Incidence > Table
Incidence Rates Table
Incidence Rate Report for Virginia by County
All Cancer Sites (All Stages^), 2017-2021
All Races (includes Hispanic), Female, All Ages
Sorted by Rate
County |
2023 Rural-Urban Continuum Codes Φ |
Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval) |
CI*Rank ⋔ (95% Confidence Interval) |
Average Annual Count |
Recent Trend |
Recent 5-Year Trend ‡ in Incidence Rates (95% Confidence Interval) |
---|---|---|---|---|---|---|
Virginia 6 | N/A | 391.8 (389.4, 394.3) | N/A | 21,018 | stable | -0.1 (-0.7, 0.0) |
US (SEER+NPCR) 1 | N/A | 421.1 (420.7, 421.5) | N/A | 856,144 | stable | -0.5 (-1.2, 0.1) |
Galax City 6 | Rural | 600.7 (504.0, 712.0) | N/A | 29 | stable | 1.6 (-0.5, 3.8) |
Fredericksburg City 6 | Urban | 514.8 (461.3, 572.8) | N/A | 70 | stable | 0.8 (-0.1, 1.8) |
Williamsburg City 6 | Urban | 507.3 (431.3, 593.4) | N/A | 41 | stable | 2.5 (-5.9, 12.7) |
Martinsville City 6 | Rural | 506.3 (442.1, 577.8) | N/A | 50 | stable | 0.4 (-1.1, 1.8) |
Essex County 6 | Rural | 503.1 (433.5, 582.2) | N/A | 44 | rising | 1.8 (0.2, 3.6) |
Mathews County 6 | Urban | 500.5 (417.9, 596.9) | N/A | 38 | stable | 0.8 (-1.2, 2.8) |
Staunton City 6 | Urban | 496.7 (450.4, 546.8) | N/A | 97 | rising | 1.6 (0.3, 3.0) |
Nottoway County 6 | Rural | 496.6 (435.4, 564.7) | N/A | 54 | stable | 0.6 (-0.6, 1.8) |
Rappahannock County 6 | Urban | 493.5 (406.2, 596.3) | N/A | 29 | rising | 14.3 (5.2, 24.0) |
Hopewell City 6 | Urban | 492.4 (441.1, 548.2) | N/A | 73 | stable | 0.2 (-0.9, 1.2) |
Brunswick County 6 | Rural | 489.1 (429.4, 555.9) | N/A | 58 | rising | 2.5 (1.1, 4.1) |
Waynesboro City 6 | Urban | 487.7 (437.6, 542.3) | N/A | 76 | stable | 0.5 (-0.5, 1.6) |
Amelia County 6 | Urban | 484.6 (420.3, 557.0) | N/A | 47 | rising | 1.4 (0.1, 2.8) |
Covington City 6 | Rural | 481.9 (388.0, 593.5) | N/A | 21 | rising | 3.2 (1.2, 5.4) |
Lancaster County 6 | Rural | 479.6 (409.6, 560.3) | N/A | 55 | rising | 12.6 (1.9, 19.3) |
Mecklenburg County 6 | Rural | 478.6 (436.5, 524.0) | N/A | 123 | stable | 1.6 (0.0, 3.3) |
Giles County 6 | Urban | 477.5 (421.0, 540.2) | N/A | 60 | stable | 0.6 (-1.2, 2.5) |
Bath County 6 | Rural | 476.5 (369.4, 610.3) | N/A | 17 | rising | 3.5 (0.6, 6.9) |
Craig County 6 | Urban | 471.6 (370.4, 595.5) | N/A | 18 | stable | 1.8 (-0.6, 4.6) |
Prince George County 6 | Urban | 464.4 (422.2, 509.7) | N/A | 95 | stable | 0.1 (-1.2, 1.4) |
Wythe County 6 | Rural | 464.0 (421.7, 509.7) | N/A | 99 | rising | 2.1 (0.8, 3.5) |
Petersburg City 6 | Urban | 462.0 (421.2, 505.8) | N/A | 107 | stable | 0.8 (-0.4, 2.1) |
Richmond County 6 | Rural | 461.2 (377.3, 559.7) | N/A | 28 | rising | 2.0 (0.1, 4.0) |
Salem City 6 | Urban | 460.6 (414.0, 511.2) | N/A | 82 | rising | 1.2 (0.1, 2.3) |
King George County 6 | Rural | 460.3 (411.6, 513.4) | N/A | 68 | stable | 0.3 (-1.3, 2.0) |
Northampton County 6 | Rural | 459.2 (393.1, 534.3) | N/A | 49 | stable | -0.7 (-2.6, 1.0) |
New Kent County 6 | Urban | 458.1 (408.4, 512.6) | N/A | 70 | stable | 1.0 (-0.3, 2.5) |
Prince Edward County 6 | Rural | 457.4 (400.4, 520.4) | N/A | 56 | stable | 1.0 (-0.5, 2.5) |
Roanoke City 6 | Urban | 455.4 (432.0, 479.7) | N/A | 313 | stable | 0.7 (-0.1, 1.5) |
Danville City 6 | Rural | 453.3 (419.0, 490.0) | N/A | 153 | stable | 0.5 (-0.8, 1.8) |
Augusta County 6 | Urban | 452.6 (426.4, 480.0) | N/A | 256 | stable | 1.0 (-0.2, 2.2) |
Alleghany County and Clifton Forge City 6 | Rural | 451.7 (394.6, 515.7) | N/A | 56 | stable | 0.4 (-1.2, 2.1) |
Spotsylvania County 6 | Urban | 450.1 (429.2, 471.8) | N/A | 368 | stable | 0.5 (-0.2, 1.3) |
Franklin County 6 | Urban | 449.2 (418.2, 482.2) | N/A | 190 | rising | 1.4 (0.3, 2.5) |
Lexington City 6 | Rural | 447.1 (348.4, 567.6) | N/A | 18 | rising | 3.7 (1.2, 6.7) |
Orange County 6 | Rural | 443.2 (406.3, 482.8) | N/A | 120 | stable | -0.1 (-0.9, 0.7) |
Goochland County 6 | Urban | 441.0 (397.0, 489.3) | N/A | 85 | stable | 0.7 (0.0, 1.5) |
Lunenburg County 6 | Rural | 436.9 (370.6, 512.7) | N/A | 39 | stable | 0.9 (-0.8, 2.6) |
Westmoreland County 6 | Rural | 435.4 (383.6, 492.9) | N/A | 66 | stable | 0.5 (-0.7, 1.8) |
Sussex County 6 | Urban | 433.9 (360.9, 518.6) | N/A | 30 | stable | 1.7 (-0.1, 3.7) |
Greensville County 6 | Rural | 430.8 (355.5, 518.7) | N/A | 26 | stable | 1.1 (-1.6, 4.1) |
Norfolk City 6 | Urban | 429.5 (412.8, 446.7) | N/A | 538 | stable | 0.1 (-0.4, 0.5) |
Culpeper County 6 | Urban | 428.8 (396.4, 463.3) | N/A | 138 | stable | -0.5 (-1.7, 0.7) |
Henrico County 6 | Urban | 427.4 (414.9, 440.2) | N/A | 941 | rising | 0.6 (0.1, 1.1) |
Virginia Beach City 6 | Urban | 426.7 (415.6, 438.0) | N/A | 1,185 | stable | -1.3 (-4.2, 0.0) |
Dinwiddie County 6 | Urban | 426.7 (385.2, 471.8) | N/A | 85 | stable | -0.1 (-1.1, 1.0) |
Roanoke County 6 | Urban | 425.9 (403.6, 449.3) | N/A | 311 | stable | 0.9 (-0.1, 2.0) |
Buena Vista City 6 | Rural | 425.6 (342.2, 524.5) | N/A | 21 | stable | 0.7 (-2.0, 3.5) |
Chesapeake City 6 | Urban | 424.7 (409.5, 440.3) | N/A | 619 | rising | 0.8 (0.1, 1.5) |
Highland County 6 | Rural | 423.9 (250.2, 673.9) | N/A | 7 | stable | 1.3 (-2.3, 4.8) |
Cumberland County 6 | Rural | 422.8 (354.8, 501.4) | N/A | 32 | stable | 0.4 (-1.6, 2.5) |
Colonial Heights City 6 | Urban | 421.5 (371.4, 476.9) | N/A | 57 | stable | 0.4 (-0.8, 1.6) |
Caroline County 6 | Rural | 420.1 (379.7, 463.9) | N/A | 85 | stable | 0.4 (-0.9, 1.9) |
King and Queen County 6 | Urban | 419.3 (338.5, 516.5) | N/A | 22 | stable | 1.7 (-0.6, 4.2) |
Poquoson City 6 | Urban | 418.9 (357.0, 489.4) | N/A | 36 | stable | -0.4 (-2.3, 1.6) |
Emporia City 6 | Rural | 418.9 (329.8, 525.8) | N/A | 17 | stable | -0.3 (-3.2, 2.7) |
Lynchburg City 6 | Urban | 418.1 (390.1, 447.7) | N/A | 186 | stable | 0.7 (-0.2, 1.5) |
Botetourt County 6 | Urban | 416.7 (380.2, 456.2) | N/A | 111 | rising | 1.3 (0.1, 2.5) |
Franklin City 6 | Rural | 416.7 (345.7, 499.4) | N/A | 27 | stable | 0.8 (-0.8, 2.5) |
Charles City County 6 | Urban | 415.6 (340.5, 506.2) | N/A | 26 | stable | -0.4 (-8.6, 2.3) |
Charlotte County 6 | Rural | 414.8 (351.7, 487.1) | N/A | 37 | stable | 1.3 (-1.0, 3.6) |
Suffolk City 6 | Urban | 414.7 (390.9, 439.6) | N/A | 238 | stable | 0.7 (-0.2, 1.8) |
Northumberland County 6 | Rural | 414.0 (355.9, 481.6) | N/A | 54 | stable | 0.6 (-1.2, 2.5) |
Bedford City and County 6 | Urban | 413.3 (388.9, 438.9) | N/A | 250 | stable | -0.5 (-4.6, 0.5) |
Hanover County 6 | Urban | 413.2 (392.2, 435.1) | N/A | 315 | stable | 0.2 (-0.7, 1.1) |
Campbell County 6 | Urban | 412.2 (383.1, 443.2) | N/A | 169 | stable | 0.1 (-0.6, 0.9) |
Rockbridge County 6 | Rural | 410.3 (366.4, 458.7) | N/A | 78 | stable | 0.2 (-1.2, 1.7) |
Portsmouth City 6 | Urban | 410.2 (387.0, 434.4) | N/A | 252 | stable | 0.2 (-0.4, 0.9) |
Middlesex County 6 | Rural | 409.8 (344.8, 485.6) | N/A | 42 | stable | -1.3 (-4.7, 0.2) |
Fluvanna County 6 | Urban | 409.7 (369.5, 453.5) | N/A | 83 | stable | -9.2 (-21.7, 0.4) |
Amherst County 6 | Urban | 409.5 (371.6, 450.5) | N/A | 98 | stable | 0.6 (-0.4, 1.6) |
Chesterfield County 6 | Urban | 409.4 (397.4, 421.8) | N/A | 923 | stable | 0.1 (-0.5, 0.8) |
Grayson County 6 | Rural | 409.1 (353.2, 472.3) | N/A | 49 | stable | 0.4 (-1.5, 2.3) |
Winchester City 6 | Urban | 408.9 (366.3, 455.2) | N/A | 72 | stable | 0.4 (-1.2, 2.0) |
Floyd County 6 | Urban | 406.7 (351.5, 468.9) | N/A | 46 | stable | 0.0 (-1.5, 1.5) |
Radford City 6 | Urban | 404.4 (335.5, 483.4) | N/A | 26 | stable | -1.9 (-4.5, 0.6) |
Henry County 6 | Rural | 404.3 (374.5, 436.0) | N/A | 168 | stable | 0.7 (-0.3, 1.7) |
Isle of Wight County 6 | Urban | 403.9 (368.9, 441.7) | N/A | 110 | stable | 0.2 (-0.9, 1.4) |
Stafford County 6 | Urban | 403.6 (383.4, 424.6) | N/A | 313 | stable | -0.3 (-1.0, 0.5) |
Gloucester County 6 | Urban | 403.5 (369.1, 440.5) | N/A | 114 | stable | 0.1 (-1.1, 1.4) |
King William County 6 | Urban | 403.2 (351.1, 461.5) | N/A | 46 | stable | -0.2 (-2.1, 1.9) |
Louisa County 6 | Rural | 400.4 (364.2, 439.4) | N/A | 105 | falling | -3.9 (-11.6, -0.4) |
Richmond City 6 | Urban | 400.3 (384.4, 416.8) | N/A | 520 | falling | -1.2 (-3.8, -0.4) |
Halifax County with South Boston City 6 | Rural | 396.9 (361.1, 435.6) | N/A | 111 | stable | 1.3 (-0.1, 2.8) |
Warren County 6 | Urban | 396.3 (361.6, 433.6) | N/A | 105 | stable | -0.8 (-5.8, 0.5) |
Carroll County 6 | Rural | 396.1 (357.3, 438.5) | N/A | 93 | stable | 1.1 (-1.0, 3.4) |
Fairfax City 6 | Urban | 395.4 (350.0, 445.3) | N/A | 58 | stable | 0.6 (-0.7, 2.0) |
Frederick County 6 | Urban | 395.0 (371.9, 419.3) | N/A | 235 | stable | -0.4 (-1.1, 0.4) |
Powhatan County 6 | Urban | 394.5 (354.4, 438.4) | N/A | 79 | stable | -0.7 (-1.8, 0.5) |
Page County 6 | Rural | 392.7 (350.5, 439.1) | N/A | 71 | stable | 0.0 (-2.1, 2.2) |
Buckingham County 6 | Rural | 392.3 (338.3, 453.4) | N/A | 44 | stable | -0.3 (-2.0, 1.4) |
Bland County 6 | Rural | 392.3 (309.7, 494.1) | N/A | 19 | stable | 0.6 (-2.7, 4.0) |
Rockingham County 6 | Urban | 390.0 (366.1, 415.2) | N/A | 221 | falling | -7.4 (-12.3, -1.5) |
Newport News City 6 | Urban | 387.6 (370.6, 405.2) | N/A | 414 | stable | -0.2 (-1.0, 0.6) |
Southampton County 6 | Rural | 387.0 (338.1, 441.8) | N/A | 51 | stable | 1.3 (-0.3, 2.9) |
Patrick County 6 | Rural | 386.9 (338.7, 441.1) | N/A | 58 | stable | 0.9 (-1.7, 3.6) |
Pulaski County 6 | Urban | 378.9 (343.8, 417.1) | N/A | 100 | stable | 0.5 (-0.8, 1.7) |
Shenandoah County 6 | Rural | 377.7 (346.2, 411.5) | N/A | 122 | stable | 0.7 (-0.5, 1.8) |
Dickenson County 6 | Rural | 374.3 (320.9, 435.1) | N/A | 40 | stable | -1.4 (-3.2, 0.3) |
Manassas City 6 | Urban | 373.4 (335.5, 414.5) | N/A | 75 | stable | -1.2 (-2.6, 0.4) |
Surry County 6 | Urban | 372.4 (297.2, 464.1) | N/A | 21 | falling | -3.1 (-6.5, -1.0) |
Hampton City 6 | Urban | 371.4 (352.8, 390.8) | N/A | 325 | stable | -0.5 (-1.2, 0.1) |
James City County 6 | Urban | 371.2 (348.5, 395.1) | N/A | 244 | falling | -1.5 (-3.1, -0.6) |
Smyth County 6 | Rural | 370.9 (334.4, 410.7) | N/A | 87 | stable | 1.3 (-0.5, 3.2) |
York County 6 | Urban | 369.9 (344.3, 397.1) | N/A | 164 | stable | -0.5 (-1.9, 0.9) |
Madison County 6 | Rural | 368.7 (314.1, 430.9) | N/A | 39 | stable | 0.4 (-1.0, 1.8) |
Falls Church City 6 | Urban | 366.6 (310.9, 429.9) | N/A | 32 | stable | -0.9 (-2.8, 1.1) |
Fauquier County 6 | Urban | 364.4 (339.3, 391.0) | N/A | 169 | stable | -0.7 (-1.7, 0.3) |
Accomack County 6 | Rural | 363.5 (328.4, 401.6) | N/A | 97 | stable | -0.6 (-1.9, 0.7) |
Appomattox County 6 | Urban | 360.9 (311.4, 416.8) | N/A | 43 | stable | -1.0 (-2.7, 0.8) |
Wise County 6 | Rural | 359.9 (325.2, 397.7) | N/A | 88 | falling | -3.8 (-7.4, -2.5) |
Albemarle County 6 | Urban | 359.7 (339.9, 380.5) | N/A | 277 | falling | -6.7 (-12.7, -1.3) |
Loudoun County 6 | Urban | 359.2 (347.4, 371.4) | N/A | 724 | stable | -0.7 (-1.3, 0.0) |
Pittsylvania County 6 | Rural | 358.9 (332.8, 386.8) | N/A | 170 | stable | -0.2 (-1.1, 0.6) |
Manassas Park City 6 | Urban | 358.2 (299.0, 425.6) | N/A | 27 | stable | -1.0 (-3.1, 1.4) |
Norton City 6 | Rural | 356.2 (259.1, 481.0) | N/A | 10 | falling | -2.8 (-4.7, -1.0) |
Greene County 6 | Urban | 356.2 (311.0, 406.5) | N/A | 49 | falling | -4.0 (-15.5, -0.9) |
Nelson County 6 | Urban | 356.0 (306.6, 412.4) | N/A | 47 | falling | -7.9 (-24.6, -0.6) |
Harrisonburg City 6 | Urban | 347.3 (311.6, 385.9) | N/A | 74 | stable | -0.5 (-1.7, 0.6) |
Alexandria City 6 | Urban | 346.4 (328.6, 364.9) | N/A | 300 | stable | -0.7 (-1.8, 0.3) |
Charlottesville City 6 | Urban | 345.9 (312.3, 382.3) | N/A | 82 | stable | -0.8 (-2.1, 0.5) |
Prince William County 6 | Urban | 345.6 (334.8, 356.7) | N/A | 811 | stable | -0.7 (-1.4, 0.0) |
Montgomery County 6 | Urban | 341.6 (318.4, 366.2) | N/A | 171 | stable | -0.9 (-2.1, 0.3) |
Fairfax County 6 | Urban | 337.5 (331.1, 343.9) | N/A | 2,225 | falling | -0.7 (-1.2, -0.1) |
Washington County 6 | Urban | 332.4 (306.4, 360.2) | N/A | 143 | falling | -2.0 (-3.3, -0.9) |
Tazewell County 6 | Rural | 329.2 (298.5, 362.5) | N/A | 101 | stable | -1.5 (-3.3, 0.1) |
Arlington County 6 | Urban | 322.5 (307.6, 337.9) | N/A | 367 | falling | -3.7 (-7.9, -1.8) |
Russell County 6 | Rural | 316.3 (280.1, 356.4) | N/A | 64 | stable | -1.6 (-3.6, 0.3) |
Clarke County 6 | Urban | 315.8 (268.6, 370.0) | N/A | 36 | stable | -1.5 (-3.6, 0.5) |
Lee County 6 | Rural | 314.6 (275.5, 358.6) | N/A | 53 | stable | -2.2 (-5.2, 0.6) |
Buchanan County 6 | Rural | 314.4 (272.7, 361.5) | N/A | 49 | stable | -1.3 (-3.3, 0.6) |
Scott County 6 | Urban | 281.1 (243.3, 323.9) | N/A | 47 | falling | -2.8 (-5.9, -0.1) |
Bristol City 6 | Urban | 271.5 (229.1, 320.1) | N/A | 34 | stable | -2.9 (-6.8, 0.3) |
Notes:
Created by statecancerprofiles.cancer.gov on 12/11/2024 9:20 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.
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.
Created by statecancerprofiles.cancer.gov on 12/11/2024 9:20 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.
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.