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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 Rate

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 ascending 		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 1,819.1 (1,808.7, 1,829.6) N/A 23,923 falling falling trend -1.0 (-2.0, -0.7)
US (SEER+NPCR) 1 N/A 1,975.2 (1,973.5, 1,977.0) N/A 1,010,129 falling falling trend -0.7 (-0.9, -0.5)
Galax City 6 Rural 3,100.0 (2,644.7, 3,609.6) N/A 34 rising rising trend 7.3 (5.3, 10.3)
Amelia County 6 Urban 2,542.8 (2,271.6, 2,837.8) N/A 65 stable stable trend 0.9 (-0.8, 2.9)
Nottoway County 6 Rural 2,534.0 (2,276.4, 2,812.8) N/A 71 stable stable trend 0.6 (-1.4, 2.7)
Buena Vista City 6 Rural 2,464.1 (2,089.0, 2,887.5) N/A 31 stable stable trend 0.6 (-1.1, 2.4)
Lexington City 6 Rural 2,447.5 (2,051.5, 2,897.4) N/A 27 rising rising trend 3.8 (1.5, 6.6)
New Kent County 6 Urban 2,412.4 (2,182.0, 2,661.1) N/A 91 stable stable trend 0.0 (-0.9, 1.0)
Martinsville City 6 Rural 2,402.4 (2,129.3, 2,701.0) N/A 57 stable stable trend 0.6 (-1.0, 2.1)
Hopewell City 6 Urban 2,401.8 (2,177.5, 2,643.0) N/A 85 stable stable trend 0.3 (-1.5, 2.1)
Bath County 6 Rural 2,386.7 (2,000.7, 2,825.5) N/A 27 stable stable trend 1.3 (-0.6, 3.4)
Petersburg City 6 Urban 2,364.0 (2,182.9, 2,556.1) N/A 130 stable stable trend 0.3 (-0.6, 1.3)
Mathews County 6 Urban 2,338.7 (2,083.8, 2,616.2) N/A 61 stable stable trend 1.1 (-0.8, 3.1)
Waynesboro City 6 Urban 2,332.0 (2,123.1, 2,555.9) N/A 92 stable stable trend -0.4 (-1.4, 0.6)
Essex County 6 Rural 2,319.8 (2,051.7, 2,613.5) N/A 56 stable stable trend 2.4 (-3.9, 11.7)
Fredericksburg City 6 Urban 2,263.3 (2,026.2, 2,520.5) N/A 69 stable stable trend -0.8 (-2.1, 0.5)
King George County 6 Rural 2,260.9 (2,037.0, 2,502.9) N/A 77 stable stable trend -0.5 (-2.5, 1.7)
Orange County 6 Rural 2,253.4 (2,099.5, 2,415.7) N/A 161 stable stable trend 2.4 (-0.6, 8.0)
Giles County 6 Urban 2,248.8 (2,033.5, 2,480.8) N/A 81 stable stable trend -0.6 (-10.1, 6.3)
Charles City County 6 Urban 2,246.8 (1,928.2, 2,603.1) N/A 37 stable stable trend -0.4 (-5.3, 1.6)
Covington City 6 Rural 2,235.6 (1,857.5, 2,668.6) N/A 25 stable stable trend 1.5 (-0.6, 3.6)
Williamsburg City 6 Urban 2,198.3 (1,944.3, 2,476.4) N/A 54 stable stable trend -0.2 (-1.2, 1.0)
Colonial Heights City 6 Urban 2,188.6 (1,973.3, 2,420.9) N/A 76 stable stable trend -0.1 (-1.2, 1.0)
Lancaster County 6 Rural 2,188.3 (1,985.9, 2,405.6) N/A 86 rising rising trend 5.6 (0.6, 12.7)
Staunton City 6 Urban 2,178.0 (2,001.8, 2,365.5) N/A 115 falling falling trend -7.2 (-13.3, -0.4)
Charlotte County 6 Rural 2,166.7 (1,917.0, 2,440.0) N/A 55 stable stable trend 0.8 (-1.7, 3.4)
Caroline County 6 Rural 2,155.0 (1,972.7, 2,349.8) N/A 107 stable stable trend -0.4 (-10.0, 2.5)
Goochland County 6 Urban 2,154.0 (1,976.7, 2,343.1) N/A 115 stable stable trend 4.1 (-0.7, 7.8)
Lunenburg County 6 Rural 2,153.5 (1,905.5, 2,424.8) N/A 56 stable stable trend 0.0 (-1.8, 1.8)
Greensville County 6 Rural 2,139.6 (1,828.8, 2,488.5) N/A 36 stable stable trend -0.7 (-2.8, 1.5)
Prince George County 6 Urban 2,128.2 (1,951.9, 2,316.3) N/A 111 stable stable trend -1.5 (-2.9, 0.0)
Salem City 6 Urban 2,113.6 (1,931.6, 2,308.0) N/A 101 stable stable trend 0.1 (-1.6, 1.8)
Dinwiddie County 6 Urban 2,105.2 (1,925.8, 2,296.9) N/A 104 stable stable trend -1.1 (-2.6, 0.5)
Northampton County 6 Rural 2,096.1 (1,879.2, 2,331.2) N/A 69 stable stable trend -1.0 (-2.3, 0.4)
Brunswick County 6 Rural 2,091.6 (1,877.2, 2,323.9) N/A 71 stable stable trend 0.4 (-0.4, 1.3)
Culpeper County 6 Urban 2,087.7 (1,948.0, 2,234.8) N/A 170 stable stable trend -0.9 (-2.0, 0.4)
Radford City 6 Urban 2,080.5 (1,755.6, 2,447.9) N/A 30 stable stable trend -1.1 (-2.9, 0.7)
Mecklenburg County 6 Rural 2,076.3 (1,934.4, 2,225.8) N/A 161 stable stable trend 0.5 (-0.7, 1.7)
Surry County 6 Urban 2,071.2 (1,751.3, 2,433.2) N/A 31 stable stable trend 0.7 (-0.6, 2.2)
Sussex County 6 Urban 2,052.2 (1,777.1, 2,358.1) N/A 41 stable stable trend 0.6 (-1.6, 3.0)
Spotsylvania County 6 Urban 2,052.0 (1,960.3, 2,146.9) N/A 393 falling falling trend -1.0 (-1.7, -0.2)
Henrico County 6 Urban 2,050.9 (1,995.0, 2,108.0) N/A 1,052 stable stable trend 0.9 (-0.3, 3.0)
Franklin City 6 Rural 2,047.3 (1,737.6, 2,396.5) N/A 31 stable stable trend 1.5 (-1.0, 8.2)
Botetourt County 6 Urban 2,022.1 (1,879.0, 2,173.2) N/A 152 rising rising trend 1.7 (0.6, 4.8)
Chesterfield County 6 Urban 2,008.7 (1,953.5, 2,065.1) N/A 1,061 falling falling trend -1.0 (-1.6, -0.3)
Powhatan County 6 Urban 2,008.2 (1,837.2, 2,191.0) N/A 109 falling falling trend -1.4 (-2.3, -0.3)
Suffolk City 6 Urban 2,007.3 (1,899.2, 2,119.9) N/A 266 stable stable trend 0.1 (-0.9, 1.1)
Danville City 6 Rural 2,003.8 (1,872.0, 2,142.5) N/A 175 stable stable trend -1.1 (-2.5, 0.2)
Gloucester County 6 Urban 2,001.4 (1,857.5, 2,153.6) N/A 148 stable stable trend -1.1 (-2.3, 0.1)
Richmond City 6 Urban 1,998.3 (1,924.1, 2,074.7) N/A 587 falling falling trend -0.9 (-1.3, -0.4)
Middlesex County 6 Rural 1,995.3 (1,788.3, 2,219.7) N/A 68 stable stable trend 0.0 (-1.7, 1.8)
Northumberland County 6 Rural 1,993.7 (1,809.2, 2,191.9) N/A 86 stable stable trend 7.7 (-0.2, 12.1)
Chesapeake City 6 Urban 1,990.1 (1,920.3, 2,061.7) N/A 641 stable stable trend -0.3 (-0.8, 0.2)
Wythe County 6 Rural 1,984.0 (1,826.0, 2,152.1) N/A 118 stable stable trend 1.0 (-0.1, 2.2)
Norfolk City 6 Urban 1,975.8 (1,900.8, 2,053.1) N/A 549 stable stable trend -0.1 (-0.8, 0.6)
Augusta County 6 Urban 1,973.7 (1,877.3, 2,073.7) N/A 318 stable stable trend -5.2 (-11.8, 0.3)
Winchester City 6 Urban 1,973.5 (1,791.6, 2,168.9) N/A 88 stable stable trend -0.5 (-1.5, 0.6)
Virginia Beach City 6 Urban 1,967.2 (1,918.5, 2,016.8) N/A 1,274 falling falling trend -2.1 (-5.1, -0.6)
Portsmouth City 6 Urban 1,955.6 (1,852.0, 2,063.5) N/A 275 stable stable trend -0.2 (-1.2, 0.8)
Isle of Wight County 6 Urban 1,955.5 (1,811.1, 2,108.4) N/A 140 stable stable trend -0.7 (-1.5, 0.2)
Roanoke City 6 Urban 1,947.1 (1,851.5, 2,046.4) N/A 326 stable stable trend -0.4 (-1.3, 0.5)
Westmoreland County 6 Rural 1,945.0 (1,768.2, 2,135.0) N/A 90 stable stable trend -0.6 (-1.5, 0.4)
King and Queen County 6 Urban 1,940.4 (1,631.9, 2,290.7) N/A 29 stable stable trend 0.4 (-2.1, 3.3)
Southampton County 6 Rural 1,940.4 (1,742.3, 2,155.0) N/A 71 stable stable trend -0.1 (-1.4, 1.4)
Hanover County 6 Urban 1,940.2 (1,851.7, 2,031.8) N/A 370 falling falling trend -1.3 (-4.5, -0.3)
Amherst County 6 Urban 1,936.6 (1,788.4, 2,093.8) N/A 128 stable stable trend -1.0 (-2.2, 0.2)
Stafford County 6 Urban 1,935.9 (1,838.0, 2,037.7) N/A 308 falling falling trend -1.7 (-2.5, -0.8)
King William County 6 Urban 1,931.7 (1,702.2, 2,183.9) N/A 53 stable stable trend -1.4 (-3.3, 0.5)
Franklin County 6 Urban 1,929.6 (1,821.0, 2,043.0) N/A 244 stable stable trend 0.0 (-1.0, 1.2)
Poquoson City 6 Urban 1,925.7 (1,683.5, 2,193.2) N/A 46 stable stable trend -1.1 (-2.5, 0.5)
Emporia City 6 Rural 1,923.5 (1,564.2, 2,339.8) N/A 20 stable stable trend -0.9 (-2.8, 1.1)
Prince Edward County 6 Rural 1,923.4 (1,721.0, 2,143.0) N/A 67 stable stable trend -0.2 (-1.6, 1.4)
Greene County 6 Urban 1,913.5 (1,711.6, 2,132.9) N/A 68 stable stable trend -1.3 (-3.5, 1.1)
Lynchburg City 6 Urban 1,900.5 (1,786.8, 2,019.4) N/A 212 stable stable trend -0.3 (-1.4, 0.7)
Louisa County 6 Rural 1,897.1 (1,752.9, 2,050.1) N/A 135 falling falling trend -8.1 (-21.7, -0.2)
Page County 6 Rural 1,884.4 (1,718.4, 2,062.1) N/A 96 falling falling trend -1.9 (-8.6, -0.2)
Bedford City and County 6 Urban 1,881.4 (1,788.4, 1,978.0) N/A 315 stable stable trend -1.2 (-5.3, 0.3)
Shenandoah County 6 Rural 1,873.1 (1,750.6, 2,001.9) N/A 175 stable stable trend 0.2 (-0.7, 1.2)
Roanoke County 6 Urban 1,865.2 (1,781.3, 1,951.9) N/A 377 stable stable trend -0.6 (-6.8, 1.6)
Nelson County 6 Urban 1,857.8 (1,667.5, 2,064.2) N/A 73 stable stable trend -1.1 (-2.5, 0.3)
Grayson County 6 Rural 1,856.5 (1,665.3, 2,063.7) N/A 70 stable stable trend -0.5 (-1.9, 0.9)
James City County 6 Urban 1,851.3 (1,766.9, 1,938.7) N/A 363 falling falling trend -1.5 (-4.2, -0.7)
Rockbridge County 6 Rural 1,849.8 (1,696.2, 2,013.6) N/A 108 stable stable trend -1.1 (-2.1, 0.1)
Richmond County 6 Rural 1,841.8 (1,576.6, 2,138.6) N/A 35 stable stable trend 0.7 (-0.8, 2.4)
Craig County 6 Urban 1,819.1 (1,480.9, 2,211.9) N/A 21 falling falling trend -2.8 (-12.4, -0.3)
Fluvanna County 6 Urban 1,815.9 (1,655.7, 1,987.4) N/A 97 falling falling trend -1.5 (-2.3, -0.7)
York County 6 Urban 1,812.8 (1,702.6, 1,928.3) N/A 204 falling falling trend -1.7 (-2.4, -0.8)
Cumberland County 6 Rural 1,811.4 (1,562.0, 2,089.5) N/A 39 stable stable trend -1.1 (-3.2, 1.1)
Rappahannock County 6 Urban 1,810.7 (1,551.7, 2,100.8) N/A 36 stable stable trend -0.8 (-2.2, 0.9)
Norton City 6 Rural 1,808.4 (1,372.8, 2,338.4) N/A 12 falling falling trend -2.9 (-6.0, -0.2)
Alleghany County and Clifton Forge City 6 Rural 1,807.1 (1,620.9, 2,008.8) N/A 69 stable stable trend -1.0 (-2.6, 0.6)
Campbell County 6 Urban 1,806.4 (1,695.9, 1,922.2) N/A 202 stable stable trend -1.2 (-2.4, 0.1)
Fairfax City 6 Urban 1,805.9 (1,606.4, 2,023.3) N/A 61 stable stable trend 0.0 (-1.3, 1.3)
Newport News City 6 Urban 1,804.9 (1,728.5, 1,883.9) N/A 429 falling falling trend -1.1 (-1.8, -0.3)
Buckingham County 6 Rural 1,791.9 (1,588.3, 2,014.7) N/A 58 stable stable trend -1.5 (-3.0, 0.1)
Floyd County 6 Urban 1,782.4 (1,588.4, 1,993.7) N/A 63 stable stable trend 0.1 (-1.4, 1.7)
Hampton City 6 Urban 1,779.7 (1,698.9, 1,863.4) N/A 373 falling falling trend -2.2 (-4.8, -1.5)
Pulaski County 6 Urban 1,777.9 (1,645.0, 1,918.9) N/A 135 stable stable trend -0.6 (-1.5, 0.4)
Montgomery County 6 Urban 1,761.6 (1,657.7, 1,870.3) N/A 220 stable stable trend -0.7 (-1.7, 0.5)
Rockingham County 6 Urban 1,755.3 (1,663.8, 1,850.6) N/A 279 falling falling trend -5.8 (-11.0, -0.6)
Harrisonburg City 6 Urban 1,754.0 (1,589.7, 1,930.6) N/A 87 falling falling trend -2.4 (-5.9, -1.2)
Frederick County 6 Urban 1,753.4 (1,661.0, 1,849.5) N/A 274 falling falling trend -1.6 (-2.7, -0.9)
Halifax County with South Boston City 6 Rural 1,746.8 (1,621.3, 1,879.5) N/A 145 stable stable trend 0.2 (-1.3, 1.9)
Bland County 6 Rural 1,738.8 (1,449.9, 2,069.6) N/A 26 stable stable trend -1.0 (-3.1, 1.2)
Charlottesville City 6 Urban 1,730.1 (1,571.5, 1,900.3) N/A 93 falling falling trend -1.5 (-2.7, -0.3)
Albemarle County 6 Urban 1,727.5 (1,647.8, 1,810.1) N/A 360 falling falling trend -1.7 (-2.5, -0.8)
Appomattox County 6 Urban 1,722.7 (1,525.1, 1,938.9) N/A 56 stable stable trend -0.8 (-2.4, 1.0)
Carroll County 6 Rural 1,708.8 (1,574.9, 1,851.1) N/A 122 stable stable trend -0.5 (-2.6, 1.6)
Warren County 6 Urban 1,705.3 (1,565.2, 1,854.7) N/A 113 falling falling trend -2.1 (-8.1, -0.6)
Manassas City 6 Urban 1,702.7 (1,521.6, 1,899.4) N/A 70 falling falling trend -2.8 (-4.9, -0.4)
Patrick County 6 Rural 1,698.8 (1,534.8, 1,875.6) N/A 79 stable stable trend -0.8 (-2.9, 1.3)
Madison County 6 Rural 1,679.4 (1,475.0, 1,904.4) N/A 50 stable stable trend -0.7 (-1.9, 0.5)
Falls Church City 6 Urban 1,671.5 (1,419.5, 1,955.5) N/A 33 stable stable trend -1.2 (-3.1, 0.8)
Fauquier County 6 Urban 1,652.4 (1,549.5, 1,760.5) N/A 196 stable stable trend -1.2 (-2.4, 0.2)
Henry County 6 Rural 1,649.5 (1,549.4, 1,754.4) N/A 203 falling falling trend -1.7 (-3.0, -0.3)
Loudoun County 6 Urban 1,625.6 (1,568.7, 1,684.0) N/A 633 stable stable trend 0.9 (-2.3, 5.0)
Highland County 6 Rural 1,625.1 (1,234.6, 2,099.9) N/A 12 stable stable trend 0.4 (-1.9, 3.1)
Prince William County 6 Urban 1,592.2 (1,539.7, 1,645.9) N/A 742 falling falling trend -1.6 (-2.1, -1.0)
Accomack County 6 Rural 1,579.7 (1,457.0, 1,710.1) N/A 125 falling falling trend -2.1 (-3.9, -0.3)
Smyth County 6 Rural 1,574.9 (1,442.0, 1,716.7) N/A 104 stable stable trend 0.7 (-0.7, 2.1)
Clarke County 6 Urban 1,562.6 (1,370.1, 1,774.7) N/A 49 stable stable trend -1.4 (-2.8, 0.1)
Dickenson County 6 Rural 1,556.7 (1,368.1, 1,764.3) N/A 50 falling falling trend -2.0 (-3.4, -0.7)
Manassas Park City 6 Urban 1,541.6 (1,257.4, 1,871.3) N/A 21 stable stable trend -2.5 (-6.2, 1.9)
Pittsylvania County 6 Rural 1,530.1 (1,438.4, 1,626.1) N/A 211 falling falling trend -1.9 (-2.9, -0.8)
Alexandria City 6 Urban 1,523.6 (1,441.5, 1,609.1) N/A 273 falling falling trend -1.5 (-2.6, -0.4)
Fairfax County 6 Urban 1,487.8 (1,460.1, 1,515.9) N/A 2,270 falling falling trend -1.6 (-2.1, -1.1)
Wise County 6 Rural 1,467.1 (1,336.9, 1,606.5) N/A 97 falling falling trend -3.3 (-4.6, -2.0)
Arlington County 6 Urban 1,428.6 (1,361.0, 1,498.7) N/A 350 falling falling trend -1.9 (-2.9, -1.0)
Tazewell County 6 Rural 1,350.0 (1,242.9, 1,463.9) N/A 120 falling falling trend -3.8 (-9.9, -2.6)
Russell County 6 Rural 1,337.8 (1,205.2, 1,481.2) N/A 76 falling falling trend -3.2 (-7.0, -2.1)
Washington County 6 Urban 1,335.2 (1,245.0, 1,430.2) N/A 165 falling falling trend -3.4 (-4.4, -2.6)
Lee County 6 Rural 1,279.3 (1,139.8, 1,431.4) N/A 62 falling falling trend -3.2 (-6.2, -0.4)
Buchanan County 6 Rural 1,163.5 (1,028.3, 1,311.8) N/A 54 falling falling trend -2.6 (-4.3, -0.9)
Scott County 6 Urban 1,049.0 (928.2, 1,181.3) N/A 55 falling falling trend -6.8 (-26.7, -4.3)
Bristol City 6 Urban 908.6 (775.8, 1,057.6) N/A 34 falling falling trend -9.4 (-24.3, -6.6)
Notes:
Created by statecancerprofiles.cancer.gov on 07/15/2025 7:13 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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