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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2016-2020

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 falling trend - 27,509 6.6 (6.6, 6.7) - -0.6 (-1.2, 0.0)
Virginia - stable stable trend - 644 6.1 (5.9, 6.3) - -0.6 (-3.0, 1.9)
York County
**
 		** lower 3 3.5 (2.0, 5.8) 0.5
**
Wythe County
**
 		**
*
3 or fewer
*
*
**
Wise County
**
 		** similar 4 7.3 (4.5, 11.6) 1.1
**
Winchester City
**
 		**
*
3 or fewer
*
*
**
Williamsburg City
**
 		**
*
3 or fewer
*
*
**
Westmoreland County
**
 		**
*
3 or fewer
*
*
**
Waynesboro City
**
 		** similar 3 11.6 (6.7, 18.9) 1.7
**
Washington County
**
 		** lower 4 4.2 (2.6, 6.8) 0.6
**
Warren County
**
 		** similar 3 5.9 (3.4, 9.9) 0.9
**
Virginia Beach City 2 rising rising trend similar 32 6.1 (5.2, 7.2) 0.9 1.5 (0.7, 2.4)
Tazewell County
**
 		** higher 7 11.3 (7.9, 16.1) 1.7
**
Sussex County
**
 		**
*
3 or fewer
*
*
**
Surry County
**
 		**
*
3 or fewer
*
*
**
Suffolk City 6 stable stable trend similar 8 7.3 (5.2, 10.0) 1.1 -0.5 (-2.4, 1.3)
Staunton City
**
 		** higher 4 11.8 (7.3, 18.5) 1.8
**
Stafford County
**
 		** lower 6 4.1 (2.7, 6.0) 0.6
**
Spotsylvania County
**
 		** lower 7 4.5 (3.1, 6.3) 0.7
**
Southampton County
**
 		**
*
3 or fewer
*
*
**
Smyth County
**
 		** similar 4 7.6 (4.5, 12.5) 1.2
**
Shenandoah County
**
 		** similar 5 6.4 (4.0, 10.0) 1.0
**
Scott County
**
 		**
*
3 or fewer
*
*
**
Salem City
**
 		** similar 3 8.9 (5.2, 14.8) 1.3
**
Russell County
**
 		** similar 3 8.2 (4.6, 13.9) 1.2
**
Rockingham County
**
 		** similar 6 5.3 (3.6, 7.6) 0.8
**
Rockbridge County
**
 		**
*
3 or fewer
*
*
**
Roanoke County 2 rising rising trend similar 8 5.5 (3.9, 7.7) 0.8 4.9 (1.8, 8.1)
Roanoke City 1 rising rising trend higher 13 10.2 (7.9, 13.1) 1.5 4.9 (3.4, 6.4)
Richmond County
**
 		**
*
3 or fewer
*
*
**
Richmond City 6 stable stable trend similar 21 7.8 (6.3, 9.5) 1.2 -4.6 (-12.0, 3.3)
Rappahannock County
**
 		**
*
3 or fewer
*
*
**
Radford City
**
 		**
*
3 or fewer
*
*
**
Pulaski County
**
 		** similar 3 6.0 (3.4, 10.3) 0.9
**
Prince William County
**
 		** similar 28 6.7 (5.6, 8.0) 1.0
**
Prince George County
**
 		**
*
3 or fewer
*
*
**
Prince Edward County
**
 		**
*
3 or fewer
*
*
**
Powhatan County
**
 		**
*
3 or fewer
*
*
**
Portsmouth City 2 rising rising trend similar 8 7.0 (5.0, 9.6) 1.1 3.1 (1.7, 4.5)
Poquoson City
**
 		**
*
3 or fewer
*
*
**
Pittsylvania County
**
 		** lower 4 4.3 (2.6, 6.9) 0.7
**
Petersburg City
**
 		** higher 5 11.9 (7.7, 17.9) 1.8
**
Patrick County
**
 		**
*
3 or fewer
*
*
**
Page County
**
 		** similar 4 9.3 (5.6, 15.2) 1.4
**
Orange County
**
 		** similar 4 6.6 (3.9, 10.8) 1.0
**
Nottoway County
**
 		**
*
3 or fewer
*
*
**
Norton City
**
 		**
*
3 or fewer
*
*
**
Northumberland County
**
 		**
*
3 or fewer
*
*
**
Northampton County
**
 		**
*
3 or fewer
*
*
**
Norfolk City 2 rising rising trend similar 18 7.2 (5.8, 9.0) 1.1 1.5 (0.4, 2.5)
Newport News City 1 rising rising trend higher 18 8.8 (7.0, 10.9) 1.3 3.4 (2.0, 4.9)
New Kent County
**
 		**
*
3 or fewer
*
*
**
Nelson County
**
 		**
*
3 or fewer
*
*
**
Montgomery County
**
 		** lower 5 4.6 (2.9, 6.8) 0.7
**
Middlesex County
**
 		**
*
3 or fewer
*
*
**
Mecklenburg County
**
 		**
*
3 or fewer
*
*
**
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
**
 		** similar 7 8.2 (5.7, 11.4) 1.2
**
Lunenburg County
**
 		**
*
3 or fewer
*
*
**
Louisa County
**
 		** similar 4 5.9 (3.5, 9.9) 0.9
**
Loudoun County
**
 		** lower 17 5.1 (4.0, 6.3) 0.8
**
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
**
 		** similar 7 5.0 (3.5, 7.2) 0.8
**
Isle of Wight County
**
 		** similar 4 6.6 (3.9, 10.8) 1.0
**
Hopewell City
**
 		**
*
3 or fewer
*
*
**
Highland County
**
 		**
*
3 or fewer
*
*
**
Henry County
**
 		** similar 5 5.7 (3.7, 8.8) 0.9
**
Henrico County 7 stable stable trend lower 22 5.1 (4.1, 6.2) 0.8 -11.2 (-22.1, 1.2)
Harrisonburg City
**
 		**
*
3 or fewer
*
*
**
Hanover County
**
 		** similar 8 5.3 (3.8, 7.4) 0.8
**
Hampton City 2 rising rising trend similar 12 6.9 (5.2, 9.0) 1.0 3.6 (1.8, 5.5)
Halifax County with South Boston City
**
 		** similar 4 6.6 (4.1, 10.6) 1.0
**
Greensville County
**
 		**
*
3 or fewer
*
*
**
Greene County
**
 		**
*
3 or fewer
*
*
**
Grayson County
**
 		**
*
3 or fewer
*
*
**
Goochland County
**
 		** similar 4 9.2 (5.3, 15.6) 1.4
**
Gloucester County
**
 		** similar 5 9.3 (5.9, 14.2) 1.4
**
Giles County
**
 		** higher 3 13.0 (7.5, 21.8) 2.0
**
Galax City
**
 		**
*
3 or fewer
*
*
**
Fredericksburg City
**
 		**
*
3 or fewer
*
*
**
Frederick County 6 stable stable trend similar 8 6.2 (4.4, 8.7) 0.9 -0.4 (-2.2, 1.4)
Franklin County
**
 		** similar 7 7.3 (4.9, 10.6) 1.1
**
Franklin City
**
 		**
*
3 or fewer
*
*
**
Fluvanna County
**
 		** similar 4 8.8 (5.1, 14.4) 1.3
**
Floyd County
**
 		**
*
3 or fewer
*
*
**
Fauquier County
**
 		** similar 6 5.8 (3.8, 8.6) 0.9
**
Falls Church City
**
 		**
*
3 or fewer
*
*
**
Fairfax County 7 stable stable trend lower 62 5.1 (4.5, 5.7) 0.8 0.4 (-0.3, 1.1)
Fairfax City
**
 		** similar 3 11.5 (6.5, 19.0) 1.7
**
Essex County
**
 		**
*
3 or fewer
*
*
**
Emporia City
**
 		**
*
3 or fewer
*
*
**
Dinwiddie County
**
 		**
*
3 or fewer
*
*
**
Dickenson County
**
 		**
*
3 or fewer
*
*
**
Danville City
**
 		** similar 5 8.8 (5.7, 13.3) 1.3
**
Cumberland County
**
 		**
*
3 or fewer
*
*
**
Culpeper County
**
 		** similar 5 8.6 (5.6, 12.7) 1.3
**
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 rising trend similar 29 6.9 (5.8, 8.1) 1.0 2.2 (0.7, 3.6)
Chesapeake City 6 stable stable trend similar 15 5.6 (4.4, 7.1) 0.8 0.5 (-0.9, 1.9)
Charlottesville City
**
 		**
*
3 or fewer
*
*
**
Charlotte County
**
 		**
*
3 or fewer
*
*
**
Charles City County
**
 		**
*
3 or fewer
*
*
**
Carroll County
**
 		** similar 4 7.9 (4.6, 13.0) 1.2
**
Caroline County
**
 		** similar 4 9.0 (5.3, 14.6) 1.4
**
Campbell County
**
 		** similar 6 6.9 (4.5, 10.3) 1.0
**
Buena Vista City
**
 		**
*
3 or fewer
*
*
**
Buckingham County
**
 		**
*
3 or fewer
*
*
**
Buchanan County
**
 		**
*
3 or fewer
*
*
**
Brunswick County
**
 		**
*
3 or fewer
*
*
**
Bristol City
**
 		**
*
3 or fewer
*
*
**
Botetourt County
**
 		** similar 3 5.5 (3.1, 9.5) 0.8
**
Bland County
**
 		**
*
3 or fewer
*
*
**
Bedford City and County 6 stable stable trend similar 6 5.2 (3.5, 7.6) 0.8 0.6 (-1.2, 2.5)
Bath County
**
 		**
*
3 or fewer
*
*
**
Augusta County
**
 		** lower 6 4.7 (3.1, 7.0) 0.7
**
Arlington County 7 stable stable trend lower 9 4.5 (3.2, 6.0) 0.7 -0.1 (-1.5, 1.4)
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 stable trend lower 8 4.7 (3.3, 6.6) 0.7 0.1 (-1.5, 1.8)
Albemarle County
**
 		** lower 7 4.8 (3.3, 6.9) 0.7
**
Accomack County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/02/2024 6:32 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.
** 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 Version 4.8.0.0. 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 (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). The Healthy People 2020 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, Buchanan County, Buckingham County, Buena Vista City, 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, 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, Mecklenburg 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, 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:
Albemarle County, Augusta County, Botetourt County, Campbell County, Caroline County, Carroll County, Culpeper County, Danville City, Fairfax City, Fauquier County, Fluvanna County, Franklin County, Giles County, Gloucester County, Goochland County, Halifax County with South Boston City, Hanover County, Henry County, Isle of Wight County, James City County, Loudoun County, Louisa County, Lynchburg City, Montgomery County, Orange County, Page County, Petersburg City, Pittsylvania County, Prince William County, Pulaski County, Rockingham County, Russell County, Salem City, Shenandoah County, Smyth County, Spotsylvania County, Stafford County, Staunton City, Tazewell County, Warren County, Washington 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 does not include Puerto Rico.

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