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Incidence Rates Table

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Incidence Rate Report for Virginia by County

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

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

Sorted by Count
County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban descending
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 N/A 207.5 (206.1, 208.9) N/A 18,488 falling falling trend -0.7 (-1.8, -0.4)
US (SEER+NPCR) 1 N/A 222.9 (222.7, 223.2) N/A 734,330 stable stable trend -0.3 (-1.7, 0.0)
Highland County 6 Rural 232.8 (136.5, 377.0) N/A 6 stable stable trend 1.0 (-1.9, 3.8)
Norton City 6 Rural 186.8 (130.0, 262.0) N/A 8 stable stable trend -2.6 (-5.9, 0.3)
Lexington City 6 Rural 259.1 (193.5, 340.4) N/A 12 stable stable trend 2.6 (-0.7, 6.3)
Bath County 6 Rural 244.8 (181.3, 326.6) N/A 12 stable stable trend 2.0 (-2.1, 6.0)
Buena Vista City 6 Rural 245.6 (192.1, 310.0) N/A 16 stable stable trend 2.0 (-1.2, 5.5)
Craig County 6 Urban 265.2 (203.6, 341.9) N/A 16 stable stable trend 2.5 (-0.3, 5.7)
Emporia City 6 Rural 277.0 (217.0, 349.1) N/A 16 stable stable trend -0.9 (-3.3, 1.6)
Bland County 6 Rural 249.8 (200.4, 310.1) N/A 19 stable stable trend 1.2 (-1.8, 4.5)
Surry County 6 Urban 203.4 (158.4, 259.2) N/A 19 stable stable trend 0.1 (-3.1, 3.3)
Covington City 6 Rural 305.8 (244.2, 379.2) N/A 20 rising rising trend 5.6 (3.4, 8.2)
King and Queen County 6 Urban 250.6 (198.9, 313.0) N/A 20 stable stable trend -11.0 (-23.9, 0.8)
Charles City County 6 Urban 229.6 (182.4, 287.7) N/A 21 stable stable trend 0.5 (-2.0, 3.1)
Galax City 6 Rural 301.3 (244.1, 368.5) N/A 21 stable stable trend 1.2 (-1.7, 4.2)
Radford City 6 Urban 193.4 (156.7, 236.3) N/A 21 stable stable trend -1.9 (-4.2, 0.2)
Richmond County 6 Rural 239.6 (196.3, 290.7) N/A 23 stable stable trend 0.6 (-1.5, 2.8)
Franklin City 6 Rural 250.9 (204.7, 305.2) N/A 23 stable stable trend 0.5 (-1.3, 2.4)
Rappahannock County 6 Urban 278.1 (224.9, 341.6) N/A 24 rising rising trend 10.4 (1.5, 23.0)
Northumberland County 6 Rural 174.4 (140.1, 216.1) N/A 24 falling falling trend -4.7 (-32.7, -0.3)
Cumberland County 6 Rural 225.0 (184.7, 272.4) N/A 25 stable stable trend 0.7 (-1.9, 3.5)
Williamsburg City 6 Urban 259.7 (213.2, 313.5) N/A 26 rising rising trend 6.9 (0.8, 15.4)
Middlesex County 6 Rural 224.6 (182.7, 274.3) N/A 27 falling falling trend -5.8 (-28.5, -0.1)
Charlotte County 6 Rural 206.9 (170.0, 250.0) N/A 27 stable stable trend 0.4 (-1.9, 2.6)
Falls Church City 6 Urban 174.5 (145.7, 207.7) N/A 27 stable stable trend -1.2 (-3.1, 0.8)
Mathews County 6 Urban 303.6 (248.2, 369.0) N/A 27 stable stable trend 1.5 (-0.6, 3.6)
Poquoson City 6 Urban 217.7 (181.9, 259.1) N/A 29 stable stable trend -0.6 (-2.5, 1.3)
Manassas Park City 6 Urban 177.0 (149.4, 208.3) N/A 29 stable stable trend -0.8 (-2.6, 1.2)
Bristol City 6 Urban 183.0 (154.2, 215.9) N/A 31 stable stable trend -2.5 (-6.0, 0.5)
Appomattox County 6 Urban 182.6 (153.9, 215.4) N/A 32 stable stable trend -1.6 (-3.7, 0.4)
Dickenson County 6 Rural 195.3 (164.6, 230.8) N/A 33 falling falling trend -2.1 (-4.0, -0.4)
Lunenburg County 6 Rural 242.1 (203.8, 286.0) N/A 33 stable stable trend 0.8 (-1.1, 2.7)
Clarke County 6 Urban 174.6 (146.5, 207.3) N/A 33 falling falling trend -5.0 (-19.2, -1.9)
Greensville County 6 Rural 251.0 (213.5, 294.2) N/A 33 stable stable trend 0.8 (-1.7, 3.4)
Lancaster County 6 Rural 298.5 (248.0, 357.4) N/A 35 stable stable trend 2.6 (-0.2, 5.3)
Madison County 6 Rural 217.5 (183.7, 256.4) N/A 35 falling falling trend -2.1 (-7.4, -0.2)
Scott County 6 Urban 149.2 (126.7, 175.0) N/A 36 falling falling trend -3.2 (-6.8, -0.4)
Sussex County 6 Urban 304.5 (259.8, 355.4) N/A 36 rising rising trend 2.0 (0.8, 3.4)
Nelson County 6 Urban 203.7 (171.9, 240.4) N/A 37 stable stable trend -1.1 (-3.8, 1.3)
Northampton County 6 Rural 275.9 (232.2, 326.0) N/A 38 stable stable trend 0.1 (-1.7, 1.9)
Essex County 6 Rural 311.8 (265.7, 364.5) N/A 39 stable stable trend 1.4 (-0.8, 3.8)
Martinsville City 6 Rural 264.1 (226.4, 306.6) N/A 40 stable stable trend -0.4 (-2.6, 1.6)
Amelia County 6 Urban 251.5 (214.6, 293.5) N/A 41 stable stable trend -0.2 (-2.0, 1.6)
Grayson County 6 Rural 232.7 (199.4, 270.5) N/A 41 stable stable trend 0.3 (-1.6, 2.1)
Alleghany County and Clifton Forge City 6 Rural 246.8 (211.7, 286.5) N/A 43 stable stable trend 0.3 (-1.5, 2.1)
Floyd County 6 Urban 252.8 (217.5, 292.8) N/A 43 stable stable trend 0.8 (-1.4, 3.1)
Lee County 6 Rural 171.7 (148.4, 198.1) N/A 43 falling falling trend -3.0 (-5.4, -1.0)
Greene County 6 Urban 202.8 (175.5, 233.3) N/A 44 stable stable trend 0.1 (-1.5, 1.7)
Buchanan County 6 Rural 181.4 (156.6, 209.4) N/A 44 stable stable trend -1.5 (-3.6, 0.3)
Colonial Heights City 6 Urban 251.5 (218.0, 288.9) N/A 45 rising rising trend 1.8 (0.3, 3.4)
Giles County 6 Urban 247.2 (213.9, 284.6) N/A 45 stable stable trend 0.2 (-1.0, 1.4)
Nottoway County 6 Rural 252.9 (219.4, 290.5) N/A 45 stable stable trend 0.3 (-1.2, 1.8)
Patrick County 6 Rural 215.9 (185.9, 250.0) N/A 45 stable stable trend 0.9 (-1.5, 3.4)
King William County 6 Urban 236.4 (205.4, 271.1) N/A 46 stable stable trend 0.3 (-1.3, 2.1)
Westmoreland County 6 Rural 229.1 (197.4, 264.9) N/A 47 stable stable trend -0.3 (-1.6, 1.0)
Fairfax City 6 Urban 191.6 (167.1, 218.8) N/A 47 stable stable trend 0.1 (-1.5, 1.7)
Buckingham County 6 Rural 246.6 (215.1, 282.1) N/A 48 stable stable trend 1.3 (-0.3, 3.0)
Prince Edward County 6 Rural 264.9 (230.2, 303.5) N/A 48 stable stable trend -0.1 (-2.0, 1.9)
Brunswick County 6 Rural 284.2 (249.2, 323.3) N/A 53 rising rising trend 1.8 (0.8, 2.7)
Waynesboro City 6 Urban 239.7 (210.7, 271.8) N/A 54 stable stable trend 0.4 (-0.9, 1.8)
Russell County 6 Rural 184.1 (161.1, 209.7) N/A 54 stable stable trend -1.4 (-3.8, 0.8)
Winchester City 6 Urban 203.6 (179.6, 230.0) N/A 56 stable stable trend -0.6 (-2.3, 1.2)
Rockbridge County 6 Rural 224.5 (196.6, 255.6) N/A 57 stable stable trend 0.4 (-1.4, 2.3)
Southampton County 6 Rural 249.8 (220.0, 283.1) N/A 60 rising rising trend 1.7 (0.1, 3.4)
Page County 6 Rural 218.4 (192.6, 246.9) N/A 60 stable stable trend 0.2 (-1.2, 1.5)
King George County 6 Rural 212.6 (188.5, 239.1) N/A 60 stable stable trend -0.2 (-1.8, 1.3)
Salem City 6 Urban 235.8 (208.3, 266.0) N/A 60 stable stable trend -14.3 (-27.8, 0.2)
New Kent County 6 Urban 228.9 (202.6, 258.0) N/A 62 stable stable trend 0.2 (-1.2, 1.7)
Hopewell City 6 Urban 282.3 (250.6, 316.9) N/A 62 stable stable trend 0.2 (-0.6, 1.0)
Staunton City 6 Urban 243.3 (216.1, 273.3) N/A 64 stable stable trend 0.4 (-0.5, 1.2)
Fredericksburg City 6 Urban 275.2 (245.5, 307.5) N/A 66 stable stable trend -0.4 (-2.0, 1.4)
Harrisonburg City 6 Urban 179.1 (159.8, 200.0) N/A 66 stable stable trend -0.9 (-2.2, 0.4)
Manassas City 6 Urban 161.6 (144.4, 180.2) N/A 67 stable stable trend -1.6 (-3.4, 0.2)
Smyth County 6 Rural 199.6 (177.6, 223.9) N/A 67 stable stable trend -0.6 (-8.6, 0.7)
Fluvanna County 6 Urban 249.9 (223.7, 278.5) N/A 74 stable stable trend -0.5 (-1.9, 1.0)
Carroll County 6 Rural 224.4 (200.1, 251.2) N/A 74 stable stable trend 1.1 (-1.6, 3.7)
Caroline County 6 Rural 221.5 (198.5, 246.5) N/A 74 falling falling trend -1.8 (-2.9, -0.6)
Powhatan County 6 Urban 210.4 (188.3, 234.6) N/A 76 falling falling trend -1.5 (-2.9, -0.2)
Wise County 6 Rural 195.5 (175.6, 217.1) N/A 78 stable stable trend -2.3 (-5.1, 0.2)
Wythe County 6 Rural 248.7 (223.5, 276.3) N/A 79 stable stable trend 1.0 (-0.3, 2.5)
Charlottesville City 6 Urban 193.6 (174.3, 214.5) N/A 79 stable stable trend -0.7 (-1.6, 0.3)
Accomack County 6 Rural 210.1 (188.1, 234.2) N/A 81 falling falling trend -1.2 (-5.4, -0.1)
Amherst County 6 Urban 230.9 (207.5, 256.5) N/A 81 stable stable trend -0.1 (-1.1, 0.9)
Pulaski County 6 Urban 213.2 (191.7, 236.7) N/A 82 stable stable trend -0.2 (-1.2, 0.8)
Goochland County 6 Urban 267.2 (239.6, 297.6) N/A 83 stable stable trend -0.3 (-1.7, 1.1)
Halifax County with South Boston City 6 Rural 224.7 (201.9, 249.6) N/A 84 stable stable trend 0.5 (-0.8, 1.9)
Dinwiddie County 6 Urban 255.7 (230.4, 283.3) N/A 85 stable stable trend 0.4 (-0.7, 1.5)
Mecklenburg County 6 Rural 256.9 (230.8, 285.4) N/A 87 falling falling trend -9.2 (-16.4, -0.5)
Orange County 6 Rural 225.4 (203.4, 249.4) N/A 87 falling falling trend -1.2 (-2.4, -0.1)
Tazewell County 6 Rural 198.7 (179.4, 219.7) N/A 89 stable stable trend -0.6 (-2.5, 1.1)
Botetourt County 6 Urban 224.2 (201.9, 248.5) N/A 89 stable stable trend -0.1 (-1.5, 1.3)
Prince George County 6 Urban 240.5 (218.9, 263.9) N/A 94 stable stable trend -0.3 (-1.3, 0.8)
Shenandoah County 6 Rural 203.9 (184.9, 224.5) N/A 95 stable stable trend 0.3 (-0.7, 1.4)
Petersburg City 6 Urban 281.0 (254.6, 309.5) N/A 96 stable stable trend 0.0 (-1.3, 1.2)
Washington County 6 Urban 162.9 (147.7, 179.3) N/A 99 falling falling trend -2.7 (-4.0, -1.5)
Warren County 6 Urban 218.9 (198.9, 240.5) N/A 100 stable stable trend 0.1 (-1.7, 1.9)
Isle of Wight County 6 Urban 236.4 (215.0, 259.6) N/A 104 stable stable trend -0.2 (-1.4, 1.0)
Louisa County 6 Rural 238.1 (216.5, 261.6) N/A 106 stable stable trend -0.4 (-1.5, 0.7)
Gloucester County 6 Urban 229.1 (208.4, 251.5) N/A 107 stable stable trend 0.3 (-1.2, 1.9)
Danville City 6 Rural 269.4 (246.7, 293.8) N/A 121 rising rising trend 1.1 (0.2, 2.0)
Culpeper County 6 Urban 224.9 (206.8, 244.3) N/A 122 stable stable trend -0.4 (-1.6, 0.8)
Henry County 6 Rural 228.2 (209.5, 248.2) N/A 131 stable stable trend 0.3 (-1.0, 1.6)
Lynchburg City 6 Urban 224.8 (207.5, 243.1) N/A 140 stable stable trend -0.1 (-1.1, 0.9)
Campbell County 6 Urban 225.9 (208.5, 244.6) N/A 140 stable stable trend -0.3 (-1.3, 0.7)
Franklin County 6 Urban 237.4 (218.6, 257.5) N/A 145 stable stable trend 0.3 (-1.3, 1.9)
Pittsylvania County 6 Rural 206.1 (190.1, 223.3) N/A 147 stable stable trend -0.9 (-2.1, 0.3)
Montgomery County 6 Urban 183.5 (170.1, 197.7) N/A 149 falling falling trend -1.2 (-1.8, -0.5)
York County 6 Urban 207.6 (192.5, 223.7) N/A 151 stable stable trend 0.1 (-1.3, 1.5)
Fauquier County 6 Urban 190.1 (176.3, 204.9) N/A 156 falling falling trend -1.4 (-2.5, -0.3)
James City County 6 Urban 205.8 (191.1, 221.4) N/A 167 falling falling trend -1.7 (-6.7, -0.5)
Rockingham County 6 Urban 207.1 (193.0, 222.2) N/A 176 stable stable trend -0.1 (-1.2, 1.1)
Frederick County 6 Urban 199.9 (186.9, 213.6) N/A 192 falling falling trend -1.7 (-5.1, -0.8)
Bedford City and County 6 Urban 214.8 (200.5, 230.0) N/A 201 stable stable trend -0.3 (-1.5, 0.8)
Augusta County 6 Urban 232.7 (217.6, 248.6) N/A 202 stable stable trend 0.2 (-0.5, 1.0)
Albemarle County 6 Urban 195.6 (183.5, 208.3) N/A 214 falling falling trend -7.3 (-14.5, -0.4)
Portsmouth City 6 Urban 231.4 (217.4, 246.1) N/A 224 stable stable trend -0.4 (-1.3, 0.5)
Roanoke County 6 Urban 234.4 (220.5, 248.9) N/A 238 stable stable trend 0.5 (-0.3, 1.4)
Suffolk City 6 Urban 241.2 (227.3, 255.8) N/A 241 stable stable trend 0.5 (-0.7, 1.8)
Roanoke City 6 Urban 254.9 (240.7, 269.7) N/A 263 stable stable trend 2.9 (-5.9, 10.3)
Alexandria City 6 Urban 166.1 (157.1, 175.5) N/A 265 falling falling trend -1.4 (-2.4, -0.3)
Hanover County 6 Urban 214.8 (202.8, 227.4) N/A 268 stable stable trend -0.8 (-1.8, 0.1)
Hampton City 6 Urban 210.4 (199.2, 222.2) N/A 296 stable stable trend -0.6 (-1.3, 0.0)
Stafford County 6 Urban 203.5 (193.5, 213.9) N/A 322 stable stable trend -0.3 (-1.2, 0.7)
Spotsylvania County 6 Urban 229.7 (218.4, 241.5) N/A 330 stable stable trend -0.5 (-1.2, 0.1)
Arlington County 6 Urban 158.1 (150.7, 165.8) N/A 349 falling falling trend -1.6 (-2.6, -0.5)
Newport News City 6 Urban 220.7 (210.6, 231.1) N/A 392 falling falling trend -0.6 (-1.1, -0.1)
Richmond City 6 Urban 223.7 (214.5, 233.2) N/A 496 falling falling trend -1.7 (-8.3, -0.5)
Norfolk City 6 Urban 235.0 (225.5, 244.7) N/A 511 stable stable trend -0.1 (-1.5, 0.3)
Chesapeake City 6 Urban 225.2 (216.9, 233.8) N/A 584 stable stable trend 0.0 (-0.6, 0.6)
Loudoun County 6 Urban 186.8 (180.9, 192.8) N/A 770 stable stable trend -0.6 (-1.4, 0.2)
Henrico County 6 Urban 223.2 (216.0, 230.6) N/A 774 rising rising trend 1.1 (0.1, 3.2)
Prince William County 6 Urban 170.5 (165.2, 175.9) N/A 808 falling falling trend -1.3 (-2.1, -0.5)
Chesterfield County 6 Urban 216.7 (209.9, 223.7) N/A 818 stable stable trend -0.5 (-1.0, 0.0)
Virginia Beach City 6 Urban 226.9 (220.6, 233.4) N/A 1,042 rising rising trend 0.5 (0.1, 0.9)
Fairfax County 6 Urban 170.6 (167.2, 174.1) N/A 2,024 falling falling trend -0.9 (-1.4, -0.5)
Notes:
Created by statecancerprofiles.cancer.gov on 10/15/2024 2:58 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.

† 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.
‡ Incidence data come from different sources. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

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+).
⋔ 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.

Φ Rural-Urban Continuum Codes provided by the USDA.
1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2023 submission.
6 Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2023 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 modified by NCI. The US Population Data File is used with SEER November 2023 data.

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