Incidence > Table
Incidence Rates Table
Incidence Rate Report for Virginia by County
Breast (All Stages^), 2017-2021
All Races (includes Hispanic), Female, All Ages
Sorted by Recentaapc
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 | 129.0 (127.6, 130.5) | N/A | 6,823 | rising | 0.4 (0.1, 0.7) |
US (SEER+NPCR) 1 | N/A | 129.8 (129.5, 130.0) | N/A | 258,398 | rising | 0.6 (0.4, 0.8) |
Lancaster County 6 | Rural | 138.1 (102.5, 185.0) | N/A | 16 | rising | 14.6 (0.6, 25.5) |
Wise County 6 | Rural | 104.4 (86.3, 125.5) | N/A | 26 | stable | 8.5 (-2.7, 23.2) |
Fauquier County 6 | Urban | 119.8 (105.2, 135.8) | N/A | 54 | stable | 7.7 (-1.5, 13.6) |
Giles County 6 | Urban | 128.4 (100.6, 162.4) | N/A | 16 | rising | 5.3 (1.1, 19.5) |
Essex County 6 | Rural | 190.4 (148.8, 241.6) | N/A | 17 | rising | 4.4 (1.8, 7.7) |
King and Queen County 6 | Urban | 150.7 (103.4, 215.5) | N/A | 8 | stable | 4.1 (-0.5, 9.5) |
Staunton City 6 | Urban | 160.9 (134.8, 191.0) | N/A | 31 | rising | 3.5 (1.4, 5.9) |
Covington City 6 | Rural | 143.4 (92.9, 213.0) | N/A | 6 | stable | 3.3 (-1.3, 8.9) |
Manassas Park City 6 | Urban | 126.9 (92.8, 169.3) | N/A | 10 | stable | 3.2 (-0.8, 8.5) |
Brunswick County 6 | Rural | 168.0 (131.7, 212.0) | N/A | 18 | rising | 2.8 (1.0, 4.6) |
Buckingham County 6 | Rural | 127.6 (97.3, 165.3) | N/A | 14 | stable | 2.7 (-1.4, 16.0) |
Smyth County 6 | Rural | 96.9 (79.1, 118.1) | N/A | 23 | rising | 2.6 (0.2, 5.3) |
Hopewell City 6 | Urban | 171.6 (141.8, 206.0) | N/A | 25 | rising | 2.5 (0.9, 4.3) |
Amelia County 6 | Urban | 167.9 (130.2, 213.9) | N/A | 16 | stable | 2.3 (-1.3, 6.1) |
Surry County 6 | Urban | 130.3 (90.5, 186.4) | N/A | 8 | stable | 2.3 (-2.6, 8.5) |
Galax City 6 | Rural | 170.4 (122.5, 233.2) | N/A | 9 | stable | 2.1 (-1.5, 6.0) |
Mathews County 6 | Urban | 148.6 (105.8, 205.9) | N/A | 11 | stable | 2.1 (-1.7, 6.5) |
Caroline County 6 | Rural | 131.3 (109.0, 157.2) | N/A | 26 | rising | 1.9 (0.1, 4.0) |
Charlotte County 6 | Rural | 144.6 (108.1, 190.5) | N/A | 12 | stable | 1.9 (-1.4, 5.5) |
Colonial Heights City 6 | Urban | 137.1 (108.3, 171.6) | N/A | 18 | stable | 1.8 (-1.1, 5.0) |
Augusta County 6 | Urban | 146.4 (131.6, 162.5) | N/A | 81 | rising | 1.7 (0.9, 2.7) |
Fairfax City 6 | Urban | 151.0 (123.5, 183.1) | N/A | 22 | stable | 1.7 (-1.0, 4.7) |
Lexington City 6 | Rural | 150.3 (89.7, 236.9) | N/A | 5 | stable | 1.7 (-3.0, 6.9) |
Floyd County 6 | Urban | 126.6 (97.1, 163.3) | N/A | 15 | stable | 1.6 (-1.8, 5.5) |
Southampton County 6 | Rural | 131.0 (103.0, 165.2) | N/A | 17 | stable | 1.6 (-0.6, 4.1) |
Alleghany County and Clifton Forge City 6 | Rural | 153.1 (120.2, 193.2) | N/A | 18 | stable | 1.5 (-2.1, 5.3) |
Botetourt County 6 | Urban | 135.4 (115.2, 158.7) | N/A | 36 | stable | 1.5 (-1.3, 4.6) |
Patrick County 6 | Rural | 116.2 (90.2, 148.7) | N/A | 17 | stable | 1.5 (-1.2, 4.5) |
Wythe County 6 | Rural | 113.1 (92.4, 137.6) | N/A | 23 | stable | 1.5 (-1.4, 4.6) |
Carroll County 6 | Rural | 116.4 (95.5, 141.1) | N/A | 27 | stable | 1.4 (-1.0, 3.9) |
Fredericksburg City 6 | Urban | 169.6 (139.4, 204.2) | N/A | 23 | stable | 1.4 (-1.7, 4.7) |
Middlesex County 6 | Rural | 143.7 (103.7, 196.0) | N/A | 13 | stable | 1.4 (-0.8, 3.6) |
Spotsylvania County 6 | Urban | 148.7 (136.8, 161.4) | N/A | 122 | stable | 1.4 (0.0, 3.1) |
Amherst County 6 | Urban | 123.3 (102.7, 147.3) | N/A | 29 | stable | 1.3 (-0.7, 3.6) |
Campbell County 6 | Urban | 125.9 (110.0, 143.7) | N/A | 51 | stable | 1.3 (-0.3, 3.1) |
Danville City 6 | Rural | 150.0 (130.0, 172.5) | N/A | 48 | stable | 1.3 (0.0, 2.7) |
Goochland County 6 | Urban | 153.1 (127.6, 183.1) | N/A | 29 | stable | 1.3 (-1.9, 5.1) |
Petersburg City 6 | Urban | 158.1 (134.6, 184.7) | N/A | 36 | stable | 1.3 (-1.0, 3.8) |
Suffolk City 6 | Urban | 128.2 (114.9, 142.5) | N/A | 72 | stable | 1.3 (-1.1, 4.2) |
Charles City County 6 | Urban | 160.6 (114.0, 223.9) | N/A | 10 | stable | 1.2 (-3.8, 7.1) |
Mecklenburg County 6 | Rural | 154.3 (130.7, 181.4) | N/A | 39 | stable | 1.2 (-0.6, 3.0) |
Winchester City 6 | Urban | 138.8 (113.8, 167.8) | N/A | 23 | stable | 1.2 (-1.3, 4.1) |
Northampton County 6 | Rural | 160.3 (118.9, 212.0) | N/A | 15 | stable | 1.1 (-2.5, 4.8) |
Sussex County 6 | Urban | 128.0 (86.8, 182.8) | N/A | 8 | stable | 1.1 (-2.0, 4.1) |
Chesapeake City 6 | Urban | 144.7 (136.0, 154.0) | N/A | 213 | stable | 1.0 (0.0, 2.1) |
Louisa County 6 | Rural | 108.0 (89.6, 129.3) | N/A | 29 | stable | 1.0 (-0.7, 2.9) |
Lynchburg City 6 | Urban | 149.1 (132.0, 167.8) | N/A | 63 | stable | 1.0 (-0.7, 2.8) |
Pittsylvania County 6 | Rural | 122.6 (107.0, 140.0) | N/A | 55 | stable | 1.0 (-0.7, 2.8) |
Greene County 6 | Urban | 115.5 (89.6, 146.8) | N/A | 15 | stable | 0.9 (-2.1, 4.4) |
King George County 6 | Rural | 128.9 (104.0, 158.2) | N/A | 19 | stable | 0.9 (-1.0, 3.0) |
Dinwiddie County 6 | Urban | 121.9 (100.1, 147.3) | N/A | 24 | stable | 0.8 (-1.6, 3.4) |
Henrico County 6 | Urban | 147.0 (139.6, 154.6) | N/A | 318 | rising | 0.8 (0.1, 1.6) |
Isle of Wight County 6 | Urban | 135.1 (115.2, 157.7) | N/A | 37 | stable | 0.8 (-1.0, 2.8) |
New Kent County 6 | Urban | 164.3 (134.9, 198.7) | N/A | 25 | stable | 0.8 (-2.1, 4.3) |
Pulaski County 6 | Urban | 108.1 (90.0, 129.2) | N/A | 29 | stable | 0.8 (-2.8, 4.8) |
Stafford County 6 | Urban | 133.8 (122.5, 145.9) | N/A | 107 | stable | 0.8 (-0.6, 2.4) |
Madison County 6 | Rural | 94.1 (69.1, 126.5) | N/A | 11 | stable | 0.7 (-2.4, 4.1) |
Roanoke County 6 | Urban | 141.9 (129.1, 155.8) | N/A | 102 | stable | 0.7 (-0.2, 1.6) |
Accomack County 6 | Rural | 115.4 (95.3, 138.9) | N/A | 29 | stable | 0.6 (-2.1, 3.2) |
Westmoreland County 6 | Rural | 135.1 (105.4, 171.1) | N/A | 19 | stable | 0.6 (-1.2, 2.5) |
Waynesboro City 6 | Urban | 142.4 (116.1, 173.2) | N/A | 22 | stable | 0.5 (-1.2, 2.4) |
York County 6 | Urban | 123.3 (108.5, 139.5) | N/A | 54 | stable | 0.5 (-0.9, 2.0) |
Chesterfield County 6 | Urban | 141.8 (134.7, 149.2) | N/A | 317 | stable | 0.4 (-0.5, 1.5) |
Culpeper County 6 | Urban | 136.2 (118.0, 156.6) | N/A | 43 | stable | 0.4 (-1.7, 2.8) |
Cumberland County 6 | Rural | 105.0 (71.7, 149.7) | N/A | 8 | stable | 0.4 (-2.7, 3.9) |
Nelson County 6 | Urban | 120.7 (92.5, 156.3) | N/A | 16 | stable | 0.4 (-2.9, 3.8) |
Prince Edward County 6 | Rural | 120.9 (92.7, 155.3) | N/A | 15 | stable | 0.4 (-2.1, 2.9) |
Rockingham County 6 | Urban | 107.7 (95.2, 121.4) | N/A | 61 | stable | 0.4 (-1.4, 2.4) |
Shenandoah County 6 | Rural | 116.9 (99.0, 137.2) | N/A | 36 | stable | 0.4 (-1.3, 2.2) |
Warren County 6 | Urban | 124.7 (105.3, 146.9) | N/A | 32 | stable | 0.4 (-2.3, 3.2) |
Franklin County 6 | Urban | 130.9 (114.7, 149.1) | N/A | 56 | stable | 0.3 (-1.6, 2.3) |
Halifax County with South Boston City 6 | Rural | 123.6 (103.6, 146.6) | N/A | 33 | stable | 0.3 (-3.3, 1.8) |
Hanover County 6 | Urban | 130.0 (118.3, 142.5) | N/A | 99 | stable | 0.3 (-1.1, 1.9) |
Harrisonburg City 6 | Urban | 95.3 (76.7, 117.0) | N/A | 19 | stable | 0.3 (-2.1, 2.8) |
Henry County 6 | Rural | 123.2 (106.6, 141.9) | N/A | 49 | stable | 0.3 (-1.4, 2.0) |
Roanoke City 6 | Urban | 130.1 (117.4, 143.9) | N/A | 85 | stable | 0.3 (-1.1, 1.8) |
Williamsburg City 6 | Urban | 184.8 (138.9, 241.4) | N/A | 14 | stable | 0.3 (-2.3, 3.4) |
Greensville County 6 | Rural | 143.1 (100.1, 199.7) | N/A | 8 | stable | 0.2 (-3.0, 3.5) |
Orange County 6 | Rural | 119.9 (101.8, 140.7) | N/A | 34 | stable | 0.2 (-1.2, 1.9) |
Portsmouth City 6 | Urban | 123.6 (110.9, 137.5) | N/A | 74 | stable | 0.2 (-0.9, 1.4) |
Prince George County 6 | Urban | 137.3 (114.3, 163.5) | N/A | 27 | stable | 0.2 (-1.5, 2.0) |
Salem City 6 | Urban | 134.2 (109.2, 163.4) | N/A | 23 | stable | 0.2 (-1.9, 2.4) |
Alexandria City 6 | Urban | 127.6 (117.0, 138.9) | N/A | 112 | stable | 0.1 (-1.1, 1.4) |
Loudoun County 6 | Urban | 134.0 (127.0, 141.2) | N/A | 282 | stable | 0.1 (-0.9, 1.4) |
Norfolk City 6 | Urban | 138.4 (128.8, 148.5) | N/A | 168 | stable | 0.1 (-7.2, 1.5) |
Prince William County 6 | Urban | 115.4 (109.3, 121.7) | N/A | 278 | stable | 0.1 (-0.9, 1.3) |
Bath County 6 | Rural | 104.2 (61.2, 175.1) | N/A | 4 | stable | -0.1 (-5.5, 6.0) |
Fairfax County 6 | Urban | 124.6 (120.7, 128.5) | N/A | 830 | stable | -0.1 (-0.8, 0.6) |
Franklin City 6 | Rural | 137.0 (96.9, 189.5) | N/A | 9 | stable | -0.1 (-3.3, 3.0) |
Gloucester County 6 | Urban | 120.6 (102.5, 141.3) | N/A | 36 | stable | -0.1 (-2.2, 2.2) |
Hampton City 6 | Urban | 121.8 (111.1, 133.2) | N/A | 105 | stable | -0.1 (-1.3, 1.1) |
Rockbridge County 6 | Rural | 130.9 (106.5, 159.9) | N/A | 25 | stable | -0.1 (-1.6, 1.5) |
Bedford City and County 6 | Urban | 137.4 (123.4, 152.8) | N/A | 81 | stable | -0.2 (-1.5, 1.2) |
Frederick County 6 | Urban | 132.4 (119.1, 146.8) | N/A | 78 | stable | -0.2 (-1.3, 0.9) |
Martinsville City 6 | Rural | 168.5 (132.1, 212.4) | N/A | 16 | stable | -0.2 (-2.6, 2.3) |
Newport News City 6 | Urban | 122.7 (113.1, 132.9) | N/A | 129 | stable | -0.2 (-1.3, 1.0) |
Northumberland County 6 | Rural | 100.3 (74.3, 136.3) | N/A | 14 | stable | -0.3 (-3.8, 3.3) |
Richmond City 6 | Urban | 126.7 (117.7, 136.3) | N/A | 160 | stable | -0.3 (-1.0, 0.5) |
Appomattox County 6 | Urban | 107.4 (80.6, 140.8) | N/A | 12 | stable | -0.4 (-2.6, 2.1) |
Arlington County 6 | Urban | 128.5 (119.2, 138.2) | N/A | 147 | stable | -0.4 (-1.8, 1.0) |
King William County 6 | Urban | 106.5 (80.1, 139.3) | N/A | 12 | stable | -0.4 (-3.4, 2.8) |
Grayson County 6 | Rural | 101.2 (73.9, 136.3) | N/A | 12 | stable | -0.5 (-3.2, 1.9) |
Poquoson City 6 | Urban | 135.2 (101.1, 178.3) | N/A | 11 | stable | -0.5 (-3.6, 2.8) |
Buchanan County 6 | Rural | 96.5 (73.4, 125.4) | N/A | 14 | stable | -0.6 (-3.7, 2.4) |
Powhatan County 6 | Urban | 139.8 (116.4, 167.0) | N/A | 28 | stable | -0.7 (-3.8, 2.8) |
Nottoway County 6 | Rural | 142.6 (109.1, 183.7) | N/A | 14 | stable | -0.8 (-3.8, 2.2) |
Richmond County 6 | Rural | 120.2 (77.2, 179.5) | N/A | 6 | stable | -0.8 (-5.4, 3.7) |
Falls Church City 6 | Urban | 124.3 (92.9, 163.4) | N/A | 11 | stable | -0.9 (-3.4, 1.6) |
Dickenson County 6 | Rural | 132.9 (100.3, 173.5) | N/A | 13 | stable | -1.0 (-4.8, 2.4) |
Manassas City 6 | Urban | 104.0 (84.7, 126.4) | N/A | 22 | stable | -1.0 (-3.5, 1.7) |
Albemarle County 6 | Urban | 121.4 (109.6, 134.2) | N/A | 88 | stable | -1.1 (-3.0, 0.8) |
Montgomery County 6 | Urban | 110.5 (97.2, 125.2) | N/A | 53 | stable | -1.1 (-3.4, 1.2) |
Charlottesville City 6 | Urban | 97.9 (80.3, 118.4) | N/A | 23 | stable | -1.3 (-3.3, 0.8) |
Clarke County 6 | Urban | 109.9 (81.9, 145.6) | N/A | 12 | stable | -1.5 (-4.8, 1.7) |
Lee County 6 | Rural | 77.4 (58.6, 101.3) | N/A | 13 | stable | -2.1 (-7.5, 2.7) |
Rappahannock County 6 | Urban | 150.7 (103.2, 215.0) | N/A | 9 | stable | -2.2 (-4.6, 0.1) |
Virginia Beach City 6 | Urban | 134.6 (128.4, 141.1) | N/A | 371 | stable | -2.2 (-5.3, 0.0) |
Bristol City 6 | Urban | 76.4 (54.9, 104.1) | N/A | 10 | stable | -2.6 (-6.9, 1.0) |
Washington County 6 | Urban | 94.5 (80.9, 110.0) | N/A | 41 | falling | -2.7 (-5.0, -0.6) |
Tazewell County 6 | Rural | 73.1 (58.8, 90.1) | N/A | 22 | falling | -2.8 (-5.5, -0.5) |
Russell County 6 | Rural | 85.8 (67.3, 108.3) | N/A | 17 | stable | -2.9 (-6.6, 0.5) |
Radford City 6 | Urban | 98.2 (66.2, 140.8) | N/A | 6 | falling | -3.7 (-7.3, -0.5) |
James City County 6 | Urban | 109.3 (96.9, 122.9) | N/A | 69 | falling | -4.0 (-11.2, -1.7) |
Page County 6 | Rural | 81.2 (63.2, 103.4) | N/A | 15 | falling | -10.9 (-21.0, -4.5) |
Lunenburg County 6 | Rural | 129.9 (95.3, 174.3) | N/A | 12 | falling | -12.1 (-30.1, -0.4) |
Fluvanna County 6 | Urban | 132.1 (109.3, 158.7) | N/A | 26 | falling | -19.5 (-29.2, -12.2) |
Bland County 6 | Rural | 88.8 (56.5, 140.5) | N/A | 5 |
|
|
Buena Vista City 6 | Rural | 122.4 (79.8, 181.2) | N/A | 6 |
|
|
Craig County 6 | Urban | 119.8 (73.3, 190.2) | N/A | 5 |
|
|
Emporia City 6 | Rural | 102.9 (61.8, 162.5) | N/A | 4 |
|
|
Scott County 6 | Urban | 68.7 (49.7, 93.3) | N/A | 11 |
|
|
Highland County 6 | Rural |
|
|
|
|
|
Norton City 6 | Rural |
|
|
|
|
|
Notes:
Created by statecancerprofiles.cancer.gov on 01/14/2025 12:56 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.
* 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.
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 01/14/2025 12:56 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.
* 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.
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.