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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, Ages <65

Sorted by Rate
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 ascending
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 *** 209.0 (207.6, 210.4) N/A 18,315 stable stable trend -1.5 (-3.3, 0.3)
US (SEER+NPCR) 1 *** 227.6 (227.4, 227.9) N/A 750,329 stable stable trend -0.7 (-1.8, 0.5)
Richmond County 6 *** 483.2 (421.8, 552.2) 1 (1, 3) 47 rising rising trend 45.4 (21.8, 73.6)
Lexington City 6 *** 374.7 (292.5, 473.5) 2 (1, 47) 16 rising rising trend 6.5 (2.9, 10.3)
Covington City 6 *** 343.7 (278.1, 421.5) 3 (1, 56) 21 rising rising trend 7.5 (5.7, 9.3)
Franklin City 6 *** 338.6 (281.5, 404.3) 4 (1, 42) 29 stable stable trend 2.3 (-0.1, 4.7)
Bath County 6 *** 311.9 (240.3, 401.1) 5 (2, 106) 15 stable stable trend 2.3 (-2.2, 7.0)
Highland County 6 *** 311.0 (199.3, 468.3) 6 (1, 129) 7 stable stable trend 3.5 (-0.3, 7.4)
Petersburg City 6 *** 309.5 (281.5, 339.7) 7 (2, 27) 103 rising rising trend 1.3 (0.1, 2.5)
Greensville County 6 *** 309.3 (268.1, 355.9) 8 (2, 41) 41 stable stable trend 1.1 (-1.3, 3.7)
Galax City 6 *** 309.1 (251.6, 376.7) 9 (2, 77) 22 rising rising trend 3.5 (0.4, 6.7)
Waynesboro City 6 *** 303.6 (270.8, 339.4) 10 (2, 40) 67 rising rising trend 2.5 (1.1, 4.0)
Sussex County 6 *** 299.2 (257.0, 347.3) 11 (2, 57) 38 rising rising trend 2.2 (0.6, 3.8)
Staunton City 6 *** 294.3 (263.8, 327.7) 12 (3, 42) 75 rising rising trend 1.7 (0.4, 2.9)
Martinsville City 6 *** 292.0 (251.0, 338.2) 13 (2, 67) 40 stable stable trend 1.6 (-1.0, 4.4)
Northampton County 6 *** 288.8 (244.9, 339.0) 14 (2, 78) 40 stable stable trend -0.3 (-2.2, 1.6)
Hopewell City 6 *** 287.3 (255.7, 321.9) 15 (3, 52) 64 stable stable trend 0.1 (-0.6, 0.8)
Fredericksburg City 6 *** 282.7 (252.8, 315.2) 16 (3, 57) 68 stable stable trend 12.7 (-4.6, 33.2)
Colonial Heights City 6 *** 278.5 (242.6, 318.4) 17 (3, 69) 47 rising rising trend 2.8 (1.2, 4.4)
Mecklenburg County 6 *** 276.4 (249.6, 305.4) 18 (5, 51) 95 rising rising trend 1.8 (0.6, 3.0)
Salem City 6 *** 275.4 (246.0, 307.5) 19 (4, 57) 72 rising rising trend 2.9 (0.9, 4.9)
Essex County 6 *** 273.6 (232.3, 321.1) 20 (3, 102) 36 stable stable trend 1.6 (-0.7, 3.9)
Nottoway County 6 *** 272.4 (237.1, 312.0) 21 (4, 75) 46 stable stable trend 0.4 (-1.2, 2.1)
Prince Edward County 6 *** 267.5 (234.1, 304.5) 22 (5, 87) 53 stable stable trend 0.0 (-1.9, 1.9)
Goochland County 6 *** 267.2 (238.5, 298.8) 23 (6, 71) 76 stable stable trend -0.2 (-1.9, 1.5)
Gloucester County 6 *** 265.4 (242.7, 289.9) 24 (7, 60) 116 rising rising trend 1.3 (0.2, 2.4)
Brunswick County 6 *** 265.3 (231.9, 302.7) 25 (4, 95) 51 stable stable trend 0.9 (-0.8, 2.7)
Danville City 6 *** 263.5 (240.9, 287.8) 26 (8, 61) 116 rising rising trend 1.6 (0.5, 2.6)
Accomack County 6 *** 258.1 (233.6, 284.6) 27 (10, 77) 98 rising rising trend 1.6 (0.5, 2.7)
King William County 6 *** 258.0 (225.5, 294.3) 28 (6, 101) 49 stable stable trend 0.1 (-1.6, 1.9)
Fluvanna County 6 *** 254.8 (228.2, 284.0) 29 (9, 88) 73 stable stable trend -0.2 (-1.9, 1.6)
Roanoke City 6 *** 254.3 (240.4, 268.9) 30 (16, 55) 271 stable stable trend 9.3 (-0.3, 19.8)
Southampton County 6 *** 252.4 (222.0, 286.4) 31 (7, 97) 58 stable stable trend 1.3 (-0.8, 3.6)
Nelson County 6 *** 250.0 (214.1, 290.9) 32 (6, 110) 44 stable stable trend 0.0 (-2.0, 2.1)
Charles City County 6 *** 248.5 (199.1, 308.4) 33 (3, 122) 23 stable stable trend 0.7 (-2.2, 3.7)
Norfolk City 6 *** 245.3 (235.7, 255.2) 34 (24, 58) 531 rising rising trend 0.6 (0.2, 1.0)
Charlotte County 6 *** 245.0 (205.6, 290.3) 35 (6, 117) 32 stable stable trend 0.6 (-1.5, 2.7)
Mathews County 6 *** 244.4 (197.0, 301.3) 36 (4, 126) 24 stable stable trend 0.4 (-1.9, 2.7)
Lynchburg City 6 *** 243.1 (225.4, 261.8) 37 (20, 82) 154 stable stable trend 0.9 (-0.3, 2.2)
New Kent County 6 *** 242.6 (215.0, 273.1) 38 (12, 109) 63 stable stable trend 0.3 (-1.6, 2.2)
Williamsburg City 6 *** 242.3 (200.1, 291.2) 39 (6, 120) 27 stable stable trend 12.3 (-0.3, 26.6)
Halifax County with South Boston City 6 *** 241.9 (219.0, 266.8) 40 (16, 99) 96 stable stable trend 0.8 (-0.6, 2.3)
Pulaski County 6 *** 240.4 (218.1, 264.7) 41 (17, 99) 95 stable stable trend -0.3 (-1.3, 0.8)
Lancaster County 6 *** 239.6 (197.4, 289.5) 42 (4, 120) 32 rising rising trend 2.4 (0.2, 4.7)
Surry County 6 *** 239.5 (190.5, 299.2) 43 (4, 127) 21 stable stable trend 1.0 (-2.1, 4.2)
Amelia County 6 *** 239.4 (202.5, 281.6) 44 (8, 118) 36 stable stable trend -0.7 (-2.7, 1.4)
Portsmouth City 6 *** 238.6 (224.4, 253.5) 45 (25, 81) 229 stable stable trend -0.6 (-1.3, 0.2)
Westmoreland County 6 *** 238.5 (206.4, 274.5) 46 (10, 112) 49 stable stable trend -0.1 (-1.4, 1.2)
King and Queen County 6 *** 237.5 (189.4, 295.6) 47 (5, 128) 20 stable stable trend 1.4 (-0.8, 3.6)
Floyd County 6 *** 234.6 (201.1, 272.5) 48 (11, 118) 41 stable stable trend 0.5 (-1.4, 2.4)
Hanover County 6 *** 234.2 (221.4, 247.7) 49 (29, 86) 277 stable stable trend -0.9 (-1.9, 0.2)
Giles County 6 *** 234.0 (201.8, 270.1) 50 (12, 117) 42 stable stable trend -0.4 (-1.5, 0.8)
Suffolk City 6 *** 233.9 (220.0, 248.6) 51 (27, 90) 222 stable stable trend 0.0 (-1.1, 1.1)
Craig County 6 *** 233.6 (177.1, 304.3) 52 (3, 130) 14 stable stable trend 1.9 (-1.8, 5.8)
Page County 6 *** 232.2 (205.3, 262.0) 53 (17, 113) 61 stable stable trend 0.2 (-1.0, 1.5)
Buckingham County 6 *** 231.9 (201.3, 266.3) 54 (14, 116) 45 stable stable trend 1.4 (0.0, 2.7)
Madison County 6 *** 231.7 (196.3, 272.2) 55 (11, 119) 36 stable stable trend -2.0 (-5.3, 1.4)
Roanoke County 6 *** 230.5 (216.8, 244.8) 56 (30, 94) 237 stable stable trend 0.8 (-0.1, 1.8)
Virginia Beach City 6 *** 230.0 (223.7, 236.6) 57 (40, 76) 1,036 rising rising trend 0.6 (0.1, 1.1)
Middlesex County 6 *** 228.1 (187.3, 276.5) 58 (8, 125) 30 stable stable trend 1.0 (-1.0, 3.1)
Emporia City 6 *** 228.0 (172.6, 296.3) 59 (4, 130) 13 stable stable trend -2.1 (-4.4, 0.2)
Caroline County 6 *** 228.0 (204.6, 253.4) 60 (22, 112) 75 falling falling trend -1.9 (-3.3, -0.4)
Orange County 6 *** 226.3 (204.5, 250.0) 61 (22, 112) 87 falling falling trend -1.4 (-2.7, -0.1)
Chesapeake City 6 *** 226.0 (217.6, 234.7) 62 (40, 87) 569 stable stable trend -0.1 (-0.7, 0.6)
Wythe County 6 *** 225.0 (201.7, 250.6) 63 (23, 113) 76 stable stable trend 0.2 (-1.0, 1.5)
James City County 6 *** 223.6 (208.0, 240.2) 64 (31, 105) 174 stable stable trend -7.3 (-15.6, 1.9)
Charlottesville City 6 *** 223.5 (202.6, 246.1) 65 (27, 112) 90 stable stable trend 0.4 (-0.8, 1.5)
Chesterfield County 6 *** 223.3 (216.2, 230.5) 66 (46, 88) 812 stable stable trend -0.6 (-1.1, 0.0)
Newport News City 6 *** 222.6 (212.4, 233.1) 67 (42, 97) 383 stable stable trend -0.6 (-1.2, 0.0)
Louisa County 6 *** 222.2 (201.1, 245.0) 68 (28, 112) 95 stable stable trend -0.9 (-2.2, 0.4)
Rockingham County 6 *** 221.7 (206.9, 237.2) 69 (36, 103) 185 stable stable trend 0.2 (-0.9, 1.3)
Henrico County 6 *** 221.5 (214.4, 228.9) 70 (46, 90) 758 stable stable trend -0.6 (-1.2, 0.0)
Hampton City 6 *** 220.7 (209.2, 232.6) 71 (42, 102) 310 stable stable trend -0.9 (-1.8, 0.0)
Amherst County 6 *** 220.3 (198.2, 244.5) 72 (27, 115) 82 falling falling trend -1.2 (-2.2, -0.2)
Dinwiddie County 6 *** 219.9 (196.5, 245.5) 73 (28, 116) 72 stable stable trend -0.8 (-2.0, 0.4)
Prince George County 6 *** 218.0 (197.6, 240.0) 74 (32, 116) 87 stable stable trend -0.8 (-2.2, 0.6)
Augusta County 6 *** 217.9 (203.3, 233.4) 75 (40, 107) 187 falling falling trend -10.5 (-15.6, -5.0)
Bedford City and County 6 *** 217.9 (203.3, 233.3) 76 (38, 109) 195 stable stable trend -0.4 (-1.8, 1.1)
Lunenburg County 6 *** 216.9 (181.6, 257.8) 77 (16, 126) 31 stable stable trend -0.1 (-2.1, 2.0)
Winchester City 6 *** 216.7 (192.1, 243.7) 78 (27, 119) 60 stable stable trend -0.4 (-1.8, 1.1)
Henry County 6 *** 216.7 (198.9, 235.8) 79 (38, 111) 127 stable stable trend 0.0 (-1.8, 2.0)
Warren County 6 *** 215.5 (195.7, 237.0) 80 (36, 116) 96 stable stable trend -0.3 (-1.6, 1.1)
Cumberland County 6 *** 215.3 (177.1, 260.3) 81 (14, 128) 24 stable stable trend 0.3 (-2.5, 3.1)
Spotsylvania County 6 *** 215.0 (203.8, 226.6) 82 (49, 106) 293 falling falling trend -1.4 (-2.0, -0.8)
Richmond City 6 *** 213.8 (205.0, 223.0) 83 (54, 105) 481 falling falling trend -3.1 (-4.4, -1.9)
Alleghany County and Clifton Forge City 6 *** 213.4 (181.7, 249.7) 84 (20, 127) 38 stable stable trend -1.1 (-3.7, 1.6)
Albemarle County 6 *** 212.9 (200.1, 226.3) 85 (48, 110) 227 stable stable trend -0.6 (-1.4, 0.2)
Greene County 6 *** 211.3 (183.0, 242.9) 86 (26, 126) 43 stable stable trend -8.0 (-15.9, 0.6)
Frederick County 6 *** 211.0 (197.5, 225.4) 87 (47, 113) 192 stable stable trend -0.6 (-1.6, 0.5)
Appomattox County 6 *** 210.1 (178.0, 246.7) 88 (23, 128) 34 stable stable trend -1.1 (-2.8, 0.6)
Isle of Wight County 6 *** 209.6 (189.4, 231.6) 89 (36, 118) 91 stable stable trend -0.9 (-1.9, 0.2)
Culpeper County 6 *** 209.5 (192.0, 228.3) 90 (43, 117) 111 stable stable trend -1.1 (-2.2, 0.1)
Radford City 6 *** 209.3 (172.8, 251.2) 91 (19, 128) 25 stable stable trend -1.1 (-3.6, 1.5)
Rockbridge County 6 *** 207.8 (181.5, 237.3) 92 (31, 125) 54 stable stable trend -0.3 (-2.6, 2.0)
King George County 6 *** 207.5 (183.2, 234.3) 93 (32, 124) 55 stable stable trend -0.3 (-2.2, 1.5)
Franklin County 6 *** 207.2 (190.0, 225.7) 94 (43, 118) 128 stable stable trend -0.1 (-1.5, 1.2)
Buena Vista City 6 *** 207.2 (159.3, 265.9) 95 (9, 131) 13 stable stable trend 1.0 (-2.4, 4.5)
Powhatan County 6 *** 207.1 (185.2, 231.1) 96 (38, 121) 73 falling falling trend -2.0 (-3.0, -0.9)
Campbell County 6 *** 205.9 (189.3, 223.7) 97 (49, 118) 127 stable stable trend -1.0 (-2.0, 0.0)
Shenandoah County 6 *** 205.8 (187.0, 226.1) 98 (43, 120) 99 stable stable trend 0.6 (-0.7, 1.9)
Fauquier County 6 *** 205.3 (190.7, 220.9) 99 (52, 118) 162 falling falling trend -1.6 (-2.7, -0.4)
Poquoson City 6 *** 205.2 (170.4, 245.7) 100 (22, 128) 27 stable stable trend -0.9 (-3.3, 1.5)
Stafford County 6 *** 204.5 (194.1, 215.2) 101 (64, 114) 301 stable stable trend -0.4 (-1.7, 0.8)
Clarke County 6 *** 202.4 (171.0, 238.6) 102 (26, 128) 35 stable stable trend -1.3 (-2.6, 0.0)
Botetourt County 6 *** 202.2 (181.0, 225.4) 103 (42, 123) 79 stable stable trend -0.3 (-2.0, 1.5)
Bland County 6 *** 201.7 (158.4, 255.4) 104 (14, 131) 16 stable stable trend -0.1 (-3.5, 3.5)
Harrisonburg City 6 *** 198.7 (178.6, 220.4) 105 (52, 125) 75 stable stable trend -0.3 (-2.0, 1.4)
Pittsylvania County 6 *** 197.5 (182.3, 213.8) 106 (62, 122) 147 falling falling trend -1.5 (-2.6, -0.4)
Carroll County 6 *** 196.8 (174.5, 221.3) 107 (45, 127) 67 stable stable trend 0.4 (-2.4, 3.2)
Northumberland County 6 *** 194.9 (161.3, 235.2) 108 (29, 130) 31 stable stable trend -16.3 (-32.3, 3.4)
York County 6 *** 193.6 (179.1, 209.2) 109 (73, 123) 140 stable stable trend -1.2 (-2.6, 0.2)
Dickenson County 6 *** 192.4 (162.0, 227.4) 110 (37, 129) 32 falling falling trend -2.5 (-4.7, -0.3)
Grayson County 6 *** 192.4 (162.6, 226.7) 111 (35, 130) 35 stable stable trend -1.6 (-3.6, 0.5)
Patrick County 6 *** 191.6 (163.6, 223.6) 112 (41, 129) 40 stable stable trend 0.1 (-2.4, 2.7)
Loudoun County 6 *** 189.6 (183.3, 195.9) 113 (98, 119) 708 stable stable trend -0.8 (-1.7, 0.0)
Montgomery County 6 *** 186.9 (173.3, 201.3) 114 (85, 126) 150 falling falling trend -1.3 (-2.0, -0.5)
Falls Church City 6 *** 186.5 (156.3, 221.1) 115 (40, 130) 28 stable stable trend -0.9 (-3.0, 1.4)
Washington County 6 *** 181.7 (166.0, 198.6) 116 (88, 128) 113 stable stable trend -1.5 (-3.3, 0.2)
Manassas City 6 *** 181.1 (162.7, 201.0) 117 (81, 129) 73 stable stable trend -1.4 (-3.0, 0.2)
Fairfax City 6 *** 181.0 (157.1, 207.8) 118 (64, 129) 43 stable stable trend -0.2 (-1.8, 1.5)
Rappahannock County 6 *** 180.6 (139.9, 231.3) 119 (26, 133) 17 falling falling trend -3.3 (-5.5, -1.2)
Norton City 6 *** 180.4 (126.4, 251.4) 120 (10, 133) 8 stable stable trend -2.1 (-5.5, 1.5)
Wise County 6 *** 173.6 (155.4, 193.6) 121 (92, 129) 72 falling falling trend -2.9 (-5.3, -0.6)
Fairfax County 6 *** 172.4 (169.0, 175.8) 122 (114, 126) 2,053 falling falling trend -1.2 (-1.6, -0.7)
Tazewell County 6 *** 171.0 (153.5, 190.1) 123 (99, 130) 79 stable stable trend -1.5 (-3.4, 0.4)
Arlington County 6 *** 168.4 (160.6, 176.5) 124 (113, 129) 363 falling falling trend -1.5 (-2.4, -0.6)
Prince William County 6 *** 166.5 (161.2, 172.0) 125 (116, 128) 742 falling falling trend -1.9 (-2.7, -1.2)
Smyth County 6 *** 164.2 (144.5, 186.2) 126 (99, 132) 56 falling falling trend -18.4 (-32.0, -2.2)
Alexandria City 6 *** 162.5 (153.6, 171.9) 127 (115, 130) 255 falling falling trend -1.8 (-2.9, -0.7)
Buchanan County 6 *** 161.3 (139.0, 186.6) 128 (97, 133) 42 stable stable trend -1.9 (-3.8, 0.0)
Russell County 6 *** 138.1 (119.0, 159.7) 129 (118, 133) 44 falling falling trend -13.7 (-24.1, -1.9)
Manassas Park City 6 *** 135.6 (110.9, 164.2) 130 (114, 133) 21 stable stable trend -2.3 (-5.2, 0.7)
Scott County 6 *** 130.0 (109.3, 153.9) 131 (122, 133) 32 falling falling trend -3.7 (-6.7, -0.7)
Bristol City 6 *** 126.2 (102.5, 154.0) 132 (122, 133) 22 falling falling trend -4.4 (-7.4, -1.3)
Lee County 6 *** 122.8 (103.8, 144.6) 133 (127, 133) 33 falling falling trend -4.3 (-6.5, -2.1)
Notes:
Created by statecancerprofiles.cancer.gov on 11/30/2021 11:05 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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