Incidence Rates Table
County
|
Age-Adjusted Incidence Rate† cases per 100,000 (95% Confidence Interval) 
|
CI*Rank⋔ (95% Confidence Interval) 
|
Average Annual Count
|
Recent Trend |
Recent 5-Year Trend‡ in Incidence Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|
| Missouri 6 | 453.2 (451.0, 455.4) | N/A | 34,317 |
falling 
|
-0.7 (-0.9, -0.5) |
| US (SEER+NPCR) 1 | 449.4 (449.1, 449.7) | N/A | 1,728,431 |
stable 
|
-0.9 (-2.0, 0.2) |
| Douglas County 6 | 326.7 (292.0, 365.1) | 115 (102, 115) | 73 |
falling
|
-2.5 (-4.1, -0.8) |
| Scotland County 6 | 342.9 (278.8, 418.0) | 114 (41, 115) | 22 |
stable
|
-2.3 (-5.0, 0.4) |
| Shannon County 6 | 351.0 (303.2, 405.0) | 113 (67, 115) | 44 |
stable
|
-0.7 (-2.4, 1.0) |
| Sullivan County 6 | 360.9 (305.0, 424.9) | 112 (41, 115) | 32 |
stable
|
-1.3 (-3.0, 0.4) |
| Maries County 6 | 363.8 (317.3, 416.2) | 111 (59, 115) | 48 |
stable
|
-0.5 (-2.0, 1.0) |
| Oregon County 6 | 364.6 (321.0, 413.0) | 110 (62, 115) | 59 |
stable
|
0.3 (-1.5, 2.0) |
| St. Clair County 6 | 365.6 (321.9, 414.6) | 109 (56, 115) | 60 |
stable
|
-1.3 (-2.7, 0.1) |
| Caldwell County 6 | 369.2 (320.6, 423.5) | 108 (49, 115) | 46 |
falling
|
-6.6 (-11.3, -1.7) |
| Polk County 6 | 372.8 (345.6, 401.7) | 107 (82, 115) | 150 |
falling
|
-1.6 (-2.3, -0.8) |
| Atchison County 6 | 373.4 (311.2, 445.7) | 106 (22, 115) | 30 |
stable
|
-0.9 (-2.4, 0.6) |
| Hickory County 6 | 380.3 (332.9, 433.6) | 105 (40, 115) | 68 |
stable
|
-0.8 (-2.2, 0.6) |
| Stone County 6 | 395.3 (369.8, 422.3) | 104 (64, 112) | 236 |
falling
|
-1.1 (-2.1, -0.2) |
| Gentry County 6 | 396.3 (338.4, 462.1) | 103 (15, 115) | 37 |
stable
|
-0.5 (-2.2, 1.2) |
| Vernon County 6 | 400.0 (366.7, 435.8) | 102 (48, 113) | 114 |
stable
|
-0.7 (-1.6, 0.1) |
| Howell County 6 | 401.3 (376.9, 427.0) | 101 (60, 111) | 217 |
stable
|
-0.7 (-1.7, 0.4) |
| Dade County 6 | 402.1 (348.8, 462.3) | 100 (16, 115) | 47 |
stable
|
-1.5 (-3.0, 0.1) |
| Bates County 6 | 403.5 (365.6, 444.6) | 99 (34, 113) | 91 |
stable
|
-0.8 (-2.2, 0.5) |
| Texas County 6 | 405.2 (375.5, 436.9) | 98 (48, 111) | 150 |
falling
|
-0.9 (-1.7, -0.1) |
| Cedar County 6 | 406.8 (368.0, 449.2) | 97 (29, 113) | 90 |
falling
|
-1.1 (-1.8, -0.3) |
| Howard County 6 | 407.0 (357.3, 462.1) | 96 (16, 114) | 54 |
stable
|
-1.2 (-2.9, 0.5) |
| Dent County 6 | 409.4 (371.1, 450.9) | 95 (30, 113) | 94 |
falling
|
-1.2 (-2.2, -0.2) |
| Camden County 6 | 409.7 (388.3, 432.3) | 94 (58, 108) | 340 |
falling
|
-1.0 (-1.7, -0.4) |
| Ozark County 6 | 410.3 (362.0, 464.4) | 93 (16, 114) | 67 |
stable
|
-0.2 (-1.6, 1.2) |
| Reynolds County 6 | 412.8 (354.1, 479.7) | 92 (8, 115) | 41 |
stable
|
-0.1 (-1.6, 1.5) |
| Barry County 6 | 413.0 (387.6, 439.7) | 91 (48, 108) | 216 |
rising 
|
4.2 (1.2, 7.3) |
| Adair County 6 | 414.7 (378.8, 453.1) | 90 (30, 111) | 107 |
stable
|
-0.4 (-1.5, 0.8) |
| Putnam County 6 | 415.0 (348.9, 491.6) | 89 (2, 115) | 32 |
stable
|
1.0 (-1.5, 3.6) |
| Taney County 6 | 416.1 (395.1, 437.9) | 88 (53, 106) | 329 |
stable
|
-0.2 (-1.4, 1.0) |
| DeKalb County 6 | 417.3 (372.0, 467.1) | 87 (16, 113) | 64 |
stable
|
0.5 (-1.0, 2.1) |
| Greene County 6 | 418.1 (408.2, 428.2) | 86 (68, 98) | 1,430 |
falling
|
-1.0 (-1.3, -0.7) |
| Newton County 6 | 419.0 (398.2, 440.7) | 85 (52, 104) | 321 |
stable
|
0.0 (-1.0, 1.0) |
| Pemiscot County 6 | 419.4 (379.7, 462.4) | 84 (19, 112) | 87 |
stable
|
0.7 (-0.8, 2.3) |
| Knox County 6 | 420.0 (345.7, 507.4) | 83 (2, 115) | 25 |
stable
|
-1.3 (-2.8, 0.2) |
| Nodaway County 6 | 421.6 (384.2, 461.8) | 82 (20, 110) | 101 |
stable
|
0.0 (-1.0, 1.0) |
| Platte County 6 | 423.6 (406.4, 441.3) | 81 (53, 101) | 484 |
falling
|
-0.7 (-1.3, -0.1) |
| Wayne County 6 | 424.6 (383.4, 469.5) | 80 (14, 111) | 89 |
falling
|
-6.8 (-12.6, -0.6) |
| Moniteau County 6 | 425.0 (383.7, 469.6) | 79 (13, 111) | 80 |
stable
|
0.1 (-1.0, 1.3) |
| Carroll County 6 | 425.3 (375.0, 481.3) | 78 (7, 113) | 56 |
stable
|
-0.6 (-2.2, 1.1) |
| Bollinger County 6 | 430.2 (384.9, 479.8) | 77 (9, 111) | 73 |
stable
|
-0.3 (-1.6, 1.0) |
| Carter County 6 | 432.7 (369.4, 504.5) | 76 (2, 114) | 36 |
falling
|
-4.1 (-6.3, -1.9) |
| Lawrence County 6 | 433.1 (407.0, 460.5) | 75 (25, 102) | 218 |
stable
|
-0.5 (-1.1, 0.1) |
| Christian County 6 | 433.5 (415.1, 452.6) | 74 (39, 97) | 433 |
falling
|
-1.0 (-1.7, -0.3) |
| Boone County 6 | 433.8 (419.5, 448.5) | 73 (44, 92) | 737 |
falling
|
-0.7 (-1.2, -0.3) |
| Saline County 6 | 433.8 (400.2, 469.7) | 72 (18, 107) | 132 |
stable
|
-0.1 (-2.4, 2.2) |
| Warren County 6 | 433.8 (406.1, 463.1) | 71 (26, 103) | 195 |
stable
|
-0.2 (-1.2, 0.8) |
| Daviess County 6 | 435.0 (379.8, 496.5) | 70 (4, 113) | 50 |
stable
|
0.1 (-1.2, 1.4) |
| Schuyler County 6 | 436.8 (362.2, 523.1) | 69 (1, 115) | 26 |
stable
|
-0.9 (-2.3, 0.5) |
| Linn County 6 | 437.1 (392.8, 485.6) | 68 (8, 109) | 78 |
stable
|
-0.1 (-1.4, 1.3) |
| McDonald County 6 | 438.4 (403.2, 476.0) | 67 (13, 106) | 120 |
stable
|
-1.5 (-6.8, 4.1) |
| Ralls County 6 | 440.2 (391.4, 494.2) | 66 (5, 111) | 67 |
stable
|
-0.4 (-1.9, 1.2) |
| Webster County 6 | 441.1 (413.7, 470.0) | 65 (20, 98) | 200 |
stable
|
-0.2 (-0.8, 0.3) |
| Livingston County 6 | 446.0 (404.4, 491.0) | 64 (6, 107) | 90 |
stable
|
-0.2 (-1.3, 1.0) |
| Ripley County 6 | 446.1 (404.0, 491.8) | 63 (6, 106) | 89 |
stable
|
-0.5 (-1.7, 0.7) |
| Laclede County 6 | 446.6 (418.8, 475.8) | 62 (17, 96) | 205 |
falling
|
-0.7 (-1.3, -0.1) |
| St. Louis City 6 | 447.5 (437.2, 458.0) | 61 (36, 78) | 1,536 |
falling
|
-2.4 (-3.5, -1.3) |
| Mercer County 6 | 447.8 (368.0, 541.7) | 60 (1, 115) | 25 |
stable
|
0.8 (-1.7, 3.3) |
| Clark County 6 | 448.1 (388.5, 515.2) | 59 (2, 112) | 45 |
stable
|
0.9 (-0.8, 2.6) |
| Cole County 6 | 450.6 (431.0, 470.9) | 58 (22, 87) | 421 |
stable
|
-0.3 (-1.2, 0.6) |
| Grundy County 6 | 450.6 (398.8, 507.8) | 57 (2, 110) | 63 |
stable
|
-0.4 (-1.9, 1.1) |
| Jackson County 6 | 450.6 (443.9, 457.4) | 56 (39, 71) | 3,613 |
falling
|
-0.7 (-1.0, -0.4) |
| Johnson County 6 | 451.0 (424.9, 478.2) | 55 (12, 94) | 236 |
stable
|
-0.2 (-0.8, 0.5) |
| Cass County 6 | 451.4 (434.8, 468.5) | 54 (26, 81) | 586 |
stable
|
-0.1 (-0.5, 0.3) |
| Lewis County 6 | 453.3 (400.4, 511.5) | 53 (3, 108) | 58 |
stable
|
0.2 (-1.3, 1.8) |
| Clay County 6 | 453.5 (442.0, 465.3) | 52 (29, 74) | 1,220 |
falling
|
-0.9 (-1.4, -0.3) |
| Ray County 6 | 454.2 (420.1, 490.6) | 51 (8, 97) | 141 |
stable
|
-0.5 (-1.6, 0.5) |
| Barton County 6 | 455.6 (408.4, 507.2) | 50 (3, 105) | 75 |
stable
|
0.6 (-0.8, 2.1) |
| Phelps County 6 | 455.7 (429.4, 483.2) | 49 (13, 90) | 240 |
stable
|
-0.5 (-1.2, 0.3) |
| Ste. Genevieve County 6 | 456.3 (417.9, 497.7) | 48 (6, 103) | 114 |
rising
|
1.0 (0.1, 2.0) |
| St. Charles County 6 | 458.0 (449.1, 467.0) | 47 (30, 66) | 2,107 |
falling
|
-1.0 (-1.3, -0.7) |
| Buchanan County 6 | 458.5 (440.0, 477.7) | 46 (19, 80) | 486 |
stable
|
0.0 (-0.7, 0.6) |
| Henry County 6 | 458.8 (424.8, 495.2) | 45 (5, 96) | 149 |
stable
|
-10.2 (-20.5, 1.5) |
| Washington County 6 | 459.1 (425.4, 495.0) | 44 (7, 94) | 146 |
stable
|
-0.3 (-1.1, 0.6) |
| Andrew County 6 | 459.6 (420.5, 501.5) | 43 (5, 100) | 109 |
stable
|
0.7 (-0.5, 1.8) |
| Miller County 6 | 459.6 (426.5, 494.6) | 42 (7, 95) | 155 |
stable
|
0.4 (-0.4, 1.2) |
| Butler County 6 | 459.9 (434.5, 486.5) | 41 (12, 85) | 262 |
stable
|
-0.5 (-1.3, 0.2) |
| Callaway County 6 | 462.9 (437.2, 489.9) | 40 (10, 84) | 255 |
stable
|
-0.3 (-1.1, 0.5) |
| Perry County 6 | 464.4 (426.9, 504.5) | 39 (4, 96) | 120 |
stable
|
0.5 (-0.4, 1.5) |
| Pettis County 6 | 464.7 (438.3, 492.4) | 38 (9, 82) | 244 |
stable
|
-0.5 (-1.3, 0.4) |
| St. Louis County 6 | 467.6 (462.1, 473.0) | 37 (24, 51) | 6,076 |
falling
|
-0.6 (-0.9, -0.4) |
| Cape Girardeau County 6 | 467.6 (447.6, 488.3) | 36 (13, 72) | 439 |
stable
|
0.4 (-0.3, 1.2) |
| Lafayette County 6 | 467.6 (438.5, 498.3) | 35 (7, 84) | 206 |
stable
|
0.3 (-0.3, 0.8) |
| Macon County 6 | 467.7 (425.7, 513.0) | 34 (3, 96) | 102 |
stable
|
-0.2 (-1.1, 0.6) |
| Wright County 6 | 470.0 (431.2, 511.6) | 33 (3, 95) | 117 |
falling
|
-0.7 (-1.3, -0.1) |
| Audrain County 6 | 470.2 (436.7, 505.8) | 32 (5, 85) | 154 |
falling
|
-0.8 (-1.4, -0.1) |
| Benton County 6 | 474.2 (438.6, 512.6) | 31 (3, 86) | 172 |
stable
|
-1.0 (-2.1, 0.0) |
| Holt County 6 | 474.2 (397.9, 562.5) | 30 (1, 113) | 33 |
stable
|
0.2 (-2.1, 2.6) |
| Lincoln County 6 | 474.7 (450.1, 500.2) | 29 (8, 74) | 297 |
stable
|
-0.7 (-1.6, 0.2) |
| Monroe County 6 | 475.4 (420.9, 535.8) | 28 (1, 103) | 63 |
stable
|
0.9 (-0.5, 2.4) |
| Dallas County 6 | 475.7 (435.2, 519.2) | 27 (2, 90) | 113 |
stable
|
0.6 (-0.3, 1.5) |
| Chariton County 6 | 476.3 (418.2, 541.1) | 26 (1, 104) | 57 |
stable
|
0.0 (-1.1, 1.1) |
| Jefferson County 6 | 476.6 (464.6, 488.9) | 25 (14, 49) | 1,274 |
stable
|
-0.4 (-0.8, 0.1) |
| Randolph County 6 | 477.6 (443.0, 514.3) | 24 (3, 86) | 146 |
stable
|
0.0 (-0.7, 0.8) |
| Gasconade County 6 | 477.9 (436.2, 523.0) | 23 (2, 94) | 110 |
stable
|
-0.4 (-1.6, 0.8) |
| Pike County 6 | 479.9 (440.2, 522.5) | 22 (2, 87) | 113 |
stable
|
-0.1 (-1.2, 1.0) |
| Worth County 6 | 480.3 (370.1, 617.2) | 21 (1, 115) | 16 |
stable
|
1.2 (-1.6, 4.0) |
| Morgan County 6 | 482.7 (446.3, 521.5) | 20 (2, 78) | 153 |
stable
|
-6.6 (-13.3, 0.6) |
| New Madrid County 6 | 484.0 (444.2, 526.7) | 19 (1, 86) | 116 |
stable
|
-0.3 (-1.3, 0.8) |
| Osage County 6 | 485.4 (438.8, 535.8) | 18 (1, 92) | 85 |
rising
|
1.1 (0.3, 2.1) |
| Cooper County 6 | 487.6 (446.0, 532.2) | 17 (1, 83) | 108 |
stable
|
0.2 (-0.5, 1.0) |
| Franklin County 6 | 491.0 (473.8, 508.8) | 16 (6, 43) | 656 |
stable
|
-0.1 (-0.6, 0.3) |
| Dunklin County 6 | 494.3 (462.7, 527.6) | 15 (1, 63) | 194 |
stable
|
0.6 (-0.1, 1.4) |
| Jasper County 6 | 499.2 (482.3, 516.5) | 14 (3, 35) | 686 |
stable
|
0.7 (-0.1, 1.5) |
| Clinton County 6 | 500.2 (461.9, 540.9) | 13 (1, 70) | 135 |
stable
|
0.4 (-0.5, 1.2) |
| Pulaski County 6 | 500.4 (469.1, 533.1) | 12 (1, 62) | 199 |
stable
|
-0.7 (-1.4, 0.0) |
| Harrison County 6 | 501.4 (443.3, 565.5) | 11 (1, 94) | 62 |
stable
|
-0.2 (-1.7, 1.4) |
| Stoddard County 6 | 505.5 (474.0, 538.8) | 10 (1, 53) | 206 |
stable
|
0.7 (-0.2, 1.5) |
| Madison County 6 | 506.8 (458.3, 559.4) | 9 (1, 75) | 86 |
stable
|
-0.1 (-1.2, 1.1) |
| Crawford County 6 | 509.6 (474.3, 547.0) | 8 (1, 56) | 169 |
stable
|
0.1 (-0.7, 1.0) |
| Scott County 6 | 513.1 (484.6, 543.1) | 7 (1, 38) | 256 |
stable
|
0.4 (0.0, 0.9) |
| Iron County 6 | 514.1 (462.0, 571.1) | 6 (1, 77) | 79 |
stable
|
0.5 (-0.7, 1.6) |
| Shelby County 6 | 521.6 (451.9, 600.0) | 5 (1, 98) | 45 |
stable
|
0.0 (-1.2, 1.2) |
| St. Francois County 6 | 522.7 (500.5, 545.7) | 4 (1, 23) | 430 |
stable
|
-0.9 (-1.9, 0.2) |
| Mississippi County 6 | 535.3 (487.4, 586.9) | 3 (1, 44) | 95 |
stable
|
0.4 (-0.8, 1.5) |
| Marion County 6 | 537.2 (502.8, 573.5) | 2 (1, 28) | 194 |
stable
|
0.5 (-0.4, 1.4) |
| Montgomery County 6 | 553.8 (501.7, 610.4) | 1 (1, 40) | 91 |
stable
|
0.4 (-0.5, 1.3) |
Notes:
Created by statecancerprofiles.cancer.gov on 06/05/2023 3:23 pm.
State Cancer Registries may provide more current or more local data.
⋔ 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. More information about methodology can be found on the CI*Rank website.
† 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.
‡ 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.
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.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2021 submission.
6 Source: National Program of Cancer Registries SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2021 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 US Population Data File is used with SEER November 2021 data.
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.
Created by statecancerprofiles.cancer.gov on 06/05/2023 3:23 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.
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.
⋔ 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. More information about methodology can be found on the CI*Rank website.
† 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.
‡ 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.
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.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2021 submission.
6 Source: National Program of Cancer Registries SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2021 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 US Population Data File is used with SEER November 2021 data.
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.