State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Virginia by County

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

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

Sorted by Recentaapc

Explanation of Column Headers

Objective - The objective of *** is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

Recent Trends - This is an interpretation of the AAPC/APC:

• Rising when 95% confidence interval of AAPC/APC is above 0.
• Stable when 95% confidence interval of AAPC/APC includes 0.
• Falling when 95% confidence interval of AAPC/APC is below 0.

AAPC/APC (95% Confidence Interval) - the change in rate over time

• Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
• Annual Percent Change - APCs calculated in SEER*Stat.

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Virginia⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 209.0 with a 95% confidence interval from 207.6 to 210.4 and 18,315 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.3 to 0.3.

US (SEER+NPCR)¹

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 227.6 with a 95% confidence interval from 227.4 to 227.9 and 750,329 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.8 to 0.5.

Richmond County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 483.2 with a 95% confidence interval from 421.8 to 552.2 and 47 average annual cases over 2014-2018.
• CI*Rank⋔ : 1 (1, 3)
• Recent Trend : The trend is rising because the trend is 45.4 with a 95% confidence interval from 21.8 to 73.6.

Fredericksburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 282.7 with a 95% confidence interval from 252.8 to 315.2 and 68 average annual cases over 2014-2018.
• CI*Rank⋔ : 16 (3, 57)
• Recent Trend : The trend is stable because the trend is 12.7 with a 95% confidence interval from -4.6 to 33.2.

Williamsburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 242.3 with a 95% confidence interval from 200.1 to 291.2 and 27 average annual cases over 2014-2018.
• CI*Rank⋔ : 39 (6, 120)
• Recent Trend : The trend is stable because the trend is 12.3 with a 95% confidence interval from -0.3 to 26.6.

Roanoke City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 254.3 with a 95% confidence interval from 240.4 to 268.9 and 271 average annual cases over 2014-2018.
• CI*Rank⋔ : 30 (16, 55)
• Recent Trend : The trend is stable because the trend is 9.3 with a 95% confidence interval from -0.3 to 19.8.

Covington City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 343.7 with a 95% confidence interval from 278.1 to 421.5 and 21 average annual cases over 2014-2018.
• CI*Rank⋔ : 3 (1, 56)
• Recent Trend : The trend is rising because the trend is 7.5 with a 95% confidence interval from 5.7 to 9.3.

Lexington City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 374.7 with a 95% confidence interval from 292.5 to 473.5 and 16 average annual cases over 2014-2018.
• CI*Rank⋔ : 2 (1, 47)
• Recent Trend : The trend is rising because the trend is 6.5 with a 95% confidence interval from 2.9 to 10.3.

Galax City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 309.1 with a 95% confidence interval from 251.6 to 376.7 and 22 average annual cases over 2014-2018.
• CI*Rank⋔ : 9 (2, 77)
• Recent Trend : The trend is rising because the trend is 3.5 with a 95% confidence interval from 0.4 to 6.7.

Highland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 311.0 with a 95% confidence interval from 199.3 to 468.3 and 7 average annual cases over 2014-2018.
• CI*Rank⋔ : 6 (1, 129)
• Recent Trend : The trend is stable because the trend is 3.5 with a 95% confidence interval from -0.3 to 7.4.

Salem City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 275.4 with a 95% confidence interval from 246.0 to 307.5 and 72 average annual cases over 2014-2018.
• CI*Rank⋔ : 19 (4, 57)
• Recent Trend : The trend is rising because the trend is 2.9 with a 95% confidence interval from 0.9 to 4.9.

Colonial Heights City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 278.5 with a 95% confidence interval from 242.6 to 318.4 and 47 average annual cases over 2014-2018.
• CI*Rank⋔ : 17 (3, 69)
• Recent Trend : The trend is rising because the trend is 2.8 with a 95% confidence interval from 1.2 to 4.4.

Waynesboro City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 303.6 with a 95% confidence interval from 270.8 to 339.4 and 67 average annual cases over 2014-2018.
• CI*Rank⋔ : 10 (2, 40)
• Recent Trend : The trend is rising because the trend is 2.5 with a 95% confidence interval from 1.1 to 4.0.

Lancaster County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 239.6 with a 95% confidence interval from 197.4 to 289.5 and 32 average annual cases over 2014-2018.
• CI*Rank⋔ : 42 (4, 120)
• Recent Trend : The trend is rising because the trend is 2.4 with a 95% confidence interval from 0.2 to 4.7.

Bath County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 311.9 with a 95% confidence interval from 240.3 to 401.1 and 15 average annual cases over 2014-2018.
• CI*Rank⋔ : 5 (2, 106)
• Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -2.2 to 7.0.

Franklin City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 338.6 with a 95% confidence interval from 281.5 to 404.3 and 29 average annual cases over 2014-2018.
• CI*Rank⋔ : 4 (1, 42)
• Recent Trend : The trend is stable because the trend is 2.3 with a 95% confidence interval from -0.1 to 4.7.

Sussex County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 299.2 with a 95% confidence interval from 257.0 to 347.3 and 38 average annual cases over 2014-2018.
• CI*Rank⋔ : 11 (2, 57)
• Recent Trend : The trend is rising because the trend is 2.2 with a 95% confidence interval from 0.6 to 3.8.

Craig County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 233.6 with a 95% confidence interval from 177.1 to 304.3 and 14 average annual cases over 2014-2018.
• CI*Rank⋔ : 52 (3, 130)
• Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -1.8 to 5.8.

Mecklenburg County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 276.4 with a 95% confidence interval from 249.6 to 305.4 and 95 average annual cases over 2014-2018.
• CI*Rank⋔ : 18 (5, 51)
• Recent Trend : The trend is rising because the trend is 1.8 with a 95% confidence interval from 0.6 to 3.0.

Staunton City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 294.3 with a 95% confidence interval from 263.8 to 327.7 and 75 average annual cases over 2014-2018.
• CI*Rank⋔ : 12 (3, 42)
• Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.4 to 2.9.

Accomack County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 258.1 with a 95% confidence interval from 233.6 to 284.6 and 98 average annual cases over 2014-2018.
• CI*Rank⋔ : 27 (10, 77)
• Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.5 to 2.7.

Danville City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 263.5 with a 95% confidence interval from 240.9 to 287.8 and 116 average annual cases over 2014-2018.
• CI*Rank⋔ : 26 (8, 61)
• Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.5 to 2.6.

Essex County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 273.6 with a 95% confidence interval from 232.3 to 321.1 and 36 average annual cases over 2014-2018.
• CI*Rank⋔ : 20 (3, 102)
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -0.7 to 3.9.

Martinsville City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 292.0 with a 95% confidence interval from 251.0 to 338.2 and 40 average annual cases over 2014-2018.
• CI*Rank⋔ : 13 (2, 67)
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -1.0 to 4.4.

Buckingham County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 231.9 with a 95% confidence interval from 201.3 to 266.3 and 45 average annual cases over 2014-2018.
• CI*Rank⋔ : 54 (14, 116)
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from 0.0 to 2.7.

King and Queen County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 237.5 with a 95% confidence interval from 189.4 to 295.6 and 20 average annual cases over 2014-2018.
• CI*Rank⋔ : 47 (5, 128)
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.8 to 3.6.

Gloucester County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 265.4 with a 95% confidence interval from 242.7 to 289.9 and 116 average annual cases over 2014-2018.
• CI*Rank⋔ : 24 (7, 60)
• Recent Trend : The trend is rising because the trend is 1.3 with a 95% confidence interval from 0.2 to 2.4.

Petersburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 309.5 with a 95% confidence interval from 281.5 to 339.7 and 103 average annual cases over 2014-2018.
• CI*Rank⋔ : 7 (2, 27)
• Recent Trend : The trend is rising because the trend is 1.3 with a 95% confidence interval from 0.1 to 2.5.

Southampton County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 252.4 with a 95% confidence interval from 222.0 to 286.4 and 58 average annual cases over 2014-2018.
• CI*Rank⋔ : 31 (7, 97)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.8 to 3.6.

Greensville County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 309.3 with a 95% confidence interval from 268.1 to 355.9 and 41 average annual cases over 2014-2018.
• CI*Rank⋔ : 8 (2, 41)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -1.3 to 3.7.

Buena Vista City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 207.2 with a 95% confidence interval from 159.3 to 265.9 and 13 average annual cases over 2014-2018.
• CI*Rank⋔ : 95 (9, 131)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -2.4 to 4.5.

Middlesex County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 228.1 with a 95% confidence interval from 187.3 to 276.5 and 30 average annual cases over 2014-2018.
• CI*Rank⋔ : 58 (8, 125)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -1.0 to 3.1.

Surry County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 239.5 with a 95% confidence interval from 190.5 to 299.2 and 21 average annual cases over 2014-2018.
• CI*Rank⋔ : 43 (4, 127)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -2.1 to 4.2.

Brunswick County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 265.3 with a 95% confidence interval from 231.9 to 302.7 and 51 average annual cases over 2014-2018.
• CI*Rank⋔ : 25 (4, 95)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.8 to 2.7.

Lynchburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 243.1 with a 95% confidence interval from 225.4 to 261.8 and 154 average annual cases over 2014-2018.
• CI*Rank⋔ : 37 (20, 82)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.3 to 2.2.

Halifax County with South Boston City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 241.9 with a 95% confidence interval from 219.0 to 266.8 and 96 average annual cases over 2014-2018.
• CI*Rank⋔ : 40 (16, 99)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.6 to 2.3.

Roanoke County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 230.5 with a 95% confidence interval from 216.8 to 244.8 and 237 average annual cases over 2014-2018.
• CI*Rank⋔ : 56 (30, 94)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -0.1 to 1.8.

Charles City County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 248.5 with a 95% confidence interval from 199.1 to 308.4 and 23 average annual cases over 2014-2018.
• CI*Rank⋔ : 33 (3, 122)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -2.2 to 3.7.

Charlotte County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 245.0 with a 95% confidence interval from 205.6 to 290.3 and 32 average annual cases over 2014-2018.
• CI*Rank⋔ : 35 (6, 117)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.5 to 2.7.

Norfolk City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 245.3 with a 95% confidence interval from 235.7 to 255.2 and 531 average annual cases over 2014-2018.
• CI*Rank⋔ : 34 (24, 58)
• Recent Trend : The trend is rising because the trend is 0.6 with a 95% confidence interval from 0.2 to 1.0.

Shenandoah County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 205.8 with a 95% confidence interval from 187.0 to 226.1 and 99 average annual cases over 2014-2018.
• CI*Rank⋔ : 98 (43, 120)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.7 to 1.9.

Virginia Beach City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 230.0 with a 95% confidence interval from 223.7 to 236.6 and 1,036 average annual cases over 2014-2018.
• CI*Rank⋔ : 57 (40, 76)
• Recent Trend : The trend is rising because the trend is 0.6 with a 95% confidence interval from 0.1 to 1.1.

Floyd County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 234.6 with a 95% confidence interval from 201.1 to 272.5 and 41 average annual cases over 2014-2018.
• CI*Rank⋔ : 48 (11, 118)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.4 to 2.4.

Carroll County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 196.8 with a 95% confidence interval from 174.5 to 221.3 and 67 average annual cases over 2014-2018.
• CI*Rank⋔ : 107 (45, 127)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -2.4 to 3.2.

Charlottesville City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 223.5 with a 95% confidence interval from 202.6 to 246.1 and 90 average annual cases over 2014-2018.
• CI*Rank⋔ : 65 (27, 112)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.8 to 1.5.

Mathews County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 244.4 with a 95% confidence interval from 197.0 to 301.3 and 24 average annual cases over 2014-2018.
• CI*Rank⋔ : 36 (4, 126)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.9 to 2.7.

Nottoway County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 272.4 with a 95% confidence interval from 237.1 to 312.0 and 46 average annual cases over 2014-2018.
• CI*Rank⋔ : 21 (4, 75)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.2 to 2.1.

Cumberland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 215.3 with a 95% confidence interval from 177.1 to 260.3 and 24 average annual cases over 2014-2018.
• CI*Rank⋔ : 81 (14, 128)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.5 to 3.1.

New Kent County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 242.6 with a 95% confidence interval from 215.0 to 273.1 and 63 average annual cases over 2014-2018.
• CI*Rank⋔ : 38 (12, 109)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.6 to 2.2.

Page County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 232.2 with a 95% confidence interval from 205.3 to 262.0 and 61 average annual cases over 2014-2018.
• CI*Rank⋔ : 53 (17, 113)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.5.

Rockingham County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 221.7 with a 95% confidence interval from 206.9 to 237.2 and 185 average annual cases over 2014-2018.
• CI*Rank⋔ : 69 (36, 103)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.9 to 1.3.

Wythe County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 225.0 with a 95% confidence interval from 201.7 to 250.6 and 76 average annual cases over 2014-2018.
• CI*Rank⋔ : 63 (23, 113)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.5.

Hopewell City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 287.3 with a 95% confidence interval from 255.7 to 321.9 and 64 average annual cases over 2014-2018.
• CI*Rank⋔ : 15 (3, 52)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.6 to 0.8.

King William County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 258.0 with a 95% confidence interval from 225.5 to 294.3 and 49 average annual cases over 2014-2018.
• CI*Rank⋔ : 28 (6, 101)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.6 to 1.9.

Patrick County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 191.6 with a 95% confidence interval from 163.6 to 223.6 and 40 average annual cases over 2014-2018.
• CI*Rank⋔ : 112 (41, 129)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -2.4 to 2.7.

Henry County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 216.7 with a 95% confidence interval from 198.9 to 235.8 and 127 average annual cases over 2014-2018.
• CI*Rank⋔ : 79 (38, 111)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.8 to 2.0.

Nelson County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 250.0 with a 95% confidence interval from 214.1 to 290.9 and 44 average annual cases over 2014-2018.
• CI*Rank⋔ : 32 (6, 110)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.0 to 2.1.

Prince Edward County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 267.5 with a 95% confidence interval from 234.1 to 304.5 and 53 average annual cases over 2014-2018.
• CI*Rank⋔ : 22 (5, 87)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.9 to 1.9.

Suffolk City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 233.9 with a 95% confidence interval from 220.0 to 248.6 and 222 average annual cases over 2014-2018.
• CI*Rank⋔ : 51 (27, 90)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.1 to 1.1.

Bland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 201.7 with a 95% confidence interval from 158.4 to 255.4 and 16 average annual cases over 2014-2018.
• CI*Rank⋔ : 104 (14, 131)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -3.5 to 3.5.

Chesapeake City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 226.0 with a 95% confidence interval from 217.6 to 234.7 and 569 average annual cases over 2014-2018.
• CI*Rank⋔ : 62 (40, 87)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.7 to 0.6.

Franklin County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 207.2 with a 95% confidence interval from 190.0 to 225.7 and 128 average annual cases over 2014-2018.
• CI*Rank⋔ : 94 (43, 118)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.5 to 1.2.

Lunenburg County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 216.9 with a 95% confidence interval from 181.6 to 257.8 and 31 average annual cases over 2014-2018.
• CI*Rank⋔ : 77 (16, 126)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.1 to 2.0.

Westmoreland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 238.5 with a 95% confidence interval from 206.4 to 274.5 and 49 average annual cases over 2014-2018.
• CI*Rank⋔ : 46 (10, 112)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.4 to 1.2.

Fairfax City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 181.0 with a 95% confidence interval from 157.1 to 207.8 and 43 average annual cases over 2014-2018.
• CI*Rank⋔ : 118 (64, 129)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.8 to 1.5.

Fluvanna County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 254.8 with a 95% confidence interval from 228.2 to 284.0 and 73 average annual cases over 2014-2018.
• CI*Rank⋔ : 29 (9, 88)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.9 to 1.6.

Goochland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 267.2 with a 95% confidence interval from 238.5 to 298.8 and 76 average annual cases over 2014-2018.
• CI*Rank⋔ : 23 (6, 71)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.9 to 1.5.

Botetourt County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 202.2 with a 95% confidence interval from 181.0 to 225.4 and 79 average annual cases over 2014-2018.
• CI*Rank⋔ : 103 (42, 123)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.0 to 1.5.

Harrisonburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 198.7 with a 95% confidence interval from 178.6 to 220.4 and 75 average annual cases over 2014-2018.
• CI*Rank⋔ : 105 (52, 125)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.0 to 1.4.

King George County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 207.5 with a 95% confidence interval from 183.2 to 234.3 and 55 average annual cases over 2014-2018.
• CI*Rank⋔ : 93 (32, 124)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.2 to 1.5.

Northampton County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 288.8 with a 95% confidence interval from 244.9 to 339.0 and 40 average annual cases over 2014-2018.
• CI*Rank⋔ : 14 (2, 78)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.2 to 1.6.

Pulaski County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 240.4 with a 95% confidence interval from 218.1 to 264.7 and 95 average annual cases over 2014-2018.
• CI*Rank⋔ : 41 (17, 99)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.3 to 0.8.

Rockbridge County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 207.8 with a 95% confidence interval from 181.5 to 237.3 and 54 average annual cases over 2014-2018.
• CI*Rank⋔ : 92 (31, 125)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.6 to 2.0.

Warren County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 215.5 with a 95% confidence interval from 195.7 to 237.0 and 96 average annual cases over 2014-2018.
• CI*Rank⋔ : 80 (36, 116)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.6 to 1.1.

Bedford City and County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 217.9 with a 95% confidence interval from 203.3 to 233.3 and 195 average annual cases over 2014-2018.
• CI*Rank⋔ : 76 (38, 109)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.8 to 1.1.

Giles County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 234.0 with a 95% confidence interval from 201.8 to 270.1 and 42 average annual cases over 2014-2018.
• CI*Rank⋔ : 50 (12, 117)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.5 to 0.8.

Stafford County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 204.5 with a 95% confidence interval from 194.1 to 215.2 and 301 average annual cases over 2014-2018.
• CI*Rank⋔ : 101 (64, 114)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.7 to 0.8.

Winchester City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 216.7 with a 95% confidence interval from 192.1 to 243.7 and 60 average annual cases over 2014-2018.
• CI*Rank⋔ : 78 (27, 119)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.8 to 1.1.

Albemarle County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 212.9 with a 95% confidence interval from 200.1 to 226.3 and 227 average annual cases over 2014-2018.
• CI*Rank⋔ : 85 (48, 110)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.2.

Chesterfield County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 223.3 with a 95% confidence interval from 216.2 to 230.5 and 812 average annual cases over 2014-2018.
• CI*Rank⋔ : 66 (46, 88)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.1 to 0.0.

Frederick County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 211.0 with a 95% confidence interval from 197.5 to 225.4 and 192 average annual cases over 2014-2018.
• CI*Rank⋔ : 87 (47, 113)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.5.

Henrico County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 221.5 with a 95% confidence interval from 214.4 to 228.9 and 758 average annual cases over 2014-2018.
• CI*Rank⋔ : 70 (46, 90)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.0.

Newport News City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 222.6 with a 95% confidence interval from 212.4 to 233.1 and 383 average annual cases over 2014-2018.
• CI*Rank⋔ : 67 (42, 97)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.0.

Portsmouth City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 238.6 with a 95% confidence interval from 224.4 to 253.5 and 229 average annual cases over 2014-2018.
• CI*Rank⋔ : 45 (25, 81)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.3 to 0.2.

Amelia County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 239.4 with a 95% confidence interval from 202.5 to 281.6 and 36 average annual cases over 2014-2018.
• CI*Rank⋔ : 44 (8, 118)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.7 to 1.4.

Dinwiddie County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 219.9 with a 95% confidence interval from 196.5 to 245.5 and 72 average annual cases over 2014-2018.
• CI*Rank⋔ : 73 (28, 116)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.0 to 0.4.

Loudoun County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 189.6 with a 95% confidence interval from 183.3 to 195.9 and 708 average annual cases over 2014-2018.
• CI*Rank⋔ : 113 (98, 119)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.7 to 0.0.

Prince George County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 218.0 with a 95% confidence interval from 197.6 to 240.0 and 87 average annual cases over 2014-2018.
• CI*Rank⋔ : 74 (32, 116)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.6.

Falls Church City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 186.5 with a 95% confidence interval from 156.3 to 221.1 and 28 average annual cases over 2014-2018.
• CI*Rank⋔ : 115 (40, 130)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.0 to 1.4.

Hampton City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 220.7 with a 95% confidence interval from 209.2 to 232.6 and 310 average annual cases over 2014-2018.
• CI*Rank⋔ : 71 (42, 102)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.0.

Hanover County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 234.2 with a 95% confidence interval from 221.4 to 247.7 and 277 average annual cases over 2014-2018.
• CI*Rank⋔ : 49 (29, 86)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.2.

Isle of Wight County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 209.6 with a 95% confidence interval from 189.4 to 231.6 and 91 average annual cases over 2014-2018.
• CI*Rank⋔ : 89 (36, 118)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.9 to 0.2.

Louisa County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 222.2 with a 95% confidence interval from 201.1 to 245.0 and 95 average annual cases over 2014-2018.
• CI*Rank⋔ : 68 (28, 112)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.2 to 0.4.

Poquoson City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 205.2 with a 95% confidence interval from 170.4 to 245.7 and 27 average annual cases over 2014-2018.
• CI*Rank⋔ : 100 (22, 128)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.3 to 1.5.

Campbell County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 205.9 with a 95% confidence interval from 189.3 to 223.7 and 127 average annual cases over 2014-2018.
• CI*Rank⋔ : 97 (49, 118)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.0 to 0.0.

Alleghany County and Clifton Forge City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 213.4 with a 95% confidence interval from 181.7 to 249.7 and 38 average annual cases over 2014-2018.
• CI*Rank⋔ : 84 (20, 127)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.7 to 1.6.

Appomattox County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 210.1 with a 95% confidence interval from 178.0 to 246.7 and 34 average annual cases over 2014-2018.
• CI*Rank⋔ : 88 (23, 128)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.8 to 0.6.

Culpeper County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 209.5 with a 95% confidence interval from 192.0 to 228.3 and 111 average annual cases over 2014-2018.
• CI*Rank⋔ : 90 (43, 117)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.2 to 0.1.

Radford City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 209.3 with a 95% confidence interval from 172.8 to 251.2 and 25 average annual cases over 2014-2018.
• CI*Rank⋔ : 91 (19, 128)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.6 to 1.5.

Amherst County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 220.3 with a 95% confidence interval from 198.2 to 244.5 and 82 average annual cases over 2014-2018.
• CI*Rank⋔ : 72 (27, 115)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.2 to -0.2.

Fairfax County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 172.4 with a 95% confidence interval from 169.0 to 175.8 and 2,053 average annual cases over 2014-2018.
• CI*Rank⋔ : 122 (114, 126)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.6 to -0.7.

York County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 193.6 with a 95% confidence interval from 179.1 to 209.2 and 140 average annual cases over 2014-2018.
• CI*Rank⋔ : 109 (73, 123)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.6 to 0.2.

Clarke County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 202.4 with a 95% confidence interval from 171.0 to 238.6 and 35 average annual cases over 2014-2018.
• CI*Rank⋔ : 102 (26, 128)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.6 to 0.0.

Montgomery County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 186.9 with a 95% confidence interval from 173.3 to 201.3 and 150 average annual cases over 2014-2018.
• CI*Rank⋔ : 114 (85, 126)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.5.

Manassas City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 181.1 with a 95% confidence interval from 162.7 to 201.0 and 73 average annual cases over 2014-2018.
• CI*Rank⋔ : 117 (81, 129)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.0 to 0.2.

Orange County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 226.3 with a 95% confidence interval from 204.5 to 250.0 and 87 average annual cases over 2014-2018.
• CI*Rank⋔ : 61 (22, 112)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.7 to -0.1.

Spotsylvania County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 215.0 with a 95% confidence interval from 203.8 to 226.6 and 293 average annual cases over 2014-2018.
• CI*Rank⋔ : 82 (49, 106)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.0 to -0.8.

Arlington County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 168.4 with a 95% confidence interval from 160.6 to 176.5 and 363 average annual cases over 2014-2018.
• CI*Rank⋔ : 124 (113, 129)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.6.

Pittsylvania County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 197.5 with a 95% confidence interval from 182.3 to 213.8 and 147 average annual cases over 2014-2018.
• CI*Rank⋔ : 106 (62, 122)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.6 to -0.4.

Tazewell County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 171.0 with a 95% confidence interval from 153.5 to 190.1 and 79 average annual cases over 2014-2018.
• CI*Rank⋔ : 123 (99, 130)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.4 to 0.4.

Washington County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 181.7 with a 95% confidence interval from 166.0 to 198.6 and 113 average annual cases over 2014-2018.
• CI*Rank⋔ : 116 (88, 128)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.3 to 0.2.

Fauquier County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 205.3 with a 95% confidence interval from 190.7 to 220.9 and 162 average annual cases over 2014-2018.
• CI*Rank⋔ : 99 (52, 118)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.7 to -0.4.

Grayson County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 192.4 with a 95% confidence interval from 162.6 to 226.7 and 35 average annual cases over 2014-2018.
• CI*Rank⋔ : 111 (35, 130)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.6 to 0.5.

Alexandria City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 162.5 with a 95% confidence interval from 153.6 to 171.9 and 255 average annual cases over 2014-2018.
• CI*Rank⋔ : 127 (115, 130)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.9 to -0.7.

Buchanan County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 161.3 with a 95% confidence interval from 139.0 to 186.6 and 42 average annual cases over 2014-2018.
• CI*Rank⋔ : 128 (97, 133)
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -3.8 to 0.0.

Caroline County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 228.0 with a 95% confidence interval from 204.6 to 253.4 and 75 average annual cases over 2014-2018.
• CI*Rank⋔ : 60 (22, 112)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.3 to -0.4.

Prince William County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 166.5 with a 95% confidence interval from 161.2 to 172.0 and 742 average annual cases over 2014-2018.
• CI*Rank⋔ : 125 (116, 128)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.7 to -1.2.

Madison County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 231.7 with a 95% confidence interval from 196.3 to 272.2 and 36 average annual cases over 2014-2018.
• CI*Rank⋔ : 55 (11, 119)
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -5.3 to 1.4.

Powhatan County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 207.1 with a 95% confidence interval from 185.2 to 231.1 and 73 average annual cases over 2014-2018.
• CI*Rank⋔ : 96 (38, 121)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.0 to -0.9.

Emporia City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 228.0 with a 95% confidence interval from 172.6 to 296.3 and 13 average annual cases over 2014-2018.
• CI*Rank⋔ : 59 (4, 130)
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.4 to 0.2.

Norton City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 180.4 with a 95% confidence interval from 126.4 to 251.4 and 8 average annual cases over 2014-2018.
• CI*Rank⋔ : 120 (10, 133)
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -5.5 to 1.5.

Manassas Park City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 135.6 with a 95% confidence interval from 110.9 to 164.2 and 21 average annual cases over 2014-2018.
• CI*Rank⋔ : 130 (114, 133)
• Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -5.2 to 0.7.

Dickenson County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 192.4 with a 95% confidence interval from 162.0 to 227.4 and 32 average annual cases over 2014-2018.
• CI*Rank⋔ : 110 (37, 129)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -4.7 to -0.3.

Wise County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 173.6 with a 95% confidence interval from 155.4 to 193.6 and 72 average annual cases over 2014-2018.
• CI*Rank⋔ : 121 (92, 129)
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -5.3 to -0.6.

Richmond City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 213.8 with a 95% confidence interval from 205.0 to 223.0 and 481 average annual cases over 2014-2018.
• CI*Rank⋔ : 83 (54, 105)
• Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -4.4 to -1.9.

Rappahannock County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 180.6 with a 95% confidence interval from 139.9 to 231.3 and 17 average annual cases over 2014-2018.
• CI*Rank⋔ : 119 (26, 133)
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.5 to -1.2.

Scott County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 130.0 with a 95% confidence interval from 109.3 to 153.9 and 32 average annual cases over 2014-2018.
• CI*Rank⋔ : 131 (122, 133)
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -6.7 to -0.7.

Lee County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 122.8 with a 95% confidence interval from 103.8 to 144.6 and 33 average annual cases over 2014-2018.
• CI*Rank⋔ : 133 (127, 133)
• Recent Trend : The trend is falling because the trend is -4.3 with a 95% confidence interval from -6.5 to -2.1.

Bristol City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 126.2 with a 95% confidence interval from 102.5 to 154.0 and 22 average annual cases over 2014-2018.
• CI*Rank⋔ : 132 (122, 133)
• Recent Trend : The trend is falling because the trend is -4.4 with a 95% confidence interval from -7.4 to -1.3.

James City County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 223.6 with a 95% confidence interval from 208.0 to 240.2 and 174 average annual cases over 2014-2018.
• CI*Rank⋔ : 64 (31, 105)
• Recent Trend : The trend is stable because the trend is -7.3 with a 95% confidence interval from -15.6 to 1.9.

Greene County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 211.3 with a 95% confidence interval from 183.0 to 242.9 and 43 average annual cases over 2014-2018.
• CI*Rank⋔ : 86 (26, 126)
• Recent Trend : The trend is stable because the trend is -8.0 with a 95% confidence interval from -15.9 to 0.6.

Augusta County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 217.9 with a 95% confidence interval from 203.3 to 233.4 and 187 average annual cases over 2014-2018.
• CI*Rank⋔ : 75 (40, 107)
• Recent Trend : The trend is falling because the trend is -10.5 with a 95% confidence interval from -15.6 to -5.0.

Russell County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 138.1 with a 95% confidence interval from 119.0 to 159.7 and 44 average annual cases over 2014-2018.
• CI*Rank⋔ : 129 (118, 133)
• Recent Trend : The trend is falling because the trend is -13.7 with a 95% confidence interval from -24.1 to -1.9.

Northumberland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 194.9 with a 95% confidence interval from 161.3 to 235.2 and 31 average annual cases over 2014-2018.
• CI*Rank⋔ : 108 (29, 130)
• Recent Trend : The trend is stable because the trend is -16.3 with a 95% confidence interval from -32.3 to 3.4.

Smyth County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 164.2 with a 95% confidence interval from 144.5 to 186.2 and 56 average annual cases over 2014-2018.
• CI*Rank⋔ : 126 (99, 132)
• Recent Trend : The trend is falling because the trend is -18.4 with a 95% confidence interval from -32.0 to -2.2.

Notes:
Created by statecancerprofiles.cancer.gov on 08/17/2022 10:01 pm.

State Cancer Registries may provide more current or more local data.

⋔ 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.