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Incidence Rates Table

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Incidence Rate Report for Virginia by County

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

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

Sorted by Recentaapc
County
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Met Healthy People Objective of ***?
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
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend ascending
Virginia 6 *** 1,242.1 (1,236.2, 1,248.0) N/A 35,042 falling falling trend -1.6 (-2.0, -1.2)
US (SEER+NPCR) 1 *** 1,349.4 (1,348.4, 1,350.3) N/A 1,492,626 falling falling trend -1.1 (-1.3, -0.9)
Lexington City 6 *** 2,294.4 (2,002.3, 2,617.2) 2 (1, 6) 49 rising rising trend 34.6 (13.2, 60.1)
Richmond County 6 *** 2,302.7 (2,090.0, 2,531.1) 1 (1, 4) 87 rising rising trend 31.2 (15.3, 49.3)
Galax City 6 *** 1,970.8 (1,733.4, 2,231.3) 3 (1, 19) 52 rising rising trend 23.2 (1.7, 49.2)
Martinsville City 6 *** 1,673.4 (1,521.2, 1,836.6) 12 (3, 45) 90 rising rising trend 15.2 (1.8, 30.2)
Waynesboro City 6 *** 1,894.0 (1,763.2, 2,032.0) 4 (2, 12) 158 rising rising trend 14.3 (5.8, 23.4)
Covington City 6 *** 1,683.5 (1,455.8, 1,936.5) 10 (2, 69) 40 rising rising trend 13.5 (2.8, 25.3)
Essex County 6 *** 1,676.2 (1,518.4, 1,845.9) 11 (3, 41) 85 rising rising trend 13.1 (0.6, 27.0)
Radford City 6 *** 1,404.2 (1,231.6, 1,593.9) 41 (8, 108) 50 stable stable trend 12.6 (-0.5, 27.5)
Williamsburg City 6 *** 1,683.5 (1,518.3, 1,861.9) 9 (3, 44) 78 rising rising trend 10.4 (0.3, 21.7)
Charlottesville City 6 *** 1,464.0 (1,364.4, 1,568.9) 31 (13, 78) 170 stable stable trend 9.2 (-1.2, 20.8)
Staunton City 6 *** 1,748.1 (1,635.3, 1,866.8) 6 (3, 21) 184 rising rising trend 8.6 (1.6, 16.1)
Harrisonburg City 6 *** 1,379.3 (1,280.5, 1,483.6) 47 (19, 92) 151 rising rising trend 8.2 (0.2, 16.7)
Orange County 6 *** 1,416.6 (1,332.4, 1,504.7) 40 (18, 80) 215 rising rising trend 6.2 (2.1, 10.5)
Roanoke City 6 *** 1,512.4 (1,454.1, 1,572.3) 25 (13, 42) 535 stable stable trend 5.8 (-4.8, 17.4)
Bath County 6 *** 1,476.1 (1,259.5, 1,719.2) 29 (4, 111) 34 rising rising trend 5.4 (1.8, 9.1)
Franklin City 6 *** 1,857.1 (1,649.3, 2,083.7) 5 (2, 29) 60 stable stable trend 2.0 (-0.2, 4.1)
Salem City 6 *** 1,513.5 (1,406.5, 1,626.5) 24 (9, 65) 153 stable stable trend 1.5 (-0.1, 3.1)
Highland County 6 *** 1,561.0 (1,268.1, 1,901.4) 19 (3, 112) 22 stable stable trend 1.4 (-0.8, 3.6)
Sussex County 6 *** 1,686.5 (1,516.8, 1,870.2) 8 (3, 44) 74 rising rising trend 1.4 (0.2, 2.6)
Surry County 6 *** 1,514.3 (1,323.3, 1,725.2) 23 (5, 97) 47 stable stable trend 1.2 (0.0, 2.4)
Buena Vista City 6 *** 1,591.5 (1,373.9, 1,833.8) 16 (3, 91) 39 stable stable trend 0.8 (-1.0, 2.5)
Craig County 6 *** 1,227.2 (1,034.2, 1,446.0) 90 (16, 126) 30 stable stable trend 0.8 (-1.5, 3.1)
Petersburg City 6 *** 1,734.5 (1,628.4, 1,845.6) 7 (3, 20) 206 stable stable trend 0.7 (-0.3, 1.7)
Wythe County 6 *** 1,325.2 (1,236.2, 1,418.9) 68 (27, 100) 168 stable stable trend 0.6 (-0.3, 1.4)
Mecklenburg County 6 *** 1,402.3 (1,319.3, 1,489.1) 44 (20, 84) 221 stable stable trend 0.4 (-0.5, 1.3)
Colonial Heights City 6 *** 1,576.1 (1,447.8, 1,712.8) 17 (5, 58) 114 stable stable trend 0.3 (-0.7, 1.3)
Greensville County 6 *** 1,644.0 (1,468.2, 1,835.4) 14 (3, 61) 66 stable stable trend 0.3 (-1.7, 2.3)
Lynchburg City 6 *** 1,473.4 (1,404.3, 1,545.0) 30 (15, 57) 351 stable stable trend 0.3 (-0.7, 1.4)
Roanoke County 6 *** 1,290.5 (1,241.1, 1,341.4) 78 (49, 97) 526 stable stable trend 0.3 (-0.6, 1.1)
King and Queen County 6 *** 1,284.8 (1,113.7, 1,474.7) 80 (15, 121) 42 stable stable trend 0.2 (-1.7, 2.2)
Norfolk City 6 *** 1,443.8 (1,400.9, 1,487.7) 36 (22, 54) 911 stable stable trend 0.2 (-0.3, 0.6)
Page County 6 *** 1,336.7 (1,238.7, 1,440.5) 63 (26, 103) 140 stable stable trend 0.2 (-0.9, 1.3)
Lancaster County 6 *** 1,361.6 (1,238.2, 1,494.1) 58 (17, 104) 98 stable stable trend 0.1 (-1.2, 1.4)
Mathews County 6 *** 1,361.9 (1,219.3, 1,516.6) 57 (15, 108) 70 stable stable trend 0.1 (-1.7, 1.9)
Hopewell City 6 *** 1,654.6 (1,527.7, 1,789.2) 13 (4, 35) 128 stable stable trend 0.0 (-1.1, 1.1)
Charlotte County 6 *** 1,340.4 (1,205.9, 1,485.8) 61 (17, 109) 74 stable stable trend -0.1 (-1.7, 1.4)
Nottoway County 6 *** 1,542.6 (1,407.3, 1,687.4) 21 (6, 69) 97 stable stable trend -0.1 (-1.1, 1.0)
Southampton County 6 *** 1,372.5 (1,258.4, 1,494.1) 51 (16, 99) 109 stable stable trend -0.1 (-1.4, 1.3)
Brunswick County 6 *** 1,481.5 (1,356.1, 1,615.4) 28 (10, 83) 105 stable stable trend -0.2 (-1.2, 0.9)
Caroline County 6 *** 1,425.7 (1,324.8, 1,532.2) 38 (15, 85) 154 stable stable trend -0.2 (-1.6, 1.1)
Charles City County 6 *** 1,315.3 (1,149.2, 1,498.9) 74 (14, 114) 47 stable stable trend -0.2 (-2.6, 2.3)
Gloucester County 6 *** 1,525.0 (1,437.9, 1,616.0) 22 (10, 50) 237 stable stable trend -0.2 (-1.0, 0.5)
Madison County 6 *** 1,281.9 (1,155.2, 1,418.8) 82 (24, 113) 77 stable stable trend -0.2 (-1.1, 0.8)
Suffolk City 6 *** 1,380.7 (1,319.6, 1,443.9) 46 (26, 81) 401 stable stable trend -0.2 (-0.8, 0.5)
Accomack County 6 *** 1,455.2 (1,369.9, 1,544.5) 34 (15, 73) 225 stable stable trend -0.3 (-1.8, 1.2)
Portsmouth City 6 *** 1,482.4 (1,421.7, 1,545.1) 27 (16, 52) 463 stable stable trend -0.3 (-0.9, 0.3)
Danville City 6 *** 1,395.7 (1,317.2, 1,477.6) 45 (21, 84) 245 stable stable trend -0.4 (-1.4, 0.6)
Botetourt County 6 *** 1,202.6 (1,124.9, 1,284.3) 96 (59, 113) 184 stable stable trend -0.5 (-1.7, 0.7)
Chesapeake City 6 *** 1,373.9 (1,335.0, 1,413.7) 49 (35, 74) 1,001 stable stable trend -0.5 (-1.0, 0.0)
Warren County 6 *** 1,282.3 (1,198.5, 1,370.4) 81 (38, 107) 183 stable stable trend -0.5 (-1.6, 0.6)
James City County 6 *** 1,329.0 (1,275.2, 1,384.4) 67 (38, 90) 475 stable stable trend -0.6 (-1.4, 0.2)
New Kent County 6 *** 1,504.9 (1,381.3, 1,636.8) 26 (9, 77) 124 stable stable trend -0.6 (-1.7, 0.6)
Northumberland County 6 *** 1,342.6 (1,228.4, 1,464.7) 60 (20, 106) 111 stable stable trend -0.6 (-1.7, 0.5)
Amelia County 6 *** 1,403.5 (1,264.7, 1,553.4) 43 (12, 103) 77 stable stable trend -0.7 (-2.1, 0.8)
Goochland County 6 *** 1,448.2 (1,343.3, 1,559.3) 35 (13, 80) 150 stable stable trend -0.7 (-1.4, 0.1)
Louisa County 6 *** 1,422.5 (1,335.5, 1,513.6) 39 (17, 82) 211 stable stable trend -0.7 (-1.7, 0.4)
Nelson County 6 *** 1,458.4 (1,335.9, 1,589.1) 33 (10, 85) 112 stable stable trend -0.7 (-1.6, 0.2)
Prince Edward County 6 *** 1,459.3 (1,339.4, 1,586.9) 32 (10, 85) 112 stable stable trend -0.7 (-2.2, 0.9)
Winchester City 6 *** 1,267.8 (1,166.3, 1,375.7) 85 (35, 110) 118 stable stable trend -0.7 (-1.5, 0.1)
Lunenburg County 6 *** 1,318.2 (1,185.2, 1,462.1) 73 (20, 111) 74 stable stable trend -0.8 (-2.5, 0.9)
Pulaski County 6 *** 1,236.8 (1,159.2, 1,318.3) 87 (51, 110) 195 falling falling trend -0.8 (-1.4, -0.1)
Buckingham County 6 *** 1,222.5 (1,107.4, 1,346.4) 92 (38, 117) 85 stable stable trend -0.9 (-2.6, 0.8)
Franklin County 6 *** 1,199.9 (1,140.1, 1,262.1) 99 (71, 112) 313 stable stable trend -0.9 (-1.8, 0.0)
Fredericksburg City 6 *** 1,556.6 (1,427.2, 1,694.5) 20 (6, 66) 111 stable stable trend -0.9 (-1.8, 0.0)
Newport News City 6 *** 1,365.4 (1,320.4, 1,411.6) 53 (33, 78) 717 falling falling trend -0.9 (-1.4, -0.3)
Northampton County 6 *** 1,594.0 (1,452.9, 1,745.1) 15 (5, 56) 99 falling falling trend -1.0 (-1.7, -0.3)
Falls Church City 6 *** 1,220.3 (1,069.9, 1,385.7) 93 (25, 124) 51 stable stable trend -1.1 (-2.9, 0.8)
Floyd County 6 *** 1,101.8 (993.6, 1,218.6) 111 (76, 126) 78 stable stable trend -1.1 (-2.1, 0.0)
Greene County 6 *** 1,204.9 (1,090.5, 1,328.1) 95 (36, 119) 85 falling falling trend -1.1 (-2.1, -0.2)
Hanover County 6 *** 1,363.1 (1,311.3, 1,416.3) 55 (33, 82) 542 falling falling trend -1.1 (-1.7, -0.5)
Henrico County 6 *** 1,362.4 (1,330.9, 1,394.5) 56 (39, 74) 1,480 falling falling trend -1.1 (-1.6, -0.6)
King William County 6 *** 1,574.2 (1,430.2, 1,728.8) 18 (5, 65) 92 stable stable trend -1.1 (-2.8, 0.6)
Patrick County 6 *** 1,037.6 (944.4, 1,137.4) 117 (93, 127) 94 stable stable trend -1.1 (-3.0, 0.8)
Appomattox County 6 *** 1,177.0 (1,062.2, 1,301.0) 104 (53, 123) 79 stable stable trend -1.2 (-2.8, 0.4)
Bland County 6 *** 1,002.8 (845.0, 1,181.7) 121 (74, 130) 30 stable stable trend -1.2 (-4.4, 2.1)
Chesterfield County 6 *** 1,332.8 (1,301.4, 1,364.7) 65 (46, 81) 1,477 falling falling trend -1.2 (-1.8, -0.7)
Emporia City 6 *** 1,439.9 (1,216.6, 1,691.9) 37 (5, 115) 30 stable stable trend -1.2 (-2.8, 0.4)
Fluvanna County 6 *** 1,378.4 (1,280.4, 1,482.0) 48 (18, 93) 150 falling falling trend -1.2 (-1.9, -0.5)
Middlesex County 6 *** 1,370.7 (1,241.1, 1,510.2) 52 (16, 105) 88 stable stable trend -1.2 (-2.7, 0.4)
Poquoson City 6 *** 1,332.4 (1,191.5, 1,485.4) 66 (16, 109) 66 stable stable trend -1.2 (-2.6, 0.3)
Amherst County 6 *** 1,323.8 (1,238.8, 1,413.0) 69 (31, 101) 184 falling falling trend -1.3 (-2.3, -0.4)
King George County 6 *** 1,248.4 (1,136.2, 1,368.7) 86 (35, 113) 97 stable stable trend -1.3 (-2.9, 0.3)
Montgomery County 6 *** 1,122.8 (1,065.1, 1,182.9) 109 (90, 118) 292 falling falling trend -1.3 (-2.1, -0.5)
Alleghany County and Clifton Forge City 6 *** 1,201.3 (1,092.5, 1,318.1) 98 (43, 118) 92 stable stable trend -1.4 (-3.3, 0.5)
Carroll County 6 *** 1,008.4 (935.2, 1,085.9) 119 (105, 127) 145 stable stable trend -1.4 (-3.5, 0.7)
Culpeper County 6 *** 1,333.8 (1,256.0, 1,415.1) 64 (30, 97) 228 falling falling trend -1.4 (-2.6, -0.2)
Cumberland County 6 *** 1,229.4 (1,085.0, 1,387.9) 89 (28, 121) 54 stable stable trend -1.4 (-3.5, 0.8)
Giles County 6 *** 1,320.3 (1,204.1, 1,444.8) 71 (23, 107) 98 stable stable trend -1.4 (-2.9, 0.0)
Isle of Wight County 6 *** 1,233.8 (1,154.4, 1,317.3) 88 (51, 111) 186 falling falling trend -1.4 (-2.3, -0.6)
Halifax County with South Boston City 6 *** 1,350.4 (1,271.3, 1,433.2) 59 (27, 92) 225 stable stable trend -1.5 (-12.3, 10.6)
Stafford County 6 *** 1,318.8 (1,263.5, 1,375.9) 72 (39, 93) 480 falling falling trend -1.5 (-2.1, -0.8)
Clarke County 6 *** 1,132.7 (1,017.2, 1,257.8) 108 (66, 125) 72 falling falling trend -1.6 (-2.8, -0.4)
Henry County 6 *** 1,170.9 (1,110.8, 1,233.3) 105 (81, 113) 290 falling falling trend -1.6 (-3.0, -0.2)
Albemarle County 6 *** 1,193.8 (1,145.7, 1,243.4) 101 (79, 111) 479 falling falling trend -1.7 (-2.4, -1.0)
Fauquier County 6 *** 1,202.0 (1,141.4, 1,265.0) 97 (70, 111) 307 falling falling trend -1.8 (-2.9, -0.8)
Grayson County 6 *** 1,081.1 (978.2, 1,192.0) 113 (77, 126) 83 falling falling trend -1.8 (-3.3, -0.2)
Spotsylvania County 6 *** 1,299.0 (1,248.8, 1,350.6) 75 (47, 95) 536 falling falling trend -1.8 (-2.5, -1.1)
Bedford City and County 6 *** 1,273.2 (1,219.7, 1,328.4) 83 (53, 101) 441 falling falling trend -1.9 (-3.0, -0.8)
Dinwiddie County 6 *** 1,297.3 (1,201.8, 1,398.4) 76 (30, 107) 141 falling falling trend -1.9 (-2.8, -1.0)
Frederick County 6 *** 1,181.0 (1,127.2, 1,236.7) 103 (80, 113) 369 falling falling trend -1.9 (-2.4, -1.4)
Prince George County 6 *** 1,364.3 (1,269.5, 1,464.2) 54 (20, 95) 162 falling falling trend -1.9 (-3.1, -0.6)
Rappahannock County 6 *** 1,093.5 (947.2, 1,256.2) 112 (53, 127) 42 falling falling trend -1.9 (-3.6, -0.3)
Loudoun County 6 *** 1,061.0 (1,029.3, 1,093.4) 114 (106, 121) 935 falling falling trend -2.0 (-2.6, -1.3)
Pittsylvania County 6 *** 1,102.9 (1,048.4, 1,159.6) 110 (96, 119) 314 falling falling trend -2.0 (-3.2, -0.7)
Rockbridge County 6 *** 1,193.5 (1,103.7, 1,288.6) 102 (56, 116) 135 falling falling trend -2.0 (-3.6, -0.4)
Arlington County 6 *** 1,004.8 (966.5, 1,044.2) 120 (111, 126) 555 falling falling trend -2.1 (-2.8, -1.4)
Fairfax County 6 *** 984.0 (968.8, 999.4) 122 (116, 126) 3,407 falling falling trend -2.1 (-2.6, -1.5)
Shenandoah County 6 *** 1,295.9 (1,223.9, 1,371.1) 77 (38, 102) 246 stable stable trend -2.1 (-12.7, 9.9)
Alexandria City 6 *** 978.5 (934.4, 1,024.3) 123 (114, 127) 400 falling falling trend -2.2 (-3.1, -1.3)
Norton City 6 *** 1,146.4 (913.9, 1,419.8) 106 (16, 129) 17 stable stable trend -2.3 (-4.8, 0.3)
Prince William County 6 *** 1,040.4 (1,011.4, 1,070.0) 116 (109, 122) 1,110 falling falling trend -2.4 (-3.0, -1.8)
Virginia Beach City 6 *** 1,403.8 (1,375.5, 1,432.5) 42 (30, 60) 1,943 falling falling trend -2.4 (-4.3, -0.4)
Washington County 6 *** 1,041.1 (984.2, 1,100.5) 115 (106, 126) 257 falling falling trend -2.4 (-3.6, -1.1)
Powhatan County 6 *** 1,208.1 (1,116.7, 1,305.0) 94 (48, 115) 139 falling falling trend -2.5 (-3.2, -1.8)
Manassas City 6 *** 1,195.9 (1,094.1, 1,304.4) 100 (50, 117) 115 falling falling trend -2.6 (-4.2, -1.0)
Fairfax City 6 *** 1,023.7 (924.6, 1,130.5) 118 (94, 127) 81 falling falling trend -3.2 (-5.3, -1.1)
Dickenson County 6 *** 946.9 (842.6, 1,060.7) 125 (107, 129) 62 falling falling trend -3.4 (-5.4, -1.4)
Wise County 6 *** 974.0 (902.4, 1,049.7) 124 (110, 127) 143 falling falling trend -3.6 (-5.3, -1.8)
Scott County 6 *** 683.5 (613.3, 759.4) 131 (128, 133) 71 falling falling trend -4.3 (-7.1, -1.4)
Buchanan County 6 *** 753.9 (678.3, 835.6) 129 (126, 133) 75 falling falling trend -4.7 (-6.7, -2.7)
Lee County 6 *** 687.2 (616.3, 764.1) 130 (127, 133) 71 falling falling trend -4.8 (-7.0, -2.5)
Tazewell County 6 *** 867.8 (807.6, 931.2) 127 (122, 129) 161 falling falling trend -4.8 (-6.6, -3.0)
Campbell County 6 *** 1,226.7 (1,162.9, 1,293.1) 91 (61, 110) 282 stable stable trend -5.3 (-15.0, 5.6)
Rockingham County 6 *** 1,288.1 (1,232.1, 1,345.9) 79 (48, 99) 406 stable stable trend -6.0 (-12.8, 1.4)
Hampton City 6 *** 1,339.8 (1,292.1, 1,388.7) 62 (39, 84) 617 falling falling trend -6.9 (-10.9, -2.6)
Richmond City 6 *** 1,272.3 (1,233.1, 1,312.4) 84 (62, 96) 858 falling falling trend -7.3 (-10.9, -3.6)
Augusta County 6 *** 1,320.8 (1,264.8, 1,378.5) 70 (39, 93) 428 falling falling trend -7.9 (-14.5, -0.9)
Westmoreland County 6 *** 1,372.9 (1,263.6, 1,489.0) 50 (18, 98) 121 stable stable trend -8.3 (-18.2, 2.9)
York County 6 *** 1,145.7 (1,084.9, 1,209.0) 107 (87, 116) 272 stable stable trend -8.7 (-17.3, 0.9)
Bristol City 6 *** 595.5 (518.2, 681.2) 133 (129, 133) 43 falling falling trend -11.0 (-15.7, -6.0)
Russell County 6 *** 680.7 (616.2, 750.2) 132 (128, 133) 84 falling falling trend -13.8 (-19.5, -7.6)
Manassas Park City 6 *** 921.6 (770.0, 1,093.9) 126 (96, 131) 30 stable stable trend -16.7 (-42.3, 20.1)
Smyth County 6 *** 817.3 (750.7, 888.3) 128 (124, 130) 113 falling falling trend -22.4 (-34.5, -8.2)
Notes:
Created by statecancerprofiles.cancer.gov on 08/08/2022 9:58 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.

⋔ 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.

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