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 50+

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 1,242.2 with a 95% confidence interval from 1,236.5 to 1,247.9 and 37,327 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 -0.9 to 0.4.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 1,338.1 with a 95% confidence interval from 1,337.2 to 1,339.1 and 1,538,303 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -0.6 with a 95% confidence interval from -0.8 to -0.5.

Galax City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 2,045.6 with a 95% confidence interval from 1,797.1 to 2,318.4 and 51 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is rising because the trend is 6.1 with a 95% confidence interval from 1.4 to 13.9.

Nottoway County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,729.1 with a 95% confidence interval from 1,584.5 to 1,883.3 and 108 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 -0.5 to 2.2.

Lexington City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,724.3 with a 95% confidence interval from 1,473.8 to 2,005.5 and 37 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 1.3 to 5.5.

Essex County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,685.4 with a 95% confidence interval from 1,527.3 to 1,855.4 and 87 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -1.0 to 9.0.

Amelia County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,673.8 with a 95% confidence interval from 1,526.5 to 1,831.6 and 98 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 -1.0 to 1.7.

Hopewell City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,672.7 with a 95% confidence interval from 1,546.1 to 1,807.0 and 131 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.

Buena Vista City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,670.4 with a 95% confidence interval from 1,452.3 to 1,912.1 and 43 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 -0.2 to 2.7.

Covington City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,665.1 with a 95% confidence interval from 1,441.7 to 1,913.6 and 41 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is rising because the trend is 2.5 with a 95% confidence interval from 1.1 to 4.1.

Martinsville City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,660.7 with a 95% confidence interval from 1,508.0 to 1,824.7 and 89 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 -0.8 to 1.6.

Brunswick County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,627.5 with a 95% confidence interval from 1,494.7 to 1,768.9 and 116 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 0.0 to 1.9.

Bath County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,616.0 with a 95% confidence interval from 1,388.1 to 1,870.7 and 37 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 -0.6 to 3.7.

Petersburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,609.6 with a 95% confidence interval from 1,509.8 to 1,714.3 and 201 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 0.9.

Mathews County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,591.3 with a 95% confidence interval from 1,434.8 to 1,760.2 and 82 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 -0.4 to 2.6.

Lancaster County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,587.3 with a 95% confidence interval from 1,449.9 to 1,734.3 and 115 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is rising because the trend is 5.7 with a 95% confidence interval from 1.5 to 13.1.

New Kent County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,577.4 with a 95% confidence interval from 1,455.8 to 1,706.6 and 140 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 -1.0 to 1.0.

Sussex County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,575.4 with a 95% confidence interval from 1,411.1 to 1,753.7 and 69 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.4 with a 95% confidence interval from 0.3 to 2.5.

Fredericksburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,575.0 with a 95% confidence interval from 1,445.8 to 1,712.7 and 114 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 -1.8 to 0.2.

Franklin City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,554.5 with a 95% confidence interval from 1,367.2 to 1,760.3 and 52 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 -0.8 to 2.5.

Waynesboro City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,549.4 with a 95% confidence interval from 1,432.1 to 1,673.8 and 132 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 -1.0 to 0.8.

Goochland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,543.0 with a 95% confidence interval from 1,441.5 to 1,649.8 and 182 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 0.4.

Greensville County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,537.6 with a 95% confidence interval from 1,365.5 to 1,725.5 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 -2.0 to 2.2.

Dinwiddie County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,524.5 with a 95% confidence interval from 1,423.2 to 1,631.1 and 174 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 4.0 with a 95% confidence interval from -0.5 to 9.1.

Northampton County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,494.9 with a 95% confidence interval from 1,360.4 to 1,639.2 and 100 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 -1.9 to 0.0.

Charles City County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,493.4 with a 95% confidence interval from 1,317.3 to 1,686.6 and 54 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 -1.0 to 3.0.

Giles County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,490.9 with a 95% confidence interval from 1,369.6 to 1,620.1 and 114 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is rising because the trend is 3.3 with a 95% confidence interval from 0.2 to 11.4.

Prince George County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,477.1 with a 95% confidence interval from 1,380.1 to 1,579.2 and 179 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.

Danville City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,469.3 with a 95% confidence interval from 1,390.4 to 1,551.6 and 271 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 -1.3 to 0.7.

Williamsburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,466.7 with a 95% confidence interval from 1,315.5 to 1,630.7 and 73 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.

Colonial Heights City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,465.5 with a 95% confidence interval from 1,343.3 to 1,596.0 and 108 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 -0.7 to 1.3.

Staunton City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,462.6 with a 95% confidence interval from 1,361.8 to 1,568.8 and 161 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 -0.6 to 0.9.

Caroline County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,459.3 with a 95% confidence interval from 1,359.3 to 1,564.7 and 165 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 -10.5 to 1.9.

King George County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,454.8 with a 95% confidence interval from 1,338.0 to 1,579.1 and 121 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 1.1.

Mecklenburg County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,450.0 with a 95% confidence interval from 1,365.1 to 1,538.8 and 230 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 -0.8 to 1.1.

Lunenburg County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,444.6 with a 95% confidence interval from 1,304.0 to 1,596.3 and 81 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 1.4.

Southampton County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,444.1 with a 95% confidence interval from 1,329.9 to 1,565.6 and 121 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 -0.6 to 2.0.

Orange County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,435.6 with a 95% confidence interval from 1,351.9 to 1,523.2 and 224 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -1.8 to 7.6.

Wythe County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,423.0 with a 95% confidence interval from 1,330.4 to 1,520.3 and 180 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is rising because the trend is 1.0 with a 95% confidence interval from 0.1 to 2.0.

Emporia City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,412.8 with a 95% confidence interval from 1,201.1 to 1,651.1 and 33 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 -2.1 to 0.9.

Salem City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,408.9 with a 95% confidence interval from 1,306.5 to 1,517.2 and 144 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 -1.0 to 1.9.

Roanoke City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,407.1 with a 95% confidence interval from 1,352.4 to 1,463.5 and 522 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 -4.5 to 0.3.

Culpeper County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,395.0 with a 95% confidence interval from 1,318.9 to 1,474.4 and 259 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 0.3.

Suffolk City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,394.2 with a 95% confidence interval from 1,335.5 to 1,454.8 and 443 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 -0.4 to 0.9.

Norfolk City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,388.1 with a 95% confidence interval from 1,347.2 to 1,430.0 and 926 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 -4.2 to -0.1.

Henrico County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,387.1 with a 95% confidence interval from 1,356.6 to 1,418.2 and 1,617 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 2.8.

Middlesex County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,383.7 with a 95% confidence interval from 1,252.4 to 1,525.0 and 91 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 -3.6 to 0.1.

Gloucester County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,378.4 with a 95% confidence interval from 1,298.6 to 1,461.9 and 233 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 -7.2 to -0.9.

Amherst County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,378.3 with a 95% confidence interval from 1,291.5 to 1,469.4 and 193 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 0.2.

Buckingham County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,375.4 with a 95% confidence interval from 1,253.5 to 1,505.9 and 97 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 -1.8 to 1.2.

Chesapeake City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,371.2 with a 95% confidence interval from 1,333.6 to 1,409.5 and 1,071 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 0.3.

King and Queen County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,370.6 with a 95% confidence interval from 1,193.1 to 1,567.2 and 45 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 -1.4 to 3.5.

Richmond City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,367.8 with a 95% confidence interval from 1,327.7 to 1,408.7 and 952 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 -1.0.

Charlotte County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,367.5 with a 95% confidence interval from 1,231.7 to 1,514.3 and 76 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 -1.6 to 1.6.

Surry County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,365.7 with a 95% confidence interval from 1,192.8 to 1,557.0 and 47 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 -5.1 to -0.2.

Prince Edward County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,364.4 with a 95% confidence interval from 1,246.3 to 1,490.6 and 102 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 -1.7 to 1.0.

Augusta County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,363.7 with a 95% confidence interval from 1,308.6 to 1,420.5 and 473 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -8.0 to 0.0.

Botetourt County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,363.6 with a 95% confidence interval from 1,283.2 to 1,447.7 and 221 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 -0.4 to 1.5.

King William County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,361.1 with a 95% confidence interval from 1,234.1 to 1,497.7 and 88 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 -2.5 to 0.9.

Rappahannock County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,360.9 with a 95% confidence interval from 1,199.2 to 1,538.2 and 54 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 6.0 with a 95% confidence interval from -6.9 to 17.4.

Spotsylvania County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,359.9 with a 95% confidence interval from 1,311.3 to 1,409.8 and 623 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 -1.5 to -0.4.

Portsmouth City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,352.6 with a 95% confidence interval from 1,295.4 to 1,411.7 and 439 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 -1.0 to 0.4.

Craig County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,347.5 with a 95% confidence interval from 1,147.0 to 1,573.3 and 33 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 -0.9 to 3.4.

Virginia Beach City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,344.1 with a 95% confidence interval from 1,317.5 to 1,371.1 and 2,014 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 -5.8 to -0.6.

Chesterfield County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,343.9 with a 95% confidence interval from 1,314.3 to 1,374.1 and 1,649 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.

Isle of Wight County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,339.5 with a 95% confidence interval from 1,259.6 to 1,423.2 and 219 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 0.3.

Louisa County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,333.2 with a 95% confidence interval from 1,253.0 to 1,417.3 and 219 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 -1.8 to 0.3.

Richmond County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,329.0 with a 95% confidence interval from 1,170.7 to 1,502.9 and 52 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 -1.2 to 3.0.

Hanover County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,328.8 with a 95% confidence interval from 1,280.1 to 1,378.9 and 579 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 -1.4 to -0.3.

Northumberland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,327.0 with a 95% confidence interval from 1,209.0 to 1,453.4 and 108 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 1.1.

Bland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,325.5 with a 95% confidence interval from 1,146.7 to 1,524.7 and 41 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 -2.8 to 3.7.

Franklin County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,325.2 with a 95% confidence interval from 1,263.0 to 1,389.8 and 355 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.

Lynchburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,324.2 with a 95% confidence interval from 1,258.8 to 1,392.1 and 316 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.

Alleghany County and Clifton Forge City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,320.9 with a 95% confidence interval from 1,207.7 to 1,441.9 and 103 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 -2.4 to 1.0.

Westmoreland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,318.1 with a 95% confidence interval from 1,214.7 to 1,428.1 and 126 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 0.1.

Grayson County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,317.7 with a 95% confidence interval from 1,203.8 to 1,439.4 and 102 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 -1.7 to 1.4.

Page County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,316.0 with a 95% confidence interval from 1,220.5 to 1,417.1 and 144 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 1.1.

Powhatan County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,315.7 with a 95% confidence interval from 1,224.8 to 1,411.7 and 166 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.6 with a 95% confidence interval from -0.2 to 6.6.

Fluvanna County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,301.7 with a 95% confidence interval from 1,209.0 to 1,399.6 and 151 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 -2.0 to -0.4.

Winchester City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,300.4 with a 95% confidence interval from 1,200.5 to 1,406.4 and 128 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 -1.3 to 0.4.

Norton City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,299.3 with a 95% confidence interval from 1,043.2 to 1,599.4 and 18 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.5 to 0.6.

Rockbridge County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,298.6 with a 95% confidence interval from 1,206.1 to 1,396.3 and 153 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.

Stafford County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,297.1 with a 95% confidence interval from 1,246.3 to 1,349.4 and 538 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.8 to -0.6.

Cumberland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,294.3 with a 95% confidence interval from 1,148.9 to 1,453.3 and 59 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 -2.1 to 0.8.

Roanoke County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,294.3 with a 95% confidence interval from 1,245.7 to 1,344.4 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 -0.6 to 0.9.

Radford City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,289.9 with a 95% confidence interval from 1,120.7 to 1,477.2 and 44 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 -3.3 to -0.1.

Campbell County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,284.9 with a 95% confidence interval from 1,220.9 to 1,351.4 and 310 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 -1.9 to 0.0.

Bedford City and County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,276.8 with a 95% confidence interval from 1,224.9 to 1,330.4 and 472 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -7.8 to 0.4.

Poquoson City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,272.0 with a 95% confidence interval from 1,137.3 to 1,418.3 and 66 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.

Newport News City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,271.0 with a 95% confidence interval from 1,228.9 to 1,314.3 and 714 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 -1.5 to -0.5.

Nelson County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,264.3 with a 95% confidence interval from 1,153.9 to 1,382.7 and 104 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.1 with a 95% confidence interval from -12.3 to -1.8.

Hampton City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,261.2 with a 95% confidence interval from 1,215.7 to 1,308.0 and 605 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 -1.9 to -0.7.

Floyd County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,258.9 with a 95% confidence interval from 1,145.2 to 1,380.8 and 93 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.

Halifax County with South Boston City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,258.7 with a 95% confidence interval from 1,182.3 to 1,338.7 and 212 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -7.7 with a 95% confidence interval from -14.6 to -4.2.

Shenandoah County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,252.4 with a 95% confidence interval from 1,182.6 to 1,325.2 and 247 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.

Pulaski County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,247.6 with a 95% confidence interval from 1,170.0 to 1,329.0 and 199 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 -1.0 to 0.3.

Greene County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,245.7 with a 95% confidence interval from 1,136.5 to 1,362.6 and 99 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.1 to -0.3.

James City County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,245.4 with a 95% confidence interval from 1,195.5 to 1,296.8 and 490 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 -1.3 to 0.1.

York County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,238.2 with a 95% confidence interval from 1,177.1 to 1,301.6 and 315 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -1.9 to -0.5.

Carroll County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,215.9 with a 95% confidence interval from 1,136.3 to 1,299.5 and 180 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 -1.9 to 1.8.

Patrick County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,210.8 with a 95% confidence interval from 1,111.8 to 1,316.4 and 115 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 -1.5 to 1.7.

Henry County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,208.0 with a 95% confidence interval from 1,147.3 to 1,271.1 and 306 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 -2.4 to 0.1.

Madison County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,203.1 with a 95% confidence interval from 1,084.2 to 1,331.5 and 78 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.2 with a 95% confidence interval from -6.0 to -0.2.

Warren County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,198.5 with a 95% confidence interval from 1,121.6 to 1,279.4 and 189 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.

Rockingham County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,195.2 with a 95% confidence interval from 1,143.2 to 1,248.9 and 407 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -6.1 with a 95% confidence interval from -13.7 to 0.1.

Charlottesville City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,190.2 with a 95% confidence interval from 1,103.6 to 1,281.9 and 149 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -6.9 with a 95% confidence interval from -15.3 to -0.2.

Frederick County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,182.9 with a 95% confidence interval from 1,132.0 to 1,235.5 and 414 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 -2.4 to -1.1.

Albemarle County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,166.5 with a 95% confidence interval from 1,121.1 to 1,213.3 and 515 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 -2.4 to -0.8.

Accomack County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,165.5 with a 95% confidence interval from 1,090.9 to 1,244.0 and 192 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 -2.5 to 0.1.

Appomattox County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,163.5 with a 95% confidence interval from 1,051.3 to 1,284.5 and 81 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 -9.6 to -0.6.

Montgomery County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,157.1 with a 95% confidence interval from 1,100.5 to 1,215.9 and 322 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 -1.7 to -0.1.

Fairfax City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,148.0 with a 95% confidence interval from 1,043.1 to 1,260.6 and 91 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 -1.6 to 1.0.

Dickenson County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,142.6 with a 95% confidence interval from 1,029.3 to 1,265.2 and 77 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.2 to -0.4.

Harrisonburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,140.1 with a 95% confidence interval from 1,051.8 to 1,233.8 and 128 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 -6.2 to -1.2.

Smyth County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,137.4 with a 95% confidence interval from 1,058.3 to 1,220.9 and 157 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 -0.8 to 2.1.

Fauquier County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,125.9 with a 95% confidence interval from 1,070.0 to 1,184.0 and 314 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 -0.4.

Loudoun County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,104.7 with a 95% confidence interval from 1,075.0 to 1,134.9 and 1,128 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 -1.9 to -0.6.

Pittsylvania County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,104.1 with a 95% confidence interval from 1,050.4 to 1,159.9 and 327 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 -2.6 to -0.6.

Highland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,099.5 with a 95% confidence interval from 870.7 to 1,373.7 and 17 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -19.0 with a 95% confidence interval from -31.6 to -8.4.

Falls Church City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,097.2 with a 95% confidence interval from 963.7 to 1,244.1 and 51 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 -3.0 to 0.2.

Clarke County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,084.5 with a 95% confidence interval from 976.7 to 1,201.0 and 76 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 -2.6 to -0.2.

Wise County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,069.5 with a 95% confidence interval from 994.1 to 1,149.2 and 156 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 -4.3 to -1.6.

Manassas City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,059.7 with a 95% confidence interval from 968.3 to 1,157.3 and 111 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.4 to -1.0.

Prince William County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,052.7 with a 95% confidence interval from 1,025.7 to 1,080.2 and 1,276 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 -2.3 to -1.0.

Manassas Park City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,025.8 with a 95% confidence interval from 879.5 to 1,189.3 and 39 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.3 with a 95% confidence interval from -4.8 to 0.8.

Alexandria City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 1,012.9 with a 95% confidence interval from 969.6 to 1,057.6 and 440 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 -2.5 to -0.6.

Tazewell County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 1,008.2 with a 95% confidence interval from 943.1 to 1,076.6 and 187 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 -7.2 to -1.8.

Fairfax County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 995.2 with a 95% confidence interval from 980.5 to 1,010.1 and 3,627 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 -2.0 to -1.0.

Russell County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 964.7 with a 95% confidence interval from 886.6 to 1,047.8 and 117 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 -3.2 to -0.9.

Lee County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 957.8 with a 95% confidence interval from 872.5 to 1,049.2 and 96 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.1 with a 95% confidence interval from -5.6 to -1.0.

Arlington County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 953.9 with a 95% confidence interval from 918.0 to 990.7 and 563 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 -2.6 to -1.3.

Washington County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 923.2 with a 95% confidence interval from 870.9 to 977.9 and 240 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.6 with a 95% confidence interval from -9.8 to -3.3.

Buchanan County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 893.6 with a 95% confidence interval from 811.1 to 982.3 and 89 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 -12.9 to -1.8.

Scott County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 770.8 with a 95% confidence interval from 696.8 to 850.6 and 82 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -6.9 to -1.6.

Bristol City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 753.6 with a 95% confidence interval from 666.3 to 849.1 and 56 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.0 with a 95% confidence interval from -8.1 to -2.4.

Notes:
Created by statecancerprofiles.cancer.gov on 01/21/2025 11:38 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.
‡ 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.