State Cancer Profiles

Interpretation of Incidence Rates Data

Incidence Rate Report for Virginia by County

Lung & Bronchus (All Stages^), 2017-2021

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

Sorted by Rate

Explanation of Column Headers

Objective - The objective of *** is from the Healthy People 2020 project done by the Centers for Disease Control and Prevention.

Incidence Rate (95% Confidence Interval) - The incidence rate is based upon 100,000 people and is an annual rate (or average annual rate) based on the time period indicated. Rates are age-adjusted by 5-year age groups to the 2000 U.S. standard million population.

Recent Trends - This is an interpretation of the AAPC/APC:

• Rising when 95% confidence interval of AAPC/APC is above 0.
• Stable when 95% confidence interval of AAPC/APC includes 0.
• Falling when 95% confidence interval of AAPC/APC is below 0.

AAPC/APC (95% Confidence Interval) - the change in rate over time

• Average Annual Percent Change - AAPCs are based upon APCs that were calculated by Joinpoint Regression Program
• Annual Percent Change - APCs calculated in SEER*Stat.

Other Notes

• Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
• Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

Virginia⁶

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 51.3 with a 95% confidence interval from 50.7 to 51.9 and 5,461 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -2.7 to -1.9.

US (SEER+NPCR)¹

• 2023 Rural-Urban Continuum Codes Φ : N/A
• Rate : The incidence rate is 53.1 with a 95% confidence interval from 53.0 to 53.2 and 216,523 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.5 with a 95% confidence interval from -4.2 to -2.9.

Arlington County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 26.8 with a 95% confidence interval from 23.6 to 30.2 and 55 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -8.9 to -1.9.

Fairfax County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 27.7 with a 95% confidence interval from 26.4 to 29.1 and 346 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -7.4 to -3.3.

Falls Church City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 28.6 with a 95% confidence interval from 17.9 to 43.6 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -4.1 with a 95% confidence interval from -9.6 to 1.1.

Alexandria City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 29.1 with a 95% confidence interval from 25.3 to 33.4 and 43 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.6 with a 95% confidence interval from -4.9 to -2.5.

Loudoun County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 31.9 with a 95% confidence interval from 29.2 to 34.8 and 108 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -4.3 to -1.9.

Harrisonburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 33.3 with a 95% confidence interval from 25.6 to 42.6 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -7.3 with a 95% confidence interval from -35.4 to -2.4.

Albemarle County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 38.6 with a 95% confidence interval from 34.3 to 43.3 and 62 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -4.6 to -1.7.

Manassas City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 40.1 with a 95% confidence interval from 30.5 to 51.6 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.3 with a 95% confidence interval from -6.2 to -0.2.

James City County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 40.5 with a 95% confidence interval from 35.9 to 45.7 and 58 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.7 to 0.9.

Prince William County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 41.0 with a 95% confidence interval from 38.2 to 44.1 and 167 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.5 to -1.5.

Fairfax City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 41.2 with a 95% confidence interval from 30.9 to 53.9 and 11 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.9 to 1.3.

Franklin City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 41.4 with a 95% confidence interval from 26.8 to 62.3 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.7 with a 95% confidence interval from -5.6 to 0.1.

Clarke County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 41.6 with a 95% confidence interval from 31.0 to 55.8 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -5.6 to 1.8.

Fauquier County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 42.0 with a 95% confidence interval from 36.4 to 48.3 and 41 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -8.4 with a 95% confidence interval from -19.7 to -2.3.

Montgomery County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 43.7 with a 95% confidence interval from 38.0 to 50.2 and 42 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -3.8 to 0.0.

Bristol City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 44.0 with a 95% confidence interval from 33.2 to 57.8 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.1 with a 95% confidence interval from -10.0 to -1.4.

Bland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 44.7 with a 95% confidence interval from 29.4 to 68.5 and 5 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -7.2 to 3.2.

Buchanan County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 45.4 with a 95% confidence interval from 35.8 to 57.5 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -5.9 to -1.7.

Rockingham County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 47.1 with a 95% confidence interval from 41.7 to 53.0 and 58 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -15.3 to -0.2.

Radford City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 47.4 with a 95% confidence interval from 31.6 to 68.7 and 6 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -5.8 to -0.2.

Cumberland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 47.5 with a 95% confidence interval from 33.8 to 66.3 and 8 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.0 with a 95% confidence interval from -7.1 to 1.2.

York County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 47.6 with a 95% confidence interval from 41.4 to 54.6 and 43 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.2 to 0.3.

Frederick County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 47.7 with a 95% confidence interval from 42.4 to 53.6 and 60 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -11.1 to -2.3.

Charlottesville City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 48.4 with a 95% confidence interval from 39.5 to 58.7 and 22 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -5.5 to 0.6.

Accomack County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 48.6 with a 95% confidence interval from 40.9 to 57.6 and 30 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.8 with a 95% confidence interval from -5.8 to -2.0.

Manassas Park City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 49.7 with a 95% confidence interval from 33.1 to 71.0 and 6 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.5 with a 95% confidence interval from -9.0 to 2.9.

Chesterfield County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 50.0 with a 95% confidence interval from 46.9 to 53.1 and 215 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.4 with a 95% confidence interval from -3.4 to -1.3.

Culpeper County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 50.7 with a 95% confidence interval from 43.1 to 59.3 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.5 with a 95% confidence interval from -4.8 to -0.2.

Fluvanna County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 50.8 with a 95% confidence interval from 41.4 to 62.0 and 21 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -3.8 to 2.5.

Henry County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 51.4 with a 95% confidence interval from 44.8 to 58.9 and 46 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.6 to -0.5.

Pittsylvania County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 51.5 with a 95% confidence interval from 45.3 to 58.6 and 53 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.8 to -0.4.

Craig County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 51.8 with a 95% confidence interval from 30.7 to 84.8 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -5.6 to 3.1.

Shenandoah County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 52.0 with a 95% confidence interval from 44.5 to 60.5 and 36 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.9 to 0.5.

Rappahannock County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 52.0 with a 95% confidence interval from 36.0 to 75.2 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -5.8 to 2.6.

Williamsburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 52.2 with a 95% confidence interval from 36.2 to 73.5 and 8 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -4.7 to 4.6.

Madison County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 52.6 with a 95% confidence interval from 39.7 to 69.2 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -6.8 with a 95% confidence interval from -15.3 to -1.8.

Powhatan County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 53.1 with a 95% confidence interval from 43.6 to 64.2 and 24 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -4.2 to 0.0.

Isle of Wight County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 53.7 with a 95% confidence interval from 45.4 to 63.2 and 31 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.7 to -0.3.

Rockbridge County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 53.9 with a 95% confidence interval from 43.7 to 66.4 and 22 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 2.8 with a 95% confidence interval from -0.9 to 13.5.

Roanoke County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 54.1 with a 95% confidence interval from 49.0 to 59.8 and 83 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.4 to 0.9.

Hanover County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 54.3 with a 95% confidence interval from 49.1 to 60.0 and 82 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.6 with a 95% confidence interval from -3.1 to -0.1.

Washington County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 54.5 with a 95% confidence interval from 47.6 to 62.3 and 49 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.4 with a 95% confidence interval from -12.9 to -2.6.

Russell County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 54.6 with a 95% confidence interval from 45.1 to 65.8 and 24 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -5.2 to -1.2.

Emporia City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 54.6 with a 95% confidence interval from 34.0 to 84.5 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.0 with a 95% confidence interval from -4.9 to 3.0.

Newport News City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 54.6 with a 95% confidence interval from 50.0 to 59.5 and 109 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.0 to -1.0.

Halifax County with South Boston City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 54.6 with a 95% confidence interval from 46.1 to 64.6 and 32 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.8 to 0.5.

Suffolk City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 55.2 with a 95% confidence interval from 49.1 to 61.9 and 61 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.3 to 0.1.

Stafford County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 55.6 with a 95% confidence interval from 49.9 to 61.6 and 77 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -5.5 with a 95% confidence interval from -11.1 to -3.2.

Salem City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 55.7 with a 95% confidence interval from 45.3 to 68.2 and 20 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.0 to 0.0.

Henrico County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 55.7 with a 95% confidence interval from 52.5 to 59.1 and 228 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.9 to -0.6.

Hampton City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 55.8 with a 95% confidence interval from 50.8 to 61.1 and 96 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.1 with a 95% confidence interval from -11.3 to -2.1.

Augusta County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 56.2 with a 95% confidence interval from 50.4 to 62.6 and 71 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.2 to -0.7.

Floyd County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 56.3 with a 95% confidence interval from 43.9 to 72.0 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.0 to 2.6.

Lynchburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 56.5 with a 95% confidence interval from 49.5 to 64.3 and 49 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -8.7 to -1.9.

Surry County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 56.9 with a 95% confidence interval from 39.3 to 82.3 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.5 with a 95% confidence interval from -11.9 to 9.6.

Chesapeake City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 57.0 with a 95% confidence interval from 53.0 to 61.3 and 155 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.8 to -1.0.

Patrick County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 57.2 with a 95% confidence interval from 46.2 to 70.9 and 20 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.5 to 3.1.

Nelson County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 57.4 with a 95% confidence interval from 45.5 to 72.7 and 17 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -5.0 to 0.9.

Greene County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 57.5 with a 95% confidence interval from 45.3 to 72.2 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -4.5 to 0.9.

Lexington City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 57.5 with a 95% confidence interval from 35.3 to 90.7 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : * 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).

Carroll County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 57.7 with a 95% confidence interval from 48.8 to 68.1 and 31 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -2.1 to 2.1.

Franklin County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 57.7 with a 95% confidence interval from 50.9 to 65.3 and 56 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.8 to 2.3.

Scott County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 57.7 with a 95% confidence interval from 47.0 to 70.7 and 22 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -6.3 to -1.4.

Northumberland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 57.9 with a 95% confidence interval from 45.7 to 74.6 and 17 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.9 to 3.1.

Greensville County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 58.0 with a 95% confidence interval from 41.4 to 79.7 and 8 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -5.3 to 4.1.

Bedford City and County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 58.2 with a 95% confidence interval from 52.4 to 64.6 and 78 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.5 to 0.2.

Southampton County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 58.2 with a 95% confidence interval from 46.1 to 73.1 and 17 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.1 with a 95% confidence interval from -4.6 to 2.5.

Goochland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 58.3 with a 95% confidence interval from 47.7 to 71.1 and 23 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.0 to 0.4.

Campbell County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 58.3 with a 95% confidence interval from 51.1 to 66.4 and 50 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.3 to -1.1.

Virginia Beach City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 58.5 with a 95% confidence interval from 55.6 to 61.6 and 306 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.6 to -0.2.

Louisa County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 59.4 with a 95% confidence interval from 50.6 to 69.5 and 35 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -10.6 with a 95% confidence interval from -18.8 to -4.9.

Mathews County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 59.5 with a 95% confidence interval from 44.3 to 80.9 and 11 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.7 to 0.8.

Appomattox County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 59.6 with a 95% confidence interval from 46.8 to 75.4 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -7.3 to -0.3.

Poquoson City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 60.4 with a 95% confidence interval from 45.1 to 79.8 and 11 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.9 with a 95% confidence interval from -3.1 to 5.6.

Warren County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 60.5 with a 95% confidence interval from 51.5 to 70.9 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.3 to 1.3.

Tazewell County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 60.8 with a 95% confidence interval from 52.4 to 70.5 and 40 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.7 to -0.3.

Staunton City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 61.0 with a 95% confidence interval from 50.6 to 73.3 and 25 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -15.2 to -1.4.

Brunswick County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 61.4 with a 95% confidence interval from 48.3 to 77.6 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.1 to 2.5.

Spotsylvania County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 61.8 with a 95% confidence interval from 56.3 to 67.8 and 97 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -2.7 to 0.3.

Botetourt County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 62.0 with a 95% confidence interval from 52.9 to 72.5 and 35 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.8 to 2.3.

Richmond City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 62.2 with a 95% confidence interval from 57.7 to 67.0 and 153 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.9 with a 95% confidence interval from -6.9 to -2.0.

Grayson County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 62.4 with a 95% confidence interval from 49.8 to 78.2 and 18 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.5 to -0.5.

Lee County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 63.1 with a 95% confidence interval from 52.1 to 76.3 and 24 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -4.2 with a 95% confidence interval from -6.1 to -2.4.

Wythe County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 63.5 with a 95% confidence interval from 53.5 to 75.2 and 30 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.1 with a 95% confidence interval from -1.7 to 1.6.

Gloucester County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 63.8 with a 95% confidence interval from 54.7 to 74.2 and 37 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -6.2 with a 95% confidence interval from -22.7 to -1.6.

Northampton County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 64.1 with a 95% confidence interval from 48.7 to 83.9 and 14 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.4 with a 95% confidence interval from -6.4 to -0.7.

Danville City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 64.5 with a 95% confidence interval from 55.8 to 74.4 and 42 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -1.8 with a 95% confidence interval from -3.4 to -0.4.

Orange County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 65.0 with a 95% confidence interval from 55.6 to 75.7 and 36 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.5 to 1.9.

Norton City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 65.5 with a 95% confidence interval from 37.7 to 108.2 and 3 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : * 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).

Dickenson County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 65.6 with a 95% confidence interval from 51.8 to 82.8 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -5.1 to 0.0.

Caroline County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 65.7 with a 95% confidence interval from 54.9 to 78.3 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.0 to 1.0.

Portsmouth City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 66.2 with a 95% confidence interval from 59.6 to 73.5 and 75 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.0 to 0.3.

Amherst County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 67.5 with a 95% confidence interval from 57.5 to 78.9 and 34 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.3 to 0.1.

Martinsville City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 67.8 with a 95% confidence interval from 52.1 to 87.1 and 13 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -3.5 to 2.9.

Pulaski County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 68.2 with a 95% confidence interval from 58.4 to 79.4 and 37 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.2 with a 95% confidence interval from -1.0 to 1.6.

Middlesex County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 68.3 with a 95% confidence interval from 53.4 to 87.9 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.8 with a 95% confidence interval from -6.1 to -0.8.

Essex County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 68.4 with a 95% confidence interval from 51.5 to 90.3 and 12 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.7 to 2.9.

King William County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 68.5 with a 95% confidence interval from 54.2 to 85.9 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -6.1 to 3.8.

Charles City County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 68.7 with a 95% confidence interval from 49.6 to 95.6 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -3.7 to 4.4.

Colonial Heights City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 68.9 with a 95% confidence interval from 55.6 to 84.9 and 19 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -1.8 to 3.1.

Mecklenburg County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 69.1 with a 95% confidence interval from 59.5 to 80.2 and 39 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.7 with a 95% confidence interval from -0.7 to 2.1.

King and Queen County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 69.3 with a 95% confidence interval from 47.9 to 98.8 and 8 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -6.0 to 3.0.

Winchester City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 69.5 with a 95% confidence interval from 57.5 to 83.4 and 24 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.1 to 0.1.

Page County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 69.8 with a 95% confidence interval from 58.4 to 83.3 and 27 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -2.5 to 1.8.

Charlotte County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 69.8 with a 95% confidence interval from 54.3 to 89.4 and 14 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.5 with a 95% confidence interval from -2.4 to 3.6.

Norfolk City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 69.9 with a 95% confidence interval from 65.1 to 75.1 and 165 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -1.2 to 0.1.

Westmoreland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 70.5 with a 95% confidence interval from 58.2 to 85.3 and 25 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.3 with a 95% confidence interval from -3.7 to 1.2.

Wise County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 71.5 with a 95% confidence interval from 61.3 to 83.0 and 37 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -3.2 with a 95% confidence interval from -4.9 to -1.6.

Buckingham County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 72.7 with a 95% confidence interval from 58.3 to 90.1 and 18 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.5 to 2.8.

Smyth County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 74.2 with a 95% confidence interval from 63.8 to 86.2 and 37 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -10.2 to -0.6.

Lancaster County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 74.3 with a 95% confidence interval from 58.1 to 95.7 and 18 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.7 with a 95% confidence interval from -0.3 to 3.8.

Nottoway County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 74.9 with a 95% confidence interval from 59.6 to 93.3 and 17 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.1 to 0.6.

Alleghany County and Clifton Forge City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 76.7 with a 95% confidence interval from 62.3 to 94.4 and 21 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.1 to 0.9.

Waynesboro City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 77.0 with a 95% confidence interval from 63.6 to 92.6 and 24 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.1 to 1.5.

Roanoke City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 77.0 with a 95% confidence interval from 70.3 to 84.2 and 102 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -6.4 to -1.2.

King George County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 77.1 with a 95% confidence interval from 63.0 to 93.5 and 22 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -4.6 to 5.0.

Fredericksburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 77.8 with a 95% confidence interval from 62.8 to 95.2 and 20 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.7 to 3.5.

Richmond County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 78.6 with a 95% confidence interval from 59.0 to 103.8 and 11 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.1 with a 95% confidence interval from -2.1 to 4.7.

Giles County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 79.0 with a 95% confidence interval from 64.8 to 95.9 and 22 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 0.3 with a 95% confidence interval from -1.5 to 2.2.

New Kent County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 81.2 with a 95% confidence interval from 66.5 to 98.4 and 25 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.9 to 1.6.

Prince George County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 81.7 with a 95% confidence interval from 69.7 to 95.1 and 34 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.9 with a 95% confidence interval from -2.8 to 1.2.

Petersburg City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 82.1 with a 95% confidence interval from 70.1 to 95.8 and 36 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -3.3 to 0.3.

Lunenburg County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 82.5 with a 95% confidence interval from 65.0 to 104.0 and 16 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.2 with a 95% confidence interval from -1.9 to 4.7.

Dinwiddie County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 82.9 with a 95% confidence interval from 70.3 to 97.3 and 33 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -3.0 to 2.1.

Covington City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 85.0 with a 95% confidence interval from 59.4 to 119.5 and 7 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -3.8 with a 95% confidence interval from -21.1 to 1.7.

Highland County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 85.3 with a 95% confidence interval from 44.9 to 158.1 and 4 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : * 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).

Hopewell City⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 89.8 with a 95% confidence interval from 74.6 to 107.3 and 25 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.5 to 0.6.

Bath County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 90.9 with a 95% confidence interval from 63.6 to 130.6 and 8 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -0.7 to 8.2.

Amelia County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 91.7 with a 95% confidence interval from 74.2 to 112.8 and 20 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is -0.3 with a 95% confidence interval from -2.1 to 1.8.

Prince Edward County⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 91.9 with a 95% confidence interval from 75.5 to 111.1 and 23 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 5.4 with a 95% confidence interval from -13.0 to 23.3.

Buena Vista City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 94.5 with a 95% confidence interval from 69.0 to 127.6 and 9 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : * 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).

Sussex County⁶

• 2023 Rural-Urban Continuum Codes Φ : Urban
• Rate : The incidence rate is 97.2 with a 95% confidence interval from 76.0 to 123.4 and 15 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 1.8 with a 95% confidence interval from -0.9 to 4.9.

Galax City⁶

• 2023 Rural-Urban Continuum Codes Φ : Rural
• Rate : The incidence rate is 112.8 with a 95% confidence interval from 82.3 to 151.5 and 10 average annual cases over 2017-2021.
• CI*Rank ⋔ : N/A
• Recent Trend : The trend is stable because the trend is 3.1 with a 95% confidence interval from 0.0 to 6.7.

Notes:
Created by statecancerprofiles.cancer.gov on 07/03/2025 7:30 am.

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.
* 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).
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.