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