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 | 233.4 (231.6, 235.1) | N/A | 14,763 |
stable 
|
0.0 (-0.1, 0.2) |
| US (SEER+NPCR) 1 | 225.0 (224.8, 225.3) | N/A | 726,500 |
stable
|
-0.1 (-0.2, 0.0) |
| Madison County 6 | 286.7 (245.4, 333.4) | 1 (1, 80) | 39 |
stable
|
-0.1 (-2.0, 2.0) |
| Montgomery County 6 | 282.8 (238.6, 333.3) | 2 (1, 85) | 34 |
stable
|
1.6 (0.0, 3.4) |
| Marion County 6 | 281.4 (252.8, 312.4) | 3 (1, 57) | 78 |
falling 
|
-7.4 (-13.3, -3.7) |
| Dunklin County 6 | 276.6 (249.5, 306.0) | 4 (1, 61) | 84 |
stable
|
1.3 (-0.1, 2.7) |
| Scott County 6 | 274.9 (251.3, 300.3) | 5 (1, 51) | 110 |
rising 
|
1.9 (0.3, 6.4) |
| Crawford County 6 | 273.1 (243.4, 305.7) | 6 (1, 71) | 71 |
stable
|
0.7 (-0.8, 2.4) |
| Morgan County 6 | 271.8 (239.0, 308.0) | 7 (1, 79) | 61 |
stable
|
-0.3 (-2.6, 2.1) |
| Iron County 6 | 271.5 (227.5, 322.3) | 8 (1, 100) | 31 |
stable
|
1.1 (-1.4, 3.7) |
| St. Francois County 6 | 267.9 (250.6, 286.2) | 9 (1, 51) | 190 |
stable
|
1.2 (-0.1, 2.7) |
| Pulaski County 6 | 267.0 (243.8, 291.6) | 10 (1, 64) | 103 |
stable
|
4.5 (-0.2, 9.6) |
| Mississippi County 6 | 266.1 (228.5, 308.6) | 11 (1, 94) | 38 |
stable
|
-0.1 (-1.9, 1.9) |
| Macon County 6 | 263.6 (226.1, 305.8) | 12 (1, 97) | 39 |
stable
|
1.3 (-0.4, 3.1) |
| Howard County 6 | 263.5 (218.0, 316.2) | 13 (1, 105) | 27 |
stable
|
0.5 (-1.6, 2.8) |
| Chariton County 6 | 259.9 (208.5, 321.2) | 14 (1, 109) | 22 |
stable
|
9.8 (-3.9, 19.5) |
| Stoddard County 6 | 259.3 (233.0, 287.9) | 15 (1, 81) | 78 |
stable
|
0.9 (-0.6, 2.4) |
| Ripley County 6 | 258.3 (220.6, 301.1) | 16 (1, 100) | 38 |
stable
|
-0.8 (-3.9, 2.3) |
| Randolph County 6 | 257.4 (229.6, 287.8) | 17 (1, 90) | 66 |
stable
|
0.7 (-0.9, 2.4) |
| Henry County 6 | 254.2 (224.0, 287.6) | 18 (1, 91) | 59 |
stable
|
0.7 (-0.5, 2.0) |
| Dallas County 6 | 252.1 (218.3, 289.9) | 19 (1, 101) | 47 |
stable
|
2.1 (-0.1, 4.5) |
| Jasper County 6 | 252.0 (238.8, 265.8) | 20 (7, 62) | 292 |
rising
|
0.9 (0.2, 1.8) |
| Butler County 6 | 251.8 (230.3, 274.9) | 21 (3, 83) | 111 |
stable
|
0.1 (-0.9, 1.3) |
| Lewis County 6 | 251.6 (205.2, 305.6) | 22 (1, 109) | 23 |
stable
|
0.1 (-9.8, 3.3) |
| Gasconade County 6 | 251.5 (216.3, 291.3) | 23 (1, 103) | 44 |
stable
|
0.5 (-1.0, 2.0) |
| Wayne County 6 | 251.3 (214.0, 294.0) | 24 (1, 104) | 39 |
stable
|
0.8 (-0.8, 2.4) |
| Osage County 6 | 251.0 (214.1, 292.9) | 25 (1, 104) | 37 |
stable
|
1.5 (-0.1, 3.2) |
| Franklin County 6 | 251.0 (237.3, 265.2) | 26 (8, 68) | 290 |
stable
|
0.5 (-0.3, 1.3) |
| Worth County 6 | 249.4 (149.9, 391.8) | 27 (1, 115) | 5 |
stable
|
-1.0 (-7.5, 5.4) |
| Cape Girardeau County 6 | 249.3 (232.8, 266.7) | 28 (6, 75) | 187 |
stable
|
0.9 (-0.1, 2.0) |
| Grundy County 6 | 248.6 (202.5, 302.2) | 29 (1, 109) | 24 |
stable
|
1.2 (-1.4, 3.9) |
| New Madrid County 6 | 246.6 (215.0, 281.9) | 30 (2, 101) | 49 |
stable
|
-0.4 (-1.7, 1.0) |
| Livingston County 6 | 246.0 (210.7, 285.8) | 31 (1, 104) | 37 |
stable
|
-0.4 (-3.5, 2.9) |
| Lincoln County 6 | 245.9 (227.8, 265.1) | 32 (7, 83) | 150 |
stable
|
-0.4 (-1.6, 0.9) |
| Wright County 6 | 245.0 (212.9, 280.9) | 33 (2, 102) | 48 |
stable
|
-0.6 (-2.5, 1.3) |
| Ste. Genevieve County 6 | 244.9 (213.1, 280.3) | 34 (1, 103) | 51 |
rising
|
1.8 (0.3, 3.4) |
| Dent County 6 | 244.9 (209.9, 284.4) | 35 (1, 105) | 41 |
stable
|
-0.4 (-2.4, 1.7) |
| Buchanan County 6 | 244.8 (229.8, 260.4) | 36 (9, 78) | 219 |
stable
|
0.9 (0.0, 1.9) |
| Monroe County 6 | 243.8 (197.3, 298.8) | 37 (1, 109) | 23 |
stable
|
1.8 (-0.3, 4.2) |
| Phelps County 6 | 243.6 (221.7, 267.0) | 38 (7, 93) | 102 |
stable
|
1.4 (-5.5, 8.1) |
| Pemiscot County 6 | 243.2 (209.1, 281.4) | 39 (1, 103) | 41 |
stable
|
1.8 (-0.4, 4.1) |
| Andrew County 6 | 243.2 (211.3, 278.8) | 40 (1, 104) | 47 |
stable
|
1.2 (-0.6, 3.2) |
| Audrain County 6 | 242.5 (215.2, 272.5) | 41 (3, 100) | 63 |
stable
|
0.2 (-1.4, 1.8) |
| Cooper County 6 | 241.2 (207.9, 278.6) | 42 (1, 106) | 42 |
stable
|
0.1 (-1.4, 1.7) |
| Barton County 6 | 240.5 (200.0, 287.1) | 43 (1, 109) | 29 |
stable
|
1.2 (-1.4, 4.0) |
| Benton County 6 | 239.2 (207.4, 275.1) | 44 (2, 105) | 55 |
stable
|
-0.7 (-2.6, 1.2) |
| Pike County 6 | 238.6 (207.3, 273.6) | 45 (3, 104) | 46 |
stable
|
0.6 (-0.9, 2.3) |
| Jackson County 6 | 238.3 (233.0, 243.6) | 46 (28, 66) | 1,691 |
stable
|
0.0 (-0.3, 0.3) |
| Dade County 6 | 237.3 (187.9, 296.5) | 47 (1, 112) | 19 |
stable
|
0.4 (-3.3, 4.4) |
| Laclede County 6 | 236.9 (214.0, 261.6) | 48 (8, 99) | 87 |
stable
|
0.0 (-1.1, 1.2) |
| Cole County 6 | 236.7 (221.3, 253.0) | 49 (15, 89) | 188 |
stable
|
0.0 (-5.4, 1.8) |
| St. Louis City 6 | 236.0 (228.1, 244.0) | 50 (29, 74) | 755 |
falling
|
-0.9 (-1.3, -0.5) |
| Jefferson County 6 | 235.6 (226.8, 244.7) | 51 (28, 79) | 596 |
stable
|
0.1 (-0.5, 0.7) |
| Pettis County 6 | 235.4 (214.6, 257.8) | 52 (11, 97) | 103 |
stable
|
0.0 (-1.5, 1.7) |
| Shelby County 6 | 235.4 (180.0, 303.2) | 53 (1, 114) | 14 |
stable
|
-0.3 (-3.4, 2.7) |
| St. Louis County 6 | 234.8 (230.5, 239.2) | 54 (36, 69) | 2,467 |
stable
|
-0.1 (-0.4, 0.2) |
| Holt County 6 | 231.9 (168.3, 313.3) | 55 (1, 115) | 11 |
stable
|
1.0 (-4.4, 6.6) |
| Cass County 6 | 231.3 (218.2, 245.0) | 56 (23, 91) | 255 |
stable
|
0.4 (-0.3, 1.1) |
| Saline County 6 | 231.0 (203.0, 262.1) | 57 (4, 106) | 55 |
stable
|
-0.2 (-1.8, 1.4) |
| Clay County 6 | 230.8 (222.3, 239.7) | 58 (32, 82) | 573 |
stable
|
-0.2 (-0.9, 0.6) |
| St. Charles County 6 | 230.7 (224.0, 237.6) | 59 (37, 79) | 964 |
stable
|
-0.4 (-1.1, 0.3) |
| Moniteau County 6 | 229.9 (196.8, 267.2) | 60 (4, 109) | 36 |
rising
|
3.0 (0.2, 10.2) |
| Perry County 6 | 229.9 (200.4, 262.7) | 61 (5, 107) | 48 |
stable
|
1.4 (-0.4, 3.5) |
| Washington County 6 | 229.7 (204.1, 257.8) | 62 (10, 105) | 65 |
stable
|
0.8 (-1.0, 2.7) |
| Warren County 6 | 229.4 (207.2, 253.4) | 63 (8, 101) | 90 |
stable
|
-0.5 (-4.5, 0.7) |
| Bollinger County 6 | 229.2 (191.0, 273.3) | 64 (2, 111) | 30 |
falling
|
-12.9 (-21.8, -1.3) |
| Taney County 6 | 228.5 (210.2, 248.0) | 65 (17, 100) | 130 |
stable
|
0.1 (-0.7, 0.9) |
| Webster County 6 | 228.4 (207.1, 251.4) | 66 (13, 103) | 91 |
stable
|
0.4 (-0.6, 1.5) |
| Harrison County 6 | 228.1 (181.4, 283.7) | 67 (1, 113) | 19 |
stable
|
0.2 (-3.0, 3.5) |
| Callaway County 6 | 228.0 (208.6, 248.9) | 68 (17, 101) | 111 |
stable
|
0.3 (-1.0, 1.6) |
| Reynolds County 6 | 227.5 (176.1, 290.5) | 69 (1, 114) | 16 |
stable
|
0.3 (-2.1, 2.8) |
| Miller County 6 | 227.1 (201.0, 255.9) | 70 (8, 105) | 62 |
rising
|
1.3 (0.2, 2.4) |
| St. Clair County 6 | 226.2 (183.0, 277.5) | 71 (1, 112) | 23 |
stable
|
1.0 (-2.9, 5.0) |
| Lafayette County 6 | 225.2 (202.4, 250.0) | 72 (17, 106) | 81 |
stable
|
0.4 (-0.9, 1.8) |
| Johnson County 6 | 225.1 (205.4, 246.3) | 73 (18, 103) | 105 |
stable
|
0.4 (-0.7, 1.7) |
| Clinton County 6 | 223.9 (195.2, 255.9) | 74 (7, 108) | 50 |
stable
|
-3.1 (-12.3, 1.0) |
| Ozark County 6 | 223.2 (179.2, 275.9) | 75 (1, 113) | 23 |
stable
|
1.5 (-0.2, 3.3) |
| Nodaway County 6 | 222.9 (191.0, 258.6) | 76 (8, 111) | 40 |
stable
|
0.3 (-1.8, 2.4) |
| Boone County 6 | 222.1 (211.4, 233.1) | 77 (39, 97) | 351 |
stable
|
-0.3 (-1.1, 0.6) |
| Ralls County 6 | 221.7 (182.4, 267.7) | 78 (2, 112) | 26 |
stable
|
0.9 (-2.1, 4.2) |
| Mercer County 6 | 221.0 (155.1, 307.4) | 79 (1, 115) | 9 |
stable
|
0.6 (-4.0, 5.7) |
| Atchison County 6 | 221.0 (163.8, 293.1) | 80 (1, 115) | 11 |
stable
|
2.3 (-0.7, 5.3) |
| Greene County 6 | 220.6 (212.5, 228.9) | 81 (51, 94) | 604 |
stable
|
-0.3 (-0.8, 0.1) |
| Ray County 6 | 218.9 (192.7, 248.0) | 82 (16, 108) | 57 |
stable
|
0.2 (-1.5, 2.0) |
| Putnam County 6 | 217.7 (159.7, 291.5) | 83 (1, 115) | 11 |
stable
|
2.7 (-0.3, 5.8) |
| Polk County 6 | 214.8 (191.1, 240.8) | 84 (24, 109) | 66 |
stable
|
-1.1 (-3.3, 1.0) |
| Adair County 6 | 214.6 (185.1, 247.6) | 85 (13, 111) | 42 |
stable
|
1.1 (-0.2, 2.5) |
| Howell County 6 | 212.8 (191.9, 235.4) | 86 (28, 108) | 84 |
stable
|
0.0 (-1.5, 1.6) |
| Schuyler County 6 | 211.1 (152.5, 285.7) | 87 (1, 115) | 10 |
stable
|
0.2 (-3.2, 3.9) |
| Stone County 6 | 211.0 (187.6, 236.8) | 88 (23, 110) | 79 |
stable
|
10.5 (-0.2, 18.6) |
| Newton County 6 | 210.4 (193.8, 228.2) | 89 (42, 107) | 131 |
stable
|
-0.1 (-1.1, 0.9) |
| Texas County 6 | 208.9 (183.6, 236.9) | 90 (27, 111) | 56 |
stable
|
-0.6 (-1.7, 0.6) |
| Carter County 6 | 208.1 (157.9, 270.1) | 91 (1, 115) | 13 |
stable
|
-4.3 (-30.8, 3.3) |
| Christian County 6 | 207.9 (194.2, 222.3) | 92 (56, 106) | 183 |
stable
|
-0.9 (-2.0, 0.4) |
| Lawrence County 6 | 207.7 (187.0, 230.2) | 93 (37, 109) | 81 |
stable
|
-0.5 (-1.3, 0.4) |
| Barry County 6 | 207.3 (186.3, 230.2) | 94 (31, 109) | 82 |
stable
|
0.2 (-1.3, 1.7) |
| Platte County 6 | 207.2 (194.8, 220.2) | 95 (61, 106) | 221 |
stable
|
-0.1 (-0.8, 0.7) |
| McDonald County 6 | 206.9 (181.3, 235.4) | 96 (23, 111) | 51 |
stable
|
0.7 (-1.4, 3.2) |
| Cedar County 6 | 206.9 (174.0, 244.6) | 97 (13, 113) | 32 |
stable
|
-0.3 (-1.9, 1.4) |
| Bates County 6 | 206.8 (175.7, 242.0) | 98 (15, 112) | 36 |
stable
|
-0.3 (-2.7, 2.1) |
| Oregon County 6 | 206.6 (166.4, 254.0) | 99 (6, 114) | 22 |
stable
|
0.9 (-1.4, 3.4) |
| Camden County 6 | 206.3 (187.3, 226.9) | 100 (46, 109) | 116 |
stable
|
-0.2 (-1.4, 1.2) |
| Hickory County 6 | 204.1 (161.9, 255.3) | 101 (5, 115) | 22 |
stable
|
0.8 (-2.7, 4.4) |
| Daviess County 6 | 200.2 (156.1, 253.3) | 102 (5, 115) | 16 |
stable
|
0.3 (-3.2, 3.8) |
| DeKalb County 6 | 199.6 (165.0, 239.9) | 103 (16, 114) | 25 |
stable
|
2.1 (-0.3, 4.8) |
| Gentry County 6 | 197.7 (149.4, 257.2) | 104 (3, 115) | 13 |
stable
|
0.6 (-2.5, 4.1) |
| Clark County 6 | 194.6 (148.3, 251.6) | 105 (4, 115) | 14 |
stable
|
0.8 (-4.3, 6.5) |
| Linn County 6 | 189.8 (154.8, 230.6) | 106 (25, 115) | 25 |
stable
|
-1.3 (-3.1, 0.5) |
| Shannon County 6 | 188.7 (148.1, 238.1) | 107 (13, 115) | 17 |
stable
|
-0.9 (-2.8, 1.0) |
| Caldwell County 6 | 182.7 (144.3, 228.9) | 108 (22, 115) | 18 |
stable
|
-1.1 (-3.5, 1.2) |
| Vernon County 6 | 171.2 (146.1, 199.7) | 109 (79, 115) | 37 |
stable
|
-0.6 (-3.4, 2.4) |
| Sullivan County 6 | 169.5 (125.3, 225.1) | 110 (25, 115) | 11 |
stable
|
-2.0 (-6.5, 2.1) |
| Knox County 6 | 169.1 (112.6, 245.1) | 111 (5, 115) | 7 |
stable
|
-1.0 (-4.8, 2.4) |
| Maries County 6 | 168.0 (133.0, 210.6) | 112 (59, 115) | 18 |
stable
|
0.0 (-3.2, 3.5) |
| Douglas County 6 | 158.6 (129.4, 193.1) | 113 (81, 115) | 25 |
rising
|
5.3 (2.6, 9.7) |
| Carroll County 6 | 151.7 (116.2, 195.3) | 114 (68, 115) | 14 |
stable
|
-2.0 (-4.3, 0.1) |
| Scotland County 6 | 123.9 (81.2, 181.7) | 115 (84, 115) | 6 |
stable
|
-2.4 (-6.9, 2.3) |
Notes:
Created by statecancerprofiles.cancer.gov on 10/04/2023 12:41 am.
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 - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2022 submission.
6 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 2022 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 2022 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 10/04/2023 12:41 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.
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 - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2022 submission.
6 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 2022 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 2022 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.