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, All Ages

Sorted by Rate

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 411.0 with a 95% confidence interval from 409.2 to 412.8 and 40,096 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.8 to -1.1.

US (SEER+NPCR)¹

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 448.6 with a 95% confidence interval from 448.3 to 448.9 and 1,703,249 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.1 to -0.7.

Richmond County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 784.2 with a 95% confidence interval from 714.8 to 859.3 and 99 average annual cases over 2014-2018.
• CI*Rank⋔ : 1 (1, 3)
• Recent Trend : The trend is rising because the trend is 35.6 with a 95% confidence interval from 20.0 to 53.2.

Lexington City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 727.5 with a 95% confidence interval from 633.8 to 832.3 and 52 average annual cases over 2014-2018.
• CI*Rank⋔ : 2 (1, 9)
• Recent Trend : The trend is rising because the trend is 28.1 with a 95% confidence interval from 6.9 to 53.5.

Galax City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 620.6 with a 95% confidence interval from 547.5 to 701.3 and 56 average annual cases over 2014-2018.
• CI*Rank⋔ : 3 (2, 26)
• Recent Trend : The trend is rising because the trend is 20.5 with a 95% confidence interval from 0.2 to 44.9.

Waynesboro City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 616.0 with a 95% confidence interval from 574.9 to 659.5 and 175 average annual cases over 2014-2018.
• CI*Rank⋔ : 4 (2, 13)
• Recent Trend : The trend is rising because the trend is 12.4 with a 95% confidence interval from 3.2 to 22.5.

Franklin City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 613.2 with a 95% confidence interval from 545.5 to 687.5 and 66 average annual cases over 2014-2018.
• CI*Rank⋔ : 5 (2, 25)
• Recent Trend : The trend is stable because the trend is 1.6 with a 95% confidence interval from -0.3 to 3.5.

Petersburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 584.8 with a 95% confidence interval from 550.1 to 621.2 and 231 average annual cases over 2014-2018.
• CI*Rank⋔ : 6 (3, 17)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from 0.0 to 2.1.

Staunton City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 580.9 with a 95% confidence interval from 544.2 to 619.6 and 203 average annual cases over 2014-2018.
• CI*Rank⋔ : 7 (3, 19)
• Recent Trend : The trend is rising because the trend is 10.5 with a 95% confidence interval from 2.7 to 18.8.

Covington City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 577.9 with a 95% confidence interval from 502.1 to 662.9 and 45 average annual cases over 2014-2018.
• CI*Rank⋔ : 8 (2, 55)
• Recent Trend : The trend is rising because the trend is 4.7 with a 95% confidence interval from 3.3 to 6.2.

Highland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 566.1 with a 95% confidence interval from 446.3 to 714.1 and 23 average annual cases over 2014-2018.
• CI*Rank⋔ : 9 (1, 106)
• Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -0.4 to 5.2.

Martinsville City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 557.9 with a 95% confidence interval from 508.2 to 611.5 and 100 average annual cases over 2014-2018.
• CI*Rank⋔ : 10 (3, 38)
• Recent Trend : The trend is stable because the trend is 14.1 with a 95% confidence interval from -6.8 to 39.8.

Sussex County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 551.8 with a 95% confidence interval from 498.7 to 609.6 and 83 average annual cases over 2014-2018.
• CI*Rank⋔ : 11 (3, 46)
• Recent Trend : The trend is rising because the trend is 1.3 with a 95% confidence interval from 0.2 to 2.5.

Hopewell City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 540.3 with a 95% confidence interval from 500.7 to 582.3 and 143 average annual cases over 2014-2018.
• CI*Rank⋔ : 12 (4, 37)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.9 to 1.1.

Essex County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 537.9 with a 95% confidence interval from 487.3 to 593.0 and 92 average annual cases over 2014-2018.
• CI*Rank⋔ : 13 (3, 51)
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.8 to 3.0.

Colonial Heights City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 536.1 with a 95% confidence interval from 493.6 to 581.5 and 128 average annual cases over 2014-2018.
• CI*Rank⋔ : 14 (4, 41)
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.1 to 2.0.

Greensville County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 531.9 with a 95% confidence interval from 478.7 to 589.8 and 76 average annual cases over 2014-2018.
• CI*Rank⋔ : 15 (3, 62)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.6 to 2.0.

Williamsburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 529.7 with a 95% confidence interval from 477.5 to 586.7 and 83 average annual cases over 2014-2018.
• CI*Rank⋔ : 16 (4, 62)
• Recent Trend : The trend is rising because the trend is 12.8 with a 95% confidence interval from 5.1 to 21.0.

Northampton County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 529.4 with a 95% confidence interval from 480.6 to 582.5 and 106 average annual cases over 2014-2018.
• CI*Rank⋔ : 17 (4, 57)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -1.6 to 0.0.

Bath County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 528.9 with a 95% confidence interval from 450.4 to 619.5 and 38 average annual cases over 2014-2018.
• CI*Rank⋔ : 18 (2, 100)
• Recent Trend : The trend is stable because the trend is 11.4 with a 95% confidence interval from 0.0 to 24.0.

Fredericksburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 528.3 with a 95% confidence interval from 488.3 to 570.8 and 134 average annual cases over 2014-2018.
• CI*Rank⋔ : 19 (5, 48)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.7.

Gloucester County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 511.1 with a 95% confidence interval from 482.7 to 540.9 and 264 average annual cases over 2014-2018.
• CI*Rank⋔ : 20 (9, 47)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.5 to 0.8.

Salem City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 508.6 with a 95% confidence interval from 473.7 to 545.6 and 171 average annual cases over 2014-2018.
• CI*Rank⋔ : 21 (9, 57)
• Recent Trend : The trend is rising because the trend is 1.6 with a 95% confidence interval from 0.1 to 3.2.

King William County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 505.8 with a 95% confidence interval from 461.6 to 553.3 and 103 average annual cases over 2014-2018.
• CI*Rank⋔ : 22 (7, 79)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.2 to 0.4.

Nottoway County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 504.0 with a 95% confidence interval from 461.1 to 550.1 and 107 average annual cases over 2014-2018.
• CI*Rank⋔ : 23 (7, 73)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.0 to 0.8.

Prince Edward County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 495.7 with a 95% confidence interval from 456.0 to 538.1 and 127 average annual cases over 2014-2018.
• CI*Rank⋔ : 24 (9, 78)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.7 to 1.2.

Roanoke City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 495.6 with a 95% confidence interval from 477.4 to 514.3 and 601 average annual cases over 2014-2018.
• CI*Rank⋔ : 25 (16, 43)
• Recent Trend : The trend is rising because the trend is 6.7 with a 95% confidence interval from 1.0 to 12.8.

New Kent County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 492.0 with a 95% confidence interval from 453.6 to 533.0 and 138 average annual cases over 2014-2018.
• CI*Rank⋔ : 26 (10, 75)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.5 to 0.8.

Mecklenburg County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 488.1 with a 95% confidence interval from 458.6 to 519.1 and 243 average annual cases over 2014-2018.
• CI*Rank⋔ : 27 (14, 67)
• Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.1 to 1.9.

Nelson County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 487.5 with a 95% confidence interval from 445.7 to 532.8 and 120 average annual cases over 2014-2018.
• CI*Rank⋔ : 28 (9, 88)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.5 to 0.7.

Surry County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 487.4 with a 95% confidence interval from 424.9 to 557.8 and 50 average annual cases over 2014-2018.
• CI*Rank⋔ : 29 (6, 108)
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.1 to 2.8.

Lynchburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 486.6 with a 95% confidence interval from 464.6 to 509.4 and 393 average annual cases over 2014-2018.
• CI*Rank⋔ : 30 (15, 54)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.4 to 1.6.

Goochland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 484.6 with a 95% confidence interval from 449.9 to 521.6 and 165 average annual cases over 2014-2018.
• CI*Rank⋔ : 31 (12, 77)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.3.

Buena Vista City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 484.3 with a 95% confidence interval from 419.5 to 557.1 and 42 average annual cases over 2014-2018.
• CI*Rank⋔ : 32 (5, 109)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.2 to 2.2.

Accomack County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 482.1 with a 95% confidence interval from 453.7 to 512.1 and 245 average annual cases over 2014-2018.
• CI*Rank⋔ : 33 (14, 68)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.4 to 1.3.

Brunswick County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 479.2 with a 95% confidence interval from 439.5 to 522.0 and 115 average annual cases over 2014-2018.
• CI*Rank⋔ : 34 (11, 89)
• Recent Trend : The trend is stable because the trend is -8.3 with a 95% confidence interval from -17.9 to 2.5.

Portsmouth City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 477.0 with a 95% confidence interval from 458.2 to 496.3 and 514 average annual cases over 2014-2018.
• CI*Rank⋔ : 35 (19, 60)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.0 to 0.2.

Fluvanna County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 470.9 with a 95% confidence interval from 438.7 to 505.0 and 170 average annual cases over 2014-2018.
• CI*Rank⋔ : 36 (15, 84)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.7 to -0.2.

Charlottesville City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 469.8 with a 95% confidence interval from 439.8 to 501.2 and 195 average annual cases over 2014-2018.
• CI*Rank⋔ : 37 (18, 83)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.1 to 1.5.

Norfolk City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 469.6 with a 95% confidence interval from 456.5 to 482.9 and 1,045 average annual cases over 2014-2018.
• CI*Rank⋔ : 38 (26, 58)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.7 to 0.2.

Amelia County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 469.2 with a 95% confidence interval from 423.3 to 519.1 and 85 average annual cases over 2014-2018.
• CI*Rank⋔ : 39 (11, 100)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.7 to 1.2.

Danville City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 469.0 with a 95% confidence interval from 443.0 to 496.3 and 271 average annual cases over 2014-2018.
• CI*Rank⋔ : 40 (19, 77)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.0 to 0.9.

Radford City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 466.4 with a 95% confidence interval from 413.0 to 524.6 and 58 average annual cases over 2014-2018.
• CI*Rank⋔ : 41 (9, 108)
• Recent Trend : The trend is rising because the trend is 13.1 with a 95% confidence interval from 0.7 to 26.9.

Mathews County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 464.7 with a 95% confidence interval from 412.9 to 522.6 and 76 average annual cases over 2014-2018.
• CI*Rank⋔ : 42 (11, 108)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.7 to 1.6.

Orange County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 463.2 with a 95% confidence interval from 436.2 to 491.6 and 235 average annual cases over 2014-2018.
• CI*Rank⋔ : 43 (19, 86)
• Recent Trend : The trend is rising because the trend is 4.2 with a 95% confidence interval from 2.1 to 6.4.

Emporia City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 462.6 with a 95% confidence interval from 392.2 to 542.8 and 33 average annual cases over 2014-2018.
• CI*Rank⋔ : 44 (6, 118)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.2 to -0.2.

Louisa County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 461.9 with a 95% confidence interval from 434.3 to 490.9 and 230 average annual cases over 2014-2018.
• CI*Rank⋔ : 45 (21, 87)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.6 to 0.3.

Virginia Beach City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 460.7 with a 95% confidence interval from 452.0 to 469.5 and 2,235 average annual cases over 2014-2018.
• CI*Rank⋔ : 46 (34, 60)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.2 to 0.2.

Charlotte County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 457.5 with a 95% confidence interval from 411.6 to 507.7 and 82 average annual cases over 2014-2018.
• CI*Rank⋔ : 47 (12, 104)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.9 to 1.8.

Caroline County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 457.4 with a 95% confidence interval from 426.4 to 490.2 and 170 average annual cases over 2014-2018.
• CI*Rank⋔ : 48 (20, 95)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.0 to 0.6.

Suffolk City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 456.0 with a 95% confidence interval from 437.1 to 475.5 and 461 average annual cases over 2014-2018.
• CI*Rank⋔ : 49 (29, 80)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.6.

Southampton County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 456.0 with a 95% confidence interval from 418.8 to 496.0 and 121 average annual cases over 2014-2018.
• CI*Rank⋔ : 50 (18, 102)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.2 to 1.6.

Hanover County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 455.8 with a 95% confidence interval from 439.3 to 472.8 and 613 average annual cases over 2014-2018.
• CI*Rank⋔ : 51 (29, 77)
• Recent Trend : The trend is stable because the trend is -4.5 with a 95% confidence interval from -12.0 to 3.6.

Westmoreland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 451.9 with a 95% confidence interval from 415.2 to 491.5 and 130 average annual cases over 2014-2018.
• CI*Rank⋔ : 52 (19, 102)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.

Chesapeake City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 448.8 with a 95% confidence interval from 436.9 to 460.9 and 1,147 average annual cases over 2014-2018.
• CI*Rank⋔ : 53 (38, 78)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -0.9 to 0.1.

Page County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 448.3 with a 95% confidence interval from 415.8 to 482.8 and 155 average annual cases over 2014-2018.
• CI*Rank⋔ : 54 (22, 101)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.9 to 1.3.

Henrico County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 447.9 with a 95% confidence interval from 438.2 to 457.7 and 1,691 average annual cases over 2014-2018.
• CI*Rank⋔ : 55 (41, 76)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.5.

Lancaster County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 445.1 with a 95% confidence interval from 400.4 to 494.6 and 102 average annual cases over 2014-2018.
• CI*Rank⋔ : 56 (16, 109)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.7 to 1.8.

Giles County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 444.5 with a 95% confidence interval from 406.2 to 485.8 and 109 average annual cases over 2014-2018.
• CI*Rank⋔ : 57 (20, 107)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.1 to 0.3.

Charles City County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 443.8 with a 95% confidence interval from 386.2 to 508.9 and 51 average annual cases over 2014-2018.
• CI*Rank⋔ : 58 (13, 115)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.2 to 2.4.

Halifax County with South Boston City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 443.7 with a 95% confidence interval from 417.5 to 471.3 and 243 average annual cases over 2014-2018.
• CI*Rank⋔ : 59 (27, 100)
• Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -13.9 to 9.5.

Newport News City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 443.0 with a 95% confidence interval from 429.2 to 457.1 and 814 average annual cases over 2014-2018.
• CI*Rank⋔ : 60 (40, 85)
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -1.3 to -0.2.

Chesterfield County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 442.7 with a 95% confidence interval from 433.1 to 452.6 and 1,705 average annual cases over 2014-2018.
• CI*Rank⋔ : 61 (44, 79)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.5 to -0.5.

Middlesex County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 442.5 with a 95% confidence interval from 397.3 to 492.4 and 92 average annual cases over 2014-2018.
• CI*Rank⋔ : 62 (16, 109)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.3 to 1.6.

James City County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 441.8 with a 95% confidence interval from 423.8 to 460.4 and 517 average annual cases over 2014-2018.
• CI*Rank⋔ : 63 (35, 88)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.1 to -0.4.

Lunenburg County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 440.6 with a 95% confidence interval from 396.8 to 488.3 and 82 average annual cases over 2014-2018.
• CI*Rank⋔ : 64 (18, 110)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.1 to 0.9.

Prince George County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 439.3 with a 95% confidence interval from 410.7 to 469.4 and 184 average annual cases over 2014-2018.
• CI*Rank⋔ : 65 (30, 103)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.9 to -0.4.

Culpeper County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 438.7 with a 95% confidence interval from 414.6 to 463.9 and 259 average annual cases over 2014-2018.
• CI*Rank⋔ : 66 (33, 99)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.3 to -0.1.

King and Queen County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 437.7 with a 95% confidence interval from 380.0 to 502.8 and 47 average annual cases over 2014-2018.
• CI*Rank⋔ : 67 (12, 117)
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.3 to 2.3.

Poquoson City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 437.5 with a 95% confidence interval from 392.3 to 486.9 and 73 average annual cases over 2014-2018.
• CI*Rank⋔ : 68 (18, 112)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.5 to 0.3.

Hampton City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 437.0 with a 95% confidence interval from 422.1 to 452.4 and 687 average annual cases over 2014-2018.
• CI*Rank⋔ : 69 (41, 90)
• Recent Trend : The trend is falling because the trend is -6.0 with a 95% confidence interval from -10.5 to -1.3.

Augusta County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 436.6 with a 95% confidence interval from 418.5 to 455.3 and 472 average annual cases over 2014-2018.
• CI*Rank⋔ : 70 (40, 94)
• Recent Trend : The trend is falling because the trend is -8.2 with a 95% confidence interval from -14.2 to -1.8.

Roanoke County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 436.5 with a 95% confidence interval from 420.3 to 453.3 and 589 average annual cases over 2014-2018.
• CI*Rank⋔ : 71 (42, 92)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.5 to 1.2.

Harrisonburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 436.5 with a 95% confidence interval from 407.1 to 467.3 and 174 average annual cases over 2014-2018.
• CI*Rank⋔ : 72 (28, 104)
• Recent Trend : The trend is stable because the trend is 7.7 with a 95% confidence interval from -3.8 to 20.5.

Amherst County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 433.2 with a 95% confidence interval from 405.9 to 462.0 and 202 average annual cases over 2014-2018.
• CI*Rank⋔ : 73 (32, 104)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.4.

Spotsylvania County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 433.1 with a 95% confidence interval from 417.6 to 449.1 and 623 average annual cases over 2014-2018.
• CI*Rank⋔ : 74 (45, 93)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.2 to -1.0.

Rockingham County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 430.7 with a 95% confidence interval from 412.6 to 449.4 and 454 average annual cases over 2014-2018.
• CI*Rank⋔ : 75 (44, 99)
• Recent Trend : The trend is stable because the trend is -5.6 with a 95% confidence interval from -13.1 to 2.4.

Stafford County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 429.4 with a 95% confidence interval from 413.0 to 446.3 and 570 average annual cases over 2014-2018.
• CI*Rank⋔ : 76 (48, 96)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.6.

Wythe County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 429.1 with a 95% confidence interval from 400.8 to 459.1 and 184 average annual cases over 2014-2018.
• CI*Rank⋔ : 77 (34, 106)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.5 to 1.0.

Bedford City and County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 428.9 with a 95% confidence interval from 411.2 to 447.3 and 489 average annual cases over 2014-2018.
• CI*Rank⋔ : 78 (44, 99)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.8 to 0.4.

Dinwiddie County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 428.9 with a 95% confidence interval from 398.6 to 461.1 and 158 average annual cases over 2014-2018.
• CI*Rank⋔ : 79 (33, 107)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.6 to -0.9.

Madison County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 426.2 with a 95% confidence interval from 384.2 to 471.9 and 84 average annual cases over 2014-2018.
• CI*Rank⋔ : 80 (22, 114)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.1 to 0.2.

Warren County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 426.0 with a 95% confidence interval from 399.5 to 453.9 and 207 average annual cases over 2014-2018.
• CI*Rank⋔ : 81 (36, 107)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.6.

King George County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 424.2 with a 95% confidence interval from 389.3 to 461.4 and 116 average annual cases over 2014-2018.
• CI*Rank⋔ : 82 (28, 110)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.3 to 0.5.

Shenandoah County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 421.5 with a 95% confidence interval from 398.4 to 445.7 and 268 average annual cases over 2014-2018.
• CI*Rank⋔ : 83 (43, 106)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.8 to 1.3.

Craig County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 418.6 with a 95% confidence interval from 352.4 to 495.3 and 33 average annual cases over 2014-2018.
• CI*Rank⋔ : 84 (13, 125)
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -1.3 to 3.7.

Pulaski County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 417.9 with a 95% confidence interval from 392.2 to 445.0 and 218 average annual cases over 2014-2018.
• CI*Rank⋔ : 85 (43, 107)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.2.

Winchester City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 417.5 with a 95% confidence interval from 385.8 to 451.2 and 134 average annual cases over 2014-2018.
• CI*Rank⋔ : 86 (35, 112)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.5 to -0.1.

Richmond City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 413.8 with a 95% confidence interval from 401.8 to 426.1 and 976 average annual cases over 2014-2018.
• CI*Rank⋔ : 87 (69, 103)
• Recent Trend : The trend is falling because the trend is -6.8 with a 95% confidence interval from -10.3 to -3.3.

Northumberland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 413.1 with a 95% confidence interval from 375.3 to 455.1 and 114 average annual cases over 2014-2018.
• CI*Rank⋔ : 88 (33, 115)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.5 to 0.2.

Isle of Wight County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 409.9 with a 95% confidence interval from 384.2 to 437.0 and 206 average annual cases over 2014-2018.
• CI*Rank⋔ : 89 (45, 111)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.5.

Appomattox County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 409.5 with a 95% confidence interval from 370.7 to 451.6 and 89 average annual cases over 2014-2018.
• CI*Rank⋔ : 90 (35, 118)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.5 to 0.5.

Greene County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 405.8 with a 95% confidence interval from 369.4 to 445.1 and 97 average annual cases over 2014-2018.
• CI*Rank⋔ : 91 (35, 118)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.6 to -0.1.

Cumberland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 404.9 with a 95% confidence interval from 358.5 to 456.5 and 59 average annual cases over 2014-2018.
• CI*Rank⋔ : 92 (26, 123)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.1 to 0.8.

Albemarle County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 404.9 with a 95% confidence interval from 389.3 to 421.0 and 544 average annual cases over 2014-2018.
• CI*Rank⋔ : 93 (71, 108)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.0 to -0.8.

Franklin County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 404.4 with a 95% confidence interval from 384.1 to 425.6 and 343 average annual cases over 2014-2018.
• CI*Rank⋔ : 94 (61, 110)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.3.

Campbell County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 404.1 with a 95% confidence interval from 383.6 to 425.5 and 312 average annual cases over 2014-2018.
• CI*Rank⋔ : 95 (64, 110)
• Recent Trend : The trend is stable because the trend is -5.8 with a 95% confidence interval from -15.8 to 5.2.

Buckingham County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 402.1 with a 95% confidence interval from 365.5 to 441.7 and 95 average annual cases over 2014-2018.
• CI*Rank⋔ : 96 (40, 120)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.1 to 0.8.

Falls Church City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 401.9 with a 95% confidence interval from 356.1 to 451.9 and 60 average annual cases over 2014-2018.
• CI*Rank⋔ : 97 (29, 124)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.4 to 0.5.

Botetourt County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 401.2 with a 95% confidence interval from 375.3 to 428.5 and 201 average annual cases over 2014-2018.
• CI*Rank⋔ : 98 (52, 113)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.6 to 1.0.

Fauquier County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 399.1 with a 95% confidence interval from 379.9 to 419.1 and 347 average annual cases over 2014-2018.
• CI*Rank⋔ : 99 (72, 111)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.6 to -0.9.

Powhatan County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 399.1 with a 95% confidence interval from 370.3 to 429.7 and 156 average annual cases over 2014-2018.
• CI*Rank⋔ : 100 (54, 115)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.3 to -1.5.

Alleghany County and Clifton Forge City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 396.6 with a 95% confidence interval from 360.2 to 436.3 and 99 average annual cases over 2014-2018.
• CI*Rank⋔ : 101 (48, 120)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.4 to 0.8.

Frederick County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 395.1 with a 95% confidence interval from 378.0 to 412.7 and 420 average annual cases over 2014-2018.
• CI*Rank⋔ : 102 (77, 111)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.3 to -1.2.

Manassas City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 394.3 with a 95% confidence interval from 364.0 to 426.3 and 140 average annual cases over 2014-2018.
• CI*Rank⋔ : 103 (56, 118)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.7 to -0.8.

Floyd County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 393.1 with a 95% confidence interval from 355.3 to 434.2 and 89 average annual cases over 2014-2018.
• CI*Rank⋔ : 104 (45, 121)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.5 to 0.6.

Henry County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 392.6 with a 95% confidence interval from 372.4 to 413.8 and 317 average annual cases over 2014-2018.
• CI*Rank⋔ : 105 (72, 113)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.7 to 0.4.

Rockbridge County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 391.6 with a 95% confidence interval from 361.6 to 423.9 and 145 average annual cases over 2014-2018.
• CI*Rank⋔ : 106 (58, 120)
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.3 to 0.1.

Clarke County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 381.3 with a 95% confidence interval from 342.9 to 423.3 and 80 average annual cases over 2014-2018.
• CI*Rank⋔ : 107 (59, 125)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.9 to -0.4.

York County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 376.9 with a 95% confidence interval from 357.9 to 396.7 and 307 average annual cases over 2014-2018.
• CI*Rank⋔ : 108 (88, 117)
• Recent Trend : The trend is stable because the trend is -8.8 with a 95% confidence interval from -18.5 to 2.1.

Montgomery County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 371.1 with a 95% confidence interval from 353.2 to 389.7 and 337 average annual cases over 2014-2018.
• CI*Rank⋔ : 109 (94, 119)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.5.

Grayson County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 365.1 with a 95% confidence interval from 330.3 to 403.1 and 91 average annual cases over 2014-2018.
• CI*Rank⋔ : 110 (75, 126)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.3 to -0.2.

Pittsylvania County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 364.4 with a 95% confidence interval from 346.5 to 383.2 and 343 average annual cases over 2014-2018.
• CI*Rank⋔ : 111 (98, 120)
• Recent Trend : The trend is stable because the trend is -7.4 with a 95% confidence interval from -17.1 to 3.3.

Loudoun County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 359.5 with a 95% confidence interval from 350.1 to 369.1 and 1,207 average annual cases over 2014-2018.
• CI*Rank⋔ : 112 (105, 119)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.3 to -1.2.

Norton City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 353.4 with a 95% confidence interval from 283.3 to 436.7 and 18 average annual cases over 2014-2018.
• CI*Rank⋔ : 113 (30, 130)
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.3 to -1.2.

Fairfax City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 350.3 with a 95% confidence interval from 318.8 to 384.2 and 95 average annual cases over 2014-2018.
• CI*Rank⋔ : 114 (90, 127)
• Recent Trend : The trend is stable because the trend is -9.3 with a 95% confidence interval from -19.8 to 2.7.

Rappahannock County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 349.5 with a 95% confidence interval from 301.3 to 404.7 and 44 average annual cases over 2014-2018.
• CI*Rank⋔ : 115 (62, 129)
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.2 to -1.4.

Washington County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 346.1 with a 95% confidence interval from 327.5 to 365.7 and 283 average annual cases over 2014-2018.
• CI*Rank⋔ : 116 (106, 126)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.6 to -0.8.

Prince William County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 345.8 with a 95% confidence interval from 337.2 to 354.6 and 1,375 average annual cases over 2014-2018.
• CI*Rank⋔ : 117 (111, 123)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.7 to -1.5.

Patrick County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 344.6 with a 95% confidence interval from 313.2 to 378.9 and 102 average annual cases over 2014-2018.
• CI*Rank⋔ : 118 (95, 127)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.3 to 1.0.

Carroll County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 343.4 with a 95% confidence interval from 318.4 to 370.1 and 160 average annual cases over 2014-2018.
• CI*Rank⋔ : 119 (102, 127)
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.2 to 1.3.

Bland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 339.9 with a 95% confidence interval from 289.1 to 398.6 and 34 average annual cases over 2014-2018.
• CI*Rank⋔ : 120 (77, 129)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -4.2 to 1.7.

Arlington County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 336.1 with a 95% confidence interval from 324.6 to 347.9 and 697 average annual cases over 2014-2018.
• CI*Rank⋔ : 121 (112, 126)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.6 to -1.1.

Fairfax County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 335.3 with a 95% confidence interval from 330.6 to 340.0 and 4,095 average annual cases over 2014-2018.
• CI*Rank⋔ : 122 (115, 125)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.2 to -1.2.

Wise County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 329.8 with a 95% confidence interval from 306.9 to 354.1 and 163 average annual cases over 2014-2018.
• CI*Rank⋔ : 123 (109, 128)
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -5.2 to -1.6.

Dickenson County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 328.0 with a 95% confidence interval from 292.9 to 366.6 and 70 average annual cases over 2014-2018.
• CI*Rank⋔ : 124 (103, 128)
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -5.0 to -1.5.

Alexandria City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 325.6 with a 95% confidence interval from 312.4 to 339.3 and 495 average annual cases over 2014-2018.
• CI*Rank⋔ : 125 (115, 127)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.9 to -1.2.

Manassas Park City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 304.7 with a 95% confidence interval from 260.2 to 354.2 and 38 average annual cases over 2014-2018.
• CI*Rank⋔ : 126 (104, 131)
• Recent Trend : The trend is stable because the trend is -15.6 with a 95% confidence interval from -39.1 to 17.0.

Tazewell County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 300.4 with a 95% confidence interval from 280.2 to 321.8 and 182 average annual cases over 2014-2018.
• CI*Rank⋔ : 127 (119, 129)
• Recent Trend : The trend is falling because the trend is -4.5 with a 95% confidence interval from -6.5 to -2.5.

Smyth County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 285.3 with a 95% confidence interval from 262.7 to 309.5 and 129 average annual cases over 2014-2018.
• CI*Rank⋔ : 128 (122, 130)
• Recent Trend : The trend is falling because the trend is -21.1 with a 95% confidence interval from -34.0 to -5.7.

Buchanan County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 259.7 with a 95% confidence interval from 234.5 to 287.3 and 85 average annual cases over 2014-2018.
• CI*Rank⋔ : 129 (125, 133)
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.3 to -1.1.

Russell County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 238.9 with a 95% confidence interval from 216.8 to 262.9 and 95 average annual cases over 2014-2018.
• CI*Rank⋔ : 130 (128, 133)
• Recent Trend : The trend is falling because the trend is -8.5 with a 95% confidence interval from -11.6 to -5.2.

Scott County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 232.4 with a 95% confidence interval from 208.8 to 258.3 and 79 average annual cases over 2014-2018.
• CI*Rank⋔ : 131 (128, 133)
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -7.0 to -1.1.

Lee County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 231.0 with a 95% confidence interval from 207.9 to 256.2 and 79 average annual cases over 2014-2018.
• CI*Rank⋔ : 132 (128, 133)
• Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -6.9 to -2.2.

Bristol City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 214.7 with a 95% confidence interval from 187.9 to 244.5 and 50 average annual cases over 2014-2018.
• CI*Rank⋔ : 133 (129, 133)
• Recent Trend : The trend is falling because the trend is -10.1 with a 95% confidence interval from -15.0 to -5.0.

Notes:
Created by statecancerprofiles.cancer.gov on 08/10/2022 12:55 am.

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.