## Interpretation of Incidence Rates Data

### Incidence Rate Report for by County

All Cancer Sites, 2009-2013

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

Sorted by Rate

**Explanation of Column Headers**

**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**

**Line by Line Interpretation of the Report**

#### Virginia^{6,10}

- Rate : The incidence rate is 424.2 with a 95% confidence interval from 422.3 to 426.2 and 36,890 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -4.4 to 0.0.

#### US (SEER+NPCR)^{1,10}

- Rate : The incidence rate is 448.4 with a 95% confidence interval from 448.1 to 448.7 and 1,540,559 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.9 with a 95% confidence interval from -2.6 to -1.2.

#### Williamsburg City^{6,10}

- Rate : The incidence rate is 1,249.4 with a 95% confidence interval from 1,160.8 to 1,343.3 and 168 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 25.2 with a 95% confidence interval from -29.7 to 122.8.

#### Lexington City^{6,10}

- Rate : The incidence rate is 966.0 with a 95% confidence interval from 850.6 to 1,093.5 and 62 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 28.3 with a 95% confidence interval from -19.9 to 105.4.

#### Charlottesville City^{6,10}

- Rate : The incidence rate is 829.1 with a 95% confidence interval from 786.1 to 873.9 and 291 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 11.5 with a 95% confidence interval from -9.6 to 37.6.

#### Covington City^{6,10}

- Rate : The incidence rate is 782.1 with a 95% confidence interval from 693.8 to 879.3 and 60 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 34.5 with a 95% confidence interval from -16.2 to 115.8.

#### Petersburg City^{6,10}

- Rate : The incidence rate is 685.0 with a 95% confidence interval from 647.7 to 724.0 and 266 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.7 with a 95% confidence interval from -17.4 to 35.3.

#### Waynesboro City^{6,10}

- Rate : The incidence rate is 640.3 with a 95% confidence interval from 597.0 to 686.1 and 169 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 12.8 with a 95% confidence interval from 0.7 to 26.4.

#### Harrisonburg City^{6,10}

- Rate : The incidence rate is 636.2 with a 95% confidence interval from 597.0 to 677.3 and 207 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 7.3 with a 95% confidence interval from -8.9 to 26.2.

#### Fredericksburg City^{6,10}

- Rate : The incidence rate is 599.9 with a 95% confidence interval from 553.9 to 648.6 and 130 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.5 with a 95% confidence interval from -4.3 to 16.4.

#### Staunton City^{6,10}

- Rate : The incidence rate is 597.0 with a 95% confidence interval from 559.2 to 637.0 and 200 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 11.9 with a 95% confidence interval from -3.7 to 30.0.

#### Buena Vista City^{6,10}

- Rate : The incidence rate is 583.9 with a 95% confidence interval from 509.0 to 667.2 and 46 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 6.0 with a 95% confidence interval from -7.8 to 21.8.

#### Roanoke City^{6,10}

- Rate : The incidence rate is 558.9 with a 95% confidence interval from 539.2 to 579.3 and 634 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 11.2 with a 95% confidence interval from -1.5 to 25.6.

#### Hopewell City^{6,10}

- Rate : The incidence rate is 556.8 with a 95% confidence interval from 516.0 to 600.1 and 142 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -11.0 to 9.1.

#### Franklin City^{6,10}

- Rate : The incidence rate is 556.3 with a 95% confidence interval from 492.9 to 625.9 and 60 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 11.6 with a 95% confidence interval from 2.5 to 21.5.

#### Galax City^{6,10}

- Rate : The incidence rate is 555.3 with a 95% confidence interval from 487.5 to 630.5 and 53 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 29.0 with a 95% confidence interval from -3.1 to 71.6.

#### Salem City^{6,10}

- Rate : The incidence rate is 547.1 with a 95% confidence interval from 510.4 to 585.9 and 174 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 14.1 with a 95% confidence interval from -6.2 to 38.8.

#### Danville City^{6,10}

- Rate : The incidence rate is 543.1 with a 95% confidence interval from 515.7 to 571.6 and 319 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 6.2 with a 95% confidence interval from -11.0 to 26.8.

#### Nelson County^{6,10}

- Rate : The incidence rate is 530.7 with a 95% confidence interval from 486.8 to 578.0 and 122 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 8.8 with a 95% confidence interval from 3.3 to 14.7.

#### Middlesex County^{6,10}

- Rate : The incidence rate is 526.5 with a 95% confidence interval from 477.3 to 580.4 and 101 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -12.9 to 10.3.

#### Nottoway County^{6,10}

- Rate : The incidence rate is 516.0 with a 95% confidence interval from 472.7 to 562.5 and 108 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.4 with a 95% confidence interval from -13.4 to 16.5.

#### Hanover County^{6,10}

- Rate : The incidence rate is 512.6 with a 95% confidence interval from 494.0 to 531.7 and 605 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.4 with a 95% confidence interval from -1.6 to 12.9.

#### Amelia County^{6,10}

- Rate : The incidence rate is 509.5 with a 95% confidence interval from 460.4 to 562.9 and 84 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.4 with a 95% confidence interval from -23.4 to 14.4.

#### Accomack County^{6,10}

- Rate : The incidence rate is 502.6 with a 95% confidence interval from 473.0 to 533.6 and 235 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -20.4 to 19.7.

#### Northampton County^{6,10}

- Rate : The incidence rate is 500.9 with a 95% confidence interval from 455.3 to 550.4 and 100 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.4 with a 95% confidence interval from -11.1 to 5.0.

#### Sussex County^{6,10}

- Rate : The incidence rate is 500.8 with a 95% confidence interval from 450.2 to 555.9 and 74 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.9 with a 95% confidence interval from -11.0 to 25.9.

#### King William County^{6,10}

- Rate : The incidence rate is 499.6 with a 95% confidence interval from 453.2 to 549.7 and 89 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.4 with a 95% confidence interval from -18.6 to 0.9.

#### Lynchburg City^{6,10}

- Rate : The incidence rate is 498.9 with a 95% confidence interval from 476.4 to 522.2 and 393 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.8 with a 95% confidence interval from -11.5 to 24.2.

#### King George County^{6,10}

- Rate : The incidence rate is 495.9 with a 95% confidence interval from 454.0 to 540.6 and 111 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.8 with a 95% confidence interval from -22.2 to 16.6.

#### Radford City^{6,10}

- Rate : The incidence rate is 495.0 with a 95% confidence interval from 437.3 to 558.2 and 55 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 10.1 with a 95% confidence interval from -3.2 to 25.2.

#### Caroline County^{6,10}

- Rate : The incidence rate is 494.7 with a 95% confidence interval from 460.7 to 530.6 and 165 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -9.1 to 5.1.

#### Orange County^{6,10}

- Rate : The incidence rate is 493.5 with a 95% confidence interval from 464.4 to 524.1 and 225 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -7.9 to 15.7.

#### Colonial Heights City^{6,10}

- Rate : The incidence rate is 491.9 with a 95% confidence interval from 451.0 to 535.7 and 115 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.5 to 1.7.

#### Gloucester County^{6,10}

- Rate : The incidence rate is 490.3 with a 95% confidence interval from 461.6 to 520.5 and 230 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -11.7 to 9.5.

#### Chesterfield County^{6,10}

- Rate : The incidence rate is 489.1 with a 95% confidence interval from 478.0 to 500.4 and 1,592 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -5.1 with a 95% confidence interval from -7.7 to -2.4.

#### Norton City^{6,10}

- Rate : The incidence rate is 487.9 with a 95% confidence interval from 401.3 to 588.4 and 23 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 23.9 with a 95% confidence interval from 4.3 to 47.2.

#### Hampton City^{6,10}

- Rate : The incidence rate is 486.5 with a 95% confidence interval from 470.4 to 503.1 and 711 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -5.1 with a 95% confidence interval from -9.1 to -0.9.

#### New Kent County^{6,10}

- Rate : The incidence rate is 486.0 with a 95% confidence interval from 442.6 to 532.7 and 106 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.4 with a 95% confidence interval from -8.6 to 21.5.

#### Greensville County^{6,10}

- Rate : The incidence rate is 485.4 with a 95% confidence interval from 434.3 to 541.2 and 69 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -10.3 with a 95% confidence interval from -16.7 to -3.3.

#### Norfolk City^{6,10}

- Rate : The incidence rate is 482.8 with a 95% confidence interval from 469.2 to 496.6 and 1,001 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.1 to -0.5.

#### Martinsville City^{6,10}

- Rate : The incidence rate is 482.1 with a 95% confidence interval from 437.2 to 530.6 and 92 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -38.4 to 53.1.

#### Suffolk City^{6,10}

- Rate : The incidence rate is 469.5 with a 95% confidence interval from 449.1 to 490.7 and 415 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -3.7 with a 95% confidence interval from -6.5 to -0.8.

#### Richmond City^{6,10}

- Rate : The incidence rate is 468.8 with a 95% confidence interval from 455.2 to 482.7 and 952 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.2 with a 95% confidence interval from -5.7 to 3.4.

#### Portsmouth City^{6,10}

- Rate : The incidence rate is 466.7 with a 95% confidence interval from 448.0 to 486.0 and 486 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.3 with a 95% confidence interval from -4.1 to -0.4.

#### Charlotte County^{6,10}

- Rate : The incidence rate is 465.1 with a 95% confidence interval from 420.0 to 514.1 and 82 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -12.0 to 21.5.

#### Essex County^{6,10}

- Rate : The incidence rate is 464.5 with a 95% confidence interval from 415.9 to 517.7 and 71 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.9 with a 95% confidence interval from -19.9 to 29.7.

#### Lancaster County^{6,10}

- Rate : The incidence rate is 461.8 with a 95% confidence interval from 417.0 to 511.4 and 105 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -7.8 with a 95% confidence interval from -12.5 to -2.8.

#### Goochland County^{6,10}

- Rate : The incidence rate is 460.4 with a 95% confidence interval from 424.4 to 498.9 and 134 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.6 with a 95% confidence interval from -14.6 to 4.4.

#### Brunswick County^{6,10}

- Rate : The incidence rate is 458.8 with a 95% confidence interval from 419.5 to 501.2 and 105 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.7 with a 95% confidence interval from -16.3 to 3.9.

#### Newport News City^{6,10}

- Rate : The incidence rate is 456.3 with a 95% confidence interval from 441.9 to 471.0 and 782 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.2 with a 95% confidence interval from -4.1 to 8.9.

#### Wythe County^{6,10}

- Rate : The incidence rate is 453.4 with a 95% confidence interval from 423.6 to 484.9 and 181 average annual cases over 2009-2013.
- Recent Trend : The trend is rising because the trend is 10.9 with a 95% confidence interval from 1.3 to 21.6.

#### Northumberland County^{6,10}

- Rate : The incidence rate is 453.3 with a 95% confidence interval from 410.1 to 500.7 and 109 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -18.8 to 21.4.

#### Chesapeake City^{6,10}

- Rate : The incidence rate is 453.0 with a 95% confidence interval from 440.3 to 466.1 and 1,008 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -4.0 with a 95% confidence interval from -7.5 to -0.3.

#### Richmond County^{6,10}

- Rate : The incidence rate is 450.9 with a 95% confidence interval from 399.0 to 508.4 and 57 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -5.7 with a 95% confidence interval from -10.0 to -1.2.

#### Isle of Wight County^{6,10}

- Rate : The incidence rate is 450.4 with a 95% confidence interval from 422.4 to 479.9 and 206 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.6 with a 95% confidence interval from -11.2 to 2.4.

#### Powhatan County^{6,10}

- Rate : The incidence rate is 449.6 with a 95% confidence interval from 416.2 to 485.2 and 148 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -6.5 to 5.5.

#### Frederick County^{6,10}

- Rate : The incidence rate is 444.4 with a 95% confidence interval from 424.6 to 464.9 and 392 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.1 with a 95% confidence interval from -10.6 to 4.9.

#### Stafford County^{6,10}

- Rate : The incidence rate is 443.3 with a 95% confidence interval from 424.4 to 462.8 and 475 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -5.1 to 0.8.

#### Madison County^{6,10}

- Rate : The incidence rate is 442.9 with a 95% confidence interval from 399.9 to 489.9 and 83 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.4 with a 95% confidence interval from -15.5 to 17.5.

#### Bland County^{6,10}

- Rate : The incidence rate is 441.7 with a 95% confidence interval from 381.4 to 509.8 and 41 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.5 with a 95% confidence interval from -33.4 to 25.8.

#### Virginia Beach City^{6,10}

- Rate : The incidence rate is 440.8 with a 95% confidence interval from 431.8 to 450.0 and 1,892 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 1.5 with a 95% confidence interval from -0.7 to 3.7.

#### Mecklenburg County^{6,10}

- Rate : The incidence rate is 440.2 with a 95% confidence interval from 413.1 to 468.8 and 217 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.6 with a 95% confidence interval from -10.3 to 8.0.

#### Westmoreland County^{6,10}

- Rate : The incidence rate is 439.6 with a 95% confidence interval from 403.4 to 478.5 and 120 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 0.6 with a 95% confidence interval from -10.7 to 13.4.

#### Spotsylvania County^{6,10}

- Rate : The incidence rate is 439.1 with a 95% confidence interval from 422.0 to 456.8 and 526 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.9 with a 95% confidence interval from -8.9 to 5.8.

#### Louisa County^{6,10}

- Rate : The incidence rate is 438.1 with a 95% confidence interval from 409.1 to 468.7 and 184 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -1.4 to 0.0.

#### Appomattox County^{6,10}

- Rate : The incidence rate is 437.5 with a 95% confidence interval from 396.3 to 482.1 and 88 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.2 with a 95% confidence interval from -19.1 to 4.1.

#### Fluvanna County^{6,10}

- Rate : The incidence rate is 436.5 with a 95% confidence interval from 404.2 to 470.9 and 140 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -11.4 to 7.9.

#### Prince Edward County^{6,10}

- Rate : The incidence rate is 432.9 with a 95% confidence interval from 395.7 to 472.8 and 105 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 9.9 with a 95% confidence interval from -2.0 to 23.2.

#### Mathews County^{6,10}

- Rate : The incidence rate is 431.3 with a 95% confidence interval from 384.5 to 483.5 and 71 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.1 with a 95% confidence interval from -30.2 to 26.3.

#### Surry County^{6,10}

- Rate : The incidence rate is 428.5 with a 95% confidence interval from 369.8 to 494.9 and 41 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.2 with a 95% confidence interval from -9.5 to 17.7.

#### Henrico County^{6,10}

- Rate : The incidence rate is 428.0 with a 95% confidence interval from 418.0 to 438.2 and 1,444 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -7.1 to 1.5.

#### Poquoson City^{6,10}

- Rate : The incidence rate is 427.3 with a 95% confidence interval from 381.4 to 477.7 and 66 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -7.7 to 7.0.

#### Page County^{6,10}

- Rate : The incidence rate is 424.1 with a 95% confidence interval from 392.0 to 458.3 and 137 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -13.6 to 9.9.

#### Falls Church City^{6,10}

- Rate : The incidence rate is 423.6 with a 95% confidence interval from 372.0 to 480.2 and 53 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.0 with a 95% confidence interval from -31.6 to 18.5.

#### Henry County^{6,10}

- Rate : The incidence rate is 422.0 with a 95% confidence interval from 401.0 to 443.8 and 326 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.2 with a 95% confidence interval from -15.3 to 6.1.

#### Charles City County^{6,10}

- Rate : The incidence rate is 420.4 with a 95% confidence interval from 365.2 to 482.9 and 46 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -24.3 with a 95% confidence interval from -47.9 to 9.9.

#### Washington County^{6,10}

- Rate : The incidence rate is 419.3 with a 95% confidence interval from 398.2 to 441.3 and 314 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -12.5 with a 95% confidence interval from -25.8 to 3.1.

#### Bath County^{6,10}

- Rate : The incidence rate is 418.5 with a 95% confidence interval from 353.3 to 494.7 and 32 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 2.1 with a 95% confidence interval from -16.9 to 25.4.

#### Rappahannock County^{6,10}

- Rate : The incidence rate is 415.6 with a 95% confidence interval from 359.9 to 478.6 and 45 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 5.7 with a 95% confidence interval from -11.5 to 26.1.

#### Culpeper County^{6,10}

- Rate : The incidence rate is 408.0 with a 95% confidence interval from 383.1 to 434.2 and 207 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.4 with a 95% confidence interval from -6.3 to 14.0.

#### Prince George County^{6,10}

- Rate : The incidence rate is 407.3 with a 95% confidence interval from 377.6 to 438.7 and 151 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.2 with a 95% confidence interval from -19.4 to 9.1.

#### Clarke County^{6,10}

- Rate : The incidence rate is 406.4 with a 95% confidence interval from 365.3 to 451.3 and 76 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.6 with a 95% confidence interval from -12.1 to 7.9.

#### Emporia City^{6,10}

- Rate : The incidence rate is 406.1 with a 95% confidence interval from 340.9 to 480.7 and 29 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.5 with a 95% confidence interval from -6.1 to 16.3.

#### Shenandoah County^{6,10}

- Rate : The incidence rate is 405.9 with a 95% confidence interval from 382.4 to 430.6 and 237 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.0 with a 95% confidence interval from -6.7 to 2.9.

#### Warren County^{6,10}

- Rate : The incidence rate is 405.9 with a 95% confidence interval from 378.7 to 434.5 and 173 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.4 with a 95% confidence interval from -13.3 to 3.2.

#### King and Queen County^{6,10}

- Rate : The incidence rate is 403.9 with a 95% confidence interval from 347.6 to 467.7 and 40 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 3.6 with a 95% confidence interval from -21.3 to 36.4.

#### Amherst County^{6,10}

- Rate : The incidence rate is 403.2 with a 95% confidence interval from 376.2 to 431.8 and 173 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.5 with a 95% confidence interval from -12.7 to 11.1.

#### Botetourt County^{6,10}

- Rate : The incidence rate is 399.0 with a 95% confidence interval from 372.3 to 427.4 and 180 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.0 with a 95% confidence interval from -13.6 to 4.5.

#### Halifax County with South Boston City^{6,10}

- Rate : The incidence rate is 398.1 with a 95% confidence interval from 372.9 to 424.6 and 205 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -7.6 with a 95% confidence interval from -24.1 to 12.6.

#### Winchester City^{6,10}

- Rate : The incidence rate is 398.0 with a 95% confidence interval from 366.0 to 432.1 and 118 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.2 with a 95% confidence interval from -14.2 to 11.4.

#### Buckingham County^{6,10}

- Rate : The incidence rate is 397.7 with a 95% confidence interval from 359.8 to 438.8 and 85 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -10.3 with a 95% confidence interval from -28.1 to 11.9.

#### Cumberland County^{6,10}

- Rate : The incidence rate is 397.7 with a 95% confidence interval from 349.4 to 451.2 and 52 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -14.3 with a 95% confidence interval from -38.9 to 20.2.

#### Franklin County^{6,10}

- Rate : The incidence rate is 395.0 with a 95% confidence interval from 374.5 to 416.4 and 303 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -10.4 with a 95% confidence interval from -19.6 to -0.1.

#### Giles County^{6,10}

- Rate : The incidence rate is 395.0 with a 95% confidence interval from 358.5 to 434.5 and 92 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -3.9 with a 95% confidence interval from -12.8 to 6.0.

#### Lunenburg County^{6,10}

- Rate : The incidence rate is 394.6 with a 95% confidence interval from 353.0 to 440.2 and 69 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -4.2 with a 95% confidence interval from -18.0 to 11.9.

#### Southampton County^{6,10}

- Rate : The incidence rate is 394.6 with a 95% confidence interval from 359.2 to 432.7 and 97 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 4.4 with a 95% confidence interval from -9.2 to 20.1.

#### Bedford City and County^{6,10}

- Rate : The incidence rate is 390.7 with a 95% confidence interval from 373.2 to 408.9 and 399 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -8.0 with a 95% confidence interval from -14.5 to -0.9.

#### Roanoke County^{6,10}

- Rate : The incidence rate is 388.0 with a 95% confidence interval from 372.3 to 404.3 and 486 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -6.0 with a 95% confidence interval from -10.5 to -1.4.

#### James City County^{6,10}

- Rate : The incidence rate is 387.2 with a 95% confidence interval from 369.4 to 405.8 and 386 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -10.9 with a 95% confidence interval from -19.7 to -1.1.

#### Dinwiddie County^{6,10}

- Rate : The incidence rate is 387.0 with a 95% confidence interval from 357.1 to 418.7 and 131 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.1 with a 95% confidence interval from -17.7 to 16.5.

#### Greene County^{6,10}

- Rate : The incidence rate is 386.9 with a 95% confidence interval from 349.7 to 427.0 and 84 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -6.1 with a 95% confidence interval from -10.5 to -1.4.

#### Fairfax County^{6,10}

- Rate : The incidence rate is 384.4 with a 95% confidence interval from 378.9 to 389.9 and 4,103 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -1.7 with a 95% confidence interval from -7.0 to 3.9.

#### Dickenson County^{6,10}

- Rate : The incidence rate is 381.3 with a 95% confidence interval from 343.3 to 422.7 and 78 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.4 with a 95% confidence interval from -30.9 to 8.4.

#### Smyth County^{6,10}

- Rate : The incidence rate is 380.8 with a 95% confidence interval from 355.0 to 408.1 and 169 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.5 with a 95% confidence interval from -16.1 to 4.3.

#### Augusta County^{6,10}

- Rate : The incidence rate is 377.4 with a 95% confidence interval from 359.9 to 395.5 and 369 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -11.8 with a 95% confidence interval from -21.8 to -0.6.

#### Wise County^{6,10}

- Rate : The incidence rate is 374.9 with a 95% confidence interval from 350.5 to 400.6 and 182 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.7 with a 95% confidence interval from -24.2 to 15.0.

#### Rockingham County^{6,10}

- Rate : The incidence rate is 373.8 with a 95% confidence interval from 356.4 to 391.8 and 362 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -5.9 with a 95% confidence interval from -19.4 to 9.8.

#### Montgomery County^{6,10}

- Rate : The incidence rate is 371.6 with a 95% confidence interval from 352.6 to 391.3 and 297 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -6.4 with a 95% confidence interval from -12.0 to -0.6.

#### Arlington County^{6,10}

- Rate : The incidence rate is 369.0 with a 95% confidence interval from 356.0 to 382.3 and 671 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.5 with a 95% confidence interval from -10.3 to 6.0.

#### Manassas City^{6,10}

- Rate : The incidence rate is 368.7 with a 95% confidence interval from 336.6 to 403.0 and 112 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.7 with a 95% confidence interval from -14.0 to 14.6.

#### Craig County^{6,10}

- Rate : The incidence rate is 367.3 with a 95% confidence interval from 306.1 to 438.8 and 28 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -13.9 with a 95% confidence interval from -22.1 to -4.8.

#### Pulaski County^{6,10}

- Rate : The incidence rate is 366.8 with a 95% confidence interval from 342.5 to 392.6 and 180 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -8.5 with a 95% confidence interval from -14.0 to -2.7.

#### Fauquier County^{6,10}

- Rate : The incidence rate is 366.5 with a 95% confidence interval from 346.9 to 387.0 and 279 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.6 with a 95% confidence interval from -13.5 to 14.2.

#### Loudoun County^{6,10}

- Rate : The incidence rate is 364.3 with a 95% confidence interval from 353.0 to 375.8 and 922 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.9 with a 95% confidence interval from -11.4 to 6.3.

#### Floyd County^{6,10}

- Rate : The incidence rate is 362.1 with a 95% confidence interval from 325.5 to 402.0 and 77 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.4 with a 95% confidence interval from -15.7 to 3.9.

#### Prince William County^{6,10}

- Rate : The incidence rate is 359.7 with a 95% confidence interval from 349.7 to 370.0 and 1,163 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.3 to -1.0.

#### York County^{6,10}

- Rate : The incidence rate is 357.9 with a 95% confidence interval from 338.1 to 378.6 and 257 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -6.9 with a 95% confidence interval from -14.0 to 0.6.

#### Russell County^{6,10}

- Rate : The incidence rate is 357.8 with a 95% confidence interval from 330.6 to 386.9 and 136 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -9.7 with a 95% confidence interval from -20.2 to 2.1.

#### Pittsylvania County^{6,10}

- Rate : The incidence rate is 352.6 with a 95% confidence interval from 334.7 to 371.2 and 310 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -16.7 with a 95% confidence interval from -19.0 to -14.4.

#### Tazewell County^{6,10}

- Rate : The incidence rate is 344.2 with a 95% confidence interval from 322.9 to 366.7 and 206 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -2.4 with a 95% confidence interval from -21.3 to 20.9.

#### Campbell County^{6,10}

- Rate : The incidence rate is 341.3 with a 95% confidence interval from 321.9 to 361.7 and 241 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -13.4 with a 95% confidence interval from -24.6 to -0.5.

#### Highland County^{6,10}

- Rate : The incidence rate is 338.9 with a 95% confidence interval from 251.2 to 453.9 and 13 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is 14.1 with a 95% confidence interval from -21.9 to 66.6.

#### Carroll County^{6,10}

- Rate : The incidence rate is 332.9 with a 95% confidence interval from 308.3 to 359.1 and 146 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -17.8 with a 95% confidence interval from -41.3 to 15.1.

#### Albemarle County^{6,10}

- Rate : The incidence rate is 323.8 with a 95% confidence interval from 309.1 to 339.0 and 381 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -11.7 with a 95% confidence interval from -26.9 to 6.5.

#### Grayson County^{6,10}

- Rate : The incidence rate is 323.7 with a 95% confidence interval from 290.9 to 359.7 and 78 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -13.1 with a 95% confidence interval from -23.8 to -1.0.

#### Scott County^{6,10}

- Rate : The incidence rate is 318.9 with a 95% confidence interval from 291.7 to 348.2 and 107 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -8.1 with a 95% confidence interval from -31.6 to 23.4.

#### Alleghany County and Clifton Forge City^{6,10}

- Rate : The incidence rate is 316.5 with a 95% confidence interval from 284.7 to 351.3 and 78 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -19.0 with a 95% confidence interval from -28.6 to -8.1.

#### Lee County^{6,10}

- Rate : The incidence rate is 300.9 with a 95% confidence interval from 274.5 to 329.3 and 100 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -13.8 with a 95% confidence interval from -29.7 to 5.7.

#### Buchanan County^{6,10}

- Rate : The incidence rate is 299.7 with a 95% confidence interval from 272.4 to 329.2 and 96 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -19.9 with a 95% confidence interval from -27.3 to -11.6.

#### Patrick County^{6,10}

- Rate : The incidence rate is 298.1 with a 95% confidence interval from 269.9 to 328.9 and 88 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -16.1 with a 95% confidence interval from -30.4 to 1.1.

#### Rockbridge County^{6,10}

- Rate : The incidence rate is 297.1 with a 95% confidence interval from 270.7 to 325.8 and 103 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -14.3 with a 95% confidence interval from -26.4 to -0.3.

#### Alexandria City^{6,10}

- Rate : The incidence rate is 285.4 with a 95% confidence interval from 271.9 to 299.4 and 375 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -11.5 with a 95% confidence interval from -20.4 to -1.7.

#### Fairfax City^{6,10}

- Rate : The incidence rate is 258.0 with a 95% confidence interval from 231.2 to 287.2 and 70 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -15.8 with a 95% confidence interval from -46.9 to 33.6.

#### Bristol City^{6,10}

- Rate : The incidence rate is 247.3 with a 95% confidence interval from 219.4 to 278.0 and 60 average annual cases over 2009-2013.
- Recent Trend : The trend is stable because the trend is -0.2 with a 95% confidence interval from -46.7 to 86.8.

#### Manassas Park City^{6,10}

- Rate : The incidence rate is 230.9 with a 95% confidence interval from 186.9 to 281.4 and 22 average annual cases over 2009-2013.
- Recent Trend : The trend is falling because the trend is -27.4 with a 95% confidence interval from -44.1 to -5.7.

**Notes:**

Created by statecancerprofiles.cancer.gov on 08/29/2016 3:13 am.

Data for the United States does not include data from Nevada

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 1969-2014 US Population Data File is used for SEER and NPCR incidence rates.

‡ Incidence data come from different sources. Due to different years of data availability, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each area for additional information.

^{1}Source: CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2015 data submission and SEER November 2015 submission as published in

*United States Cancer Statistics*.

^{6}Source: State Cancer Registry and the CDC's National Program of Cancer Registries Cancer Surveillance System (NPCR-CSS) November 2015 data submission.

^{10}Source: Incidence data provided by the National Program of Cancer Registries (NPCR). EAPCs calculated by the National Cancer Institute using SEER*Stat. Rates 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 1969-2014 US Population Data File is used with NPCR November 2015 data.

Please note that the data comes from different sources. Due to different years of data availablility, most of the trends are AAPCs based on APCs but some are APCs calculated in SEER*Stat. Please refer to the source for each graph for additional information.

Interpret Rankings provides insight into interpreting cancer incidence statistics. When the population size for a denominator is small, the rates may be unstable. A rate is unstable when a small change in the numerator (e.g., only one or two additional cases) has a dramatic effect on the calculated rate.