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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, Male

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 - 318,737 171.5 (171.3, 171.8) - -1.8 (-1.8, -1.7)
Virginia - falling - 8,185 175.6 (173.9, 177.4) - -1.5 (-1.7, -1.1)
York County 9 falling lower 58 142.6 (126.4, 160.5) 0.8 -3.3 (-4.3, -2.2)
Wythe County 5 falling higher 39 203.2 (174.8, 235.4) 1.2 -1.4 (-2.8, 0.0)
Wise County 4 stable higher 59 264.0 (233.5, 297.4) 1.5 -0.9 (-1.8, 0.1)
Winchester City 5 falling higher 32 206.9 (175.1, 242.8) 1.2 -1.9 (-2.7, -1.1)
Williamsburg City 8 falling similar 14 174.6 (134.7, 224.2) 1.0 -25.3 (-43.9, -11.8)
Westmoreland County 8 falling similar 32 197.9 (166.8, 234.1) 1.2 -2.5 (-4.2, -0.9)
Waynesboro City 4 stable higher 32 241.1 (204.5, 282.7) 1.4 -0.3 (-1.4, 0.8)
Washington County 4 stable higher 79 191.3 (172.1, 212.3) 1.1 5.3 (-1.8, 10.8)
Warren County 4 stable higher 55 221.2 (194.2, 251.0) 1.3 -0.9 (-1.7, 0.1)
Virginia Beach City 8 falling similar 392 172.8 (165.0, 180.9) 1.0 -1.7 (-2.1, -1.3)
Tazewell County 4 stable higher 63 213.4 (189.6, 239.8) 1.2 -0.9 (-1.8, 0.1)
Sussex County 4 stable higher 18 257.0 (204.7, 319.5) 1.5 -1.2 (-2.9, 0.5)
Surry County 6 stable similar 11 208.0 (150.8, 282.6) 1.2 -1.2 (-3.6, 1.3)
Suffolk City 5 falling higher 98 198.9 (180.8, 218.4) 1.2 -2.3 (-2.9, -1.7)
Staunton City 4 stable higher 36 223.6 (191.1, 260.5) 1.3 -0.1 (-1.4, 1.2)
Stafford County 8 falling similar 105 166.9 (151.7, 183.0) 1.0 -2.7 (-3.2, -2.0)
Spotsylvania County 8 falling similar 121 168.4 (154.6, 183.1) 1.0 -2.3 (-3.2, -1.3)
Southampton County 5 falling higher 29 209.6 (175.6, 249.4) 1.2 -1.9 (-2.9, -0.7)
Smyth County 4 stable higher 53 244.7 (215.4, 277.3) 1.4 -0.5 (-1.4, 0.6)
Shenandoah County 4 stable higher 69 216.4 (193.5, 241.6) 1.3 -0.6 (-1.4, 0.3)
Scott County 4 stable higher 40 217.6 (187.6, 251.9) 1.3 -0.9 (-1.8, 0.1)
Salem City 4 stable higher 33 216.0 (183.4, 253.1) 1.3 -1.0 (-2.0, 0.1)
Russell County 4 stable higher 40 207.5 (178.5, 240.4) 1.2 -1.0 (-2.1, 0.1)
Rockingham County 8 falling similar 97 173.0 (157.6, 189.6) 1.0 -1.3 (-1.9, -0.7)
Rockbridge County 8 falling similar 32 160.0 (134.6, 190.0) 0.9 -1.9 (-2.7, -1.0)
Roanoke County 8 falling similar 104 160.8 (146.9, 175.8) 0.9 -1.5 (-2.2, -0.7)
Roanoke City 5 falling higher 119 227.4 (208.7, 247.4) 1.3 -1.4 (-2.1, -0.7)
Richmond County 6 stable similar 14 217.6 (168.4, 278.0) 1.3 -0.8 (-2.2, 0.6)
Richmond City 8 falling similar 187 181.9 (169.8, 194.7) 1.1 -3.3 (-3.8, -2.9)
Rappahannock County 7 stable lower 9 129.1 (93.3, 179.0) 0.8 -2.2 (-5.0, 0.6)
Radford City 6 stable similar 11 235.4 (172.1, 313.2) 1.4 -0.9 (-3.1, 1.2)
Pulaski County 8 falling similar 47 190.0 (165.3, 217.8) 1.1 -2.2 (-3.2, -1.2)
Prince William County 9 falling lower 270 147.4 (138.9, 156.1) 0.9 -2.2 (-2.7, -1.6)
Prince George County 8 falling similar 34 177.8 (150.6, 208.3) 1.0 -2.4 (-3.5, -1.2)
Prince Edward County 1 rising higher 27 253.5 (211.4, 301.7) 1.5 1.5 (0.0, 6.9)
Powhatan County 8 falling similar 34 168.3 (142.1, 198.2) 1.0 -2.8 (-3.9, -1.6)
Portsmouth City 5 falling higher 107 228.3 (208.6, 249.4) 1.3 -1.6 (-2.6, -0.7)
Poquoson City 6 stable similar 16 195.5 (154.6, 244.8) 1.1 -0.5 (-2.3, 1.7)
Pittsylvania County 5 falling higher 90 194.0 (175.7, 214.0) 1.1 -1.5 (-2.5, -0.5)
Petersburg City 5 falling higher 52 332.0 (290.4, 377.9) 1.9 -0.7 (-1.5, 0.0)
Patrick County 4 stable higher 33 219.2 (185.1, 259.0) 1.3 -0.9 (-2.6, 0.8)
Page County 4 stable higher 38 217.1 (186.3, 252.2) 1.3 -0.8 (-1.6, 0.1)
Orange County 4 stable higher 53 220.4 (193.9, 249.8) 1.3 -1.1 (-2.2, 0.1)
Nottoway County 4 stable higher 24 249.6 (205.8, 300.2) 1.5 0.8 (-1.0, 8.3)
Norton City 6 stable similar 5 263.5 (170.3, 391.7) 1.5 -1.6 (-4.5, 1.4)
Northumberland County 8 falling similar 25 162.1 (132.6, 200.1) 0.9 -2.9 (-4.7, -1.2)
Northampton County 8 falling similar 21 197.9 (160.3, 243.8) 1.2 -17.6 (-29.5, -2.7)
Norfolk City 5 falling higher 208 217.1 (203.3, 231.5) 1.3 -4.0 (-8.6, -1.4)
Newport News City 5 falling higher 170 212.5 (197.9, 227.9) 1.2 -1.6 (-2.1, -1.2)
New Kent County 6 stable similar 30 204.3 (170.5, 243.2) 1.2 -1.1 (-2.2, 0.3)
Nelson County 5 falling higher 28 210.9 (174.3, 254.4) 1.2 -1.5 (-2.8, -0.2)
Montgomery County 8 falling similar 75 172.0 (154.5, 190.9) 1.0 -1.2 (-1.9, -0.4)
Middlesex County 8 falling similar 23 188.4 (154.6, 231.0) 1.1 -1.9 (-3.3, -0.5)
Mecklenburg County 5 falling higher 51 202.4 (177.3, 230.7) 1.2 -1.3 (-2.3, -0.2)
Mathews County 6 stable similar 16 184.2 (145.1, 235.1) 1.1 -0.9 (-3.2, 1.4)
Martinsville City 1 rising higher 23 452.4 (346.7, 576.4) 2.6 2.8 (0.8, 4.7)
Manassas Park City 9 falling lower 4 81.1 (48.3, 125.8) 0.5 -5.7 (-8.4, -3.0)
Manassas City 8 falling similar 26 175.5 (142.0, 213.9) 1.0 -2.1 (-3.7, -0.4)
Madison County 6 stable similar 20 191.4 (154.5, 235.9) 1.1 -1.2 (-3.4, 1.2)
Lynchburg City 4 stable higher 81 236.7 (213.9, 261.4) 1.4 0.0 (-0.8, 3.0)
Lunenburg County 4 stable higher 20 223.9 (180.5, 275.8) 1.3 -1.3 (-3.2, 0.6)
Louisa County 8 falling similar 51 188.5 (164.7, 215.2) 1.1 -2.5 (-3.6, -1.3)
Loudoun County 9 falling lower 201 124.2 (116.2, 132.5) 0.7 -2.8 (-3.4, -2.1)
Lexington City 8 falling similar 6 208.2 (139.2, 300.5) 1.2 -25.1 (-54.3, -8.7)
Lee County 4 stable higher 40 240.4 (206.5, 279.0) 1.4 -0.9 (-2.6, 0.7)
Lancaster County 4 stable higher 27 227.0 (183.3, 281.0) 1.3 -1.3 (-2.9, 0.2)
King and Queen County 4 stable higher 13 246.3 (186.1, 322.6) 1.4 -1.5 (-3.3, 0.2)
King William County 8 falling similar 21 198.1 (160.1, 242.7) 1.2 -3.2 (-4.7, -1.8)
King George County 6 stable similar 26 181.2 (150.2, 216.8) 1.1 -1.5 (-2.9, 0.2)
James City County 9 falling lower 102 150.0 (136.9, 164.2) 0.9 -1.2 (-2.2, -0.2)
Isle of Wight County 5 falling higher 52 210.7 (184.3, 240.0) 1.2 -2.4 (-3.7, -1.1)
Hopewell City 4 stable higher 33 312.3 (263.6, 367.3) 1.8 -0.5 (-1.3, 0.3)
Highland County
**
** similar 5 199.4 (122.7, 334.3) 1.2
**
Henry County 5 falling higher 77 198.0 (177.9, 220.0) 1.2 -1.2 (-1.9, -0.5)
Henrico County 8 falling similar 297 172.1 (163.2, 181.3) 1.0 -1.7 (-2.2, -1.2)
Harrisonburg City 6 stable similar 30 169.0 (142.2, 199.1) 1.0 -1.4 (-3.2, 0.4)
Hanover County 8 falling similar 119 169.8 (156.0, 184.5) 1.0 -2.3 (-3.2, -1.2)
Hampton City 5 falling higher 143 208.0 (192.3, 224.6) 1.2 -1.6 (-2.2, -1.0)
Halifax County with South Boston City 4 stable higher 60 232.2 (205.4, 262.1) 1.4 -0.8 (-1.9, 0.3)
Greensville County 4 stable higher 17 277.0 (216.6, 349.0) 1.6 -0.6 (-3.5, 2.3)
Greene County 8 falling similar 21 167.8 (135.8, 205.3) 1.0 -2.0 (-3.6, -0.3)
Grayson County 6 stable similar 26 206.2 (171.1, 247.6) 1.2 -1.0 (-2.8, 0.9)
Goochland County 8 falling similar 31 155.1 (130.3, 184.0) 0.9 -2.4 (-4.0, -0.5)
Gloucester County 5 falling higher 57 219.3 (193.2, 248.2) 1.3 -1.6 (-2.8, -0.4)
Giles County 5 falling higher 27 222.2 (184.6, 266.1) 1.3 -1.5 (-2.9, -0.1)
Galax City 5 falling higher 12 344.6 (258.5, 450.3) 2.0 -8.3 (-26.3, -1.3)
Fredericksburg City 8 falling similar 21 204.8 (165.6, 250.2) 1.2 -3.0 (-4.8, -1.3)
Frederick County 5 falling higher 111 191.0 (175.0, 208.1) 1.1 -1.5 (-2.3, -0.6)
Franklin County 8 falling similar 74 176.4 (157.7, 197.1) 1.0 -2.2 (-5.9, -1.3)
Franklin City 1 rising higher 17 387.5 (303.2, 488.4) 2.3 17.2 (2.0, 28.8)
Fluvanna County 6 stable similar 32 180.2 (152.4, 212.1) 1.1 -1.2 (-2.5, 0.3)
Floyd County 6 stable similar 22 185.7 (150.8, 227.3) 1.1 -0.7 (-2.4, 1.1)
Fauquier County 8 falling similar 73 166.4 (149.1, 185.2) 1.0 -1.3 (-2.2, -0.3)
Falls Church City 6 stable similar 12 195.5 (148.1, 252.8) 1.1 -0.8 (-3.1, 1.6)
Fairfax County 9 falling lower 668 118.1 (114.0, 122.3) 0.7 -2.4 (-2.7, -2.0)
Fairfax City 4 stable higher 33 338.7 (282.9, 401.6) 2.0 7.2 (-0.6, 29.0)
Essex County 4 stable higher 17 224.3 (176.4, 282.7) 1.3 -1.7 (-3.8, 0.4)
Emporia City 8 falling similar 8 228.3 (160.0, 317.9) 1.3 -2.3 (-4.7, -0.3)
Dinwiddie County 5 falling higher 38 218.1 (186.7, 253.6) 1.3 -2.2 (-3.6, -0.9)
Dickenson County 4 stable higher 24 211.9 (174.4, 256.5) 1.2 -1.3 (-3.1, 0.6)
Danville City 4 stable higher 65 277.3 (246.7, 310.8) 1.6 -0.6 (-1.6, 0.3)
Cumberland County 4 stable higher 17 221.7 (174.5, 279.7) 1.3 -1.3 (-3.4, 1.0)
Culpeper County 8 falling similar 53 180.7 (159.1, 204.6) 1.1 -1.4 (-2.4, -0.3)
Craig County 6 stable similar 9 231.0 (163.2, 322.2) 1.3 -0.8 (-3.8, 2.3)
Covington City 5 falling higher 9 282.5 (199.6, 389.3) 1.6 -9.6 (-23.4, -4.1)
Colonial Heights City 1 rising higher 30 280.0 (236.0, 330.2) 1.6 3.9 (1.1, 14.8)
Clarke County 6 stable similar 21 189.7 (154.0, 232.5) 1.1 -1.6 (-4.0, 0.9)
Chesterfield County 8 falling similar 309 172.5 (163.5, 181.9) 1.0 -1.9 (-2.3, -1.4)
Chesapeake City 5 falling higher 217 192.3 (180.3, 204.9) 1.1 -2.4 (-2.8, -1.9)
Charlottesville City 8 falling similar 28 147.7 (123.0, 175.9) 0.9 -2.4 (-3.6, -1.2)
Charlotte County 4 stable higher 21 262.7 (211.7, 323.3) 1.5 -1.2 (-2.4, 0.1)
Charles City County 6 stable similar 11 223.9 (160.0, 307.5) 1.3 -1.6 (-3.7, 0.6)
Carroll County 8 falling similar 45 178.7 (155.2, 205.5) 1.0 -1.9 (-3.1, -0.7)
Caroline County 8 falling similar 36 200.4 (170.3, 234.4) 1.2 -2.4 (-3.5, -1.3)
Campbell County 5 falling higher 73 194.6 (174.6, 216.4) 1.1 -1.9 (-3.0, -0.7)
Buena Vista City 8 falling similar 8 204.2 (142.9, 284.0) 1.2 -2.5 (-4.6, -0.5)
Buckingham County 5 falling higher 26 214.9 (178.3, 257.6) 1.3 -2.0 (-3.9, -0.1)
Buchanan County 4 stable higher 34 219.5 (187.0, 256.9) 1.3 0.6 (-8.0, 10.5)
Brunswick County 5 falling higher 27 230.0 (191.4, 275.1) 1.3 -1.6 (-3.2, 0.0)
Bristol City 5 falling higher 25 228.0 (188.6, 273.8) 1.3 -1.9 (-3.4, -0.5)
Botetourt County 1 rising higher 52 201.5 (176.6, 229.5) 1.2 5.7 (0.0, 16.7)
Bland County
**
** similar 10 180.7 (132.3, 245.9) 1.1
**
Bedford City and County 8 falling similar 112 186.6 (170.8, 203.8) 1.1 -0.9 (-1.7, -0.1)
Bath County 6 stable similar 10 226.9 (165.2, 313.0) 1.3 -0.9 (-3.7, 1.9)
Augusta County 8 falling similar 97 166.7 (151.9, 182.8) 1.0 -1.8 (-2.5, -1.0)
Arlington County 9 falling lower 112 119.5 (109.6, 130.2) 0.7 -2.4 (-3.0, -1.7)
Appomattox County 8 falling similar 18 158.0 (126.4, 195.8) 0.9 -2.3 (-4.1, -0.3)
Amherst County 5 falling higher 43 201.2 (174.3, 231.4) 1.2 -2.5 (-3.7, -1.3)
Amelia County 8 falling similar 20 215.3 (171.7, 267.4) 1.3 -1.9 (-3.2, -0.5)
Alleghany County and Clifton Forge City 8 falling similar 26 206.6 (171.8, 248.2) 1.2 -1.5 (-2.8, -0.1)
Alexandria City 9 falling lower 84 133.1 (120.1, 147.0) 0.8 -3.0 (-3.7, -2.4)
Albemarle County 9 falling lower 103 144.8 (132.4, 158.1) 0.8 -1.9 (-2.8, -1.0)
Accomack County 5 falling higher 57 208.5 (184.1, 235.9) 1.2 -1.9 (-2.9, -1.1)
Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 7:03 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

** Data are too sparse to provide stable estimates of annual rates needed to calculate trend.
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).
Trend for the following could not be reliably determined due to small number of deaths per year:
Bland County, Highland 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.

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