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Incidence Rates Table

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Incidence Rate Report for Virginia by County

Colon & Rectum (All Stages^), 2017-2021

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

Sorted by CI*Rank

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 descending 		CI*Rank ⋔
(95% Confidence Interval)
sort by CI rank ascending 		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 33.8 (33.3, 34.3) N/A 3,401 falling falling trend -1.1 (-1.5, -0.5)
US (SEER+NPCR) 1 N/A 36.4 (36.3, 36.4) N/A 140,088 falling falling trend -1.1 (-1.3, -0.9)
Accomack County 6 Rural 31.4 (24.5, 39.9) N/A 16 stable stable trend -2.5 (-5.6, 0.4)
Albemarle County 6 Urban 28.7 (24.7, 33.2) N/A 40 falling falling trend -3.4 (-4.7, -2.1)
Alexandria City 6 Urban 28.0 (24.3, 32.2) N/A 44 falling falling trend -2.4 (-4.4, -0.3)
Alleghany County and Clifton Forge City 6 Rural 46.1 (34.4, 61.1) N/A 12 stable stable trend -0.4 (-3.1, 2.2)
Amelia County 6 Urban 37.1 (25.4, 52.9) N/A 7 stable stable trend -3.5 (-8.2, 1.1)
Amherst County 6 Urban 46.1 (37.2, 56.6) N/A 21 stable stable trend -2.5 (-5.0, 0.0)
Appomattox County 6 Urban 43.8 (31.8, 59.2) N/A 10 stable stable trend -0.5 (-3.7, 2.8)
Arlington County 6 Urban 23.3 (20.4, 26.4) N/A 50 falling falling trend -3.7 (-4.9, -2.4)
Augusta County 6 Urban 39.1 (33.9, 45.0) N/A 44 stable stable trend -1.5 (-3.7, 1.0)
Bath County 6 Rural 61.1 (36.3, 99.9) N/A 4 stable stable trend 2.0 (-2.3, 6.8)
Bedford City and County 6 Urban 33.5 (28.7, 38.9) N/A 41 falling falling trend -2.4 (-4.2, -0.6)
Bland County 6 Rural 61.9 (41.5, 91.1) N/A 6 stable stable trend 0.4 (-4.7, 6.2)
Botetourt County 6 Urban 40.5 (32.4, 50.3) N/A 20 stable stable trend -0.3 (-3.5, 3.0)
Bristol City 6 Urban 24.2 (15.8, 35.9) N/A 6 falling falling trend -3.8 (-7.6, -0.8)
Brunswick County 6 Rural 44.7 (33.1, 59.7) N/A 11 stable stable trend -1.2 (-3.9, 1.5)
Buchanan County 6 Rural 35.9 (27.2, 47.1) N/A 12 stable stable trend -1.0 (-4.2, 2.2)
Buckingham County 6 Rural 39.5 (28.9, 53.4) N/A 10 stable stable trend -1.1 (-4.1, 1.9)
Buena Vista City 6 Rural 59.8 (39.1, 88.6) N/A 5 stable stable trend 0.3 (-3.6, 4.4)
Campbell County 6 Urban 39.8 (33.6, 46.9) N/A 31 stable stable trend -2.2 (-4.4, 0.0)
Caroline County 6 Rural 44.5 (35.3, 55.4) N/A 17 stable stable trend -0.6 (-3.2, 2.3)
Carroll County 6 Rural 41.1 (32.6, 51.4) N/A 19 stable stable trend -1.1 (-3.9, 1.5)
Charles City County 6 Urban 51.9 (33.2, 79.4) N/A 6 stable stable trend 0.3 (-5.3, 6.3)
Charlotte County 6 Rural 42.1 (28.2, 61.0) N/A 7 stable stable trend -1.6 (-5.4, 2.1)
Charlottesville City 6 Urban 34.2 (26.7, 43.2) N/A 15 stable stable trend -0.6 (-3.6, 2.8)
Chesapeake City 6 Urban 34.4 (31.2, 37.8) N/A 91 falling falling trend -2.2 (-3.6, -0.8)
Chesterfield County 6 Urban 32.9 (30.4, 35.5) N/A 135 falling falling trend -2.5 (-3.5, -1.5)
Clarke County 6 Urban 31.2 (21.4, 44.8) N/A 7 falling falling trend -4.2 (-6.4, -2.2)
Colonial Heights City 6 Urban 41.1 (30.4, 54.6) N/A 10 stable stable trend -2.3 (-6.0, 1.1)
Covington City 6 Rural 59.8 (37.8, 91.1) N/A 5 stable stable trend 3.5 (-1.3, 9.0)
Craig County 6 Urban 51.0 (28.1, 86.9) N/A 4
*
*
Culpeper County 6 Urban 39.2 (32.5, 46.9) N/A 25 stable stable trend 2.1 (-2.1, 10.7)
Cumberland County 6 Rural 50.6 (33.3, 74.1) N/A 6 stable stable trend -0.7 (-5.6, 4.4)
Danville City 6 Rural 50.5 (42.5, 59.7) N/A 31 stable stable trend 0.0 (-1.8, 1.8)
Dickenson County 6 Rural 27.0 (17.9, 40.0) N/A 6 stable stable trend -3.6 (-8.2, 0.5)
Dinwiddie County 6 Urban 41.6 (32.6, 52.5) N/A 16 stable stable trend 8.0 (-3.8, 21.0)
Emporia City 6 Rural
*
*
3 or fewer
*
*
Essex County 6 Rural 65.7 (48.1, 88.4) N/A 11 stable stable trend 0.0 (-3.2, 3.3)
Fairfax City 6 Urban 32.3 (23.2, 43.8) N/A 9 stable stable trend -0.6 (-3.9, 2.6)
Fairfax County 6 Urban 27.3 (26.0, 28.7) N/A 343 stable stable trend 3.0 (-2.1, 7.5)
Falls Church City 6 Urban
*
*
3 or fewer
*
*
Fauquier County 6 Urban 30.8 (25.7, 36.6) N/A 28 stable stable trend -1.9 (-4.1, 0.5)
Floyd County 6 Urban 45.9 (33.5, 61.8) N/A 10 stable stable trend -1.2 (-7.0, 4.4)
Fluvanna County 6 Urban 34.7 (26.4, 45.0) N/A 13 stable stable trend -3.6 (-7.5, 0.1)
Franklin City 6 Rural 48.3 (30.8, 72.6) N/A 5 stable stable trend -1.4 (-5.4, 2.4)
Franklin County 6 Urban 42.1 (35.5, 49.6) N/A 35 falling falling trend -15.7 (-23.9, -7.2)
Frederick County 6 Urban 33.6 (28.9, 38.9) N/A 39 stable stable trend -1.3 (-3.1, 0.7)
Fredericksburg City 6 Urban 49.3 (37.6, 63.3) N/A 13 stable stable trend 0.6 (-2.2, 3.5)
Galax City 6 Rural 43.2 (24.6, 70.7) N/A 3 stable stable trend -1.9 (-5.9, 1.5)
Giles County 6 Urban 40.4 (29.6, 54.4) N/A 10 stable stable trend -1.7 (-4.3, 0.8)
Gloucester County 6 Urban 32.6 (25.9, 40.7) N/A 18 falling falling trend -4.5 (-7.0, -2.1)
Goochland County 6 Urban 40.2 (31.1, 51.5) N/A 15 falling falling trend -4.2 (-13.3, -1.1)
Grayson County 6 Rural 42.7 (31.1, 57.9) N/A 10 stable stable trend -0.8 (-4.8, 3.0)
Greene County 6 Urban 33.7 (24.0, 46.4) N/A 8 stable stable trend -3.5 (-7.6, 0.6)
Greensville County 6 Rural 58.8 (41.6, 81.3) N/A 8 stable stable trend -0.2 (-4.7, 4.8)
Halifax County with South Boston City 6 Rural 54.1 (45.0, 64.8) N/A 29 stable stable trend -0.4 (-3.1, 2.2)
Hampton City 6 Urban 30.2 (26.3, 34.5) N/A 47 stable stable trend 9.0 (-4.7, 17.7)
Hanover County 6 Urban 37.9 (33.4, 42.9) N/A 54 stable stable trend -1.7 (-4.2, 0.8)
Harrisonburg City 6 Urban 33.4 (26.0, 42.4) N/A 14 stable stable trend 4.4 (-6.5, 22.4)
Henrico County 6 Urban 37.1 (34.4, 40.0) N/A 144 stable stable trend -0.1 (-1.1, 1.3)
Henry County 6 Rural 41.1 (34.8, 48.4) N/A 34 falling falling trend -2.5 (-4.6, -0.5)
Highland County 6 Rural
*
*
3 or fewer
*
*
Hopewell City 6 Urban 63.9 (50.4, 79.9) N/A 16 stable stable trend -0.1 (-3.7, 3.6)
Isle of Wight County 6 Urban 37.8 (30.0, 47.0) N/A 18 stable stable trend -1.5 (-4.7, 1.8)
James City County 6 Urban 30.1 (25.6, 35.2) N/A 38 stable stable trend -1.3 (-2.8, 0.2)
King George County 6 Rural 31.7 (22.9, 42.8) N/A 9 falling falling trend -4.6 (-8.0, -1.1)
King William County 6 Urban 38.7 (27.1, 53.6) N/A 8 stable stable trend -3.2 (-6.5, 0.1)
King and Queen County 6 Urban
*
*
3 or fewer
*
*
Lancaster County 6 Rural 51.5 (36.2, 72.5) N/A 12 rising rising trend 15.4 (1.8, 42.3)
Lee County 6 Rural 26.3 (18.9, 36.1) N/A 9 falling falling trend -5.5 (-9.1, -2.9)
Lexington City 6 Rural 60.1 (34.7, 97.7) N/A 4 stable stable trend 5.3 (-1.0, 13.2)
Loudoun County 6 Urban 28.2 (25.8, 30.8) N/A 109 stable stable trend 4.2 (-3.4, 9.2)
Louisa County 6 Rural 33.0 (26.2, 41.2) N/A 18 stable stable trend -2.9 (-5.8, 0.0)
Lunenburg County 6 Rural 34.4 (22.5, 51.0) N/A 6 falling falling trend -4.6 (-8.3, -1.5)
Lynchburg City 6 Urban 37.2 (31.1, 44.1) N/A 29 stable stable trend -1.2 (-2.8, 0.3)
Madison County 6 Rural 38.2 (26.4, 54.1) N/A 7 falling falling trend -3.5 (-7.0, -0.1)
Manassas City 6 Urban 35.6 (27.4, 45.4) N/A 14 stable stable trend -3.1 (-7.1, 1.0)
Manassas Park City 6 Urban 40.0 (26.1, 58.3) N/A 6 stable stable trend -2.9 (-8.0, 3.8)
Martinsville City 6 Rural 57.8 (42.2, 77.6) N/A 10 stable stable trend -0.2 (-3.7, 3.1)
Mathews County 6 Urban 48.7 (32.9, 71.4) N/A 8 stable stable trend -1.1 (-7.4, 4.8)
Mecklenburg County 6 Rural 35.5 (27.8, 45.1) N/A 17 stable stable trend -1.2 (-4.7, 2.2)
Middlesex County 6 Rural 32.9 (22.1, 49.1) N/A 7 stable stable trend -1.6 (-4.8, 1.6)
Montgomery County 6 Urban 35.2 (30.0, 41.2) N/A 33 stable stable trend -1.6 (-3.3, 0.1)
Nelson County 6 Urban 33.0 (21.7, 48.4) N/A 7 stable stable trend -2.4 (-5.8, 0.7)
New Kent County 6 Urban 40.7 (30.2, 53.8) N/A 11 stable stable trend -0.3 (-4.5, 4.8)
Newport News City 6 Urban 32.3 (28.6, 36.2) N/A 61 falling falling trend -2.7 (-3.8, -1.6)
Norfolk City 6 Urban 32.3 (28.9, 35.9) N/A 74 falling falling trend -3.2 (-4.0, -2.4)
Northampton County 6 Rural 36.4 (24.0, 53.7) N/A 7 stable stable trend -3.1 (-6.9, 0.2)
Northumberland County 6 Rural 41.8 (31.0, 57.5) N/A 12 stable stable trend -0.4 (-3.2, 2.7)
Norton City 6 Rural
*
*
3 or fewer
*
*
Nottoway County 6 Rural 45.1 (33.0, 60.7) N/A 10 stable stable trend -1.4 (-3.6, 0.8)
Orange County 6 Rural 39.1 (31.3, 48.3) N/A 19 stable stable trend -1.7 (-3.9, 0.5)
Page County 6 Rural 45.1 (35.3, 57.0) N/A 16 falling falling trend -12.6 (-19.5, -7.6)
Patrick County 6 Rural 35.1 (25.2, 48.3) N/A 10 stable stable trend -2.2 (-5.6, 1.1)
Petersburg City 6 Urban 45.4 (36.1, 56.4) N/A 18 rising rising trend 14.1 (0.1, 24.1)
Pittsylvania County 6 Rural 36.3 (30.8, 42.6) N/A 35 falling falling trend -2.5 (-4.0, -1.0)
Poquoson City 6 Urban 30.1 (19.0, 45.7) N/A 5 falling falling trend -6.5 (-10.3, -3.1)
Portsmouth City 6 Urban 36.3 (31.3, 42.0) N/A 40 falling falling trend -2.8 (-4.5, -1.3)
Powhatan County 6 Urban 37.9 (29.4, 48.2) N/A 15 stable stable trend -2.0 (-4.6, 1.1)
Prince Edward County 6 Rural 33.7 (23.0, 47.6) N/A 7 stable stable trend -2.5 (-7.1, 1.8)
Prince George County 6 Urban 36.2 (28.3, 45.5) N/A 15 stable stable trend -3.1 (-6.6, 0.3)
Prince William County 6 Urban 30.6 (28.3, 33.1) N/A 135 falling falling trend -2.2 (-3.3, -0.9)
Pulaski County 6 Urban 34.4 (27.3, 43.0) N/A 18 stable stable trend -2.2 (-5.3, 0.7)
Radford City 6 Urban 32.5 (19.4, 51.4) N/A 4 stable stable trend -2.8 (-6.4, 0.7)
Rappahannock County 6 Urban 53.6 (36.3, 78.5) N/A 7 stable stable trend -0.5 (-5.3, 4.7)
Richmond City 6 Urban 36.4 (32.9, 40.3) N/A 83 falling falling trend -2.8 (-4.0, -1.8)
Richmond County 6 Rural 50.0 (34.3, 71.6) N/A 7 stable stable trend -0.9 (-6.4, 5.1)
Roanoke City 6 Urban 39.8 (34.8, 45.3) N/A 49 falling falling trend -1.7 (-3.5, -0.1)
Roanoke County 6 Urban 33.8 (29.4, 38.7) N/A 46 stable stable trend -2.0 (-4.2, 0.1)
Rockbridge County 6 Rural 43.6 (34.4, 55.1) N/A 17 stable stable trend 1.4 (-19.9, 21.2)
Rockingham County 6 Urban 32.3 (27.5, 37.8) N/A 35 falling falling trend -2.1 (-4.2, -0.1)
Russell County 6 Rural 31.6 (23.9, 41.4) N/A 12
*
*
Salem City 6 Urban 41.9 (32.3, 53.6) N/A 14 stable stable trend -0.5 (-2.5, 1.5)
Scott County 6 Urban 26.7 (19.2, 36.6) N/A 9 stable stable trend -2.8 (-6.0, 0.2)
Shenandoah County 6 Rural 36.1 (29.6, 43.8) N/A 23 falling falling trend -11.1 (-19.8, -4.8)
Smyth County 6 Rural 32.5 (25.1, 41.7) N/A 14 stable stable trend 1.8 (-0.9, 4.8)
Southampton County 6 Rural 41.6 (30.6, 55.6) N/A 11 stable stable trend -2.2 (-4.8, 0.4)
Spotsylvania County 6 Urban 30.6 (26.8, 34.9) N/A 48 falling falling trend -3.2 (-4.6, -1.7)
Stafford County 6 Urban 31.6 (27.5, 36.2) N/A 45 falling falling trend -3.4 (-5.5, -1.0)
Staunton City 6 Urban 39.7 (30.3, 51.4) N/A 13 falling falling trend -2.3 (-4.5, -0.2)
Suffolk City 6 Urban 38.6 (33.4, 44.5) N/A 40 falling falling trend -1.8 (-3.3, -0.2)
Surry County 6 Urban
*
*
3 or fewer
*
*
Sussex County 6 Urban 33.5 (21.7, 50.4) N/A 5 stable stable trend -0.4 (-4.0, 3.5)
Tazewell County 6 Rural 32.9 (26.3, 40.8) N/A 19 stable stable trend -1.8 (-6.5, 2.2)
Virginia Beach City 6 Urban 32.6 (30.3, 34.9) N/A 165 falling falling trend -2.4 (-3.3, -1.5)
Warren County 6 Urban 37.0 (29.7, 45.8) N/A 19 falling falling trend -2.8 (-5.0, -0.6)
Washington County 6 Urban 29.4 (24.0, 35.9) N/A 23 falling falling trend -4.3 (-7.5, -1.4)
Waynesboro City 6 Urban 38.5 (28.3, 51.2) N/A 10 stable stable trend -2.3 (-5.5, 0.5)
Westmoreland County 6 Rural 39.6 (28.9, 53.3) N/A 11 falling falling trend -2.8 (-5.0, -0.8)
Williamsburg City 6 Urban 51.0 (34.4, 73.0) N/A 7
*
*
Winchester City 6 Urban 29.5 (21.9, 39.0) N/A 10 stable stable trend -2.8 (-6.4, 0.7)
Wise County 6 Rural 31.6 (24.5, 40.2) N/A 14 falling falling trend -5.2 (-8.4, -2.6)
Wythe County 6 Rural 38.9 (30.7, 48.9) N/A 16 stable stable trend -0.5 (-3.6, 2.5)
York County 6 Urban 28.2 (23.2, 34.0) N/A 23 stable stable trend 0.3 (-4.2, 13.9)
Notes:
Created by statecancerprofiles.cancer.gov on 07/09/2025 10:20 am.

State Cancer Registries may provide more current or more local data.

Data cannot be shown for the following areas. For more information on what areas are suppressed or not available, please refer to the table.
Accomack, Albemarle, Alexandria, Alleghany and Clifton Forge, Amelia, Amherst, Appomattox, Arlington, Augusta, Bath, Bedford City and County, Bland, Botetourt, Bristol, Brunswick, Buchanan, Buckingham, Buena Vista, Campbell, Caroline, Carroll, Charles City, Charlotte, Charlottesville, Chesapeake, Chesterfield, Clarke, Colonial Heights, Covington, Craig, Culpeper, Cumberland, Danville, Dickenson, Dinwiddie, Emporia, Essex, Fairfax City, Fairfax, Falls Church, Fauquier, Floyd, Fluvanna, Franklin City, Franklin, Frederick, Fredericksburg, Galax, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax with South Boston, Hampton, Hanover, Harrisonburg, Henrico, Henry, Highland, Hopewell, Isle of Wight, James City, King George, King William, King and Queen, Lancaster, Lee, Lexington, Loudoun, Louisa, Lunenburg, Lynchburg, Madison, Manassas City, Manassas Park City, Martinsville, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Newport News, Norfolk, Northampton, Northumberland, Norton, Nottoway, Orange, Page, Patrick, Petersburg, Pittsylvania, Poquoson City, Portsmouth, Powhatan, Prince Edward, Prince George, Prince William, Pulaski, Radford, Rappahannock, Richmond City, Richmond, Roanoke City, Roanoke, Rockbridge, Rockingham, Russell, Salem, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Staunton, Suffolk, Surry, Sussex, Tazewell, Virginia Beach, Warren, Washington, Waynesboro, Westmoreland, Williamsburg, Winchester, Wise, Wythe, York

† 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.
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+).
Φ Rural-Urban Continuum Codes provided by the USDA.
* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
Source: SEER and NPCR data. For more specific information please see the table.

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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