Interpretation of Incidence Rates Data
Incidence Rate Report for New York by County
Lung & Bronchus (All Stages^), 2015-2019
All Races (includes Hispanic), Both Sexes, All Ages
Sorted by Rate
Explanation of Column HeadersObjective - The objective of *** is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.
Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.Recent Trends - This is an interpretation of the AAPC/APC:
- Rising when 95% confidence interval of AAPC/APC is above 0.
- Stable when 95% confidence interval of AAPC/APC includes 0.
- Falling when 95% confidence interval of AAPC/APC is below 0.
AAPC/APC (95% Confidence Interval) - the change in rate over time
- Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
- Annual Percent Change - APCs calculated in SEER*Stat.
Other Notes
- Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
- Data is currently being suppressed if there are fewer than 16 counts for the time period.
Line by Line Interpretation of the Report
New York7
- Rate : The incidence rate is 57.6 with a 95% confidence interval from 57.2 to 58.0 and 14,235 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -1.6 to -1.1.
US (SEER+NPCR)1
- Rate : The incidence rate is 56.3 with a 95% confidence interval from 56.2 to 56.4 and 223,216 average annual cases over 2015-2019.
- CI*Rank⋔ : N/A
- Recent Trend : The trend is falling
because the trend is -2.6 with a 95% confidence interval from -3.5 to -1.8.
Oswego County7
- Rate : The incidence rate is 100.8 with a 95% confidence interval from 93.6 to 108.5 and 154 average annual cases over 2015-2019.
- CI*Rank⋔ : 1 (1, 5)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -0.7 to 0.9.
Clinton County7
- Rate : The incidence rate is 97.7 with a 95% confidence interval from 89.3 to 106.7 and 104 average annual cases over 2015-2019.
- CI*Rank⋔ : 2 (1, 8)
- Recent Trend : The trend is stable
because the trend is 0.5 with a 95% confidence interval from -0.5 to 1.5.
Jefferson County7
- Rate : The incidence rate is 91.4 with a 95% confidence interval from 83.7 to 99.7 and 107 average annual cases over 2015-2019.
- CI*Rank⋔ : 3 (1, 13)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -0.8 to 0.8.
Orleans County7
- Rate : The incidence rate is 87.3 with a 95% confidence interval from 76.5 to 99.4 and 49 average annual cases over 2015-2019.
- CI*Rank⋔ : 4 (1, 30)
- Recent Trend : The trend is stable
because the trend is 1.4 with a 95% confidence interval from 0.0 to 2.8.
Cortland County7
- Rate : The incidence rate is 86.9 with a 95% confidence interval from 76.5 to 98.5 and 52 average annual cases over 2015-2019.
- CI*Rank⋔ : 5 (1, 30)
- Recent Trend : The trend is stable
because the trend is 0.6 with a 95% confidence interval from -0.7 to 2.0.
Montgomery County7
- Rate : The incidence rate is 84.6 with a 95% confidence interval from 75.0 to 95.2 and 59 average annual cases over 2015-2019.
- CI*Rank⋔ : 6 (1, 34)
- Recent Trend : The trend is stable
because the trend is 0.8 with a 95% confidence interval from -0.4 to 2.1.
Franklin County7
- Rate : The incidence rate is 83.1 with a 95% confidence interval from 73.4 to 93.9 and 55 average annual cases over 2015-2019.
- CI*Rank⋔ : 7 (2, 37)
- Recent Trend : The trend is stable
because the trend is -0.3 with a 95% confidence interval from -1.3 to 0.8.
Rensselaer County7
- Rate : The incidence rate is 82.2 with a 95% confidence interval from 76.7 to 88.1 and 172 average annual cases over 2015-2019.
- CI*Rank⋔ : 8 (3, 23)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.2.
Cayuga County7
- Rate : The incidence rate is 81.2 with a 95% confidence interval from 73.7 to 89.3 and 91 average annual cases over 2015-2019.
- CI*Rank⋔ : 9 (3, 34)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -0.7 to 1.2.
Fulton County7
- Rate : The incidence rate is 80.7 with a 95% confidence interval from 71.9 to 90.5 and 64 average annual cases over 2015-2019.
- CI*Rank⋔ : 10 (2, 40)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.6.
Greene County7
- Rate : The incidence rate is 79.6 with a 95% confidence interval from 70.8 to 89.4 and 62 average annual cases over 2015-2019.
- CI*Rank⋔ : 11 (3, 42)
- Recent Trend : The trend is stable
because the trend is 0.1 with a 95% confidence interval from -1.1 to 1.3.
Washington County7
- Rate : The incidence rate is 77.7 with a 95% confidence interval from 69.7 to 86.6 and 71 average annual cases over 2015-2019.
- CI*Rank⋔ : 12 (3, 44)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.2.
Schuyler County7
- Rate : The incidence rate is 77.1 with a 95% confidence interval from 63.1 to 93.8 and 22 average annual cases over 2015-2019.
- CI*Rank⋔ : 13 (1, 54)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -1.6 to 2.1.
Niagara County7
- Rate : The incidence rate is 76.7 with a 95% confidence interval from 72.2 to 81.3 and 234 average annual cases over 2015-2019.
- CI*Rank⋔ : 14 (7, 32)
- Recent Trend : The trend is falling
because the trend is -0.9 with a 95% confidence interval from -1.7 to -0.1.
Chemung County7
- Rate : The incidence rate is 76.4 with a 95% confidence interval from 69.5 to 84.0 and 93 average annual cases over 2015-2019.
- CI*Rank⋔ : 15 (4, 42)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.1.
Genesee County7
- Rate : The incidence rate is 75.1 with a 95% confidence interval from 66.8 to 84.2 and 63 average annual cases over 2015-2019.
- CI*Rank⋔ : 16 (4, 49)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.4.
Seneca County7
- Rate : The incidence rate is 74.9 with a 95% confidence interval from 64.1 to 87.1 and 36 average annual cases over 2015-2019.
- CI*Rank⋔ : 17 (3, 53)
- Recent Trend : The trend is stable
because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.4.
Warren County7
- Rate : The incidence rate is 74.8 with a 95% confidence interval from 67.4 to 82.8 and 79 average annual cases over 2015-2019.
- CI*Rank⋔ : 18 (4, 47)
- Recent Trend : The trend is stable
because the trend is -7.1 with a 95% confidence interval from -16.2 to 2.9.
Hamilton County7
- Rate : The incidence rate is 74.7 with a 95% confidence interval from 50.8 to 112.0 and 7 average annual cases over 2015-2019.
- CI*Rank⋔ : 19 (1, 62)
- Recent Trend : The trend is stable
because the trend is -2.3 with a 95% confidence interval from -5.3 to 0.9.
Onondaga County7
- Rate : The incidence rate is 74.1 with a 95% confidence interval from 71.0 to 77.3 and 449 average annual cases over 2015-2019.
- CI*Rank⋔ : 20 (10, 35)
- Recent Trend : The trend is falling
because the trend is -0.8 with a 95% confidence interval from -1.1 to -0.5.
Chenango County7
- Rate : The incidence rate is 73.4 with a 95% confidence interval from 64.6 to 83.2 and 54 average annual cases over 2015-2019.
- CI*Rank⋔ : 21 (4, 52)
- Recent Trend : The trend is stable
because the trend is 0.3 with a 95% confidence interval from -1.1 to 1.7.
Wayne County7
- Rate : The incidence rate is 73.1 with a 95% confidence interval from 66.5 to 80.3 and 95 average annual cases over 2015-2019.
- CI*Rank⋔ : 22 (7, 47)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.2 to 0.8.
St. Lawrence County7
- Rate : The incidence rate is 72.8 with a 95% confidence interval from 66.6 to 79.4 and 106 average annual cases over 2015-2019.
- CI*Rank⋔ : 23 (8, 47)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.4 to -0.8.
Chautauqua County7
- Rate : The incidence rate is 72.8 with a 95% confidence interval from 67.2 to 78.7 and 137 average annual cases over 2015-2019.
- CI*Rank⋔ : 24 (9, 46)
- Recent Trend : The trend is stable
because the trend is 0.2 with a 95% confidence interval from -0.6 to 0.9.
Schenectady County7
- Rate : The incidence rate is 72.5 with a 95% confidence interval from 67.3 to 78.1 and 149 average annual cases over 2015-2019.
- CI*Rank⋔ : 25 (8, 45)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.5.
Allegany County7
- Rate : The incidence rate is 72.3 with a 95% confidence interval from 63.2 to 82.4 and 48 average annual cases over 2015-2019.
- CI*Rank⋔ : 26 (5, 53)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -1.8 to 0.5.
Herkimer County7
- Rate : The incidence rate is 72.2 with a 95% confidence interval from 64.5 to 80.7 and 67 average annual cases over 2015-2019.
- CI*Rank⋔ : 27 (6, 51)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.6.
Essex County7
- Rate : The incidence rate is 71.9 with a 95% confidence interval from 62.7 to 82.4 and 46 average annual cases over 2015-2019.
- CI*Rank⋔ : 28 (5, 54)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.1.
Albany County7
- Rate : The incidence rate is 71.8 with a 95% confidence interval from 68.0 to 75.7 and 282 average annual cases over 2015-2019.
- CI*Rank⋔ : 29 (13, 42)
- Recent Trend : The trend is stable
because the trend is -0.6 with a 95% confidence interval from -1.1 to 0.0.
Oneida County7
- Rate : The incidence rate is 71.7 with a 95% confidence interval from 67.5 to 76.1 and 229 average annual cases over 2015-2019.
- CI*Rank⋔ : 30 (12, 43)
- Recent Trend : The trend is falling
because the trend is -1.8 with a 95% confidence interval from -3.0 to -0.6.
Cattaraugus County7
- Rate : The incidence rate is 70.4 with a 95% confidence interval from 63.5 to 77.9 and 80 average annual cases over 2015-2019.
- CI*Rank⋔ : 31 (9, 52)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.4.
Saratoga County7
- Rate : The incidence rate is 70.2 with a 95% confidence interval from 66.1 to 74.6 and 220 average annual cases over 2015-2019.
- CI*Rank⋔ : 32 (14, 46)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.1.
Erie County7
- Rate : The incidence rate is 70.1 with a 95% confidence interval from 68.0 to 72.3 and 886 average annual cases over 2015-2019.
- CI*Rank⋔ : 33 (20, 41)
- Recent Trend : The trend is falling
because the trend is -1.9 with a 95% confidence interval from -3.5 to -0.3.
Steuben County7
- Rate : The incidence rate is 69.6 with a 95% confidence interval from 63.5 to 76.2 and 100 average annual cases over 2015-2019.
- CI*Rank⋔ : 34 (11, 52)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.9 to -0.2.
Livingston County7
- Rate : The incidence rate is 69.5 with a 95% confidence interval from 61.7 to 78.1 and 61 average annual cases over 2015-2019.
- CI*Rank⋔ : 35 (8, 54)
- Recent Trend : The trend is stable
because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.6.
Yates County7
- Rate : The incidence rate is 69.3 with a 95% confidence interval from 57.6 to 82.9 and 26 average annual cases over 2015-2019.
- CI*Rank⋔ : 36 (4, 56)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.0.
Madison County7
- Rate : The incidence rate is 68.5 with a 95% confidence interval from 61.3 to 76.4 and 69 average annual cases over 2015-2019.
- CI*Rank⋔ : 37 (11, 53)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -2.5 to -0.1.
Columbia County7
- Rate : The incidence rate is 67.5 with a 95% confidence interval from 60.3 to 75.5 and 69 average annual cases over 2015-2019.
- CI*Rank⋔ : 38 (11, 54)
- Recent Trend : The trend is stable
because the trend is -0.4 with a 95% confidence interval from -1.5 to 0.6.
Ontario County7
- Rate : The incidence rate is 67.2 with a 95% confidence interval from 61.5 to 73.3 and 109 average annual cases over 2015-2019.
- CI*Rank⋔ : 39 (15, 53)
- Recent Trend : The trend is stable
because the trend is -0.8 with a 95% confidence interval from -1.9 to 0.3.
Wyoming County7
- Rate : The incidence rate is 66.7 with a 95% confidence interval from 57.3 to 77.4 and 37 average annual cases over 2015-2019.
- CI*Rank⋔ : 40 (7, 56)
- Recent Trend : The trend is stable
because the trend is -0.2 with a 95% confidence interval from -1.3 to 1.0.
Putnam County7
- Rate : The incidence rate is 66.6 with a 95% confidence interval from 60.5 to 73.4 and 89 average annual cases over 2015-2019.
- CI*Rank⋔ : 41 (15, 54)
- Recent Trend : The trend is falling
because the trend is -1.9 with a 95% confidence interval from -2.9 to -0.9.
Richmond County7
- Rate : The incidence rate is 65.7 with a 95% confidence interval from 62.7 to 68.7 and 388 average annual cases over 2015-2019.
- CI*Rank⋔ : 42 (29, 51)
- Recent Trend : The trend is falling
because the trend is -0.7 with a 95% confidence interval from -1.1 to -0.2.
Suffolk County7
- Rate : The incidence rate is 65.0 with a 95% confidence interval from 63.4 to 66.7 and 1,264 average annual cases over 2015-2019.
- CI*Rank⋔ : 43 (34, 50)
- Recent Trend : The trend is stable
because the trend is -3.8 with a 95% confidence interval from -9.5 to 2.4.
Delaware County7
- Rate : The incidence rate is 65.0 with a 95% confidence interval from 56.8 to 74.3 and 50 average annual cases over 2015-2019.
- CI*Rank⋔ : 44 (12, 56)
- Recent Trend : The trend is stable
because the trend is -1.0 with a 95% confidence interval from -2.2 to 0.3.
Sullivan County7
- Rate : The incidence rate is 65.0 with a 95% confidence interval from 58.2 to 72.4 and 70 average annual cases over 2015-2019.
- CI*Rank⋔ : 45 (17, 55)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.8 to -0.6.
Ulster County7
- Rate : The incidence rate is 64.6 with a 95% confidence interval from 60.3 to 69.2 and 174 average annual cases over 2015-2019.
- CI*Rank⋔ : 46 (26, 54)
- Recent Trend : The trend is falling
because the trend is -1.0 with a 95% confidence interval from -1.7 to -0.3.
Broome County7
- Rate : The incidence rate is 64.3 with a 95% confidence interval from 60.0 to 68.9 and 175 average annual cases over 2015-2019.
- CI*Rank⋔ : 47 (27, 54)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -2.0 to -0.3.
Monroe County7
- Rate : The incidence rate is 63.1 with a 95% confidence interval from 60.8 to 65.4 and 616 average annual cases over 2015-2019.
- CI*Rank⋔ : 48 (37, 53)
- Recent Trend : The trend is stable
because the trend is 0.3 with a 95% confidence interval from -1.3 to 1.8.
Schoharie County7
- Rate : The incidence rate is 62.4 with a 95% confidence interval from 52.6 to 73.9 and 31 average annual cases over 2015-2019.
- CI*Rank⋔ : 49 (12, 58)
- Recent Trend : The trend is falling
because the trend is -2.2 with a 95% confidence interval from -3.7 to -0.8.
Tioga County7
- Rate : The incidence rate is 62.0 with a 95% confidence interval from 54.1 to 71.0 and 46 average annual cases over 2015-2019.
- CI*Rank⋔ : 50 (18, 57)
- Recent Trend : The trend is stable
because the trend is -0.5 with a 95% confidence interval from -1.8 to 0.7.
Orange County7
- Rate : The incidence rate is 61.4 with a 95% confidence interval from 58.0 to 64.9 and 256 average annual cases over 2015-2019.
- CI*Rank⋔ : 51 (37, 54)
- Recent Trend : The trend is falling
because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.5.
Dutchess County7
- Rate : The incidence rate is 60.5 with a 95% confidence interval from 57.1 to 64.1 and 244 average annual cases over 2015-2019.
- CI*Rank⋔ : 52 (40, 55)
- Recent Trend : The trend is falling
because the trend is -1.6 with a 95% confidence interval from -2.2 to -1.0.
Otsego County7
- Rate : The incidence rate is 58.6 with a 95% confidence interval from 51.6 to 66.4 and 54 average annual cases over 2015-2019.
- CI*Rank⋔ : 53 (31, 57)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -2.4 to -0.1.
Lewis County7
- Rate : The incidence rate is 57.4 with a 95% confidence interval from 46.8 to 70.0 and 21 average annual cases over 2015-2019.
- CI*Rank⋔ : 54 (17, 62)
- Recent Trend : The trend is stable
because the trend is 0.0 with a 95% confidence interval from -1.7 to 1.8.
Tompkins County7
- Rate : The incidence rate is 53.7 with a 95% confidence interval from 47.6 to 60.4 and 60 average annual cases over 2015-2019.
- CI*Rank⋔ : 55 (46, 61)
- Recent Trend : The trend is falling
because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.3.
Nassau County7
- Rate : The incidence rate is 52.9 with a 95% confidence interval from 51.3 to 54.4 and 974 average annual cases over 2015-2019.
- CI*Rank⋔ : 56 (53, 57)
- Recent Trend : The trend is falling
because the trend is -1.4 with a 95% confidence interval from -1.7 to -1.0.
Rockland County7
- Rate : The incidence rate is 49.1 with a 95% confidence interval from 46.0 to 52.3 and 192 average annual cases over 2015-2019.
- CI*Rank⋔ : 57 (54, 61)
- Recent Trend : The trend is falling
because the trend is -1.5 with a 95% confidence interval from -2.2 to -0.7.
Westchester County7
- Rate : The incidence rate is 46.6 with a 95% confidence interval from 44.9 to 48.3 and 597 average annual cases over 2015-2019.
- CI*Rank⋔ : 58 (56, 62)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.0 to -1.3.
Bronx County7
- Rate : The incidence rate is 45.2 with a 95% confidence interval from 43.7 to 46.8 and 667 average annual cases over 2015-2019.
- CI*Rank⋔ : 59 (57, 62)
- Recent Trend : The trend is falling
because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.9.
New York County7
- Rate : The incidence rate is 44.7 with a 95% confidence interval from 43.4 to 46.1 and 907 average annual cases over 2015-2019.
- CI*Rank⋔ : 60 (57, 62)
- Recent Trend : The trend is falling
because the trend is -1.7 with a 95% confidence interval from -2.0 to -1.5.
Kings County7
- Rate : The incidence rate is 44.7 with a 95% confidence interval from 43.6 to 45.8 and 1,247 average annual cases over 2015-2019.
- CI*Rank⋔ : 61 (57, 62)
- Recent Trend : The trend is falling
because the trend is -2.1 with a 95% confidence interval from -3.1 to -1.1.
Queens County7
- Rate : The incidence rate is 43.8 with a 95% confidence interval from 42.7 to 44.9 and 1,220 average annual cases over 2015-2019.
- CI*Rank⋔ : 62 (59, 62)
- Recent Trend : The trend is stable
because the trend is 0.6 with a 95% confidence interval from -1.2 to 2.4.
Notes:
Created by statecancerprofiles.cancer.gov on 05/31/2023 7:54 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.
7 Source: SEER November 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.