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Incidence Rates Table

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Incidence Rate Report for Virginia by County

All Cancer Sites (All Stages^), 2015-2019

All Races (includes Hispanic), Both Sexes, Ages <65

Sorted by Count
County
 sort alphabetically by name ascending
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 ascending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Virginia 6 208.5 (207.1, 209.9) N/A 18,365 stable stable trend -0.5 (-0.9, 0.0)
US (SEER+NPCR) 1 228.3 (228.1, 228.5) N/A 750,680 stable stable trend -0.8 (-1.5, 0.0)
Fairfax County 6 171.5 (168.1, 174.9) 120 (112, 125) 2,040 falling falling trend -1.1 (-1.5, -0.7)
Virginia Beach City 6 231.2 (224.8, 237.8) 56 (42, 75) 1,040 rising rising trend 0.6 (0.1, 1.1)
Chesterfield County 6 224.4 (217.3, 231.6) 65 (48, 84) 819 stable stable trend -0.5 (-1.0, 0.0)
Henrico County 6 225.0 (217.8, 232.5) 63 (44, 84) 776 stable stable trend -0.5 (-1.0, 0.0)
Prince William County 6 167.7 (162.4, 173.2) 122 (113, 127) 761 falling falling trend -1.7 (-2.4, -1.0)
Loudoun County 6 182.4 (176.4, 188.5) 116 (101, 120) 706 falling falling trend -1.0 (-1.7, -0.2)
Chesapeake City 6 227.3 (218.9, 236.1) 62 (43, 83) 578 stable stable trend 0.0 (-0.6, 0.6)
Norfolk City 6 239.9 (230.4, 249.7) 48 (31, 67) 523 stable stable trend -3.4 (-7.9, 1.3)
Richmond City 6 206.0 (197.3, 215.0) 92 (68, 107) 465 falling falling trend -3.2 (-4.3, -2.1)
Newport News City 6 218.6 (208.5, 229.1) 75 (49, 97) 377 falling falling trend -0.7 (-1.3, -0.2)
Arlington County 6 159.2 (151.7, 167.0) 126 (116, 130) 347 falling falling trend -1.7 (-2.6, -0.8)
Hampton City 6 217.0 (205.6, 228.8) 79 (47, 101) 306 falling falling trend -0.9 (-1.7, -0.2)
Spotsylvania County 6 213.3 (202.2, 224.9) 85 (54, 103) 294 falling falling trend -1.4 (-1.9, -0.8)
Roanoke City 6 271.6 (257.2, 286.7) 21 (14, 42) 288 rising rising trend 10.6 (3.2, 18.6)
Stafford County 6 191.7 (181.8, 202.1) 107 (83, 118) 288 stable stable trend -0.7 (-1.9, 0.4)
Hanover County 6 223.3 (210.9, 236.3) 67 (41, 97) 269 falling falling trend -1.0 (-2.0, -0.1)
Alexandria City 6 156.5 (147.8, 165.7) 127 (118, 130) 246 falling falling trend -1.9 (-2.8, -0.9)
Roanoke County 6 239.5 (225.5, 254.2) 50 (25, 79) 244 rising rising trend 1.0 (0.1, 1.9)
Portsmouth City 6 242.5 (228.1, 257.6) 43 (26, 76) 231 stable stable trend -0.2 (-0.9, 0.5)
Suffolk City 6 228.7 (215.0, 243.1) 60 (35, 91) 220 stable stable trend -0.1 (-1.0, 0.9)
Albemarle County 6 204.8 (192.2, 217.9) 94 (61, 113) 219 falling falling trend -0.9 (-1.8, -0.1)
Frederick County 6 213.5 (199.9, 227.9) 84 (48, 107) 196 stable stable trend -0.5 (-1.4, 0.4)
Bedford City and County 6 215.0 (200.6, 230.3) 81 (46, 106) 195 stable stable trend -0.4 (-1.7, 0.9)
Rockingham County 6 215.4 (200.9, 230.8) 80 (43, 107) 180 stable stable trend -1.0 (-2.2, 0.1)
James City County 6 223.2 (207.6, 239.7) 68 (37, 101) 174 stable stable trend -2.3 (-4.6, 0.0)
Augusta County 6 197.4 (183.7, 212.1) 102 (66, 118) 172 falling falling trend -9.5 (-12.9, -6.0)
Lynchburg City 6 256.8 (238.6, 276.1) 34 (17, 64) 163 rising rising trend 1.3 (0.1, 2.4)
Fauquier County 6 202.0 (187.5, 217.4) 97 (59, 117) 160 falling falling trend -1.2 (-2.3, -0.2)
Montgomery County 6 186.0 (172.5, 200.4) 110 (83, 125) 151 falling falling trend -1.2 (-1.8, -0.5)
Pittsylvania County 6 182.7 (168.0, 198.4) 114 (84, 126) 136 stable stable trend -12.7 (-26.2, 3.3)
York County 6 187.9 (173.4, 203.3) 109 (82, 124) 134 falling falling trend -1.4 (-2.7, -0.1)
Franklin County 6 207.2 (189.9, 225.7) 90 (50, 116) 129 stable stable trend -0.2 (-1.4, 1.0)
Campbell County 6 206.1 (189.4, 224.0) 91 (52, 115) 126 falling falling trend -1.0 (-1.8, -0.2)
Henry County 6 213.6 (195.7, 232.9) 83 (42, 111) 123 stable stable trend -0.2 (-1.9, 1.5)
Culpeper County 6 218.5 (200.7, 237.5) 76 (39, 108) 118 stable stable trend -0.4 (-1.5, 0.7)
Washington County 6 192.0 (175.6, 209.6) 106 (68, 124) 117 stable stable trend -1.2 (-2.8, 0.5)
Danville City 6 270.0 (246.6, 295.2) 23 (8, 61) 114 rising rising trend 1.6 (0.6, 2.6)
Gloucester County 6 251.4 (229.1, 275.4) 38 (16, 80) 110 stable stable trend 0.8 (-0.4, 2.0)
Petersburg City 6 311.8 (283.4, 342.5) 11 (4, 29) 102 stable stable trend 1.0 (-0.1, 2.2)
Shenandoah County 6 213.9 (194.5, 234.7) 82 (39, 113) 102 stable stable trend 0.5 (-0.7, 1.7)
Louisa County 6 223.7 (202.6, 246.5) 66 (30, 107) 97 stable stable trend -0.8 (-2.0, 0.3)
Accomack County 6 254.0 (229.7, 280.3) 36 (12, 79) 97 rising rising trend 1.3 (0.3, 2.5)
Isle of Wight County 6 222.1 (201.2, 244.8) 69 (29, 110) 96 stable stable trend -0.3 (-1.4, 0.8)
Mecklenburg County 6 279.9 (253.0, 309.3) 20 (7, 53) 96 rising rising trend 1.5 (0.3, 2.7)
Halifax County with South Boston City 6 245.2 (221.9, 270.5) 41 (17, 87) 96 stable stable trend 0.7 (-0.7, 2.0)
Orange County 6 240.3 (218.0, 264.5) 47 (20, 93) 95 stable stable trend 9.9 (-4.1, 26.0)
Warren County 6 210.2 (190.6, 231.3) 86 (41, 116) 95 stable stable trend -0.7 (-2.0, 0.6)
Charlottesville City 6 230.8 (209.7, 253.5) 57 (27, 102) 95 stable stable trend 0.6 (-0.5, 1.6)
Pulaski County 6 234.9 (212.6, 259.2) 52 (22, 100) 92 stable stable trend -0.4 (-1.3, 0.6)
Harrisonburg City 6 229.9 (208.3, 253.0) 59 (26, 102) 87 stable stable trend 15.4 (-1.4, 34.9)
Tazewell County 6 178.5 (160.5, 198.1) 119 (83, 129) 82 stable stable trend -1.0 (-2.6, 0.7)
Wythe County 6 249.7 (224.7, 276.9) 39 (14, 90) 82 stable stable trend 1.2 (-0.1, 2.4)
Amherst County 6 218.6 (196.6, 242.8) 74 (31, 112) 81 falling falling trend -1.0 (-1.9, -0.1)
Prince George County 6 201.0 (181.4, 222.2) 99 (52, 121) 80 stable stable trend -1.0 (-2.3, 0.3)
Botetourt County 6 197.9 (177.0, 220.8) 100 (48, 124) 78 stable stable trend -0.5 (-2.1, 1.1)
Staunton City 6 304.2 (273.4, 337.9) 12 (4, 36) 78 rising rising trend 1.9 (0.8, 3.0)
Powhatan County 6 218.4 (195.8, 243.3) 77 (31, 113) 77 falling falling trend -1.3 (-2.5, -0.2)
Fluvanna County 6 261.8 (234.8, 291.2) 27 (10, 77) 76 stable stable trend -0.3 (-1.8, 1.3)
Goochland County 6 256.6 (228.9, 287.4) 35 (11, 81) 75 stable stable trend -0.7 (-2.3, 1.0)
Salem City 6 287.4 (257.3, 320.2) 17 (5, 53) 75 rising rising trend 2.7 (0.9, 4.5)
Manassas City 6 185.1 (166.5, 205.2) 111 (72, 128) 74 stable stable trend -1.4 (-2.8, 0.1)
Fredericksburg City 6 301.5 (270.7, 334.7) 15 (4, 39) 73 stable stable trend 13.5 (-0.2, 29.2)
Caroline County 6 221.1 (198.2, 246.1) 70 (29, 111) 73 falling falling trend -1.8 (-3.0, -0.5)
Dinwiddie County 6 218.8 (195.4, 244.4) 72 (31, 114) 72 stable stable trend -0.7 (-1.7, 0.5)
Waynesboro City 6 324.5 (290.6, 361.5) 8 (3, 28) 72 rising rising trend 2.5 (1.2, 3.9)
Wise County 6 170.7 (152.5, 190.6) 121 (93, 130) 71 falling falling trend -2.3 (-4.5, -0.2)
Richmond County 6 715.3 (638.7, 799.4) 1 (1, 2) 68 rising rising trend 57.5 (33.3, 86.1)
Carroll County 6 194.1 (171.8, 218.8) 104 (50, 126) 65 stable stable trend 0.2 (-2.2, 2.6)
Hopewell City 6 290.4 (258.6, 325.3) 16 (5, 49) 64 stable stable trend 0.3 (-0.3, 1.0)
New Kent County 6 239.7 (212.6, 269.6) 49 (16, 100) 64 stable stable trend 0.4 (-1.2, 2.1)
Page County 6 236.6 (209.8, 266.3) 51 (19, 105) 64 stable stable trend 0.4 (-0.7, 1.5)
Southampton County 6 260.1 (228.9, 294.9) 30 (10, 90) 59 stable stable trend 1.3 (-0.6, 3.2)
King George County 6 202.2 (178.4, 228.5) 96 (42, 124) 55 stable stable trend -0.5 (-2.2, 1.1)
Smyth County 6 161.6 (142.0, 183.4) 124 (100, 132) 55 stable stable trend -0.8 (-2.6, 1.0)
Winchester City 6 196.6 (173.1, 222.5) 103 (48, 125) 54 stable stable trend -11.3 (-25.1, 5.1)
Prince Edward County 6 256.9 (224.2, 293.3) 33 (10, 96) 51 stable stable trend 0.0 (-1.7, 1.6)
Brunswick County 6 264.9 (231.6, 302.3) 25 (7, 86) 51 stable stable trend 0.8 (-0.7, 2.3)
King William County 6 270.1 (236.5, 307.5) 22 (6, 80) 51 stable stable trend 0.5 (-1.2, 2.1)
Russell County 6 153.8 (133.7, 176.4) 128 (106, 132) 49 stable stable trend -1.5 (-3.4, 0.5)
Nottoway County 6 285.5 (249.4, 325.7) 18 (5, 64) 49 stable stable trend 0.6 (-0.8, 2.1)
Colonial Heights City 6 281.4 (245.4, 321.4) 19 (5, 72) 48 rising rising trend 2.8 (1.3, 4.2)
Rockbridge County 6 184.9 (159.8, 213.2) 112 (56, 130) 47 stable stable trend -0.7 (-2.8, 1.4)
Westmoreland County 6 232.1 (200.0, 268.3) 55 (17, 117) 47 stable stable trend -0.2 (-1.3, 1.0)
Martinsville City 6 326.1 (282.9, 374.4) 7 (3, 36) 46 stable stable trend 2.4 (-0.1, 4.9)
Buckingham County 6 228.7 (198.7, 262.5) 61 (18, 114) 45 stable stable trend 1.0 (-0.2, 2.3)
Giles County 6 245.2 (212.4, 282.0) 42 (11, 104) 45 stable stable trend 0.2 (-1.0, 1.4)
Nelson County 6 259.8 (222.7, 301.9) 31 (7, 99) 45 stable stable trend 0.2 (-1.7, 2.0)
Greene County 6 203.3 (175.7, 234.3) 95 (35, 127) 42 stable stable trend -5.0 (-10.9, 1.3)
Greensville County 6 312.7 (271.5, 359.2) 10 (3, 43) 42 stable stable trend 1.0 (-1.1, 3.2)
Buchanan County 6 166.6 (143.3, 193.0) 123 (84, 131) 42 stable stable trend -1.5 (-3.2, 0.3)
Patrick County 6 205.7 (176.3, 239.1) 93 (31, 125) 42 stable stable trend 0.5 (-1.7, 2.8)
Northampton County 6 303.0 (257.5, 354.8) 14 (3, 61) 41 stable stable trend 0.5 (-1.4, 2.5)
Floyd County 6 233.3 (199.8, 271.2) 53 (17, 119) 40 stable stable trend 0.1 (-1.8, 1.9)
Amelia County 6 266.3 (226.7, 311.3) 24 (5, 98) 39 stable stable trend -0.4 (-2.2, 1.5)
Sussex County 6 303.7 (260.6, 352.6) 13 (4, 54) 38 rising rising trend 2.1 (0.8, 3.5)
Alleghany County and Clifton Forge City 6 208.4 (177.3, 244.1) 87 (25, 125) 37 stable stable trend -0.8 (-3.1, 1.6)
Fairfax City 6 152.1 (130.3, 176.7) 129 (104, 133) 37 falling falling trend -25.1 (-43.7, -0.3)
Lee County 6 133.6 (113.9, 156.2) 130 (119, 133) 37 falling falling trend -3.7 (-5.7, -1.6)
Essex County 6 261.1 (220.2, 308.4) 28 (6, 108) 34 stable stable trend 0.9 (-1.4, 3.3)
Madison County 6 218.6 (184.2, 258.3) 73 (18, 123) 34 stable stable trend -3.5 (-7.1, 0.2)
Grayson County 6 179.8 (151.7, 212.4) 118 (53, 131) 34 stable stable trend -1.4 (-3.1, 0.4)
Clarke County 6 189.4 (159.0, 224.6) 108 (38, 130) 33 falling falling trend -1.7 (-2.9, -0.4)
Appomattox County 6 197.8 (166.9, 233.0) 101 (34, 129) 33 stable stable trend -1.3 (-2.7, 0.2)
Lancaster County 6 264.6 (218.2, 319.1) 26 (4, 111) 33 rising rising trend 2.9 (0.9, 5.0)
Charlotte County 6 241.2 (202.0, 286.2) 45 (9, 118) 32 stable stable trend 0.2 (-1.8, 2.2)
Scott County 6 132.5 (111.4, 156.7) 131 (118, 133) 32 falling falling trend -2.9 (-5.5, -0.3)
Dickenson County 6 181.3 (151.5, 215.7) 117 (51, 131) 30 falling falling trend -2.5 (-4.5, -0.5)
Lunenburg County 6 217.3 (181.3, 258.9) 78 (17, 126) 30 stable stable trend 0.2 (-1.6, 2.1)
Franklin City 6 344.6 (287.7, 410.0) 6 (3, 37) 30 stable stable trend 1.9 (-0.3, 4.1)
Falls Church City 6 183.7 (154.1, 217.9) 113 (47, 131) 28 stable stable trend -1.3 (-3.3, 0.7)
Williamsburg City 6 260.8 (216.4, 311.9) 29 (5, 112) 28 rising rising trend 13.6 (1.1, 27.6)
Middlesex County 6 207.2 (169.0, 252.8) 89 (23, 129) 28 stable stable trend 0.3 (-1.7, 2.4)
Galax City 6 413.8 (344.2, 494.0) 3 (2, 15) 28 rising rising trend 32.1 (10.0, 58.5)
Radford City 6 224.5 (187.1, 267.3) 64 (15, 124) 28 stable stable trend -1.3 (-3.6, 1.1)
Northumberland County 6 161.3 (131.5, 197.7) 125 (70, 133) 26 falling falling trend -15.9 (-27.8, -2.0)
Poquoson City 6 192.7 (159.1, 231.9) 105 (34, 130) 25 stable stable trend -1.1 (-3.3, 1.1)
Cumberland County 6 207.3 (169.8, 251.7) 88 (22, 128) 24 stable stable trend -0.4 (-3.0, 2.3)
Lexington City 6 533.3 (435.0, 648.0) 2 (1, 5) 23 rising rising trend 31.9 (6.0, 64.1)
Charles City County 6 242.1 (194.6, 300.0) 44 (7, 125) 23 stable stable trend 0.3 (-2.3, 3.0)
Mathews County 6 221.0 (177.4, 273.7) 71 (12, 129) 22 stable stable trend 0.5 (-1.5, 2.5)
Covington City 6 361.7 (293.7, 441.8) 4 (2, 41) 22 rising rising trend 7.2 (5.6, 8.8)
Bristol City 6 120.4 (97.6, 147.1) 132 (121, 133) 21 falling falling trend -3.4 (-6.2, -0.6)
King and Queen County 6 240.7 (192.0, 299.4) 46 (8, 124) 21 stable stable trend 1.0 (-1.0, 3.1)
Surry County 6 230.8 (181.4, 291.3) 58 (8, 128) 20 stable stable trend 0.4 (-2.5, 3.4)
Bland County 6 247.1 (198.5, 306.4) 40 (6, 122) 19 stable stable trend 1.2 (-1.7, 4.2)
Manassas Park City 6 111.3 (89.4, 137.0) 133 (128, 133) 18 stable stable trend -40.7 (-64.9, 0.1)
Rappahannock County 6 182.4 (140.9, 234.1) 115 (28, 132) 17 falling falling trend -3.1 (-5.0, -1.2)
Buena Vista City 6 253.5 (198.5, 319.6) 37 (4, 126) 16 stable stable trend 2.4 (-0.7, 5.7)
Bath County 6 320.5 (247.2, 411.6) 9 (2, 103) 15 stable stable trend 2.2 (-1.7, 6.2)
Craig County 6 233.0 (176.8, 303.5) 54 (6, 129) 14 stable stable trend 1.5 (-1.8, 4.8)
Emporia City 6 258.1 (197.5, 331.8) 32 (4, 127) 14 stable stable trend -0.7 (-3.2, 1.9)
Norton City 6 201.9 (144.7, 276.1) 98 (8, 133) 9 stable stable trend -2.2 (-5.3, 1.0)
Highland County 6 344.8 (225.0, 511.3) 5 (2, 128) 8 rising rising trend 3.9 (0.4, 7.5)
Notes:
Created by statecancerprofiles.cancer.gov on 11/29/2022 3:01 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 US Population Data File is used for SEER and NPCR incidence rates.
‡ Incidence data come from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.

Rates and trends are computed using different standards for malignancy. For more information see malignant.html.

^ All Stages refers to any stage in the Surveillance, Epidemiology, and End Results (SEER) summary stage.

1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2021 submission.
6 Source: National Program of Cancer Registries SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2021 submission).
8 Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modifed by NCI. The US Population Data File is used with SEER November 2021 data.

Interpret Rankings provides insight into interpreting cancer incidence statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.

Data for the United States does not include data from Nevada.
Data for the United States does not include Puerto Rico.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

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