## Interpretation of Incidence Rates Data

### Incidence Rate Report for by County

Colon & Rectum, 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**

#### Missouri^{6,10}

- Rate : The incidence rate is 43.2 with a 95% confidence interval from 42.5 to 43.9 and 2,982 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.5 to -0.9.

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

- Rate : The incidence rate is 40.6 with a 95% confidence interval from 40.5 to 40.7 and 139,095 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.0 with a 95% confidence interval from -3.7 to -2.3.

#### Shelby County^{6,10}

- Rate : The incidence rate is 66.1 with a 95% confidence interval from 43.5 to 97.5 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -28.9 to 27.5.

#### Linn County^{6,10}

- Rate : The incidence rate is 65.2 with a 95% confidence interval from 48.8 to 85.9 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.8 with a 95% confidence interval from -16.0 to 5.6.

#### Stoddard County^{6,10}

- Rate : The incidence rate is 61.3 with a 95% confidence interval from 50.7 to 73.7 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.8 with a 95% confidence interval from -23.8 to 11.4.

#### Carter County^{6,10}

- Rate : The incidence rate is 58.9 with a 95% confidence interval from 37.1 to 89.8 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -31.5 to 54.5.

#### Daviess County^{6,10}

- Rate : The incidence rate is 57.1 with a 95% confidence interval from 37.5 to 83.7 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.3 with a 95% confidence interval from -45.2 to 56.8.

#### New Madrid County^{6,10}

- Rate : The incidence rate is 56.2 with a 95% confidence interval from 43.3 to 72.0 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -23.2 to 17.0.

#### Gentry County^{6,10}

- Rate : The incidence rate is 55.5 with a 95% confidence interval from 35.6 to 83.4 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.3 with a 95% confidence interval from -46.8 to 61.4.

#### Scott County^{6,10}

- Rate : The incidence rate is 55.3 with a 95% confidence interval from 46.2 to 65.8 and 26 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 10.4 with a 95% confidence interval from -25.7 to 64.0.

#### Grundy County^{6,10}

- Rate : The incidence rate is 55.3 with a 95% confidence interval from 40.1 to 75.3 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.6 with a 95% confidence interval from -43.7 to 38.5.

#### Caldwell County^{6,10}

- Rate : The incidence rate is 54.9 with a 95% confidence interval from 38.0 to 77.7 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 9.9 with a 95% confidence interval from -34.8 to 85.3.

#### Pulaski County^{6,10}

- Rate : The incidence rate is 54.8 with a 95% confidence interval from 43.9 to 67.4 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -18.4 with a 95% confidence interval from -47.7 to 27.3.

#### Schuyler County^{6,10}

- Rate : The incidence rate is 54.6 with a 95% confidence interval from 31.1 to 90.6 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).

#### Marion County^{6,10}

- Rate : The incidence rate is 53.7 with a 95% confidence interval from 43.3 to 66.0 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -4.9 with a 95% confidence interval from -8.6 to -1.1.

#### Bates County^{6,10}

- Rate : The incidence rate is 53.7 with a 95% confidence interval from 40.8 to 69.6 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.2 with a 95% confidence interval from -37.0 to 28.1.

#### Wayne County^{6,10}

- Rate : The incidence rate is 53.6 with a 95% confidence interval from 39.7 to 71.5 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -16.9 with a 95% confidence interval from -27.7 to -4.5.

#### Crawford County^{6,10}

- Rate : The incidence rate is 53.6 with a 95% confidence interval from 42.8 to 66.6 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.9 with a 95% confidence interval from -10.5 to 3.2.

#### Pike County^{6,10}

- Rate : The incidence rate is 53.4 with a 95% confidence interval from 40.7 to 69.0 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -28.3 to 39.2.

#### Sullivan County^{6,10}

- Rate : The incidence rate is 53.3 with a 95% confidence interval from 32.8 to 82.5 and 4 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -19.4 with a 95% confidence interval from -61.3 to 67.6.

#### Iron County^{6,10}

- Rate : The incidence rate is 53.2 with a 95% confidence interval from 36.9 to 74.8 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 -26.7 to 10.4.

#### Mississippi County^{6,10}

- Rate : The incidence rate is 52.9 with a 95% confidence interval from 38.6 to 71.2 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.4 with a 95% confidence interval from -37.0 to 24.6.

#### Saline County^{6,10}

- Rate : The incidence rate is 52.5 with a 95% confidence interval from 40.8 to 66.6 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.3 with a 95% confidence interval from -33.6 to 40.9.

#### Lewis County^{6,10}

- Rate : The incidence rate is 52.4 with a 95% confidence interval from 36.0 to 74.1 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -15.7 with a 95% confidence interval from -38.0 to 14.6.

#### St. Francois County^{6,10}

- Rate : The incidence rate is 52.3 with a 95% confidence interval from 45.3 to 60.3 and 40 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.0 with a 95% confidence interval from -18.7 to 30.4.

#### Henry County^{6,10}

- Rate : The incidence rate is 51.8 with a 95% confidence interval from 41.3 to 64.6 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -15.6 to 27.2.

#### Dunklin County^{6,10}

- Rate : The incidence rate is 51.6 with a 95% confidence interval from 42.0 to 63.0 and 21 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.8 with a 95% confidence interval from -12.9 to 33.3.

#### Ray County^{6,10}

- Rate : The incidence rate is 51.1 with a 95% confidence interval from 39.5 to 65.2 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -32.1 to 39.9.

#### Pemiscot County^{6,10}

- Rate : The incidence rate is 50.5 with a 95% confidence interval from 38.0 to 66.1 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.8 with a 95% confidence interval from -34.9 to 30.5.

#### Ste. Genevieve County^{6,10}

- Rate : The incidence rate is 50.5 with a 95% confidence interval from 38.2 to 65.9 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 10.4 with a 95% confidence interval from -23.9 to 60.1.

#### Jasper County^{6,10}

- Rate : The incidence rate is 50.4 with a 95% confidence interval from 45.0 to 56.3 and 65 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -24.5 to 29.3.

#### Harrison County^{6,10}

- Rate : The incidence rate is 50.1 with a 95% confidence interval from 34.3 to 71.6 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -24.4 to 26.6.

#### Miller County^{6,10}

- Rate : The incidence rate is 50.0 with a 95% confidence interval from 39.2 to 63.0 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -26.8 to 29.1.

#### Howell County^{6,10}

- Rate : The incidence rate is 49.9 with a 95% confidence interval from 41.4 to 59.8 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -17.5 to 14.5.

#### Scotland County^{6,10}

- Rate : The incidence rate is 49.8 with a 95% confidence interval from 28.3 to 82.7 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).

#### Shannon County^{6,10}

- Rate : The incidence rate is 49.4 with a 95% confidence interval from 31.2 to 74.9 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 11.5 with a 95% confidence interval from -35.5 to 92.7.

#### Wright County^{6,10}

- Rate : The incidence rate is 49.4 with a 95% confidence interval from 37.7 to 63.9 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -17.8 to 10.5.

#### Macon County^{6,10}

- Rate : The incidence rate is 49.1 with a 95% confidence interval from 36.4 to 65.2 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -12.6 to 15.9.

#### Butler County^{6,10}

- Rate : The incidence rate is 49.0 with a 95% confidence interval from 41.0 to 58.2 and 28 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.7 with a 95% confidence interval from -21.0 to 38.7.

#### McDonald County^{6,10}

- Rate : The incidence rate is 48.9 with a 95% confidence interval from 36.6 to 64.0 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 12.4 with a 95% confidence interval from -6.1 to 34.7.

#### Lawrence County^{6,10}

- Rate : The incidence rate is 48.7 with a 95% confidence interval from 40.1 to 58.7 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -20.6 to 21.4.

#### Buchanan County^{6,10}

- Rate : The incidence rate is 48.4 with a 95% confidence interval from 42.4 to 55.0 and 48 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -10.0 to 8.8.

#### St. Louis City^{6,10}

- Rate : The incidence rate is 48.0 with a 95% confidence interval from 44.5 to 51.6 and 150 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -12.0 to 7.9.

#### Montgomery County^{6,10}

- Rate : The incidence rate is 48.0 with a 95% confidence interval from 33.8 to 66.6 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -15.6 with a 95% confidence interval from -45.9 to 31.7.

#### Phelps County^{6,10}

- Rate : The incidence rate is 47.7 with a 95% confidence interval from 39.2 to 57.4 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -12.2 to 12.1.

#### Monroe County^{6,10}

- Rate : The incidence rate is 47.5 with a 95% confidence interval from 30.9 to 70.5 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.6 with a 95% confidence interval from -50.3 to 57.4.

#### Gasconade County^{6,10}

- Rate : The incidence rate is 47.2 with a 95% confidence interval from 34.9 to 62.9 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -21.8 to 34.4.

#### Morgan County^{6,10}

- Rate : The incidence rate is 47.0 with a 95% confidence interval from 36.7 to 59.7 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -38.0 to 63.7.

#### Johnson County^{6,10}

- Rate : The incidence rate is 46.7 with a 95% confidence interval from 38.3 to 56.3 and 22 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -20.7 to 22.8.

#### Cooper County^{6,10}

- Rate : The incidence rate is 46.6 with a 95% confidence interval from 34.5 to 61.9 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.6 with a 95% confidence interval from -39.2 to 31.2.

#### Jefferson County^{6,10}

- Rate : The incidence rate is 46.4 with a 95% confidence interval from 42.3 to 50.8 and 100 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -17.5 to 9.7.

#### Clark County^{6,10}

- Rate : The incidence rate is 46.4 with a 95% confidence interval from 28.7 to 71.9 and 4 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -14.3 with a 95% confidence interval from -35.1 to 13.2.

#### Vernon County^{6,10}

- Rate : The incidence rate is 46.1 with a 95% confidence interval from 35.0 to 59.9 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -21.8 to 17.5.

#### Dallas County^{6,10}

- Rate : The incidence rate is 46.1 with a 95% confidence interval from 34.2 to 61.2 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.3 with a 95% confidence interval from -28.7 to 5.4.

#### Lincoln County^{6,10}

- Rate : The incidence rate is 46.1 with a 95% confidence interval from 38.0 to 55.4 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.1 with a 95% confidence interval from -38.2 to 22.1.

#### Bollinger County^{6,10}

- Rate : The incidence rate is 46.0 with a 95% confidence interval from 31.8 to 64.6 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 9.4 with a 95% confidence interval from -28.6 to 67.6.

#### Ralls County^{6,10}

- Rate : The incidence rate is 45.6 with a 95% confidence interval from 30.4 to 66.4 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -14.1 with a 95% confidence interval from -43.2 to 29.9.

#### Texas County^{6,10}

- Rate : The incidence rate is 45.4 with a 95% confidence interval from 35.6 to 57.4 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 19.9 with a 95% confidence interval from 0.6 to 42.7.

#### Polk County^{6,10}

- Rate : The incidence rate is 45.1 with a 95% confidence interval from 35.7 to 56.3 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -21.2 to 21.0.

#### DeKalb County^{6,10}

- Rate : The incidence rate is 45.1 with a 95% confidence interval from 31.3 to 63.4 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.2 with a 95% confidence interval from -40.7 to 33.0.

#### Randolph County^{6,10}

- Rate : The incidence rate is 45.0 with a 95% confidence interval from 34.5 to 57.7 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 12.7 with a 95% confidence interval from -10.8 to 42.3.

#### Osage County^{6,10}

- Rate : The incidence rate is 44.5 with a 95% confidence interval from 31.1 to 61.8 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.1 with a 95% confidence interval from -43.0 to 32.5.

#### Lafayette County^{6,10}

- Rate : The incidence rate is 44.4 with a 95% confidence interval from 35.8 to 54.6 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -11.8 to 16.8.

#### Carroll County^{6,10}

- Rate : The incidence rate is 44.0 with a 95% confidence interval from 29.1 to 64.7 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -24.4 to 21.1.

#### Benton County^{6,10}

- Rate : The incidence rate is 43.9 with a 95% confidence interval from 34.2 to 56.3 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -8.4 to 12.8.

#### Washington County^{6,10}

- Rate : The incidence rate is 43.8 with a 95% confidence interval from 33.2 to 56.8 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -22.4 to 18.2.

#### St. Louis County^{6,10}

- Rate : The incidence rate is 43.6 with a 95% confidence interval from 42.0 to 45.4 and 541 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -6.8 to 6.9.

#### Pettis County^{6,10}

- Rate : The incidence rate is 43.4 with a 95% confidence interval from 35.6 to 52.4 and 22 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -10.3 to 12.1.

#### Webster County^{6,10}

- Rate : The incidence rate is 43.2 with a 95% confidence interval from 34.3 to 53.7 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.0 with a 95% confidence interval from -20.6 to 13.7.

#### Andrew County^{6,10}

- Rate : The incidence rate is 42.9 with a 95% confidence interval from 31.6 to 57.2 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 9.7 with a 95% confidence interval from -7.7 to 30.5.

#### Cass County^{6,10}

- Rate : The incidence rate is 42.8 with a 95% confidence interval from 37.5 to 48.7 and 48 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.2 with a 95% confidence interval from -18.6 to 7.9.

#### Dent County^{6,10}

- Rate : The incidence rate is 42.8 with a 95% confidence interval from 31.3 to 57.7 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.5 with a 95% confidence interval from -34.8 to 36.9.

#### Perry County^{6,10}

- Rate : The incidence rate is 42.5 with a 95% confidence interval from 31.8 to 56.0 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -22.3 to 15.6.

#### Dade County^{6,10}

- Rate : The incidence rate is 42.0 with a 95% confidence interval from 26.7 to 64.4 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.9 with a 95% confidence interval from -41.3 to 41.5.

#### Laclede County^{6,10}

- Rate : The incidence rate is 41.7 with a 95% confidence interval from 33.4 to 51.5 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.0 with a 95% confidence interval from -28.0 to 53.1.

#### Jackson County^{6,10}

- Rate : The incidence rate is 41.6 with a 95% confidence interval from 39.5 to 43.8 and 298 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -5.1 to 1.0.

#### Franklin County^{6,10}

- Rate : The incidence rate is 41.5 with a 95% confidence interval from 36.3 to 47.2 and 48 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.3 with a 95% confidence interval from -6.3 to 13.9.

#### Adair County^{6,10}

- Rate : The incidence rate is 41.2 with a 95% confidence interval from 30.6 to 54.5 and 10 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -15.1 with a 95% confidence interval from -32.4 to 6.7.

#### Madison County^{6,10}

- Rate : The incidence rate is 40.8 with a 95% confidence interval from 28.1 to 57.8 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -17.0 with a 95% confidence interval from -42.9 to 20.5.

#### Douglas County^{6,10}

- Rate : The incidence rate is 40.8 with a 95% confidence interval from 29.4 to 55.9 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 -34.8 to 23.1.

#### Barry County^{6,10}

- Rate : The incidence rate is 39.8 with a 95% confidence interval from 32.1 to 49.0 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -23.5 with a 95% confidence interval from -32.3 to -13.6.

#### Cedar County^{6,10}

- Rate : The incidence rate is 39.6 with a 95% confidence interval from 28.3 to 54.6 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 24.0 with a 95% confidence interval from -23.9 to 102.1.

#### Livingston County^{6,10}

- Rate : The incidence rate is 39.6 with a 95% confidence interval from 28.0 to 54.8 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -22.5 to 36.7.

#### Boone County^{6,10}

- Rate : The incidence rate is 39.5 with a 95% confidence interval from 34.9 to 44.6 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -13.2 to 17.9.

#### Camden County^{6,10}

- Rate : The incidence rate is 39.5 with a 95% confidence interval from 32.7 to 47.5 and 27 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 19.8 with a 95% confidence interval from -2.3 to 46.8.

#### Ozark County^{6,10}

- Rate : The incidence rate is 39.1 with a 95% confidence interval from 26.6 to 57.0 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -34.5 to 47.6.

#### Ripley County^{6,10}

- Rate : The incidence rate is 39.0 with a 95% confidence interval from 27.4 to 54.4 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.3 with a 95% confidence interval from -37.0 to 72.7.

#### Greene County^{6,10}

- Rate : The incidence rate is 39.0 with a 95% confidence interval from 35.9 to 42.3 and 120 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -10.8 to 10.0.

#### Clay County^{6,10}

- Rate : The incidence rate is 39.0 with a 95% confidence interval from 35.3 to 42.8 and 87 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -7.7 with a 95% confidence interval from -13.5 to -1.6.

#### Audrain County^{6,10}

- Rate : The incidence rate is 38.9 with a 95% confidence interval from 29.8 to 50.2 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.6 with a 95% confidence interval from -21.5 to 39.5.

#### Callaway County^{6,10}

- Rate : The incidence rate is 38.7 with a 95% confidence interval from 31.0 to 47.7 and 18 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.8 with a 95% confidence interval from -29.4 to 20.4.

#### Cole County^{6,10}

- Rate : The incidence rate is 38.4 with a 95% confidence interval from 32.5 to 45.1 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.5 with a 95% confidence interval from -9.6 to 16.2.

#### Barton County^{6,10}

- Rate : The incidence rate is 38.1 with a 95% confidence interval from 26.2 to 54.1 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.8 with a 95% confidence interval from -19.8 to 37.0.

#### Holt County^{6,10}

- Rate : The incidence rate is 37.8 with a 95% confidence interval from 21.5 to 65.2 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).

#### Cape Girardeau County^{6,10}

- Rate : The incidence rate is 37.6 with a 95% confidence interval from 32.1 to 43.9 and 34 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -19.2 to 25.2.

#### Warren County^{6,10}

- Rate : The incidence rate is 37.2 with a 95% confidence interval from 28.9 to 47.1 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.5 with a 95% confidence interval from -45.0 to 36.1.

#### Howard County^{6,10}

- Rate : The incidence rate is 36.8 with a 95% confidence interval from 23.2 to 56.0 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -36.6 to 56.7.

#### Clinton County^{6,10}

- Rate : The incidence rate is 36.6 with a 95% confidence interval from 26.7 to 49.2 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -35.3 to 40.3.

#### St. Charles County^{6,10}

- Rate : The incidence rate is 36.4 with a 95% confidence interval from 33.6 to 39.3 and 134 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.5 with a 95% confidence interval from -12.2 to 1.8.

#### Reynolds County^{6,10}

- Rate : The incidence rate is 36.0 with a 95% confidence interval from 21.6 to 58.5 and 4 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.2 with a 95% confidence interval from -37.6 to 35.0.

#### Christian County^{6,10}

- Rate : The incidence rate is 35.8 with a 95% confidence interval from 30.1 to 42.3 and 29 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -25.5 to 28.8.

#### Platte County^{6,10}

- Rate : The incidence rate is 35.3 with a 95% confidence interval from 30.0 to 41.4 and 33 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.0 with a 95% confidence interval from -23.5 to 15.7.

#### Chariton County^{6,10}

- Rate : The incidence rate is 35.2 with a 95% confidence interval from 22.0 to 55.2 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.4 with a 95% confidence interval from -41.8 to 44.2.

#### Taney County^{6,10}

- Rate : The incidence rate is 35.1 with a 95% confidence interval from 28.9 to 42.4 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 17.1 with a 95% confidence interval from -7.4 to 48.0.

#### Hickory County^{6,10}

- Rate : The incidence rate is 35.0 with a 95% confidence interval from 22.6 to 53.7 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -14.3 to 13.7.

#### Moniteau County^{6,10}

- Rate : The incidence rate is 34.8 with a 95% confidence interval from 23.7 to 49.5 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -19.7 with a 95% confidence interval from -50.7 to 30.6.

#### Oregon County^{6,10}

- Rate : The incidence rate is 34.7 with a 95% confidence interval from 22.4 to 52.1 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -33.5 to 52.6.

#### Stone County^{6,10}

- Rate : The incidence rate is 34.4 with a 95% confidence interval from 27.3 to 43.2 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 14.5 with a 95% confidence interval from -5.2 to 38.4.

#### Newton County^{6,10}

- Rate : The incidence rate is 33.5 with a 95% confidence interval from 27.7 to 40.2 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -19.6 to 20.0.

#### Nodaway County^{6,10}

- Rate : The incidence rate is 32.4 with a 95% confidence interval from 23.0 to 44.7 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.1 with a 95% confidence interval from -31.5 to 25.9.

#### St. Clair County^{6,10}

- Rate : The incidence rate is 29.9 with a 95% confidence interval from 19.6 to 45.5 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.6 with a 95% confidence interval from -24.2 to 10.3.

#### Maries County^{6,10}

- Rate : The incidence rate is 28.4 with a 95% confidence interval from 16.7 to 46.2 and 4 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.8 with a 95% confidence interval from -45.3 to 58.9.

**Atchison County**

^{6,10}- 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).

**Knox County**

^{6,10}- 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).

**Mercer County**

^{6,10}- 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).

**Putnam County**

^{6,10}**Worth County**

^{6,10}**Notes:**

Created by statecancerprofiles.cancer.gov on 10/25/2016 3:08 pm.

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*.

^{6}Source: State Cancer Registry and the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2015 data submission.

^{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.