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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

White Non-Hispanic, Both Sexes, All Ages

Sorted by CI*Rank
County
 sort alphabetically by name ascending
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 ascending
Average Annual Count
 sort by count descending
Recent Trend
Recent 5-Year Trend in Incidence Rates
(95% Confidence Interval)
 sort by trend descending
Virginia 6 *** 416.8 (414.6, 419.0) N/A 29,360 falling falling trend -1.4 (-1.8, -1.1)
US (SEER+NPCR) § 1 *** 466.2 (465.9, 466.6) N/A 1,293,942 falling falling trend -0.8 (-1.0, -0.6)
Bristol City 6 *** 218.6 (190.2, 250.3) 133 (129, 133) 48 falling falling trend -10.1 (-15.1, -4.7)
Scott County 6 *** 229.7 (205.9, 255.8) 132 (128, 133) 76 falling falling trend -4.1 (-7.0, -1.1)
Russell County 6 *** 230.9 (208.9, 254.8) 131 (128, 133) 90 falling falling trend -9.0 (-12.7, -5.1)
Lee County 6 *** 231.5 (207.8, 257.5) 130 (128, 133) 77 falling falling trend -4.6 (-6.9, -2.2)
Buchanan County 6 *** 259.4 (233.7, 287.6) 129 (126, 133) 83 falling falling trend -2.7 (-4.3, -1.0)
Smyth County 6 *** 287.2 (264.0, 312.0) 128 (122, 130) 125 falling falling trend -20.6 (-33.7, -5.0)
Tazewell County 6 *** 296.2 (275.7, 318.1) 127 (121, 129) 172 falling falling trend -4.7 (-6.6, -2.7)
Alexandria City 6 *** 323.5 (306.9, 340.8) 126 (115, 127) 309 falling falling trend -1.8 (-2.9, -0.8)
Dickenson County 6 *** 325.1 (289.8, 364.0) 125 (103, 129) 68 falling falling trend -3.3 (-5.0, -1.5)
Wise County 6 *** 333.0 (309.4, 358.1) 124 (107, 128) 158 falling falling trend -3.5 (-5.3, -1.6)
Carroll County 6 *** 341.9 (316.5, 369.0) 123 (100, 127) 155 stable stable trend -1.0 (-3.3, 1.3)
Fairfax City 6 *** 342.2 (304.5, 383.7) 122 (92, 128) 65 stable stable trend -14.6 (-27.8, 1.1)
Patrick County 6 *** 343.0 (310.0, 379.2) 121 (94, 128) 94 stable stable trend -1.1 (-3.3, 1.0)
Bland County 6 *** 343.3 (291.0, 404.0) 120 (72, 129) 33 stable stable trend -1.2 (-4.1, 1.8)
Arlington County 6 *** 346.8 (332.7, 361.4) 119 (107, 125) 490 falling falling trend -1.9 (-2.7, -1.0)
Rappahannock County 6 *** 347.5 (296.4, 406.5) 118 (61, 129) 40 falling falling trend -2.9 (-4.5, -1.2)
Washington County 6 *** 348.0 (329.0, 368.0) 117 (103, 126) 277 falling falling trend -2.2 (-3.5, -0.8)
Fairfax County 6 *** 349.3 (343.2, 355.5) 116 (110, 124) 2,676 falling falling trend -1.6 (-2.2, -1.1)
Pittsylvania County 6 *** 352.4 (332.1, 373.8) 115 (101, 126) 252 falling falling trend -9.5 (-16.9, -1.4)
Manassas Park City 6 *** 353.5 (289.8, 427.3) 114 (42, 129) 22 stable stable trend -12.0 (-40.7, 30.5)
Cumberland County 6 *** 358.4 (305.0, 419.8) 113 (55, 128) 35 stable stable trend -1.7 (-4.0, 0.6)
Prince William County 6 *** 364.3 (353.0, 375.9) 112 (103, 120) 834 falling falling trend -2.9 (-3.9, -1.9)
Loudoun County 6 *** 367.7 (356.2, 379.5) 111 (101, 119) 828 falling falling trend -1.8 (-2.5, -1.1)
Grayson County 6 *** 368.9 (332.2, 409.2) 110 (72, 126) 86 falling falling trend -1.7 (-3.3, -0.1)
Richmond City 6 *** 370.0 (352.5, 388.1) 109 (94, 121) 378 falling falling trend -8.7 (-16.3, -0.5)
Norton City 6 *** 372.0 (296.4, 462.6) 108 (23, 129) 18 falling falling trend -3.3 (-5.3, -1.2)
Clarke County 6 *** 377.3 (336.8, 421.8) 107 (51, 126) 72 falling falling trend -1.9 (-3.2, -0.6)
Montgomery County 6 *** 377.7 (358.8, 397.4) 106 (88, 119) 316 falling falling trend -1.2 (-1.9, -0.5)
Floyd County 6 *** 387.7 (349.4, 429.5) 105 (51, 124) 85 stable stable trend -0.4 (-1.7, 0.8)
Rockbridge County 6 *** 392.8 (361.9, 426.1) 104 (59, 120) 139 stable stable trend -1.6 (-3.3, 0.2)
York County 6 *** 394.1 (372.1, 417.1) 103 (72, 114) 253 falling falling trend -1.8 (-2.9, -0.6)
Henry County 6 *** 395.5 (372.1, 420.3) 102 (68, 115) 245 stable stable trend -1.0 (-2.6, 0.6)
Frederick County 6 *** 396.7 (378.8, 415.4) 101 (78, 111) 388 falling falling trend -1.8 (-2.3, -1.3)
Powhatan County 6 *** 398.0 (367.0, 431.1) 100 (55, 119) 135 stable stable trend 1.1 (-2.6, 4.8)
Campbell County 6 *** 399.7 (377.4, 423.0) 99 (63, 113) 260 stable stable trend -7.4 (-16.4, 2.7)
Alleghany County and Clifton Forge City 6 *** 400.2 (362.2, 441.7) 98 (47, 122) 93 stable stable trend -1.2 (-3.3, 0.8)
Botetourt County 6 *** 403.4 (376.9, 431.7) 97 (52, 114) 193 stable stable trend -0.3 (-1.5, 1.0)
Fauquier County 6 *** 403.7 (382.7, 425.6) 96 (65, 110) 300 falling falling trend -1.6 (-2.6, -0.5)
Buckingham County 6 *** 405.0 (359.1, 455.7) 95 (34, 124) 62 stable stable trend -0.4 (-2.2, 1.4)
Franklin County 6 *** 405.9 (384.5, 428.3) 94 (61, 110) 314 stable stable trend -0.6 (-1.6, 0.4)
Albemarle County 6 *** 406.9 (389.9, 424.6) 93 (68, 107) 473 falling falling trend -1.5 (-2.1, -0.8)
Northumberland County 6 *** 409.5 (362.9, 463.1) 92 (31, 122) 88 stable stable trend -0.8 (-2.1, 0.5)
Greene County 6 *** 413.0 (374.1, 455.1) 91 (31, 120) 89 falling falling trend -0.9 (-1.6, -0.2)
Craig County 6 *** 413.2 (346.6, 490.5) 90 (15, 126) 32 stable stable trend 1.1 (-1.6, 3.8)
Lunenburg County 6 *** 413.8 (360.2, 474.4) 89 (24, 125) 49 stable stable trend -0.4 (-2.2, 1.4)
Appomattox County 6 *** 414.3 (370.4, 462.5) 88 (31, 118) 72 stable stable trend -0.7 (-2.4, 1.1)
Lancaster County 6 *** 416.4 (363.7, 477.7) 87 (21, 124) 78 stable stable trend 0.1 (-1.3, 1.6)
Pulaski County 6 *** 417.0 (390.4, 445.2) 86 (46, 110) 204 falling falling trend -0.7 (-1.2, -0.2)
Falls Church City 6 *** 418.9 (365.4, 478.3) 85 (20, 124) 48 stable stable trend -1.2 (-2.9, 0.6)
Manassas City 6 *** 421.9 (382.9, 464.0) 84 (29, 113) 93 falling falling trend -2.2 (-3.6, -0.8)
King George County 6 *** 423.2 (383.8, 465.7) 83 (28, 116) 90 stable stable trend -1.1 (-2.7, 0.6)
Shenandoah County 6 *** 423.4 (399.3, 448.8) 82 (46, 106) 255 stable stable trend 0.2 (-0.9, 1.2)
Isle of Wight County 6 *** 425.5 (395.0, 458.0) 81 (40, 108) 158 falling falling trend -1.0 (-1.8, -0.2)
Madison County 6 *** 428.2 (383.2, 477.7) 80 (23, 116) 74 stable stable trend -0.4 (-1.5, 0.6)
Wythe County 6 *** 428.7 (399.7, 459.4) 79 (38, 106) 176 stable stable trend 0.2 (-0.5, 1.0)
Warren County 6 *** 430.3 (402.4, 459.8) 78 (37, 105) 191 stable stable trend -0.4 (-1.3, 0.6)
Winchester City 6 *** 432.0 (395.2, 471.6) 77 (26, 108) 111 stable stable trend -0.6 (-1.5, 0.3)
Dinwiddie County 6 *** 432.1 (394.4, 472.6) 76 (27, 109) 104 falling falling trend -1.8 (-2.8, -0.8)
Bedford City and County 6 *** 432.4 (413.6, 451.9) 75 (46, 97) 450 stable stable trend -0.7 (-1.8, 0.5)
Amherst County 6 *** 432.5 (401.6, 465.4) 74 (29, 106) 159 falling falling trend -1.4 (-2.4, -0.4)
Roanoke County 6 *** 433.4 (416.3, 451.1) 73 (47, 95) 537 stable stable trend 0.3 (-0.5, 1.1)
Augusta County 6 *** 434.7 (416.1, 454.1) 72 (44, 95) 447 falling falling trend -8.0 (-12.8, -3.0)
Culpeper County 6 *** 434.9 (408.0, 463.2) 71 (34, 101) 207 falling falling trend -1.4 (-2.5, -0.3)
Rockingham County 6 *** 435.9 (417.1, 455.4) 70 (44, 94) 438 stable stable trend -5.6 (-13.0, 2.5)
Stafford County 6 *** 439.9 (420.9, 459.6) 69 (42, 93) 432 falling falling trend -1.1 (-1.9, -0.4)
Page County 6 *** 441.0 (408.3, 475.8) 68 (26, 103) 147 stable stable trend 0.1 (-1.1, 1.2)
Chesterfield County 6 *** 441.9 (430.6, 453.4) 67 (48, 84) 1,259 falling falling trend -1.1 (-1.7, -0.5)
King and Queen County 6 *** 442.5 (371.4, 525.0) 66 (10, 125) 32 stable stable trend 0.0 (-1.9, 2.0)
Emporia City 6 *** 443.3 (325.7, 597.1) 65 (3, 128) 13 stable stable trend -2.8 (-5.8, 0.3)
Poquoson City 6 *** 444.3 (397.3, 495.9) 64 (16, 111) 70 stable stable trend -0.9 (-2.4, 0.5)
Spotsylvania County 6 *** 444.6 (426.8, 463.0) 63 (39, 88) 496 falling falling trend -1.4 (-1.9, -0.9)
Radford City 6 *** 446.6 (391.9, 507.0) 62 (14, 116) 50 stable stable trend 12.7 (-7.8, 37.8)
James City County 6 *** 447.5 (427.4, 468.5) 61 (33, 89) 448 falling falling trend -1.8 (-3.0, -0.5)
Halifax County with South Boston City 6 *** 448.7 (415.8, 483.8) 60 (23, 101) 158 stable stable trend 1.3 (0.0, 2.7)
Newport News City 6 *** 449.6 (430.7, 469.1) 59 (35, 86) 457 falling falling trend -0.8 (-1.5, -0.1)
Hanover County 6 *** 451.6 (434.0, 469.8) 58 (33, 84) 531 falling falling trend -1.1 (-1.8, -0.3)
Giles County 6 *** 454.5 (415.0, 497.1) 57 (17, 104) 107 stable stable trend -0.8 (-2.0, 0.5)
Henrico County 6 *** 455.1 (442.8, 467.7) 56 (37, 74) 1,122 falling falling trend -0.8 (-1.4, -0.2)
Middlesex County 6 *** 457.9 (405.4, 516.8) 55 (12, 108) 77 stable stable trend 0.6 (-1.3, 2.4)
Harrisonburg City 6 *** 458.8 (424.7, 495.1) 54 (19, 96) 145 stable stable trend 10.6 (-2.2, 25.0)
Westmoreland County 6 *** 460.6 (415.8, 509.8) 53 (14, 104) 96 stable stable trend -0.4 (-1.6, 0.8)
Fluvanna County 6 *** 461.6 (426.5, 499.0) 52 (17, 97) 140 falling falling trend -1.0 (-1.8, -0.2)
Prince George County 6 *** 462.1 (426.5, 500.1) 51 (17, 97) 131 stable stable trend -1.1 (-2.5, 0.4)
Charlotte County 6 *** 463.1 (407.8, 524.6) 50 (10, 108) 58 stable stable trend 0.9 (-0.6, 2.3)
Orange County 6 *** 464.7 (435.0, 496.2) 49 (20, 88) 200 stable stable trend 5.1 (-1.0, 11.6)
Suffolk City 6 *** 466.3 (441.1, 492.7) 48 (22, 81) 270 stable stable trend 0.0 (-0.9, 1.0)
Accomack County 6 *** 466.6 (432.1, 503.7) 47 (17, 90) 172 stable stable trend -0.4 (-2.1, 1.3)
Nelson County 6 *** 470.1 (425.6, 518.8) 46 (12, 102) 100 stable stable trend -0.8 (-1.8, 0.3)
Southampton County 6 *** 472.5 (424.6, 525.0) 45 (12, 101) 77 stable stable trend 0.6 (-1.5, 2.8)
Charles City County 6 *** 472.9 (380.8, 583.6) 44 (4, 125) 22 stable stable trend -0.1 (-3.2, 3.1)
Brunswick County 6 *** 474.0 (415.9, 539.6) 43 (9, 105) 56 stable stable trend -0.4 (-1.6, 0.7)
Louisa County 6 *** 474.4 (443.0, 507.8) 42 (16, 83) 188 stable stable trend -0.4 (-1.4, 0.6)
Hampton City 6 *** 475.0 (451.7, 499.2) 41 (20, 72) 342 falling falling trend -1.0 (-1.8, -0.2)
Norfolk City 6 *** 475.8 (457.3, 494.8) 40 (21, 66) 541 stable stable trend 0.3 (-0.2, 0.8)
Charlottesville City 6 *** 476.2 (440.7, 513.8) 39 (14, 86) 142 stable stable trend 0.7 (-0.8, 2.2)
Caroline County 6 *** 480.1 (440.7, 522.2) 38 (12, 86) 116 stable stable trend -0.3 (-1.6, 1.1)
Chesapeake City 6 *** 480.5 (465.2, 496.2) 37 (22, 56) 791 stable stable trend -0.1 (-0.7, 0.5)
Nottoway County 6 *** 483.1 (428.9, 543.1) 36 (9, 97) 63 stable stable trend 0.2 (-1.1, 1.6)
Goochland County 6 *** 483.4 (443.8, 526.0) 35 (12, 86) 130 stable stable trend -0.5 (-1.4, 0.5)
Lynchburg City 6 *** 484.0 (457.3, 512.0) 34 (16, 68) 276 stable stable trend 0.5 (-0.7, 1.7)
Mathews County 6 *** 484.1 (427.4, 547.8) 33 (8, 102) 70 stable stable trend 0.6 (-0.9, 2.2)
Mecklenburg County 6 *** 484.5 (447.2, 524.6) 32 (12, 83) 159 rising rising trend 1.5 (0.5, 2.5)
King William County 6 *** 486.5 (436.8, 540.5) 31 (9, 97) 75 stable stable trend -0.9 (-2.3, 0.5)
Virginia Beach City 6 *** 486.9 (476.3, 497.6) 30 (22, 49) 1,701 stable stable trend -1.2 (-3.6, 1.2)
New Kent County 6 *** 492.2 (449.7, 538.0) 29 (10, 82) 113 stable stable trend -0.6 (-1.9, 0.7)
Greensville County 6 *** 492.9 (416.6, 581.7) 28 (5, 110) 31 stable stable trend 0.8 (-1.3, 2.8)
Buena Vista City 6 *** 496.5 (427.9, 573.9) 27 (5, 106) 39 stable stable trend 0.7 (-1.0, 2.4)
Amelia County 6 *** 499.6 (444.6, 560.1) 26 (8, 91) 66 stable stable trend 0.3 (-1.2, 1.7)
Portsmouth City 6 *** 500.2 (471.8, 529.9) 25 (12, 57) 252 stable stable trend 0.0 (-0.7, 0.8)
Prince Edward County 6 *** 505.1 (453.1, 561.8) 24 (6, 84) 79 stable stable trend -0.4 (-2.1, 1.3)
Salem City 6 *** 510.2 (473.3, 549.6) 23 (10, 62) 156 stable stable trend 1.6 (0.0, 3.2)
Bath County 6 *** 511.7 (432.9, 603.6) 22 (3, 104) 35 stable stable trend 11.3 (-0.4, 24.2)
Danville City 6 *** 514.8 (475.1, 557.4) 21 (8, 63) 163 stable stable trend 0.7 (-0.5, 2.0)
Roanoke City 6 *** 516.6 (494.2, 540.0) 20 (11, 40) 438 rising rising trend 9.6 (2.5, 17.1)
Williamsburg City 6 *** 520.8 (462.3, 586.2) 19 (5, 78) 68 rising rising trend 13.7 (0.7, 28.4)
Gloucester County 6 *** 522.9 (492.1, 555.3) 18 (9, 44) 235 stable stable trend 0.4 (-0.4, 1.2)
Northampton County 6 *** 530.0 (466.0, 602.2) 17 (3, 78) 68 falling falling trend -0.9 (-1.7, -0.1)
Surry County 6 *** 530.2 (436.1, 640.9) 16 (2, 109) 27 stable stable trend 2.6 (0.0, 5.3)
Essex County 6 *** 531.3 (467.9, 602.7) 15 (4, 81) 59 rising rising trend 3.8 (1.3, 6.3)
Highland County 6 *** 533.4 (419.8, 675.6) 14 (2, 118) 22 stable stable trend 2.0 (-0.7, 4.7)
Colonial Heights City 6 *** 542.3 (494.9, 593.4) 13 (4, 53) 111 stable stable trend 1.0 (0.0, 1.9)
Fredericksburg City 6 *** 544.7 (495.7, 597.3) 12 (4, 46) 96 stable stable trend -0.4 (-1.5, 0.7)
Sussex County 6 *** 553.4 (473.3, 645.2) 11 (3, 83) 37 stable stable trend 0.6 (-1.2, 2.5)
Hopewell City 6 *** 568.2 (515.9, 624.9) 10 (3, 37) 96 stable stable trend 1.1 (-0.2, 2.4)
Martinsville City 6 *** 585.4 (515.1, 664.1) 9 (2, 40) 61 stable stable trend 19.7 (-2.2, 46.5)
Staunton City 6 *** 594.6 (554.4, 637.3) 8 (3, 18) 182 rising rising trend 11.6 (2.1, 21.9)
Franklin City 6 *** 612.4 (514.0, 727.6) 7 (1, 51) 34 stable stable trend 21.8 (-8.1, 61.5)
Waynesboro City 6 *** 624.5 (579.5, 672.4) 6 (2, 14) 153 rising rising trend 14.1 (4.3, 24.8)
Covington City 6 *** 631.6 (545.0, 729.2) 5 (1, 32) 42 rising rising trend 8.0 (5.9, 10.2)
Galax City 6 *** 635.6 (556.2, 724.8) 4 (1, 25) 51 rising rising trend 21.3 (0.6, 46.3)
Richmond County 6 *** 641.7 (564.1, 728.7) 3 (1, 23) 57 rising rising trend 24.2 (1.4, 52.2)
Lexington City 6 *** 758.3 (651.9, 878.6) 2 (1, 10) 46 rising rising trend 29.2 (3.7, 60.9)
Petersburg City 6 *** 792.7 (699.3, 896.9) 1 (1, 5) 61 rising rising trend 3.2 (0.8, 5.7)
Notes:
Created by statecancerprofiles.cancer.gov on 08/15/2022 9:13 am.

State Cancer Registries may provide more current or more local data.
Trend
Rising when 95% confidence interval of average annual percent change is above 0.
Stable when 95% confidence interval of average annual percent change includes 0.
Falling when 95% confidence interval of average annual percent change is below 0.

⋔ 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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