## Interpretation of Incidence Rates Data

### Incidence Rate Report for Texas by County

All Cancer Sites, 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**

#### Texas^{6,10}

- Rate : The incidence rate is 410.2 with a 95% confidence interval from 409.1 to 411.4 and 98,754 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.2 to -1.7.

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

- Rate : The incidence rate is 448.4 with a 95% confidence interval from 448.1 to 448.7 and 1,540,559 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.6 to -1.2.

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

- Rate : The incidence rate is 546.0 with a 95% confidence interval from 459.9 to 642.8 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 17.0 with a 95% confidence interval from -0.9 to 38.0.

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

- Rate : The incidence rate is 511.9 with a 95% confidence interval from 486.9 to 537.9 and 336 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -7.0 to 5.4.

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

- Rate : The incidence rate is 508.9 with a 95% confidence interval from 471.3 to 548.9 and 138 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -10.1 to 4.2.

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

- Rate : The incidence rate is 479.2 with a 95% confidence interval from 419.4 to 546.0 and 50 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -15.4 to 10.2.

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

- Rate : The incidence rate is 475.7 with a 95% confidence interval from 456.2 to 495.8 and 459 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -11.1 to 2.6.

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

- Rate : The incidence rate is 473.6 with a 95% confidence interval from 453.9 to 494.0 and 449 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -6.6 with a 95% confidence interval from -9.8 to -3.2.

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

- Rate : The incidence rate is 472.3 with a 95% confidence interval from 431.3 to 516.7 and 110 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.6 with a 95% confidence interval from -13.3 to 5.1.

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

- Rate : The incidence rate is 467.9 with a 95% confidence interval from 455.9 to 480.1 and 1,203 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.8 to -0.6.

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

- Rate : The incidence rate is 467.3 with a 95% confidence interval from 424.2 to 513.6 and 88 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.7 with a 95% confidence interval from -14.6 to 8.6.

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

- Rate : The incidence rate is 467.1 with a 95% confidence interval from 420.3 to 517.9 and 76 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -9.0 to 7.8.

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

- Rate : The incidence rate is 465.1 with a 95% confidence interval from 446.0 to 484.9 and 462 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.2 with a 95% confidence interval from -14.0 to 0.2.

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

- Rate : The incidence rate is 462.7 with a 95% confidence interval from 445.1 to 480.7 and 537 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -3.5 to 3.9.

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

- Rate : The incidence rate is 462.6 with a 95% confidence interval from 438.6 to 487.6 and 291 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -6.2 to 10.9.

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

- Rate : The incidence rate is 460.9 with a 95% confidence interval from 445.3 to 477.0 and 686 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -5.9 to 7.4.

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

- Rate : The incidence rate is 460.2 with a 95% confidence interval from 441.8 to 479.1 and 508 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.9 to 2.4.

#### Palo Pinto County^{6,10}

- Rate : The incidence rate is 458.5 with a 95% confidence interval from 426.6 to 492.4 and 162 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.5 with a 95% confidence interval from -16.2 to 2.1.

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

- Rate : The incidence rate is 458.2 with a 95% confidence interval from 349.3 to 594.4 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 10.2 with a 95% confidence interval from -1.8 to 23.7.

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

- Rate : The incidence rate is 454.4 with a 95% confidence interval from 309.2 to 655.0 and 7 average annual cases over 2009-2013.
- Recent Trend : * Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

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

- Rate : The incidence rate is 452.4 with a 95% confidence interval from 429.0 to 476.7 and 294 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.0 to 1.9.

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

- Rate : The incidence rate is 450.5 with a 95% confidence interval from 434.3 to 467.1 and 598 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.9 with a 95% confidence interval from -1.9 to 8.0.

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

- Rate : The incidence rate is 450.4 with a 95% confidence interval from 371.8 to 543.0 and 27 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.7 with a 95% confidence interval from -29.3 to 58.1.

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

- Rate : The incidence rate is 449.9 with a 95% confidence interval from 433.3 to 467.0 and 590 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.6 with a 95% confidence interval from -7.7 to 0.7.

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

- Rate : The incidence rate is 446.9 with a 95% confidence interval from 400.0 to 498.1 and 69 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -11.1 to 13.2.

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

- Rate : The incidence rate is 446.3 with a 95% confidence interval from 427.6 to 465.6 and 454 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -4.0 to 6.4.

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

- Rate : The incidence rate is 445.4 with a 95% confidence interval from 430.4 to 460.9 and 693 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -1.8 to 3.4.

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

- Rate : The incidence rate is 445.2 with a 95% confidence interval from 421.5 to 469.9 and 274 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.8 with a 95% confidence interval from -14.8 to 1.9.

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

- Rate : The incidence rate is 444.4 with a 95% confidence interval from 407.3 to 484.1 and 111 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 12.0 with a 95% confidence interval from 0.5 to 24.8.

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

- Rate : The incidence rate is 444.2 with a 95% confidence interval from 410.2 to 480.5 and 131 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -13.3 to 13.5.

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

- Rate : The incidence rate is 444.0 with a 95% confidence interval from 380.3 to 515.6 and 38 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -21.8 to 26.2.

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

- Rate : The incidence rate is 443.6 with a 95% confidence interval from 408.1 to 481.7 and 128 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.5 with a 95% confidence interval from -3.4 to 19.7.

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

- Rate : The incidence rate is 443.0 with a 95% confidence interval from 392.0 to 499.3 and 57 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.7 with a 95% confidence interval from -27.3 to 7.2.

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

- Rate : The incidence rate is 442.2 with a 95% confidence interval from 412.6 to 473.3 and 170 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -11.2 to 8.6.

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

- Rate : The incidence rate is 442.1 with a 95% confidence interval from 414.4 to 471.2 and 200 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -8.4 to 6.0.

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

- Rate : The incidence rate is 441.0 with a 95% confidence interval from 376.2 to 514.0 and 34 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.6 with a 95% confidence interval from -18.0 to 6.5.

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

- Rate : The incidence rate is 440.8 with a 95% confidence interval from 393.1 to 492.7 and 64 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.3 with a 95% confidence interval from -12.1 to 4.3.

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

- Rate : The incidence rate is 438.3 with a 95% confidence interval from 413.1 to 464.5 and 244 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.9 with a 95% confidence interval from -8.1 to 0.5.

#### San Patricio County^{6,10}

- Rate : The incidence rate is 437.0 with a 95% confidence interval from 415.0 to 459.9 and 304 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 5.5.

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

- Rate : The incidence rate is 436.9 with a 95% confidence interval from 405.1 to 470.8 and 146 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -9.9 to 13.7.

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

- Rate : The incidence rate is 436.7 with a 95% confidence interval from 400.1 to 475.7 and 110 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -16.9 to 13.8.

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

- Rate : The incidence rate is 436.5 with a 95% confidence interval from 357.0 to 531.6 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.9 with a 95% confidence interval from -13.1 to 29.2.

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

- Rate : The incidence rate is 435.7 with a 95% confidence interval from 431.0 to 440.4 and 7,059 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.8 to -1.6.

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

- Rate : The incidence rate is 435.5 with a 95% confidence interval from 394.3 to 480.2 and 89 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -10.0 to 8.3.

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

- Rate : The incidence rate is 434.0 with a 95% confidence interval from 422.1 to 446.1 and 1,041 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -8.1 to 6.6.

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

- Rate : The incidence rate is 433.9 with a 95% confidence interval from 418.3 to 449.9 and 626 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -8.0 to 5.8.

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

- Rate : The incidence rate is 433.4 with a 95% confidence interval from 422.2 to 444.8 and 1,172 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -5.2 with a 95% confidence interval from -9.1 to -1.1.

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

- Rate : The incidence rate is 432.5 with a 95% confidence interval from 395.6 to 472.2 and 108 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -4.5 to 6.6.

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

- Rate : The incidence rate is 432.3 with a 95% confidence interval from 396.8 to 470.3 and 119 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.0 with a 95% confidence interval from -8.7 to 16.1.

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

- Rate : The incidence rate is 431.6 with a 95% confidence interval from 383.9 to 483.7 and 61 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -5.8 with a 95% confidence interval from -9.6 to -1.9.

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

- Rate : The incidence rate is 431.5 with a 95% confidence interval from 385.7 to 481.9 and 72 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.3 with a 95% confidence interval from -17.9 to 6.9.

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

- Rate : The incidence rate is 430.7 with a 95% confidence interval from 385.9 to 480.3 and 82 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 17.8 with a 95% confidence interval from 8.5 to 28.0.

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

- Rate : The incidence rate is 430.5 with a 95% confidence interval from 374.4 to 493.6 and 46 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.6 with a 95% confidence interval from -13.0 to 0.3.

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

- Rate : The incidence rate is 429.3 with a 95% confidence interval from 412.9 to 446.1 and 536 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.6 with a 95% confidence interval from -13.1 to 4.7.

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

- Rate : The incidence rate is 428.9 with a 95% confidence interval from 405.4 to 453.5 and 257 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.6 with a 95% confidence interval from -16.7 to 9.4.

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

- Rate : The incidence rate is 428.7 with a 95% confidence interval from 425.5 to 431.9 and 14,853 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -4.4 to -0.1.

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

- Rate : The incidence rate is 428.4 with a 95% confidence interval from 409.9 to 447.5 and 415 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -6.9 to 2.7.

#### San Jacinto County^{6,10}

- Rate : The incidence rate is 428.2 with a 95% confidence interval from 396.8 to 461.5 and 153 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -21.3 to 17.0.

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

- Rate : The incidence rate is 428.1 with a 95% confidence interval from 386.6 to 473.0 and 81 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.1 with a 95% confidence interval from -15.8 to 4.7.

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

- Rate : The incidence rate is 428.1 with a 95% confidence interval from 417.6 to 438.8 and 1,330 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.3 to -1.4.

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

- Rate : The incidence rate is 427.9 with a 95% confidence interval from 406.7 to 450.1 and 341 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -6.8 to 1.3.

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

- Rate : The incidence rate is 427.5 with a 95% confidence interval from 391.6 to 466.2 and 113 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.8 with a 95% confidence interval from -12.1 to 7.6.

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

- Rate : The incidence rate is 427.5 with a 95% confidence interval from 401.4 to 455.0 and 206 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -5.2 to 2.3.

#### Tom Green County^{6,10}

- Rate : The incidence rate is 427.1 with a 95% confidence interval from 410.6 to 444.1 and 523 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -11.4 to 1.4.

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

- Rate : The incidence rate is 426.3 with a 95% confidence interval from 422.2 to 430.4 and 8,808 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.1 to -0.8.

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

- Rate : The incidence rate is 424.6 with a 95% confidence interval from 390.1 to 461.7 and 118 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.0 with a 95% confidence interval from -16.4 to 8.0.

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

- Rate : The incidence rate is 424.4 with a 95% confidence interval from 343.2 to 521.2 and 21 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -28.6 to 35.4.

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

- Rate : The incidence rate is 424.3 with a 95% confidence interval from 392.4 to 458.1 and 143 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -14.3 to 11.5.

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

- Rate : The incidence rate is 423.9 with a 95% confidence interval from 397.1 to 452.2 and 199 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -18.5 to 12.2.

#### Deaf Smith County^{6,10}

- Rate : The incidence rate is 423.7 with a 95% confidence interval from 382.0 to 468.7 and 77 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -13.5 to 10.6.

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

- Rate : The incidence rate is 423.5 with a 95% confidence interval from 357.5 to 499.1 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 12.2 with a 95% confidence interval from 1.7 to 23.8.

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

- Rate : The incidence rate is 423.2 with a 95% confidence interval from 400.4 to 447.0 and 266 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -10.5 to 5.2.

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

- Rate : The incidence rate is 422.9 with a 95% confidence interval from 411.3 to 434.8 and 1,032 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -6.3 to 1.5.

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

- Rate : The incidence rate is 422.8 with a 95% confidence interval from 398.8 to 447.9 and 239 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -12.0 to 6.7.

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

- Rate : The incidence rate is 422.8 with a 95% confidence interval from 399.6 to 447.1 and 292 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -7.5 to 10.4.

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

- Rate : The incidence rate is 422.6 with a 95% confidence interval from 405.2 to 440.7 and 455 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -3.1 to 1.8.

#### Van Zandt County^{6,10}

- Rate : The incidence rate is 422.6 with a 95% confidence interval from 401.0 to 445.1 and 304 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -3.8 to 8.7.

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

- Rate : The incidence rate is 422.3 with a 95% confidence interval from 391.7 to 455.0 and 167 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -10.6 to 8.3.

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

- Rate : The incidence rate is 421.6 with a 95% confidence interval from 413.0 to 430.3 and 1,952 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -4.7 with a 95% confidence interval from -5.4 to -3.9.

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

- Rate : The incidence rate is 420.5 with a 95% confidence interval from 344.8 to 509.0 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -14.7 to 16.1.

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

- Rate : The incidence rate is 420.4 with a 95% confidence interval from 409.2 to 431.8 and 1,106 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -6.4 to 5.6.

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

- Rate : The incidence rate is 420.1 with a 95% confidence interval from 377.4 to 466.6 and 76 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -10.4 to 6.1.

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

- Rate : The incidence rate is 419.5 with a 95% confidence interval from 372.1 to 471.6 and 61 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -16.0 to 18.1.

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

- Rate : The incidence rate is 419.3 with a 95% confidence interval from 333.1 to 520.9 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -26.8 to 42.4.

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

- Rate : The incidence rate is 419.3 with a 95% confidence interval from 398.4 to 441.0 and 314 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -10.5 to 1.5.

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

- Rate : The incidence rate is 418.8 with a 95% confidence interval from 408.1 to 429.7 and 1,230 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.0 to -1.5.

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

- Rate : The incidence rate is 417.1 with a 95% confidence interval from 374.3 to 463.7 and 70 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -13.4 to 10.4.

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

- Rate : The incidence rate is 415.7 with a 95% confidence interval from 407.4 to 424.1 and 2,213 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -6.0 to -0.7.

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

- Rate : The incidence rate is 414.8 with a 95% confidence interval from 399.0 to 431.1 and 537 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.3 with a 95% confidence interval from -8.1 to 1.7.

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

- Rate : The incidence rate is 414.6 with a 95% confidence interval from 349.5 to 488.2 and 30 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.6 with a 95% confidence interval from -20.9 to 15.2.

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

- Rate : The incidence rate is 414.4 with a 95% confidence interval from 377.7 to 454.1 and 104 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -12.0 to 17.0.

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

- Rate : The incidence rate is 414.3 with a 95% confidence interval from 323.1 to 524.1 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -14.0 with a 95% confidence interval from -27.5 to 2.0.

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

- Rate : The incidence rate is 414.2 with a 95% confidence interval from 399.0 to 429.9 and 574 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -6.3 to 3.6.

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

- Rate : The incidence rate is 413.5 with a 95% confidence interval from 398.3 to 429.2 and 570 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -6.6 to 1.7.

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

- Rate : The incidence rate is 413.3 with a 95% confidence interval from 380.8 to 447.9 and 122 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -12.6 to 11.3.

#### Red River County^{6,10}

- Rate : The incidence rate is 413.2 with a 95% confidence interval from 372.1 to 458.2 and 81 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -14.8 to 11.1.

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

- Rate : The incidence rate is 412.8 with a 95% confidence interval from 386.1 to 441.0 and 185 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -7.4 to 6.4.

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

- Rate : The incidence rate is 412.7 with a 95% confidence interval from 365.9 to 464.4 and 61 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.7 with a 95% confidence interval from -20.3 to 4.5.

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

- Rate : The incidence rate is 412.7 with a 95% confidence interval from 361.6 to 469.8 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -6.5 to 1.5.

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

- Rate : The incidence rate is 412.3 with a 95% confidence interval from 367.6 to 461.8 and 69 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -16.7 to 17.3.

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

- Rate : The incidence rate is 412.2 with a 95% confidence interval from 337.5 to 500.2 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -10.4 to 4.2.

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

- Rate : The incidence rate is 411.0 with a 95% confidence interval from 355.9 to 472.5 and 41 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.8 with a 95% confidence interval from -32.0 to 14.4.

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

- Rate : The incidence rate is 410.7 with a 95% confidence interval from 385.1 to 437.6 and 203 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -4.9 with a 95% confidence interval from -9.3 to -0.2.

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

- Rate : The incidence rate is 410.5 with a 95% confidence interval from 375.8 to 447.6 and 107 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -10.5 to 11.3.

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

- Rate : The incidence rate is 410.0 with a 95% confidence interval from 389.3 to 431.4 and 314 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -6.5 with a 95% confidence interval from -8.4 to -4.6.

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

- Rate : The incidence rate is 409.2 with a 95% confidence interval from 394.1 to 424.8 and 566 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -5.9 to 7.6.

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

- Rate : The incidence rate is 409.2 with a 95% confidence interval from 389.0 to 430.3 and 323 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.8 to 3.4.

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

- Rate : The incidence rate is 409.1 with a 95% confidence interval from 385.9 to 433.5 and 250 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -6.0 with a 95% confidence interval from -11.4 to -0.3.

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

- Rate : The incidence rate is 408.7 with a 95% confidence interval from 393.5 to 424.4 and 582 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -5.6 to 2.8.

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

- Rate : The incidence rate is 408.7 with a 95% confidence interval from 382.9 to 435.8 and 196 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.7 with a 95% confidence interval from -9.5 to 0.5.

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

- Rate : The incidence rate is 408.4 with a 95% confidence interval from 351.8 to 471.4 and 38 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.4 with a 95% confidence interval from -28.4 to 14.7.

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

- Rate : The incidence rate is 407.3 with a 95% confidence interval from 369.4 to 448.3 and 89 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -5.1 to -0.2.

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

- Rate : The incidence rate is 407.3 with a 95% confidence interval from 382.0 to 433.9 and 203 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -10.6 to 8.4.

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

- Rate : The incidence rate is 407.2 with a 95% confidence interval from 391.7 to 423.1 and 544 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -5.1 with a 95% confidence interval from -7.4 to -2.7.

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

- Rate : The incidence rate is 406.7 with a 95% confidence interval from 379.8 to 435.0 and 178 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -9.5 to 8.7.

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

- Rate : The incidence rate is 406.7 with a 95% confidence interval from 380.2 to 434.6 and 189 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -7.9 with a 95% confidence interval from -11.3 to -4.4.

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

- Rate : The incidence rate is 406.3 with a 95% confidence interval from 332.8 to 493.7 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -25.3 to 30.8.

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

- Rate : The incidence rate is 404.2 with a 95% confidence interval from 340.8 to 477.3 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -15.8 to 21.2.

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

- Rate : The incidence rate is 404.2 with a 95% confidence interval from 358.0 to 455.2 and 60 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.1 with a 95% confidence interval from -20.4 to 8.3.

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

- Rate : The incidence rate is 402.4 with a 95% confidence interval from 382.4 to 423.2 and 324 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.3 with a 95% confidence interval from -13.5 to 5.8.

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

- Rate : The incidence rate is 402.2 with a 95% confidence interval from 369.6 to 437.1 and 118 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -11.6 to 6.7.

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

- Rate : The incidence rate is 401.6 with a 95% confidence interval from 303.1 to 530.2 and 12 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -7.1 to 5.9.

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

- Rate : The incidence rate is 401.3 with a 95% confidence interval from 332.9 to 480.1 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -12.3 with a 95% confidence interval from -18.0 to -6.2.

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

- Rate : The incidence rate is 400.6 with a 95% confidence interval from 393.5 to 407.8 and 2,716 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.5 with a 95% confidence interval from -6.9 to -0.1.

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

- Rate : The incidence rate is 400.6 with a 95% confidence interval from 364.7 to 439.3 and 96 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.8 with a 95% confidence interval from -9.5 to 6.5.

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

- Rate : The incidence rate is 400.2 with a 95% confidence interval from 368.7 to 433.8 and 122 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -4.7 to 7.6.

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

- Rate : The incidence rate is 399.6 with a 95% confidence interval from 350.6 to 453.7 and 49 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.7 with a 95% confidence interval from -21.6 to 4.1.

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

- Rate : The incidence rate is 398.8 with a 95% confidence interval from 358.7 to 442.6 and 76 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.0 with a 95% confidence interval from -6.9 to 16.1.

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

- Rate : The incidence rate is 398.7 with a 95% confidence interval from 369.4 to 429.8 and 145 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -13.9 to 8.2.

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

- Rate : The incidence rate is 398.3 with a 95% confidence interval from 353.1 to 447.5 and 58 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.0 with a 95% confidence interval from -12.1 to 23.1.

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

- Rate : The incidence rate is 396.8 with a 95% confidence interval from 375.0 to 419.6 and 254 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.0 with a 95% confidence interval from -8.2 to 17.9.

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

- Rate : The incidence rate is 395.8 with a 95% confidence interval from 369.3 to 423.8 and 181 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -8.5 to 5.7.

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

- Rate : The incidence rate is 394.8 with a 95% confidence interval from 368.3 to 422.7 and 171 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -4.5 to 8.0.

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

- Rate : The incidence rate is 394.4 with a 95% confidence interval from 333.3 to 463.2 and 30 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.4 with a 95% confidence interval from -35.3 to 71.7.

#### Jim Hogg County^{6,10}

- Rate : The incidence rate is 393.9 with a 95% confidence interval from 322.8 to 476.1 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -33.7 to 42.8.

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

- Rate : The incidence rate is 393.2 with a 95% confidence interval from 304.9 to 499.5 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -13.1 to 16.2.

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

- Rate : The incidence rate is 393.1 with a 95% confidence interval from 378.0 to 408.5 and 536 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -4.7 to 7.3.

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

- Rate : The incidence rate is 393.0 with a 95% confidence interval from 372.7 to 414.4 and 325 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -5.3 with a 95% confidence interval from -8.5 to -2.1.

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

- Rate : The incidence rate is 393.0 with a 95% confidence interval from 353.4 to 435.6 and 74 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -9.8 with a 95% confidence interval from -12.3 to -7.1.

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

- Rate : The incidence rate is 392.7 with a 95% confidence interval from 348.7 to 440.8 and 59 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -10.1 to 11.3.

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

- Rate : The incidence rate is 392.6 with a 95% confidence interval from 388.2 to 397.0 and 6,391 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -5.2 to -1.1.

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

- Rate : The incidence rate is 392.3 with a 95% confidence interval from 312.9 to 485.6 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -10.4 to 1.8.

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

- Rate : The incidence rate is 392.0 with a 95% confidence interval from 364.6 to 421.0 and 157 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.4 with a 95% confidence interval from -17.9 to 4.5.

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

- Rate : The incidence rate is 392.0 with a 95% confidence interval from 344.0 to 445.7 and 53 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.1 with a 95% confidence interval from -4.1 to 15.2.

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

- Rate : The incidence rate is 392.0 with a 95% confidence interval from 357.7 to 428.8 and 100 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -16.9 to 24.0.

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

- Rate : The incidence rate is 391.4 with a 95% confidence interval from 382.1 to 400.8 and 1,399 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -6.1 to -0.1.

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

- Rate : The incidence rate is 390.4 with a 95% confidence interval from 337.9 to 449.2 and 41 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.4 with a 95% confidence interval from -17.3 to 8.1.

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

- Rate : The incidence rate is 390.0 with a 95% confidence interval from 357.7 to 424.7 and 116 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.2 with a 95% confidence interval from -15.2 to 10.6.

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

- Rate : The incidence rate is 389.0 with a 95% confidence interval from 360.9 to 419.1 and 173 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -5.8 with a 95% confidence interval from -10.1 to -1.3.

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

- Rate : The incidence rate is 388.1 with a 95% confidence interval from 361.6 to 416.1 and 170 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.0 with a 95% confidence interval from -2.0 to 12.4.

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

- Rate : The incidence rate is 388.0 with a 95% confidence interval from 337.3 to 444.9 and 46 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.1 with a 95% confidence interval from -24.7 to 14.8.

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

- Rate : The incidence rate is 387.5 with a 95% confidence interval from 346.6 to 432.1 and 69 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -19.0 to 32.5.

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

- Rate : The incidence rate is 386.5 with a 95% confidence interval from 350.9 to 424.9 and 88 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -7.9 with a 95% confidence interval from -13.9 to -1.5.

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

- Rate : The incidence rate is 386.4 with a 95% confidence interval from 334.7 to 444.2 and 41 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.1 with a 95% confidence interval from -22.3 to 10.9.

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

- Rate : The incidence rate is 384.5 with a 95% confidence interval from 378.3 to 390.9 and 3,198 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -6.3 to 0.2.

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

- Rate : The incidence rate is 384.1 with a 95% confidence interval from 355.6 to 414.3 and 136 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -11.3 to 9.6.

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

- Rate : The incidence rate is 384.0 with a 95% confidence interval from 333.8 to 440.0 and 46 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -12.2 to 7.8.

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

- Rate : The incidence rate is 382.2 with a 95% confidence interval from 373.3 to 391.3 and 1,474 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -6.0 with a 95% confidence interval from -10.4 to -1.3.

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

- Rate : The incidence rate is 382.2 with a 95% confidence interval from 349.4 to 417.8 and 143 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.9 with a 95% confidence interval from -15.7 to 7.3.

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

- Rate : The incidence rate is 381.8 with a 95% confidence interval from 351.9 to 413.7 and 128 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.2 with a 95% confidence interval from -11.1 to 22.2.

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

- Rate : The incidence rate is 381.2 with a 95% confidence interval from 359.8 to 403.6 and 251 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -6.0 to 7.1.

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

- Rate : The incidence rate is 381.2 with a 95% confidence interval from 349.7 to 415.0 and 115 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -11.9 to 4.2.

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

- Rate : The incidence rate is 381.2 with a 95% confidence interval from 352.1 to 412.3 and 144 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -9.3 to 8.9.

#### El Paso County^{6,10}

- Rate : The incidence rate is 381.1 with a 95% confidence interval from 374.7 to 387.5 and 2,789 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.6 to 1.4.

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

- Rate : The incidence rate is 381.0 with a 95% confidence interval from 353.6 to 409.8 and 149 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -14.3 to 11.2.

#### Fort Bend County^{6,10}

- Rate : The incidence rate is 380.9 with a 95% confidence interval from 372.8 to 389.1 and 1,966 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -7.6 to -1.8.

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

- Rate : The incidence rate is 380.8 with a 95% confidence interval from 324.0 to 444.7 and 33 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 9.7 with a 95% confidence interval from -10.0 to 33.9.

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

- Rate : The incidence rate is 379.8 with a 95% confidence interval from 364.6 to 395.4 and 514 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -6.8 with a 95% confidence interval from -11.6 to -1.7.

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

- Rate : The incidence rate is 379.0 with a 95% confidence interval from 295.0 to 480.6 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -19.8 to 14.6.

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

- Rate : The incidence rate is 378.1 with a 95% confidence interval from 346.3 to 412.3 and 122 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -5.9 with a 95% confidence interval from -10.9 to -0.5.

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

- Rate : The incidence rate is 377.3 with a 95% confidence interval from 305.5 to 462.5 and 21 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.1 with a 95% confidence interval from -28.5 to 54.6.

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

- Rate : The incidence rate is 376.7 with a 95% confidence interval from 317.7 to 443.9 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -2.8 to 7.2.

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

- Rate : The incidence rate is 376.5 with a 95% confidence interval from 340.9 to 415.0 and 84 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.7 with a 95% confidence interval from -6.9 to 20.1.

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

- Rate : The incidence rate is 375.4 with a 95% confidence interval from 353.7 to 398.0 and 231 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -7.5 to -0.4.

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

- Rate : The incidence rate is 375.0 with a 95% confidence interval from 341.2 to 411.6 and 101 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -13.1 to 8.6.

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

- Rate : The incidence rate is 372.6 with a 95% confidence interval from 331.4 to 417.7 and 61 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -15.3 to 15.0.

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

- Rate : The incidence rate is 372.5 with a 95% confidence interval from 342.8 to 404.1 and 119 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -22.2 to 26.8.

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

- Rate : The incidence rate is 370.9 with a 95% confidence interval from 337.3 to 407.0 and 92 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -19.1 to 17.6.

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

- Rate : The incidence rate is 369.8 with a 95% confidence interval from 323.4 to 421.5 and 53 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -11.9 to 12.3.

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

- Rate : The incidence rate is 369.7 with a 95% confidence interval from 342.7 to 398.2 and 148 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.6 with a 95% confidence interval from -7.4 to 0.5.

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

- Rate : The incidence rate is 369.3 with a 95% confidence interval from 345.2 to 394.7 and 181 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -5.7 to 2.1.

#### Val Verde County^{6,10}

- Rate : The incidence rate is 367.7 with a 95% confidence interval from 343.7 to 392.9 and 178 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.2 to 2.4.

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

- Rate : The incidence rate is 366.8 with a 95% confidence interval from 300.9 to 442.8 and 22 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 25.2 with a 95% confidence interval from 2.6 to 52.7.

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

- Rate : The incidence rate is 362.8 with a 95% confidence interval from 354.2 to 371.6 and 1,365 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.1 to 1.8.

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

- Rate : The incidence rate is 361.5 with a 95% confidence interval from 324.8 to 401.5 and 74 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -10.1 to 9.6.

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

- Rate : The incidence rate is 361.0 with a 95% confidence interval from 308.5 to 420.3 and 35 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -13.4 to 18.8.

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

- Rate : The incidence rate is 360.9 with a 95% confidence interval from 261.6 to 492.0 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.3 with a 95% confidence interval from -27.3 to 20.7.

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

- Rate : The incidence rate is 359.5 with a 95% confidence interval from 252.5 to 501.5 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.1 with a 95% confidence interval from -18.0 to 7.5.

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

- Rate : The incidence rate is 359.5 with a 95% confidence interval from 307.9 to 417.2 and 35 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.8 with a 95% confidence interval from -22.6 to 2.7.

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

- Rate : The incidence rate is 358.5 with a 95% confidence interval from 295.5 to 433.0 and 26 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.4 with a 95% confidence interval from -25.4 to 14.9.

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

- Rate : The incidence rate is 355.6 with a 95% confidence interval from 333.0 to 379.2 and 188 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -3.5 to 2.8.

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

- Rate : The incidence rate is 354.7 with a 95% confidence interval from 325.2 to 386.2 and 113 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 6.0 with a 95% confidence interval from -4.6 to 17.8.

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

- Rate : The incidence rate is 353.6 with a 95% confidence interval from 319.9 to 390.0 and 83 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.0 with a 95% confidence interval from -14.1 to 16.3.

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

- Rate : The incidence rate is 352.7 with a 95% confidence interval from 296.9 to 417.0 and 31 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -12.2 with a 95% confidence interval from -25.8 to 3.9.

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

- Rate : The incidence rate is 352.1 with a 95% confidence interval from 212.5 to 564.7 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.7 with a 95% confidence interval from -39.8 to 85.7.

#### San Augustine County^{6,10}

- Rate : The incidence rate is 351.9 with a 95% confidence interval from 307.2 to 402.1 and 50 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -13.8 to 10.4.

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

- Rate : The incidence rate is 349.3 with a 95% confidence interval from 223.4 to 523.1 and 6 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 14.8 with a 95% confidence interval from -40.0 to 119.5.

#### Jim Wells County^{6,10}

- Rate : The incidence rate is 348.7 with a 95% confidence interval from 324.1 to 374.7 and 153 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -4.6 to 8.8.

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

- Rate : The incidence rate is 348.5 with a 95% confidence interval from 318.7 to 380.4 and 105 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -12.2 to 12.4.

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

- Rate : The incidence rate is 348.5 with a 95% confidence interval from 244.9 to 483.0 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.2 with a 95% confidence interval from -39.5 to 36.3.

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

- Rate : The incidence rate is 345.8 with a 95% confidence interval from 322.6 to 370.2 and 168 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.6 with a 95% confidence interval from -9.0 to 2.1.

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

- Rate : The incidence rate is 343.3 with a 95% confidence interval from 272.0 to 429.9 and 16 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -14.2 with a 95% confidence interval from -31.0 to 6.7.

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

- Rate : The incidence rate is 343.2 with a 95% confidence interval from 319.9 to 367.7 and 171 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.6 with a 95% confidence interval from -14.1 to 1.6.

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

- Rate : The incidence rate is 340.7 with a 95% confidence interval from 283.6 to 406.5 and 26 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 6.8 with a 95% confidence interval from -22.7 to 47.6.

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

- Rate : The incidence rate is 340.5 with a 95% confidence interval from 254.4 to 445.8 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.1 with a 95% confidence interval from -45.1 to 50.4.

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

- Rate : The incidence rate is 340.2 with a 95% confidence interval from 294.6 to 390.6 and 41 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -20.7 to 15.2.

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

- Rate : The incidence rate is 338.8 with a 95% confidence interval from 300.9 to 380.4 and 61 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -17.4 to 25.1.

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

- Rate : The incidence rate is 337.6 with a 95% confidence interval from 243.6 to 466.1 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.7 with a 95% confidence interval from -44.0 to 52.2.

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

- Rate : The incidence rate is 336.3 with a 95% confidence interval from 297.3 to 378.9 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.3 with a 95% confidence interval from -17.5 to 8.8.

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

- Rate : The incidence rate is 336.2 with a 95% confidence interval from 314.1 to 359.6 and 179 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -9.8 to 9.7.

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

- Rate : The incidence rate is 335.5 with a 95% confidence interval from 256.6 to 431.6 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -27.8 to 31.7.

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

- Rate : The incidence rate is 334.4 with a 95% confidence interval from 322.5 to 346.6 and 620 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -7.2 to 2.6.

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

- Rate : The incidence rate is 332.5 with a 95% confidence interval from 326.1 to 338.9 and 2,115 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -5.3 to 0.2.

#### Live Oak County^{6,10}

- Rate : The incidence rate is 332.2 with a 95% confidence interval from 293.2 to 375.5 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.2 with a 95% confidence interval from -11.6 to 30.0.

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

- Rate : The incidence rate is 332.2 with a 95% confidence interval from 303.3 to 363.0 and 100 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -11.0 to 5.6.

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

- Rate : The incidence rate is 331.2 with a 95% confidence interval from 265.8 to 411.9 and 21 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.0 with a 95% confidence interval from -12.7 to 31.1.

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

- Rate : The incidence rate is 328.6 with a 95% confidence interval from 271.7 to 395.7 and 26 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -15.2 with a 95% confidence interval from -27.5 to -0.7.

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

- Rate : The incidence rate is 328.0 with a 95% confidence interval from 272.4 to 391.6 and 25 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 9.2 with a 95% confidence interval from -9.4 to 31.5.

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

- Rate : The incidence rate is 327.9 with a 95% confidence interval from 286.2 to 374.0 and 45 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -13.5 to 8.9.

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

- Rate : The incidence rate is 325.0 with a 95% confidence interval from 286.1 to 367.8 and 52 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.8 with a 95% confidence interval from -13.9 to 25.1.

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

- Rate : The incidence rate is 324.3 with a 95% confidence interval from 256.3 to 405.8 and 16 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -24.1 to 24.8.

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

- Rate : The incidence rate is 324.2 with a 95% confidence interval from 290.6 to 360.7 and 69 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -12.4 to 8.8.

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

- Rate : The incidence rate is 322.8 with a 95% confidence interval from 281.1 to 369.0 and 45 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 6.3 with a 95% confidence interval from -16.1 to 34.6.

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

- Rate : The incidence rate is 320.0 with a 95% confidence interval from 240.1 to 421.4 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.3 with a 95% confidence interval from -17.5 to 31.9.

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

- Rate : The incidence rate is 318.7 with a 95% confidence interval from 238.2 to 418.5 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.5 with a 95% confidence interval from -34.0 to 62.3.

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

- Rate : The incidence rate is 310.9 with a 95% confidence interval from 243.6 to 392.8 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 6.7 with a 95% confidence interval from -6.3 to 21.5.

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

- Rate : The incidence rate is 307.9 with a 95% confidence interval from 264.1 to 356.8 and 36 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -11.2 to 13.7.

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

- Rate : The incidence rate is 307.0 with a 95% confidence interval from 236.6 to 392.7 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.8 with a 95% confidence interval from -20.2 to 37.7.

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

- Rate : The incidence rate is 303.7 with a 95% confidence interval from 264.5 to 346.8 and 44 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -15.2 to 15.9.

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

- Rate : The incidence rate is 303.3 with a 95% confidence interval from 259.0 to 353.0 and 35 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -25.6 to 28.1.

#### Jeff Davis County^{6,10}

- Rate : The incidence rate is 296.6 with a 95% confidence interval from 223.7 to 394.5 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.1 with a 95% confidence interval from -17.7 to 4.8.

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

- Rate : The incidence rate is 287.9 with a 95% confidence interval from 244.6 to 337.2 and 33 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 10.7 with a 95% confidence interval from -3.4 to 26.9.

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

- Rate : The incidence rate is 285.6 with a 95% confidence interval from 230.5 to 353.2 and 21 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -15.5 with a 95% confidence interval from -27.3 to -1.8.

#### San Saba County^{6,10}

- Rate : The incidence rate is 281.0 with a 95% confidence interval from 231.2 to 339.4 and 24 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.0 with a 95% confidence interval from -29.9 to 20.8.

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

- Rate : The incidence rate is 279.5 with a 95% confidence interval from 188.3 to 415.2 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.6 with a 95% confidence interval from -46.6 to 46.3.

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

- Rate : The incidence rate is 279.2 with a 95% confidence interval from 209.0 to 366.2 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -28.8 to 29.9.

#### La Salle County^{6,10}

- Rate : The incidence rate is 278.2 with a 95% confidence interval from 224.6 to 341.0 and 20 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -36.9 to 46.7.

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

- Rate : The incidence rate is 277.8 with a 95% confidence interval from 216.0 to 351.9 and 14 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 10.3 with a 95% confidence interval from -3.9 to 26.6.

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

- Rate : The incidence rate is 275.6 with a 95% confidence interval from 163.2 to 439.1 and 4 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.6 with a 95% confidence interval from -47.2 to 58.2.

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

- Rate : The incidence rate is 275.3 with a 95% confidence interval from 225.9 to 333.3 and 22 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -21.4 to 21.4.

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

- Rate : The incidence rate is 275.1 with a 95% confidence interval from 194.1 to 383.6 and 8 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.4 with a 95% confidence interval from -44.4 to 60.9.

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

- Rate : The incidence rate is 270.3 with a 95% confidence interval from 199.2 to 365.5 and 11 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.5 with a 95% confidence interval from -22.9 to 44.3.

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

- Rate : The incidence rate is 265.6 with a 95% confidence interval from 214.4 to 326.1 and 19 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.4 with a 95% confidence interval from -17.5 to 10.7.

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

- Rate : The incidence rate is 264.9 with a 95% confidence interval from 179.9 to 385.4 and 7 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.2 with a 95% confidence interval from -28.6 to 60.9.

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

- Rate : The incidence rate is 255.6 with a 95% confidence interval from 143.1 to 448.4 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).

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

- Rate : The incidence rate is 255.4 with a 95% confidence interval from 197.3 to 327.6 and 15 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -40.4 to 67.9.

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

- Rate : The incidence rate is 251.7 with a 95% confidence interval from 199.6 to 313.7 and 16 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -12.6 with a 95% confidence interval from -31.1 to 10.9.

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

- Rate : The incidence rate is 225.1 with a 95% confidence interval from 160.9 to 307.2 and 9 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -12.1 with a 95% confidence interval from -43.7 to 37.2.

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

- Rate : The incidence rate is 191.2 with a 95% confidence interval from 123.4 to 284.0 and 5 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.1 with a 95% confidence interval from -39.0 to 29.5.

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

- Rate : The incidence rate is 172.7 with a 95% confidence interval from 136.7 to 215.7 and 17 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.9 with a 95% confidence interval from -18.0 to 8.0.

**Borden 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).
- 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).

**Glasscock 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).

**Kenedy 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).

**King County**

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

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

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

Created by statecancerprofiles.cancer.gov on 10/27/2016 10:46 am.

Data for the United States does not include data from Nevada

State Cancer Registries may provide more current or more local data.

† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The 1969-2014 US Population Data File is used for SEER and NPCR incidence rates.

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

* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).

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

*United States Cancer Statistics*.

^{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.