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 50+

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 1,242.1 with a 95% confidence interval from 1,236.2 to 1,248.0 and 35,042 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.0 to -1.2.

US (SEER+NPCR)¹

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,349.4 with a 95% confidence interval from 1,348.4 to 1,350.3 and 1,492,626 average annual cases over 2014-2018.
• CI*Rank⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.3 to -0.9.

Richmond County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 2,302.7 with a 95% confidence interval from 2,090.0 to 2,531.1 and 87 average annual cases over 2014-2018.
• CI*Rank⋔ : 1 (1, 4)
• Recent Trend : The trend is rising because the trend is 31.2 with a 95% confidence interval from 15.3 to 49.3.

Lexington City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 2,294.4 with a 95% confidence interval from 2,002.3 to 2,617.2 and 49 average annual cases over 2014-2018.
• CI*Rank⋔ : 2 (1, 6)
• Recent Trend : The trend is rising because the trend is 34.6 with a 95% confidence interval from 13.2 to 60.1.

Galax City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,970.8 with a 95% confidence interval from 1,733.4 to 2,231.3 and 52 average annual cases over 2014-2018.
• CI*Rank⋔ : 3 (1, 19)
• Recent Trend : The trend is rising because the trend is 23.2 with a 95% confidence interval from 1.7 to 49.2.

Waynesboro City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,894.0 with a 95% confidence interval from 1,763.2 to 2,032.0 and 158 average annual cases over 2014-2018.
• CI*Rank⋔ : 4 (2, 12)
• Recent Trend : The trend is rising because the trend is 14.3 with a 95% confidence interval from 5.8 to 23.4.

Franklin City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,857.1 with a 95% confidence interval from 1,649.3 to 2,083.7 and 60 average annual cases over 2014-2018.
• CI*Rank⋔ : 5 (2, 29)
• Recent Trend : The trend is stable because the trend is 2.0 with a 95% confidence interval from -0.2 to 4.1.

Staunton City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,748.1 with a 95% confidence interval from 1,635.3 to 1,866.8 and 184 average annual cases over 2014-2018.
• CI*Rank⋔ : 6 (3, 21)
• Recent Trend : The trend is rising because the trend is 8.6 with a 95% confidence interval from 1.6 to 16.1.

Petersburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,734.5 with a 95% confidence interval from 1,628.4 to 1,845.6 and 206 average annual cases over 2014-2018.
• CI*Rank⋔ : 7 (3, 20)
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.3 to 1.7.

Sussex County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,686.5 with a 95% confidence interval from 1,516.8 to 1,870.2 and 74 average annual cases over 2014-2018.
• CI*Rank⋔ : 8 (3, 44)
• Recent Trend : The trend is rising because the trend is 1.4 with a 95% confidence interval from 0.2 to 2.6.

Williamsburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,683.5 with a 95% confidence interval from 1,518.3 to 1,861.9 and 78 average annual cases over 2014-2018.
• CI*Rank⋔ : 9 (3, 44)
• Recent Trend : The trend is rising because the trend is 10.4 with a 95% confidence interval from 0.3 to 21.7.

Covington City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,683.5 with a 95% confidence interval from 1,455.8 to 1,936.5 and 40 average annual cases over 2014-2018.
• CI*Rank⋔ : 10 (2, 69)
• Recent Trend : The trend is rising because the trend is 13.5 with a 95% confidence interval from 2.8 to 25.3.

Essex County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,676.2 with a 95% confidence interval from 1,518.4 to 1,845.9 and 85 average annual cases over 2014-2018.
• CI*Rank⋔ : 11 (3, 41)
• Recent Trend : The trend is rising because the trend is 13.1 with a 95% confidence interval from 0.6 to 27.0.

Martinsville City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,673.4 with a 95% confidence interval from 1,521.2 to 1,836.6 and 90 average annual cases over 2014-2018.
• CI*Rank⋔ : 12 (3, 45)
• Recent Trend : The trend is rising because the trend is 15.2 with a 95% confidence interval from 1.8 to 30.2.

Hopewell City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,654.6 with a 95% confidence interval from 1,527.7 to 1,789.2 and 128 average annual cases over 2014-2018.
• CI*Rank⋔ : 13 (4, 35)
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.1 to 1.1.

Greensville County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,644.0 with a 95% confidence interval from 1,468.2 to 1,835.4 and 66 average annual cases over 2014-2018.
• CI*Rank⋔ : 14 (3, 61)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.7 to 2.3.

Northampton County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,594.0 with a 95% confidence interval from 1,452.9 to 1,745.1 and 99 average annual cases over 2014-2018.
• CI*Rank⋔ : 15 (5, 56)
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.7 to -0.3.

Buena Vista City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,591.5 with a 95% confidence interval from 1,373.9 to 1,833.8 and 39 average annual cases over 2014-2018.
• CI*Rank⋔ : 16 (3, 91)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.0 to 2.5.

Colonial Heights City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,576.1 with a 95% confidence interval from 1,447.8 to 1,712.8 and 114 average annual cases over 2014-2018.
• CI*Rank⋔ : 17 (5, 58)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.7 to 1.3.

King William County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,574.2 with a 95% confidence interval from 1,430.2 to 1,728.8 and 92 average annual cases over 2014-2018.
• CI*Rank⋔ : 18 (5, 65)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.8 to 0.6.

Highland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,561.0 with a 95% confidence interval from 1,268.1 to 1,901.4 and 22 average annual cases over 2014-2018.
• CI*Rank⋔ : 19 (3, 112)
• Recent Trend : The trend is stable because the trend is 1.4 with a 95% confidence interval from -0.8 to 3.6.

Fredericksburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,556.6 with a 95% confidence interval from 1,427.2 to 1,694.5 and 111 average annual cases over 2014-2018.
• CI*Rank⋔ : 20 (6, 66)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.0.

Nottoway County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,542.6 with a 95% confidence interval from 1,407.3 to 1,687.4 and 97 average annual cases over 2014-2018.
• CI*Rank⋔ : 21 (6, 69)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.1 to 1.0.

Gloucester County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,525.0 with a 95% confidence interval from 1,437.9 to 1,616.0 and 237 average annual cases over 2014-2018.
• CI*Rank⋔ : 22 (10, 50)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.0 to 0.5.

Surry County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,514.3 with a 95% confidence interval from 1,323.3 to 1,725.2 and 47 average annual cases over 2014-2018.
• CI*Rank⋔ : 23 (5, 97)
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from 0.0 to 2.4.

Salem City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,513.5 with a 95% confidence interval from 1,406.5 to 1,626.5 and 153 average annual cases over 2014-2018.
• CI*Rank⋔ : 24 (9, 65)
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.1 to 3.1.

Roanoke City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,512.4 with a 95% confidence interval from 1,454.1 to 1,572.3 and 535 average annual cases over 2014-2018.
• CI*Rank⋔ : 25 (13, 42)
• Recent Trend : The trend is stable because the trend is 5.8 with a 95% confidence interval from -4.8 to 17.4.

New Kent County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,504.9 with a 95% confidence interval from 1,381.3 to 1,636.8 and 124 average annual cases over 2014-2018.
• CI*Rank⋔ : 26 (9, 77)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.7 to 0.6.

Portsmouth City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,482.4 with a 95% confidence interval from 1,421.7 to 1,545.1 and 463 average annual cases over 2014-2018.
• CI*Rank⋔ : 27 (16, 52)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.9 to 0.3.

Brunswick County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,481.5 with a 95% confidence interval from 1,356.1 to 1,615.4 and 105 average annual cases over 2014-2018.
• CI*Rank⋔ : 28 (10, 83)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.2 to 0.9.

Bath County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,476.1 with a 95% confidence interval from 1,259.5 to 1,719.2 and 34 average annual cases over 2014-2018.
• CI*Rank⋔ : 29 (4, 111)
• Recent Trend : The trend is rising because the trend is 5.4 with a 95% confidence interval from 1.8 to 9.1.

Lynchburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,473.4 with a 95% confidence interval from 1,404.3 to 1,545.0 and 351 average annual cases over 2014-2018.
• CI*Rank⋔ : 30 (15, 57)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.7 to 1.4.

Charlottesville City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,464.0 with a 95% confidence interval from 1,364.4 to 1,568.9 and 170 average annual cases over 2014-2018.
• CI*Rank⋔ : 31 (13, 78)
• Recent Trend : The trend is stable because the trend is 9.2 with a 95% confidence interval from -1.2 to 20.8.

Prince Edward County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,459.3 with a 95% confidence interval from 1,339.4 to 1,586.9 and 112 average annual cases over 2014-2018.
• CI*Rank⋔ : 32 (10, 85)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.2 to 0.9.

Nelson County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,458.4 with a 95% confidence interval from 1,335.9 to 1,589.1 and 112 average annual cases over 2014-2018.
• CI*Rank⋔ : 33 (10, 85)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.6 to 0.2.

Accomack County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,455.2 with a 95% confidence interval from 1,369.9 to 1,544.5 and 225 average annual cases over 2014-2018.
• CI*Rank⋔ : 34 (15, 73)
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.8 to 1.2.

Goochland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,448.2 with a 95% confidence interval from 1,343.3 to 1,559.3 and 150 average annual cases over 2014-2018.
• CI*Rank⋔ : 35 (13, 80)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.1.

Norfolk City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,443.8 with a 95% confidence interval from 1,400.9 to 1,487.7 and 911 average annual cases over 2014-2018.
• CI*Rank⋔ : 36 (22, 54)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.3 to 0.6.

Emporia City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,439.9 with a 95% confidence interval from 1,216.6 to 1,691.9 and 30 average annual cases over 2014-2018.
• CI*Rank⋔ : 37 (5, 115)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.8 to 0.4.

Caroline County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,425.7 with a 95% confidence interval from 1,324.8 to 1,532.2 and 154 average annual cases over 2014-2018.
• CI*Rank⋔ : 38 (15, 85)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.6 to 1.1.

Louisa County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,422.5 with a 95% confidence interval from 1,335.5 to 1,513.6 and 211 average annual cases over 2014-2018.
• CI*Rank⋔ : 39 (17, 82)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.4.

Orange County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,416.6 with a 95% confidence interval from 1,332.4 to 1,504.7 and 215 average annual cases over 2014-2018.
• CI*Rank⋔ : 40 (18, 80)
• Recent Trend : The trend is rising because the trend is 6.2 with a 95% confidence interval from 2.1 to 10.5.

Radford City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,404.2 with a 95% confidence interval from 1,231.6 to 1,593.9 and 50 average annual cases over 2014-2018.
• CI*Rank⋔ : 41 (8, 108)
• Recent Trend : The trend is stable because the trend is 12.6 with a 95% confidence interval from -0.5 to 27.5.

Virginia Beach City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,403.8 with a 95% confidence interval from 1,375.5 to 1,432.5 and 1,943 average annual cases over 2014-2018.
• CI*Rank⋔ : 42 (30, 60)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -4.3 to -0.4.

Amelia County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,403.5 with a 95% confidence interval from 1,264.7 to 1,553.4 and 77 average annual cases over 2014-2018.
• CI*Rank⋔ : 43 (12, 103)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.1 to 0.8.

Mecklenburg County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,402.3 with a 95% confidence interval from 1,319.3 to 1,489.1 and 221 average annual cases over 2014-2018.
• CI*Rank⋔ : 44 (20, 84)
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.5 to 1.3.

Danville City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,395.7 with a 95% confidence interval from 1,317.2 to 1,477.6 and 245 average annual cases over 2014-2018.
• CI*Rank⋔ : 45 (21, 84)
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.6.

Suffolk City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,380.7 with a 95% confidence interval from 1,319.6 to 1,443.9 and 401 average annual cases over 2014-2018.
• CI*Rank⋔ : 46 (26, 81)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -0.8 to 0.5.

Harrisonburg City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,379.3 with a 95% confidence interval from 1,280.5 to 1,483.6 and 151 average annual cases over 2014-2018.
• CI*Rank⋔ : 47 (19, 92)
• Recent Trend : The trend is rising because the trend is 8.2 with a 95% confidence interval from 0.2 to 16.7.

Fluvanna County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,378.4 with a 95% confidence interval from 1,280.4 to 1,482.0 and 150 average annual cases over 2014-2018.
• CI*Rank⋔ : 48 (18, 93)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.5.

Chesapeake City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,373.9 with a 95% confidence interval from 1,335.0 to 1,413.7 and 1,001 average annual cases over 2014-2018.
• CI*Rank⋔ : 49 (35, 74)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.0 to 0.0.

Westmoreland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,372.9 with a 95% confidence interval from 1,263.6 to 1,489.0 and 121 average annual cases over 2014-2018.
• CI*Rank⋔ : 50 (18, 98)
• Recent Trend : The trend is stable because the trend is -8.3 with a 95% confidence interval from -18.2 to 2.9.

Southampton County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,372.5 with a 95% confidence interval from 1,258.4 to 1,494.1 and 109 average annual cases over 2014-2018.
• CI*Rank⋔ : 51 (16, 99)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.4 to 1.3.

Middlesex County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,370.7 with a 95% confidence interval from 1,241.1 to 1,510.2 and 88 average annual cases over 2014-2018.
• CI*Rank⋔ : 52 (16, 105)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.7 to 0.4.

Newport News City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,365.4 with a 95% confidence interval from 1,320.4 to 1,411.6 and 717 average annual cases over 2014-2018.
• CI*Rank⋔ : 53 (33, 78)
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.4 to -0.3.

Prince George County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,364.3 with a 95% confidence interval from 1,269.5 to 1,464.2 and 162 average annual cases over 2014-2018.
• CI*Rank⋔ : 54 (20, 95)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.1 to -0.6.

Hanover County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,363.1 with a 95% confidence interval from 1,311.3 to 1,416.3 and 542 average annual cases over 2014-2018.
• CI*Rank⋔ : 55 (33, 82)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.5.

Henrico County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,362.4 with a 95% confidence interval from 1,330.9 to 1,394.5 and 1,480 average annual cases over 2014-2018.
• CI*Rank⋔ : 56 (39, 74)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.6.

Mathews County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,361.9 with a 95% confidence interval from 1,219.3 to 1,516.6 and 70 average annual cases over 2014-2018.
• CI*Rank⋔ : 57 (15, 108)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.7 to 1.9.

Lancaster County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,361.6 with a 95% confidence interval from 1,238.2 to 1,494.1 and 98 average annual cases over 2014-2018.
• CI*Rank⋔ : 58 (17, 104)
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.2 to 1.4.

Halifax County with South Boston City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,350.4 with a 95% confidence interval from 1,271.3 to 1,433.2 and 225 average annual cases over 2014-2018.
• CI*Rank⋔ : 59 (27, 92)
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -12.3 to 10.6.

Northumberland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,342.6 with a 95% confidence interval from 1,228.4 to 1,464.7 and 111 average annual cases over 2014-2018.
• CI*Rank⋔ : 60 (20, 106)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.7 to 0.5.

Charlotte County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,340.4 with a 95% confidence interval from 1,205.9 to 1,485.8 and 74 average annual cases over 2014-2018.
• CI*Rank⋔ : 61 (17, 109)
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.7 to 1.4.

Hampton City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,339.8 with a 95% confidence interval from 1,292.1 to 1,388.7 and 617 average annual cases over 2014-2018.
• CI*Rank⋔ : 62 (39, 84)
• Recent Trend : The trend is falling because the trend is -6.9 with a 95% confidence interval from -10.9 to -2.6.

Page County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,336.7 with a 95% confidence interval from 1,238.7 to 1,440.5 and 140 average annual cases over 2014-2018.
• CI*Rank⋔ : 63 (26, 103)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.9 to 1.3.

Culpeper County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,333.8 with a 95% confidence interval from 1,256.0 to 1,415.1 and 228 average annual cases over 2014-2018.
• CI*Rank⋔ : 64 (30, 97)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.6 to -0.2.

Chesterfield County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,332.8 with a 95% confidence interval from 1,301.4 to 1,364.7 and 1,477 average annual cases over 2014-2018.
• CI*Rank⋔ : 65 (46, 81)
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.7.

Poquoson City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,332.4 with a 95% confidence interval from 1,191.5 to 1,485.4 and 66 average annual cases over 2014-2018.
• CI*Rank⋔ : 66 (16, 109)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.6 to 0.3.

James City County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,329.0 with a 95% confidence interval from 1,275.2 to 1,384.4 and 475 average annual cases over 2014-2018.
• CI*Rank⋔ : 67 (38, 90)
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.4 to 0.2.

Wythe County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,325.2 with a 95% confidence interval from 1,236.2 to 1,418.9 and 168 average annual cases over 2014-2018.
• CI*Rank⋔ : 68 (27, 100)
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -0.3 to 1.4.

Amherst County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,323.8 with a 95% confidence interval from 1,238.8 to 1,413.0 and 184 average annual cases over 2014-2018.
• CI*Rank⋔ : 69 (31, 101)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.3 to -0.4.

Augusta County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,320.8 with a 95% confidence interval from 1,264.8 to 1,378.5 and 428 average annual cases over 2014-2018.
• CI*Rank⋔ : 70 (39, 93)
• Recent Trend : The trend is falling because the trend is -7.9 with a 95% confidence interval from -14.5 to -0.9.

Giles County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,320.3 with a 95% confidence interval from 1,204.1 to 1,444.8 and 98 average annual cases over 2014-2018.
• CI*Rank⋔ : 71 (23, 107)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -2.9 to 0.0.

Stafford County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,318.8 with a 95% confidence interval from 1,263.5 to 1,375.9 and 480 average annual cases over 2014-2018.
• CI*Rank⋔ : 72 (39, 93)
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.1 to -0.8.

Lunenburg County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,318.2 with a 95% confidence interval from 1,185.2 to 1,462.1 and 74 average annual cases over 2014-2018.
• CI*Rank⋔ : 73 (20, 111)
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.5 to 0.9.

Charles City County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,315.3 with a 95% confidence interval from 1,149.2 to 1,498.9 and 47 average annual cases over 2014-2018.
• CI*Rank⋔ : 74 (14, 114)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.6 to 2.3.

Spotsylvania County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,299.0 with a 95% confidence interval from 1,248.8 to 1,350.6 and 536 average annual cases over 2014-2018.
• CI*Rank⋔ : 75 (47, 95)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.5 to -1.1.

Dinwiddie County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,297.3 with a 95% confidence interval from 1,201.8 to 1,398.4 and 141 average annual cases over 2014-2018.
• CI*Rank⋔ : 76 (30, 107)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.8 to -1.0.

Shenandoah County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,295.9 with a 95% confidence interval from 1,223.9 to 1,371.1 and 246 average annual cases over 2014-2018.
• CI*Rank⋔ : 77 (38, 102)
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -12.7 to 9.9.

Roanoke County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,290.5 with a 95% confidence interval from 1,241.1 to 1,341.4 and 526 average annual cases over 2014-2018.
• CI*Rank⋔ : 78 (49, 97)
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.6 to 1.1.

Rockingham County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,288.1 with a 95% confidence interval from 1,232.1 to 1,345.9 and 406 average annual cases over 2014-2018.
• CI*Rank⋔ : 79 (48, 99)
• Recent Trend : The trend is stable because the trend is -6.0 with a 95% confidence interval from -12.8 to 1.4.

King and Queen County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,284.8 with a 95% confidence interval from 1,113.7 to 1,474.7 and 42 average annual cases over 2014-2018.
• CI*Rank⋔ : 80 (15, 121)
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.7 to 2.2.

Warren County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,282.3 with a 95% confidence interval from 1,198.5 to 1,370.4 and 183 average annual cases over 2014-2018.
• CI*Rank⋔ : 81 (38, 107)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.6 to 0.6.

Madison County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,281.9 with a 95% confidence interval from 1,155.2 to 1,418.8 and 77 average annual cases over 2014-2018.
• CI*Rank⋔ : 82 (24, 113)
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.1 to 0.8.

Bedford City and County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,273.2 with a 95% confidence interval from 1,219.7 to 1,328.4 and 441 average annual cases over 2014-2018.
• CI*Rank⋔ : 83 (53, 101)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.0 to -0.8.

Richmond City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,272.3 with a 95% confidence interval from 1,233.1 to 1,312.4 and 858 average annual cases over 2014-2018.
• CI*Rank⋔ : 84 (62, 96)
• Recent Trend : The trend is falling because the trend is -7.3 with a 95% confidence interval from -10.9 to -3.6.

Winchester City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,267.8 with a 95% confidence interval from 1,166.3 to 1,375.7 and 118 average annual cases over 2014-2018.
• CI*Rank⋔ : 85 (35, 110)
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.1.

King George County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,248.4 with a 95% confidence interval from 1,136.2 to 1,368.7 and 97 average annual cases over 2014-2018.
• CI*Rank⋔ : 86 (35, 113)
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.9 to 0.3.

Pulaski County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,236.8 with a 95% confidence interval from 1,159.2 to 1,318.3 and 195 average annual cases over 2014-2018.
• CI*Rank⋔ : 87 (51, 110)
• Recent Trend : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.1.

Isle of Wight County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,233.8 with a 95% confidence interval from 1,154.4 to 1,317.3 and 186 average annual cases over 2014-2018.
• CI*Rank⋔ : 88 (51, 111)
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.3 to -0.6.

Cumberland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,229.4 with a 95% confidence interval from 1,085.0 to 1,387.9 and 54 average annual cases over 2014-2018.
• CI*Rank⋔ : 89 (28, 121)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.5 to 0.8.

Craig County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,227.2 with a 95% confidence interval from 1,034.2 to 1,446.0 and 30 average annual cases over 2014-2018.
• CI*Rank⋔ : 90 (16, 126)
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.5 to 3.1.

Campbell County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,226.7 with a 95% confidence interval from 1,162.9 to 1,293.1 and 282 average annual cases over 2014-2018.
• CI*Rank⋔ : 91 (61, 110)
• Recent Trend : The trend is stable because the trend is -5.3 with a 95% confidence interval from -15.0 to 5.6.

Buckingham County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,222.5 with a 95% confidence interval from 1,107.4 to 1,346.4 and 85 average annual cases over 2014-2018.
• CI*Rank⋔ : 92 (38, 117)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.6 to 0.8.

Falls Church City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,220.3 with a 95% confidence interval from 1,069.9 to 1,385.7 and 51 average annual cases over 2014-2018.
• CI*Rank⋔ : 93 (25, 124)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.9 to 0.8.

Powhatan County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,208.1 with a 95% confidence interval from 1,116.7 to 1,305.0 and 139 average annual cases over 2014-2018.
• CI*Rank⋔ : 94 (48, 115)
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.2 to -1.8.

Greene County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,204.9 with a 95% confidence interval from 1,090.5 to 1,328.1 and 85 average annual cases over 2014-2018.
• CI*Rank⋔ : 95 (36, 119)
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -2.1 to -0.2.

Botetourt County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,202.6 with a 95% confidence interval from 1,124.9 to 1,284.3 and 184 average annual cases over 2014-2018.
• CI*Rank⋔ : 96 (59, 113)
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.7 to 0.7.

Fauquier County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,202.0 with a 95% confidence interval from 1,141.4 to 1,265.0 and 307 average annual cases over 2014-2018.
• CI*Rank⋔ : 97 (70, 111)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -2.9 to -0.8.

Alleghany County and Clifton Forge City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,201.3 with a 95% confidence interval from 1,092.5 to 1,318.1 and 92 average annual cases over 2014-2018.
• CI*Rank⋔ : 98 (43, 118)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.3 to 0.5.

Franklin County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,199.9 with a 95% confidence interval from 1,140.1 to 1,262.1 and 313 average annual cases over 2014-2018.
• CI*Rank⋔ : 99 (71, 112)
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -1.8 to 0.0.

Manassas City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,195.9 with a 95% confidence interval from 1,094.1 to 1,304.4 and 115 average annual cases over 2014-2018.
• CI*Rank⋔ : 100 (50, 117)
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.2 to -1.0.

Albemarle County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,193.8 with a 95% confidence interval from 1,145.7 to 1,243.4 and 479 average annual cases over 2014-2018.
• CI*Rank⋔ : 101 (79, 111)
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.4 to -1.0.

Rockbridge County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,193.5 with a 95% confidence interval from 1,103.7 to 1,288.6 and 135 average annual cases over 2014-2018.
• CI*Rank⋔ : 102 (56, 116)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.6 to -0.4.

Frederick County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,181.0 with a 95% confidence interval from 1,127.2 to 1,236.7 and 369 average annual cases over 2014-2018.
• CI*Rank⋔ : 103 (80, 113)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.4 to -1.4.

Appomattox County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,177.0 with a 95% confidence interval from 1,062.2 to 1,301.0 and 79 average annual cases over 2014-2018.
• CI*Rank⋔ : 104 (53, 123)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.8 to 0.4.

Henry County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,170.9 with a 95% confidence interval from 1,110.8 to 1,233.3 and 290 average annual cases over 2014-2018.
• CI*Rank⋔ : 105 (81, 113)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -3.0 to -0.2.

Norton City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,146.4 with a 95% confidence interval from 913.9 to 1,419.8 and 17 average annual cases over 2014-2018.
• CI*Rank⋔ : 106 (16, 129)
• Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -4.8 to 0.3.

York County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,145.7 with a 95% confidence interval from 1,084.9 to 1,209.0 and 272 average annual cases over 2014-2018.
• CI*Rank⋔ : 107 (87, 116)
• Recent Trend : The trend is stable because the trend is -8.7 with a 95% confidence interval from -17.3 to 0.9.

Clarke County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,132.7 with a 95% confidence interval from 1,017.2 to 1,257.8 and 72 average annual cases over 2014-2018.
• CI*Rank⋔ : 108 (66, 125)
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.8 to -0.4.

Montgomery County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,122.8 with a 95% confidence interval from 1,065.1 to 1,182.9 and 292 average annual cases over 2014-2018.
• CI*Rank⋔ : 109 (90, 118)
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.5.

Pittsylvania County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,102.9 with a 95% confidence interval from 1,048.4 to 1,159.6 and 314 average annual cases over 2014-2018.
• CI*Rank⋔ : 110 (96, 119)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.2 to -0.7.

Floyd County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,101.8 with a 95% confidence interval from 993.6 to 1,218.6 and 78 average annual cases over 2014-2018.
• CI*Rank⋔ : 111 (76, 126)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.1 to 0.0.

Rappahannock County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,093.5 with a 95% confidence interval from 947.2 to 1,256.2 and 42 average annual cases over 2014-2018.
• CI*Rank⋔ : 112 (53, 127)
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.6 to -0.3.

Grayson County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,081.1 with a 95% confidence interval from 978.2 to 1,192.0 and 83 average annual cases over 2014-2018.
• CI*Rank⋔ : 113 (77, 126)
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.3 to -0.2.

Loudoun County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,061.0 with a 95% confidence interval from 1,029.3 to 1,093.4 and 935 average annual cases over 2014-2018.
• CI*Rank⋔ : 114 (106, 121)
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.6 to -1.3.

Washington County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,041.1 with a 95% confidence interval from 984.2 to 1,100.5 and 257 average annual cases over 2014-2018.
• CI*Rank⋔ : 115 (106, 126)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.6 to -1.1.

Prince William County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,040.4 with a 95% confidence interval from 1,011.4 to 1,070.0 and 1,110 average annual cases over 2014-2018.
• CI*Rank⋔ : 116 (109, 122)
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.0 to -1.8.

Patrick County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,037.6 with a 95% confidence interval from 944.4 to 1,137.4 and 94 average annual cases over 2014-2018.
• CI*Rank⋔ : 117 (93, 127)
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.0 to 0.8.

Fairfax City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,023.7 with a 95% confidence interval from 924.6 to 1,130.5 and 81 average annual cases over 2014-2018.
• CI*Rank⋔ : 118 (94, 127)
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -5.3 to -1.1.

Carroll County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,008.4 with a 95% confidence interval from 935.2 to 1,085.9 and 145 average annual cases over 2014-2018.
• CI*Rank⋔ : 119 (105, 127)
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.5 to 0.7.

Arlington County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,004.8 with a 95% confidence interval from 966.5 to 1,044.2 and 555 average annual cases over 2014-2018.
• CI*Rank⋔ : 120 (111, 126)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.8 to -1.4.

Bland County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 1,002.8 with a 95% confidence interval from 845.0 to 1,181.7 and 30 average annual cases over 2014-2018.
• CI*Rank⋔ : 121 (74, 130)
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -4.4 to 2.1.

Fairfax County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 984.0 with a 95% confidence interval from 968.8 to 999.4 and 3,407 average annual cases over 2014-2018.
• CI*Rank⋔ : 122 (116, 126)
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -2.6 to -1.5.

Alexandria City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 978.5 with a 95% confidence interval from 934.4 to 1,024.3 and 400 average annual cases over 2014-2018.
• CI*Rank⋔ : 123 (114, 127)
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.1 to -1.3.

Wise County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 974.0 with a 95% confidence interval from 902.4 to 1,049.7 and 143 average annual cases over 2014-2018.
• CI*Rank⋔ : 124 (110, 127)
• Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -5.3 to -1.8.

Dickenson County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 946.9 with a 95% confidence interval from 842.6 to 1,060.7 and 62 average annual cases over 2014-2018.
• CI*Rank⋔ : 125 (107, 129)
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -5.4 to -1.4.

Manassas Park City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 921.6 with a 95% confidence interval from 770.0 to 1,093.9 and 30 average annual cases over 2014-2018.
• CI*Rank⋔ : 126 (96, 131)
• Recent Trend : The trend is stable because the trend is -16.7 with a 95% confidence interval from -42.3 to 20.1.

Tazewell County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 867.8 with a 95% confidence interval from 807.6 to 931.2 and 161 average annual cases over 2014-2018.
• CI*Rank⋔ : 127 (122, 129)
• Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -6.6 to -3.0.

Smyth County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 817.3 with a 95% confidence interval from 750.7 to 888.3 and 113 average annual cases over 2014-2018.
• CI*Rank⋔ : 128 (124, 130)
• Recent Trend : The trend is falling because the trend is -22.4 with a 95% confidence interval from -34.5 to -8.2.

Buchanan County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 753.9 with a 95% confidence interval from 678.3 to 835.6 and 75 average annual cases over 2014-2018.
• CI*Rank⋔ : 129 (126, 133)
• Recent Trend : The trend is falling because the trend is -4.7 with a 95% confidence interval from -6.7 to -2.7.

Lee County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 687.2 with a 95% confidence interval from 616.3 to 764.1 and 71 average annual cases over 2014-2018.
• CI*Rank⋔ : 130 (127, 133)
• Recent Trend : The trend is falling because the trend is -4.8 with a 95% confidence interval from -7.0 to -2.5.

Scott County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 683.5 with a 95% confidence interval from 613.3 to 759.4 and 71 average annual cases over 2014-2018.
• CI*Rank⋔ : 131 (128, 133)
• Recent Trend : The trend is falling because the trend is -4.3 with a 95% confidence interval from -7.1 to -1.4.

Russell County⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 680.7 with a 95% confidence interval from 616.2 to 750.2 and 84 average annual cases over 2014-2018.
• CI*Rank⋔ : 132 (128, 133)
• Recent Trend : The trend is falling because the trend is -13.8 with a 95% confidence interval from -19.5 to -7.6.

Bristol City⁶

• Met Healthy People Objective of ***? : ***
• Rate : The incidence rate is 595.5 with a 95% confidence interval from 518.2 to 681.2 and 43 average annual cases over 2014-2018.
• CI*Rank⋔ : 133 (129, 133)
• Recent Trend : The trend is falling because the trend is -11.0 with a 95% confidence interval from -15.7 to -6.0.

Notes:
Created by statecancerprofiles.cancer.gov on 08/08/2022 9:55 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.