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Incidence Rates Table

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Incidence Rate Report for Virginia by County

All Cancer Sites (All Stages^), 2015-2019

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

Sorted by Rate
County
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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 1,797.7 (1,787.1, 1,808.4) N/A 22,437 falling falling trend -1.4 (-1.6, -1.2)
US (SEER+NPCR) 1 1,977.8 (1,976.1, 1,979.6) N/A 977,751 falling falling trend -1.1 (-1.3, -0.9)
Bristol City 6 719.7 (600.1, 856.2) 133 (131, 133) 26 falling falling trend -6.0 (-9.0, -2.8)
Scott County 6 903.8 (790.9, 1,028.2) 132 (129, 133) 46 falling falling trend -4.1 (-6.6, -1.5)
Russell County 6 961.9 (850.3, 1,084.2) 131 (127, 133) 55 stable stable trend 2.5 (-8.3, 14.5)
Buchanan County 6 1,041.0 (912.3, 1,183.0) 130 (125, 132) 48 stable stable trend 5.3 (-3.1, 14.4)
Lee County 6 1,073.8 (946.4, 1,213.6) 129 (122, 132) 52 falling falling trend -3.9 (-6.3, -1.5)
Dickenson County 6 1,205.6 (1,036.8, 1,394.1) 128 (109, 132) 37 falling falling trend -3.4 (-5.1, -1.7)
Fairfax City 6 1,224.8 (1,062.8, 1,404.3) 127 (108, 131) 42 falling falling trend -20.0 (-35.5, -0.9)
Smyth County 6 1,234.0 (1,116.6, 1,360.4) 126 (114, 130) 82 stable stable trend 3.6 (-20.8, 35.5)
Tazewell County 6 1,257.8 (1,153.9, 1,368.6) 125 (117, 130) 111 falling falling trend -3.0 (-4.5, -1.5)
Wise County 6 1,326.0 (1,203.4, 1,457.7) 124 (107, 129) 89 falling falling trend -3.8 (-5.3, -2.3)
Carroll County 6 1,371.3 (1,251.0, 1,500.1) 123 (104, 128) 97 falling falling trend -2.0 (-3.8, -0.1)
Alexandria City 6 1,387.3 (1,306.5, 1,471.8) 122 (108, 127) 235 falling falling trend -2.4 (-3.2, -1.5)
Manassas Park City 6 1,409.2 (1,126.2, 1,741.8) 121 (52, 131) 18 falling falling trend -4.5 (-8.0, -0.8)
Floyd County 6 1,418.7 (1,243.5, 1,611.9) 120 (89, 129) 48 falling falling trend -1.3 (-2.4, -0.1)
Pittsylvania County 6 1,442.4 (1,351.7, 1,537.7) 119 (102, 126) 192 falling falling trend -13.0 (-22.9, -1.8)
Arlington County 6 1,446.0 (1,376.1, 1,518.5) 118 (105, 124) 337 falling falling trend -2.2 (-3.0, -1.4)
Fairfax County 6 1,451.2 (1,423.1, 1,479.7) 117 (109, 122) 2,111 falling falling trend -2.0 (-2.5, -1.5)
Rockbridge County 6 1,453.0 (1,315.5, 1,600.9) 116 (92, 127) 82 stable stable trend -19.2 (-36.6, 2.9)
Rappahannock County 6 1,497.6 (1,256.3, 1,772.0) 115 (53, 129) 28 falling falling trend -2.2 (-3.9, -0.6)
Patrick County 6 1,507.8 (1,350.9, 1,677.8) 114 (78, 126) 68 stable stable trend -1.6 (-3.4, 0.3)
Buckingham County 6 1,508.4 (1,321.4, 1,714.6) 113 (73, 128) 48 falling falling trend -2.5 (-4.5, -0.6)
Loudoun County 6 1,508.9 (1,450.8, 1,568.6) 112 (101, 120) 528 falling falling trend -2.3 (-3.0, -1.7)
Washington County 6 1,528.6 (1,430.0, 1,632.3) 111 (93, 122) 181 falling falling trend -2.3 (-3.6, -0.9)
Grayson County 6 1,543.9 (1,368.4, 1,735.8) 110 (68, 126) 57 falling falling trend -2.0 (-3.6, -0.3)
Craig County 6 1,546.9 (1,233.4, 1,915.9) 109 (33, 130) 17 stable stable trend -0.5 (-2.9, 2.0)
Bland County 6 1,554.1 (1,276.0, 1,875.9) 108 (38, 129) 22 stable stable trend -1.5 (-3.9, 0.9)
Pulaski County 6 1,559.5 (1,435.0, 1,691.9) 107 (84, 123) 119 falling falling trend -1.5 (-2.5, -0.5)
Henry County 6 1,561.5 (1,463.2, 1,664.8) 106 (87, 121) 188 falling falling trend -2.4 (-3.7, -1.1)
Prince William County 6 1,567.2 (1,512.2, 1,623.7) 105 (96, 116) 660 falling falling trend -2.0 (-2.5, -1.5)
Norton City 6 1,569.9 (1,182.3, 2,044.5) 104 (19, 131) 11 stable stable trend -3.2 (-6.2, 0.0)
York County 6 1,575.1 (1,469.3, 1,686.5) 103 (84, 121) 167 falling falling trend -3.0 (-4.2, -1.8)
Clarke County 6 1,633.2 (1,428.1, 1,859.5) 102 (49, 124) 47 falling falling trend -2.1 (-3.6, -0.5)
Cumberland County 6 1,647.8 (1,408.7, 1,916.1) 101 (33, 126) 35 falling falling trend -2.5 (-4.6, -0.4)
Frederick County 6 1,655.1 (1,561.5, 1,752.8) 100 (75, 113) 238 falling falling trend -2.3 (-3.0, -1.6)
Montgomery County 6 1,671.6 (1,567.8, 1,780.5) 99 (67, 113) 198 falling falling trend -1.1 (-1.9, -0.2)
Greene County 6 1,672.7 (1,473.8, 1,891.2) 98 (41, 124) 53 falling falling trend -1.9 (-3.4, -0.3)
Albemarle County 6 1,672.9 (1,590.8, 1,758.2) 97 (75, 110) 319 falling falling trend -2.2 (-2.9, -1.5)
Franklin County 6 1,676.7 (1,575.5, 1,782.7) 96 (67, 112) 211 falling falling trend -1.2 (-2.2, -0.2)
Madison County 6 1,690.8 (1,479.7, 1,923.6) 95 (36, 123) 47 stable stable trend -0.7 (-1.6, 0.2)
Campbell County 6 1,692.1 (1,583.0, 1,806.7) 94 (64, 113) 181 falling falling trend -2.3 (-3.6, -1.0)
Richmond City 6 1,703.5 (1,634.3, 1,774.8) 93 (75, 107) 488 falling falling trend -6.8 (-9.3, -4.2)
Alleghany County and Clifton Forge City 6 1,714.6 (1,530.2, 1,915.1) 92 (40, 119) 63 stable stable trend -1.4 (-3.3, 0.5)
Fauquier County 6 1,718.4 (1,609.2, 1,833.0) 91 (57, 110) 190 falling falling trend -1.7 (-2.8, -0.5)
Powhatan County 6 1,725.3 (1,562.2, 1,901.1) 90 (44, 116) 88 falling falling trend -2.8 (-3.7, -1.8)
Augusta County 6 1,745.7 (1,652.4, 1,843.0) 89 (60, 106) 265 falling falling trend -13.7 (-22.4, -4.2)
Warren County 6 1,762.5 (1,614.0, 1,921.2) 88 (40, 112) 107 stable stable trend -0.8 (-2.0, 0.5)
Appomattox County 6 1,762.6 (1,560.1, 1,984.4) 87 (31, 118) 56 stable stable trend -1.2 (-3.3, 0.9)
Botetourt County 6 1,783.8 (1,645.4, 1,930.7) 86 (43, 108) 126 stable stable trend -0.3 (-1.4, 0.8)
Winchester City 6 1,796.8 (1,617.8, 1,990.2) 85 (32, 112) 75 falling falling trend -1.1 (-1.9, -0.2)
Southampton County 6 1,805.6 (1,609.2, 2,019.6) 84 (28, 113) 62 stable stable trend -1.1 (-2.5, 0.4)
Isle of Wight County 6 1,807.5 (1,664.1, 1,959.9) 83 (36, 107) 121 falling falling trend -1.4 (-2.2, -0.6)
Hampton City 6 1,815.6 (1,732.3, 1,901.9) 82 (51, 99) 363 falling falling trend -6.3 (-9.0, -3.4)
King and Queen County 6 1,821.3 (1,526.6, 2,156.8) 81 (19, 123) 28 stable stable trend 0.1 (-2.1, 2.4)
Rockingham County 6 1,821.5 (1,724.9, 1,922.0) 80 (47, 99) 270 falling falling trend -1.1 (-1.9, -0.3)
Charles City County 6 1,822.4 (1,535.9, 2,147.2) 79 (18, 122) 30 stable stable trend -1.4 (-4.0, 1.2)
Spotsylvania County 6 1,826.8 (1,737.1, 1,920.0) 78 (47, 97) 325 falling falling trend -2.0 (-2.9, -1.1)
Middlesex County 6 1,828.3 (1,625.8, 2,049.1) 77 (28, 113) 60 stable stable trend -0.7 (-2.1, 0.7)
Bedford City and County 6 1,828.5 (1,735.2, 1,925.6) 76 (48, 97) 295 falling falling trend -1.1 (-2.1, -0.2)
Prince George County 6 1,834.6 (1,669.6, 2,011.8) 75 (33, 108) 94 falling falling trend -2.8 (-4.3, -1.3)
Halifax County with South Boston City 6 1,842.5 (1,712.2, 1,980.2) 74 (36, 103) 150 stable stable trend 0.2 (-1.2, 1.7)
Falls Church City 6 1,856.3 (1,576.8, 2,170.8) 73 (15, 121) 33 stable stable trend -1.1 (-2.7, 0.6)
Page County 6 1,860.9 (1,693.8, 2,040.2) 72 (30, 107) 92 stable stable trend -0.1 (-1.2, 0.9)
Goochland County 6 1,861.2 (1,687.4, 2,048.2) 71 (28, 107) 89 falling falling trend -1.3 (-2.2, -0.4)
Lancaster County 6 1,861.3 (1,672.1, 2,066.0) 70 (26, 109) 71 stable stable trend -0.7 (-1.8, 0.3)
Fluvanna County 6 1,863.3 (1,698.1, 2,040.4) 69 (31, 103) 95 falling falling trend -1.9 (-2.7, -1.0)
Dinwiddie County 6 1,864.6 (1,693.2, 2,048.8) 68 (29, 106) 89 falling falling trend -2.4 (-3.5, -1.2)
Manassas City 6 1,867.3 (1,670.2, 2,081.3) 67 (25, 109) 70 falling falling trend -2.7 (-4.4, -0.9)
Westmoreland County 6 1,872.9 (1,694.3, 2,065.3) 66 (27, 107) 82 stable stable trend -1.1 (-2.3, 0.2)
Danville City 6 1,878.8 (1,747.4, 2,017.5) 65 (33, 100) 155 falling falling trend -1.3 (-2.5, -0.2)
James City County 6 1,891.1 (1,802.8, 1,982.6) 64 (39, 88) 346 stable stable trend -0.7 (-1.5, 0.1)
Hanover County 6 1,899.9 (1,808.9, 1,994.3) 63 (39, 89) 336 falling falling trend -1.1 (-1.9, -0.3)
Roanoke County 6 1,903.5 (1,817.0, 1,993.0) 62 (39, 87) 370 stable stable trend 0.2 (-0.6, 1.0)
Newport News City 6 1,906.4 (1,825.6, 1,989.9) 61 (39, 85) 427 falling falling trend -4.8 (-8.8, -0.7)
King George County 6 1,908.0 (1,697.8, 2,137.3) 60 (21, 108) 62 stable stable trend -1.6 (-3.3, 0.2)
Accomack County 6 1,908.4 (1,769.1, 2,055.7) 59 (27, 95) 142 stable stable trend -1.6 (-3.3, 0.1)
Shenandoah County 6 1,911.3 (1,785.4, 2,043.8) 58 (30, 95) 173 stable stable trend 0.0 (-1.2, 1.1)
Amherst County 6 1,914.8 (1,766.1, 2,072.7) 57 (26, 95) 124 stable stable trend -1.0 (-2.1, 0.0)
Northumberland County 6 1,915.2 (1,735.9, 2,108.0) 56 (24, 101) 84 falling falling trend -1.4 (-2.2, -0.6)
Lunenburg County 6 1,927.1 (1,694.0, 2,183.4) 55 (18, 109) 50 stable stable trend -1.2 (-3.0, 0.6)
Prince Edward County 6 1,931.2 (1,732.4, 2,146.4) 54 (20, 103) 70 stable stable trend -0.7 (-2.2, 0.9)
Emporia City 6 1,946.6 (1,572.7, 2,381.1) 53 (9, 123) 19 stable stable trend -1.4 (-3.1, 0.4)
Stafford County 6 1,951.8 (1,847.6, 2,060.3) 52 (31, 84) 279 falling falling trend -1.9 (-2.5, -1.3)
Brunswick County 6 1,961.9 (1,754.1, 2,187.7) 51 (16, 103) 66 stable stable trend -0.6 (-1.8, 0.5)
Wythe County 6 1,965.5 (1,808.8, 2,132.2) 50 (22, 92) 118 stable stable trend 0.8 (-0.3, 1.8)
Suffolk City 6 1,973.5 (1,863.0, 2,088.9) 49 (29, 83) 246 stable stable trend -0.4 (-1.2, 0.5)
Chesterfield County 6 1,990.7 (1,932.8, 2,049.9) 48 (34, 66) 954 falling falling trend -1.2 (-1.7, -0.7)
Poquoson City 6 1,995.0 (1,742.8, 2,273.6) 47 (13, 109) 46 stable stable trend -1.4 (-3.2, 0.4)
Chesapeake City 6 1,999.7 (1,927.7, 2,073.7) 46 (31, 68) 605 stable stable trend -0.5 (-1.0, 0.0)
Mathews County 6 2,020.0 (1,785.4, 2,276.9) 45 (13, 100) 54 stable stable trend -0.3 (-2.1, 1.5)
Henrico County 6 2,020.5 (1,963.1, 2,079.0) 44 (31, 62) 973 falling falling trend -1.1 (-1.6, -0.6)
Norfolk City 6 2,037.5 (1,959.2, 2,118.1) 43 (26, 63) 533 stable stable trend 0.0 (-0.5, 0.5)
Virginia Beach City 6 2,039.7 (1,988.6, 2,091.9) 42 (30, 57) 1,238 stable stable trend -0.2 (-0.6, 0.2)
Mecklenburg County 6 2,051.4 (1,910.2, 2,200.2) 41 (19, 78) 159 stable stable trend 0.5 (-0.5, 1.4)
Portsmouth City 6 2,063.8 (1,956.1, 2,175.9) 40 (23, 68) 282 stable stable trend -0.1 (-0.9, 0.7)
King William County 6 2,069.9 (1,821.7, 2,342.7) 39 (10, 99) 53 stable stable trend -1.8 (-3.6, 0.0)
Giles County 6 2,082.9 (1,873.9, 2,309.0) 38 (11, 91) 74 rising rising trend 6.4 (3.2, 9.6)
Nelson County 6 2,090.5 (1,883.5, 2,314.2) 37 (12, 89) 79 stable stable trend -0.8 (-1.9, 0.3)
Louisa County 6 2,092.9 (1,936.3, 2,258.9) 36 (15, 76) 140 stable stable trend -0.8 (-2.2, 0.7)
Caroline County 6 2,094.6 (1,912.3, 2,289.6) 35 (14, 82) 101 stable stable trend 0.2 (-1.2, 1.6)
Charlotte County 6 2,104.0 (1,860.8, 2,370.1) 34 (10, 96) 55 stable stable trend 0.6 (-0.9, 2.2)
Culpeper County 6 2,114.5 (1,968.8, 2,268.2) 33 (16, 68) 162 stable stable trend -0.8 (-1.9, 0.4)
Gloucester County 6 2,139.0 (1,985.7, 2,301.0) 32 (14, 66) 148 falling falling trend -0.9 (-1.7, -0.1)
Orange County 6 2,171.6 (2,020.7, 2,330.7) 31 (13, 60) 155 stable stable trend 4.7 (-1.4, 11.1)
Highland County 6 2,188.4 (1,723.6, 2,740.9) 30 (4, 119) 16 stable stable trend 0.9 (-1.6, 3.5)
Charlottesville City 6 2,192.1 (2,008.9, 2,387.6) 29 (11, 64) 111 stable stable trend 0.1 (-1.2, 1.5)
Greensville County 6 2,196.4 (1,879.9, 2,551.3) 28 (7, 98) 36 stable stable trend -0.1 (-1.9, 1.8)
Colonial Heights City 6 2,211.5 (1,993.7, 2,446.6) 27 (9, 74) 76 stable stable trend -0.5 (-1.6, 0.6)
Amelia County 6 2,212.3 (1,952.8, 2,496.9) 26 (8, 84) 54 stable stable trend 0.8 (-1.1, 2.6)
Surry County 6 2,234.5 (1,887.5, 2,627.2) 25 (5, 101) 30 stable stable trend 1.0 (-0.3, 2.3)
Roanoke City 6 2,235.1 (2,129.1, 2,344.9) 24 (13, 41) 351 stable stable trend 0.6 (-0.3, 1.5)
Nottoway County 6 2,253.7 (2,014.4, 2,513.7) 23 (8, 71) 65 stable stable trend 0.0 (-1.4, 1.4)
Sussex County 6 2,265.9 (1,973.5, 2,589.7) 22 (6, 78) 44 stable stable trend 0.8 (-0.8, 2.4)
New Kent County 6 2,266.4 (2,038.4, 2,513.8) 21 (7, 60) 81 stable stable trend -0.4 (-1.7, 0.9)
Bath County 6 2,272.2 (1,896.8, 2,700.5) 20 (4, 98) 26 stable stable trend 2.0 (-0.1, 4.0)
Salem City 6 2,291.5 (2,101.5, 2,494.1) 19 (8, 54) 109 stable stable trend 1.3 (-0.4, 3.0)
Hopewell City 6 2,301.2 (2,080.4, 2,539.0) 18 (8, 62) 81 stable stable trend 0.0 (-1.5, 1.6)
Lynchburg City 6 2,314.6 (2,188.9, 2,445.6) 17 (9, 36) 259 stable stable trend 1.1 (0.0, 2.2)
Northampton County 6 2,374.4 (2,135.7, 2,632.4) 16 (6, 47) 73 stable stable trend 7.0 (-4.6, 20.0)
Harrisonburg City 6 2,378.5 (2,184.2, 2,585.3) 15 (7, 39) 116 rising rising trend 15.2 (7.6, 23.4)
Essex County 6 2,395.8 (2,124.1, 2,692.8) 14 (5, 55) 58 rising rising trend 5.7 (1.0, 10.6)
Fredericksburg City 6 2,402.6 (2,159.6, 2,665.4) 13 (6, 47) 73 stable stable trend 8.3 (-3.6, 21.6)
Covington City 6 2,424.4 (2,024.4, 2,880.0) 12 (4, 92) 26 rising rising trend 2.8 (0.7, 5.0)
Buena Vista City 6 2,424.6 (2,046.0, 2,853.0) 11 (4, 80) 29 stable stable trend 0.6 (-1.2, 2.5)
Williamsburg City 6 2,589.8 (2,307.3, 2,897.3) 10 (4, 35) 61 stable stable trend 1.3 (-0.6, 3.2)
Petersburg City 6 2,611.5 (2,415.2, 2,819.6) 9 (4, 23) 135 rising rising trend 1.1 (0.1, 2.2)
Radford City 6 2,640.8 (2,281.3, 3,040.5) 8 (3, 39) 40 rising rising trend 15.0 (4.7, 26.4)
Franklin City 6 2,719.1 (2,353.5, 3,125.2) 7 (3, 35) 40 rising rising trend 6.9 (3.5, 10.5)
Staunton City 6 2,851.1 (2,644.7, 3,069.4) 6 (3, 12) 144 rising rising trend 9.3 (3.0, 16.1)
Waynesboro City 6 2,900.3 (2,666.1, 3,149.6) 5 (3, 12) 114 stable stable trend 1.4 (-0.2, 3.0)
Martinsville City 6 3,055.0 (2,747.7, 3,387.4) 4 (3, 12) 73 rising rising trend 24.5 (9.8, 41.2)
Galax City 6 3,534.5 (3,059.0, 4,061.4) 3 (1, 7) 41 rising rising trend 22.6 (14.5, 31.2)
Richmond County 6 3,965.4 (3,567.8, 4,394.8) 2 (1, 3) 74 rising rising trend 39.0 (26.7, 52.5)
Lexington City 6 4,401.7 (3,858.3, 4,999.8) 1 (1, 3) 49 rising rising trend 41.3 (25.1, 59.6)
Notes:
Created by statecancerprofiles.cancer.gov on 11/29/2022 4:12 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 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.

1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2021 submission.
6 Source: National Program of Cancer Registries SEER*Stat Database (2001-2019) - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2021 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 US Population Data File is used with SEER November 2021 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 the United States does not include data from Nevada.
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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