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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, Female

Sorted by rateratio

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 - 287,034 126.3 (126.1, 126.6) - -1.1 (-1.2, -1.0)
Virginia - stable - 7,431 128.3 (127.0, 129.6) - -0.2 (-1.1, 0.3)
Manassas Park City 9 falling lower 5 75.2 (49.1, 110.1) 0.6 -4.6 (-7.1, -2.1)
Fairfax County 9 falling lower 643 92.9 (89.7, 96.2) 0.7 -2.2 (-2.5, -1.9)
Albemarle County 9 falling lower 91 96.1 (87.1, 105.8) 0.8 -2.0 (-2.7, -1.3)
Arlington County 9 falling lower 113 97.9 (89.9, 106.4) 0.8 -2.4 (-2.9, -2.0)
Powhatan County 9 falling lower 23 100.4 (82.5, 121.7) 0.8 -2.8 (-4.2, -1.3)
Greene County 9 falling lower 15 100.7 (78.7, 127.4) 0.8 -1.5 (-2.6, -0.2)
Loudoun County 9 falling lower 205 102.2 (96.0, 108.8) 0.8 -2.3 (-2.8, -1.6)
James City County 9 falling lower 84 104.5 (94.3, 115.9) 0.8 -1.2 (-2.2, -0.2)
Northampton County 8 falling similar 14 107.4 (81.2, 141.7) 0.8 -4.3 (-5.4, -3.3)
Alexandria City 9 falling lower 92 107.8 (98.0, 118.4) 0.9 -2.0 (-2.6, -1.5)
Fluvanna County 8 falling similar 25 108.0 (89.3, 130.0) 0.9 -11.8 (-23.5, -2.9)
York County 9 falling lower 55 109.7 (96.9, 123.8) 0.9 -2.3 (-3.4, -1.2)
Lexington City 6 stable similar 5 110.1 (71.5, 167.3) 0.9 1.3 (-1.3, 5.9)
Botetourt County 6 stable similar 34 110.6 (94.0, 129.9) 0.9 -0.3 (-1.2, 0.7)
Rappahannock County 6 stable similar 8 111.1 (76.8, 160.5) 0.9 -0.7 (-3.8, 2.7)
Prince William County 9 falling lower 258 113.4 (107.2, 119.9) 0.9 -2.2 (-2.5, -1.8)
Goochland County 8 falling similar 25 113.7 (93.8, 137.6) 0.9 -2.4 (-4.4, -0.2)
Montgomery County 8 falling similar 62 115.8 (103.0, 129.9) 0.9 -1.4 (-2.4, -0.5)
Westmoreland County 8 falling similar 22 119.7 (97.4, 146.9) 0.9 -2.3 (-3.5, -1.2)
Alleghany County and Clifton Forge City 8 falling similar 17 120.0 (93.9, 152.9) 1.0 -1.9 (-4.0, -0.1)
Southampton County 8 falling similar 18 120.1 (95.7, 150.0) 1.0 -1.6 (-3.3, -0.1)
Winchester City 8 falling similar 23 120.2 (99.1, 144.9) 1.0 -2.0 (-3.8, -0.4)
Roanoke County 8 falling similar 104 120.9 (110.4, 132.4) 1.0 -0.8 (-1.6, 0.0)
Campbell County 8 falling similar 57 121.1 (106.9, 137.1) 1.0 -1.7 (-2.6, -0.8)
Charles City County 8 falling similar 8 121.9 (83.8, 176.9) 1.0 -2.3 (-4.4, -0.2)
Harrisonburg City 6 stable similar 28 123.4 (103.1, 146.6) 1.0 -1.1 (-2.9, 0.7)
Rockingham County 8 falling similar 84 124.0 (112.1, 137.1) 1.0 -1.3 (-2.2, -0.4)
Richmond City 8 falling similar 166 124.5 (115.8, 133.6) 1.0 -2.6 (-3.0, -2.2)
Augusta County 2 rising similar 81 124.7 (112.5, 138.2) 1.0 4.8 (1.8, 10.2)
Clarke County 8 falling similar 17 125.5 (99.2, 158.1) 1.0 -1.9 (-3.4, -0.4)
Bland County 6 stable similar 7 125.7 (86.2, 184.0) 1.0 -0.8 (-3.5, 2.0)
Spotsylvania County 8 falling similar 111 126.9 (116.3, 138.2) 1.0 -1.4 (-2.1, -0.7)
Middlesex County 6 stable similar 16 127.1 (97.4, 166.6) 1.0 -1.2 (-3.0, 0.7)
Chesterfield County 8 falling similar 300 127.4 (120.9, 134.2) 1.0 -1.5 (-1.8, -1.1)
Pulaski County 8 falling similar 38 127.9 (109.8, 148.7) 1.0 -1.7 (-2.8, -0.6)
Virginia Beach City 8 falling similar 380 128.0 (122.2, 134.0) 1.0 -1.5 (-2.0, -1.1)
Rockbridge County 8 falling similar 29 128.2 (106.8, 153.8) 1.0 -1.4 (-2.6, -0.2)
Northumberland County 6 stable similar 20 128.6 (103.0, 162.8) 1.0 -0.5 (-1.5, 0.5)
Madison County 6 stable similar 14 129.0 (97.9, 167.8) 1.0 -1.1 (-2.3, 0.1)
Stafford County 8 falling similar 99 130.4 (118.8, 142.7) 1.0 -1.5 (-2.4, -0.6)
Louisa County 8 falling similar 39 130.8 (112.2, 151.9) 1.0 -1.5 (-2.9, 0.0)
Caroline County 8 falling similar 28 131.2 (110.0, 155.7) 1.0 -1.4 (-2.6, -0.1)
Floyd County 6 stable similar 17 131.2 (103.3, 165.7) 1.0 0.2 (-1.4, 1.9)
Nelson County 6 stable similar 19 131.4 (104.5, 164.9) 1.0 -0.3 (-2.5, 1.9)
Charlotte County 6 stable similar 13 131.6 (99.7, 172.1) 1.0 -0.9 (-2.5, 0.7)
Bedford City and County 8 falling similar 88 131.7 (119.2, 145.3) 1.0 -1.1 (-1.7, -0.4)
Surry County 6 stable similar 8 132.4 (90.7, 190.8) 1.0 -2.0 (-4.7, 0.6)
Poquoson City 6 stable similar 13 133.0 (101.9, 172.0) 1.1 -1.8 (-3.9, 0.4)
Williamsburg City 6 stable similar 13 133.3 (102.0, 173.2) 1.1 -0.7 (-4.4, 3.3)
Franklin County 6 stable similar 61 134.1 (118.3, 151.7) 1.1 -0.3 (-1.4, 0.8)
King and Queen County 6 stable similar 8 134.1 (95.3, 188.4) 1.1 -1.3 (-3.1, 0.5)
Henrico County 8 falling similar 324 134.4 (127.8, 141.2) 1.1 -1.1 (-1.4, -0.8)
Essex County 6 stable similar 12 134.9 (101.8, 177.4) 1.1 -0.5 (-2.1, 1.0)
Suffolk City 8 falling similar 83 135.1 (122.2, 149.1) 1.1 -2.0 (-2.7, -1.3)
Frederick County 8 falling similar 89 135.7 (123.1, 149.4) 1.1 -1.4 (-2.3, -0.5)
Lunenburg County 6 stable similar 14 136.7 (105.3, 176.7) 1.1 -1.3 (-3.0, 0.4)
Carroll County 6 stable similar 39 136.8 (117.3, 159.5) 1.1 -0.4 (-1.7, 0.9)
Culpeper County 8 falling similar 48 137.2 (120.0, 156.4) 1.1 -1.6 (-2.6, -0.6)
Covington City 6 stable similar 7 137.7 (95.1, 196.8) 1.1 0.4 (-2.4, 3.2)
Isle of Wight County 6 stable similar 43 137.9 (119.5, 158.8) 1.1 -1.0 (-2.1, 0.3)
Amherst County 6 stable similar 38 138.6 (118.9, 161.1) 1.1 -0.7 (-1.6, 0.1)
Fauquier County 6 stable similar 70 138.7 (124.3, 154.5) 1.1 -1.3 (-2.7, 0.1)
Richmond County 6 stable similar 11 138.9 (101.8, 188.3) 1.1 -0.8 (-3.5, 1.9)
Buena Vista City 6 stable similar 7 139.1 (96.8, 196.6) 1.1 -1.7 (-3.9, 0.5)
Charlottesville City 8 falling similar 34 139.2 (118.6, 162.5) 1.1 -1.4 (-2.4, -0.5)
Radford City 6 stable similar 9 139.3 (101.3, 187.1) 1.1 -1.7 (-4.4, 0.7)
Emporia City 6 stable similar 6 139.7 (91.8, 205.6) 1.1 -1.7 (-4.7, 0.9)
Hanover County 5 falling higher 118 139.9 (128.6, 152.1) 1.1 -0.8 (-1.6, 0.0)
Pittsylvania County 8 falling similar 75 140.4 (125.6, 156.9) 1.1 -0.9 (-1.7, -0.1)
Bath County 6 stable similar 5 140.6 (88.9, 219.6) 1.1 -31.0 (-61.2, 0.8)
Chesapeake City 5 falling higher 213 141.3 (132.7, 150.2) 1.1 -1.4 (-1.9, -0.9)
Gloucester County 6 stable similar 44 141.7 (122.9, 163.0) 1.1 -0.9 (-2.1, 0.4)
Prince George County 6 stable similar 30 142.0 (119.6, 167.4) 1.1 -0.9 (-2.4, 0.8)
Hampton City 5 falling higher 133 142.0 (131.1, 153.7) 1.1 -1.2 (-2.0, -0.4)
Accomack County 8 falling similar 43 142.8 (123.2, 165.3) 1.1 -1.2 (-2.2, -0.3)
Manassas City 6 stable similar 26 144.1 (119.5, 172.1) 1.1 -1.7 (-3.8, 0.5)
King George County 8 falling similar 22 144.5 (118.1, 175.3) 1.1 -2.3 (-4.2, -0.3)
Page County 6 stable similar 30 144.7 (121.6, 171.7) 1.1 -0.2 (-1.9, 1.5)
Shenandoah County 4 stable higher 53 145.9 (128.0, 165.9) 1.2 -0.6 (-1.3, 0.0)
Warren County 6 stable similar 41 146.2 (126.5, 168.4) 1.2 -0.8 (-2.2, 0.7)
Dinwiddie County 6 stable similar 31 147.0 (124.2, 173.2) 1.2 -1.4 (-2.9, 0.2)
Grayson County 8 falling similar 21 147.3 (118.9, 182.3) 1.2 -1.4 (-2.9, 0.0)
Lancaster County 6 stable similar 22 147.9 (115.6, 190.1) 1.2 -0.5 (-12.5, 8.8)
Fredericksburg City 8 falling similar 21 148.4 (120.8, 180.4) 1.2 -2.0 (-3.6, -0.6)
Amelia County 6 stable similar 16 148.8 (116.9, 188.3) 1.2 -1.2 (-2.9, 0.6)
King William County 6 stable similar 18 149.1 (119.3, 184.6) 1.2 -0.9 (-2.3, 0.7)
Craig County 6 stable similar 7 150.1 (103.5, 217.5) 1.2 9.5 (-12.6, 39.7)
Cumberland County 6 stable similar 12 150.2 (110.9, 200.3) 1.2 -1.1 (-3.4, 1.2)
Appomattox County 6 stable similar 19 150.4 (120.4, 186.6) 1.2 0.0 (-2.2, 2.2)
Henry County 4 stable higher 70 150.6 (133.9, 169.1) 1.2 0.0 (-0.9, 1.0)
Newport News City 5 falling higher 170 150.8 (140.6, 161.5) 1.2 -0.8 (-1.3, -0.3)
Mecklenburg County 4 stable higher 47 151.3 (131.4, 174.2) 1.2 -0.5 (-1.4, 0.3)
Mathews County 6 stable similar 12 152.2 (109.0, 209.6) 1.2 -1.3 (-3.0, 0.3)
Lynchburg City 4 stable higher 76 152.9 (137.2, 170.0) 1.2 -0.3 (-1.1, 0.4)
Washington County 4 stable higher 73 153.5 (137.2, 171.6) 1.2 -0.8 (-2.0, 0.4)
Staunton City 4 stable higher 35 154.0 (131.1, 180.4) 1.2 -0.7 (-2.0, 0.6)
Norfolk City 5 falling higher 200 156.0 (146.2, 166.3) 1.2 -1.2 (-1.9, -0.5)
Scott County 4 stable higher 29 156.2 (130.2, 186.9) 1.2 -0.8 (-2.2, 0.6)
Brunswick County 8 falling similar 20 156.4 (124.9, 194.8) 1.2 -1.9 (-3.6, -0.3)
Buckingham County 6 stable similar 20 157.3 (126.5, 194.6) 1.2 -0.9 (-2.6, 0.8)
Orange County 5 falling higher 47 157.5 (137.4, 180.1) 1.2 -1.2 (-2.3, -0.1)
Prince Edward County 4 stable higher 23 157.6 (128.5, 192.0) 1.2 -1.1 (-2.5, 0.3)
Falls Church City 2 rising similar 15 157.8 (123.9, 198.9) 1.2 12.1 (0.9, 36.2)
Colonial Heights City 4 stable higher 23 158.9 (130.2, 192.6) 1.3 -0.3 (-1.4, 0.9)
Bristol City 4 stable higher 25 160.3 (132.3, 193.4) 1.3 0.0 (-1.6, 1.5)
Halifax County with South Boston City 4 stable higher 52 160.4 (139.7, 183.7) 1.3 -0.1 (-1.1, 0.9)
Salem City 4 stable higher 33 160.9 (136.4, 189.1) 1.3 1.0 (-0.1, 3.5)
Giles County 4 stable higher 23 162.1 (132.7, 197.3) 1.3 -0.6 (-2.6, 1.4)
New Kent County 4 stable higher 25 162.3 (133.6, 195.8) 1.3 -0.9 (-2.3, 0.8)
Wythe County 4 stable higher 39 162.4 (139.4, 188.7) 1.3 -0.3 (-1.4, 0.8)
Portsmouth City 5 falling higher 103 163.5 (149.3, 178.8) 1.3 -1.0 (-1.7, -0.4)
Hopewell City 4 stable higher 25 164.1 (135.8, 196.9) 1.3 -1.4 (-3.2, 0.2)
Tazewell County 4 stable higher 57 166.1 (146.2, 188.4) 1.3 0.3 (-0.6, 1.1)
Nottoway County 4 stable higher 20 166.1 (134.4, 204.4) 1.3 -0.8 (-2.4, 0.9)
Waynesboro City 4 stable higher 29 166.2 (139.2, 197.3) 1.3 -0.7 (-2.0, 0.5)
Roanoke City 4 stable higher 123 168.3 (154.8, 182.8) 1.3 0.1 (-0.5, 0.6)
Patrick County 4 stable higher 29 170.0 (141.7, 203.9) 1.3 0.3 (-1.2, 1.8)
Sussex County 6 stable similar 13 171.9 (128.9, 226.6) 1.4 -0.4 (-2.4, 1.6)
Dickenson County 4 stable higher 20 172.2 (138.2, 213.4) 1.4 -0.1 (-2.2, 2.0)
Russell County 4 stable higher 38 172.9 (147.7, 202.0) 1.4 -0.4 (-2.1, 1.3)
Smyth County 4 stable higher 46 173.3 (150.7, 199.0) 1.4 -0.3 (-1.6, 1.1)
Franklin City 4 stable higher 12 173.9 (131.6, 227.3) 1.4 0.3 (-1.7, 2.2)
Buchanan County 4 stable higher 32 181.9 (153.0, 215.7) 1.4 0.6 (-3.1, 8.5)
Lee County 4 stable higher 33 182.4 (154.6, 214.7) 1.4 -0.1 (-1.5, 1.4)
Petersburg City 4 stable higher 47 186.4 (162.2, 213.5) 1.5 -0.4 (-1.7, 0.9)
Martinsville City 4 stable higher 19 187.9 (150.5, 232.4) 1.5 0.9 (-0.8, 2.6)
Wise County 4 stable higher 51 196.1 (172.0, 223.1) 1.6 -0.3 (-0.9, 0.4)
Danville City 1 rising higher 73 196.1 (175.3, 219.0) 1.6 14.1 (9.8, 21.8)
Greensville County 4 stable higher 13 207.4 (158.3, 268.8) 1.6 0.9 (-1.1, 3.0)
Fairfax City 1 rising higher 33 215.8 (183.6, 252.3) 1.7 3.9 (1.0, 9.2)
Galax City 5 falling higher 12 233.9 (176.8, 305.3) 1.9 -9.9 (-20.8, -4.0)
Norton City 4 stable higher 7 237.6 (162.0, 340.5) 1.9 0.6 (-2.2, 3.4)
Highland County
**
**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/12/2026 3:24 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 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:
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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