)
- Recent Trend : The trend is falling
because the trend is -4.4 with a 95% confidence interval from -7.0 to -2.7.
Bay County6
- Rate : The incidence rate is 66.2 with a 95% confidence interval from 61.7 to 71.0 and 166 average annual cases over 2016-2020.
- CI*Rank⋔ : 26 (15, 42)
- Recent Trend : The trend is falling
because the trend is -4.2 with a 95% confidence interval from -9.8 to -2.4.
Glades County6
- Rate : The incidence rate is 52.6 with a 95% confidence interval from 40.8 to 68.0 and 14 average annual cases over 2016-2020.
- CI*Rank⋔ : 55 (16, 67)
- Recent Trend : The trend is falling
because the trend is -3.6 with a 95% confidence interval from -5.9 to -1.1.
Levy County6
- Rate : The incidence rate is 82.1 with a 95% confidence interval from 72.8 to 92.4 and 61 average annual cases over 2016-2020.
- CI*Rank⋔ : 8 (2, 25)
- Recent Trend : The trend is falling
because the trend is -3.6 with a 95% confidence interval from -10.7 to -1.7.
Monroe County6
- Rate : The incidence rate is 48.4 with a 95% confidence interval from 43.1 to 54.3 and 65 average annual cases over 2016-2020.
- CI*Rank⋔ : 61 (45, 66)
- Recent Trend : The trend is falling
because the trend is -3.3 with a 95% confidence interval from -5.0 to -1.7.
Orange County6
- Rate : The incidence rate is 45.9 with a 95% confidence interval from 44.2 to 47.5 and 619 average annual cases over 2016-2020.
- CI*Rank⋔ : 63 (58, 64)
- Recent Trend : The trend is falling
because the trend is -3.2 with a 95% confidence interval from -3.6 to -2.9.
Broward County6
- Rate : The incidence rate is 41.7 with a 95% confidence interval from 40.6 to 42.9 and 1,065 average annual cases over 2016-2020.
- CI*Rank⋔ : 65 (63, 66)
- Recent Trend : The trend is falling
because the trend is -3.1 with a 95% confidence interval from -3.6 to -2.6.
Franklin County6
- Rate : The incidence rate is 62.3 with a 95% confidence interval from 47.5 to 81.4 and 13 average annual cases over 2016-2020.
- CI*Rank⋔ : 32 (4, 66)
- Recent Trend : The trend is falling
because the trend is -3.0 with a 95% confidence interval from -5.1 to -1.0.
Polk County6
- Rate : The incidence rate is 61.6 with a 95% confidence interval from 59.4 to 63.8 and 648 average annual cases over 2016-2020.
- CI*Rank⋔ : 34 (27, 45)
- Recent Trend : The trend is falling
because the trend is -3.0 with a 95% confidence interval from -5.4 to -2.4.
Manatee County6
- Rate : The incidence rate is 49.7 with a 95% confidence interval from 47.5 to 52.1 and 384 average annual cases over 2016-2020.
- CI*Rank⋔ : 59 (50, 63)
- Recent Trend : The trend is falling
because the trend is -2.6 with a 95% confidence interval from -3.4 to -1.9.
Sumter County6
- Rate : The incidence rate is 53.1 with a 95% confidence interval from 48.7 to 58.1 and 220 average annual cases over 2016-2020.
- CI*Rank⋔ : 54 (37, 62)
- Recent Trend : The trend is falling
because the trend is -2.6 with a 95% confidence interval from -3.7 to -1.4.
Alachua County6
- Rate : The incidence rate is 53.2 with a 95% confidence interval from 49.4 to 57.1 and 156 average annual cases over 2016-2020.
- CI*Rank⋔ : 53 (40, 62)
- Recent Trend : The trend is falling
because the trend is -2.4 with a 95% confidence interval from -3.6 to -1.2.
St. Johns County6
- Rate : The incidence rate is 53.5 with a 95% confidence interval from 50.2 to 57.0 and 206 average annual cases over 2016-2020.
- CI*Rank⋔ : 52 (41, 60)
- Recent Trend : The trend is falling
because the trend is -2.4 with a 95% confidence interval from -3.1 to -1.7.
Lee County6
- Rate : The incidence rate is 49.9 with a 95% confidence interval from 48.3 to 51.7 and 745 average annual cases over 2016-2020.
- CI*Rank⋔ : 58 (50, 62)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -2.9 to -1.7.
Okaloosa County6
- Rate : The incidence rate is 63.4 with a 95% confidence interval from 59.0 to 68.0 and 164 average annual cases over 2016-2020.
- CI*Rank⋔ : 30 (20, 47)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -3.1 to -1.5.
Walton County6
- Rate : The incidence rate is 58.9 with a 95% confidence interval from 52.5 to 66.1 and 64 average annual cases over 2016-2020.
- CI*Rank⋔ : 45 (20, 59)
- Recent Trend : The trend is falling
because the trend is -2.3 with a 95% confidence interval from -4.0 to -0.3.
Leon County6
- Rate : The incidence rate is 48.5 with a 95% confidence interval from 44.9 to 52.2 and 146 average annual cases over 2016-2020.
- CI*Rank⋔ : 60 (49, 64)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -3.2 to -1.2.
Seminole County6
- Rate : The incidence rate is 51.4 with a 95% confidence interval from 48.7 to 54.1 and 294 average annual cases over 2016-2020.
- CI*Rank⋔ : 57 (46, 62)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -3.2 to -1.2.
Pinellas County6
- Rate : The incidence rate is 59.7 with a 95% confidence interval from 58.1 to 61.4 and 1,053 average annual cases over 2016-2020.
- CI*Rank⋔ : 42 (32, 48)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -2.4 to -1.7.
Taylor County6
- Rate : The incidence rate is 83.3 with a 95% confidence interval from 69.7 to 99.1 and 28 average annual cases over 2016-2020.
- CI*Rank⋔ : 6 (2, 36)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -3.2 to -1.0.
Lake County6
- Rate : The incidence rate is 61.6 with a 95% confidence interval from 58.8 to 64.4 and 413 average annual cases over 2016-2020.
- CI*Rank⋔ : 35 (26, 46)
- Recent Trend : The trend is falling
because the trend is -2.0 with a 95% confidence interval from -2.7 to -1.1.
Martin County6
- Rate : The incidence rate is 51.5 with a 95% confidence interval from 48.1 to 55.1 and 185 average annual cases over 2016-2020.
- CI*Rank⋔ : 56 (44, 62)
- Recent Trend : The trend is falling
because the trend is -2.0 with a 95% confidence interval from -3.0 to -1.0.
Duval County6
- Rate : The incidence rate is 69.5 with a 95% confidence interval from 67.3 to 71.9 and 758 average annual cases over 2016-2020.
- CI*Rank⋔ : 22 (14, 29)
- Recent Trend : The trend is falling
because the trend is -1.9 with a 95% confidence interval from -5.1 to -1.2.
Union County6
- Rate : The incidence rate is 182.9 with a 95% confidence interval from 156.7 to 212.5 and 37 average annual cases over 2016-2020.
- CI*Rank⋔ : 1 (1, 1)
- Recent Trend : The trend is stable
because the trend is -1.9 with a 95% confidence interval from -4.1 to 0.4.
Baker County6
- Rate : The incidence rate is 67.0 with a 95% confidence interval from 55.2 to 80.8 and 23 average annual cases over 2016-2020.
- CI*Rank⋔ : 25 (4, 60)
- Recent Trend : The trend is stable
because the trend is -1.8 with a 95% confidence interval from -4.4 to 1.1.
Gadsden County6
- Rate : The incidence rate is 61.4 with a 95% confidence interval from 53.0 to 71.0 and 40 average annual cases over 2016-2020.
- CI*Rank⋔ : 36 (12, 59)
- Recent Trend : The trend is stable
because the trend is -1.8 with a 95% confidence interval from -3.8 to 0.3.
Pasco County6
- Rate : The incidence rate is 68.2 with a 95% confidence interval from 65.7 to 70.7 and 604 average annual cases over 2016-2020.
- CI*Rank⋔ : 23 (16, 32)
- Recent Trend : The trend is falling
because the trend is -1.8 with a 95% confidence interval from -2.4 to -1.1.
Santa Rosa County6
- Rate : The incidence rate is 70.9 with a 95% confidence interval from 66.0 to 76.1 and 162 average annual cases over 2016-2020.
- CI*Rank⋔ : 19 (8, 33)
- Recent Trend : The trend is falling
because the trend is -1.8 with a 95% confidence interval from -2.8 to -0.6.
Brevard County6
- Rate : The incidence rate is 65.4 with a 95% confidence interval from 63.2 to 67.7 and 688 average annual cases over 2016-2020.
- CI*Rank⋔ : 27 (21, 37)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.2 to -1.2.
Clay County6
- Rate : The incidence rate is 70.9 with a 95% confidence interval from 66.4 to 75.7 and 190 average annual cases over 2016-2020.
- CI*Rank⋔ : 20 (9, 33)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.6 to -0.7.
Jefferson County6
- Rate : The incidence rate is 54.9 with a 95% confidence interval from 42.1 to 71.2 and 13 average annual cases over 2016-2020.
- CI*Rank⋔ : 50 (10, 66)
- Recent Trend : The trend is stable
because the trend is -1.7 with a 95% confidence interval from -4.9 to 1.8.
Marion County6
- Rate : The incidence rate is 71.0 with a 95% confidence interval from 68.1 to 74.1 and 498 average annual cases over 2016-2020.
- CI*Rank⋔ : 18 (11, 29)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.4 to -0.9.
St. Lucie County6
- Rate : The incidence rate is 58.1 with a 95% confidence interval from 55.3 to 61.2 and 325 average annual cases over 2016-2020.
- CI*Rank⋔ : 46 (32, 52)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.3 to -0.9.
Hernando County6
- Rate : The incidence rate is 72.5 with a 95% confidence interval from 68.5 to 76.7 and 268 average annual cases over 2016-2020.
- CI*Rank⋔ : 17 (8, 29)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.6.
Nassau County6
- Rate : The incidence rate is 74.1 with a 95% confidence interval from 67.7 to 81.0 and 105 average annual cases over 2016-2020.
- CI*Rank⋔ : 15 (5, 31)
- Recent Trend : The trend is stable
because the trend is -1.5 with a 95% confidence interval from -2.8 to 0.0.
Sarasota County6
- Rate : The incidence rate is 54.0 with a 95% confidence interval from 51.8 to 56.3 and 562 average annual cases over 2016-2020.
- CI*Rank⋔ : 51 (42, 57)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -2.0 to -1.0.
Flagler County6
- Rate : The incidence rate is 61.0 with a 95% confidence interval from 56.3 to 66.0 and 145 average annual cases over 2016-2020.
- CI*Rank⋔ : 37 (22, 52)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -2.4 to -0.3.
Miami-Dade County6
- Rate : The incidence rate is 41.4 with a 95% confidence interval from 40.4 to 42.3 and 1,435 average annual cases over 2016-2020.
- CI*Rank⋔ : 66 (64, 66)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.7.
Wakulla County6
- Rate : The incidence rate is 68.1 with a 95% confidence interval from 57.0 to 80.9 and 29 average annual cases over 2016-2020.
- CI*Rank⋔ : 24 (5, 56)
- Recent Trend : The trend is stable
because the trend is -1.3 with a 95% confidence interval from -3.6 to 1.5.
Dixie County6
- Rate : The incidence rate is 87.9 with a 95% confidence interval from 73.1 to 105.5 and 26 average annual cases over 2016-2020.
- CI*Rank⋔ : 4 (2, 30)
- Recent Trend : The trend is stable
because the trend is -1.2 with a 95% confidence interval from -2.7 to 0.4.
Escambia County6
- Rate : The incidence rate is 75.3 with a 95% confidence interval from 71.6 to 79.3 and 312 average annual cases over 2016-2020.
- CI*Rank⋔ : 13 (6, 23)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -2.0 to -0.3.
Indian River County6
- Rate : The incidence rate is 63.2 with a 95% confidence interval from 59.3 to 67.5 and 222 average annual cases over 2016-2020.
- CI*Rank⋔ : 31 (22, 47)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -2.0 to -0.2.
Osceola County6
- Rate : The incidence rate is 47.7 with a 95% confidence interval from 44.6 to 51.0 and 184 average annual cases over 2016-2020.
- CI*Rank⋔ : 62 (52, 64)
- Recent Trend : The trend is stable
because the trend is -1.1 with a 95% confidence interval from -2.4 to 2.9.
Charlotte County6
- Rate : The incidence rate is 61.0 with a 95% confidence interval from 57.4 to 64.8 and 291 average annual cases over 2016-2020.
- CI*Rank⋔ : 38 (25, 49)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.9 to -0.1.
Columbia County6
- Rate : The incidence rate is 78.3 with a 95% confidence interval from 70.7 to 86.7 and 80 average annual cases over 2016-2020.
- CI*Rank⋔ : 10 (3, 27)
- Recent Trend : The trend is stable
because the trend is -1.0 with a 95% confidence interval from -2.9 to 1.0.
Putnam County6
- Rate : The incidence rate is 96.3 with a 95% confidence interval from 88.5 to 104.8 and 119 average annual cases over 2016-2020.
- CI*Rank⋔ : 2 (2, 7)
- Recent Trend : The trend is stable
because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.4.
Suwannee County6
- Rate : The incidence rate is 78.9 with a 95% confidence interval from 69.4 to 89.4 and 54 average annual cases over 2016-2020.
- CI*Rank⋔ : 9 (3, 31)
- Recent Trend : The trend is stable
because the trend is -1.0 with a 95% confidence interval from -2.6 to 0.6.
Calhoun County6
- Rate : The incidence rate is 87.2 with a 95% confidence interval from 69.9 to 108.1 and 18 average annual cases over 2016-2020.
- CI*Rank⋔ : 5 (2, 42)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -2.8 to 1.6.
Citrus County6
- Rate : The incidence rate is 73.8 with a 95% confidence interval from 69.4 to 78.6 and 256 average annual cases over 2016-2020.
- CI*Rank⋔ : 16 (6, 28)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.5.
Liberty County6
- Rate : The incidence rate is 92.1 with a 95% confidence interval from 66.9 to 124.4 and 9 average annual cases over 2016-2020.
- CI*Rank⋔ : 3 (2, 51)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -4.8 to 4.0.
Bradford County6
- Rate : The incidence rate is 75.4 with a 95% confidence interval from 63.5 to 89.1 and 29 average annual cases over 2016-2020.
- CI*Rank⋔ : 12 (3, 47)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -3.0 to 1.9.
Gilchrist County6
- Rate : The incidence rate is 82.9 with a 95% confidence interval from 68.5 to 99.9 and 24 average annual cases over 2016-2020.
- CI*Rank⋔ : 7 (2, 37)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -2.9 to 2.2.
Hardee County6
- Rate : The incidence rate is 59.2 with a 95% confidence interval from 47.9 to 72.6 and 19 average annual cases over 2016-2020.
- CI*Rank⋔ : 44 (10, 64)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -3.3 to 2.6.
Madison County6
- Rate : The incidence rate is 60.8 with a 95% confidence interval from 48.5 to 75.7 and 17 average annual cases over 2016-2020.
- CI*Rank⋔ : 39 (7, 65)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -4.0 to 3.7.
Okeechobee County6
- Rate : The incidence rate is 74.4 with a 95% confidence interval from 64.9 to 85.0 and 46 average annual cases over 2016-2020.
- CI*Rank⋔ : 14 (4, 42)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -1.9 to 1.4.
DeSoto County6
- Rate : The incidence rate is 62.1 with a 95% confidence interval from 53.2 to 72.3 and 36 average annual cases over 2016-2020.
- CI*Rank⋔ : 33 (9, 61)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.7 to 1.6.
Hillsborough County6
- Rate : The incidence rate is 56.7 with a 95% confidence interval from 55.1 to 58.4 and 937 average annual cases over 2016-2020.
- CI*Rank⋔ : 47 (39, 52)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -3.0 to 1.8.
Volusia County6
- Rate : The incidence rate is 70.2 with a 95% confidence interval from 67.8 to 72.7 and 681 average annual cases over 2016-2020.
- CI*Rank⋔ : 21 (12, 29)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.6 to 3.3.
Hamilton County6
- Rate : The incidence rate is 64.3 with a 95% confidence interval from 49.0 to 83.4 and 12 average annual cases over 2016-2020.
- CI*Rank⋔ : 29 (3, 66)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -3.5 to 5.1.
Jackson County6
- Rate : The incidence rate is 55.5 with a 95% confidence interval from 47.9 to 64.1 and 40 average annual cases over 2016-2020.
- CI*Rank⋔ : 48 (23, 63)
- Recent Trend : The trend is stable
because the trend is 0.4 with a 95% confidence interval from -1.9 to 3.0.
Lafayette County6
- Rate : The incidence rate is 77.7 with a 95% confidence interval from 55.9 to 106.0 and 8 average annual cases over 2016-2020.
- CI*Rank⋔ : 11 (2, 64)
- Recent Trend : The trend is stable
because the trend is 0.5 with a 95% confidence interval from -3.3 to 4.9.
Collier County6
- Rate : The incidence rate is 34.8 with a 95% confidence interval from 32.9 to 36.8 and 287 average annual cases over 2016-2020.
- CI*Rank⋔ : 67 (66, 67)
- Recent Trend : The trend is stable
because the trend is 1.8 with a 95% confidence interval from -2.4 to 5.4.
Holmes County6
- Rate : The incidence rate is 59.6 with a 95% confidence interval from 47.7 to 74.2 and 18 average annual cases over 2016-2020.
- CI*Rank⋔ : 43 (8, 66)
- Recent Trend : The trend is stable
because the trend is 2.2 with a 95% confidence interval from -1.2 to 6.5.
Hendry County6
- Rate : The incidence rate is 55.0 with a 95% confidence interval from 45.8 to 65.7 and 25 average annual cases over 2016-2020.
- CI*Rank⋔ : 49 (18, 66)
- Recent Trend : The trend is rising
because the trend is 13.1 with a 95% confidence interval from 5.8 to 19.2.
Notes:
Created by statecancerprofiles.cancer.gov on 10/02/2023 3:33 pm.
State Cancer Registries may provide more current or more local data.
† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). 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.
Rates and trends are computed using different standards for malignancy. For more information see malignant.html.
^ All Stages refers to any stage in the Surveillance, Epidemiology, and End Results (SEER) summary stage.
Source: SEER and NPCR data. For more specific information please see the table.
Interpret Rankings provides insight into interpreting cancer incidence statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.
Data for the United States does not include data from Nevada.
Data for the United States does not include Puerto Rico.
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.