## Interpretation of Incidence Rates Data

### Incidence Rate Report for by County

Lung & Bronchus, 2009-2013

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

Sorted by Rate

**Explanation of Column Headers**

**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**

**Line by Line Interpretation of the Report**

#### Georgia^{3,9}

- Rate : The incidence rate is 67.3 with a 95% confidence interval from 66.5 to 68.1 and 6,329 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.8 to 0.7.

#### US (SEER+NPCR)^{1,10}

- Rate : The incidence rate is 62.4 with a 95% confidence interval from 62.3 to 62.6 and 214,614 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.0 to -2.0.

#### Quitman County^{7,9}

- Rate : The incidence rate is 110.8 with a 95% confidence interval from 69.5 to 174.0 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -18.3 with a 95% confidence interval from -45.2 to 21.9.

#### Heard County^{7,9}

- Rate : The incidence rate is 104.6 with a 95% confidence interval from 81.4 to 132.6 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -15.3 to 22.0.

#### Murray County^{7,9}

- Rate : The incidence rate is 103.1 with a 95% confidence interval from 89.1 to 118.7 and 42 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.1 with a 95% confidence interval from -25.6 to 8.6.

#### Polk County^{7,9}

- Rate : The incidence rate is 102.0 with a 95% confidence interval from 89.3 to 115.9 and 48 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.1 with a 95% confidence interval from -22.8 to 16.7.

#### Chattooga County^{7,9}

- Rate : The incidence rate is 101.5 with a 95% confidence interval from 86.0 to 119.0 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -10.3 to 11.5.

#### Tattnall County^{7,9}

- Rate : The incidence rate is 100.8 with a 95% confidence interval from 84.0 to 120.0 and 26 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -30.4 to 29.1.

#### Crawford County^{7,9}

- Rate : The incidence rate is 100.7 with a 95% confidence interval from 78.7 to 127.3 and 16 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -26.1 to 25.2.

#### Butts County^{7,9}

- Rate : The incidence rate is 95.7 with a 95% confidence interval from 79.4 to 114.4 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -21.8 to 32.2.

#### Gordon County^{7,9}

- Rate : The incidence rate is 94.7 with a 95% confidence interval from 83.6 to 106.9 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.3 with a 95% confidence interval from -14.0 to 4.3.

#### Haralson County^{7,9}

- Rate : The incidence rate is 94.4 with a 95% confidence interval from 80.3 to 110.4 and 33 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -13.3 with a 95% confidence interval from -22.2 to -3.4.

#### Twiggs County^{7,9}

- Rate : The incidence rate is 91.8 with a 95% confidence interval from 68.8 to 121.1 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 6.1 with a 95% confidence interval from -26.2 to 52.4.

#### Bartow County^{7,9}

- Rate : The incidence rate is 91.3 with a 95% confidence interval from 82.9 to 100.4 and 91 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.3 with a 95% confidence interval from -15.4 to 6.0.

#### Madison County^{7,9}

- Rate : The incidence rate is 90.4 with a 95% confidence interval from 76.3 to 106.6 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -11.2 to 6.1.

#### Cook County^{7,9}

- Rate : The incidence rate is 90.0 with a 95% confidence interval from 71.8 to 111.5 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -10.6 to 13.8.

#### Barrow County^{7,9}

- Rate : The incidence rate is 89.6 with a 95% confidence interval from 79.0 to 101.1 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -14.8 to 21.9.

#### Colquitt County^{7,9}

- Rate : The incidence rate is 89.5 with a 95% confidence interval from 77.9 to 102.3 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.3 with a 95% confidence interval from -21.7 to 12.2.

#### Miller County^{7,9}

- Rate : The incidence rate is 89.1 with a 95% confidence interval from 62.8 to 124.1 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.7 with a 95% confidence interval from -28.8 to 19.5.

#### Long County^{7,9}

- Rate : The incidence rate is 88.9 with a 95% confidence interval from 64.7 to 118.7 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 11.1 with a 95% confidence interval from -24.9 to 64.2.

#### Upson County^{7,9}

- Rate : The incidence rate is 87.8 with a 95% confidence interval from 74.3 to 103.3 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.6 with a 95% confidence interval from -18.8 to 12.1.

#### Brantley County^{7,9}

- Rate : The incidence rate is 87.8 with a 95% confidence interval from 70.2 to 108.6 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -34.6 to 51.4.

#### Bacon County^{7,9}

- Rate : The incidence rate is 87.5 with a 95% confidence interval from 65.8 to 114.2 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 23.9 with a 95% confidence interval from -5.2 to 61.9.

#### Clinch County^{7,9}

- Rate : The incidence rate is 86.9 with a 95% confidence interval from 59.2 to 123.5 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.0 with a 95% confidence interval from -40.1 to 35.5.

#### Lamar County^{7,9}

- Rate : The incidence rate is 86.5 with a 95% confidence interval from 69.3 to 106.8 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.5 with a 95% confidence interval from -24.9 to 14.0.

#### Burke County^{7,9}

- Rate : The incidence rate is 85.9 with a 95% confidence interval from 69.8 to 104.6 and 21 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -32.1 to 33.6.

#### Effingham County^{7,9}

- Rate : The incidence rate is 85.2 with a 95% confidence interval from 73.4 to 98.3 and 41 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.2 with a 95% confidence interval from -10.1 to 23.0.

#### Mitchell County^{7,9}

- Rate : The incidence rate is 85.1 with a 95% confidence interval from 70.0 to 102.7 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.4 with a 95% confidence interval from -30.7 to 13.3.

#### Warren County^{7}

- Rate : The incidence rate is 84.9 with a 95% confidence interval from 57.5 to 122.1 and 7 average annual cases over 2009-2013.
- Recent Trend : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

#### Chattahoochee County^{7,9}

- Rate : The incidence rate is 84.3 with a 95% confidence interval from 48.7 to 133.9 and 3 average annual cases over 2009-2013.
- Recent Trend : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

#### Bryan County^{7,9}

- Rate : The incidence rate is 84.3 with a 95% confidence interval from 68.6 to 102.3 and 22 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.2 with a 95% confidence interval from -20.7 to 45.0.

#### Walker County^{7,9}

- Rate : The incidence rate is 84.3 with a 95% confidence interval from 75.7 to 93.6 and 72 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -15.6 to 21.9.

#### Ben Hill County^{7,9}

- Rate : The incidence rate is 84.0 with a 95% confidence interval from 67.3 to 103.8 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 9.1 with a 95% confidence interval from -13.6 to 37.7.

#### Carroll County^{7,9}

- Rate : The incidence rate is 83.9 with a 95% confidence interval from 76.1 to 92.3 and 88 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -5.9 to 5.4.

#### Irwin County^{7,9}

- Rate : The incidence rate is 83.4 with a 95% confidence interval from 62.1 to 110.2 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.9 with a 95% confidence interval from -45.3 to 54.9.

#### Lee County^{7,9}

- Rate : The incidence rate is 83.2 with a 95% confidence interval from 66.5 to 102.6 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -12.9 with a 95% confidence interval from -29.2 to 7.2.

#### Candler County^{7,9}

- Rate : The incidence rate is 82.9 with a 95% confidence interval from 62.3 to 108.5 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -15.4 to 7.8.

#### Pickens County^{7,9}

- Rate : The incidence rate is 82.3 with a 95% confidence interval from 69.9 to 96.4 and 34 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -17.7 to 14.6.

#### Franklin County^{7,9}

- Rate : The incidence rate is 81.4 with a 95% confidence interval from 67.6 to 97.6 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -17.1 to 25.4.

#### Dodge County^{7,9}

- Rate : The incidence rate is 81.3 with a 95% confidence interval from 66.1 to 99.2 and 20 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.6 with a 95% confidence interval from -25.1 to 18.9.

#### Floyd County^{7,9}

- Rate : The incidence rate is 81.1 with a 95% confidence interval from 73.8 to 89.0 and 92 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.6 with a 95% confidence interval from -16.0 to 3.9.

#### Douglas County^{7,9}

- Rate : The incidence rate is 81.1 with a 95% confidence interval from 73.3 to 89.4 and 90 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -18.4 to 11.8.

#### Turner County^{7,9}

- Rate : The incidence rate is 80.4 with a 95% confidence interval from 57.9 to 109.2 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 12.7 with a 95% confidence interval from -12.2 to 44.8.

#### Pierce County^{7,9}

- Rate : The incidence rate is 80.1 with a 95% confidence interval from 64.0 to 99.3 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.9 with a 95% confidence interval from -36.8 to 22.8.

#### Jones County^{7,9}

- Rate : The incidence rate is 79.9 with a 95% confidence interval from 66.6 to 95.2 and 27 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.5 with a 95% confidence interval from -36.2 to 34.3.

#### Wilkinson County^{7,9}

- Rate : The incidence rate is 79.9 with a 95% confidence interval from 59.8 to 105.3 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.3 with a 95% confidence interval from -4.7 to 14.2.

#### Dade County^{7,9}

- Rate : The incidence rate is 79.7 with a 95% confidence interval from 63.2 to 99.4 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.0 with a 95% confidence interval from -33.2 to 32.3.

#### Coffee County^{7,9}

- Rate : The incidence rate is 79.5 with a 95% confidence interval from 67.8 to 92.7 and 34 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.9 with a 95% confidence interval from -20.4 to 11.3.

#### Bibb County^{7,9}

- Rate : The incidence rate is 79.4 with a 95% confidence interval from 73.4 to 85.7 and 134 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.1 with a 95% confidence interval from -1.4 to 12.1.

#### Screven County^{7,9}

- Rate : The incidence rate is 79.1 with a 95% confidence interval from 61.6 to 100.4 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.4 with a 95% confidence interval from -6.6 to 19.0.

#### Newton County^{7,9}

- Rate : The incidence rate is 78.9 with a 95% confidence interval from 70.6 to 87.9 and 69 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -17.1 to 16.5.

#### Jasper County^{7}

- Rate : The incidence rate is 78.7 with a 95% confidence interval from 59.6 to 102.1 and 12 average annual cases over 2009-2013.
- Recent Trend : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

#### Bulloch County^{7,9}

- Rate : The incidence rate is 78.6 with a 95% confidence interval from 68.4 to 89.9 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -19.5 to 23.7.

#### Treutlen County^{7,9}

- Rate : The incidence rate is 78.5 with a 95% confidence interval from 53.1 to 112.2 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -16.2 with a 95% confidence interval from -37.2 to 12.0.

#### Jackson County^{7,9}

- Rate : The incidence rate is 78.4 with a 95% confidence interval from 68.7 to 89.1 and 50 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -13.0 to 14.8.

#### Berrien County^{7,9}

- Rate : The incidence rate is 78.2 with a 95% confidence interval from 62.5 to 96.8 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.1 with a 95% confidence interval from -22.7 to 2.3.

#### Peach County^{7,9}

- Rate : The incidence rate is 77.9 with a 95% confidence interval from 63.7 to 94.3 and 22 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 8.5 with a 95% confidence interval from -17.3 to 42.2.

#### Paulding County^{7,9}

- Rate : The incidence rate is 77.7 with a 95% confidence interval from 70.0 to 86.1 and 83 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -18.9 to 15.2.

#### Whitfield County^{7,9}

- Rate : The incidence rate is 77.6 with a 95% confidence interval from 70.1 to 85.8 and 79 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -14.3 to 12.9.

#### Lanier County^{7,9}

- Rate : The incidence rate is 77.2 with a 95% confidence interval from 54.6 to 106.0 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.3 with a 95% confidence interval from -36.6 to 35.5.

#### Brooks County^{7,9}

- Rate : The incidence rate is 76.9 with a 95% confidence interval from 60.9 to 96.3 and 16 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 11.6 with a 95% confidence interval from -6.9 to 33.8.

#### Stephens County^{7,9}

- Rate : The incidence rate is 76.8 with a 95% confidence interval from 64.2 to 91.5 and 27 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -14.6 to 25.2.

#### Liberty County^{7,9}

- Rate : The incidence rate is 76.8 with a 95% confidence interval from 64.0 to 91.1 and 30 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 15.3 with a 95% confidence interval from -5.0 to 39.9.

#### Wayne County^{7,9}

- Rate : The incidence rate is 76.2 with a 95% confidence interval from 63.3 to 91.1 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.5 with a 95% confidence interval from -24.6 to 3.9.

#### Jeff Davis County^{7,9}

- Rate : The incidence rate is 76.2 with a 95% confidence interval from 58.5 to 97.8 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.6 with a 95% confidence interval from -29.3 to 31.5.

#### Gilmer County^{7,9}

- Rate : The incidence rate is 76.1 with a 95% confidence interval from 64.3 to 89.7 and 32 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -14.6 to 24.0.

#### Pike County^{7,9}

- Rate : The incidence rate is 75.6 with a 95% confidence interval from 59.0 to 95.6 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 13.4 with a 95% confidence interval from -17.8 to 56.4.

#### Oglethorpe County^{7,9}

- Rate : The incidence rate is 75.4 with a 95% confidence interval from 58.2 to 96.4 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.5 with a 95% confidence interval from -18.4 to 14.3.

#### Thomas County^{7,9}

- Rate : The incidence rate is 74.5 with a 95% confidence interval from 64.6 to 85.6 and 41 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -21.1 to 26.6.

#### Appling County^{7,9}

- Rate : The incidence rate is 74.4 with a 95% confidence interval from 58.4 to 93.6 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.9 with a 95% confidence interval from -3.4 to 16.1.

#### Putnam County^{7}

- Rate : The incidence rate is 74.4 with a 95% confidence interval from 60.9 to 90.3 and 23 average annual cases over 2009-2013.

#### Spalding County^{7,9}

- Rate : The incidence rate is 74.3 with a 95% confidence interval from 65.6 to 83.8 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -18.7 to 27.0.

#### Dawson County^{7,9}

- Rate : The incidence rate is 74.1 with a 95% confidence interval from 59.8 to 91.1 and 21 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 17.8 with a 95% confidence interval from -8.0 to 50.8.

#### Toombs County^{7,9}

- Rate : The incidence rate is 74.0 with a 95% confidence interval from 60.9 to 89.2 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.6 with a 95% confidence interval from -31.5 to 35.5.

#### Grady County^{7,9}

- Rate : The incidence rate is 74.0 with a 95% confidence interval from 60.8 to 89.4 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -11.6 to 8.5.

#### Baldwin County^{7,9}

- Rate : The incidence rate is 73.5 with a 95% confidence interval from 63.0 to 85.3 and 36 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.0 with a 95% confidence interval from -7.6 to 14.9.

#### Elbert County^{7,9}

- Rate : The incidence rate is 73.4 with a 95% confidence interval from 59.7 to 89.7 and 20 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.4 with a 95% confidence interval from -32.3 to 32.3.

#### Dougherty County^{7,9}

- Rate : The incidence rate is 73.4 with a 95% confidence interval from 65.9 to 81.5 and 72 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -17.3 to 24.5.

#### Talbot County^{7,9}

- Rate : The incidence rate is 73.2 with a 95% confidence interval from 50.0 to 104.9 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.0 with a 95% confidence interval from -44.9 to 92.4.

#### Cherokee County^{7,9}

- Rate : The incidence rate is 73.2 with a 95% confidence interval from 67.5 to 79.3 and 135 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.9 with a 95% confidence interval from -14.2 to 7.8.

#### Houston County^{7,9}

- Rate : The incidence rate is 73.2 with a 95% confidence interval from 66.7 to 80.2 and 96 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -13.1 to 3.5.

#### Fannin County^{7,9}

- Rate : The incidence rate is 73.2 with a 95% confidence interval from 61.3 to 87.2 and 29 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -16.4 to 25.7.

#### Baker County^{7,9}

- Rate : The incidence rate is 72.9 with a 95% confidence interval from 40.7 to 122.3 and 3 average annual cases over 2009-2013.

#### Monroe County^{7,9}

- Rate : The incidence rate is 72.7 with a 95% confidence interval from 59.9 to 87.6 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.6 with a 95% confidence interval from -24.4 to 47.4.

#### Richmond County^{7,9}

- Rate : The incidence rate is 72.7 with a 95% confidence interval from 67.4 to 78.2 and 148 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -7.7 with a 95% confidence interval from -14.3 to -0.6.

#### Lumpkin County^{7,9}

- Rate : The incidence rate is 72.3 with a 95% confidence interval from 59.6 to 87.1 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -35.3 to 62.0.

#### Crisp County^{7,9}

- Rate : The incidence rate is 72.3 with a 95% confidence interval from 58.8 to 88.2 and 21 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -22.9 to 26.0.

#### Bleckley County^{7,9}

- Rate : The incidence rate is 72.3 with a 95% confidence interval from 54.5 to 94.4 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -17.9 to 19.5.

#### Glynn County^{7,9}

- Rate : The incidence rate is 71.9 with a 95% confidence interval from 64.6 to 79.9 and 73 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.9 with a 95% confidence interval from -15.3 to 4.6.

#### Montgomery County^{7,9}

- Rate : The incidence rate is 71.7 with a 95% confidence interval from 49.2 to 101.0 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -23.1 with a 95% confidence interval from -54.5 to 29.8.

#### Tift County^{7,9}

- Rate : The incidence rate is 71.4 with a 95% confidence interval from 60.5 to 83.8 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.1 with a 95% confidence interval from -24.6 to 43.9.

#### Troup County^{7,9}

- Rate : The incidence rate is 71.1 with a 95% confidence interval from 62.6 to 80.5 and 52 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.6 with a 95% confidence interval from -19.3 to 8.1.

#### Worth County^{7,9}

- Rate : The incidence rate is 70.8 with a 95% confidence interval from 56.9 to 87.3 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 14.7 with a 95% confidence interval from -9.6 to 45.5.

#### Ware County^{7,9}

- Rate : The incidence rate is 70.6 with a 95% confidence interval from 59.9 to 82.7 and 32 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -13.5 to 17.5.

#### Union County^{7,9}

- Rate : The incidence rate is 70.4 with a 95% confidence interval from 59.0 to 84.1 and 30 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -25.4 to 28.8.

#### Decatur County^{7,9}

- Rate : The incidence rate is 70.4 with a 95% confidence interval from 58.0 to 84.8 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.8 with a 95% confidence interval from -15.5 to 2.7.

#### Muscogee County^{7,9}

- Rate : The incidence rate is 70.3 with a 95% confidence interval from 65.0 to 75.9 and 134 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.9 with a 95% confidence interval from -13.8 to 7.1.

#### Greene County^{7}

- Rate : The incidence rate is 69.9 with a 95% confidence interval from 55.8 to 87.2 and 19 average annual cases over 2009-2013.

#### Schley County^{7,9}

- Rate : The incidence rate is 69.9 with a 95% confidence interval from 41.8 to 110.6 and 4 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 19.6 with a 95% confidence interval from -35.2 to 120.7.

#### White County^{7,9}

- Rate : The incidence rate is 69.8 with a 95% confidence interval from 58.2 to 83.2 and 27 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -16.7 to 10.3.

#### Laurens County^{7,9}

- Rate : The incidence rate is 69.5 with a 95% confidence interval from 60.3 to 79.9 and 41 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 11.1 with a 95% confidence interval from -2.4 to 26.5.

#### McDuffie County^{7,9}

- Rate : The incidence rate is 69.5 with a 95% confidence interval from 55.5 to 86.0 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.9 with a 95% confidence interval from -22.5 to 19.2.

#### Hart County^{7,9}

- Rate : The incidence rate is 69.0 with a 95% confidence interval from 57.4 to 82.6 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -22.1 to 33.5.

#### Macon County^{7,9}

- Rate : The incidence rate is 69.0 with a 95% confidence interval from 51.6 to 90.5 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.9 with a 95% confidence interval from -27.5 to 24.6.

#### Evans County^{7,9}

- Rate : The incidence rate is 68.8 with a 95% confidence interval from 49.6 to 93.1 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.4 with a 95% confidence interval from -38.8 to 31.3.

#### Jenkins County^{7,9}

- Rate : The incidence rate is 68.6 with a 95% confidence interval from 47.7 to 96.1 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -23.9 to 33.0.

#### Washington County^{7}

- Rate : The incidence rate is 68.2 with a 95% confidence interval from 54.2 to 84.9 and 17 average annual cases over 2009-2013.

#### Walton County^{7,9}

- Rate : The incidence rate is 67.9 with a 95% confidence interval from 60.3 to 76.2 and 61 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -17.5 to 15.8.

#### Emanuel County^{7,9}

- Rate : The incidence rate is 67.6 with a 95% confidence interval from 54.2 to 83.4 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 14.9 with a 95% confidence interval from -15.6 to 56.5.

#### Camden County^{7,9}

- Rate : The incidence rate is 67.4 with a 95% confidence interval from 56.3 to 80.1 and 29 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 9.2 with a 95% confidence interval from -3.3 to 23.3.

#### Rabun County^{7,9}

- Rate : The incidence rate is 67.1 with a 95% confidence interval from 53.4 to 83.8 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 8.6 with a 95% confidence interval from -20.8 to 48.8.

#### Meriwether County^{7,9}

- Rate : The incidence rate is 66.8 with a 95% confidence interval from 53.8 to 82.2 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -19.3 with a 95% confidence interval from -37.2 to 3.7.

#### Seminole County^{7,9}

- Rate : The incidence rate is 66.4 with a 95% confidence interval from 48.6 to 89.8 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 12.5 with a 95% confidence interval from -9.5 to 39.9.

#### Wilkes County^{7,9}

- Rate : The incidence rate is 66.0 with a 95% confidence interval from 48.6 to 88.4 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -18.4 to 13.8.

#### Catoosa County^{7,9}

- Rate : The incidence rate is 65.6 with a 95% confidence interval from 57.6 to 74.5 and 50 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -20.4 to 22.6.

#### Stewart County^{7,9}

- Rate : The incidence rate is 65.5 with a 95% confidence interval from 40.7 to 100.7 and 4 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 19.8 with a 95% confidence interval from -34.1 to 117.9.

#### Morgan County^{7}

- Rate : The incidence rate is 65.5 with a 95% confidence interval from 51.6 to 82.4 and 16 average annual cases over 2009-2013.

#### Johnson County^{7,9}

- Rate : The incidence rate is 65.4 with a 95% confidence interval from 46.2 to 90.5 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.0 with a 95% confidence interval from -11.2 to 24.1.

#### Lowndes County^{7,9}

- Rate : The incidence rate is 65.3 with a 95% confidence interval from 58.1 to 73.1 and 62 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -15.1 to 14.1.

#### Lincoln County^{7,9}

- Rate : The incidence rate is 65.3 with a 95% confidence interval from 45.3 to 92.2 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 27.9 with a 95% confidence interval from -4.3 to 70.8.

#### Banks County^{7,9}

- Rate : The incidence rate is 65.2 with a 95% confidence interval from 49.9 to 83.8 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -39.8 to 59.3.

#### Chatham County^{7,9}

- Rate : The incidence rate is 65.2 with a 95% confidence interval from 61.0 to 69.6 and 183 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -11.5 to 10.7.

#### Clayton County^{7,8}

- Rate : The incidence rate is 65.1 with a 95% confidence interval from 59.5 to 71.0 and 115 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.7 to -0.7.

#### Coweta County^{7,9}

- Rate : The incidence rate is 65.0 with a 95% confidence interval from 58.5 to 72.1 and 78 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.3 with a 95% confidence interval from -11.0 to 0.7.

#### Wilcox County^{7,9}

- Rate : The incidence rate is 64.9 with a 95% confidence interval from 44.7 to 91.5 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -16.4 to 15.9.

#### Marion County^{7,9}

- Rate : The incidence rate is 64.6 with a 95% confidence interval from 43.5 to 92.8 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -20.2 with a 95% confidence interval from -35.7 to -1.1.

#### Habersham County^{7,9}

- Rate : The incidence rate is 64.4 with a 95% confidence interval from 55.1 to 74.8 and 35 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 8.3 with a 95% confidence interval from -11.4 to 32.5.

#### Clay County^{7,9}

- Rate : The incidence rate is 64.1 with a 95% confidence interval from 36.9 to 108.7 and 3 average annual cases over 2009-2013.

#### Calhoun County^{7,9}

- Rate : The incidence rate is 63.4 with a 95% confidence interval from 39.1 to 97.4 and 4 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -35.0 to 48.9.

#### Sumter County^{7,9}

- Rate : The incidence rate is 63.1 with a 95% confidence interval from 51.8 to 76.3 and 22 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.1 with a 95% confidence interval from -18.9 to 41.4.

#### Terrell County^{7,9}

- Rate : The incidence rate is 63.0 with a 95% confidence interval from 44.5 to 87.2 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.7 with a 95% confidence interval from -32.9 to 60.2.

#### Jefferson County^{7}

- Rate : The incidence rate is 62.8 with a 95% confidence interval from 48.6 to 80.3 and 14 average annual cases over 2009-2013.

#### Wheeler County^{7,9}

- Rate : The incidence rate is 62.8 with a 95% confidence interval from 40.5 to 93.4 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -41.0 to 72.9.

#### Towns County^{7,9}

- Rate : The incidence rate is 62.4 with a 95% confidence interval from 48.9 to 80.7 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.4 with a 95% confidence interval from -12.9 to 25.1.

#### Harris County^{7,9}

- Rate : The incidence rate is 62.0 with a 95% confidence interval from 51.1 to 74.7 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -31.7 to 40.0.

#### Clarke County^{7,9}

- Rate : The incidence rate is 61.8 with a 95% confidence interval from 54.4 to 69.8 and 52 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -21.9 to 31.2.

#### Early County^{7,9}

- Rate : The incidence rate is 61.5 with a 95% confidence interval from 44.3 to 83.7 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -31.5 to 46.3.

#### Columbia County^{7,9}

- Rate : The incidence rate is 61.4 with a 95% confidence interval from 55.1 to 68.3 and 73 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -13.3 to 8.9.

#### Hall County^{7,9}

- Rate : The incidence rate is 61.2 with a 95% confidence interval from 56.1 to 66.7 and 108 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -10.4 to 10.4.

#### Rockdale County^{7,9}

- Rate : The incidence rate is 60.7 with a 95% confidence interval from 53.1 to 69.1 and 49 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.1 with a 95% confidence interval from -21.0 to 0.0.

#### Forsyth County^{7,9}

- Rate : The incidence rate is 60.6 with a 95% confidence interval from 54.9 to 66.7 and 90 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -9.3 to 2.1.

#### Henry County^{7,9}

- Rate : The incidence rate is 60.3 with a 95% confidence interval from 54.9 to 66.1 and 102 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.0 with a 95% confidence interval from -14.5 to 7.9.

#### Cobb County^{7,8}

- Rate : The incidence rate is 60.3 with a 95% confidence interval from 57.3 to 63.3 and 341 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.9 to -0.9.

#### Charlton County^{7,9}

- Rate : The incidence rate is 60.0 with a 95% confidence interval from 43.4 to 81.1 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -20.3 to 17.7.

#### Atkinson County^{7,9}

- Rate : The incidence rate is 59.4 with a 95% confidence interval from 38.3 to 88.2 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 15.0 with a 95% confidence interval from -24.4 to 74.9.

#### Dooly County^{7,9}

- Rate : The incidence rate is 58.6 with a 95% confidence interval from 43.1 to 78.0 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -22.3 to 33.5.

#### Randolph County^{7,9}

- Rate : The incidence rate is 56.6 with a 95% confidence interval from 37.8 to 82.6 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 10.0 with a 95% confidence interval from -13.4 to 39.8.

#### Telfair County^{7,9}

- Rate : The incidence rate is 55.1 with a 95% confidence interval from 41.4 to 72.1 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -28.3 to 26.6.

#### McIntosh County^{7,9}

- Rate : The incidence rate is 55.0 with a 95% confidence interval from 40.9 to 72.8 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -7.1 to 8.8.

#### Fulton County^{7,8}

- Rate : The incidence rate is 54.5 with a 95% confidence interval from 52.2 to 57.0 and 431 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -1.8 to -1.1.

#### Taylor County^{7,9}

- Rate : The incidence rate is 54.2 with a 95% confidence interval from 36.5 to 78.2 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.7 with a 95% confidence interval from -36.9 to 73.7.

#### DeKalb County^{7,8}

- Rate : The incidence rate is 53.2 with a 95% confidence interval from 50.5 to 56.0 and 311 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.0.

#### Gwinnett County^{7,8}

- Rate : The incidence rate is 51.8 with a 95% confidence interval from 48.9 to 54.7 and 288 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.0.

#### Pulaski County^{7,9}

- Rate : The incidence rate is 50.6 with a 95% confidence interval from 36.0 to 69.9 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.6 with a 95% confidence interval from -30.5 to 28.3.

#### Fayette County^{7,9}

- Rate : The incidence rate is 47.4 with a 95% confidence interval from 41.9 to 53.5 and 57 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -14.6 to 7.4.

#### Oconee County^{7,9}

- Rate : The incidence rate is 46.8 with a 95% confidence interval from 36.6 to 59.1 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 13.1 with a 95% confidence interval from -12.7 to 46.5.

#### Hancock County^{7}

- Rate : The incidence rate is 38.8 with a 95% confidence interval from 24.9 to 58.8 and 5 average annual cases over 2009-2013.

**Echols County**

^{7,9}- Rate : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

**Glascock County**

^{7}- Rate : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

**Taliaferro County**

^{7}- Rate : * 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

**Webster County**

^{7,9}**Notes:**

Created by statecancerprofiles.cancer.gov on 10/26/2016 5:16 am.

Data for the United States does not include data from Nevada

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 1969-2014 US Population Data File is used for SEER and NPCR incidence rates.

‡ Incidence data come from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.

* 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. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

^{1}Source: CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2015 data submission and SEER November 2015 submission as published in

*United States Cancer Statistics*.

^{3}Source: SEER November 2015 submission. State Cancer Registry also receives funding from CDC's National Program of Cancer Registries.

^{7}Source: SEER November 2015 submission.

^{8}Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data 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. Population counts for denominators are based on Census populations as modifed by NCI. The 1969-2014 US Population Data File is used with SEER November 2015 data.

^{9}Source: Incidence data provided by the SEER Program. EAPCs calculated by the National Cancer Institute using SEER*Stat. Rates 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. Population counts for denominators are based on Census populations as modifed by NCI. 1969-2014 US Population Data File is used with SEER November 2015 data.

^{10}Source: Incidence data provided by the National Program of Cancer Registries (NPCR). EAPCs calculated by the National Cancer Institute using SEER*Stat. Rates 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. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2014 US Population Data File is used with NPCR November 2015 data.

Please note that the data comes from different sources. Due to different years of data availablility, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

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.