State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Virginia by County

All Cancer Sites (All Stages^), 2017-2021

All Races (includes Hispanic), Both Sexes, Ages 65+

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

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 1,819.1 with a 95% confidence interval from 1,808.7 to 1,829.6 and 23,923 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -2.0 to -0.7.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 1,975.2 with a 95% confidence interval from 1,973.5 to 1,977.0 and 1,010,129 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -0.7 with a 95% confidence interval from -0.9 to -0.5.

Galax City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 3,100.0 with a 95% confidence interval from 2,644.7 to 3,609.6 and 34 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is rising because the trend is 7.3 with a 95% confidence interval from 5.3 to 10.3.

Amelia County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,542.8 with a 95% confidence interval from 2,271.6 to 2,837.8 and 65 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.8 to 2.9.

Nottoway County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,534.0 with a 95% confidence interval from 2,276.4 to 2,812.8 and 71 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.4 to 2.7.

Buena Vista City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,464.1 with a 95% confidence interval from 2,089.0 to 2,887.5 and 31 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.1 to 2.4.

Lexington City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,447.5 with a 95% confidence interval from 2,051.5 to 2,897.4 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.8 with a 95% confidence interval from 1.5 to 6.6.

New Kent County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,412.4 with a 95% confidence interval from 2,182.0 to 2,661.1 and 91 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -0.9 to 1.0.

Martinsville City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,402.4 with a 95% confidence interval from 2,129.3 to 2,701.0 and 57 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.0 to 2.1.

Hopewell City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,401.8 with a 95% confidence interval from 2,177.5 to 2,643.0 and 85 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.5 to 2.1.

Bath County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,386.7 with a 95% confidence interval from 2,000.7 to 2,825.5 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.3 with a 95% confidence interval from -0.6 to 3.4.

Petersburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,364.0 with a 95% confidence interval from 2,182.9 to 2,556.1 and 130 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -0.6 to 1.3.

Mathews County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,338.7 with a 95% confidence interval from 2,083.8 to 2,616.2 and 61 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.8 to 3.1.

Waynesboro City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,332.0 with a 95% confidence interval from 2,123.1 to 2,555.9 and 92 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.4 to 0.6.

Essex County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,319.8 with a 95% confidence interval from 2,051.7 to 2,613.5 and 56 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -3.9 to 11.7.

Fredericksburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,263.3 with a 95% confidence interval from 2,026.2 to 2,520.5 and 69 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.1 to 0.5.

King George County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,260.9 with a 95% confidence interval from 2,037.0 to 2,502.9 and 77 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.5 to 1.7.

Orange County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,253.4 with a 95% confidence interval from 2,099.5 to 2,415.7 and 161 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.4 with a 95% confidence interval from -0.6 to 8.0.

Giles County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,248.8 with a 95% confidence interval from 2,033.5 to 2,480.8 and 81 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -10.1 to 6.3.

Charles City County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,246.8 with a 95% confidence interval from 1,928.2 to 2,603.1 and 37 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -5.3 to 1.6.

Covington City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,235.6 with a 95% confidence interval from 1,857.5 to 2,668.6 and 25 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.6 to 3.6.

Williamsburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,198.3 with a 95% confidence interval from 1,944.3 to 2,476.4 and 54 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.2 to 1.0.

Colonial Heights City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,188.6 with a 95% confidence interval from 1,973.3 to 2,420.9 and 76 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.2 to 1.0.

Lancaster County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,188.3 with a 95% confidence interval from 1,985.9 to 2,405.6 and 86 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.6 with a 95% confidence interval from 0.6 to 12.7.

Staunton City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,178.0 with a 95% confidence interval from 2,001.8 to 2,365.5 and 115 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -7.2 with a 95% confidence interval from -13.3 to -0.4.

Charlotte County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,166.7 with a 95% confidence interval from 1,917.0 to 2,440.0 and 55 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.7 to 3.4.

Caroline County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,155.0 with a 95% confidence interval from 1,972.7 to 2,349.8 and 107 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -10.0 to 2.5.

Goochland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,154.0 with a 95% confidence interval from 1,976.7 to 2,343.1 and 115 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 4.1 with a 95% confidence interval from -0.7 to 7.8.

Lunenburg County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,153.5 with a 95% confidence interval from 1,905.5 to 2,424.8 and 56 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.8 to 1.8.

Greensville County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,139.6 with a 95% confidence interval from 1,828.8 to 2,488.5 and 36 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.8 to 1.5.

Prince George County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,128.2 with a 95% confidence interval from 1,951.9 to 2,316.3 and 111 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -2.9 to 0.0.

Salem City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,113.6 with a 95% confidence interval from 1,931.6 to 2,308.0 and 101 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.6 to 1.8.

Dinwiddie County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,105.2 with a 95% confidence interval from 1,925.8 to 2,296.9 and 104 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.6 to 0.5.

Northampton County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,096.1 with a 95% confidence interval from 1,879.2 to 2,331.2 and 69 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.3 to 0.4.

Brunswick County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,091.6 with a 95% confidence interval from 1,877.2 to 2,323.9 and 71 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -0.4 to 1.3.

Culpeper County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,087.7 with a 95% confidence interval from 1,948.0 to 2,234.8 and 170 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.0 to 0.4.

Radford City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,080.5 with a 95% confidence interval from 1,755.6 to 2,447.9 and 30 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.9 to 0.7.

Mecklenburg County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,076.3 with a 95% confidence interval from 1,934.4 to 2,225.8 and 161 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -0.7 to 1.7.

Surry County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,071.2 with a 95% confidence interval from 1,751.3 to 2,433.2 and 31 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.6 to 2.2.

Sussex County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,052.2 with a 95% confidence interval from 1,777.1 to 2,358.1 and 41 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -1.6 to 3.0.

Spotsylvania County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,052.0 with a 95% confidence interval from 1,960.3 to 2,146.9 and 393 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.7 to -0.2.

Henrico County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,050.9 with a 95% confidence interval from 1,995.0 to 2,108.0 and 1,052 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -0.3 to 3.0.

Franklin City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,047.3 with a 95% confidence interval from 1,737.6 to 2,396.5 and 31 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -1.0 to 8.2.

Botetourt County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,022.1 with a 95% confidence interval from 1,879.0 to 2,173.2 and 152 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.7 with a 95% confidence interval from 0.6 to 4.8.

Chesterfield County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,008.7 with a 95% confidence interval from 1,953.5 to 2,065.1 and 1,061 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.6 to -0.3.

Powhatan County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,008.2 with a 95% confidence interval from 1,837.2 to 2,191.0 and 109 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.3 to -0.3.

Suffolk City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,007.3 with a 95% confidence interval from 1,899.2 to 2,119.9 and 266 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -0.9 to 1.1.

Danville City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,003.8 with a 95% confidence interval from 1,872.0 to 2,142.5 and 175 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.5 to 0.2.

Gloucester County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 2,001.4 with a 95% confidence interval from 1,857.5 to 2,153.6 and 148 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.3 to 0.1.

Richmond City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,998.3 with a 95% confidence interval from 1,924.1 to 2,074.7 and 587 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -0.9 with a 95% confidence interval from -1.3 to -0.4.

Middlesex County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,995.3 with a 95% confidence interval from 1,788.3 to 2,219.7 and 68 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.7 to 1.8.

Northumberland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,993.7 with a 95% confidence interval from 1,809.2 to 2,191.9 and 86 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 7.7 with a 95% confidence interval from -0.2 to 12.1.

Chesapeake City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,990.1 with a 95% confidence interval from 1,920.3 to 2,061.7 and 641 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -0.8 to 0.2.

Wythe County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,984.0 with a 95% confidence interval from 1,826.0 to 2,152.1 and 118 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.0 with a 95% confidence interval from -0.1 to 2.2.

Norfolk City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,975.8 with a 95% confidence interval from 1,900.8 to 2,053.1 and 549 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.8 to 0.6.

Augusta County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,973.7 with a 95% confidence interval from 1,877.3 to 2,073.7 and 318 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -11.8 to 0.3.

Winchester City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,973.5 with a 95% confidence interval from 1,791.6 to 2,168.9 and 88 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.5 to 0.6.

Virginia Beach City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,967.2 with a 95% confidence interval from 1,918.5 to 2,016.8 and 1,274 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -5.1 to -0.6.

Portsmouth City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,955.6 with a 95% confidence interval from 1,852.0 to 2,063.5 and 275 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.2 to 0.8.

Isle of Wight County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,955.5 with a 95% confidence interval from 1,811.1 to 2,108.4 and 140 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.5 to 0.2.

Roanoke City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,947.1 with a 95% confidence interval from 1,851.5 to 2,046.4 and 326 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.3 to 0.5.

Westmoreland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,945.0 with a 95% confidence interval from 1,768.2 to 2,135.0 and 90 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.4.

King and Queen County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,940.4 with a 95% confidence interval from 1,631.9 to 2,290.7 and 29 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -2.1 to 3.3.

Southampton County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,940.4 with a 95% confidence interval from 1,742.3 to 2,155.0 and 71 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.4 to 1.4.

Hanover County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,940.2 with a 95% confidence interval from 1,851.7 to 2,031.8 and 370 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -4.5 to -0.3.

Amherst County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,936.6 with a 95% confidence interval from 1,788.4 to 2,093.8 and 128 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.2 to 0.2.

Stafford County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,935.9 with a 95% confidence interval from 1,838.0 to 2,037.7 and 308 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.5 to -0.8.

King William County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,931.7 with a 95% confidence interval from 1,702.2 to 2,183.9 and 53 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• 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

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,929.6 with a 95% confidence interval from 1,821.0 to 2,043.0 and 244 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.0 to 1.2.

Poquoson City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,925.7 with a 95% confidence interval from 1,683.5 to 2,193.2 and 46 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.5 to 0.5.

Emporia City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,923.5 with a 95% confidence interval from 1,564.2 to 2,339.8 and 20 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.8 to 1.1.

Prince Edward County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,923.4 with a 95% confidence interval from 1,721.0 to 2,143.0 and 67 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -1.6 to 1.4.

Greene County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,913.5 with a 95% confidence interval from 1,711.6 to 2,132.9 and 68 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.5 to 1.1.

Lynchburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,900.5 with a 95% confidence interval from 1,786.8 to 2,019.4 and 212 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -1.4 to 0.7.

Louisa County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,897.1 with a 95% confidence interval from 1,752.9 to 2,050.1 and 135 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -8.1 with a 95% confidence interval from -21.7 to -0.2.

Page County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,884.4 with a 95% confidence interval from 1,718.4 to 2,062.1 and 96 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -8.6 to -0.2.

Bedford City and County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,881.4 with a 95% confidence interval from 1,788.4 to 1,978.0 and 315 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -5.3 to 0.3.

Shenandoah County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,873.1 with a 95% confidence interval from 1,750.6 to 2,001.9 and 175 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -0.7 to 1.2.

Roanoke County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,865.2 with a 95% confidence interval from 1,781.3 to 1,951.9 and 377 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -6.8 to 1.6.

Nelson County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,857.8 with a 95% confidence interval from 1,667.5 to 2,064.2 and 73 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.5 to 0.3.

Grayson County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,856.5 with a 95% confidence interval from 1,665.3 to 2,063.7 and 70 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.9 to 0.9.

James City County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,851.3 with a 95% confidence interval from 1,766.9 to 1,938.7 and 363 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -4.2 to -0.7.

Rockbridge County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,849.8 with a 95% confidence interval from 1,696.2 to 2,013.6 and 108 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.1 to 0.1.

Richmond County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,841.8 with a 95% confidence interval from 1,576.6 to 2,138.6 and 35 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.8 to 2.4.

Craig County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,819.1 with a 95% confidence interval from 1,480.9 to 2,211.9 and 21 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -12.4 to -0.3.

Fluvanna County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,815.9 with a 95% confidence interval from 1,655.7 to 1,987.4 and 97 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.7.

York County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,812.8 with a 95% confidence interval from 1,702.6 to 1,928.3 and 204 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.4 to -0.8.

Cumberland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,811.4 with a 95% confidence interval from 1,562.0 to 2,089.5 and 39 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.2 to 1.1.

Rappahannock County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,810.7 with a 95% confidence interval from 1,551.7 to 2,100.8 and 36 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.2 to 0.9.

Norton City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,808.4 with a 95% confidence interval from 1,372.8 to 2,338.4 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -6.0 to -0.2.

Alleghany County and Clifton Forge City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,807.1 with a 95% confidence interval from 1,620.9 to 2,008.8 and 69 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.6 to 0.6.

Campbell County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,806.4 with a 95% confidence interval from 1,695.9 to 1,922.2 and 202 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.4 to 0.1.

Fairfax City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,805.9 with a 95% confidence interval from 1,606.4 to 2,023.3 and 61 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -1.3 to 1.3.

Newport News City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,804.9 with a 95% confidence interval from 1,728.5 to 1,883.9 and 429 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.8 to -0.3.

Buckingham County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,791.9 with a 95% confidence interval from 1,588.3 to 2,014.7 and 58 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.0 to 0.1.

Floyd County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,782.4 with a 95% confidence interval from 1,588.4 to 1,993.7 and 63 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.1 with a 95% confidence interval from -1.4 to 1.7.

Hampton City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,779.7 with a 95% confidence interval from 1,698.9 to 1,863.4 and 373 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -4.8 to -1.5.

Pulaski County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,777.9 with a 95% confidence interval from 1,645.0 to 1,918.9 and 135 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.5 to 0.4.

Montgomery County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,761.6 with a 95% confidence interval from 1,657.7 to 1,870.3 and 220 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.7 to 0.5.

Rockingham County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,755.3 with a 95% confidence interval from 1,663.8 to 1,850.6 and 279 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.8 with a 95% confidence interval from -11.0 to -0.6.

Harrisonburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,754.0 with a 95% confidence interval from 1,589.7 to 1,930.6 and 87 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -5.9 to -1.2.

Frederick County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,753.4 with a 95% confidence interval from 1,661.0 to 1,849.5 and 274 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.7 to -0.9.

Halifax County with South Boston City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,746.8 with a 95% confidence interval from 1,621.3 to 1,879.5 and 145 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.3 to 1.9.

Bland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,738.8 with a 95% confidence interval from 1,449.9 to 2,069.6 and 26 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -3.1 to 1.2.

Charlottesville City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,730.1 with a 95% confidence interval from 1,571.5 to 1,900.3 and 93 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.7 to -0.3.

Albemarle County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,727.5 with a 95% confidence interval from 1,647.8 to 1,810.1 and 360 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.5 to -0.8.

Appomattox County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,722.7 with a 95% confidence interval from 1,525.1 to 1,938.9 and 56 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.4 to 1.0.

Carroll County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,708.8 with a 95% confidence interval from 1,574.9 to 1,851.1 and 122 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.6 to 1.6.

Warren County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,705.3 with a 95% confidence interval from 1,565.2 to 1,854.7 and 113 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -8.1 to -0.6.

Manassas City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,702.7 with a 95% confidence interval from 1,521.6 to 1,899.4 and 70 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -4.9 to -0.4.

Patrick County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,698.8 with a 95% confidence interval from 1,534.8 to 1,875.6 and 79 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.9 to 1.3.

Madison County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,679.4 with a 95% confidence interval from 1,475.0 to 1,904.4 and 50 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.9 to 0.5.

Falls Church City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,671.5 with a 95% confidence interval from 1,419.5 to 1,955.5 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -3.1 to 0.8.

Fauquier County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,652.4 with a 95% confidence interval from 1,549.5 to 1,760.5 and 196 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.4 to 0.2.

Henry County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,649.5 with a 95% confidence interval from 1,549.4 to 1,754.4 and 203 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.7 with a 95% confidence interval from -3.0 to -0.3.

Loudoun County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,625.6 with a 95% confidence interval from 1,568.7 to 1,684.0 and 633 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -2.3 to 5.0.

Highland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,625.1 with a 95% confidence interval from 1,234.6 to 2,099.9 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.9 to 3.1.

Prince William County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,592.2 with a 95% confidence interval from 1,539.7 to 1,645.9 and 742 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.0.

Accomack County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,579.7 with a 95% confidence interval from 1,457.0 to 1,710.1 and 125 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.9 to -0.3.

Smyth County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,574.9 with a 95% confidence interval from 1,442.0 to 1,716.7 and 104 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.7 to 2.1.

Clarke County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,562.6 with a 95% confidence interval from 1,370.1 to 1,774.7 and 49 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -2.8 to 0.1.

Dickenson County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,556.7 with a 95% confidence interval from 1,368.1 to 1,764.3 and 50 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.4 to -0.7.

Manassas Park City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,541.6 with a 95% confidence interval from 1,257.4 to 1,871.3 and 21 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -6.2 to 1.9.

Pittsylvania County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,530.1 with a 95% confidence interval from 1,438.4 to 1,626.1 and 211 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.9 to -0.8.

Alexandria City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,523.6 with a 95% confidence interval from 1,441.5 to 1,609.1 and 273 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.6 to -0.4.

Fairfax County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,487.8 with a 95% confidence interval from 1,460.1 to 1,515.9 and 2,270 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.1.

Wise County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,467.1 with a 95% confidence interval from 1,336.9 to 1,606.5 and 97 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -4.6 to -2.0.

Arlington County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,428.6 with a 95% confidence interval from 1,361.0 to 1,498.7 and 350 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.9 to -1.0.

Tazewell County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,350.0 with a 95% confidence interval from 1,242.9 to 1,463.9 and 120 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -9.9 to -2.6.

Russell County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,337.8 with a 95% confidence interval from 1,205.2 to 1,481.2 and 76 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -7.0 to -2.1.

Washington County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,335.2 with a 95% confidence interval from 1,245.0 to 1,430.2 and 165 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -4.4 to -2.6.

Lee County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,279.3 with a 95% confidence interval from 1,139.8 to 1,431.4 and 62 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -6.2 to -0.4.

Buchanan County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,163.5 with a 95% confidence interval from 1,028.3 to 1,311.8 and 54 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.3 to -0.9.

Scott County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,049.0 with a 95% confidence interval from 928.2 to 1,181.3 and 55 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -6.8 with a 95% confidence interval from -26.7 to -4.3.

Bristol City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 908.6 with a 95% confidence interval from 775.8 to 1,057.6 and 34 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -9.4 with a 95% confidence interval from -24.3 to -6.6.

Notes:
Created by statecancerprofiles.cancer.gov on 06/24/2025 4:32 pm.

State Cancer Registries may provide more current or more local data.
† 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.
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+).
Φ Rural-Urban Continuum Codes provided by the USDA.
Source: SEER and NPCR data. For more specific information please see the table.

Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.