Data Table for Rate/Trend Comparison by Cancer
Death Rate/Trend Comparison by Cancer, 2019-2023
Virginia Counties versus United States
Colon & Rectum
All Races, Both Sexes
Sorted by rateratio
Counties
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Priority Index1 1=highest 9=lowest 
|
Recent Trend2 |
County Death Rate Compared to US Rate |
Average Annual Count
|
Age-Adjusted Death Rate deaths per 100,000 (95% Confidence Interval)
|
Rate Ratio3 County to US 
|
Recent 5-Year Trend2 in Death Rates (95% Confidence Interval)
|
|---|---|---|---|---|---|---|---|
| United States | - | falling | - | 52,648 | 12.9 (12.8, 12.9) | - | -0.8 (-1.5, -0.4) |
| Virginia | - | falling | - | 1,360 | 13.1 (12.8, 13.4) | - | -0.9 (-1.3, -0.4) |
| Arlington County | 9 | falling | lower | 19 | 8.7 (7.0, 10.7) | 0.7 | -2.4 (-4.0, -0.9) |
| Fairfax County | 9 | falling | lower | 114 | 8.9 (8.2, 9.7) | 0.7 | -2.6 (-3.3, -1.8) |
| Lee County | 6 | stable | similar | 3 | 9.4 (5.4, 15.9) | 0.7 | -2.6 (-6.2, 0.5) |
| Albemarle County | 9 | falling | lower | 16 | 10.0 (7.9, 12.6) | 0.8 | -3.3 (-5.8, -0.8) |
| Loudoun County | 9 | falling | lower | 38 | 10.0 (8.6, 11.6) | 0.8 | -3.5 (-4.9, -1.9) |
| Fluvanna County | 6 | stable | similar | 4 | 10.4 (6.2, 16.7) | 0.8 | -2.3 (-5.2, 0.5) |
| Spotsylvania County | 8 | falling | similar | 17 | 10.8 (8.5, 13.4) | 0.8 | -3.4 (-5.0, -1.8) |
| York County | 8 | falling | similar | 9 | 10.8 (7.9, 14.6) | 0.8 | -3.2 (-5.1, -1.1) |
| Virginia Beach City | 9 | falling | lower | 59 | 11.1 (9.9, 12.5) | 0.9 | -2.5 (-3.6, -1.5) |
| Harrisonburg City | 6 | stable | similar | 4 | 11.2 (7.0, 17.0) | 0.9 | -2.3 (-5.1, 0.2) |
| Stafford County | 8 | falling | similar | 16 | 11.3 (8.8, 14.2) | 0.9 | -3.0 (-4.7, -1.0) |
| Roanoke County | 6 | stable | similar | 17 | 11.4 (9.1, 14.3) | 0.9 | 10.2 (-1.9, 20.2) |
| Dinwiddie County | 8 | falling | similar | 4 | 11.5 (7.0, 18.1) | 0.9 | -4.1 (-6.5, -1.7) |
| Chesapeake City | 8 | falling | similar | 31 | 11.6 (9.8, 13.7) | 0.9 | -3.8 (-4.9, -2.8) |
| Alexandria City | 6 | stable | similar | 18 | 11.7 (9.3, 14.5) | 0.9 | 3.7 (-17.4, 29.6) |
| Winchester City | 8 | falling | similar | 4 | 12.1 (7.5, 18.6) | 0.9 | -3.1 (-5.9, -0.7) |
| Montgomery County | 8 | falling | similar | 12 | 12.2 (9.2, 15.8) | 0.9 | -2.7 (-4.6, -0.8) |
| Hanover County | 8 | falling | similar | 19 | 12.4 (10.0, 15.2) | 1.0 | -2.5 (-3.9, -1.1) |
| Alleghany County and Clifton Forge City | 8 | falling | similar | 4 | 12.4 (7.5, 20.9) | 1.0 | -3.1 (-6.3, -0.5) |
| Washington County | 8 | falling | similar | 11 | 12.6 (9.4, 16.7) | 1.0 | -1.8 (-3.6, 0.0) |
| Gloucester County | 8 | falling | similar | 8 | 12.6 (8.9, 17.7) | 1.0 | -2.7 (-5.1, -0.4) |
| Rockingham County | 8 | falling | similar | 15 | 12.7 (9.9, 16.0) | 1.0 | -2.3 (-4.5, -0.3) |
| Patrick County | 6 | stable | similar | 4 | 12.8 (7.7, 21.0) | 1.0 | 29.4 (-1.5, 56.2) |
| Prince William County | 8 | falling | similar | 53 | 12.9 (11.3, 14.6) | 1.0 | -1.3 (-2.2, -0.2) |
| Pittsylvania County | 8 | falling | similar | 14 | 12.9 (10.0, 16.7) | 1.0 | -2.7 (-4.3, -1.2) |
| Warren County | 6 | stable | similar | 6 | 13.1 (8.8, 18.7) | 1.0 | -2.2 (-6.1, 1.7) |
| Suffolk City | 8 | falling | similar | 15 | 13.2 (10.3, 16.7) | 1.0 | -3.0 (-4.8, -1.2) |
| Chesterfield County | 8 | falling | similar | 53 | 13.2 (11.6, 15.0) | 1.0 | -2.2 (-3.5, -1.0) |
| Richmond City | 8 | falling | similar | 31 | 13.4 (11.3, 15.8) | 1.0 | -2.3 (-4.1, -0.8) |
| Bedford City and County | 6 | stable | similar | 17 | 13.4 (10.7, 16.8) | 1.0 | -1.9 (-4.7, 1.0) |
| Franklin County | 6 | stable | similar | 12 | 13.5 (10.0, 17.9) | 1.0 | 10.6 (-3.1, 20.2) |
| Frederick County | 6 | stable | similar | 17 | 13.7 (10.8, 17.1) | 1.1 | -2.2 (-4.5, 0.3) |
| Pulaski County | 8 | falling | similar | 7 | 13.7 (9.5, 19.4) | 1.1 | -2.3 (-4.1, -0.7) |
| Culpeper County | 6 | stable | similar | 9 | 13.7 (9.9, 18.5) | 1.1 | -2.3 (-5.5, 1.0) |
| Norfolk City | 8 | falling | similar | 32 | 13.7 (11.6, 16.1) | 1.1 | -2.2 (-3.4, -1.1) |
| Charlottesville City | 6 | stable | similar | 6 | 13.8 (9.2, 20.0) | 1.1 | -0.4 (-2.7, 2.0) |
| Henrico County | 8 | falling | similar | 57 | 14.0 (12.4, 15.8) | 1.1 | -1.9 (-2.8, -0.9) |
| Isle of Wight County | 8 | falling | similar | 8 | 14.2 (9.9, 19.9) | 1.1 | -3.1 (-5.6, -0.7) |
| Prince George County | 6 | stable | similar | 6 | 14.3 (9.6, 20.4) | 1.1 | -0.9 (-2.9, 1.4) |
| Augusta County | 6 | stable | similar | 17 | 14.3 (11.3, 17.9) | 1.1 | -1.1 (-3.1, 1.0) |
| Goochland County | 6 | stable | similar | 5 | 14.3 (9.1, 21.9) | 1.1 | -1.7 (-4.5, 1.5) |
| Russell County | 6 | stable | similar | 6 | 14.4 (9.5, 21.3) | 1.1 | -1.9 (-5.0, 1.3) |
| Lynchburg City | 6 | stable | similar | 12 | 14.5 (10.9, 18.9) | 1.1 | -0.6 (-2.3, 1.1) |
| Salem City | 8 | falling | similar | 5 | 14.6 (9.6, 21.8) | 1.1 | -2.9 (-5.2, -0.9) |
| Accomack County | 6 | stable | similar | 8 | 14.7 (10.2, 21.0) | 1.1 | -1.3 (-3.3, 0.6) |
| Hampton City | 8 | falling | similar | 25 | 14.9 (12.3, 18.0) | 1.2 | -2.7 (-4.5, -1.2) |
| Fauquier County | 6 | stable | similar | 14 | 14.9 (11.6, 19.0) | 1.2 | -0.9 (-2.9, 1.4) |
| Louisa County | 8 | falling | similar | 8 | 15.0 (10.5, 20.9) | 1.2 | -2.8 (-5.1, -0.3) |
| Newport News City | 8 | falling | similar | 29 | 15.0 (12.6, 17.7) | 1.2 | -1.9 (-3.3, -0.5) |
| Clarke County | 8 | falling | similar | 4 | 15.2 (8.8, 25.3) | 1.2 | -3.1 (-6.1, -0.4) |
| Page County | 6 | stable | similar | 6 | 15.3 (10.2, 22.7) | 1.2 | -0.6 (-3.3, 2.2) |
| Henry County | 6 | stable | similar | 12 | 15.7 (11.7, 20.8) | 1.2 | -0.3 (-3.1, 2.4) |
| Scott County | 6 | stable | similar | 5 | 15.8 (10.2, 24.0) | 1.2 | 0.2 (-2.4, 3.0) |
| Westmoreland County | 8 | falling | similar | 5 | 15.9 (9.7, 25.2) | 1.2 | -2.4 (-4.6, -0.1) |
| Campbell County | 6 | stable | similar | 13 | 15.9 (12.2, 20.6) | 1.2 | -1.7 (-3.9, 0.5) |
| Manassas City | 6 | stable | similar | 6 | 16.2 (10.3, 24.2) | 1.3 | 31.6 (-3.2, 67.3) |
| Carroll County | 6 | stable | similar | 9 | 16.5 (11.9, 22.8) | 1.3 | -0.6 (-2.5, 1.4) |
| Portsmouth City | 5 | falling | higher | 18 | 16.7 (13.4, 20.6) | 1.3 | -2.2 (-3.9, -0.6) |
| Nelson County | 6 | stable | similar | 4 | 16.7 (9.9, 27.3) | 1.3 | -2.3 (-5.8, 0.8) |
| Nottoway County | 6 | stable | similar | 4 | 16.9 (9.9, 27.4) | 1.3 | -2.5 (-6.8, 1.2) |
| Amherst County | 6 | stable | similar | 8 | 17.0 (12.1, 23.5) | 1.3 | -2.0 (-5.0, 0.7) |
| Mecklenburg County | 6 | stable | similar | 8 | 17.5 (12.1, 24.7) | 1.4 | -0.9 (-3.5, 1.7) |
| Botetourt County | 6 | stable | similar | 8 | 17.6 (12.3, 24.6) | 1.4 | -0.9 (-4.2, 2.4) |
| Roanoke City | 5 | falling | higher | 24 | 17.8 (14.6, 21.4) | 1.4 | -1.4 (-2.6, -0.4) |
| Petersburg City | 6 | stable | similar | 8 | 18.0 (12.5, 25.0) | 1.4 | -0.8 (-3.2, 6.5) |
| Grayson County | 6 | stable | similar | 5 | 18.0 (11.2, 28.5) | 1.4 | -0.1 (-3.2, 3.0) |
| Shenandoah County | 4 | stable | higher | 12 | 18.1 (13.7, 23.7) | 1.4 | 5.3 (-0.1, 24.6) |
| Waynesboro City | 6 | stable | similar | 5 | 18.5 (11.9, 27.6) | 1.4 | -0.3 (-2.7, 2.1) |
| Wythe County | 2 | rising | similar | 8 | 18.7 (13.3, 26.0) | 1.5 | 22.1 (1.6, 38.2) |
| Orange County | 4 | stable | higher | 10 | 18.7 (13.8, 25.1) | 1.5 | 2.9 (-1.7, 19.9) |
| Smyth County | 4 | stable | higher | 9 | 18.8 (13.4, 25.9) | 1.5 | 0.8 (-2.0, 3.7) |
| Lancaster County | 6 | stable | similar | 4 | 18.8 (9.1, 35.4) | 1.5 | -1.8 (-7.3, 3.2) |
| King William County | 6 | stable | similar | 4 | 19.2 (11.5, 30.3) | 1.5 | -0.9 (-5.0, 3.6) |
| Prince Edward County | 6 | stable | similar | 5 | 19.3 (11.8, 29.9) | 1.5 | -1.1 (-4.4, 2.2) |
| Halifax County with South Boston City | 4 | stable | higher | 11 | 19.5 (14.5, 25.9) | 1.5 | -0.9 (-3.7, 1.9) |
| Tazewell County | 4 | stable | higher | 12 | 20.5 (15.4, 26.9) | 1.6 | 1.8 (-0.3, 4.3) |
| Appomattox County | 6 | stable | similar | 5 | 20.7 (13.0, 31.7) | 1.6 | 29.2 (-0.1, 61.3) |
| Wise County | 5 | falling | higher | 10 | 21.1 (15.4, 28.4) | 1.6 | -1.9 (-3.7, -0.2) |
| Colonial Heights City | 6 | stable | similar | 5 | 21.3 (13.6, 32.0) | 1.7 | -0.7 (-4.2, 2.5) |
| Brunswick County | 4 | stable | higher | 5 | 21.3 (13.7, 32.4) | 1.7 | -1.4 (-4.5, 1.5) |
| Rockbridge County | 4 | stable | higher | 7 | 21.5 (14.4, 31.2) | 1.7 | 3.0 (-1.6, 23.1) |
| Buchanan County | 4 | stable | higher | 7 | 21.8 (15.0, 31.1) | 1.7 | -0.1 (-1.7, 1.6) |
| Martinsville City | 6 | stable | similar | 4 | 21.8 (12.7, 35.3) | 1.7 | 1.3 (-2.9, 5.3) |
| Charlotte County | 6 | stable | similar | 3 | 22.1 (12.1, 37.4) | 1.7 | -0.6 (-4.1, 2.6) |
| Staunton City | 4 | stable | higher | 8 | 22.5 (15.8, 31.4) | 1.8 | 0.8 (-2.2, 3.8) |
| Hopewell City | 4 | stable | higher | 6 | 24.3 (16.1, 35.3) | 1.9 | -0.7 (-4.6, 3.1) |
| Danville City | 4 | stable | higher | 16 | 26.3 (20.7, 33.0) | 2.0 | 1.3 (-1.7, 4.5) |
| Fairfax City | 4 | stable | higher | 8 | 29.4 (20.6, 40.6) | 2.3 | 7.9 (-0.9, 34.4) |
| Buckingham County |
|
** | similar | 4 | 16.9 (10.4, 26.8) | 1.3 |
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| Caroline County |
|
** | similar | 7 | 16.8 (11.5, 24.0) | 1.3 |
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| Dickenson County |
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** | similar | 4 | 15.9 (9.2, 26.4) | 1.2 |
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| Essex County |
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** | similar | 3 | 22.3 (12.0, 38.4) | 1.7 |
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| Floyd County |
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** | similar | 3 | 13.5 (7.4, 23.3) | 1.0 |
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| Franklin City |
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** | higher | 4 | 35.6 (20.8, 57.5) | 2.8 |
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| Fredericksburg City |
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** | similar | 3 | 14.5 (8.2, 23.6) | 1.1 |
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| Giles County |
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** | higher | 6 | 22.6 (14.6, 34.0) | 1.8 |
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| Greensville County |
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** | higher | 3 | 29.5 (16.5, 48.8) | 2.3 |
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| James City County |
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** | similar | 17 | 11.8 (9.4, 14.8) | 0.9 |
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| Lunenburg County |
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** | similar | 3 | 17.5 (10.0, 29.6) | 1.4 |
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| New Kent County |
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** | similar | 4 | 13.0 (7.6, 21.0) | 1.0 |
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| Northumberland County |
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** | similar | 4 | 14.5 (9.0, 25.2) | 1.1 |
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| Powhatan County |
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** | similar | 4 | 9.6 (5.7, 15.4) | 0.7 |
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| Richmond County |
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** | similar | 3 | 22.9 (13.1, 38.5) | 1.8 |
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| Southampton County |
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** | similar | 4 | 13.9 (8.5, 22.4) | 1.1 |
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| Amelia County |
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** |
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| Bath County |
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** |
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| Bland County |
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** |
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| Bristol City |
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** |
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| Buena Vista City |
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** |
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| Charles City County |
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** |
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| Covington City |
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** |
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| Craig County |
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** |
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| Cumberland County |
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** |
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| Emporia City |
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** |
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| Falls Church City |
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** |
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| Galax City |
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** |
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| Greene County |
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** |
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| Highland County |
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** |
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| King George County |
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** |
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| King and Queen County |
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** |
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| Lexington City |
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** |
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| Madison County |
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** |
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| Manassas Park City |
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** |
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| Mathews County |
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** |
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| Middlesex County |
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** |
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| Northampton County |
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** |
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| Norton City |
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** |
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| Poquoson City |
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** |
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| Radford City |
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** |
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| Rappahannock County |
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** |
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| Surry County |
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** |
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| Sussex County |
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** |
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| Williamsburg City |
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** |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/13/2026 3:25 am.
* Data has been suppressed to ensure confidentiality and stability of rate and trend estimates.
** 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).
Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Amelia County, Bath County, Bland County, Bristol City, Buena Vista City, Charles City County, Covington City, Craig County, Cumberland County, Emporia City, Falls Church City, Galax City, Greene County, Highland County, King George County, King and Queen County, Lexington City, Madison County, Manassas Park City, Mathews County, Middlesex County, Northampton County, Norton City, Poquoson City, Radford City, Rappahannock County, Surry County, Sussex County, Williamsburg City
Trend for the following could not be reliably determined due to small number of deaths per year:
Buckingham County, Caroline County, Dickenson County, Essex County, Floyd County, Franklin City, Fredericksburg City, Giles County, Greensville County, James City County, Lunenburg County, New Kent County, Northumberland County, Powhatan County, Richmond County, Southampton 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.
Created by statecancerprofiles.cancer.gov on 03/13/2026 3:25 am.
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
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 > 1.10Similar
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.
** 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).
Data for the following has been suppressed to ensure confidentiality and stability of rate and trend estimates:
Amelia County, Bath County, Bland County, Bristol City, Buena Vista City, Charles City County, Covington City, Craig County, Cumberland County, Emporia City, Falls Church City, Galax City, Greene County, Highland County, King George County, King and Queen County, Lexington City, Madison County, Manassas Park City, Mathews County, Middlesex County, Northampton County, Norton City, Poquoson City, Radford City, Rappahannock County, Surry County, Sussex County, Williamsburg City
Trend for the following could not be reliably determined due to small number of deaths per year:
Buckingham County, Caroline County, Dickenson County, Essex County, Floyd County, Franklin City, Fredericksburg City, Giles County, Greensville County, James City County, Lunenburg County, New Kent County, Northumberland County, Powhatan County, Richmond County, Southampton 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.