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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 trend

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 ascending
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)
Fairfax City 4 stable higher 33 338.7 (282.9, 401.6) 2.0 7.2 (-0.6, 29.0)
Botetourt County 1 rising higher 52 201.5 (176.6, 229.5) 1.2 5.7 (0.0, 16.7)
Washington County 4 stable higher 79 191.3 (172.1, 212.3) 1.1 5.3 (-1.8, 10.8)
Colonial Heights City 1 rising higher 30 280.0 (236.0, 330.2) 1.6 3.9 (1.1, 14.8)
Martinsville City 1 rising higher 23 452.4 (346.7, 576.4) 2.6 2.8 (0.8, 4.7)
Franklin City 1 rising higher 17 387.5 (303.2, 488.4) 2.3 17.2 (2.0, 28.8)
Prince Edward County 1 rising higher 27 253.5 (211.4, 301.7) 1.5 1.5 (0.0, 6.9)
Nottoway County 4 stable higher 24 249.6 (205.8, 300.2) 1.5 0.8 (-1.0, 8.3)
Buchanan County 4 stable higher 34 219.5 (187.0, 256.9) 1.3 0.6 (-8.0, 10.5)
Lynchburg City 4 stable higher 81 236.7 (213.9, 261.4) 1.4 0.0 (-0.8, 3.0)
Covington City 5 falling higher 9 282.5 (199.6, 389.3) 1.6 -9.6 (-23.4, -4.1)
Galax City 5 falling higher 12 344.6 (258.5, 450.3) 2.0 -8.3 (-26.3, -1.3)
Manassas Park City 9 falling lower 4 81.1 (48.3, 125.8) 0.5 -5.7 (-8.4, -3.0)
Norfolk City 5 falling higher 208 217.1 (203.3, 231.5) 1.3 -4.0 (-8.6, -1.4)
York County 9 falling lower 58 142.6 (126.4, 160.5) 0.8 -3.3 (-4.3, -2.2)
Richmond City 8 falling similar 187 181.9 (169.8, 194.7) 1.1 -3.3 (-3.8, -2.9)
King William County 8 falling similar 21 198.1 (160.1, 242.7) 1.2 -3.2 (-4.7, -1.8)
Fredericksburg City 8 falling similar 21 204.8 (165.6, 250.2) 1.2 -3.0 (-4.8, -1.3)
Alexandria City 9 falling lower 84 133.1 (120.1, 147.0) 0.8 -3.0 (-3.7, -2.4)
Williamsburg City 8 falling similar 14 174.6 (134.7, 224.2) 1.0 -25.3 (-43.9, -11.8)
Lexington City 8 falling similar 6 208.2 (139.2, 300.5) 1.2 -25.1 (-54.3, -8.7)
Northumberland County 8 falling similar 25 162.1 (132.6, 200.1) 0.9 -2.9 (-4.7, -1.2)
Powhatan County 8 falling similar 34 168.3 (142.1, 198.2) 1.0 -2.8 (-3.9, -1.6)
Loudoun County 9 falling lower 201 124.2 (116.2, 132.5) 0.7 -2.8 (-3.4, -2.1)
Stafford County 8 falling similar 105 166.9 (151.7, 183.0) 1.0 -2.7 (-3.2, -2.0)
Buena Vista City 8 falling similar 8 204.2 (142.9, 284.0) 1.2 -2.5 (-4.6, -0.5)
Westmoreland County 8 falling similar 32 197.9 (166.8, 234.1) 1.2 -2.5 (-4.2, -0.9)
Amherst County 5 falling higher 43 201.2 (174.3, 231.4) 1.2 -2.5 (-3.7, -1.3)
Louisa County 8 falling similar 51 188.5 (164.7, 215.2) 1.1 -2.5 (-3.6, -1.3)
Goochland County 8 falling similar 31 155.1 (130.3, 184.0) 0.9 -2.4 (-4.0, -0.5)
Isle of Wight County 5 falling higher 52 210.7 (184.3, 240.0) 1.2 -2.4 (-3.7, -1.1)
Charlottesville City 8 falling similar 28 147.7 (123.0, 175.9) 0.9 -2.4 (-3.6, -1.2)
Caroline County 8 falling similar 36 200.4 (170.3, 234.4) 1.2 -2.4 (-3.5, -1.3)
Prince George County 8 falling similar 34 177.8 (150.6, 208.3) 1.0 -2.4 (-3.5, -1.2)
Arlington County 9 falling lower 112 119.5 (109.6, 130.2) 0.7 -2.4 (-3.0, -1.7)
Chesapeake City 5 falling higher 217 192.3 (180.3, 204.9) 1.1 -2.4 (-2.8, -1.9)
Fairfax County 9 falling lower 668 118.1 (114.0, 122.3) 0.7 -2.4 (-2.7, -2.0)
Emporia City 8 falling similar 8 228.3 (160.0, 317.9) 1.3 -2.3 (-4.7, -0.3)
Appomattox County 8 falling similar 18 158.0 (126.4, 195.8) 0.9 -2.3 (-4.1, -0.3)
Spotsylvania County 8 falling similar 121 168.4 (154.6, 183.1) 1.0 -2.3 (-3.2, -1.3)
Hanover County 8 falling similar 119 169.8 (156.0, 184.5) 1.0 -2.3 (-3.2, -1.2)
Suffolk City 5 falling higher 98 198.9 (180.8, 218.4) 1.2 -2.3 (-2.9, -1.7)
Franklin County 8 falling similar 74 176.4 (157.7, 197.1) 1.0 -2.2 (-5.9, -1.3)
Rappahannock County 7 stable lower 9 129.1 (93.3, 179.0) 0.8 -2.2 (-5.0, 0.6)
Dinwiddie County 5 falling higher 38 218.1 (186.7, 253.6) 1.3 -2.2 (-3.6, -0.9)
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)
Manassas City 8 falling similar 26 175.5 (142.0, 213.9) 1.0 -2.1 (-3.7, -0.4)
Buckingham County 5 falling higher 26 214.9 (178.3, 257.6) 1.3 -2.0 (-3.9, -0.1)
Greene County 8 falling similar 21 167.8 (135.8, 205.3) 1.0 -2.0 (-3.6, -0.3)
Northampton County 8 falling similar 21 197.9 (160.3, 243.8) 1.2 -17.6 (-29.5, -2.7)
Bristol City 5 falling higher 25 228.0 (188.6, 273.8) 1.3 -1.9 (-3.4, -0.5)
Middlesex County 8 falling similar 23 188.4 (154.6, 231.0) 1.1 -1.9 (-3.3, -0.5)
Amelia County 8 falling similar 20 215.3 (171.7, 267.4) 1.3 -1.9 (-3.2, -0.5)
Carroll County 8 falling similar 45 178.7 (155.2, 205.5) 1.0 -1.9 (-3.1, -0.7)
Campbell County 5 falling higher 73 194.6 (174.6, 216.4) 1.1 -1.9 (-3.0, -0.7)
Accomack County 5 falling higher 57 208.5 (184.1, 235.9) 1.2 -1.9 (-2.9, -1.1)
Southampton County 5 falling higher 29 209.6 (175.6, 249.4) 1.2 -1.9 (-2.9, -0.7)
Albemarle County 9 falling lower 103 144.8 (132.4, 158.1) 0.8 -1.9 (-2.8, -1.0)
Winchester City 5 falling higher 32 206.9 (175.1, 242.8) 1.2 -1.9 (-2.7, -1.1)
Rockbridge County 8 falling similar 32 160.0 (134.6, 190.0) 0.9 -1.9 (-2.7, -1.0)
Chesterfield County 8 falling similar 309 172.5 (163.5, 181.9) 1.0 -1.9 (-2.3, -1.4)
Augusta County 8 falling similar 97 166.7 (151.9, 182.8) 1.0 -1.8 (-2.5, -1.0)
Essex County 4 stable higher 17 224.3 (176.4, 282.7) 1.3 -1.7 (-3.8, 0.4)
Henrico County 8 falling similar 297 172.1 (163.2, 181.3) 1.0 -1.7 (-2.2, -1.2)
Virginia Beach City 8 falling similar 392 172.8 (165.0, 180.9) 1.0 -1.7 (-2.1, -1.3)
Norton City 6 stable similar 5 263.5 (170.3, 391.7) 1.5 -1.6 (-4.5, 1.4)
Clarke County 6 stable similar 21 189.7 (154.0, 232.5) 1.1 -1.6 (-4.0, 0.9)
Charles City County 6 stable similar 11 223.9 (160.0, 307.5) 1.3 -1.6 (-3.7, 0.6)
Brunswick County 5 falling higher 27 230.0 (191.4, 275.1) 1.3 -1.6 (-3.2, 0.0)
Gloucester County 5 falling higher 57 219.3 (193.2, 248.2) 1.3 -1.6 (-2.8, -0.4)
Portsmouth City 5 falling higher 107 228.3 (208.6, 249.4) 1.3 -1.6 (-2.6, -0.7)
Hampton City 5 falling higher 143 208.0 (192.3, 224.6) 1.2 -1.6 (-2.2, -1.0)
Newport News City 5 falling higher 170 212.5 (197.9, 227.9) 1.2 -1.6 (-2.1, -1.2)
King and Queen County 4 stable higher 13 246.3 (186.1, 322.6) 1.4 -1.5 (-3.3, 0.2)
King George County 6 stable similar 26 181.2 (150.2, 216.8) 1.1 -1.5 (-2.9, 0.2)
Giles County 5 falling higher 27 222.2 (184.6, 266.1) 1.3 -1.5 (-2.9, -0.1)
Nelson County 5 falling higher 28 210.9 (174.3, 254.4) 1.2 -1.5 (-2.8, -0.2)
Alleghany County and Clifton Forge City 8 falling similar 26 206.6 (171.8, 248.2) 1.2 -1.5 (-2.8, -0.1)
Pittsylvania County 5 falling higher 90 194.0 (175.7, 214.0) 1.1 -1.5 (-2.5, -0.5)
Frederick County 5 falling higher 111 191.0 (175.0, 208.1) 1.1 -1.5 (-2.3, -0.6)
Roanoke County 8 falling similar 104 160.8 (146.9, 175.8) 0.9 -1.5 (-2.2, -0.7)
Harrisonburg City 6 stable similar 30 169.0 (142.2, 199.1) 1.0 -1.4 (-3.2, 0.4)
Wythe County 5 falling higher 39 203.2 (174.8, 235.4) 1.2 -1.4 (-2.8, 0.0)
Culpeper County 8 falling similar 53 180.7 (159.1, 204.6) 1.1 -1.4 (-2.4, -0.3)
Roanoke City 5 falling higher 119 227.4 (208.7, 247.4) 1.3 -1.4 (-2.1, -0.7)
Cumberland County 4 stable higher 17 221.7 (174.5, 279.7) 1.3 -1.3 (-3.4, 1.0)
Lunenburg County 4 stable higher 20 223.9 (180.5, 275.8) 1.3 -1.3 (-3.2, 0.6)
Dickenson County 4 stable higher 24 211.9 (174.4, 256.5) 1.2 -1.3 (-3.1, 0.6)
Lancaster County 4 stable higher 27 227.0 (183.3, 281.0) 1.3 -1.3 (-2.9, 0.2)
Mecklenburg County 5 falling higher 51 202.4 (177.3, 230.7) 1.2 -1.3 (-2.3, -0.2)
Fauquier County 8 falling similar 73 166.4 (149.1, 185.2) 1.0 -1.3 (-2.2, -0.3)
Rockingham County 8 falling similar 97 173.0 (157.6, 189.6) 1.0 -1.3 (-1.9, -0.7)
Surry County 6 stable similar 11 208.0 (150.8, 282.6) 1.2 -1.2 (-3.6, 1.3)
Madison County 6 stable similar 20 191.4 (154.5, 235.9) 1.1 -1.2 (-3.4, 1.2)
Sussex County 4 stable higher 18 257.0 (204.7, 319.5) 1.5 -1.2 (-2.9, 0.5)
Fluvanna County 6 stable similar 32 180.2 (152.4, 212.1) 1.1 -1.2 (-2.5, 0.3)
Charlotte County 4 stable higher 21 262.7 (211.7, 323.3) 1.5 -1.2 (-2.4, 0.1)
James City County 9 falling lower 102 150.0 (136.9, 164.2) 0.9 -1.2 (-2.2, -0.2)
Henry County 5 falling higher 77 198.0 (177.9, 220.0) 1.2 -1.2 (-1.9, -0.5)
Montgomery County 8 falling similar 75 172.0 (154.5, 190.9) 1.0 -1.2 (-1.9, -0.4)
New Kent County 6 stable similar 30 204.3 (170.5, 243.2) 1.2 -1.1 (-2.2, 0.3)
Orange County 4 stable higher 53 220.4 (193.9, 249.8) 1.3 -1.1 (-2.2, 0.1)
Grayson County 6 stable similar 26 206.2 (171.1, 247.6) 1.2 -1.0 (-2.8, 0.9)
Russell County 4 stable higher 40 207.5 (178.5, 240.4) 1.2 -1.0 (-2.1, 0.1)
Salem City 4 stable higher 33 216.0 (183.4, 253.1) 1.3 -1.0 (-2.0, 0.1)
Bath County 6 stable similar 10 226.9 (165.2, 313.0) 1.3 -0.9 (-3.7, 1.9)
Mathews County 6 stable similar 16 184.2 (145.1, 235.1) 1.1 -0.9 (-3.2, 1.4)
Radford City 6 stable similar 11 235.4 (172.1, 313.2) 1.4 -0.9 (-3.1, 1.2)
Patrick County 4 stable higher 33 219.2 (185.1, 259.0) 1.3 -0.9 (-2.6, 0.8)
Lee County 4 stable higher 40 240.4 (206.5, 279.0) 1.4 -0.9 (-2.6, 0.7)
Scott County 4 stable higher 40 217.6 (187.6, 251.9) 1.3 -0.9 (-1.8, 0.1)
Tazewell County 4 stable higher 63 213.4 (189.6, 239.8) 1.2 -0.9 (-1.8, 0.1)
Wise County 4 stable higher 59 264.0 (233.5, 297.4) 1.5 -0.9 (-1.8, 0.1)
Warren County 4 stable higher 55 221.2 (194.2, 251.0) 1.3 -0.9 (-1.7, 0.1)
Bedford City and County 8 falling similar 112 186.6 (170.8, 203.8) 1.1 -0.9 (-1.7, -0.1)
Craig County 6 stable similar 9 231.0 (163.2, 322.2) 1.3 -0.8 (-3.8, 2.3)
Falls Church City 6 stable similar 12 195.5 (148.1, 252.8) 1.1 -0.8 (-3.1, 1.6)
Richmond County 6 stable similar 14 217.6 (168.4, 278.0) 1.3 -0.8 (-2.2, 0.6)
Halifax County with South Boston City 4 stable higher 60 232.2 (205.4, 262.1) 1.4 -0.8 (-1.9, 0.3)
Page County 4 stable higher 38 217.1 (186.3, 252.2) 1.3 -0.8 (-1.6, 0.1)
Floyd County 6 stable similar 22 185.7 (150.8, 227.3) 1.1 -0.7 (-2.4, 1.1)
Petersburg City 5 falling higher 52 332.0 (290.4, 377.9) 1.9 -0.7 (-1.5, 0.0)
Greensville County 4 stable higher 17 277.0 (216.6, 349.0) 1.6 -0.6 (-3.5, 2.3)
Danville City 4 stable higher 65 277.3 (246.7, 310.8) 1.6 -0.6 (-1.6, 0.3)
Shenandoah County 4 stable higher 69 216.4 (193.5, 241.6) 1.3 -0.6 (-1.4, 0.3)
Poquoson City 6 stable similar 16 195.5 (154.6, 244.8) 1.1 -0.5 (-2.3, 1.7)
Smyth County 4 stable higher 53 244.7 (215.4, 277.3) 1.4 -0.5 (-1.4, 0.6)
Hopewell City 4 stable higher 33 312.3 (263.6, 367.3) 1.8 -0.5 (-1.3, 0.3)
Waynesboro City 4 stable higher 32 241.1 (204.5, 282.7) 1.4 -0.3 (-1.4, 0.8)
Staunton City 4 stable higher 36 223.6 (191.1, 260.5) 1.3 -0.1 (-1.4, 1.2)
Bland County
**
** similar 10 180.7 (132.3, 245.9) 1.1
**
Highland County
**
** similar 5 199.4 (122.7, 334.3) 1.2
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/19/2026 5:57 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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