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Incidence Rates Table

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Incidence Rate Report for Virginia by County

All Cancer Sites (All Stages^), 2017-2021

White Non-Hispanic, Both Sexes, All Ages

Sorted by Count

County
sort alphabetically by name ascending 		2023 Rural-Urban Continuum Codes Φ
sort by rural urban descending 		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 descending
Virginia 6 N/A 417.6 (415.4, 419.7) N/A 30,598 falling falling trend -0.9 (-2.4, -0.5)
US (SEER+NPCR) § 1 N/A 463.1 (462.7, 463.4) N/A 1,300,948 falling falling trend -0.4 (-0.5, -0.2)
Emporia City 6 Rural 461.6 (346.7, 611.3) N/A 14 stable stable trend -0.8 (-4.7, 2.7)
Highland County 6 Rural 415.9 (309.7, 553.3) N/A 18 stable stable trend 1.1 (-1.2, 3.4)
Norton City 6 Rural 419.0 (336.4, 517.8) N/A 19 falling falling trend -3.0 (-4.9, -1.2)
Manassas Park City 6 Urban 405.5 (336.2, 485.3) N/A 25 stable stable trend -2.0 (-4.9, 1.1)
Charles City County 6 Urban 477.0 (391.4, 580.0) N/A 26 stable stable trend 0.0 (-2.5, 2.8)
Franklin City 6 Rural 473.0 (388.7, 573.3) N/A 27 stable stable trend -0.1 (-2.1, 2.1)
Surry County 6 Urban 442.5 (364.0, 536.1) N/A 27 stable stable trend -1.4 (-12.6, 1.2)
Greensville County 6 Rural 443.2 (370.2, 529.1) N/A 28 stable stable trend 0.0 (-2.1, 2.2)
Craig County 6 Urban 443.9 (373.5, 525.6) N/A 34 stable stable trend 1.1 (-1.1, 3.4)
Lexington City 6 Rural 561.9 (475.1, 661.3) N/A 35 rising rising trend 3.3 (1.3, 5.7)
King and Queen County 6 Urban 494.9 (418.6, 583.0) N/A 35 stable stable trend 0.7 (-1.1, 2.6)
Bath County 6 Rural 496.3 (420.0, 585.6) N/A 36 stable stable trend 1.5 (-0.7, 3.8)
Sussex County 6 Urban 544.8 (464.7, 636.8) N/A 36 stable stable trend 1.1 (-1.2, 3.4)
Richmond County 6 Rural 408.7 (349.6, 477.1) N/A 39 stable stable trend 0.7 (-1.0, 2.4)
Covington City 6 Rural 604.2 (519.9, 699.5) N/A 40 rising rising trend 4.0 (2.1, 6.2)
Cumberland County 6 Rural 400.2 (343.4, 465.1) N/A 40 falling falling trend -2.6 (-8.2, -0.9)
Bland County 6 Rural 433.5 (375.1, 500.4) N/A 43 stable stable trend 0.0 (-2.7, 2.8)
Buena Vista City 6 Rural 543.1 (470.8, 624.3) N/A 44 stable stable trend 1.3 (-0.3, 3.0)
Radford City 6 Urban 428.8 (373.3, 490.3) N/A 46 falling falling trend -1.8 (-3.4, -0.3)
Falls Church City 6 Urban 367.3 (319.9, 420.1) N/A 46 stable stable trend -1.6 (-3.5, 0.4)
Petersburg City 6 Urban 656.6 (571.8, 751.8) N/A 49 stable stable trend 0.9 (-1.9, 3.7)
Galax City 6 Rural 673.4 (588.1, 768.9) N/A 49 stable stable trend 2.0 (-0.9, 5.1)
Rappahannock County 6 Urban 445.1 (385.4, 512.9) N/A 51 stable stable trend 5.3 (-1.7, 15.4)
Martinsville City 6 Rural 498.3 (435.5, 569.1) N/A 52 stable stable trend 0.3 (-1.1, 1.7)
Lunenburg County 6 Rural 478.7 (419.2, 545.5) N/A 55 stable stable trend 0.6 (-0.8, 2.0)
Charlotte County 6 Rural 446.4 (391.5, 507.7) N/A 55 stable stable trend 0.9 (-0.5, 2.3)
Brunswick County 6 Rural 493.6 (435.4, 559.4) N/A 60 stable stable trend 0.5 (-0.3, 1.3)
Bristol City 6 Urban 277.3 (245.1, 313.0) N/A 61 falling falling trend -4.4 (-7.7, -1.7)
Essex County 6 Rural 565.7 (497.8, 642.3) N/A 62 rising rising trend 2.9 (0.3, 10.9)
Williamsburg City 6 Urban 491.0 (429.8, 559.7) N/A 63 stable stable trend 4.1 (-1.5, 11.7)
Prince Edward County 6 Rural 462.3 (411.0, 518.7) N/A 70 stable stable trend -0.5 (-2.3, 1.3)
Buckingham County 6 Rural 455.8 (407.2, 509.3) N/A 70 stable stable trend -0.2 (-1.6, 1.3)
Poquoson City 6 Urban 436.3 (390.2, 486.9) N/A 70 stable stable trend -0.8 (-2.0, 0.5)
Appomattox County 6 Urban 381.8 (341.5, 425.9) N/A 72 stable stable trend -0.9 (-2.4, 0.7)
Nottoway County 6 Rural 549.9 (492.6, 612.9) N/A 72 stable stable trend 0.7 (-0.5, 1.9)
Northampton County 6 Rural 527.7 (463.9, 599.8) N/A 73 stable stable trend -0.5 (-1.8, 0.6)
Fairfax City 6 Urban 391.2 (350.8, 435.4) N/A 73 falling falling trend -1.2 (-6.7, -0.1)
Clarke County 6 Urban 357.1 (319.4, 398.8) N/A 75 falling falling trend -1.7 (-2.9, -0.4)
King William County 6 Urban 443.0 (397.7, 492.3) N/A 75 stable stable trend -0.4 (-1.7, 1.1)
Madison County 6 Rural 405.1 (362.2, 452.3) N/A 75 falling falling trend -0.8 (-1.6, -0.2)
Mathews County 6 Urban 543.9 (482.6, 612.5) N/A 78 rising rising trend 1.6 (0.4, 2.9)
Amelia County 6 Urban 549.3 (493.5, 610.3) N/A 78 stable stable trend 0.6 (-0.6, 1.8)
Dickenson County 6 Rural 356.7 (320.6, 396.4) N/A 79 falling falling trend -2.3 (-3.5, -1.1)
Southampton County 6 Rural 455.2 (410.4, 504.4) N/A 82 stable stable trend 0.8 (-0.7, 2.4)
Manassas City 6 Urban 366.5 (330.6, 405.5) N/A 83 falling falling trend -2.3 (-3.5, -1.1)
Middlesex County 6 Rural 483.3 (429.1, 543.9) N/A 83 stable stable trend -1.0 (-8.4, 0.5)
Northumberland County 6 Rural 414.6 (364.5, 472.3) N/A 86 stable stable trend -0.1 (-1.6, 1.3)
Fredericksburg City 6 Urban 509.4 (461.5, 561.1) N/A 88 stable stable trend -0.9 (-2.0, 0.3)
Scott County 6 Urban 262.8 (237.2, 290.7) N/A 89 falling falling trend -3.9 (-7.2, -1.1)
Lancaster County 6 Rural 520.1 (456.6, 592.6) N/A 92 rising rising trend 11.5 (2.4, 20.6)
Nelson County 6 Urban 400.6 (360.7, 444.7) N/A 92 falling falling trend -4.2 (-12.1, -1.7)
Buchanan County 6 Rural 306.5 (277.8, 337.8) N/A 96 falling falling trend -2.0 (-4.0, -0.3)
Hopewell City 6 Urban 615.1 (558.1, 676.9) N/A 97 stable stable trend 1.3 (0.0, 2.5)
Floyd County 6 Urban 447.4 (406.5, 491.9) N/A 101 stable stable trend 0.4 (-0.8, 1.6)
Greene County 6 Urban 427.6 (389.7, 468.6) N/A 101 falling falling trend -0.8 (-1.3, -0.2)
Colonial Heights City 6 Urban 504.8 (458.7, 554.8) N/A 103 stable stable trend 0.9 (-0.1, 1.8)
Westmoreland County 6 Rural 461.2 (417.2, 509.5) N/A 103 stable stable trend -0.2 (-1.3, 0.8)
Lee County 6 Rural 319.0 (290.5, 349.9) N/A 104 falling falling trend -3.0 (-5.5, -0.9)
Alleghany County and Clifton Forge City 6 Rural 442.2 (402.0, 486.0) N/A 105 stable stable trend -0.3 (-1.6, 0.9)
Grayson County 6 Rural 442.2 (401.9, 486.2) N/A 105 stable stable trend -0.1 (-1.6, 1.2)
King George County 6 Rural 480.3 (439.7, 523.9) N/A 108 stable stable trend -0.3 (-1.5, 0.9)
Patrick County 6 Rural 399.8 (364.7, 438.0) N/A 114 stable stable trend -0.1 (-2.0, 1.8)
Winchester City 6 Urban 433.8 (397.9, 472.3) N/A 118 stable stable trend -0.4 (-1.0, 0.3)
Caroline County 6 Rural 473.7 (435.2, 514.9) N/A 120 falling falling trend -1.4 (-4.7, -0.3)
Charlottesville City 6 Urban 382.0 (351.1, 415.1) N/A 120 stable stable trend -0.9 (-1.9, 0.2)
Harrisonburg City 6 Urban 391.9 (359.8, 426.1) N/A 121 stable stable trend 0.9 (-1.8, 5.6)
Giles County 6 Urban 507.1 (465.7, 551.7) N/A 122 stable stable trend 4.1 (-5.9, 14.3)
Dinwiddie County 6 Urban 491.4 (452.3, 533.5) N/A 125 stable stable trend -0.4 (-1.4, 0.6)
Russell County 6 Rural 328.1 (301.4, 356.9) N/A 126 falling falling trend -2.1 (-3.7, -0.5)
Waynesboro City 6 Urban 522.7 (481.1, 567.3) N/A 128 stable stable trend 0.0 (-1.1, 1.1)
New Kent County 6 Urban 521.3 (479.0, 566.6) N/A 129 stable stable trend 0.0 (-1.1, 1.4)
Accomack County 6 Rural 351.1 (321.9, 382.9) N/A 138 falling falling trend -1.7 (-3.4, -0.1)
Prince George County 6 Urban 503.5 (466.3, 543.1) N/A 142 stable stable trend -0.5 (-1.6, 0.6)
Fluvanna County 6 Urban 450.6 (416.4, 487.1) N/A 143 stable stable trend -0.8 (-1.7, 0.0)
Salem City 6 Urban 479.4 (443.8, 517.4) N/A 148 stable stable trend 0.4 (-0.9, 1.8)
Halifax County with South Boston City 6 Rural 422.0 (389.8, 456.6) N/A 149 falling falling trend -8.1 (-14.1, -5.1)
Page County 6 Rural 432.5 (400.7, 466.5) N/A 151 stable stable trend 0.1 (-0.9, 1.1)
Goochland County 6 Urban 492.5 (455.7, 531.9) N/A 156 stable stable trend -0.1 (-1.0, 0.9)
Staunton City 6 Urban 492.9 (457.1, 531.1) N/A 156 stable stable trend -4.5 (-12.9, 1.8)
Rockbridge County 6 Rural 430.3 (397.9, 465.1) N/A 157 stable stable trend -0.4 (-1.6, 0.9)
Powhatan County 6 Urban 442.1 (410.6, 475.6) N/A 163 rising rising trend 3.1 (0.5, 6.7)
Danville City 6 Rural 501.7 (463.3, 543.0) N/A 164 stable stable trend 0.2 (-0.9, 1.2)
Mecklenburg County 6 Rural 484.7 (447.9, 524.2) N/A 165 stable stable trend 1.0 (0.0, 2.0)
Amherst County 6 Urban 449.6 (417.9, 483.4) N/A 166 stable stable trend 1.0 (-1.4, 6.6)
Smyth County 6 Rural 373.2 (346.9, 401.2) N/A 166 stable stable trend -1.2 (-5.9, 0.2)
Wise County 6 Rural 359.7 (334.8, 386.1) N/A 169 falling falling trend -2.8 (-4.6, -1.3)
Isle of Wight County 6 Urban 474.6 (443.0, 508.1) N/A 186 stable stable trend -0.3 (-1.4, 1.0)
Wythe County 6 Rural 467.1 (436.5, 499.6) N/A 189 rising rising trend 1.0 (0.1, 1.9)
Carroll County 6 Rural 416.6 (388.4, 446.7) N/A 193 stable stable trend 0.2 (-1.7, 2.2)
Warren County 6 Urban 417.4 (390.4, 445.8) N/A 197 stable stable trend -0.2 (-1.4, 1.0)
Tazewell County 6 Rural 342.5 (320.2, 366.2) N/A 199 falling falling trend -2.9 (-7.9, -1.8)
Louisa County 6 Rural 461.0 (431.0, 492.9) N/A 199 stable stable trend -0.4 (-1.5, 0.8)
Pulaski County 6 Urban 409.2 (383.0, 437.1) N/A 202 stable stable trend -0.4 (-0.9, 0.2)
Orange County 6 Rural 476.6 (446.6, 508.4) N/A 209 stable stable trend 1.2 (-0.8, 5.9)
Gloucester County 6 Urban 455.4 (427.7, 484.7) N/A 224 falling falling trend -4.4 (-10.9, -0.5)
Botetourt County 6 Urban 456.0 (428.2, 485.3) N/A 230 stable stable trend 0.5 (-0.5, 1.5)
Culpeper County 6 Urban 458.6 (431.7, 486.8) N/A 232 stable stable trend -0.8 (-1.6, 0.1)
Lynchburg City 6 Urban 423.4 (398.2, 449.9) N/A 238 stable stable trend -0.5 (-1.5, 0.4)
Portsmouth City 6 Urban 475.4 (447.6, 504.6) N/A 240 stable stable trend 0.0 (-0.8, 0.7)
Shenandoah County 6 Rural 412.8 (388.9, 437.9) N/A 253 stable stable trend 0.2 (-0.9, 1.2)
Washington County 6 Urban 311.7 (293.8, 330.6) N/A 257 falling falling trend -3.2 (-4.3, -2.1)
Henry County 6 Rural 425.0 (400.1, 451.3) N/A 260 stable stable trend -0.7 (-1.9, 0.5)
Pittsylvania County 6 Rural 361.2 (340.6, 382.9) N/A 265 falling falling trend -1.4 (-2.3, -0.6)
York County 6 Urban 416.2 (394.1, 439.4) N/A 281 stable stable trend -0.7 (-1.6, 0.2)
Campbell County 6 Urban 427.9 (405.0, 451.9) N/A 288 stable stable trend -0.8 (-1.8, 0.3)
Fauquier County 6 Urban 372.5 (353.1, 392.8) N/A 298 falling falling trend -1.1 (-2.1, -0.1)
Suffolk City 6 Urban 492.7 (467.2, 519.4) N/A 300 stable stable trend 0.7 (-0.1, 1.6)
Hampton City 6 Urban 446.6 (423.9, 470.3) N/A 322 falling falling trend -0.8 (-1.4, -0.2)
Alexandria City 6 Urban 334.5 (318.1, 351.7) N/A 331 falling falling trend -1.4 (-2.5, -0.2)
Montgomery County 6 Urban 391.9 (373.1, 411.4) N/A 345 stable stable trend -0.8 (-1.5, 0.0)
Franklin County 6 Urban 442.2 (419.7, 465.7) N/A 347 stable stable trend 0.1 (-1.0, 1.3)
Roanoke City 6 Urban 468.7 (447.5, 490.8) N/A 406 falling falling trend -0.7 (-1.9, -0.1)
Frederick County 6 Urban 400.4 (382.9, 418.5) N/A 427 falling falling trend -1.5 (-2.2, -1.0)
Newport News City 6 Urban 416.0 (398.0, 434.7) N/A 433 falling falling trend -1.0 (-1.7, -0.3)
Rockingham County 6 Urban 405.5 (387.7, 423.9) N/A 433 falling falling trend -6.8 (-12.6, -0.8)
Richmond City 6 Urban 426.8 (408.5, 445.8) N/A 450 falling falling trend -1.4 (-2.2, -0.5)
James City County 6 Urban 414.8 (395.9, 434.5) N/A 451 stable stable trend -1.9 (-6.1, 1.1)
Stafford County 6 Urban 430.1 (412.1, 448.7) N/A 455 falling falling trend -1.1 (-2.0, -0.2)
Bedford City and County 6 Urban 427.5 (409.3, 446.5) N/A 474 falling falling trend -1.0 (-4.4, -0.2)
Arlington County 6 Urban 325.7 (312.5, 339.3) N/A 479 falling falling trend -1.8 (-2.7, -0.9)
Augusta County 6 Urban 454.5 (435.7, 473.9) N/A 493 falling falling trend -4.6 (-8.2, -0.9)
Albemarle County 6 Urban 389.8 (373.6, 406.5) N/A 495 falling falling trend -1.5 (-2.1, -0.8)
Norfolk City 6 Urban 465.6 (447.5, 484.2) N/A 544 stable stable trend 0.2 (-0.3, 0.7)
Hanover County 6 Urban 435.0 (418.4, 452.1) N/A 558 falling falling trend -0.9 (-1.5, -0.3)
Spotsylvania County 6 Urban 466.3 (448.6, 484.5) N/A 559 falling falling trend -0.8 (-1.4, -0.1)
Roanoke County 6 Urban 440.0 (422.9, 457.7) N/A 560 stable stable trend 0.2 (-0.5, 0.9)
Chesapeake City 6 Urban 476.6 (461.7, 491.8) N/A 825 stable stable trend 0.1 (-0.7, 1.0)
Prince William County 6 Urban 369.0 (358.0, 380.3) N/A 891 falling falling trend -1.4 (-2.0, -0.8)
Loudoun County 6 Urban 374.8 (363.9, 386.1) N/A 924 falling falling trend -1.3 (-1.8, -0.7)
Henrico County 6 Urban 457.4 (445.2, 469.8) N/A 1,162 rising rising trend 1.2 (0.2, 3.1)
Chesterfield County 6 Urban 447.9 (436.9, 459.0) N/A 1,367 falling falling trend -0.9 (-1.4, -0.3)
Virginia Beach City 6 Urban 468.3 (458.2, 478.7) N/A 1,717 falling falling trend -3.4 (-5.4, -0.3)
Fairfax County 6 Urban 353.1 (347.0, 359.2) N/A 2,733 falling falling trend -1.3 (-1.7, -0.9)
Notes:
Created by statecancerprofiles.cancer.gov on 11/17/2025 2:12 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.

† 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. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

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/Historic Combined Summary Stage (2004+).
⋔ 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.

Φ Rural-Urban Continuum Codes provided by the USDA.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2023 submission.
6 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2023 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 modified by NCI. The US Population Data File is used with SEER November 2023 data.

Data for the United States does not include data from Indiana.
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.

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