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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

Liver & Bile Duct

All Races, Both Sexes

Sorted by name

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 - 28,750 6.6 (6.6, 6.7) - -0.3 (-0.5, -0.1)
Virginia - stable - 698 6.3 (6.1, 6.5) - 0.4 (-1.1, 1.3)
York County
**
 		** lower 4 4.4 (2.7, 7.0) 0.7
**
Wythe County
**
 		**
*
3 or fewer
*
*
**
Wise County
**
 		** similar 4 7.9 (4.9, 12.4) 1.2
**
Winchester City
**
 		**
*
3 or fewer
*
*
**
Williamsburg City
**
 		**
*
3 or fewer
*
*
**
Westmoreland County
**
 		**
*
3 or fewer
*
*
**
Waynesboro City
**
 		** similar 3 10.9 (6.3, 18.0) 1.6
**
Washington County 6 stable similar 6 5.7 (3.8, 8.6) 0.9 1.4 (-1.8, 5.9)
Warren County
**
 		** similar 5 8.8 (5.7, 13.2) 1.3
**
Virginia Beach City 2 rising similar 37 6.7 (5.7, 7.7) 1.0 1.8 (0.5, 3.5)
Tazewell County
**
 		** similar 6 8.6 (5.7, 12.8) 1.3
**
Sussex County
**
 		**
*
3 or fewer
*
*
**
Surry County
**
 		**
*
3 or fewer
*
*
**
Suffolk City 6 stable similar 9 7.7 (5.6, 10.4) 1.2 2.0 (-0.1, 4.9)
Staunton City
**
 		** similar 3 8.6 (5.0, 14.4) 1.3
**
Stafford County 6 stable similar 9 5.7 (4.1, 7.8) 0.9 1.5 (-1.2, 5.3)
Spotsylvania County 6 stable similar 11 6.2 (4.7, 8.2) 0.9 0.4 (-1.9, 3.5)
Southampton County
**
 		**
*
3 or fewer
*
*
**
Smyth County
**
 		** similar 5 10.8 (6.9, 16.4) 1.6
**
Shenandoah County
**
 		** similar 6 8.0 (5.4, 11.7) 1.2
**
Scott County
**
 		**
*
3 or fewer
*
*
**
Salem City
**
 		**
*
3 or fewer
*
*
**
Russell County
**
 		** similar 4 9.4 (5.5, 15.5) 1.4
**
Rockingham County 6 stable similar 7 5.0 (3.4, 7.1) 0.7 0.4 (-1.8, 3.2)
Rockbridge County
**
 		**
*
3 or fewer
*
*
**
Roanoke County 2 rising similar 10 6.8 (5.0, 9.0) 1.0 5.2 (3.4, 7.8)
Roanoke City 1 rising higher 12 9.4 (7.2, 12.2) 1.4 4.9 (2.6, 8.1)
Richmond County
**
 		**
*
3 or fewer
*
*
**
Richmond City 8 falling similar 20 7.4 (6.0, 9.1) 1.1 -2.5 (-8.5, -0.3)
Rappahannock County
**
 		**
*
3 or fewer
*
*
**
Radford City
**
 		**
*
3 or fewer
*
*
**
Pulaski County
**
 		** similar 4 7.6 (4.3, 12.6) 1.1
**
Prince William County 2 rising similar 30 6.7 (5.6, 7.9) 1.0 2.4 (1.2, 4.3)
Prince George County
**
 		**
*
3 or fewer
*
*
**
Prince Edward County
**
 		**
*
3 or fewer
*
*
**
Powhatan County
**
 		**
*
3 or fewer
*
*
**
Portsmouth City 2 rising similar 9 7.5 (5.4, 10.1) 1.1 2.4 (0.6, 4.6)
Poquoson City
**
 		**
*
3 or fewer
*
*
**
Pittsylvania County 6 stable similar 7 6.5 (4.5, 9.4) 1.0 2.3 (-0.8, 6.2)
Petersburg City 1 rising higher 5 11.7 (7.6, 17.3) 1.8 3.8 (1.1, 7.6)
Patrick County
**
 		**
*
3 or fewer
*
*
**
Page County
**
 		** similar 5 11.3 (7.1, 17.6) 1.7
**
Orange County
**
 		** similar 4 7.6 (4.8, 11.9) 1.2
**
Nottoway County
**
 		**
*
3 or fewer
*
*
**
Norton City
**
 		**
*
3 or fewer
*
*
**
Northumberland County
**
 		**
*
3 or fewer
*
*
**
Northampton County
**
 		**
*
3 or fewer
*
*
**
Norfolk City 6 stable similar 18 7.1 (5.6, 8.8) 1.1 1.0 (-0.6, 2.8)
Newport News City 1 rising higher 20 9.6 (7.8, 11.8) 1.5 3.4 (1.4, 6.2)
New Kent County
**
 		**
*
3 or fewer
*
*
**
Nelson County
**
 		**
*
3 or fewer
*
*
**
Montgomery County
**
 		** lower 5 4.4 (2.8, 6.7) 0.7
**
Middlesex County
**
 		**
*
3 or fewer
*
*
**
Mecklenburg County
**
 		** similar 3 5.0 (2.9, 8.9) 0.8
**
Mathews County
**
 		**
*
3 or fewer
*
*
**
Martinsville City
**
 		**
*
3 or fewer
*
*
**
Manassas Park City
**
 		**
*
3 or fewer
*
*
**
Manassas City
**
 		**
*
3 or fewer
*
*
**
Madison County
**
 		**
*
3 or fewer
*
*
**
Lynchburg City 2 rising similar 8 9.3 (6.6, 12.7) 1.4 5.2 (3.0, 8.7)
Lunenburg County
**
 		**
*
3 or fewer
*
*
**
Louisa County
**
 		** similar 6 9.2 (6.2, 13.7) 1.4
**
Loudoun County
**
 		** lower 17 4.5 (3.6, 5.6) 0.7
**
Lexington City
**
 		**
*
3 or fewer
*
*
**
Lee County
**
 		**
*
3 or fewer
*
*
**
Lancaster County
**
 		**
*
3 or fewer
*
*
**
King and Queen County
**
 		**
*
3 or fewer
*
*
**
King William County
**
 		**
*
3 or fewer
*
*
**
King George County
**
 		**
*
3 or fewer
*
*
**
James City County
**
 		** lower 5 3.5 (2.3, 5.4) 0.5
**
Isle of Wight County
**
 		** similar 4 6.5 (3.9, 10.5) 1.0
**
Hopewell City
**
 		**
*
3 or fewer
*
*
**
Highland County
**
 		**
*
3 or fewer
*
*
**
Henry County
**
 		** similar 6 7.7 (5.1, 11.5) 1.2
**
Henrico County 7 stable lower 23 5.3 (4.4, 6.4) 0.8 5.6 (-7.2, 21.9)
Harrisonburg City
**
 		**
*
3 or fewer
*
*
**
Hanover County 6 stable similar 10 6.4 (4.8, 8.5) 1.0 1.4 (-1.5, 5.8)
Hampton City 6 stable similar 12 7.1 (5.4, 9.3) 1.1 2.3 (-0.1, 5.3)
Halifax County with South Boston City 2 rising similar 4 6.4 (3.9, 10.4) 1.0 2.4 (0.0, 5.6)
Greensville County
**
 		**
*
3 or fewer
*
*
**
Greene County
**
 		**
*
3 or fewer
*
*
**
Grayson County
**
 		**
*
3 or fewer
*
*
**
Goochland County
**
 		** similar 3 7.6 (4.3, 13.1) 1.1
**
Gloucester County
**
 		** similar 4 6.5 (3.9, 10.3) 1.0
**
Giles County
**
 		**
*
3 or fewer
*
*
**
Galax City
**
 		**
*
3 or fewer
*
*
**
Fredericksburg City
**
 		**
*
3 or fewer
*
*
**
Frederick County 6 stable similar 9 7.2 (5.3, 9.6) 1.1 1.5 (-0.5, 4.5)
Franklin County
**
 		** similar 5 5.1 (3.2, 8.1) 0.8
**
Franklin City
**
 		**
*
3 or fewer
*
*
**
Fluvanna County
**
 		** similar 3 7.3 (4.2, 12.3) 1.1
**
Floyd County
**
 		**
*
3 or fewer
*
*
**
Fauquier County
**
 		** similar 7 6.8 (4.7, 9.7) 1.0
**
Falls Church City
**
 		**
*
3 or fewer
*
*
**
Fairfax County 7 stable lower 63 4.8 (4.3, 5.4) 0.7 0.0 (-1.0, 1.2)
Fairfax City
**
 		** higher 4 12.9 (7.7, 20.5) 2.0
**
Essex County
**
 		**
*
3 or fewer
*
*
**
Emporia City
**
 		**
*
3 or fewer
*
*
**
Dinwiddie County
**
 		**
*
3 or fewer
*
*
**
Dickenson County
**
 		**
*
3 or fewer
*
*
**
Danville City 1 rising higher 7 10.4 (7.1, 14.9) 1.6 6.2 (4.2, 9.1)
Cumberland County
**
 		**
*
3 or fewer
*
*
**
Culpeper County
**
 		** similar 5 7.2 (4.6, 10.9) 1.1
**
Craig County
**
 		**
*
3 or fewer
*
*
**
Covington City
**
 		**
*
3 or fewer
*
*
**
Colonial Heights City
**
 		**
*
3 or fewer
*
*
**
Clarke County
**
 		**
*
3 or fewer
*
*
**
Chesterfield County 2 rising similar 28 6.2 (5.2, 7.3) 0.9 2.2 (0.4, 4.9)
Chesapeake City 6 stable similar 18 6.5 (5.2, 8.1) 1.0 1.3 (-0.8, 3.9)
Charlottesville City
**
 		**
*
3 or fewer
*
*
**
Charlotte County
**
 		**
*
3 or fewer
*
*
**
Charles City County
**
 		**
*
3 or fewer
*
*
**
Carroll County
**
 		** similar 3 5.8 (3.4, 10.1) 0.9
**
Caroline County
**
 		**
*
3 or fewer
*
*
**
Campbell County
**
 		** similar 6 6.6 (4.3, 9.9) 1.0
**
Buena Vista City
**
 		**
*
3 or fewer
*
*
**
Buckingham County
**
 		**
*
3 or fewer
*
*
**
Buchanan County
**
 		** similar 3 10.0 (5.8, 17.0) 1.5
**
Brunswick County
**
 		**
*
3 or fewer
*
*
**
Bristol City
**
 		**
*
3 or fewer
*
*
**
Botetourt County
**
 		** similar 4 6.8 (4.2, 11.0) 1.0
**
Bland County
**
 		**
*
3 or fewer
*
*
**
Bedford City and County 2 rising similar 8 6.0 (4.3, 8.4) 0.9 2.2 (0.1, 4.9)
Bath County
**
 		**
*
3 or fewer
*
*
**
Augusta County 2 rising similar 9 7.0 (5.1, 9.5) 1.1 17.1 (0.4, 40.2)
Arlington County 7 stable lower 10 4.6 (3.4, 6.1) 0.7 -1.2 (-3.5, 1.2)
Appomattox County
**
 		**
*
3 or fewer
*
*
**
Amherst County
**
 		**
*
3 or fewer
*
*
**
Amelia County
**
 		**
*
3 or fewer
*
*
**
Alleghany County and Clifton Forge City
**
 		**
*
3 or fewer
*
*
**
Alexandria City 7 stable lower 7 4.4 (3.0, 6.2) 0.7 -1.4 (-3.9, 1.2)
Albemarle County 7 stable lower 8 4.6 (3.2, 6.4) 0.7 2.2 (-0.7, 6.3)
Accomack County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/17/2026 2:55 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

* 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:
Accomack County, Alleghany County and Clifton Forge City, Amelia County, Amherst County, Appomattox County, Bath County, Bland County, Bristol City, Brunswick County, Buckingham County, Buena Vista City, Caroline County, Charles City County, Charlotte County, Charlottesville City, Clarke County, Colonial Heights City, Covington City, Craig County, Cumberland County, Dickenson County, Dinwiddie County, Emporia City, Essex County, Falls Church City, Floyd County, Franklin City, Fredericksburg City, Galax City, Giles County, Grayson County, Greene County, Greensville County, Harrisonburg City, Highland County, Hopewell City, King George County, King William County, King and Queen County, Lancaster County, Lee County, Lexington City, Lunenburg County, Madison County, Manassas City, Manassas Park City, Martinsville City, Mathews County, Middlesex County, Nelson County, New Kent County, Northampton County, Northumberland County, Norton City, Nottoway County, Patrick County, Poquoson City, Powhatan County, Prince Edward County, Prince George County, Radford City, Rappahannock County, Richmond County, Rockbridge County, Salem City, Scott County, Southampton County, Surry County, Sussex County, Westmoreland County, Williamsburg City, Winchester City, Wythe County

Trend for the following could not be reliably determined due to small number of deaths per year:
Botetourt County, Buchanan County, Campbell County, Carroll County, Culpeper County, Fairfax City, Fauquier County, Fluvanna County, Franklin County, Gloucester County, Goochland County, Henry County, Isle of Wight County, James City County, Loudoun County, Louisa County, Mecklenburg County, Montgomery County, Orange County, Page County, Pulaski County, Russell County, Shenandoah County, Smyth County, Staunton City, Tazewell County, Warren County, Waynesboro City, Wise County, York 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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