Data Table for Rate/Trend Comparison by Cancer
Death Rate/Trend Comparison by Cancer, 2019-2023
Virginia Counties versus United States
Pancreas
All Races, Both Sexes
Sorted by priority index
Counties
|
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 | - | stable | - | 47,668 | 11.3 (11.2, 11.3) | - | -0.3 (-0.8, 0.2) |
| Virginia | - | stable | - | 1,211 | 11.2 (11.0, 11.5) | - | 0.2 (-0.1, 0.6) |
| Botetourt County | 9 | falling | lower | 4 | 6.5 (3.9, 10.6) | 0.6 | -4.9 (-15.6, -1.9) |
| Carroll County | 9 | falling | lower | 4 | 7.1 (4.3, 11.8) | 0.6 | -10.5 (-35.2, -2.8) |
| Richmond City | 8 | falling | similar | 27 | 10.5 (8.7, 12.5) | 0.9 | -1.8 (-3.0, -0.6) |
| Salem City | 8 | falling | similar | 4 | 11.2 (6.7, 18.0) | 1.0 | -27.3 (-44.8, -2.1) |
| Suffolk City | 8 | falling | similar | 12 | 10.9 (8.3, 14.0) | 1.0 | -17.5 (-27.9, -4.3) |
| Fairfax County | 7 | stable | lower | 112 | 8.8 (8.1, 9.5) | 0.8 | -0.4 (-1.1, 0.4) |
| Prince William County | 7 | stable | lower | 40 | 9.5 (8.2, 11.0) | 0.8 | 0.2 (-1.3, 2.1) |
| Virginia Beach City | 7 | stable | lower | 54 | 9.9 (8.8, 11.2) | 0.9 | 0.1 (-1.2, 1.6) |
| Accomack County | 6 | stable | similar | 8 | 12.4 (8.7, 17.7) | 1.1 | -0.5 (-3.8, 2.7) |
| Albemarle County | 6 | stable | similar | 17 | 10.1 (8.0, 12.6) | 0.9 | -1.0 (-8.9, 1.4) |
| Alexandria City | 6 | stable | similar | 16 | 10.8 (8.5, 13.6) | 1.0 | -0.5 (-2.3, 1.3) |
| Amherst County | 6 | stable | similar | 6 | 11.6 (7.7, 17.1) | 1.0 | -0.5 (-3.3, 2.5) |
| Arlington County | 6 | stable | similar | 20 | 9.7 (7.9, 11.8) | 0.9 | -1.0 (-2.6, 0.7) |
| Augusta County | 6 | stable | similar | 13 | 9.6 (7.4, 12.5) | 0.9 | 0.0 (-2.1, 2.5) |
| Bedford City and County | 6 | stable | similar | 14 | 10.0 (7.7, 12.9) | 0.9 | -0.4 (-1.9, 1.4) |
| Buchanan County | 6 | stable | similar | 4 | 12.1 (7.4, 19.5) | 1.1 | -0.7 (-4.3, 3.4) |
| Campbell County | 6 | stable | similar | 9 | 11.3 (8.2, 15.3) | 1.0 | -0.5 (-2.7, 1.8) |
| Caroline County | 6 | stable | similar | 5 | 12.8 (8.3, 19.0) | 1.1 | 1.9 (-0.7, 5.5) |
| Chesterfield County | 6 | stable | similar | 45 | 10.3 (9.0, 11.8) | 0.9 | 0.5 (-0.9, 2.2) |
| Dinwiddie County | 6 | stable | similar | 6 | 16.7 (11.2, 24.2) | 1.5 | 1.8 (-1.5, 6.1) |
| Fauquier County | 6 | stable | similar | 12 | 11.7 (8.8, 15.3) | 1.0 | -0.3 (-3.3, 3.3) |
| Franklin County | 6 | stable | similar | 12 | 12.6 (9.5, 16.6) | 1.1 | 0.9 (-1.6, 4.0) |
| Frederick County | 6 | stable | similar | 17 | 13.1 (10.4, 16.3) | 1.2 | -0.9 (-12.0, 3.1) |
| Hampton City | 6 | stable | similar | 20 | 11.8 (9.6, 14.5) | 1.1 | 0.1 (-1.2, 1.6) |
| Hanover County | 6 | stable | similar | 18 | 11.6 (9.3, 14.4) | 1.0 | 0.1 (-2.0, 2.8) |
| Henry County | 6 | stable | similar | 11 | 12.7 (9.4, 17.0) | 1.1 | -0.8 (-2.9, 1.5) |
| Hopewell City | 6 | stable | similar | 5 | 16.9 (10.7, 25.5) | 1.5 | -0.3 (-5.1, 4.6) |
| James City County | 6 | stable | similar | 18 | 11.3 (9.0, 14.2) | 1.0 | -1.2 (-3.2, 1.3) |
| Loudoun County | 6 | stable | similar | 43 | 12.0 (10.5, 13.8) | 1.1 | 0.9 (-0.4, 2.8) |
| Louisa County | 6 | stable | similar | 8 | 13.3 (9.2, 18.7) | 1.2 | 0.6 (-1.9, 4.0) |
| Lynchburg City | 6 | stable | similar | 10 | 12.0 (8.9, 15.9) | 1.1 | -0.1 (-3.1, 2.8) |
| Manassas City | 6 | stable | similar | 5 | 17.3 (10.9, 25.7) | 1.5 | 1.3 (-2.6, 6.3) |
| Mecklenburg County | 6 | stable | similar | 8 | 13.7 (9.8, 19.1) | 1.2 | 0.1 (-2.1, 2.4) |
| Newport News City | 6 | stable | similar | 21 | 11.1 (9.0, 13.4) | 1.0 | -0.2 (-1.8, 1.5) |
| Orange County | 6 | stable | similar | 7 | 13.0 (9.0, 18.2) | 1.2 | 0.1 (-2.2, 3.0) |
| Petersburg City | 6 | stable | similar | 6 | 15.2 (10.3, 21.7) | 1.3 | 0.4 (-1.8, 2.9) |
| Pittsylvania County | 6 | stable | similar | 11 | 10.9 (8.0, 14.7) | 1.0 | -0.1 (-1.9, 1.8) |
| Powhatan County | 6 | stable | similar | 5 | 10.4 (6.6, 15.9) | 0.9 | -3.3 (-7.3, 1.1) |
| Pulaski County | 6 | stable | similar | 6 | 11.9 (8.0, 17.4) | 1.1 | -0.6 (-2.7, 1.6) |
| Roanoke County | 6 | stable | similar | 17 | 11.3 (9.0, 14.2) | 1.0 | 1.5 (-0.8, 4.2) |
| Rockingham County | 6 | stable | similar | 13 | 10.2 (7.9, 13.1) | 0.9 | 1.1 (-1.1, 3.6) |
| Russell County | 6 | stable | similar | 5 | 12.2 (7.8, 18.6) | 1.1 | 0.2 (-2.4, 3.1) |
| Scott County | 6 | stable | similar | 4 | 10.0 (5.6, 17.0) | 0.9 | -0.2 (-5.1, 5.1) |
| Shenandoah County | 6 | stable | similar | 10 | 13.4 (9.8, 18.1) | 1.2 | 1.7 (-1.4, 5.5) |
| Spotsylvania County | 6 | stable | similar | 16 | 9.8 (7.7, 12.2) | 0.9 | -0.6 (-2.3, 1.6) |
| Stafford County | 6 | stable | similar | 16 | 11.5 (9.0, 14.4) | 1.0 | 0.8 (-0.9, 3.1) |
| Staunton City | 6 | stable | similar | 4 | 10.1 (6.0, 16.3) | 0.9 | -1.6 (-5.3, 2.0) |
| Tazewell County | 6 | stable | similar | 7 | 10.0 (6.8, 14.5) | 0.9 | -2.7 (-13.8, 0.5) |
| Washington County | 6 | stable | similar | 11 | 11.2 (8.4, 15.0) | 1.0 | 1.0 (-0.9, 3.3) |
| Westmoreland County | 6 | stable | similar | 5 | 15.4 (10.0, 23.6) | 1.4 | 1.2 (-2.6, 6.2) |
| Wise County | 6 | stable | similar | 5 | 10.7 (7.0, 16.0) | 1.0 | 0.9 (-2.1, 3.9) |
| Wythe County | 6 | stable | similar | 6 | 14.4 (9.7, 21.0) | 1.3 | 2.3 (-0.5, 6.0) |
| York County | 6 | stable | similar | 9 | 9.4 (6.8, 12.7) | 0.8 | -1.6 (-3.9, 1.1) |
| Chesapeake City | 4 | stable | higher | 39 | 14.2 (12.2, 16.4) | 1.3 | 0.6 (-1.1, 2.6) |
| Danville City | 4 | stable | higher | 10 | 16.9 (12.3, 22.7) | 1.5 | 1.5 (-1.5, 4.6) |
| Norfolk City | 4 | stable | higher | 32 | 13.8 (11.7, 16.2) | 1.2 | 0.5 (-0.7, 1.7) |
| Portsmouth City | 4 | stable | higher | 18 | 15.7 (12.5, 19.4) | 1.4 | 0.2 (-1.3, 1.8) |
| Prince Edward County | 2 | rising | similar | 4 | 16.1 (9.6, 25.6) | 1.4 | 3.6 (0.9, 7.0) |
| Smyth County | 2 | rising | similar | 7 | 14.5 (10.2, 20.6) | 1.3 | 5.9 (2.7, 11.1) |
| Halifax County with South Boston City | 1 | rising | higher | 9 | 16.6 (11.7, 23.1) | 1.5 | 3.2 (0.5, 6.5) |
| Henrico County | 1 | rising | higher | 60 | 14.2 (12.6, 15.9) | 1.3 | 3.1 (0.4, 12.9) |
| Lee County | 1 | rising | higher | 6 | 18.6 (12.3, 27.4) | 1.7 | 3.4 (0.6, 6.9) |
| Roanoke City | 1 | rising | higher | 19 | 15.2 (12.2, 18.7) | 1.3 | 2.3 (0.7, 4.2) |
| Alleghany County and Clifton Forge City |
|
** | similar | 3 | 11.3 (6.6, 19.7) | 1.0 |
|
| Amelia County |
|
** | similar | 3 | 15.2 (8.8, 25.6) | 1.3 |
|
| Buckingham County |
|
** | similar | 3 | 11.9 (6.8, 20.3) | 1.1 |
|
| Charlottesville City |
|
** | similar | 5 | 11.0 (7.0, 16.5) | 1.0 |
|
| Culpeper County |
|
** | similar | 9 | 12.9 (9.3, 17.5) | 1.1 |
|
| Dickenson County |
|
** | similar | 3 | 13.7 (7.5, 23.8) | 1.2 |
|
| Fairfax City |
|
** | higher | 5 | 19.4 (12.6, 28.5) | 1.7 |
|
| Fluvanna County |
|
** | similar | 5 | 12.0 (7.7, 18.3) | 1.1 |
|
| Gloucester County |
|
** | similar | 9 | 14.3 (10.3, 19.7) | 1.3 |
|
| Goochland County |
|
** | similar | 4 | 9.4 (5.8, 15.2) | 0.8 |
|
| Grayson County |
|
** | similar | 3 | 12.9 (7.3, 22.3) | 1.1 |
|
| Greene County |
|
** | similar | 3 | 10.5 (5.9, 17.8) | 0.9 |
|
| Harrisonburg City |
|
** | similar | 5 | 12.9 (8.3, 18.9) | 1.1 |
|
| Isle of Wight County |
|
** | similar | 8 | 13.3 (9.4, 18.5) | 1.2 |
|
| King George County |
|
** | similar | 5 | 15.6 (9.9, 23.6) | 1.4 |
|
| King William County |
|
** | similar | 3 | 14.5 (8.3, 23.9) | 1.3 |
|
| Lancaster County |
|
** | similar | 3 | 13.6 (6.6, 26.9) | 1.2 |
|
| Martinsville City |
|
** | higher | 4 | 22.2 (13.1, 35.6) | 2.0 |
|
| Montgomery County |
|
** | similar | 9 | 8.9 (6.4, 12.0) | 0.8 |
|
| New Kent County |
|
** | similar | 4 | 12.4 (7.2, 20.1) | 1.1 |
|
| Northampton County |
|
** | similar | 4 | 14.6 (8.4, 25.4) | 1.3 |
|
| Page County |
|
** | similar | 6 | 15.1 (10.2, 22.3) | 1.3 |
|
| Patrick County |
|
** | similar | 5 | 12.7 (8.1, 20.2) | 1.1 |
|
| Prince George County |
|
** | similar | 4 | 10.2 (6.3, 15.8) | 0.9 |
|
| Rockbridge County |
|
** | similar | 4 | 8.4 (4.9, 14.4) | 0.7 |
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| Southampton County |
|
** | similar | 3 | 11.8 (6.7, 20.2) | 1.1 |
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| Warren County |
|
** | similar | 5 | 8.5 (5.4, 13.0) | 0.8 |
|
| Waynesboro City |
|
** | similar | 4 | 13.2 (8.3, 20.5) | 1.2 |
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| Winchester City |
|
** | similar | 4 | 11.0 (6.7, 17.3) | 1.0 |
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| Appomattox County |
|
** |
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| Bath County |
|
** |
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| Bland County |
|
** |
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| Bristol City |
|
** |
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| Brunswick County |
|
** |
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| Buena Vista City |
|
** |
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| Charles City County |
|
** |
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| Charlotte County |
|
** |
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| Clarke County |
|
** |
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| Colonial Heights City |
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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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| Emporia City |
|
** |
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| Essex County |
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** |
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| Falls Church City |
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** |
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| Floyd County |
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** |
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| Franklin City |
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** |
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| Fredericksburg City |
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** |
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| Galax City |
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** |
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| Giles County |
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** |
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| Greensville County |
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** |
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| Highland County |
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** |
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| King and Queen County |
|
** |
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| Lexington City |
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** |
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| Lunenburg County |
|
** |
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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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| Nelson County |
|
** |
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| Northumberland County |
|
** |
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| Norton City |
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** |
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| Nottoway County |
|
** |
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| Poquoson City |
|
** |
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| Radford City |
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** |
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| Rappahannock County |
|
** |
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| Richmond County |
|
** |
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| Surry County |
|
** |
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| Sussex County |
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** |
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| Williamsburg City |
|
** |
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Notes:
Created by statecancerprofiles.cancer.gov on 03/13/2026 3:39 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:
Appomattox County, Bath County, Bland County, Bristol City, Brunswick County, Buena Vista City, Charles City County, Charlotte County, Clarke County, Colonial Heights City, Covington City, Craig County, Cumberland County, Emporia City, Essex County, Falls Church City, Floyd County, Franklin City, Fredericksburg City, Galax City, Giles County, Greensville County, Highland County, King and Queen County, Lexington City, Lunenburg County, Madison County, Manassas Park City, Mathews County, Middlesex County, Nelson County, Northumberland County, Norton City, Nottoway County, Poquoson City, Radford City, Rappahannock County, Richmond County, Surry County, Sussex County, Williamsburg City
Trend for the following could not be reliably determined due to small number of deaths per year:
Alleghany County and Clifton Forge City, Amelia County, Buckingham County, Charlottesville City, Culpeper County, Dickenson County, Fairfax City, Fluvanna County, Gloucester County, Goochland County, Grayson County, Greene County, Harrisonburg City, Isle of Wight County, King George County, King William County, Lancaster County, Martinsville City, Montgomery County, New Kent County, Northampton County, Page County, Patrick County, Prince George County, Rockbridge County, Southampton County, Warren County, Waynesboro City, Winchester City
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 3:39 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:
Appomattox County, Bath County, Bland County, Bristol City, Brunswick County, Buena Vista City, Charles City County, Charlotte County, Clarke County, Colonial Heights City, Covington City, Craig County, Cumberland County, Emporia City, Essex County, Falls Church City, Floyd County, Franklin City, Fredericksburg City, Galax City, Giles County, Greensville County, Highland County, King and Queen County, Lexington City, Lunenburg County, Madison County, Manassas Park City, Mathews County, Middlesex County, Nelson County, Northumberland County, Norton City, Nottoway County, Poquoson City, Radford City, Rappahannock County, Richmond County, Surry County, Sussex County, Williamsburg City
Trend for the following could not be reliably determined due to small number of deaths per year:
Alleghany County and Clifton Forge City, Amelia County, Buckingham County, Charlottesville City, Culpeper County, Dickenson County, Fairfax City, Fluvanna County, Gloucester County, Goochland County, Grayson County, Greene County, Harrisonburg City, Isle of Wight County, King George County, King William County, Lancaster County, Martinsville City, Montgomery County, New Kent County, Northampton County, Page County, Patrick County, Prince George County, Rockbridge County, Southampton County, Warren County, Waynesboro City, Winchester City
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.


