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Incidence Rates Table

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Incidence Rate Report for Virginia by County

All Cancer Sites (All Stages^), 2014-2018

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Recentaapc
County
 sort alphabetically by name ascending
Met Healthy People Objective of ***?
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank⋔
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend ascending
Virginia 6 *** 411.0 (409.2, 412.8) N/A 40,096 falling falling trend -1.5 (-1.8, -1.1)
US (SEER+NPCR) 1 *** 448.6 (448.3, 448.9) N/A 1,703,249 falling falling trend -0.9 (-1.1, -0.7)
Richmond County 6 *** 784.2 (714.8, 859.3) 1 (1, 3) 99 rising rising trend 35.6 (20.0, 53.2)
Lexington City 6 *** 727.5 (633.8, 832.3) 2 (1, 9) 52 rising rising trend 28.1 (6.9, 53.5)
Galax City 6 *** 620.6 (547.5, 701.3) 3 (2, 26) 56 rising rising trend 20.5 (0.2, 44.9)
Martinsville City 6 *** 557.9 (508.2, 611.5) 10 (3, 38) 100 stable stable trend 14.1 (-6.8, 39.8)
Radford City 6 *** 466.4 (413.0, 524.6) 41 (9, 108) 58 rising rising trend 13.1 (0.7, 26.9)
Williamsburg City 6 *** 529.7 (477.5, 586.7) 16 (4, 62) 83 rising rising trend 12.8 (5.1, 21.0)
Waynesboro City 6 *** 616.0 (574.9, 659.5) 4 (2, 13) 175 rising rising trend 12.4 (3.2, 22.5)
Bath County 6 *** 528.9 (450.4, 619.5) 18 (2, 100) 38 stable stable trend 11.4 (0.0, 24.0)
Staunton City 6 *** 580.9 (544.2, 619.6) 7 (3, 19) 203 rising rising trend 10.5 (2.7, 18.8)
Harrisonburg City 6 *** 436.5 (407.1, 467.3) 72 (28, 104) 174 stable stable trend 7.7 (-3.8, 20.5)
Roanoke City 6 *** 495.6 (477.4, 514.3) 25 (16, 43) 601 rising rising trend 6.7 (1.0, 12.8)
Covington City 6 *** 577.9 (502.1, 662.9) 8 (2, 55) 45 rising rising trend 4.7 (3.3, 6.2)
Orange County 6 *** 463.2 (436.2, 491.6) 43 (19, 86) 235 rising rising trend 4.2 (2.1, 6.4)
Highland County 6 *** 566.1 (446.3, 714.1) 9 (1, 106) 23 stable stable trend 2.4 (-0.4, 5.2)
Franklin City 6 *** 613.2 (545.5, 687.5) 5 (2, 25) 66 stable stable trend 1.6 (-0.3, 3.5)
Salem City 6 *** 508.6 (473.7, 545.6) 21 (9, 57) 171 rising rising trend 1.6 (0.1, 3.2)
Surry County 6 *** 487.4 (424.9, 557.8) 29 (6, 108) 50 stable stable trend 1.3 (-0.1, 2.8)
Sussex County 6 *** 551.8 (498.7, 609.6) 11 (3, 46) 83 rising rising trend 1.3 (0.2, 2.5)
Craig County 6 *** 418.6 (352.4, 495.3) 84 (13, 125) 33 stable stable trend 1.1 (-1.3, 3.7)
Petersburg City 6 *** 584.8 (550.1, 621.2) 6 (3, 17) 231 stable stable trend 1.1 (0.0, 2.1)
Essex County 6 *** 537.9 (487.3, 593.0) 13 (3, 51) 92 stable stable trend 1.0 (-0.8, 3.0)
Mecklenburg County 6 *** 488.1 (458.6, 519.1) 27 (14, 67) 243 rising rising trend 1.0 (0.1, 1.9)
Colonial Heights City 6 *** 536.1 (493.6, 581.5) 14 (4, 41) 128 stable stable trend 0.9 (-0.1, 2.0)
Lynchburg City 6 *** 486.6 (464.6, 509.4) 30 (15, 54) 393 stable stable trend 0.6 (-0.4, 1.6)
Buena Vista City 6 *** 484.3 (419.5, 557.1) 32 (5, 109) 42 stable stable trend 0.5 (-1.2, 2.2)
King and Queen County 6 *** 437.7 (380.0, 502.8) 67 (12, 117) 47 stable stable trend 0.5 (-1.3, 2.3)
Lancaster County 6 *** 445.1 (400.4, 494.6) 56 (16, 109) 102 stable stable trend 0.5 (-0.7, 1.8)
Charlotte County 6 *** 457.5 (411.6, 507.7) 47 (12, 104) 82 stable stable trend 0.4 (-0.9, 1.8)
Roanoke County 6 *** 436.5 (420.3, 453.3) 71 (42, 92) 589 stable stable trend 0.4 (-0.5, 1.2)
Wythe County 6 *** 429.1 (400.8, 459.1) 77 (34, 106) 184 stable stable trend 0.3 (-0.5, 1.0)
Charlottesville City 6 *** 469.8 (439.8, 501.2) 37 (18, 83) 195 stable stable trend 0.2 (-1.1, 1.5)
Gloucester County 6 *** 511.1 (482.7, 540.9) 20 (9, 47) 264 stable stable trend 0.2 (-0.5, 0.8)
Greensville County 6 *** 531.9 (478.7, 589.8) 15 (3, 62) 76 stable stable trend 0.2 (-1.6, 2.0)
Page County 6 *** 448.3 (415.8, 482.8) 54 (22, 101) 155 stable stable trend 0.2 (-0.9, 1.3)
Shenandoah County 6 *** 421.5 (398.4, 445.7) 83 (43, 106) 268 stable stable trend 0.2 (-0.8, 1.3)
Southampton County 6 *** 456.0 (418.8, 496.0) 50 (18, 102) 121 stable stable trend 0.2 (-1.2, 1.6)
Hopewell City 6 *** 540.3 (500.7, 582.3) 12 (4, 37) 143 stable stable trend 0.1 (-0.9, 1.1)
Middlesex County 6 *** 442.5 (397.3, 492.4) 62 (16, 109) 92 stable stable trend 0.1 (-1.3, 1.6)
Charles City County 6 *** 443.8 (386.2, 508.9) 58 (13, 115) 51 stable stable trend 0.0 (-2.2, 2.4)
Danville City 6 *** 469.0 (443.0, 496.3) 40 (19, 77) 271 stable stable trend 0.0 (-1.0, 0.9)
Accomack County 6 *** 482.1 (453.7, 512.1) 33 (14, 68) 245 stable stable trend -0.1 (-1.4, 1.3)
Mathews County 6 *** 464.7 (412.9, 522.6) 42 (11, 108) 76 stable stable trend -0.1 (-1.7, 1.6)
Nottoway County 6 *** 504.0 (461.1, 550.1) 23 (7, 73) 107 stable stable trend -0.1 (-1.0, 0.8)
Suffolk City 6 *** 456.0 (437.1, 475.5) 49 (29, 80) 461 stable stable trend -0.1 (-0.8, 0.6)
Norfolk City 6 *** 469.6 (456.5, 482.9) 38 (26, 58) 1,045 stable stable trend -0.2 (-0.7, 0.2)
Amelia County 6 *** 469.2 (423.3, 519.1) 39 (11, 100) 85 stable stable trend -0.3 (-1.7, 1.2)
Botetourt County 6 *** 401.2 (375.3, 428.5) 98 (52, 113) 201 stable stable trend -0.3 (-1.6, 1.0)
Fredericksburg City 6 *** 528.3 (488.3, 570.8) 19 (5, 48) 134 stable stable trend -0.3 (-1.4, 0.7)
New Kent County 6 *** 492.0 (453.6, 533.0) 26 (10, 75) 138 stable stable trend -0.3 (-1.5, 0.8)
Prince Edward County 6 *** 495.7 (456.0, 538.1) 24 (9, 78) 127 stable stable trend -0.3 (-1.7, 1.2)
Chesapeake City 6 *** 448.8 (436.9, 460.9) 53 (38, 78) 1,147 stable stable trend -0.4 (-0.9, 0.1)
Floyd County 6 *** 393.1 (355.3, 434.2) 104 (45, 121) 89 stable stable trend -0.4 (-1.5, 0.6)
Nelson County 6 *** 487.5 (445.7, 532.8) 28 (9, 88) 120 stable stable trend -0.4 (-1.5, 0.7)
Portsmouth City 6 *** 477.0 (458.2, 496.3) 35 (19, 60) 514 stable stable trend -0.4 (-1.0, 0.2)
Warren County 6 *** 426.0 (399.5, 453.9) 81 (36, 107) 207 stable stable trend -0.4 (-1.3, 0.6)
Buckingham County 6 *** 402.1 (365.5, 441.7) 96 (40, 120) 95 stable stable trend -0.6 (-2.1, 0.8)
Franklin County 6 *** 404.4 (384.1, 425.6) 94 (61, 110) 343 stable stable trend -0.6 (-1.5, 0.3)
Goochland County 6 *** 484.6 (449.9, 521.6) 31 (12, 77) 165 stable stable trend -0.6 (-1.4, 0.3)
Louisa County 6 *** 461.9 (434.3, 490.9) 45 (21, 87) 230 stable stable trend -0.6 (-1.6, 0.3)
Lunenburg County 6 *** 440.6 (396.8, 488.3) 64 (18, 110) 82 stable stable trend -0.6 (-2.1, 0.9)
Westmoreland County 6 *** 451.9 (415.2, 491.5) 52 (19, 102) 130 stable stable trend -0.6 (-1.5, 0.3)
Bedford City and County 6 *** 428.9 (411.2, 447.3) 78 (44, 99) 489 stable stable trend -0.7 (-1.8, 0.4)
Caroline County 6 *** 457.4 (426.4, 490.2) 48 (20, 95) 170 stable stable trend -0.7 (-2.0, 0.6)
Newport News City 6 *** 443.0 (429.2, 457.1) 60 (40, 85) 814 falling falling trend -0.7 (-1.3, -0.2)
Northampton County 6 *** 529.4 (480.6, 582.5) 17 (4, 57) 106 stable stable trend -0.8 (-1.6, 0.0)
Pulaski County 6 *** 417.9 (392.2, 445.0) 85 (43, 107) 218 falling falling trend -0.8 (-1.3, -0.2)
Winchester City 6 *** 417.5 (385.8, 451.2) 86 (35, 112) 134 falling falling trend -0.8 (-1.5, -0.1)
Falls Church City 6 *** 401.9 (356.1, 451.9) 97 (29, 124) 60 stable stable trend -0.9 (-2.4, 0.5)
Giles County 6 *** 444.5 (406.2, 485.8) 57 (20, 107) 109 stable stable trend -0.9 (-2.1, 0.3)
Greene County 6 *** 405.8 (369.4, 445.1) 91 (35, 118) 97 falling falling trend -0.9 (-1.6, -0.1)
King George County 6 *** 424.2 (389.3, 461.4) 82 (28, 110) 116 stable stable trend -0.9 (-2.3, 0.5)
King William County 6 *** 505.8 (461.6, 553.3) 22 (7, 79) 103 stable stable trend -0.9 (-2.2, 0.4)
Appomattox County 6 *** 409.5 (370.7, 451.6) 90 (35, 118) 89 stable stable trend -1.0 (-2.5, 0.5)
Carroll County 6 *** 343.4 (318.4, 370.1) 119 (102, 127) 160 stable stable trend -1.0 (-3.2, 1.3)
Chesterfield County 6 *** 442.7 (433.1, 452.6) 61 (44, 79) 1,705 falling falling trend -1.0 (-1.5, -0.5)
Fluvanna County 6 *** 470.9 (438.7, 505.0) 36 (15, 84) 170 falling falling trend -1.0 (-1.7, -0.2)
Henrico County 6 *** 447.9 (438.2, 457.7) 55 (41, 76) 1,691 falling falling trend -1.0 (-1.5, -0.5)
Poquoson City 6 *** 437.5 (392.3, 486.9) 68 (18, 112) 73 stable stable trend -1.1 (-2.5, 0.3)
Culpeper County 6 *** 438.7 (414.6, 463.9) 66 (33, 99) 259 falling falling trend -1.2 (-2.3, -0.1)
Cumberland County 6 *** 404.9 (358.5, 456.5) 92 (26, 123) 59 stable stable trend -1.2 (-3.1, 0.8)
Henry County 6 *** 392.6 (372.4, 413.8) 105 (72, 113) 317 stable stable trend -1.2 (-2.7, 0.4)
Isle of Wight County 6 *** 409.9 (384.2, 437.0) 89 (45, 111) 206 falling falling trend -1.2 (-1.9, -0.5)
Northumberland County 6 *** 413.1 (375.3, 455.1) 88 (33, 115) 114 stable stable trend -1.2 (-2.5, 0.2)
Patrick County 6 *** 344.6 (313.2, 378.9) 118 (95, 127) 102 stable stable trend -1.2 (-3.3, 1.0)
Alleghany County and Clifton Forge City 6 *** 396.6 (360.2, 436.3) 101 (48, 120) 99 stable stable trend -1.3 (-3.4, 0.8)
Amherst County 6 *** 433.2 (405.9, 462.0) 73 (32, 104) 202 falling falling trend -1.3 (-2.1, -0.4)
Bland County 6 *** 339.9 (289.1, 398.6) 120 (77, 129) 34 stable stable trend -1.3 (-4.2, 1.7)
Montgomery County 6 *** 371.1 (353.2, 389.7) 109 (94, 119) 337 falling falling trend -1.3 (-2.0, -0.5)
Stafford County 6 *** 429.4 (413.0, 446.3) 76 (48, 96) 570 falling falling trend -1.3 (-2.1, -0.6)
Albemarle County 6 *** 404.9 (389.3, 421.0) 93 (71, 108) 544 falling falling trend -1.4 (-2.0, -0.8)
Madison County 6 *** 426.2 (384.2, 471.9) 80 (22, 114) 84 stable stable trend -1.5 (-3.1, 0.2)
Virginia Beach City 6 *** 460.7 (452.0, 469.5) 46 (34, 60) 2,235 stable stable trend -1.5 (-3.2, 0.2)
Clarke County 6 *** 381.3 (342.9, 423.3) 107 (59, 125) 80 falling falling trend -1.6 (-2.9, -0.4)
Rockbridge County 6 *** 391.6 (361.6, 423.9) 106 (58, 120) 145 stable stable trend -1.6 (-3.3, 0.1)
Spotsylvania County 6 *** 433.1 (417.6, 449.1) 74 (45, 93) 623 falling falling trend -1.6 (-2.2, -1.0)
Emporia City 6 *** 462.6 (392.2, 542.8) 44 (6, 118) 33 falling falling trend -1.7 (-3.2, -0.2)
Fairfax County 6 *** 335.3 (330.6, 340.0) 122 (115, 125) 4,095 falling falling trend -1.7 (-2.2, -1.2)
Fauquier County 6 *** 399.1 (379.9, 419.1) 99 (72, 111) 347 falling falling trend -1.7 (-2.6, -0.9)
James City County 6 *** 441.8 (423.8, 460.4) 63 (35, 88) 517 falling falling trend -1.7 (-3.1, -0.4)
Loudoun County 6 *** 359.5 (350.1, 369.1) 112 (105, 119) 1,207 falling falling trend -1.7 (-2.3, -1.2)
Prince George County 6 *** 439.3 (410.7, 469.4) 65 (30, 103) 184 falling falling trend -1.7 (-2.9, -0.4)
Arlington County 6 *** 336.1 (324.6, 347.9) 121 (112, 126) 697 falling falling trend -1.8 (-2.6, -1.1)
Dinwiddie County 6 *** 428.9 (398.6, 461.1) 79 (33, 107) 158 falling falling trend -1.8 (-2.6, -0.9)
Frederick County 6 *** 395.1 (378.0, 412.7) 102 (77, 111) 420 falling falling trend -1.8 (-2.3, -1.2)
Grayson County 6 *** 365.1 (330.3, 403.1) 110 (75, 126) 91 falling falling trend -1.8 (-3.3, -0.2)
Alexandria City 6 *** 325.6 (312.4, 339.3) 125 (115, 127) 495 falling falling trend -2.1 (-2.9, -1.2)
Prince William County 6 *** 345.8 (337.2, 354.6) 117 (111, 123) 1,375 falling falling trend -2.1 (-2.7, -1.5)
Manassas City 6 *** 394.3 (364.0, 426.3) 103 (56, 118) 140 falling falling trend -2.2 (-3.7, -0.8)
Washington County 6 *** 346.1 (327.5, 365.7) 116 (106, 126) 283 falling falling trend -2.2 (-3.6, -0.8)
Powhatan County 6 *** 399.1 (370.3, 429.7) 100 (54, 115) 156 falling falling trend -2.4 (-3.3, -1.5)
Buchanan County 6 *** 259.7 (234.5, 287.3) 129 (125, 133) 85 falling falling trend -2.7 (-4.3, -1.1)
Rappahannock County 6 *** 349.5 (301.3, 404.7) 115 (62, 129) 44 falling falling trend -2.8 (-4.2, -1.4)
Halifax County with South Boston City 6 *** 443.7 (417.5, 471.3) 59 (27, 100) 243 stable stable trend -2.9 (-13.9, 9.5)
Dickenson County 6 *** 328.0 (292.9, 366.6) 124 (103, 128) 70 falling falling trend -3.2 (-5.0, -1.5)
Norton City 6 *** 353.4 (283.3, 436.7) 113 (30, 130) 18 falling falling trend -3.3 (-5.3, -1.2)
Wise County 6 *** 329.8 (306.9, 354.1) 123 (109, 128) 163 falling falling trend -3.4 (-5.2, -1.6)
Scott County 6 *** 232.4 (208.8, 258.3) 131 (128, 133) 79 falling falling trend -4.1 (-7.0, -1.1)
Hanover County 6 *** 455.8 (439.3, 472.8) 51 (29, 77) 613 stable stable trend -4.5 (-12.0, 3.6)
Tazewell County 6 *** 300.4 (280.2, 321.8) 127 (119, 129) 182 falling falling trend -4.5 (-6.5, -2.5)
Lee County 6 *** 231.0 (207.9, 256.2) 132 (128, 133) 79 falling falling trend -4.6 (-6.9, -2.2)
Rockingham County 6 *** 430.7 (412.6, 449.4) 75 (44, 99) 454 stable stable trend -5.6 (-13.1, 2.4)
Campbell County 6 *** 404.1 (383.6, 425.5) 95 (64, 110) 312 stable stable trend -5.8 (-15.8, 5.2)
Hampton City 6 *** 437.0 (422.1, 452.4) 69 (41, 90) 687 falling falling trend -6.0 (-10.5, -1.3)
Richmond City 6 *** 413.8 (401.8, 426.1) 87 (69, 103) 976 falling falling trend -6.8 (-10.3, -3.3)
Pittsylvania County 6 *** 364.4 (346.5, 383.2) 111 (98, 120) 343 stable stable trend -7.4 (-17.1, 3.3)
Augusta County 6 *** 436.6 (418.5, 455.3) 70 (40, 94) 472 falling falling trend -8.2 (-14.2, -1.8)
Brunswick County 6 *** 479.2 (439.5, 522.0) 34 (11, 89) 115 stable stable trend -8.3 (-17.9, 2.5)
Russell County 6 *** 238.9 (216.8, 262.9) 130 (128, 133) 95 falling falling trend -8.5 (-11.6, -5.2)
York County 6 *** 376.9 (357.9, 396.7) 108 (88, 117) 307 stable stable trend -8.8 (-18.5, 2.1)
Fairfax City 6 *** 350.3 (318.8, 384.2) 114 (90, 127) 95 stable stable trend -9.3 (-19.8, 2.7)
Bristol City 6 *** 214.7 (187.9, 244.5) 133 (129, 133) 50 falling falling trend -10.1 (-15.0, -5.0)
Manassas Park City 6 *** 304.7 (260.2, 354.2) 126 (104, 131) 38 stable stable trend -15.6 (-39.1, 17.0)
Smyth County 6 *** 285.3 (262.7, 309.5) 128 (122, 130) 129 falling falling trend -21.1 (-34.0, -5.7)
Notes:
Created by statecancerprofiles.cancer.gov on 12/01/2021 2:30 am.

State Cancer Registries may provide more current or more local data.
Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.

⋔ 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 1969-2018 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.
*** No Healthy People 2020 Objective for this cancer.
Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.


1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2018) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2020 submission.
6 Source: National Program of Cancer Registries SEER*Stat Database (2001-2018) - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2020 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 1969-2018 US Population Data File is used with SEER November 2020 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 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.

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