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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, All Ages

Sorted by Count
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 descending
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 *** 411.0 (409.2, 412.8) N/A 40,096 falling falling trend -1.5 (-1.8, -1.1)
US (SEER+NPCR) 1 *** 448.6 (448.3, 448.9) N/A 1,703,249 falling falling trend -0.9 (-1.1, -0.7)
Norton City 6 *** 353.4 (283.3, 436.7) 113 (30, 130) 18 falling falling trend -3.3 (-5.3, -1.2)
Highland County 6 *** 566.1 (446.3, 714.1) 9 (1, 106) 23 stable stable trend 2.4 (-0.4, 5.2)
Craig County 6 *** 418.6 (352.4, 495.3) 84 (13, 125) 33 stable stable trend 1.1 (-1.3, 3.7)
Emporia City 6 *** 462.6 (392.2, 542.8) 44 (6, 118) 33 falling falling trend -1.7 (-3.2, -0.2)
Bland County 6 *** 339.9 (289.1, 398.6) 120 (77, 129) 34 stable stable trend -1.3 (-4.2, 1.7)
Bath County 6 *** 528.9 (450.4, 619.5) 18 (2, 100) 38 stable stable trend 11.4 (0.0, 24.0)
Manassas Park City 6 *** 304.7 (260.2, 354.2) 126 (104, 131) 38 stable stable trend -15.6 (-39.1, 17.0)
Buena Vista City 6 *** 484.3 (419.5, 557.1) 32 (5, 109) 42 stable stable trend 0.5 (-1.2, 2.2)
Rappahannock County 6 *** 349.5 (301.3, 404.7) 115 (62, 129) 44 falling falling trend -2.8 (-4.2, -1.4)
Covington City 6 *** 577.9 (502.1, 662.9) 8 (2, 55) 45 rising rising trend 4.7 (3.3, 6.2)
King and Queen County 6 *** 437.7 (380.0, 502.8) 67 (12, 117) 47 stable stable trend 0.5 (-1.3, 2.3)
Bristol City 6 *** 214.7 (187.9, 244.5) 133 (129, 133) 50 falling falling trend -10.1 (-15.0, -5.0)
Surry County 6 *** 487.4 (424.9, 557.8) 29 (6, 108) 50 stable stable trend 1.3 (-0.1, 2.8)
Charles City County 6 *** 443.8 (386.2, 508.9) 58 (13, 115) 51 stable stable trend 0.0 (-2.2, 2.4)
Lexington City 6 *** 727.5 (633.8, 832.3) 2 (1, 9) 52 rising rising trend 28.1 (6.9, 53.5)
Galax City 6 *** 620.6 (547.5, 701.3) 3 (2, 26) 56 rising rising trend 20.5 (0.2, 44.9)
Radford City 6 *** 466.4 (413.0, 524.6) 41 (9, 108) 58 rising rising trend 13.1 (0.7, 26.9)
Cumberland County 6 *** 404.9 (358.5, 456.5) 92 (26, 123) 59 stable stable trend -1.2 (-3.1, 0.8)
Falls Church City 6 *** 401.9 (356.1, 451.9) 97 (29, 124) 60 stable stable trend -0.9 (-2.4, 0.5)
Franklin City 6 *** 613.2 (545.5, 687.5) 5 (2, 25) 66 stable stable trend 1.6 (-0.3, 3.5)
Dickenson County 6 *** 328.0 (292.9, 366.6) 124 (103, 128) 70 falling falling trend -3.2 (-5.0, -1.5)
Poquoson City 6 *** 437.5 (392.3, 486.9) 68 (18, 112) 73 stable stable trend -1.1 (-2.5, 0.3)
Mathews County 6 *** 464.7 (412.9, 522.6) 42 (11, 108) 76 stable stable trend -0.1 (-1.7, 1.6)
Greensville County 6 *** 531.9 (478.7, 589.8) 15 (3, 62) 76 stable stable trend 0.2 (-1.6, 2.0)
Scott County 6 *** 232.4 (208.8, 258.3) 131 (128, 133) 79 falling falling trend -4.1 (-7.0, -1.1)
Lee County 6 *** 231.0 (207.9, 256.2) 132 (128, 133) 79 falling falling trend -4.6 (-6.9, -2.2)
Clarke County 6 *** 381.3 (342.9, 423.3) 107 (59, 125) 80 falling falling trend -1.6 (-2.9, -0.4)
Charlotte County 6 *** 457.5 (411.6, 507.7) 47 (12, 104) 82 stable stable trend 0.4 (-0.9, 1.8)
Lunenburg County 6 *** 440.6 (396.8, 488.3) 64 (18, 110) 82 stable stable trend -0.6 (-2.1, 0.9)
Sussex County 6 *** 551.8 (498.7, 609.6) 11 (3, 46) 83 rising rising trend 1.3 (0.2, 2.5)
Williamsburg City 6 *** 529.7 (477.5, 586.7) 16 (4, 62) 83 rising rising trend 12.8 (5.1, 21.0)
Madison County 6 *** 426.2 (384.2, 471.9) 80 (22, 114) 84 stable stable trend -1.5 (-3.1, 0.2)
Amelia County 6 *** 469.2 (423.3, 519.1) 39 (11, 100) 85 stable stable trend -0.3 (-1.7, 1.2)
Buchanan County 6 *** 259.7 (234.5, 287.3) 129 (125, 133) 85 falling falling trend -2.7 (-4.3, -1.1)
Appomattox County 6 *** 409.5 (370.7, 451.6) 90 (35, 118) 89 stable stable trend -1.0 (-2.5, 0.5)
Floyd County 6 *** 393.1 (355.3, 434.2) 104 (45, 121) 89 stable stable trend -0.4 (-1.5, 0.6)
Grayson County 6 *** 365.1 (330.3, 403.1) 110 (75, 126) 91 falling falling trend -1.8 (-3.3, -0.2)
Essex County 6 *** 537.9 (487.3, 593.0) 13 (3, 51) 92 stable stable trend 1.0 (-0.8, 3.0)
Middlesex County 6 *** 442.5 (397.3, 492.4) 62 (16, 109) 92 stable stable trend 0.1 (-1.3, 1.6)
Buckingham County 6 *** 402.1 (365.5, 441.7) 96 (40, 120) 95 stable stable trend -0.6 (-2.1, 0.8)
Fairfax City 6 *** 350.3 (318.8, 384.2) 114 (90, 127) 95 stable stable trend -9.3 (-19.8, 2.7)
Russell County 6 *** 238.9 (216.8, 262.9) 130 (128, 133) 95 falling falling trend -8.5 (-11.6, -5.2)
Greene County 6 *** 405.8 (369.4, 445.1) 91 (35, 118) 97 falling falling trend -0.9 (-1.6, -0.1)
Alleghany County and Clifton Forge City 6 *** 396.6 (360.2, 436.3) 101 (48, 120) 99 stable stable trend -1.3 (-3.4, 0.8)
Richmond County 6 *** 784.2 (714.8, 859.3) 1 (1, 3) 99 rising rising trend 35.6 (20.0, 53.2)
Martinsville City 6 *** 557.9 (508.2, 611.5) 10 (3, 38) 100 stable stable trend 14.1 (-6.8, 39.8)
Patrick County 6 *** 344.6 (313.2, 378.9) 118 (95, 127) 102 stable stable trend -1.2 (-3.3, 1.0)
Lancaster County 6 *** 445.1 (400.4, 494.6) 56 (16, 109) 102 stable stable trend 0.5 (-0.7, 1.8)
King William County 6 *** 505.8 (461.6, 553.3) 22 (7, 79) 103 stable stable trend -0.9 (-2.2, 0.4)
Northampton County 6 *** 529.4 (480.6, 582.5) 17 (4, 57) 106 stable stable trend -0.8 (-1.6, 0.0)
Nottoway County 6 *** 504.0 (461.1, 550.1) 23 (7, 73) 107 stable stable trend -0.1 (-1.0, 0.8)
Giles County 6 *** 444.5 (406.2, 485.8) 57 (20, 107) 109 stable stable trend -0.9 (-2.1, 0.3)
Northumberland County 6 *** 413.1 (375.3, 455.1) 88 (33, 115) 114 stable stable trend -1.2 (-2.5, 0.2)
Brunswick County 6 *** 479.2 (439.5, 522.0) 34 (11, 89) 115 stable stable trend -8.3 (-17.9, 2.5)
King George County 6 *** 424.2 (389.3, 461.4) 82 (28, 110) 116 stable stable trend -0.9 (-2.3, 0.5)
Nelson County 6 *** 487.5 (445.7, 532.8) 28 (9, 88) 120 stable stable trend -0.4 (-1.5, 0.7)
Southampton County 6 *** 456.0 (418.8, 496.0) 50 (18, 102) 121 stable stable trend 0.2 (-1.2, 1.6)
Prince Edward County 6 *** 495.7 (456.0, 538.1) 24 (9, 78) 127 stable stable trend -0.3 (-1.7, 1.2)
Colonial Heights City 6 *** 536.1 (493.6, 581.5) 14 (4, 41) 128 stable stable trend 0.9 (-0.1, 2.0)
Smyth County 6 *** 285.3 (262.7, 309.5) 128 (122, 130) 129 falling falling trend -21.1 (-34.0, -5.7)
Westmoreland County 6 *** 451.9 (415.2, 491.5) 52 (19, 102) 130 stable stable trend -0.6 (-1.5, 0.3)
Fredericksburg City 6 *** 528.3 (488.3, 570.8) 19 (5, 48) 134 stable stable trend -0.3 (-1.4, 0.7)
Winchester City 6 *** 417.5 (385.8, 451.2) 86 (35, 112) 134 falling falling trend -0.8 (-1.5, -0.1)
New Kent County 6 *** 492.0 (453.6, 533.0) 26 (10, 75) 138 stable stable trend -0.3 (-1.5, 0.8)
Manassas City 6 *** 394.3 (364.0, 426.3) 103 (56, 118) 140 falling falling trend -2.2 (-3.7, -0.8)
Hopewell City 6 *** 540.3 (500.7, 582.3) 12 (4, 37) 143 stable stable trend 0.1 (-0.9, 1.1)
Rockbridge County 6 *** 391.6 (361.6, 423.9) 106 (58, 120) 145 stable stable trend -1.6 (-3.3, 0.1)
Page County 6 *** 448.3 (415.8, 482.8) 54 (22, 101) 155 stable stable trend 0.2 (-0.9, 1.3)
Powhatan County 6 *** 399.1 (370.3, 429.7) 100 (54, 115) 156 falling falling trend -2.4 (-3.3, -1.5)
Dinwiddie County 6 *** 428.9 (398.6, 461.1) 79 (33, 107) 158 falling falling trend -1.8 (-2.6, -0.9)
Carroll County 6 *** 343.4 (318.4, 370.1) 119 (102, 127) 160 stable stable trend -1.0 (-3.2, 1.3)
Wise County 6 *** 329.8 (306.9, 354.1) 123 (109, 128) 163 falling falling trend -3.4 (-5.2, -1.6)
Goochland County 6 *** 484.6 (449.9, 521.6) 31 (12, 77) 165 stable stable trend -0.6 (-1.4, 0.3)
Fluvanna County 6 *** 470.9 (438.7, 505.0) 36 (15, 84) 170 falling falling trend -1.0 (-1.7, -0.2)
Caroline County 6 *** 457.4 (426.4, 490.2) 48 (20, 95) 170 stable stable trend -0.7 (-2.0, 0.6)
Salem City 6 *** 508.6 (473.7, 545.6) 21 (9, 57) 171 rising rising trend 1.6 (0.1, 3.2)
Harrisonburg City 6 *** 436.5 (407.1, 467.3) 72 (28, 104) 174 stable stable trend 7.7 (-3.8, 20.5)
Waynesboro City 6 *** 616.0 (574.9, 659.5) 4 (2, 13) 175 rising rising trend 12.4 (3.2, 22.5)
Tazewell County 6 *** 300.4 (280.2, 321.8) 127 (119, 129) 182 falling falling trend -4.5 (-6.5, -2.5)
Wythe County 6 *** 429.1 (400.8, 459.1) 77 (34, 106) 184 stable stable trend 0.3 (-0.5, 1.0)
Prince George County 6 *** 439.3 (410.7, 469.4) 65 (30, 103) 184 falling falling trend -1.7 (-2.9, -0.4)
Charlottesville City 6 *** 469.8 (439.8, 501.2) 37 (18, 83) 195 stable stable trend 0.2 (-1.1, 1.5)
Botetourt County 6 *** 401.2 (375.3, 428.5) 98 (52, 113) 201 stable stable trend -0.3 (-1.6, 1.0)
Amherst County 6 *** 433.2 (405.9, 462.0) 73 (32, 104) 202 falling falling trend -1.3 (-2.1, -0.4)
Staunton City 6 *** 580.9 (544.2, 619.6) 7 (3, 19) 203 rising rising trend 10.5 (2.7, 18.8)
Isle of Wight County 6 *** 409.9 (384.2, 437.0) 89 (45, 111) 206 falling falling trend -1.2 (-1.9, -0.5)
Warren County 6 *** 426.0 (399.5, 453.9) 81 (36, 107) 207 stable stable trend -0.4 (-1.3, 0.6)
Pulaski County 6 *** 417.9 (392.2, 445.0) 85 (43, 107) 218 falling falling trend -0.8 (-1.3, -0.2)
Louisa County 6 *** 461.9 (434.3, 490.9) 45 (21, 87) 230 stable stable trend -0.6 (-1.6, 0.3)
Petersburg City 6 *** 584.8 (550.1, 621.2) 6 (3, 17) 231 stable stable trend 1.1 (0.0, 2.1)
Orange County 6 *** 463.2 (436.2, 491.6) 43 (19, 86) 235 rising rising trend 4.2 (2.1, 6.4)
Halifax County with South Boston City 6 *** 443.7 (417.5, 471.3) 59 (27, 100) 243 stable stable trend -2.9 (-13.9, 9.5)
Mecklenburg County 6 *** 488.1 (458.6, 519.1) 27 (14, 67) 243 rising rising trend 1.0 (0.1, 1.9)
Accomack County 6 *** 482.1 (453.7, 512.1) 33 (14, 68) 245 stable stable trend -0.1 (-1.4, 1.3)
Culpeper County 6 *** 438.7 (414.6, 463.9) 66 (33, 99) 259 falling falling trend -1.2 (-2.3, -0.1)
Gloucester County 6 *** 511.1 (482.7, 540.9) 20 (9, 47) 264 stable stable trend 0.2 (-0.5, 0.8)
Shenandoah County 6 *** 421.5 (398.4, 445.7) 83 (43, 106) 268 stable stable trend 0.2 (-0.8, 1.3)
Danville City 6 *** 469.0 (443.0, 496.3) 40 (19, 77) 271 stable stable trend 0.0 (-1.0, 0.9)
Washington County 6 *** 346.1 (327.5, 365.7) 116 (106, 126) 283 falling falling trend -2.2 (-3.6, -0.8)
York County 6 *** 376.9 (357.9, 396.7) 108 (88, 117) 307 stable stable trend -8.8 (-18.5, 2.1)
Campbell County 6 *** 404.1 (383.6, 425.5) 95 (64, 110) 312 stable stable trend -5.8 (-15.8, 5.2)
Henry County 6 *** 392.6 (372.4, 413.8) 105 (72, 113) 317 stable stable trend -1.2 (-2.7, 0.4)
Montgomery County 6 *** 371.1 (353.2, 389.7) 109 (94, 119) 337 falling falling trend -1.3 (-2.0, -0.5)
Franklin County 6 *** 404.4 (384.1, 425.6) 94 (61, 110) 343 stable stable trend -0.6 (-1.5, 0.3)
Pittsylvania County 6 *** 364.4 (346.5, 383.2) 111 (98, 120) 343 stable stable trend -7.4 (-17.1, 3.3)
Fauquier County 6 *** 399.1 (379.9, 419.1) 99 (72, 111) 347 falling falling trend -1.7 (-2.6, -0.9)
Lynchburg City 6 *** 486.6 (464.6, 509.4) 30 (15, 54) 393 stable stable trend 0.6 (-0.4, 1.6)
Frederick County 6 *** 395.1 (378.0, 412.7) 102 (77, 111) 420 falling falling trend -1.8 (-2.3, -1.2)
Rockingham County 6 *** 430.7 (412.6, 449.4) 75 (44, 99) 454 stable stable trend -5.6 (-13.1, 2.4)
Suffolk City 6 *** 456.0 (437.1, 475.5) 49 (29, 80) 461 stable stable trend -0.1 (-0.8, 0.6)
Augusta County 6 *** 436.6 (418.5, 455.3) 70 (40, 94) 472 falling falling trend -8.2 (-14.2, -1.8)
Bedford City and County 6 *** 428.9 (411.2, 447.3) 78 (44, 99) 489 stable stable trend -0.7 (-1.8, 0.4)
Alexandria City 6 *** 325.6 (312.4, 339.3) 125 (115, 127) 495 falling falling trend -2.1 (-2.9, -1.2)
Portsmouth City 6 *** 477.0 (458.2, 496.3) 35 (19, 60) 514 stable stable trend -0.4 (-1.0, 0.2)
James City County 6 *** 441.8 (423.8, 460.4) 63 (35, 88) 517 falling falling trend -1.7 (-3.1, -0.4)
Albemarle County 6 *** 404.9 (389.3, 421.0) 93 (71, 108) 544 falling falling trend -1.4 (-2.0, -0.8)
Stafford County 6 *** 429.4 (413.0, 446.3) 76 (48, 96) 570 falling falling trend -1.3 (-2.1, -0.6)
Roanoke County 6 *** 436.5 (420.3, 453.3) 71 (42, 92) 589 stable stable trend 0.4 (-0.5, 1.2)
Roanoke City 6 *** 495.6 (477.4, 514.3) 25 (16, 43) 601 rising rising trend 6.7 (1.0, 12.8)
Hanover County 6 *** 455.8 (439.3, 472.8) 51 (29, 77) 613 stable stable trend -4.5 (-12.0, 3.6)
Spotsylvania County 6 *** 433.1 (417.6, 449.1) 74 (45, 93) 623 falling falling trend -1.6 (-2.2, -1.0)
Hampton City 6 *** 437.0 (422.1, 452.4) 69 (41, 90) 687 falling falling trend -6.0 (-10.5, -1.3)
Arlington County 6 *** 336.1 (324.6, 347.9) 121 (112, 126) 697 falling falling trend -1.8 (-2.6, -1.1)
Newport News City 6 *** 443.0 (429.2, 457.1) 60 (40, 85) 814 falling falling trend -0.7 (-1.3, -0.2)
Richmond City 6 *** 413.8 (401.8, 426.1) 87 (69, 103) 976 falling falling trend -6.8 (-10.3, -3.3)
Norfolk City 6 *** 469.6 (456.5, 482.9) 38 (26, 58) 1,045 stable stable trend -0.2 (-0.7, 0.2)
Chesapeake City 6 *** 448.8 (436.9, 460.9) 53 (38, 78) 1,147 stable stable trend -0.4 (-0.9, 0.1)
Loudoun County 6 *** 359.5 (350.1, 369.1) 112 (105, 119) 1,207 falling falling trend -1.7 (-2.3, -1.2)
Prince William County 6 *** 345.8 (337.2, 354.6) 117 (111, 123) 1,375 falling falling trend -2.1 (-2.7, -1.5)
Henrico County 6 *** 447.9 (438.2, 457.7) 55 (41, 76) 1,691 falling falling trend -1.0 (-1.5, -0.5)
Chesterfield County 6 *** 442.7 (433.1, 452.6) 61 (44, 79) 1,705 falling falling trend -1.0 (-1.5, -0.5)
Virginia Beach City 6 *** 460.7 (452.0, 469.5) 46 (34, 60) 2,235 stable stable trend -1.5 (-3.2, 0.2)
Fairfax County 6 *** 335.3 (330.6, 340.0) 122 (115, 125) 4,095 falling falling trend -1.7 (-2.2, -1.2)
Notes:
Created by statecancerprofiles.cancer.gov on 11/30/2021 10:25 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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