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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, All Ages

Sorted by Recentaapc

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
Age-Adjusted Incidence Rate
cases per 100,000
(95% Confidence Interval)
 sort by rate descending
CI*Rank
(95% Confidence Interval)
 sort by CI rank descending
Average Annual Count
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Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend ascending
Virginia 6 N/A 411.2 (409.4, 413.0) N/A 42,411 stable stable trend -0.5 (-0.8, 0.4)
US (SEER+NPCR) 1 N/A 444.4 (444.1, 444.7) N/A 1,744,459 falling falling trend -0.5 (-0.7, -0.3)
Lancaster County 6 Rural 537.4 (485.6, 594.3) N/A 121 rising rising trend 9.0 (1.6, 16.1)
Rappahannock County 6 Urban 471.8 (414.1, 536.6) N/A 59 rising rising trend 6.8 (0.5, 15.4)
Williamsburg City 6 Urban 504.8 (452.2, 562.1) N/A 81 rising rising trend 3.9 (0.2, 8.7)
Dinwiddie County 6 Urban 489.4 (457.5, 523.2) N/A 189 stable stable trend 3.7 (-3.1, 9.2)
Covington City 6 Rural 549.7 (476.6, 631.7) N/A 45 rising rising trend 3.3 (1.7, 5.1)
Lexington City 6 Rural 535.7 (458.0, 623.9) N/A 39 rising rising trend 3.2 (1.3, 5.3)
Powhatan County 6 Urban 437.6 (408.4, 468.5) N/A 185 stable stable trend 2.6 (-0.9, 7.4)
Essex County 6 Rural 565.6 (512.4, 623.6) N/A 95 rising rising trend 2.5 (0.8, 7.9)
Orange County 6 Rural 481.7 (454.2, 510.7) N/A 248 stable stable trend 1.8 (-4.2, 7.9)
Bath County 6 Rural 515.5 (440.0, 603.0) N/A 39 stable stable trend 1.7 (-0.4, 4.0)
Galax City 6 Rural 655.0 (577.7, 740.2) N/A 55 stable stable trend 1.7 (-0.7, 4.0)
Craig County 6 Urban 461.6 (391.5, 542.3) N/A 36 stable stable trend 1.3 (-0.6, 3.5)
Sussex County 6 Urban 525.4 (472.5, 583.1) N/A 77 rising rising trend 1.3 (0.3, 2.2)
Buena Vista City 6 Rural 526.0 (458.3, 601.6) N/A 47 stable stable trend 1.2 (-0.3, 2.8)
Mathews County 6 Urban 560.8 (501.8, 626.2) N/A 89 stable stable trend 1.2 (-0.1, 2.5)
Brunswick County 6 Rural 512.6 (471.4, 556.9) N/A 124 rising rising trend 1.0 (0.3, 1.7)
Wythe County 6 Rural 468.0 (438.0, 499.7) N/A 198 rising rising trend 1.0 (0.1, 1.9)
Henrico County 6 Urban 454.2 (444.7, 463.8) N/A 1,826 stable stable trend 0.9 (-0.2, 2.8)
Highland County 6 Rural 408.8 (306.9, 540.1) N/A 18 stable stable trend 0.9 (-1.4, 3.1)
Southampton County 6 Rural 463.5 (427.0, 502.6) N/A 131 stable stable trend 0.8 (-0.3, 1.8)
Colonial Heights City 6 Urban 496.3 (456.0, 539.5) N/A 121 stable stable trend 0.7 (-0.5, 1.9)
King and Queen County 6 Urban 464.1 (403.5, 532.5) N/A 49 stable stable trend 0.7 (-1.0, 2.5)
Richmond County 6 Rural 442.1 (390.9, 499.0) N/A 58 stable stable trend 0.7 (-0.9, 2.5)
Charles City County 6 Urban 484.5 (426.0, 550.6) N/A 58 stable stable trend 0.6 (-1.3, 2.7)
Charlotte County 6 Rural 454.6 (408.9, 504.6) N/A 82 stable stable trend 0.6 (-0.8, 2.0)
Nottoway County 6 Rural 541.2 (497.0, 588.6) N/A 116 stable stable trend 0.5 (-1.1, 2.2)
Salem City 6 Urban 473.1 (439.6, 508.7) N/A 161 stable stable trend 0.5 (-0.8, 1.8)
Amelia County 6 Urban 541.1 (493.6, 592.5) N/A 106 stable stable trend 0.4 (-0.7, 1.5)
Botetourt County 6 Urban 451.4 (424.7, 479.6) N/A 241 stable stable trend 0.4 (-0.7, 1.6)
Mecklenburg County 6 Rural 486.8 (457.6, 517.7) N/A 248 stable stable trend 0.4 (-0.6, 1.5)
Floyd County 6 Urban 446.1 (406.3, 489.3) N/A 105 stable stable trend 0.3 (-0.6, 1.3)
Lunenburg County 6 Rural 483.6 (437.3, 534.1) N/A 89 stable stable trend 0.3 (-1.0, 1.6)
Suffolk City 6 Urban 464.4 (446.1, 483.4) N/A 507 stable stable trend 0.3 (-0.3, 0.9)
Carroll County 6 Rural 412.0 (384.6, 441.1) N/A 196 stable stable trend 0.2 (-1.8, 2.1)
Franklin City 6 Rural 477.9 (420.9, 541.1) N/A 55 stable stable trend 0.2 (-1.1, 1.6)
Franklin County 6 Urban 451.3 (429.7, 473.7) N/A 388 stable stable trend 0.2 (-0.7, 1.0)
Hopewell City 6 Urban 550.2 (510.2, 592.5) N/A 147 stable stable trend 0.2 (-0.7, 1.2)
Martinsville City 6 Rural 534.3 (486.1, 586.3) N/A 97 stable stable trend 0.2 (-1.1, 1.5)
Petersburg City 6 Urban 544.3 (511.5, 578.6) N/A 226 stable stable trend 0.2 (-0.9, 1.2)
Shenandoah County 6 Rural 414.9 (392.0, 438.9) N/A 271 stable stable trend 0.2 (-0.7, 1.2)
Bland County 6 Rural 438.0 (380.5, 503.3) N/A 45 stable stable trend 0.1 (-3.0, 3.4)
Page County 6 Rural 428.9 (397.9, 462.0) N/A 156 stable stable trend 0.1 (-0.9, 1.1)
Fairfax City 6 Urban 395.6 (362.3, 431.3) N/A 108 stable stable trend 0.0 (-1.1, 1.2)
Greensville County 6 Rural 489.7 (438.0, 546.4) N/A 69 stable stable trend 0.0 (-1.7, 1.8)
New Kent County 6 Urban 504.8 (467.4, 544.6) N/A 153 stable stable trend 0.0 (-1.0, 1.3)
Patrick County 6 Rural 403.3 (369.6, 439.9) N/A 124 stable stable trend 0.0 (-1.8, 1.8)
Danville City 6 Rural 488.6 (462.5, 515.9) N/A 296 stable stable trend -0.1 (-1.2, 1.0)
Grayson County 6 Rural 437.9 (399.7, 479.3) N/A 111 stable stable trend -0.1 (-1.5, 1.2)
Prince Edward County 6 Rural 474.5 (434.5, 517.5) N/A 115 stable stable trend -0.1 (-1.3, 1.1)
Waynesboro City 6 Urban 504.2 (467.3, 543.4) N/A 146 stable stable trend -0.1 (-1.3, 1.1)
Chesapeake City 6 Urban 448.3 (436.8, 460.0) N/A 1,225 stable stable trend -0.2 (-0.7, 0.4)
Goochland County 6 Urban 505.7 (472.5, 540.9) N/A 197 stable stable trend -0.2 (-0.7, 0.4)
Lynchburg City 6 Urban 436.5 (415.6, 458.3) N/A 352 stable stable trend -0.2 (-0.9, 0.5)
Roanoke County 6 Urban 440.5 (424.3, 457.1) N/A 615 stable stable trend -0.2 (-4.8, 1.2)
Alleghany County and Clifton Forge City 6 Rural 444.0 (404.9, 486.3) N/A 112 stable stable trend -0.3 (-1.7, 1.0)
Buckingham County 6 Rural 441.9 (403.8, 483.1) N/A 106 stable stable trend -0.3 (-1.6, 1.1)
King George County 6 Rural 471.5 (436.0, 509.2) N/A 137 stable stable trend -0.3 (-1.7, 1.1)
Norfolk City 6 Urban 455.0 (442.4, 467.9) N/A 1,060 stable stable trend -0.3 (-2.0, 0.1)
Portsmouth City 6 Urban 449.3 (431.3, 467.9) N/A 499 stable stable trend -0.3 (-0.9, 0.3)
Warren County 6 Urban 406.7 (381.7, 433.1) N/A 213 stable stable trend -0.3 (-1.3, 0.7)
Cumberland County 6 Rural 425.5 (377.6, 478.5) N/A 64 stable stable trend -0.4 (-1.7, 1.0)
Pulaski County 6 Urban 410.9 (385.5, 437.8) N/A 217 stable stable trend -0.4 (-1.0, 0.2)
Rockbridge County 6 Rural 429.9 (398.4, 463.6) N/A 165 stable stable trend -0.4 (-1.7, 0.9)
Westmoreland County 6 Rural 446.0 (410.0, 484.7) N/A 137 stable stable trend -0.4 (-1.3, 0.4)
Caroline County 6 Rural 465.8 (435.1, 498.3) N/A 181 stable stable trend -0.5 (-1.7, 0.7)
Isle of Wight County 6 Urban 453.7 (427.4, 481.3) N/A 244 stable stable trend -0.5 (-1.5, 0.6)
Northampton County 6 Rural 506.0 (458.4, 557.8) N/A 107 stable stable trend -0.5 (-1.6, 0.6)
Roanoke City 6 Urban 468.8 (451.4, 486.7) N/A 589 stable stable trend -0.5 (-3.0, 0.1)
Winchester City 6 Urban 427.3 (395.9, 460.6) N/A 144 stable stable trend -0.5 (-1.3, 0.2)
Amherst County 6 Urban 446.5 (418.5, 476.0) N/A 209 stable stable trend -0.6 (-1.5, 0.2)
Fredericksburg City 6 Urban 526.5 (486.5, 568.8) N/A 134 stable stable trend -0.6 (-1.5, 0.3)
Northumberland County 6 Rural 404.4 (365.7, 447.4) N/A 110 stable stable trend -0.6 (-2.1, 0.9)
Culpeper County 6 Urban 460.3 (436.5, 485.2) N/A 292 stable stable trend -0.7 (-1.6, 0.3)
Henry County 6 Rural 407.8 (387.1, 429.6) N/A 333 stable stable trend -0.7 (-2.1, 0.6)
King William County 6 Urban 450.7 (410.6, 493.8) N/A 99 stable stable trend -0.7 (-1.8, 0.5)
Campbell County 6 Urban 425.7 (404.9, 447.3) N/A 342 stable stable trend -0.8 (-1.8, 0.2)
Chesterfield County 6 Urban 443.2 (434.0, 452.6) N/A 1,879 falling falling trend -0.8 (-1.3, -0.3)
Hanover County 6 Urban 432.9 (417.5, 448.7) N/A 639 falling falling trend -0.8 (-1.5, -0.1)
Poquoson City 6 Urban 433.6 (389.3, 482.0) N/A 74 stable stable trend -0.8 (-2.0, 0.3)
Spotsylvania County 6 Urban 460.0 (444.8, 475.7) N/A 724 falling falling trend -0.8 (-1.3, -0.2)
Emporia City 6 Rural 485.1 (414.5, 564.8) N/A 37 stable stable trend -0.9 (-2.6, 0.9)
Greene County 6 Urban 419.0 (383.8, 456.8) N/A 112 stable stable trend -0.9 (-1.8, 0.0)
Montgomery County 6 Urban 383.0 (365.3, 401.3) N/A 369 stable stable trend -0.9 (-1.7, 0.0)
Newport News City 6 Urban 420.9 (407.8, 434.3) N/A 821 falling falling trend -0.9 (-1.4, -0.3)
York County 6 Urban 410.5 (391.2, 430.5) N/A 355 falling falling trend -0.9 (-1.6, -0.1)
Bedford City and County 6 Urban 425.5 (408.2, 443.4) N/A 517 falling falling trend -1.0 (-3.4, -0.3)
Fluvanna County 6 Urban 447.8 (417.0, 480.5) N/A 171 falling falling trend -1.0 (-1.9, -0.1)
Prince George County 6 Urban 479.1 (449.7, 510.0) N/A 206 stable stable trend -1.0 (-2.0, 0.0)
Smyth County 6 Rural 373.4 (347.7, 400.8) N/A 172 stable stable trend -1.0 (-6.4, 0.3)
Accomack County 6 Rural 383.2 (358.3, 409.6) N/A 206 stable stable trend -1.1 (-2.4, 0.2)
Appomattox County 6 Urban 377.2 (341.4, 416.1) N/A 88 stable stable trend -1.1 (-2.4, 0.2)
Charlottesville City 6 Urban 387.8 (361.4, 415.6) N/A 172 falling falling trend -1.2 (-2.2, -0.1)
Falls Church City 6 Urban 363.7 (322.6, 408.7) N/A 60 stable stable trend -1.2 (-3.0, 0.6)
Hampton City 6 Urban 408.8 (394.6, 423.4) N/A 669 falling falling trend -1.2 (-1.7, -0.6)
Loudoun County 6 Urban 368.6 (359.8, 377.6) N/A 1,403 falling falling trend -1.2 (-1.7, -0.6)
Louisa County 6 Rural 447.8 (421.3, 475.6) N/A 242 stable stable trend -1.2 (-8.8, 0.8)
Richmond City 6 Urban 448.0 (435.6, 460.7) N/A 1,083 falling falling trend -1.2 (-2.3, -0.9)
Stafford County 6 Urban 422.4 (407.3, 438.0) N/A 631 falling falling trend -1.2 (-1.8, -0.4)
Fairfax County 6 Urban 337.1 (332.5, 341.7) N/A 4,294 falling falling trend -1.3 (-1.7, -0.9)
Fauquier County 6 Urban 375.0 (357.1, 393.6) N/A 353 falling falling trend -1.3 (-2.0, -0.5)
Middlesex County 6 Rural 448.3 (402.7, 498.9) N/A 95 falling falling trend -1.3 (-4.2, -0.2)
Radford City 6 Urban 431.9 (379.1, 490.0) N/A 52 stable stable trend -1.3 (-3.0, 0.3)
Albemarle County 6 Urban 389.2 (374.5, 404.3) N/A 575 falling falling trend -1.4 (-2.1, -0.7)
Alexandria City 6 Urban 337.7 (324.6, 351.1) N/A 537 falling falling trend -1.4 (-2.3, -0.6)
Pittsylvania County 6 Rural 373.4 (355.2, 392.5) N/A 358 falling falling trend -1.4 (-2.2, -0.6)
Prince William County 6 Urban 350.2 (342.1, 358.4) N/A 1,550 falling falling trend -1.4 (-2.0, -0.8)
Frederick County 6 Urban 396.2 (379.9, 413.1) N/A 466 falling falling trend -1.5 (-2.2, -1.0)
Giles County 6 Urban 500.1 (459.9, 543.3) N/A 126 stable stable trend -1.5 (-9.7, 6.2)
Madison County 6 Rural 402.3 (362.6, 445.7) N/A 85 falling falling trend -1.6 (-4.9, -0.6)
Clarke County 6 Urban 350.0 (315.0, 388.4) N/A 82 falling falling trend -1.7 (-2.8, -0.6)
Harrisonburg City 6 Urban 378.1 (351.2, 406.6) N/A 153 falling falling trend -1.7 (-8.1, -0.7)
James City County 6 Urban 413.7 (397.0, 431.2) N/A 530 stable stable trend -1.7 (-5.4, 1.0)
Arlington County 6 Urban 318.7 (307.9, 329.7) N/A 699 falling falling trend -1.8 (-2.5, -1.0)
Manassas Park City 6 Urban 349.5 (305.6, 397.7) N/A 51 stable stable trend -1.9 (-4.0, 0.7)
Russell County 6 Rural 329.9 (303.5, 358.2) N/A 130 falling falling trend -2.0 (-3.3, -0.7)
Buchanan County 6 Rural 305.5 (277.7, 335.8) N/A 99 falling falling trend -2.1 (-4.1, -0.2)
Dickenson County 6 Rural 367.3 (331.0, 407.1) N/A 83 falling falling trend -2.1 (-3.7, -0.5)
Manassas City 6 Urban 356.3 (328.8, 385.5) N/A 137 falling falling trend -2.3 (-3.5, -0.9)
Virginia Beach City 6 Urban 446.8 (438.6, 455.2) N/A 2,316 falling falling trend -2.6 (-5.2, -0.2)
Gloucester County 6 Urban 453.1 (427.3, 480.2) N/A 255 falling falling trend -2.8 (-6.9, -0.8)
Tazewell County 6 Rural 344.2 (322.5, 367.2) N/A 209 falling falling trend -2.8 (-9.6, -1.7)
Wise County 6 Rural 356.2 (332.1, 381.7) N/A 175 falling falling trend -2.8 (-4.5, -1.3)
Norton City 6 Rural 391.8 (315.8, 481.9) N/A 19 falling falling trend -3.0 (-5.0, -1.1)
Lee County 6 Rural 311.7 (284.5, 341.2) N/A 105 falling falling trend -3.1 (-5.4, -1.1)
Washington County 6 Urban 311.0 (293.4, 329.5) N/A 264 falling falling trend -3.1 (-4.3, -2.1)
Staunton City 6 Urban 487.8 (455.0, 522.7) N/A 178 stable stable trend -4.1 (-11.3, 1.3)
Bristol City 6 Urban 274.7 (244.1, 308.3) N/A 65 falling falling trend -4.4 (-7.7, -1.7)
Augusta County 6 Urban 452.7 (434.7, 471.3) N/A 520 falling falling trend -4.5 (-7.8, -0.9)
Surry County 6 Urban 439.4 (382.1, 504.5) N/A 50 falling falling trend -5.3 (-12.1, -0.1)
Scott County 6 Urban 262.9 (237.7, 290.4) N/A 91 falling falling trend -5.6 (-23.7, -3.5)
Rockingham County 6 Urban 402.8 (385.8, 420.5) N/A 455 stable stable trend -5.8 (-14.0, 0.6)
Nelson County 6 Urban 412.7 (375.6, 453.2) N/A 110 falling falling trend -6.2 (-14.1, -2.0)
Halifax County with South Boston City 6 Rural 417.1 (391.4, 444.2) N/A 229 falling falling trend -6.9 (-11.8, -3.9)
Notes:
Created by statecancerprofiles.cancer.gov on 12/02/2024 5:15 pm.

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.
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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