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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 Rate
County	2023 Rural-Urban Continuum Codes Φ	Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval)	CI*Rank ⋔ (95% Confidence Interval)	Average Annual Count	Recent Trend	Recent 5-Year Trend ‡ in Incidence Rates (95% Confidence Interval)
Virginia ⁶	N/A	417.6 (415.4, 419.7)	N/A	30,598	falling	-0.9 (-2.4, -0.5)
US (SEER+NPCR) § ¹	N/A	463.1 (462.7, 463.4)	N/A	1,300,948	falling	-0.4 (-0.5, -0.2)
Scott County ⁶	Urban	262.8 (237.2, 290.7)	N/A	89	falling	-3.9 (-7.2, -1.1)
Bristol City ⁶	Urban	277.3 (245.1, 313.0)	N/A	61	falling	-4.4 (-7.7, -1.7)
Buchanan County ⁶	Rural	306.5 (277.8, 337.8)	N/A	96	falling	-2.0 (-4.0, -0.3)
Washington County ⁶	Urban	311.7 (293.8, 330.6)	N/A	257	falling	-3.2 (-4.3, -2.1)
Lee County ⁶	Rural	319.0 (290.5, 349.9)	N/A	104	falling	-3.0 (-5.5, -0.9)
Arlington County ⁶	Urban	325.7 (312.5, 339.3)	N/A	479	falling	-1.8 (-2.7, -0.9)
Russell County ⁶	Rural	328.1 (301.4, 356.9)	N/A	126	falling	-2.1 (-3.7, -0.5)
Alexandria City ⁶	Urban	334.5 (318.1, 351.7)	N/A	331	falling	-1.4 (-2.5, -0.2)
Tazewell County ⁶	Rural	342.5 (320.2, 366.2)	N/A	199	falling	-2.9 (-7.9, -1.8)
Accomack County ⁶	Rural	351.1 (321.9, 382.9)	N/A	138	falling	-1.7 (-3.4, -0.1)
Fairfax County ⁶	Urban	353.1 (347.0, 359.2)	N/A	2,733	falling	-1.3 (-1.7, -0.9)
Dickenson County ⁶	Rural	356.7 (320.6, 396.4)	N/A	79	falling	-2.3 (-3.5, -1.1)
Clarke County ⁶	Urban	357.1 (319.4, 398.8)	N/A	75	falling	-1.7 (-2.9, -0.4)
Wise County ⁶	Rural	359.7 (334.8, 386.1)	N/A	169	falling	-2.8 (-4.6, -1.3)
Pittsylvania County ⁶	Rural	361.2 (340.6, 382.9)	N/A	265	falling	-1.4 (-2.3, -0.6)
Manassas City ⁶	Urban	366.5 (330.6, 405.5)	N/A	83	falling	-2.3 (-3.5, -1.1)
Falls Church City ⁶	Urban	367.3 (319.9, 420.1)	N/A	46	stable	-1.6 (-3.5, 0.4)
Prince William County ⁶	Urban	369.0 (358.0, 380.3)	N/A	891	falling	-1.4 (-2.0, -0.8)
Fauquier County ⁶	Urban	372.5 (353.1, 392.8)	N/A	298	falling	-1.1 (-2.1, -0.1)
Smyth County ⁶	Rural	373.2 (346.9, 401.2)	N/A	166	stable	-1.2 (-5.9, 0.2)
Loudoun County ⁶	Urban	374.8 (363.9, 386.1)	N/A	924	falling	-1.3 (-1.8, -0.7)
Appomattox County ⁶	Urban	381.8 (341.5, 425.9)	N/A	72	stable	-0.9 (-2.4, 0.7)
Charlottesville City ⁶	Urban	382.0 (351.1, 415.1)	N/A	120	stable	-0.9 (-1.9, 0.2)
Albemarle County ⁶	Urban	389.8 (373.6, 406.5)	N/A	495	falling	-1.5 (-2.1, -0.8)
Fairfax City ⁶	Urban	391.2 (350.8, 435.4)	N/A	73	falling	-1.2 (-6.7, -0.1)
Montgomery County ⁶	Urban	391.9 (373.1, 411.4)	N/A	345	stable	-0.8 (-1.5, 0.0)
Harrisonburg City ⁶	Urban	391.9 (359.8, 426.1)	N/A	121	stable	0.9 (-1.8, 5.6)
Patrick County ⁶	Rural	399.8 (364.7, 438.0)	N/A	114	stable	-0.1 (-2.0, 1.8)
Cumberland County ⁶	Rural	400.2 (343.4, 465.1)	N/A	40	falling	-2.6 (-8.2, -0.9)
Frederick County ⁶	Urban	400.4 (382.9, 418.5)	N/A	427	falling	-1.5 (-2.2, -1.0)
Nelson County ⁶	Urban	400.6 (360.7, 444.7)	N/A	92	falling	-4.2 (-12.1, -1.7)
Madison County ⁶	Rural	405.1 (362.2, 452.3)	N/A	75	falling	-0.8 (-1.6, -0.2)
Rockingham County ⁶	Urban	405.5 (387.7, 423.9)	N/A	433	falling	-6.8 (-12.6, -0.8)
Manassas Park City ⁶	Urban	405.5 (336.2, 485.3)	N/A	25	stable	-2.0 (-4.9, 1.1)
Richmond County ⁶	Rural	408.7 (349.6, 477.1)	N/A	39	stable	0.7 (-1.0, 2.4)
Pulaski County ⁶	Urban	409.2 (383.0, 437.1)	N/A	202	stable	-0.4 (-0.9, 0.2)
Shenandoah County ⁶	Rural	412.8 (388.9, 437.9)	N/A	253	stable	0.2 (-0.9, 1.2)
Northumberland County ⁶	Rural	414.6 (364.5, 472.3)	N/A	86	stable	-0.1 (-1.6, 1.3)
James City County ⁶	Urban	414.8 (395.9, 434.5)	N/A	451	stable	-1.9 (-6.1, 1.1)
Highland County ⁶	Rural	415.9 (309.7, 553.3)	N/A	18	stable	1.1 (-1.2, 3.4)
Newport News City ⁶	Urban	416.0 (398.0, 434.7)	N/A	433	falling	-1.0 (-1.7, -0.3)
York County ⁶	Urban	416.2 (394.1, 439.4)	N/A	281	stable	-0.7 (-1.6, 0.2)
Carroll County ⁶	Rural	416.6 (388.4, 446.7)	N/A	193	stable	0.2 (-1.7, 2.2)
Warren County ⁶	Urban	417.4 (390.4, 445.8)	N/A	197	stable	-0.2 (-1.4, 1.0)
Norton City ⁶	Rural	419.0 (336.4, 517.8)	N/A	19	falling	-3.0 (-4.9, -1.2)
Halifax County with South Boston City ⁶	Rural	422.0 (389.8, 456.6)	N/A	149	falling	-8.1 (-14.1, -5.1)
Lynchburg City ⁶	Urban	423.4 (398.2, 449.9)	N/A	238	stable	-0.5 (-1.5, 0.4)
Henry County ⁶	Rural	425.0 (400.1, 451.3)	N/A	260	stable	-0.7 (-1.9, 0.5)
Richmond City ⁶	Urban	426.8 (408.5, 445.8)	N/A	450	falling	-1.4 (-2.2, -0.5)
Bedford City and County ⁶	Urban	427.5 (409.3, 446.5)	N/A	474	falling	-1.0 (-4.4, -0.2)
Greene County ⁶	Urban	427.6 (389.7, 468.6)	N/A	101	falling	-0.8 (-1.3, -0.2)
Campbell County ⁶	Urban	427.9 (405.0, 451.9)	N/A	288	stable	-0.8 (-1.8, 0.3)
Radford City ⁶	Urban	428.8 (373.3, 490.3)	N/A	46	falling	-1.8 (-3.4, -0.3)
Stafford County ⁶	Urban	430.1 (412.1, 448.7)	N/A	455	falling	-1.1 (-2.0, -0.2)
Rockbridge County ⁶	Rural	430.3 (397.9, 465.1)	N/A	157	stable	-0.4 (-1.6, 0.9)
Page County ⁶	Rural	432.5 (400.7, 466.5)	N/A	151	stable	0.1 (-0.9, 1.1)
Bland County ⁶	Rural	433.5 (375.1, 500.4)	N/A	43	stable	0.0 (-2.7, 2.8)
Winchester City ⁶	Urban	433.8 (397.9, 472.3)	N/A	118	stable	-0.4 (-1.0, 0.3)
Hanover County ⁶	Urban	435.0 (418.4, 452.1)	N/A	558	falling	-0.9 (-1.5, -0.3)
Poquoson City ⁶	Urban	436.3 (390.2, 486.9)	N/A	70	stable	-0.8 (-2.0, 0.5)
Roanoke County ⁶	Urban	440.0 (422.9, 457.7)	N/A	560	stable	0.2 (-0.5, 0.9)
Powhatan County ⁶	Urban	442.1 (410.6, 475.6)	N/A	163	rising	3.1 (0.5, 6.7)
Franklin County ⁶	Urban	442.2 (419.7, 465.7)	N/A	347	stable	0.1 (-1.0, 1.3)
Grayson County ⁶	Rural	442.2 (401.9, 486.2)	N/A	105	stable	-0.1 (-1.6, 1.2)
Alleghany County and Clifton Forge City ⁶	Rural	442.2 (402.0, 486.0)	N/A	105	stable	-0.3 (-1.6, 0.9)
Surry County ⁶	Urban	442.5 (364.0, 536.1)	N/A	27	stable	-1.4 (-12.6, 1.2)
King William County ⁶	Urban	443.0 (397.7, 492.3)	N/A	75	stable	-0.4 (-1.7, 1.1)
Greensville County ⁶	Rural	443.2 (370.2, 529.1)	N/A	28	stable	0.0 (-2.1, 2.2)
Craig County ⁶	Urban	443.9 (373.5, 525.6)	N/A	34	stable	1.1 (-1.1, 3.4)
Rappahannock County ⁶	Urban	445.1 (385.4, 512.9)	N/A	51	stable	5.3 (-1.7, 15.4)
Charlotte County ⁶	Rural	446.4 (391.5, 507.7)	N/A	55	stable	0.9 (-0.5, 2.3)
Hampton City ⁶	Urban	446.6 (423.9, 470.3)	N/A	322	falling	-0.8 (-1.4, -0.2)
Floyd County ⁶	Urban	447.4 (406.5, 491.9)	N/A	101	stable	0.4 (-0.8, 1.6)
Chesterfield County ⁶	Urban	447.9 (436.9, 459.0)	N/A	1,367	falling	-0.9 (-1.4, -0.3)
Amherst County ⁶	Urban	449.6 (417.9, 483.4)	N/A	166	stable	1.0 (-1.4, 6.6)
Fluvanna County ⁶	Urban	450.6 (416.4, 487.1)	N/A	143	stable	-0.8 (-1.7, 0.0)
Augusta County ⁶	Urban	454.5 (435.7, 473.9)	N/A	493	falling	-4.6 (-8.2, -0.9)
Southampton County ⁶	Rural	455.2 (410.4, 504.4)	N/A	82	stable	0.8 (-0.7, 2.4)
Gloucester County ⁶	Urban	455.4 (427.7, 484.7)	N/A	224	falling	-4.4 (-10.9, -0.5)
Buckingham County ⁶	Rural	455.8 (407.2, 509.3)	N/A	70	stable	-0.2 (-1.6, 1.3)
Botetourt County ⁶	Urban	456.0 (428.2, 485.3)	N/A	230	stable	0.5 (-0.5, 1.5)
Henrico County ⁶	Urban	457.4 (445.2, 469.8)	N/A	1,162	rising	1.2 (0.2, 3.1)
Culpeper County ⁶	Urban	458.6 (431.7, 486.8)	N/A	232	stable	-0.8 (-1.6, 0.1)
Louisa County ⁶	Rural	461.0 (431.0, 492.9)	N/A	199	stable	-0.4 (-1.5, 0.8)
Westmoreland County ⁶	Rural	461.2 (417.2, 509.5)	N/A	103	stable	-0.2 (-1.3, 0.8)
Emporia City ⁶	Rural	461.6 (346.7, 611.3)	N/A	14	stable	-0.8 (-4.7, 2.7)
Prince Edward County ⁶	Rural	462.3 (411.0, 518.7)	N/A	70	stable	-0.5 (-2.3, 1.3)
Norfolk City ⁶	Urban	465.6 (447.5, 484.2)	N/A	544	stable	0.2 (-0.3, 0.7)
Spotsylvania County ⁶	Urban	466.3 (448.6, 484.5)	N/A	559	falling	-0.8 (-1.4, -0.1)
Wythe County ⁶	Rural	467.1 (436.5, 499.6)	N/A	189	rising	1.0 (0.1, 1.9)
Virginia Beach City ⁶	Urban	468.3 (458.2, 478.7)	N/A	1,717	falling	-3.4 (-5.4, -0.3)
Roanoke City ⁶	Urban	468.7 (447.5, 490.8)	N/A	406	falling	-0.7 (-1.9, -0.1)
Franklin City ⁶	Rural	473.0 (388.7, 573.3)	N/A	27	stable	-0.1 (-2.1, 2.1)
Caroline County ⁶	Rural	473.7 (435.2, 514.9)	N/A	120	falling	-1.4 (-4.7, -0.3)
Isle of Wight County ⁶	Urban	474.6 (443.0, 508.1)	N/A	186	stable	-0.3 (-1.4, 1.0)
Portsmouth City ⁶	Urban	475.4 (447.6, 504.6)	N/A	240	stable	0.0 (-0.8, 0.7)
Chesapeake City ⁶	Urban	476.6 (461.7, 491.8)	N/A	825	stable	0.1 (-0.7, 1.0)
Orange County ⁶	Rural	476.6 (446.6, 508.4)	N/A	209	stable	1.2 (-0.8, 5.9)
Charles City County ⁶	Urban	477.0 (391.4, 580.0)	N/A	26	stable	0.0 (-2.5, 2.8)
Lunenburg County ⁶	Rural	478.7 (419.2, 545.5)	N/A	55	stable	0.6 (-0.8, 2.0)
Salem City ⁶	Urban	479.4 (443.8, 517.4)	N/A	148	stable	0.4 (-0.9, 1.8)
King George County ⁶	Rural	480.3 (439.7, 523.9)	N/A	108	stable	-0.3 (-1.5, 0.9)
Middlesex County ⁶	Rural	483.3 (429.1, 543.9)	N/A	83	stable	-1.0 (-8.4, 0.5)
Mecklenburg County ⁶	Rural	484.7 (447.9, 524.2)	N/A	165	stable	1.0 (0.0, 2.0)
Williamsburg City ⁶	Urban	491.0 (429.8, 559.7)	N/A	63	stable	4.1 (-1.5, 11.7)
Dinwiddie County ⁶	Urban	491.4 (452.3, 533.5)	N/A	125	stable	-0.4 (-1.4, 0.6)
Goochland County ⁶	Urban	492.5 (455.7, 531.9)	N/A	156	stable	-0.1 (-1.0, 0.9)
Suffolk City ⁶	Urban	492.7 (467.2, 519.4)	N/A	300	stable	0.7 (-0.1, 1.6)
Staunton City ⁶	Urban	492.9 (457.1, 531.1)	N/A	156	stable	-4.5 (-12.9, 1.8)
Brunswick County ⁶	Rural	493.6 (435.4, 559.4)	N/A	60	stable	0.5 (-0.3, 1.3)
King and Queen County ⁶	Urban	494.9 (418.6, 583.0)	N/A	35	stable	0.7 (-1.1, 2.6)
Bath County ⁶	Rural	496.3 (420.0, 585.6)	N/A	36	stable	1.5 (-0.7, 3.8)
Martinsville City ⁶	Rural	498.3 (435.5, 569.1)	N/A	52	stable	0.3 (-1.1, 1.7)
Danville City ⁶	Rural	501.7 (463.3, 543.0)	N/A	164	stable	0.2 (-0.9, 1.2)
Prince George County ⁶	Urban	503.5 (466.3, 543.1)	N/A	142	stable	-0.5 (-1.6, 0.6)
Colonial Heights City ⁶	Urban	504.8 (458.7, 554.8)	N/A	103	stable	0.9 (-0.1, 1.8)
Giles County ⁶	Urban	507.1 (465.7, 551.7)	N/A	122	stable	4.1 (-5.9, 14.3)
Fredericksburg City ⁶	Urban	509.4 (461.5, 561.1)	N/A	88	stable	-0.9 (-2.0, 0.3)
Lancaster County ⁶	Rural	520.1 (456.6, 592.6)	N/A	92	rising	11.5 (2.4, 20.6)
New Kent County ⁶	Urban	521.3 (479.0, 566.6)	N/A	129	stable	0.0 (-1.1, 1.4)
Waynesboro City ⁶	Urban	522.7 (481.1, 567.3)	N/A	128	stable	0.0 (-1.1, 1.1)
Northampton County ⁶	Rural	527.7 (463.9, 599.8)	N/A	73	stable	-0.5 (-1.8, 0.6)
Buena Vista City ⁶	Rural	543.1 (470.8, 624.3)	N/A	44	stable	1.3 (-0.3, 3.0)
Mathews County ⁶	Urban	543.9 (482.6, 612.5)	N/A	78	rising	1.6 (0.4, 2.9)
Sussex County ⁶	Urban	544.8 (464.7, 636.8)	N/A	36	stable	1.1 (-1.2, 3.4)
Amelia County ⁶	Urban	549.3 (493.5, 610.3)	N/A	78	stable	0.6 (-0.6, 1.8)
Nottoway County ⁶	Rural	549.9 (492.6, 612.9)	N/A	72	stable	0.7 (-0.5, 1.9)
Lexington City ⁶	Rural	561.9 (475.1, 661.3)	N/A	35	rising	3.3 (1.3, 5.7)
Essex County ⁶	Rural	565.7 (497.8, 642.3)	N/A	62	rising	2.9 (0.3, 10.9)
Covington City ⁶	Rural	604.2 (519.9, 699.5)	N/A	40	rising	4.0 (2.1, 6.2)
Hopewell City ⁶	Urban	615.1 (558.1, 676.9)	N/A	97	stable	1.3 (0.0, 2.5)
Petersburg City ⁶	Urban	656.6 (571.8, 751.8)	N/A	49	stable	0.9 (-1.9, 3.7)
Galax City ⁶	Rural	673.4 (588.1, 768.9)	N/A	49	stable	2.0 (-0.9, 5.1)

Notes:
Created by statecancerprofiles.cancer.gov on 10/10/2024 12:28 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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