State Cancer Profiles

Interpretation of Rate/Trend Comparison by Cancer Data

Death Rate/Trend Comparison by Cancer, 2019-2023

Washington Counties versus United States

All Cancer Sites

All Races, Female

Sorted by priority index

Explanation of Column Headers

State/County - The site and sex combination for this comparison.

Priority Index ¹ - The priority index is based upon the direction of the trend and the rate comparison. An index of 1 is the highest priority - that trend is rising and the rate is already higher. An index of 9 is the lowest priority - the trend is falling and the rate is already lower.

Recent Trends - This is an interpretation of the AAPC:

• 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.

AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program

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

United States

• Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.2 to -1.0.
• Rate : The death rate is 126.3 with a 95% confidence interval from 126.1 to 126.6 and 287,034 average annual deaths.

Washington

• Recent Trend(2) : The trend is stable because the trend is -0.5 with a 95% confidence interval from -1.4 to 0.2.
• Rate : The death rate is 127.6 with a 95% confidence interval from 126.1 to 129.0 and 6,304 average annual deaths.

Whatcom County

• Priority Index(1) : The priority index is 9.
• Recent Trend(2) : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.3 to -0.6.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 113.0 with a 95% confidence interval from 105.4 to 121.0 and 175 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Benton County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.1 to -1.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 130.5 with a 95% confidence interval from 121.5 to 139.9 and 165 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Chelan County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.7 to -0.6.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 126.0 with a 95% confidence interval from 113.1 to 140.0 and 76 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Clallam County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.6 to -0.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 129.0 with a 95% confidence interval from 118.0 to 141.3 and 114 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Clark County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.9 to -1.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 135.2 with a 95% confidence interval from 129.5 to 141.1 and 436 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Douglas County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 125.0 with a 95% confidence interval from 107.0 to 145.4 and 36 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Franklin County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.5 to -0.8.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 122.3 with a 95% confidence interval from 107.1 to 139.0 and 48 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Grant County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.6 with a 95% confidence interval from -2.8 to -0.4.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 129.6 with a 95% confidence interval from 116.3 to 144.1 and 72 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Jefferson County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.2 with a 95% confidence interval from -2.4 to 0.0.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 117.0 with a 95% confidence interval from 100.5 to 136.8 and 48 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Kitsap County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.4 to -1.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 118.2 with a 95% confidence interval from 111.2 to 125.4 and 233 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Kittitas County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.8 to -0.3.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 125.4 with a 95% confidence interval from 107.4 to 146.0 and 36 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Pend Oreille County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.4 to -0.7.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 122.6 with a 95% confidence interval from 95.5 to 157.1 and 16 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Pierce County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.6 to -1.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 136.8 with a 95% confidence interval from 132.4 to 141.4 and 746 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Skagit County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.0 to -0.6.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 134.2 with a 95% confidence interval from 124.0 to 145.1 and 140 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Skamania County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -2.8 with a 95% confidence interval from -5.0 to -0.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 107.9 with a 95% confidence interval from 80.0 to 144.6 and 11 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Snohomish County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.0 with a 95% confidence interval from -1.3 to -0.6.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 134.7 with a 95% confidence interval from 130.1 to 139.5 and 658 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Spokane County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.4 to -0.7.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 135.6 with a 95% confidence interval from 130.2 to 141.2 and 493 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Thurston County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.3 with a 95% confidence interval from -1.8 to -0.7.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 135.3 with a 95% confidence interval from 128.2 to 142.7 and 285 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Walla Walla County

• Priority Index(1) : The priority index is 8.
• Recent Trend(2) : The trend is falling because the trend is -1.1 with a 95% confidence interval from -1.9 to -0.2.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 121.0 with a 95% confidence interval from 106.4 to 137.2 and 57 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

King County

• Priority Index(1) : The priority index is 7.
• Recent Trend(2) : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.8 to 0.6.
• County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
• Rate : The death rate is 110.3 with a 95% confidence interval from 107.7 to 112.9 and 1,439 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Adams County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.0 to 0.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 119.7 with a 95% confidence interval from 90.3 to 155.6 and 11 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Asotin County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.4 to 0.6.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 118.0 with a 95% confidence interval from 96.5 to 143.7 and 24 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Columbia County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.2 to 1.4.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 144.7 with a 95% confidence interval from 93.3 to 222.9 and 6 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Ferry County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -1.1 with a 95% confidence interval from -3.9 to 2.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 165.9 with a 95% confidence interval from 123.2 to 223.3 and 12 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.3

Island County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is 1.1 with a 95% confidence interval from -0.7 to 7.2.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 135.9 with a 95% confidence interval from 123.5 to 149.4 and 103 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Klickitat County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -0.4 with a 95% confidence interval from -1.9 to 1.2.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 131.1 with a 95% confidence interval from 108.0 to 158.6 and 25 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Lincoln County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is 0.4 with a 95% confidence interval from -1.6 to 2.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 129.0 with a 95% confidence interval from 96.8 to 170.6 and 13 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

San Juan County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.5 to 1.4.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 112.6 with a 95% confidence interval from 91.7 to 139.3 and 24 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 0.9

Stevens County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is 2.8 with a 95% confidence interval from -0.1 to 9.2.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 136.2 with a 95% confidence interval from 119.3 to 155.1 and 54 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Wahkiakum County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -2.3 with a 95% confidence interval from -5.2 to 0.5.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 124.5 with a 95% confidence interval from 82.3 to 192.0 and 6 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.0

Whitman County

• Priority Index(1) : The priority index is 6.
• Recent Trend(2) : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.3 to 1.1.
• County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
• Rate : The death rate is 133.2 with a 95% confidence interval from 111.2 to 158.2 and 27 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Cowlitz County

• Priority Index(1) : The priority index is 5.
• Recent Trend(2) : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.3 to -0.3.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 158.9 with a 95% confidence interval from 146.5 to 172.1 and 129 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.3

Grays Harbor County

• Priority Index(1) : The priority index is 5.
• Recent Trend(2) : The trend is falling because the trend is -0.8 with a 95% confidence interval from -1.4 to -0.1.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 166.8 with a 95% confidence interval from 151.7 to 183.1 and 101 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.3

Lewis County

• Priority Index(1) : The priority index is 5.
• Recent Trend(2) : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.1 to -0.7.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 149.0 with a 95% confidence interval from 135.5 to 163.6 and 97 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Yakima County

• Priority Index(1) : The priority index is 5.
• Recent Trend(2) : The trend is falling because the trend is -0.6 with a 95% confidence interval from -0.9 to -0.2.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 143.8 with a 95% confidence interval from 135.1 to 153.0 and 209 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.1

Mason County

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stable because the trend is 0.8 with a 95% confidence interval from -1.3 to 8.6.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 156.7 with a 95% confidence interval from 141.6 to 173.4 and 87 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Okanogan County

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stable because the trend is -0.1 with a 95% confidence interval from -0.9 to 0.7.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 148.2 with a 95% confidence interval from 129.5 to 169.3 and 50 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.2

Pacific County

• Priority Index(1) : The priority index is 4.
• Recent Trend(2) : The trend is stable because the trend is -1.1 with a 95% confidence interval from -2.4 to 0.3.
• County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
• Rate : The death rate is 159.2 with a 95% confidence interval from 135.6 to 187.0 and 39 average annual deaths.
• Rate Ratio(3) County to US : The rate ratio is 1.3

Garfield County

• Priority Index(1) : The priority index cannot be determined.
• Recent Trend(2) : **
• County Death Rate Compared to US Rate : *
• Rate : *
• Rate Ratio(3) County to US : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/13/2026 11:23 am.


* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
¹ Priority indices were created by ordering from rates that are rising and above the comparison rate to rates that are falling and below the comparison rate.
² Recent trend in death rates is usually an Average Annual Percent Change (AAPC) based on the APCs calculated by Joinpoint. Due to data availability issues, the time period and/or calculation method used in the calculation of the trends may differ for selected geographic areas.
³ Rate ratio is the county rate divided by the US rate. Previous versions of this table used one-year rates for states and five-year rates for counties. As of June 2018, only five-year rates are used.
Source: Death data provided by the National Vital Statistics System public use data file. Death rates calculated by the National Cancer Institute using SEER*Stat. Death rates are age-adjusted to the 2000 US standard population (20 age groups: <1, 1-4, 5-9, ... , 80-84, 85-89, 90+). The Healthy People 2030 goals are based on rates adjusted using different methods but the differences should be minimal. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with mortality data.
Note: 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. Suppression is used to avoid misinterpretation when rates are unstable.

State Cancer Registries may provide more current or more local data. Data presented on the State Cancer Profiles Web Site may differ from statistics reported by the State Cancer Registries (for more information).

Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Garfield County

Interpret Rankings provides insight into interpreting cancer 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.

Data for United States do not include Puerto Rico.