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 rate
Counties
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Priority Index1 1=highest 9=lowest 
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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)
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|---|---|---|---|---|---|---|---|
| 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) |
| Fairfax City | 4 | stable | higher | 8 | 29.4 (20.6, 40.6) | 2.3 | 7.9 (-0.9, 34.4) |
| Danville City | 4 | stable | higher | 16 | 26.3 (20.7, 33.0) | 2.0 | 1.3 (-1.7, 4.5) |
| Hopewell City | 4 | stable | higher | 6 | 24.3 (16.1, 35.3) | 1.9 | -0.7 (-4.6, 3.1) |
| Staunton City | 4 | stable | higher | 8 | 22.5 (15.8, 31.4) | 1.8 | 0.8 (-2.2, 3.8) |
| Charlotte County | 6 | stable | similar | 3 | 22.1 (12.1, 37.4) | 1.7 | -0.6 (-4.1, 2.6) |
| Martinsville City | 6 | stable | similar | 4 | 21.8 (12.7, 35.3) | 1.7 | 1.3 (-2.9, 5.3) |
| Buchanan County | 4 | stable | higher | 7 | 21.8 (15.0, 31.1) | 1.7 | -0.1 (-1.7, 1.6) |
| Rockbridge County | 4 | stable | higher | 7 | 21.5 (14.4, 31.2) | 1.7 | 3.0 (-1.6, 23.1) |
| Brunswick County | 4 | stable | higher | 5 | 21.3 (13.7, 32.4) | 1.7 | -1.4 (-4.5, 1.5) |
| Colonial Heights City | 6 | stable | similar | 5 | 21.3 (13.6, 32.0) | 1.7 | -0.7 (-4.2, 2.5) |
| Wise County | 5 | falling | higher | 10 | 21.1 (15.4, 28.4) | 1.6 | -1.9 (-3.7, -0.2) |
| Appomattox County | 6 | stable | similar | 5 | 20.7 (13.0, 31.7) | 1.6 | 29.2 (-0.1, 61.3) |
| Tazewell County | 4 | stable | higher | 12 | 20.5 (15.4, 26.9) | 1.6 | 1.8 (-0.3, 4.3) |
| Halifax County with South Boston City | 4 | stable | higher | 11 | 19.5 (14.5, 25.9) | 1.5 | -0.9 (-3.7, 1.9) |
| Prince Edward County | 6 | stable | similar | 5 | 19.3 (11.8, 29.9) | 1.5 | -1.1 (-4.4, 2.2) |
| King William County | 6 | stable | similar | 4 | 19.2 (11.5, 30.3) | 1.5 | -0.9 (-5.0, 3.6) |
| Lancaster County | 6 | stable | similar | 4 | 18.8 (9.1, 35.4) | 1.5 | -1.8 (-7.3, 3.2) |
| Smyth County | 4 | stable | higher | 9 | 18.8 (13.4, 25.9) | 1.5 | 0.8 (-2.0, 3.7) |
| Orange County | 4 | stable | higher | 10 | 18.7 (13.8, 25.1) | 1.5 | 2.9 (-1.7, 19.9) |
| Wythe County | 2 | rising | similar | 8 | 18.7 (13.3, 26.0) | 1.5 | 22.1 (1.6, 38.2) |
| Waynesboro City | 6 | stable | similar | 5 | 18.5 (11.9, 27.6) | 1.4 | -0.3 (-2.7, 2.1) |
| Shenandoah County | 4 | stable | higher | 12 | 18.1 (13.7, 23.7) | 1.4 | 5.3 (-0.1, 24.6) |
| Grayson County | 6 | stable | similar | 5 | 18.0 (11.2, 28.5) | 1.4 | -0.1 (-3.2, 3.0) |
| Petersburg City | 6 | stable | similar | 8 | 18.0 (12.5, 25.0) | 1.4 | -0.8 (-3.2, 6.5) |
| Roanoke City | 5 | falling | higher | 24 | 17.8 (14.6, 21.4) | 1.4 | -1.4 (-2.6, -0.4) |
| Botetourt County | 6 | stable | similar | 8 | 17.6 (12.3, 24.6) | 1.4 | -0.9 (-4.2, 2.4) |
| Mecklenburg County | 6 | stable | similar | 8 | 17.5 (12.1, 24.7) | 1.4 | -0.9 (-3.5, 1.7) |
| Amherst County | 6 | stable | similar | 8 | 17.0 (12.1, 23.5) | 1.3 | -2.0 (-5.0, 0.7) |
| Nottoway County | 6 | stable | similar | 4 | 16.9 (9.9, 27.4) | 1.3 | -2.5 (-6.8, 1.2) |
| Nelson County | 6 | stable | similar | 4 | 16.7 (9.9, 27.3) | 1.3 | -2.3 (-5.8, 0.8) |
| Portsmouth City | 5 | falling | higher | 18 | 16.7 (13.4, 20.6) | 1.3 | -2.2 (-3.9, -0.6) |
| Carroll County | 6 | stable | similar | 9 | 16.5 (11.9, 22.8) | 1.3 | -0.6 (-2.5, 1.4) |
| Manassas City | 6 | stable | similar | 6 | 16.2 (10.3, 24.2) | 1.3 | 31.6 (-3.2, 67.3) |
| Campbell County | 6 | stable | similar | 13 | 15.9 (12.2, 20.6) | 1.2 | -1.7 (-3.9, 0.5) |
| Westmoreland County | 8 | falling | similar | 5 | 15.9 (9.7, 25.2) | 1.2 | -2.4 (-4.6, -0.1) |
| Scott County | 6 | stable | similar | 5 | 15.8 (10.2, 24.0) | 1.2 | 0.2 (-2.4, 3.0) |
| Henry County | 6 | stable | similar | 12 | 15.7 (11.7, 20.8) | 1.2 | -0.3 (-3.1, 2.4) |
| Page County | 6 | stable | similar | 6 | 15.3 (10.2, 22.7) | 1.2 | -0.6 (-3.3, 2.2) |
| Clarke County | 8 | falling | similar | 4 | 15.2 (8.8, 25.3) | 1.2 | -3.1 (-6.1, -0.4) |
| Newport News City | 8 | falling | similar | 29 | 15.0 (12.6, 17.7) | 1.2 | -1.9 (-3.3, -0.5) |
| Louisa County | 8 | falling | similar | 8 | 15.0 (10.5, 20.9) | 1.2 | -2.8 (-5.1, -0.3) |
| Fauquier County | 6 | stable | similar | 14 | 14.9 (11.6, 19.0) | 1.2 | -0.9 (-2.9, 1.4) |
| Hampton City | 8 | falling | similar | 25 | 14.9 (12.3, 18.0) | 1.2 | -2.7 (-4.5, -1.2) |
| Accomack County | 6 | stable | similar | 8 | 14.7 (10.2, 21.0) | 1.1 | -1.3 (-3.3, 0.6) |
| Salem City | 8 | falling | similar | 5 | 14.6 (9.6, 21.8) | 1.1 | -2.9 (-5.2, -0.9) |
| Lynchburg City | 6 | stable | similar | 12 | 14.5 (10.9, 18.9) | 1.1 | -0.6 (-2.3, 1.1) |
| Russell County | 6 | stable | similar | 6 | 14.4 (9.5, 21.3) | 1.1 | -1.9 (-5.0, 1.3) |
| Goochland County | 6 | stable | similar | 5 | 14.3 (9.1, 21.9) | 1.1 | -1.7 (-4.5, 1.5) |
| Augusta County | 6 | stable | similar | 17 | 14.3 (11.3, 17.9) | 1.1 | -1.1 (-3.1, 1.0) |
| Prince George County | 6 | stable | similar | 6 | 14.3 (9.6, 20.4) | 1.1 | -0.9 (-2.9, 1.4) |
| Isle of Wight County | 8 | falling | similar | 8 | 14.2 (9.9, 19.9) | 1.1 | -3.1 (-5.6, -0.7) |
| Henrico County | 8 | falling | similar | 57 | 14.0 (12.4, 15.8) | 1.1 | -1.9 (-2.8, -0.9) |
| Charlottesville City | 6 | stable | similar | 6 | 13.8 (9.2, 20.0) | 1.1 | -0.4 (-2.7, 2.0) |
| Norfolk City | 8 | falling | similar | 32 | 13.7 (11.6, 16.1) | 1.1 | -2.2 (-3.4, -1.1) |
| Culpeper County | 6 | stable | similar | 9 | 13.7 (9.9, 18.5) | 1.1 | -2.3 (-5.5, 1.0) |
| Pulaski County | 8 | falling | similar | 7 | 13.7 (9.5, 19.4) | 1.1 | -2.3 (-4.1, -0.7) |
| Frederick County | 6 | stable | similar | 17 | 13.7 (10.8, 17.1) | 1.1 | -2.2 (-4.5, 0.3) |
| Franklin County | 6 | stable | similar | 12 | 13.5 (10.0, 17.9) | 1.0 | 10.6 (-3.1, 20.2) |
| Bedford City and County | 6 | stable | similar | 17 | 13.4 (10.7, 16.8) | 1.0 | -1.9 (-4.7, 1.0) |
| Richmond City | 8 | falling | similar | 31 | 13.4 (11.3, 15.8) | 1.0 | -2.3 (-4.1, -0.8) |
| Chesterfield County | 8 | falling | similar | 53 | 13.2 (11.6, 15.0) | 1.0 | -2.2 (-3.5, -1.0) |
| Suffolk City | 8 | falling | similar | 15 | 13.2 (10.3, 16.7) | 1.0 | -3.0 (-4.8, -1.2) |
| Warren County | 6 | stable | similar | 6 | 13.1 (8.8, 18.7) | 1.0 | -2.2 (-6.1, 1.7) |
| Pittsylvania County | 8 | falling | similar | 14 | 12.9 (10.0, 16.7) | 1.0 | -2.7 (-4.3, -1.2) |
| Prince William County | 8 | falling | similar | 53 | 12.9 (11.3, 14.6) | 1.0 | -1.3 (-2.2, -0.2) |
| Patrick County | 6 | stable | similar | 4 | 12.8 (7.7, 21.0) | 1.0 | 29.4 (-1.5, 56.2) |
| Rockingham County | 8 | falling | similar | 15 | 12.7 (9.9, 16.0) | 1.0 | -2.3 (-4.5, -0.3) |
| Gloucester County | 8 | falling | similar | 8 | 12.6 (8.9, 17.7) | 1.0 | -2.7 (-5.1, -0.4) |
| Washington County | 8 | falling | similar | 11 | 12.6 (9.4, 16.7) | 1.0 | -1.8 (-3.6, 0.0) |
| Alleghany County and Clifton Forge City | 8 | falling | similar | 4 | 12.4 (7.5, 20.9) | 1.0 | -3.1 (-6.3, -0.5) |
| Hanover County | 8 | falling | similar | 19 | 12.4 (10.0, 15.2) | 1.0 | -2.5 (-3.9, -1.1) |
| Montgomery County | 8 | falling | similar | 12 | 12.2 (9.2, 15.8) | 0.9 | -2.7 (-4.6, -0.8) |
| Winchester City | 8 | falling | similar | 4 | 12.1 (7.5, 18.6) | 0.9 | -3.1 (-5.9, -0.7) |
| Alexandria City | 6 | stable | similar | 18 | 11.7 (9.3, 14.5) | 0.9 | 3.7 (-17.4, 29.6) |
| Chesapeake City | 8 | falling | similar | 31 | 11.6 (9.8, 13.7) | 0.9 | -3.8 (-4.9, -2.8) |
| Dinwiddie County | 8 | falling | similar | 4 | 11.5 (7.0, 18.1) | 0.9 | -4.1 (-6.5, -1.7) |
| Roanoke County | 6 | stable | similar | 17 | 11.4 (9.1, 14.3) | 0.9 | 10.2 (-1.9, 20.2) |
| Stafford County | 8 | falling | similar | 16 | 11.3 (8.8, 14.2) | 0.9 | -3.0 (-4.7, -1.0) |
| Harrisonburg City | 6 | stable | similar | 4 | 11.2 (7.0, 17.0) | 0.9 | -2.3 (-5.1, 0.2) |
| Virginia Beach City | 9 | falling | lower | 59 | 11.1 (9.9, 12.5) | 0.9 | -2.5 (-3.6, -1.5) |
| York County | 8 | falling | similar | 9 | 10.8 (7.9, 14.6) | 0.8 | -3.2 (-5.1, -1.1) |
| Spotsylvania County | 8 | falling | similar | 17 | 10.8 (8.5, 13.4) | 0.8 | -3.4 (-5.0, -1.8) |
| Fluvanna County | 6 | stable | similar | 4 | 10.4 (6.2, 16.7) | 0.8 | -2.3 (-5.2, 0.5) |
| Loudoun County | 9 | falling | lower | 38 | 10.0 (8.6, 11.6) | 0.8 | -3.5 (-4.9, -1.9) |
| Albemarle County | 9 | falling | lower | 16 | 10.0 (7.9, 12.6) | 0.8 | -3.3 (-5.8, -0.8) |
| Lee County | 6 | stable | similar | 3 | 9.4 (5.4, 15.9) | 0.7 | -2.6 (-6.2, 0.5) |
| Fairfax County | 9 | falling | lower | 114 | 8.9 (8.2, 9.7) | 0.7 | -2.6 (-3.3, -1.8) |
| Arlington County | 9 | falling | lower | 19 | 8.7 (7.0, 10.7) | 0.7 | -2.4 (-4.0, -0.9) |
| Buckingham County |
|
** | similar | 4 | 16.9 (10.4, 26.8) | 1.3 |
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| Caroline County |
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** | 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 03/19/2026 3:02 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 03/19/2026 3:02 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.