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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2019-2023

Virginia Counties versus United States

All Cancer Sites

All Races, Both Sexes

Sorted by name

Counties
 sort alphabetically by name ascending
Priority Index1
1=highest
9=lowest

 sort by priority index descending
Recent Trend2
County Death
Rate
Compared
to
US Rate
Average Annual Count
 sort by count descending
Age-Adjusted Death Rate

deaths per 100,000
(95% Confidence Interval)
 sort by rate descending
Rate
Ratio3
County
to
US
 sort by rate descending
Recent 5-Year Trend2 in Death Rates
(95% Confidence Interval)
 sort by trend descending
United States - falling - 605,771 145.4 (145.2, 145.6) - -1.3 (-1.5, -1.2)
Virginia - falling - 15,616 147.9 (146.9, 149.0) - -1.3 (-1.5, -0.7)
York County 9 falling lower 113 124.2 (114.1, 135.1) 0.9 -2.7 (-3.4, -1.9)
Wythe County 4 stable higher 78 178.9 (161.0, 198.4) 1.2 -0.7 (-1.6, 0.1)
Wise County 4 stable higher 110 226.4 (207.4, 246.9) 1.6 -0.5 (-1.1, 0.1)
Winchester City 8 falling similar 55 157.0 (138.7, 177.1) 1.1 -1.9 (-2.8, -1.0)
Williamsburg City 8 falling similar 27 150.6 (125.7, 179.8) 1.0 -23.0 (-40.1, -10.5)
Westmoreland County 8 falling similar 54 155.0 (136.3, 176.3) 1.1 -2.3 (-3.7, -1.0)
Waynesboro City 4 stable higher 60 197.0 (174.9, 221.2) 1.4 -0.4 (-1.4, 0.6)
Washington County 4 stable higher 152 170.6 (158.1, 183.9) 1.2 1.7 (-1.2, 7.1)
Warren County 4 stable higher 96 179.3 (163.1, 196.8) 1.2 -0.7 (-1.4, 0.0)
Virginia Beach City 8 falling similar 771 146.5 (141.9, 151.3) 1.0 -1.5 (-1.8, -1.3)
Tazewell County 4 stable higher 120 186.8 (171.5, 203.2) 1.3 -0.2 (-1.0, 0.6)
Sussex County 4 stable higher 31 207.1 (174.5, 244.7) 1.4 -0.7 (-1.7, 0.3)
Surry County 6 stable similar 18 164.2 (129.6, 206.9) 1.1 -1.6 (-3.9, 0.7)
Suffolk City 5 falling higher 181 161.4 (150.8, 172.5) 1.1 -2.1 (-2.6, -1.6)
Staunton City 4 stable higher 70 182.4 (163.4, 203.3) 1.3 -0.3 (-1.3, 0.8)
Stafford County 8 falling similar 203 146.1 (136.8, 155.8) 1.0 -2.0 (-2.3, -1.5)
Spotsylvania County 8 falling similar 232 144.5 (136.1, 153.4) 1.0 -1.8 (-2.4, -1.1)
Southampton County 8 falling similar 47 161.1 (140.7, 184.2) 1.1 -1.5 (-2.4, -0.6)
Smyth County 4 stable higher 99 205.9 (187.6, 225.7) 1.4 -0.3 (-0.9, 0.2)
Shenandoah County 4 stable higher 122 177.1 (162.8, 192.3) 1.2 -0.5 (-1.2, 0.1)
Scott County 4 stable higher 69 183.4 (163.8, 205.2) 1.3 -0.7 (-1.9, 0.4)
Salem City 4 stable higher 66 183.2 (163.4, 204.9) 1.3 -0.6 (-1.7, 0.4)
Russell County 4 stable higher 78 188.5 (169.4, 209.4) 1.3 -0.6 (-1.5, 0.2)
Rockingham County 6 stable similar 181 144.9 (135.4, 154.9) 1.0 2.9 (-1.6, 6.2)
Rockbridge County 8 falling similar 60 143.7 (127.0, 162.5) 1.0 -1.6 (-2.5, -0.6)
Roanoke County 8 falling similar 208 136.9 (128.5, 145.8) 0.9 -1.1 (-1.6, -0.5)
Roanoke City 5 falling higher 242 188.6 (177.8, 199.9) 1.3 -0.7 (-1.1, -0.3)
Richmond County 6 stable similar 25 171.7 (142.1, 206.5) 1.2 -0.6 (-1.8, 0.6)
Richmond City 8 falling similar 353 148.3 (141.2, 155.6) 1.0 -2.8 (-3.2, -2.5)
Rappahannock County 6 stable similar 17 120.1 (94.7, 152.3) 0.8 -1.5 (-3.0, 0.2)
Radford City 8 falling similar 20 171.9 (139.2, 209.8) 1.2 -1.4 (-2.7, -0.1)
Pulaski County 8 falling similar 85 155.2 (140.3, 171.4) 1.1 -1.8 (-2.4, -1.2)
Prince William County 9 falling lower 529 127.4 (122.4, 132.6) 0.9 -2.1 (-2.4, -1.8)
Prince George County 8 falling similar 64 153.5 (136.8, 171.7) 1.1 -1.7 (-2.6, -0.6)
Prince Edward County 4 stable higher 50 196.4 (171.9, 223.5) 1.4 0.4 (-0.5, 3.9)
Powhatan County 8 falling similar 58 131.0 (115.6, 148.1) 0.9 -2.8 (-3.5, -2.0)
Portsmouth City 5 falling higher 210 188.7 (177.1, 200.8) 1.3 -1.3 (-1.8, -0.8)
Poquoson City 6 stable similar 29 160.2 (134.9, 189.5) 1.1 -0.9 (-2.4, 0.8)
Pittsylvania County 5 falling higher 165 163.8 (152.2, 176.1) 1.1 -1.1 (-1.7, -0.5)
Petersburg City 4 stable higher 99 238.7 (217.4, 261.7) 1.6 1.1 (-0.3, 6.6)
Patrick County 4 stable higher 62 190.5 (168.7, 215.0) 1.3 -0.3 (-1.3, 0.8)
Page County 4 stable higher 68 176.5 (157.8, 197.3) 1.2 -0.3 (-1.3, 0.8)
Orange County 5 falling higher 100 184.1 (167.9, 201.6) 1.3 -1.1 (-1.8, -0.3)
Nottoway County 4 stable higher 44 201.1 (175.1, 230.2) 1.4 -0.8 (-1.7, 0.1)
Norton City 4 stable higher 12 241.6 (183.1, 314.5) 1.7 -0.4 (-2.5, 1.8)
Northumberland County 8 falling similar 44 145.6 (125.8, 169.4) 1.0 -1.7 (-2.9, -0.6)
Northampton County 8 falling similar 35 145.1 (123.0, 171.1) 1.0 -12.3 (-20.6, -2.8)
Norfolk City 5 falling higher 408 179.8 (171.8, 188.1) 1.2 -1.4 (-1.8, -1.0)
Newport News City 5 falling higher 340 174.4 (166.0, 183.1) 1.2 -1.1 (-1.6, -0.7)
New Kent County 4 stable higher 56 183.7 (161.3, 208.5) 1.3 -0.9 (-2.1, 0.6)
Nelson County 6 stable similar 47 166.3 (144.1, 191.6) 1.1 -0.8 (-1.9, 0.2)
Montgomery County 8 falling similar 137 139.7 (129.3, 150.8) 1.0 -1.3 (-1.9, -0.6)
Middlesex County 8 falling similar 39 155.8 (133.2, 182.8) 1.1 -1.5 (-2.5, -0.4)
Mecklenburg County 5 falling higher 98 174.6 (158.8, 191.9) 1.2 -0.9 (-1.6, -0.2)
Mathews County 6 stable similar 29 165.0 (135.7, 200.4) 1.1 -1.1 (-3.0, 0.7)
Martinsville City 1 rising higher 42 244.3 (211.2, 281.3) 1.7 1.4 (0.1, 2.8)
Manassas Park City 9 falling lower 10 76.2 (55.4, 101.8) 0.5 -5.1 (-7.6, -2.7)
Manassas City 6 stable similar 52 156.3 (136.6, 178.0) 1.1 1.4 (-2.1, 10.0)
Madison County 6 stable similar 34 155.1 (131.3, 182.6) 1.1 -1.1 (-2.4, 0.2)
Lynchburg City 4 stable higher 157 184.9 (171.9, 198.7) 1.3 0.0 (-0.8, 3.1)
Lunenburg County 5 falling higher 35 175.5 (149.4, 205.5) 1.2 -1.3 (-2.5, 0.0)
Louisa County 8 falling similar 90 157.2 (142.3, 173.4) 1.1 -1.9 (-2.9, -1.0)
Loudoun County 9 falling lower 406 110.9 (106.0, 115.9) 0.8 -2.5 (-3.0, -1.9)
Lexington City 8 falling similar 11 144.7 (108.8, 190.2) 1.0 -16.3 (-37.5, -4.2)
Lee County 4 stable higher 73 206.1 (184.9, 229.5) 1.4 -0.6 (-1.6, 0.4)
Lancaster County 5 falling higher 48 180.8 (154.1, 212.3) 1.2 -1.2 (-2.4, 0.0)
King and Queen County 4 stable higher 21 187.0 (151.3, 230.3) 1.3 -1.2 (-2.6, 0.1)
King William County 5 falling higher 39 170.6 (146.7, 197.4) 1.2 -2.0 (-3.1, -0.8)
King George County 8 falling similar 48 161.7 (141.3, 184.2) 1.1 -1.7 (-2.8, -0.4)
James City County 9 falling lower 186 124.4 (116.2, 133.1) 0.9 -1.2 (-2.0, -0.4)
Isle of Wight County 5 falling higher 95 168.6 (153.3, 185.2) 1.2 -1.7 (-2.6, -0.7)
Hopewell City 5 falling higher 58 219.3 (194.3, 246.8) 1.5 -0.9 (-1.7, 0.0)
Highland County 6 stable similar 7 126.6 (87.4, 192.3) 0.9 -1.1 (-3.8, 1.6)
Henry County 4 stable higher 147 170.4 (157.6, 184.1) 1.2 -0.6 (-1.4, 0.2)
Henrico County 8 falling similar 622 148.6 (143.3, 154.0) 1.0 -1.3 (-1.7, -1.0)
Harrisonburg City 6 stable similar 57 141.7 (125.5, 159.5) 1.0 -1.1 (-2.4, 0.3)
Hanover County 8 falling similar 237 153.0 (144.2, 162.2) 1.1 -1.4 (-2.0, -0.9)
Hampton City 5 falling higher 276 168.1 (159.1, 177.5) 1.2 -1.4 (-1.9, -0.8)
Halifax County with South Boston City 4 stable higher 111 187.6 (171.5, 205.0) 1.3 -0.5 (-1.3, 0.4)
Greensville County 4 stable higher 30 229.1 (193.0, 270.5) 1.6 0.2 (-1.7, 2.1)
Greene County 8 falling similar 36 129.6 (111.0, 150.8) 0.9 -1.6 (-2.8, -0.2)
Grayson County 5 falling higher 47 172.4 (150.3, 197.6) 1.2 -1.2 (-2.3, -0.2)
Goochland County 8 falling similar 56 132.5 (116.7, 150.2) 0.9 -2.2 (-3.2, -1.0)
Gloucester County 5 falling higher 101 174.6 (159.2, 191.3) 1.2 -1.2 (-2.2, -0.3)
Giles County 4 stable higher 50 186.5 (163.5, 212.4) 1.3 -1.0 (-2.0, 0.0)
Galax City 5 falling higher 24 273.1 (224.8, 329.2) 1.9 -8.9 (-19.0, -3.4)
Fredericksburg City 5 falling higher 42 169.5 (146.9, 194.6) 1.2 -2.4 (-3.5, -1.3)
Frederick County 5 falling higher 200 160.7 (150.7, 171.3) 1.1 -1.4 (-1.9, -0.8)
Franklin County 8 falling similar 135 151.3 (139.4, 164.1) 1.0 -0.6 (-1.1, -0.1)
Franklin City 1 rising higher 29 251.3 (210.7, 298.2) 1.7 14.1 (3.5, 20.6)
Fluvanna County 8 falling similar 57 139.3 (123.2, 157.3) 1.0 -1.3 (-2.2, -0.3)
Floyd County 6 stable similar 40 153.7 (132.2, 178.4) 1.1 -0.3 (-1.5, 0.9)
Fauquier County 8 falling similar 143 151.0 (139.9, 162.8) 1.0 -1.2 (-2.0, -0.4)
Falls Church City 6 stable similar 28 169.6 (142.2, 201.0) 1.2 11.8 (-2.6, 31.1)
Fairfax County 9 falling lower 1,311 103.3 (100.7, 105.8) 0.7 -2.2 (-2.4, -2.1)
Fairfax City 1 rising higher 65 249.9 (223.0, 279.3) 1.7 5.1 (1.3, 13.5)
Essex County 6 stable similar 29 174.9 (146.2, 208.4) 1.2 -1.1 (-2.6, 0.3)
Emporia City 8 falling similar 14 177.1 (136.0, 227.5) 1.2 -2.0 (-3.9, -0.3)
Dinwiddie County 5 falling higher 70 178.5 (159.7, 199.2) 1.2 -1.8 (-2.6, -1.0)
Dickenson County 4 stable higher 44 192.4 (166.8, 221.6) 1.3 -0.6 (-2.0, 0.8)
Danville City 1 rising higher 138 221.3 (204.5, 239.3) 1.5 7.5 (5.5, 10.3)
Cumberland County 4 stable higher 28 184.7 (153.7, 220.9) 1.3 -1.1 (-2.3, 0.1)
Culpeper County 8 falling similar 101 156.8 (143.1, 171.4) 1.1 -1.4 (-2.1, -0.7)
Craig County 4 stable higher 16 189.8 (148.3, 241.9) 1.3 -0.2 (-2.3, 2.0)
Covington City 5 falling higher 16 195.3 (153.7, 246.0) 1.3 -11.1 (-25.4, -5.1)
Colonial Heights City 4 stable higher 53 205.0 (180.5, 232.3) 1.4 2.5 (-0.1, 11.0)
Clarke County 8 falling similar 38 149.9 (129.0, 174.0) 1.0 -1.7 (-3.1, -0.4)
Chesterfield County 8 falling similar 609 144.8 (139.6, 150.2) 1.0 -1.7 (-1.9, -1.4)
Chesapeake City 5 falling higher 430 161.3 (154.4, 168.5) 1.1 -1.8 (-2.2, -1.5)
Charlottesville City 8 falling similar 62 142.2 (126.3, 159.5) 1.0 -1.9 (-2.6, -1.1)
Charlotte County 4 stable higher 34 186.2 (158.0, 218.7) 1.3 0.1 (-1.1, 4.6)
Charles City County 8 falling similar 19 151.0 (120.4, 189.4) 1.0 -2.2 (-4.0, -0.4)
Carroll County 8 falling similar 84 155.6 (140.5, 172.3) 1.1 -1.1 (-2.2, -0.1)
Caroline County 8 falling similar 64 159.4 (141.9, 178.5) 1.1 -2.0 (-2.7, -1.4)
Campbell County 8 falling similar 130 152.1 (140.3, 164.8) 1.0 -1.6 (-2.4, -0.8)
Buena Vista City 8 falling similar 15 164.2 (128.3, 207.9) 1.1 -1.6 (-3.3, -0.1)
Buckingham County 5 falling higher 46 180.6 (157.5, 206.6) 1.2 -1.6 (-2.8, -0.4)
Buchanan County 4 stable higher 66 197.2 (175.8, 221.0) 1.4 0.7 (-1.0, 6.7)
Brunswick County 4 stable higher 47 185.7 (161.9, 212.6) 1.3 0.6 (-2.0, 9.5)
Bristol City 4 stable higher 50 183.7 (161.0, 209.2) 1.3 -0.8 (-2.4, 0.6)
Botetourt County 6 stable similar 86 150.9 (136.5, 166.7) 1.0 6.4 (-1.4, 12.3)
Bland County 6 stable similar 17 154.6 (122.5, 194.9) 1.1 -1.1 (-3.0, 0.8)
Bedford City and County 8 falling similar 200 156.5 (146.6, 167.0) 1.1 -0.9 (-1.5, -0.3)
Bath County 6 stable similar 15 182.7 (141.6, 235.8) 1.3 -0.8 (-3.1, 1.5)
Augusta County 6 stable similar 178 142.8 (133.4, 152.8) 1.0 3.2 (-1.1, 6.3)
Arlington County 9 falling lower 226 106.5 (100.2, 113.0) 0.7 -2.3 (-2.7, -2.0)
Appomattox County 6 stable similar 37 152.7 (130.9, 177.5) 1.1 -1.3 (-2.9, 0.3)
Amherst County 5 falling higher 81 162.6 (146.8, 179.9) 1.1 -1.6 (-2.4, -0.9)
Amelia County 5 falling higher 36 172.7 (147.5, 201.7) 1.2 -1.6 (-2.7, -0.4)
Alleghany County and Clifton Forge City 8 falling similar 44 156.8 (135.8, 180.9) 1.1 -1.5 (-2.8, -0.3)
Alexandria City 9 falling lower 176 116.9 (109.2, 125.1) 0.8 -2.5 (-3.0, -1.9)
Albemarle County 9 falling lower 194 116.0 (108.7, 123.8) 0.8 -1.9 (-2.4, -1.4)
Accomack County 5 falling higher 100 171.3 (155.9, 188.0) 1.2 -1.6 (-2.1, -1.0)
Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 8:54 pm.

Trend2
     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.
Rate Comparison
     Above     when 95% confident the rate is above and Rate Ratio3 > 1.10
     Similar     when unable to conclude above or below with confidence.
     Below     when 95% confident the rate is below and Rate Ratio3 < 0.90

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).

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.

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