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Incidence Rates Table

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Incidence Rate Report for Virginia by County

All Cancer Sites (All Stages^), 2014-2018

All Races (includes Hispanic), Male, All Ages

Sorted by Rate
County
 sort alphabetically by name ascending
Met Healthy People Objective of ***?
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 *** 439.2 (436.3, 442.0) N/A 19,840 falling falling trend -1.2 (-2.2, -0.2)
US (SEER+NPCR) 1 *** 487.4 (486.9, 487.8) N/A 859,984 falling falling trend -1.1 (-1.7, -0.5)
Bristol City 6 *** 227.1 (186.8, 273.9) 133 (127, 133) 23 falling falling trend -11.1 (-15.7, -6.2)
Scott County 6 *** 230.4 (197.5, 267.8) 132 (127, 133) 38 falling falling trend -5.1 (-8.1, -2.1)
Lee County 6 *** 246.9 (212.7, 285.5) 131 (126, 133) 40 falling falling trend -5.2 (-7.5, -2.7)
Buchanan County 6 *** 258.9 (223.7, 298.9) 130 (125, 133) 42 falling falling trend -3.9 (-5.7, -2.1)
Russell County 6 *** 275.3 (241.3, 313.2) 129 (122, 133) 52 falling falling trend -9.4 (-12.4, -6.3)
Smyth County 6 *** 286.7 (255.0, 321.6) 128 (119, 133) 63 falling falling trend -24.3 (-36.6, -9.6)
Manassas Park City 6 *** 310.9 (242.3, 391.5) 127 (84, 133) 18 falling falling trend -4.8 (-9.0, -0.3)
Tazewell County 6 *** 319.6 (289.7, 352.0) 126 (113, 130) 91 falling falling trend -2.9 (-4.9, -0.8)
Fairfax County 6 *** 332.9 (326.0, 339.9) 125 (118, 127) 1,896 falling falling trend -2.7 (-3.4, -2.0)
Arlington County 6 *** 334.2 (317.2, 351.9) 124 (115, 128) 321 falling falling trend -2.7 (-3.8, -1.6)
Dickenson County 6 *** 334.6 (284.8, 391.5) 123 (92, 131) 35 falling falling trend -4.0 (-6.3, -1.7)
Washington County 6 *** 336.1 (309.8, 364.2) 122 (110, 128) 131 falling falling trend -3.6 (-5.2, -1.9)
Alexandria City 6 *** 343.5 (322.5, 365.5) 121 (112, 127) 226 falling falling trend -2.9 (-3.9, -1.9)
Bland County 6 *** 349.7 (279.6, 435.2) 120 (61, 132) 18 stable stable trend -2.8 (-6.1, 0.6)
Wise County 6 *** 358.0 (323.6, 395.3) 119 (97, 127) 85 falling falling trend -3.7 (-5.4, -2.0)
Patrick County 6 *** 359.2 (314.3, 409.9) 118 (89, 128) 51 falling falling trend -2.6 (-4.7, -0.4)
Carroll County 6 *** 359.7 (323.9, 398.8) 117 (98, 127) 82 stable stable trend -2.2 (-4.4, 0.0)
Prince William County 6 *** 363.4 (349.8, 377.3) 116 (109, 122) 655 stable stable trend -1.2 (-3.5, 1.1)
Fairfax City 6 *** 364.0 (317.1, 416.1) 115 (79, 128) 46 stable stable trend -1.8 (-4.0, 0.4)
Loudoun County 6 *** 374.6 (360.0, 389.7) 114 (104, 120) 570 falling falling trend -2.3 (-3.2, -1.4)
Grayson County 6 *** 381.6 (332.0, 437.4) 113 (65, 127) 47 falling falling trend -2.5 (-4.0, -0.9)
Rappahannock County 6 *** 393.6 (319.3, 482.8) 112 (29, 130) 24 falling falling trend -2.8 (-4.6, -1.1)
Clarke County 6 *** 398.8 (343.8, 461.1) 111 (49, 127) 42 falling falling trend -1.7 (-3.0, -0.4)
Frederick County 6 *** 400.6 (376.1, 426.3) 110 (84, 118) 207 falling falling trend -3.5 (-4.2, -2.8)
Henry County 6 *** 401.0 (372.3, 431.5) 109 (77, 119) 155 falling falling trend -2.7 (-4.3, -1.0)
Pittsylvania County 6 *** 402.2 (375.4, 430.7) 108 (80, 119) 182 stable stable trend -6.8 (-22.5, 12.2)
Botetourt County 6 *** 404.2 (367.5, 444.0) 107 (68, 122) 100 falling falling trend -2.2 (-3.8, -0.5)
Winchester City 6 *** 407.4 (361.7, 457.4) 106 (48, 124) 61 falling falling trend -2.5 (-4.0, -1.0)
Wythe County 6 *** 413.8 (374.2, 457.0) 105 (55, 120) 85 falling falling trend -1.6 (-2.7, -0.4)
York County 6 *** 416.2 (387.2, 446.9) 104 (70, 116) 161 falling falling trend -2.6 (-3.7, -1.5)
Franklin County 6 *** 417.7 (388.5, 448.8) 103 (67, 116) 173 falling falling trend -2.1 (-3.2, -1.0)
Craig County 6 *** 418.4 (326.4, 531.9) 102 (17, 129) 16 stable stable trend 0.8 (-2.0, 3.7)
Greene County 6 *** 421.1 (367.7, 480.5) 101 (39, 123) 48 falling falling trend -2.3 (-3.9, -0.6)
Montgomery County 6 *** 423.0 (394.8, 452.7) 100 (65, 115) 176 falling falling trend -1.4 (-2.6, -0.3)
Appomattox County 6 *** 424.4 (367.8, 487.9) 99 (36, 125) 44 stable stable trend -1.6 (-4.1, 0.9)
Fauquier County 6 *** 425.5 (396.6, 456.0) 98 (64, 114) 177 falling falling trend -2.1 (-3.2, -1.0)
Albemarle County 6 *** 426.6 (403.3, 450.9) 97 (69, 113) 264 falling falling trend -2.0 (-2.7, -1.2)
Norton City 6 *** 429.6 (312.8, 577.2) 96 (9, 133) 9 stable stable trend -2.4 (-5.8, 1.2)
Rockbridge County 6 *** 430.5 (386.6, 478.9) 95 (43, 119) 79 stable stable trend -1.9 (-3.7, 0.1)
Powhatan County 6 *** 431.0 (388.6, 477.2) 94 (44, 117) 84 falling falling trend -3.0 (-4.5, -1.6)
Rockingham County 6 *** 432.2 (406.3, 459.3) 93 (61, 111) 218 falling falling trend -3.4 (-4.8, -1.9)
Warren County 6 *** 435.0 (395.7, 477.4) 92 (47, 116) 99 stable stable trend -1.3 (-2.7, 0.1)
Floyd County 6 *** 435.6 (379.6, 498.3) 91 (29, 120) 48 stable stable trend -0.8 (-2.1, 0.6)
Pulaski County 6 *** 435.9 (398.5, 476.2) 90 (43, 114) 109 falling falling trend -1.9 (-2.8, -0.9)
Campbell County 6 *** 437.1 (406.1, 470.0) 89 (50, 112) 156 falling falling trend -2.7 (-4.0, -1.4)
Falls Church City 6 *** 441.4 (368.5, 524.1) 88 (19, 125) 29 stable stable trend -0.3 (-2.7, 2.0)
Manassas City 6 *** 444.8 (393.8, 500.0) 87 (32, 117) 69 falling falling trend -2.9 (-4.6, -1.2)
Bedford City and County 6 *** 449.2 (423.2, 476.5) 86 (52, 106) 247 falling falling trend -1.6 (-2.7, -0.4)
Madison County 6 *** 450.6 (390.2, 518.8) 85 (21, 118) 43 stable stable trend -0.5 (-1.9, 0.9)
Page County 6 *** 450.7 (404.9, 500.9) 84 (32, 115) 76 stable stable trend -0.6 (-1.9, 0.8)
Northumberland County 6 *** 451.6 (396.0, 515.6) 83 (22, 116) 62 falling falling trend -13.9 (-20.6, -6.6)
Buckingham County 6 *** 453.2 (399.1, 513.2) 82 (25, 117) 54 stable stable trend -0.9 (-2.9, 1.2)
Shenandoah County 6 *** 454.1 (419.8, 490.7) 81 (37, 110) 137 stable stable trend -0.5 (-1.7, 0.8)
Spotsylvania County 6 *** 454.2 (430.7, 478.7) 80 (52, 102) 304 falling falling trend -3.2 (-3.9, -2.4)
Stafford County 6 *** 454.6 (429.4, 480.9) 79 (46, 103) 284 falling falling trend -2.6 (-3.5, -1.7)
Roanoke County 6 *** 455.8 (431.7, 481.1) 78 (48, 101) 282 stable stable trend -0.7 (-1.7, 0.3)
Isle of Wight County 6 *** 456.4 (417.2, 498.7) 77 (34, 112) 109 falling falling trend -1.8 (-3.0, -0.6)
Amherst County 6 *** 458.7 (418.0, 502.6) 76 (32, 111) 100 falling falling trend -2.7 (-4.4, -1.1)
Cumberland County 6 *** 462.6 (391.9, 544.0) 75 (19, 120) 33 stable stable trend -1.7 (-4.4, 1.1)
Augusta County 6 *** 464.9 (438.7, 492.4) 74 (39, 98) 248 falling falling trend -9.5 (-15.4, -3.3)
Poquoson City 6 *** 465.6 (398.7, 541.3) 73 (16, 118) 37 stable stable trend -1.4 (-3.5, 0.7)
Charlotte County 6 *** 465.7 (400.8, 539.2) 72 (18, 118) 40 stable stable trend -1.0 (-2.7, 0.8)
Fluvanna County 6 *** 467.8 (421.2, 518.6) 71 (25, 110) 79 falling falling trend -1.7 (-3.0, -0.3)
Prince George County 6 *** 471.8 (429.5, 517.3) 70 (26, 106) 99 falling falling trend -2.8 (-4.7, -0.9)
Harrisonburg City 6 *** 472.7 (427.0, 521.6) 69 (25, 110) 83 stable stable trend -0.4 (-2.1, 1.4)
Hanover County 6 *** 474.5 (450.0, 500.0) 68 (36, 92) 302 falling falling trend -2.2 (-2.7, -1.7)
King George County 6 *** 474.7 (420.2, 534.1) 67 (22, 113) 61 stable stable trend -1.2 (-3.1, 0.7)
Westmoreland County 6 *** 475.4 (421.3, 535.3) 66 (21, 112) 65 stable stable trend -11.1 (-24.5, 4.7)
Richmond City 6 *** 478.0 (458.5, 498.1) 65 (39, 86) 502 falling falling trend -3.7 (-4.8, -2.7)
Middlesex County 6 *** 478.3 (418.3, 547.3) 64 (16, 112) 51 stable stable trend -1.1 (-2.6, 0.3)
Chesapeake City 6 *** 479.3 (460.7, 498.4) 63 (39, 87) 553 falling falling trend -1.6 (-2.4, -0.8)
Dinwiddie County 6 *** 481.3 (434.2, 532.5) 62 (21, 105) 83 falling falling trend -2.3 (-3.6, -1.0)
Culpeper County 6 *** 482.1 (445.4, 521.0) 61 (25, 99) 136 falling falling trend -1.4 (-2.5, -0.3)
Giles County 6 *** 482.4 (425.8, 545.1) 60 (18, 111) 57 falling falling trend -1.8 (-3.3, -0.2)
Chesterfield County 6 *** 483.0 (467.8, 498.5) 59 (40, 80) 852 falling falling trend -2.0 (-2.7, -1.4)
Amelia County 6 *** 484.5 (418.1, 559.3) 58 (15, 115) 42 stable stable trend -1.5 (-3.7, 0.8)
Bath County 6 *** 485.7 (383.3, 612.6) 57 (6, 125) 18 stable stable trend -0.7 (-3.8, 2.5)
King and Queen County 6 *** 486.2 (400.0, 587.4) 56 (10, 121) 25 stable stable trend 0.1 (-2.1, 2.3)
Caroline County 6 *** 487.7 (440.9, 538.4) 55 (20, 104) 85 stable stable trend -1.8 (-3.5, 0.0)
Orange County 6 *** 489.9 (450.1, 532.7) 54 (21, 96) 117 rising rising trend 6.7 (4.0, 9.4)
Newport News City 6 *** 491.4 (469.2, 514.3) 53 (31, 82) 396 falling falling trend -1.8 (-2.5, -1.1)
Henrico County 6 *** 494.6 (479.0, 510.6) 52 (33, 73) 810 falling falling trend -2.4 (-3.5, -1.3)
Danville City 6 *** 494.7 (454.6, 537.6) 51 (21, 95) 121 falling falling trend -1.4 (-2.5, -0.3)
James City County 6 *** 494.9 (468.0, 523.0) 50 (26, 82) 277 stable stable trend -0.8 (-1.8, 0.2)
Lunenburg County 6 *** 495.9 (430.8, 569.0) 49 (13, 110) 45 stable stable trend -1.5 (-3.0, 0.0)
Alleghany County and Clifton Forge City 6 *** 496.5 (437.9, 561.8) 48 (15, 108) 59 stable stable trend -0.7 (-3.6, 2.2)
Louisa County 6 *** 497.0 (456.5, 540.4) 47 (20, 93) 123 falling falling trend -1.6 (-2.7, -0.4)
Lancaster County 6 *** 499.6 (433.5, 576.0) 46 (14, 108) 54 stable stable trend -0.3 (-2.1, 1.6)
Virginia Beach City 6 *** 501.2 (487.6, 515.0) 45 (33, 65) 1,090 falling falling trend -0.6 (-1.0, -0.2)
Hampton City 6 *** 502.4 (478.5, 527.3) 44 (26, 75) 355 falling falling trend -4.0 (-6.2, -1.8)
Charles City County 6 *** 504.8 (416.4, 609.3) 43 (7, 118) 28 stable stable trend -0.5 (-3.2, 2.3)
Suffolk City 6 *** 507.2 (477.3, 538.6) 42 (22, 78) 234 falling falling trend -0.9 (-1.7, -0.2)
Halifax County with South Boston City 6 *** 509.1 (468.9, 552.2) 41 (18, 85) 130 stable stable trend -0.2 (-1.7, 1.3)
Southampton County 6 *** 511.3 (456.2, 572.1) 40 (15, 100) 69 stable stable trend -0.4 (-1.9, 1.1)
Mathews County 6 *** 512.2 (438.8, 597.5) 39 (9, 110) 42 stable stable trend 0.5 (-1.8, 2.9)
Accomack County 6 *** 514.3 (473.3, 558.4) 38 (17, 84) 126 stable stable trend -0.8 (-2.2, 0.7)
Mecklenburg County 6 *** 515.6 (473.7, 560.8) 37 (16, 85) 125 stable stable trend -0.3 (-1.2, 0.5)
New Kent County 6 *** 520.6 (463.9, 582.7) 36 (13, 94) 72 stable stable trend -1.6 (-3.6, 0.5)
Prince Edward County 6 *** 523.1 (465.5, 586.2) 35 (13, 96) 64 stable stable trend -1.4 (-2.9, 0.2)
Emporia City 6 *** 524.0 (412.0, 658.4) 34 (3, 122) 16 falling falling trend -3.9 (-6.4, -1.4)
Norfolk City 6 *** 524.9 (504.0, 546.5) 33 (21, 56) 519 stable stable trend -0.4 (-0.9, 0.0)
Lynchburg City 6 *** 529.7 (495.6, 565.5) 32 (16, 72) 187 rising rising trend 5.6 (0.2, 11.3)
Radford City 6 *** 530.2 (445.2, 626.3) 31 (6, 110) 29 stable stable trend 0.4 (-2.2, 3.1)
Brunswick County 6 *** 530.7 (472.0, 595.4) 30 (11, 90) 62 falling falling trend -1.5 (-2.7, -0.3)
Portsmouth City 6 *** 538.4 (508.2, 569.8) 29 (15, 57) 253 falling falling trend -1.1 (-2.0, -0.2)
Roanoke City 6 *** 539.5 (510.8, 569.5) 28 (16, 56) 285 stable stable trend 6.9 (-2.0, 16.5)
Salem City 6 *** 541.5 (488.4, 599.0) 27 (12, 80) 81 stable stable trend 0.9 (-1.0, 2.9)
Charlottesville City 6 *** 543.5 (494.7, 595.7) 26 (12, 76) 100 stable stable trend 10.6 (-5.5, 29.5)
Goochland County 6 *** 545.0 (493.4, 601.2) 25 (9, 77) 93 falling falling trend -1.5 (-2.8, -0.1)
Nelson County 6 *** 547.8 (485.0, 617.8) 24 (8, 84) 65 stable stable trend -1.2 (-2.4, 0.1)
Surry County 6 *** 551.5 (457.3, 662.4) 23 (3, 107) 27 stable stable trend 0.1 (-1.9, 2.0)
Gloucester County 6 *** 552.4 (510.3, 597.2) 22 (12, 62) 139 stable stable trend -0.7 (-1.6, 0.2)
Fredericksburg City 6 *** 562.2 (500.4, 629.4) 21 (7, 77) 64 falling falling trend -1.9 (-3.4, -0.3)
Nottoway County 6 *** 581.5 (516.4, 653.1) 20 (5, 63) 60 stable stable trend -0.8 (-2.1, 0.5)
King William County 6 *** 590.4 (520.9, 667.0) 19 (4, 64) 57 falling falling trend -1.7 (-3.1, -0.2)
Martinsville City 6 *** 596.4 (517.4, 684.7) 18 (3, 73) 44 rising rising trend 21.0 (7.5, 36.3)
Essex County 6 *** 604.1 (528.0, 689.7) 17 (3, 65) 49 rising rising trend 5.2 (1.0, 9.5)
Williamsburg City 6 *** 612.5 (532.7, 702.2) 16 (3, 62) 45 stable stable trend 12.7 (-5.8, 34.8)
Colonial Heights City 6 *** 617.6 (550.5, 691.1) 15 (3, 45) 64 stable stable trend 0.4 (-1.0, 1.7)
Covington City 6 *** 620.5 (506.6, 754.8) 14 (1, 97) 22 rising rising trend 3.1 (0.7, 5.5)
Greensville County 6 *** 621.1 (540.1, 711.4) 13 (2, 58) 48 stable stable trend -0.7 (-2.6, 1.2)
Buena Vista City 6 *** 628.7 (516.2, 760.2) 12 (1, 85) 23 stable stable trend 0.1 (-1.8, 2.1)
Sussex County 6 *** 630.0 (549.7, 719.5) 11 (2, 49) 47 stable stable trend 0.6 (-1.3, 2.6)
Staunton City 6 *** 637.1 (580.5, 698.3) 10 (3, 29) 99 rising rising trend 9.9 (4.5, 15.6)
Northampton County 6 *** 641.0 (565.6, 725.0) 9 (2, 40) 60 stable stable trend 0.1 (-0.6, 0.9)
Hopewell City 6 *** 659.2 (592.5, 731.5) 8 (2, 30) 75 stable stable trend 0.0 (-1.5, 1.5)
Waynesboro City 6 *** 680.3 (616.4, 749.4) 7 (1, 20) 85 stable stable trend 1.3 (-0.6, 3.3)
Petersburg City 6 *** 681.4 (624.1, 742.6) 6 (2, 19) 113 stable stable trend -0.1 (-1.7, 1.5)
Galax City 6 *** 707.8 (591.9, 841.0) 5 (1, 42) 27 stable stable trend 2.4 (-0.9, 5.8)
Franklin City 6 *** 709.3 (601.5, 831.8) 4 (1, 33) 33 stable stable trend -0.1 (-2.2, 2.2)
Highland County 6 *** 720.6 (532.0, 967.6) 3 (1, 100) 15 stable stable trend 2.3 (-1.9, 6.7)
Richmond County 6 *** 806.8 (709.1, 915.5) 2 (1, 11) 50 rising rising trend 28.6 (7.0, 54.5)
Lexington City 6 *** 867.3 (718.2, 1,039.9) 1 (1, 15) 26 rising rising trend 37.4 (12.2, 68.2)
Notes:
Created by statecancerprofiles.cancer.gov on 12/02/2021 2:12 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 1969-2018 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.
*** No Healthy People 2020 Objective for this cancer.
Healthy People 2020 Objectives provided by the Centers for Disease Control and Prevention.


1 Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database (2001-2018) - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2020 submission.
6 Source: National Program of Cancer Registries SEER*Stat Database (2001-2018) - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2020 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 1969-2018 US Population Data File is used with SEER November 2020 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 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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