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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

All Races (includes Hispanic), Both Sexes, Ages <50

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	95.2 (94.0, 96.4)	N/A	5,058	falling	-0.4 (-1.6, -0.1)
US (SEER+NPCR) ¹	N/A	104.6 (104.4, 104.8)	N/A	205,200	stable	0.0 (-0.2, 0.2)
Mathews County ⁶	Urban	170.6 (117.2, 240.1)	N/A	7	stable	2.1 (-3.6, 8.0)
Essex County ⁶	Rural	140.7 (100.2, 192.1)	N/A	8	stable	1.7 (-2.9, 6.4)
Petersburg City ⁶	Urban	140.1 (116.0, 167.5)	N/A	25	stable	1.1 (-0.9, 3.1)
Williamsburg City ⁶	Urban	140.1 (97.8, 193.4)	N/A	8	stable	15.2 (-0.6, 49.1)
Lancaster County ⁶	Rural	139.1 (92.8, 199.9)	N/A	6	stable	3.1 (-1.9, 8.2)
Floyd County ⁶	Urban	138.4 (105.3, 178.7)	N/A	12	stable	2.0 (-1.3, 5.6)
Prince Edward County ⁶	Rural	137.3 (106.0, 174.7)	N/A	13	stable	1.1 (-1.7, 4.0)
Rappahannock County ⁶	Urban	134.8 (86.9, 199.9)	N/A	5	stable	-1.8 (-8.4, 3.7)
Emporia City ⁶	Rural	133.3 (82.1, 203.7)	N/A	4	*	*
Northampton County ⁶	Rural	130.8 (91.4, 181.0)	N/A	7	stable	2.5 (-1.8, 6.9)
Fredericksburg City ⁶	Urban	127.5 (103.3, 155.4)	N/A	20	stable	0.4 (-1.5, 2.4)
Colonial Heights City ⁶	Urban	127.0 (97.4, 162.5)	N/A	13	rising	3.0 (0.7, 5.6)
Sussex County ⁶	Urban	126.8 (90.8, 172.5)	N/A	8	stable	-1.3 (-11.7, 1.0)
Galax City ⁶	Rural	126.3 (80.4, 188.3)	N/A	5	stable	0.9 (-6.5, 8.6)
Covington City ⁶	Rural	126.1 (75.6, 196.6)	N/A	4	*	*
Craig County ⁶	Urban	125.6 (70.8, 206.1)	N/A	3	*	*
Giles County ⁶	Urban	124.2 (94.2, 160.6)	N/A	12	stable	1.6 (-1.2, 4.7)
Fluvanna County ⁶	Urban	124.0 (100.8, 151.1)	N/A	20	stable	0.0 (-2.1, 2.1)
Hopewell City ⁶	Urban	123.8 (97.9, 154.3)	N/A	16	stable	1.5 (-0.9, 3.9)
Mecklenburg County ⁶	Rural	121.3 (97.6, 149.0)	N/A	18	stable	-15.4 (-30.1, 1.9)
King and Queen County ⁶	Urban	120.3 (74.1, 184.6)	N/A	4	stable	0.1 (-5.2, 5.3)
Orange County ⁶	Rural	119.8 (99.3, 143.2)	N/A	24	stable	-0.4 (-2.1, 1.2)
Lunenburg County ⁶	Rural	118.9 (85.3, 161.6)	N/A	8	stable	1.3 (-1.8, 4.3)
Spotsylvania County ⁶	Urban	117.9 (107.8, 128.7)	N/A	100	rising	3.9 (0.5, 10.6)
Staunton City ⁶	Urban	117.9 (94.2, 145.7)	N/A	17	stable	0.5 (-1.9, 3.0)
Isle of Wight County ⁶	Urban	117.6 (98.1, 140.0)	N/A	26	stable	0.5 (-2.0, 3.0)
Franklin County ⁶	Urban	116.5 (99.1, 136.1)	N/A	32	stable	0.9 (-1.2, 3.0)
Salem City ⁶	Urban	116.2 (92.1, 144.6)	N/A	16	stable	-17.0 (-42.7, 6.0)
Poquoson City ⁶	Urban	115.7 (83.6, 156.1)	N/A	9	stable	0.5 (-3.3, 4.3)
Roanoke County ⁶	Urban	115.1 (102.9, 128.4)	N/A	65	stable	0.4 (-0.8, 1.6)
Westmoreland County ⁶	Rural	115.1 (85.8, 151.1)	N/A	10	stable	1.6 (-1.0, 4.2)
Danville City ⁶	Rural	114.7 (95.3, 136.8)	N/A	25	stable	1.0 (-0.5, 2.5)
Roanoke City ⁶	Urban	112.3 (100.5, 125.1)	N/A	67	stable	0.2 (-1.5, 1.7)
Goochland County ⁶	Urban	111.6 (87.7, 140.3)	N/A	15	stable	0.2 (-2.7, 3.2)
Alleghany County and Clifton Forge City ⁶	Rural	111.2 (80.1, 150.3)	N/A	9	stable	1.1 (-2.2, 4.5)
Louisa County ⁶	Rural	110.7 (91.2, 133.2)	N/A	23	stable	5.8 (-0.2, 13.2)
Suffolk City ⁶	Urban	110.5 (98.6, 123.3)	N/A	64	stable	0.5 (-1.2, 2.4)
Charlotte County ⁶	Rural	108.1 (73.7, 152.7)	N/A	6	stable	2.8 (-1.9, 7.7)
Amelia County ⁶	Urban	107.9 (75.8, 148.7)	N/A	7	stable	1.2 (-3.7, 6.2)
Fairfax City ⁶	Urban	107.6 (85.5, 133.7)	N/A	16	stable	1.6 (-1.3, 4.7)
Carroll County ⁶	Rural	107.1 (84.9, 133.3)	N/A	16	stable	2.0 (-2.0, 6.0)
Waynesboro City ⁶	Urban	107.1 (83.2, 135.5)	N/A	14	falling	-16.4 (-30.5, -0.3)
Radford City ⁶	Urban	106.3 (73.9, 147.5)	N/A	8	stable	0.2 (-3.2, 3.8)
Portsmouth City ⁶	Urban	105.8 (93.9, 118.7)	N/A	60	stable	0.1 (-2.1, 2.1)
Virginia Beach City ⁶	Urban	105.7 (100.4, 111.3)	N/A	301	stable	0.9 (-0.1, 1.9)
Warren County ⁶	Urban	105.6 (87.6, 126.1)	N/A	24	stable	0.8 (-1.9, 3.4)
Richmond County ⁶	Rural	105.5 (70.4, 152.3)	N/A	6	stable	0.2 (-5.8, 5.9)
Culpeper County ⁶	Urban	105.4 (89.9, 122.7)	N/A	33	stable	-0.2 (-1.7, 1.3)
Wythe County ⁶	Rural	105.4 (84.2, 130.3)	N/A	17	stable	2.9 (-19.0, 19.2)
Greene County ⁶	Urban	105.3 (80.8, 134.8)	N/A	13	stable	0.7 (-1.5, 3.1)
Botetourt County ⁶	Urban	105.1 (84.8, 128.7)	N/A	19	stable	0.3 (-2.6, 3.0)
Augusta County ⁶	Urban	105.0 (92.0, 119.4)	N/A	47	stable	-4.1 (-14.1, 0.7)
Henry County ⁶	Rural	104.2 (87.5, 123.3)	N/A	28	stable	1.3 (-0.9, 3.3)
Powhatan County ⁶	Urban	104.2 (84.1, 127.8)	N/A	19	stable	-1.1 (-3.5, 1.1)
Martinsville City ⁶	Rural	104.1 (73.5, 142.9)	N/A	8	stable	-0.5 (-5.3, 4.0)
King William County ⁶	Urban	103.1 (77.4, 134.6)	N/A	11	stable	0.0 (-3.0, 3.1)
Bedford City and County ⁶	Urban	102.3 (89.1, 116.9)	N/A	44	stable	0.2 (-1.7, 2.1)
Rockingham County ⁶	Urban	101.7 (89.2, 115.6)	N/A	47	stable	0.6 (-1.2, 2.4)
Charles City County ⁶	Urban	101.2 (59.4, 162.0)	N/A	4	stable	-0.7 (-5.7, 3.6)
Bland County ⁶	Rural	101.0 (63.0, 155.8)	N/A	4	stable	-1.0 (-3.7, 1.6)
Gloucester County ⁶	Urban	100.6 (82.5, 121.4)	N/A	22	stable	-12.2 (-32.0, 4.2)
Grayson County ⁶	Rural	100.5 (72.4, 136.2)	N/A	9	stable	-0.2 (-3.9, 3.4)
Chesterfield County ⁶	Urban	100.4 (94.6, 106.4)	N/A	228	stable	0.2 (-0.5, 0.9)
Norfolk City ⁶	Urban	100.2 (92.5, 108.3)	N/A	133	stable	0.7 (-0.4, 1.8)
Rockbridge County ⁶	Rural	100.1 (75.4, 130.1)	N/A	11	stable	2.0 (-1.5, 5.6)
Prince George County ⁶	Urban	99.9 (83.4, 118.7)	N/A	27	stable	0.2 (-1.8, 2.2)
Henrico County ⁶	Urban	98.9 (93.0, 105.2)	N/A	207	stable	0.9 (-0.8, 4.3)
Campbell County ⁶	Urban	98.7 (83.8, 115.5)	N/A	32	stable	-0.1 (-1.7, 1.6)
Madison County ⁶	Rural	98.4 (68.8, 136.3)	N/A	7	stable	-2.1 (-26.0, 2.2)
Lynchburg City ⁶	Urban	98.3 (83.8, 114.4)	N/A	35	stable	0.3 (-1.5, 2.1)
James City County ⁶	Urban	98.0 (84.8, 112.7)	N/A	40	falling	-2.8 (-8.0, -0.5)
Richmond City ⁶	Urban	98.0 (90.3, 106.1)	N/A	130	stable	-0.3 (-1.5, 0.8)
King George County ⁶	Rural	97.9 (77.8, 121.5)	N/A	16	stable	0.7 (-1.9, 3.7)
Frederick County ⁶	Urban	97.7 (86.2, 110.3)	N/A	52	stable	-0.2 (-2.4, 1.9)
Chesapeake City ⁶	Urban	97.6 (90.8, 104.7)	N/A	154	stable	0.1 (-1.3, 1.6)
Halifax County with South Boston City ⁶	Rural	97.6 (77.8, 120.8)	N/A	17	stable	-0.3 (-3.1, 2.3)
Newport News City ⁶	Urban	97.4 (89.1, 106.2)	N/A	106	stable	-0.1 (-1.0, 0.7)
New Kent County ⁶	Urban	97.1 (75.1, 123.6)	N/A	13	stable	1.1 (-1.2, 3.5)
Shenandoah County ⁶	Rural	96.9 (80.1, 116.2)	N/A	24	stable	0.3 (-2.3, 2.8)
Patrick County ⁶	Rural	96.8 (70.4, 130.1)	N/A	9	stable	-0.2 (-5.2, 4.2)
York County ⁶	Urban	96.2 (83.4, 110.5)	N/A	40	stable	1.0 (-1.2, 3.2)
Dinwiddie County ⁶	Urban	96.0 (75.3, 120.5)	N/A	15	stable	-0.2 (-2.5, 1.9)
Winchester City ⁶	Urban	95.7 (75.6, 119.4)	N/A	16	stable	-0.9 (-3.2, 1.2)
Cumberland County ⁶	Rural	95.5 (61.5, 141.4)	N/A	5	stable	0.7 (-4.5, 6.5)
Pittsylvania County ⁶	Rural	95.4 (80.9, 111.8)	N/A	31	stable	-0.6 (-2.3, 0.9)
Albemarle County ⁶	Urban	94.1 (83.6, 105.6)	N/A	59	stable	-0.5 (-1.7, 0.8)
Bristol City ⁶	Urban	93.6 (68.4, 125.0)	N/A	9	stable	-1.8 (-5.8, 1.8)
Pulaski County ⁶	Urban	93.2 (74.7, 114.9)	N/A	18	stable	-0.7 (-3.1, 1.6)
Manassas Park City ⁶	Urban	93.0 (70.3, 120.6)	N/A	11	stable	0.7 (-1.9, 3.6)
Middlesex County ⁶	Rural	92.9 (57.1, 142.6)	N/A	4	stable	0.6 (-3.6, 4.4)
Hanover County ⁶	Urban	92.5 (82.3, 103.7)	N/A	60	stable	-0.5 (-2.7, 1.6)
Tazewell County ⁶	Rural	92.4 (75.8, 111.7)	N/A	22	stable	-0.9 (-3.4, 1.5)
Page County ⁶	Rural	91.9 (70.0, 118.5)	N/A	12	stable	-0.3 (-2.9, 2.3)
Greensville County ⁶	Rural	91.3 (64.4, 126.5)	N/A	8	stable	0.3 (-3.9, 4.5)
Amherst County ⁶	Urban	91.1 (71.9, 113.9)	N/A	16	stable	0.2 (-1.9, 2.2)
Southampton County ⁶	Rural	90.7 (66.5, 121.0)	N/A	10	stable	1.3 (-1.4, 4.1)
Fauquier County ⁶	Urban	89.9 (77.6, 103.6)	N/A	38	stable	-0.6 (-1.9, 0.7)
Stafford County ⁶	Urban	89.7 (81.7, 98.3)	N/A	92	stable	-0.5 (-1.6, 0.5)
Manassas City ⁶	Urban	89.5 (74.5, 106.4)	N/A	25	stable	1.6 (-0.2, 7.6)
Nelson County ⁶	Urban	89.2 (61.3, 125.6)	N/A	7	stable	0.3 (-4.1, 4.5)
Russell County ⁶	Rural	89.2 (68.7, 113.9)	N/A	13	stable	-1.3 (-4.6, 1.5)
Loudoun County ⁶	Urban	88.7 (84.0, 93.5)	N/A	274	stable	-0.5 (-1.5, 0.6)
Brunswick County ⁶	Rural	88.5 (63.6, 120.2)	N/A	8	stable	1.8 (-0.3, 3.8)
Montgomery County ⁶	Urban	88.5 (77.2, 100.9)	N/A	47	stable	-0.7 (-2.2, 0.8)
Caroline County ⁶	Rural	88.1 (69.9, 109.6)	N/A	16	falling	-2.5 (-5.1, -0.1)
Harrisonburg City ⁶	Urban	87.5 (72.1, 105.0)	N/A	25	stable	-0.7 (-2.8, 1.5)
Nottoway County ⁶	Rural	87.2 (62.5, 118.4)	N/A	8	stable	-1.3 (-4.0, 1.3)
Buckingham County ⁶	Rural	87.2 (63.5, 117.0)	N/A	9	falling	-27.4 (-46.5, -6.3)
Fairfax County ⁶	Urban	86.9 (84.0, 90.0)	N/A	663	stable	-0.1 (-0.6, 0.4)
Buena Vista City ⁶	Rural	86.6 (48.3, 142.3)	N/A	3	*	*
Wise County ⁶	Rural	85.4 (69.1, 104.4)	N/A	19	stable	-2.2 (-5.9, 0.9)
Falls Church City ⁶	Urban	85.2 (61.2, 115.6)	N/A	8	stable	-0.2 (-3.7, 3.6)
Accomack County ⁶	Rural	85.0 (66.2, 107.2)	N/A	14	stable	-0.2 (-2.4, 1.7)
Hampton City ⁶	Urban	84.6 (75.4, 94.6)	N/A	64	stable	-0.4 (-1.5, 0.7)
Smyth County ⁶	Rural	83.2 (64.9, 105.2)	N/A	14	stable	0.3 (-2.1, 2.5)
Prince William County ⁶	Urban	83.0 (78.6, 87.5)	N/A	272	stable	-0.2 (-1.0, 0.7)
Charlottesville City ⁶	Urban	82.9 (67.8, 100.3)	N/A	23	stable	-0.8 (-2.9, 1.4)
Buchanan County ⁶	Rural	82.5 (61.1, 109.2)	N/A	10	stable	-1.1 (-5.6, 2.7)
Alexandria City ⁶	Urban	81.1 (73.8, 88.9)	N/A	97	stable	-0.9 (-2.4, 0.6)
Washington County ⁶	Urban	78.7 (65.1, 94.4)	N/A	24	stable	-2.1 (-5.3, 0.7)
Appomattox County ⁶	Urban	78.4 (54.8, 108.8)	N/A	7	stable	-1.6 (-4.6, 1.2)
Arlington County ⁶	Urban	77.2 (71.3, 83.4)	N/A	136	falling	-2.7 (-19.5, -0.5)
Scott County ⁶	Urban	70.3 (50.7, 95.1)	N/A	9	falling	-6.1 (-43.0, -2.2)
Dickenson County ⁶	Rural	69.4 (46.0, 100.4)	N/A	6	stable	-2.8 (-6.4, 0.2)
Clarke County ⁶	Urban	67.7 (44.5, 99.0)	N/A	5	stable	-2.3 (-6.1, 1.1)
Lee County ⁶	Rural	66.2 (48.0, 89.2)	N/A	9	stable	-2.9 (-6.9, 0.3)
Bath County ⁶	Rural	*	*	3 or fewer	*	*
Franklin City ⁶	Rural	*	*	3 or fewer	*	*
Highland County ⁶	Rural	*	*	3 or fewer	*	*
Lexington City ⁶	Rural	*	*	3 or fewer	*	*
Northumberland County ⁶	Rural	*	*	3 or fewer	*	*
Norton City ⁶	Rural	*	*	3 or fewer	*	*
Surry County ⁶	Urban	*	*	3 or fewer	*	*

Notes:
Created by statecancerprofiles.cancer.gov on 10/13/2024 2:43 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.

† 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.
* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
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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