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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 50+

Sorted by Ruralurban

County
 sort alphabetically by name ascending
2023 Rural-Urban Continuum Codes Φ
 sort by rural urban ascending
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 1,242.2 (1,236.5, 1,247.9) N/A 37,327 stable stable trend -0.6 (-0.9, 0.4)
US (SEER+NPCR) 1 N/A 1,338.1 (1,337.2, 1,339.1) N/A 1,538,303 falling falling trend -0.6 (-0.8, -0.5)
Albemarle County 6 Urban 1,166.5 (1,121.1, 1,213.3) N/A 515 falling falling trend -1.6 (-2.4, -0.8)
Alexandria City 6 Urban 1,012.9 (969.6, 1,057.6) N/A 440 falling falling trend -1.6 (-2.5, -0.6)
Amelia County 6 Urban 1,673.8 (1,526.5, 1,831.6) N/A 98 stable stable trend 0.3 (-1.0, 1.7)
Amherst County 6 Urban 1,378.3 (1,291.5, 1,469.4) N/A 193 stable stable trend -0.8 (-1.7, 0.2)
Appomattox County 6 Urban 1,163.5 (1,051.3, 1,284.5) N/A 81 falling falling trend -2.2 (-9.6, -0.6)
Arlington County 6 Urban 953.9 (918.0, 990.7) N/A 563 falling falling trend -1.9 (-2.6, -1.3)
Augusta County 6 Urban 1,363.7 (1,308.6, 1,420.5) N/A 473 stable stable trend -3.8 (-8.0, 0.0)
Bedford City and County 6 Urban 1,276.8 (1,224.9, 1,330.4) N/A 472 stable stable trend -2.6 (-7.8, 0.4)
Botetourt County 6 Urban 1,363.6 (1,283.2, 1,447.7) N/A 221 stable stable trend 0.5 (-0.4, 1.5)
Bristol City 6 Urban 753.6 (666.3, 849.1) N/A 56 falling falling trend -5.0 (-8.1, -2.4)
Campbell County 6 Urban 1,284.9 (1,220.9, 1,351.4) N/A 310 stable stable trend -1.0 (-1.9, 0.0)
Charles City County 6 Urban 1,493.4 (1,317.3, 1,686.6) N/A 54 stable stable trend 0.9 (-1.0, 3.0)
Charlottesville City 6 Urban 1,190.2 (1,103.6, 1,281.9) N/A 149 falling falling trend -6.9 (-15.3, -0.2)
Chesapeake City 6 Urban 1,371.2 (1,333.6, 1,409.5) N/A 1,071 stable stable trend -0.2 (-0.7, 0.3)
Chesterfield County 6 Urban 1,343.9 (1,314.3, 1,374.1) N/A 1,649 falling falling trend -1.0 (-1.6, -0.3)
Clarke County 6 Urban 1,084.5 (976.7, 1,201.0) N/A 76 falling falling trend -1.4 (-2.6, -0.2)
Colonial Heights City 6 Urban 1,465.5 (1,343.3, 1,596.0) N/A 108 stable stable trend 0.3 (-0.7, 1.3)
Craig County 6 Urban 1,347.5 (1,147.0, 1,573.3) N/A 33 stable stable trend 1.1 (-0.9, 3.4)
Culpeper County 6 Urban 1,395.0 (1,318.9, 1,474.4) N/A 259 stable stable trend -0.7 (-1.7, 0.3)
Dinwiddie County 6 Urban 1,524.5 (1,423.2, 1,631.1) N/A 174 stable stable trend 4.0 (-0.5, 9.1)
Fairfax City 6 Urban 1,148.0 (1,043.1, 1,260.6) N/A 91 stable stable trend -0.3 (-1.6, 1.0)
Fairfax County 6 Urban 995.2 (980.5, 1,010.1) N/A 3,627 falling falling trend -1.5 (-2.0, -1.0)
Falls Church City 6 Urban 1,097.2 (963.7, 1,244.1) N/A 51 stable stable trend -1.4 (-3.0, 0.2)
Fauquier County 6 Urban 1,125.9 (1,070.0, 1,184.0) N/A 314 falling falling trend -1.4 (-2.3, -0.4)
Floyd County 6 Urban 1,258.9 (1,145.2, 1,380.8) N/A 93 stable stable trend 0.0 (-0.9, 1.0)
Fluvanna County 6 Urban 1,301.7 (1,209.0, 1,399.6) N/A 151 falling falling trend -1.3 (-2.0, -0.4)
Franklin County 6 Urban 1,325.2 (1,263.0, 1,389.8) N/A 355 stable stable trend 0.0 (-1.0, 1.2)
Frederick County 6 Urban 1,182.9 (1,132.0, 1,235.5) N/A 414 falling falling trend -1.6 (-2.4, -1.1)
Fredericksburg City 6 Urban 1,575.0 (1,445.8, 1,712.7) N/A 114 stable stable trend -0.8 (-1.8, 0.2)
Giles County 6 Urban 1,490.9 (1,369.6, 1,620.1) N/A 114 rising rising trend 3.3 (0.2, 11.4)
Gloucester County 6 Urban 1,378.4 (1,298.6, 1,461.9) N/A 233 falling falling trend -2.8 (-7.2, -0.9)
Goochland County 6 Urban 1,543.0 (1,441.5, 1,649.8) N/A 182 stable stable trend -0.2 (-0.7, 0.4)
Greene County 6 Urban 1,245.7 (1,136.5, 1,362.6) N/A 99 falling falling trend -1.2 (-2.1, -0.3)
Hampton City 6 Urban 1,261.2 (1,215.7, 1,308.0) N/A 605 falling falling trend -1.3 (-1.9, -0.7)
Hanover County 6 Urban 1,328.8 (1,280.1, 1,378.9) N/A 579 falling falling trend -0.9 (-1.4, -0.3)
Harrisonburg City 6 Urban 1,140.1 (1,051.8, 1,233.8) N/A 128 falling falling trend -2.2 (-6.2, -1.2)
Henrico County 6 Urban 1,387.1 (1,356.6, 1,418.2) N/A 1,617 stable stable trend 1.0 (-0.1, 2.8)
Hopewell City 6 Urban 1,672.7 (1,546.1, 1,807.0) N/A 131 stable stable trend 0.0 (-0.9, 1.0)
Isle of Wight County 6 Urban 1,339.5 (1,259.6, 1,423.2) N/A 219 stable stable trend -0.6 (-1.5, 0.3)
James City County 6 Urban 1,245.4 (1,195.5, 1,296.8) N/A 490 stable stable trend -0.7 (-1.3, 0.1)
King William County 6 Urban 1,361.1 (1,234.1, 1,497.7) N/A 88 stable stable trend -0.8 (-2.5, 0.9)
King and Queen County 6 Urban 1,370.6 (1,193.1, 1,567.2) N/A 45 stable stable trend 0.9 (-1.4, 3.5)
Loudoun County 6 Urban 1,104.7 (1,075.0, 1,134.9) N/A 1,128 falling falling trend -1.3 (-1.9, -0.6)
Lynchburg City 6 Urban 1,324.2 (1,258.8, 1,392.1) N/A 316 stable stable trend -0.3 (-1.4, 0.7)
Manassas City 6 Urban 1,059.7 (968.3, 1,157.3) N/A 111 falling falling trend -2.7 (-4.4, -1.0)
Manassas Park City 6 Urban 1,025.8 (879.5, 1,189.3) N/A 39 stable stable trend -2.3 (-4.8, 0.8)
Mathews County 6 Urban 1,591.3 (1,434.8, 1,760.2) N/A 82 stable stable trend 1.0 (-0.4, 2.6)
Montgomery County 6 Urban 1,157.1 (1,100.5, 1,215.9) N/A 322 falling falling trend -0.9 (-1.7, -0.1)
Nelson County 6 Urban 1,264.3 (1,153.9, 1,382.7) N/A 104 falling falling trend -5.1 (-12.3, -1.8)
New Kent County 6 Urban 1,577.4 (1,455.8, 1,706.6) N/A 140 stable stable trend -0.1 (-1.0, 1.0)
Newport News City 6 Urban 1,271.0 (1,228.9, 1,314.3) N/A 714 falling falling trend -1.0 (-1.5, -0.5)
Norfolk City 6 Urban 1,388.1 (1,347.2, 1,430.0) N/A 926 falling falling trend -1.0 (-4.2, -0.1)
Petersburg City 6 Urban 1,609.6 (1,509.8, 1,714.3) N/A 201 stable stable trend 0.0 (-0.9, 0.9)
Poquoson City 6 Urban 1,272.0 (1,137.3, 1,418.3) N/A 66 stable stable trend -1.0 (-2.2, 0.2)
Portsmouth City 6 Urban 1,352.6 (1,295.4, 1,411.7) N/A 439 stable stable trend -0.3 (-1.0, 0.4)
Powhatan County 6 Urban 1,315.7 (1,224.8, 1,411.7) N/A 166 stable stable trend 2.6 (-0.2, 6.6)
Prince George County 6 Urban 1,477.1 (1,380.1, 1,579.2) N/A 179 stable stable trend -1.2 (-2.4, 0.2)
Prince William County 6 Urban 1,052.7 (1,025.7, 1,080.2) N/A 1,276 falling falling trend -1.7 (-2.3, -1.0)
Pulaski County 6 Urban 1,247.6 (1,170.0, 1,329.0) N/A 199 stable stable trend -0.4 (-1.0, 0.3)
Radford City 6 Urban 1,289.9 (1,120.7, 1,477.2) N/A 44 falling falling trend -1.7 (-3.3, -0.1)
Rappahannock County 6 Urban 1,360.9 (1,199.2, 1,538.2) N/A 54 stable stable trend 6.0 (-6.9, 17.4)
Richmond City 6 Urban 1,367.8 (1,327.7, 1,408.7) N/A 952 falling falling trend -1.4 (-2.3, -1.0)
Roanoke City 6 Urban 1,407.1 (1,352.4, 1,463.5) N/A 522 stable stable trend -0.6 (-4.5, 0.3)
Roanoke County 6 Urban 1,294.3 (1,245.7, 1,344.4) N/A 549 stable stable trend 0.1 (-0.6, 0.9)
Rockingham County 6 Urban 1,195.2 (1,143.2, 1,248.9) N/A 407 stable stable trend -6.1 (-13.7, 0.1)
Salem City 6 Urban 1,408.9 (1,306.5, 1,517.2) N/A 144 stable stable trend 0.4 (-1.0, 1.9)
Scott County 6 Urban 770.8 (696.8, 850.6) N/A 82 falling falling trend -4.0 (-6.9, -1.6)
Spotsylvania County 6 Urban 1,359.9 (1,311.3, 1,409.8) N/A 623 falling falling trend -1.0 (-1.5, -0.4)
Stafford County 6 Urban 1,297.1 (1,246.3, 1,349.4) N/A 538 falling falling trend -1.2 (-1.8, -0.6)
Staunton City 6 Urban 1,462.6 (1,361.8, 1,568.8) N/A 161 stable stable trend 0.2 (-0.6, 0.9)
Suffolk City 6 Urban 1,394.2 (1,335.5, 1,454.8) N/A 443 stable stable trend 0.2 (-0.4, 0.9)
Surry County 6 Urban 1,365.7 (1,192.8, 1,557.0) N/A 47 falling falling trend -1.7 (-5.1, -0.2)
Sussex County 6 Urban 1,575.4 (1,411.1, 1,753.7) N/A 69 rising rising trend 1.4 (0.3, 2.5)
Virginia Beach City 6 Urban 1,344.1 (1,317.5, 1,371.1) N/A 2,014 falling falling trend -3.4 (-5.8, -0.6)
Warren County 6 Urban 1,198.5 (1,121.6, 1,279.4) N/A 189 stable stable trend -0.6 (-1.5, 0.4)
Washington County 6 Urban 923.2 (870.9, 977.9) N/A 240 falling falling trend -4.6 (-9.8, -3.3)
Waynesboro City 6 Urban 1,549.4 (1,432.1, 1,673.8) N/A 132 stable stable trend -0.1 (-1.0, 0.8)
Williamsburg City 6 Urban 1,466.7 (1,315.5, 1,630.7) N/A 73 stable stable trend -0.4 (-1.3, 0.5)
Winchester City 6 Urban 1,300.4 (1,200.5, 1,406.4) N/A 128 stable stable trend -0.5 (-1.3, 0.4)
York County 6 Urban 1,238.2 (1,177.1, 1,301.6) N/A 315 falling falling trend -1.2 (-1.9, -0.5)
Accomack County 6 Rural 1,165.5 (1,090.9, 1,244.0) N/A 192 stable stable trend -1.2 (-2.5, 0.1)
Alleghany County and Clifton Forge City 6 Rural 1,320.9 (1,207.7, 1,441.9) N/A 103 stable stable trend -0.7 (-2.4, 1.0)
Bath County 6 Rural 1,616.0 (1,388.1, 1,870.7) N/A 37 stable stable trend 1.4 (-0.6, 3.7)
Bland County 6 Rural 1,325.5 (1,146.7, 1,524.7) N/A 41 stable stable trend 0.4 (-2.8, 3.7)
Brunswick County 6 Rural 1,627.5 (1,494.7, 1,768.9) N/A 116 stable stable trend 0.9 (0.0, 1.9)
Buchanan County 6 Rural 893.6 (811.1, 982.3) N/A 89 falling falling trend -3.2 (-12.9, -1.8)
Buckingham County 6 Rural 1,375.4 (1,253.5, 1,505.9) N/A 97 stable stable trend -0.4 (-1.8, 1.2)
Buena Vista City 6 Rural 1,670.4 (1,452.3, 1,912.1) N/A 43 stable stable trend 1.2 (-0.2, 2.7)
Caroline County 6 Rural 1,459.3 (1,359.3, 1,564.7) N/A 165 stable stable trend -1.0 (-10.5, 1.9)
Carroll County 6 Rural 1,215.9 (1,136.3, 1,299.5) N/A 180 stable stable trend -0.1 (-1.9, 1.8)
Charlotte County 6 Rural 1,367.5 (1,231.7, 1,514.3) N/A 76 stable stable trend 0.0 (-1.6, 1.6)
Covington City 6 Rural 1,665.1 (1,441.7, 1,913.6) N/A 41 rising rising trend 2.5 (1.1, 4.1)
Cumberland County 6 Rural 1,294.3 (1,148.9, 1,453.3) N/A 59 stable stable trend -0.7 (-2.1, 0.8)
Danville City 6 Rural 1,469.3 (1,390.4, 1,551.6) N/A 271 stable stable trend -0.3 (-1.3, 0.7)
Dickenson County 6 Rural 1,142.6 (1,029.3, 1,265.2) N/A 77 falling falling trend -1.8 (-3.2, -0.4)
Emporia City 6 Rural 1,412.8 (1,201.1, 1,651.1) N/A 33 stable stable trend -0.6 (-2.1, 0.9)
Essex County 6 Rural 1,685.4 (1,527.3, 1,855.4) N/A 87 stable stable trend 2.2 (-1.0, 9.0)
Franklin City 6 Rural 1,554.5 (1,367.2, 1,760.3) N/A 52 stable stable trend 0.8 (-0.8, 2.5)
Galax City 6 Rural 2,045.6 (1,797.1, 2,318.4) N/A 51 rising rising trend 6.1 (1.4, 13.9)
Grayson County 6 Rural 1,317.7 (1,203.8, 1,439.4) N/A 102 stable stable trend -0.2 (-1.7, 1.4)
Greensville County 6 Rural 1,537.6 (1,365.5, 1,725.5) N/A 61 stable stable trend 0.0 (-2.0, 2.2)
Halifax County with South Boston City 6 Rural 1,258.7 (1,182.3, 1,338.7) N/A 212 falling falling trend -7.7 (-14.6, -4.2)
Henry County 6 Rural 1,208.0 (1,147.3, 1,271.1) N/A 306 stable stable trend -1.1 (-2.4, 0.1)
Highland County 6 Rural 1,099.5 (870.7, 1,373.7) N/A 17 falling falling trend -19.0 (-31.6, -8.4)
King George County 6 Rural 1,454.8 (1,338.0, 1,579.1) N/A 121 stable stable trend -0.4 (-1.9, 1.1)
Lancaster County 6 Rural 1,587.3 (1,449.9, 1,734.3) N/A 115 rising rising trend 5.7 (1.5, 13.1)
Lee County 6 Rural 957.8 (872.5, 1,049.2) N/A 96 falling falling trend -3.1 (-5.6, -1.0)
Lexington City 6 Rural 1,724.3 (1,473.8, 2,005.5) N/A 37 rising rising trend 3.3 (1.3, 5.5)
Louisa County 6 Rural 1,333.2 (1,253.0, 1,417.3) N/A 219 stable stable trend -0.8 (-1.8, 0.3)
Lunenburg County 6 Rural 1,444.6 (1,304.0, 1,596.3) N/A 81 stable stable trend 0.1 (-1.2, 1.4)
Madison County 6 Rural 1,203.1 (1,084.2, 1,331.5) N/A 78 falling falling trend -1.2 (-6.0, -0.2)
Martinsville City 6 Rural 1,660.7 (1,508.0, 1,824.7) N/A 89 stable stable trend 0.4 (-0.8, 1.6)
Mecklenburg County 6 Rural 1,450.0 (1,365.1, 1,538.8) N/A 230 stable stable trend 0.2 (-0.8, 1.1)
Middlesex County 6 Rural 1,383.7 (1,252.4, 1,525.0) N/A 91 stable stable trend -0.9 (-3.6, 0.1)
Northampton County 6 Rural 1,494.9 (1,360.4, 1,639.2) N/A 100 stable stable trend -0.9 (-1.9, 0.0)
Northumberland County 6 Rural 1,327.0 (1,209.0, 1,453.4) N/A 108 stable stable trend -0.1 (-1.4, 1.1)
Norton City 6 Rural 1,299.3 (1,043.2, 1,599.4) N/A 18 stable stable trend -1.9 (-4.5, 0.6)
Nottoway County 6 Rural 1,729.1 (1,584.5, 1,883.3) N/A 108 stable stable trend 0.8 (-0.5, 2.2)
Orange County 6 Rural 1,435.6 (1,351.9, 1,523.2) N/A 224 stable stable trend 1.7 (-1.8, 7.6)
Page County 6 Rural 1,316.0 (1,220.5, 1,417.1) N/A 144 stable stable trend 0.2 (-0.7, 1.1)
Patrick County 6 Rural 1,210.8 (1,111.8, 1,316.4) N/A 115 stable stable trend 0.1 (-1.5, 1.7)
Pittsylvania County 6 Rural 1,104.1 (1,050.4, 1,159.9) N/A 327 falling falling trend -1.6 (-2.6, -0.6)
Prince Edward County 6 Rural 1,364.4 (1,246.3, 1,490.6) N/A 102 stable stable trend -0.4 (-1.7, 1.0)
Richmond County 6 Rural 1,329.0 (1,170.7, 1,502.9) N/A 52 stable stable trend 0.8 (-1.2, 3.0)
Rockbridge County 6 Rural 1,298.6 (1,206.1, 1,396.3) N/A 153 stable stable trend -0.8 (-2.1, 0.5)
Russell County 6 Rural 964.7 (886.6, 1,047.8) N/A 117 falling falling trend -2.0 (-3.2, -0.9)
Shenandoah County 6 Rural 1,252.4 (1,182.6, 1,325.2) N/A 247 stable stable trend 0.2 (-0.7, 1.2)
Smyth County 6 Rural 1,137.4 (1,058.3, 1,220.9) N/A 157 stable stable trend 0.6 (-0.8, 2.1)
Southampton County 6 Rural 1,444.1 (1,329.9, 1,565.6) N/A 121 stable stable trend 0.6 (-0.6, 2.0)
Tazewell County 6 Rural 1,008.2 (943.1, 1,076.6) N/A 187 falling falling trend -2.8 (-7.2, -1.8)
Westmoreland County 6 Rural 1,318.1 (1,214.7, 1,428.1) N/A 126 stable stable trend -0.8 (-1.7, 0.1)
Wise County 6 Rural 1,069.5 (994.1, 1,149.2) N/A 156 falling falling trend -2.9 (-4.3, -1.6)
Wythe County 6 Rural 1,423.0 (1,330.4, 1,520.3) N/A 180 rising rising trend 1.0 (0.1, 2.0)
Notes:
Created by statecancerprofiles.cancer.gov on 01/20/2025 11:03 pm.

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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