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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

Pancreas

All Races, Both Sexes

Sorted by trend

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 ascending
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)
Smyth County 2 rising similar 7 14.5 (10.2, 20.6) 1.3 5.9 (2.7, 11.1)
Prince Edward County 2 rising similar 4 16.1 (9.6, 25.6) 1.4 3.6 (0.9, 7.0)
Lee County 1 rising higher 6 18.6 (12.3, 27.4) 1.7 3.4 (0.6, 6.9)
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)
Roanoke City 1 rising higher 19 15.2 (12.2, 18.7) 1.3 2.3 (0.7, 4.2)
Wythe County 6 stable similar 6 14.4 (9.7, 21.0) 1.3 2.3 (-0.5, 6.0)
Caroline County 6 stable similar 5 12.8 (8.3, 19.0) 1.1 1.9 (-0.7, 5.5)
Dinwiddie County 6 stable similar 6 16.7 (11.2, 24.2) 1.5 1.8 (-1.5, 6.1)
Shenandoah County 6 stable similar 10 13.4 (9.8, 18.1) 1.2 1.7 (-1.4, 5.5)
Danville City 4 stable higher 10 16.9 (12.3, 22.7) 1.5 1.5 (-1.5, 4.6)
Roanoke County 6 stable similar 17 11.3 (9.0, 14.2) 1.0 1.5 (-0.8, 4.2)
Manassas City 6 stable similar 5 17.3 (10.9, 25.7) 1.5 1.3 (-2.6, 6.3)
Westmoreland County 6 stable similar 5 15.4 (10.0, 23.6) 1.4 1.2 (-2.6, 6.2)
Rockingham County 6 stable similar 13 10.2 (7.9, 13.1) 0.9 1.1 (-1.1, 3.6)
Washington County 6 stable similar 11 11.2 (8.4, 15.0) 1.0 1.0 (-0.9, 3.3)
Wise County 6 stable similar 5 10.7 (7.0, 16.0) 1.0 0.9 (-2.1, 3.9)
Franklin County 6 stable similar 12 12.6 (9.5, 16.6) 1.1 0.9 (-1.6, 4.0)
Loudoun County 6 stable similar 43 12.0 (10.5, 13.8) 1.1 0.9 (-0.4, 2.8)
Stafford County 6 stable similar 16 11.5 (9.0, 14.4) 1.0 0.8 (-0.9, 3.1)
Louisa County 6 stable similar 8 13.3 (9.2, 18.7) 1.2 0.6 (-1.9, 4.0)
Chesapeake City 4 stable higher 39 14.2 (12.2, 16.4) 1.3 0.6 (-1.1, 2.6)
Chesterfield County 6 stable similar 45 10.3 (9.0, 11.8) 0.9 0.5 (-0.9, 2.2)
Norfolk City 4 stable higher 32 13.8 (11.7, 16.2) 1.2 0.5 (-0.7, 1.7)
Petersburg City 6 stable similar 6 15.2 (10.3, 21.7) 1.3 0.4 (-1.8, 2.9)
Russell County 6 stable similar 5 12.2 (7.8, 18.6) 1.1 0.2 (-2.4, 3.1)
Prince William County 7 stable lower 40 9.5 (8.2, 11.0) 0.8 0.2 (-1.3, 2.1)
Portsmouth City 4 stable higher 18 15.7 (12.5, 19.4) 1.4 0.2 (-1.3, 1.8)
Orange County 6 stable similar 7 13.0 (9.0, 18.2) 1.2 0.1 (-2.2, 3.0)
Mecklenburg County 6 stable similar 8 13.7 (9.8, 19.1) 1.2 0.1 (-2.1, 2.4)
Hanover County 6 stable similar 18 11.6 (9.3, 14.4) 1.0 0.1 (-2.0, 2.8)
Hampton City 6 stable similar 20 11.8 (9.6, 14.5) 1.1 0.1 (-1.2, 1.6)
Virginia Beach City 7 stable lower 54 9.9 (8.8, 11.2) 0.9 0.1 (-1.2, 1.6)
Augusta County 6 stable similar 13 9.6 (7.4, 12.5) 0.9 0.0 (-2.1, 2.5)
Botetourt County 9 falling lower 4 6.5 (3.9, 10.6) 0.6 -4.9 (-15.6, -1.9)
Powhatan County 6 stable similar 5 10.4 (6.6, 15.9) 0.9 -3.3 (-7.3, 1.1)
Salem City 8 falling similar 4 11.2 (6.7, 18.0) 1.0 -27.3 (-44.8, -2.1)
Tazewell County 6 stable similar 7 10.0 (6.8, 14.5) 0.9 -2.7 (-13.8, 0.5)
Suffolk City 8 falling similar 12 10.9 (8.3, 14.0) 1.0 -17.5 (-27.9, -4.3)
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)
Staunton City 6 stable similar 4 10.1 (6.0, 16.3) 0.9 -1.6 (-5.3, 2.0)
York County 6 stable similar 9 9.4 (6.8, 12.7) 0.8 -1.6 (-3.9, 1.1)
James City County 6 stable similar 18 11.3 (9.0, 14.2) 1.0 -1.2 (-3.2, 1.3)
Albemarle County 6 stable similar 17 10.1 (8.0, 12.6) 0.9 -1.0 (-8.9, 1.4)
Arlington County 6 stable similar 20 9.7 (7.9, 11.8) 0.9 -1.0 (-2.6, 0.7)
Frederick County 6 stable similar 17 13.1 (10.4, 16.3) 1.2 -0.9 (-12.0, 3.1)
Henry County 6 stable similar 11 12.7 (9.4, 17.0) 1.1 -0.8 (-2.9, 1.5)
Buchanan County 6 stable similar 4 12.1 (7.4, 19.5) 1.1 -0.7 (-4.3, 3.4)
Pulaski County 6 stable similar 6 11.9 (8.0, 17.4) 1.1 -0.6 (-2.7, 1.6)
Spotsylvania County 6 stable similar 16 9.8 (7.7, 12.2) 0.9 -0.6 (-2.3, 1.6)
Accomack County 6 stable similar 8 12.4 (8.7, 17.7) 1.1 -0.5 (-3.8, 2.7)
Amherst County 6 stable similar 6 11.6 (7.7, 17.1) 1.0 -0.5 (-3.3, 2.5)
Campbell County 6 stable similar 9 11.3 (8.2, 15.3) 1.0 -0.5 (-2.7, 1.8)
Alexandria City 6 stable similar 16 10.8 (8.5, 13.6) 1.0 -0.5 (-2.3, 1.3)
Bedford City and County 6 stable similar 14 10.0 (7.7, 12.9) 0.9 -0.4 (-1.9, 1.4)
Fairfax County 7 stable lower 112 8.8 (8.1, 9.5) 0.8 -0.4 (-1.1, 0.4)
Hopewell City 6 stable similar 5 16.9 (10.7, 25.5) 1.5 -0.3 (-5.1, 4.6)
Fauquier County 6 stable similar 12 11.7 (8.8, 15.3) 1.0 -0.3 (-3.3, 3.3)
Scott County 6 stable similar 4 10.0 (5.6, 17.0) 0.9 -0.2 (-5.1, 5.1)
Newport News City 6 stable similar 21 11.1 (9.0, 13.4) 1.0 -0.2 (-1.8, 1.5)
Lynchburg City 6 stable similar 10 12.0 (8.9, 15.9) 1.1 -0.1 (-3.1, 2.8)
Pittsylvania County 6 stable similar 11 10.9 (8.0, 14.7) 1.0 -0.1 (-1.9, 1.8)
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
**
Southampton County
**
 		** similar 3 11.8 (6.7, 20.2) 1.1
**
Warren County
**
 		** similar 5 8.5 (5.4, 13.0) 0.8
**
Waynesboro City
**
 		** similar 4 13.2 (8.3, 20.5) 1.2
**
Winchester City
**
 		** similar 4 11.0 (6.7, 17.3) 1.0
**
Appomattox County
**
 		**
*
3 or fewer
*
*
**
Bath County
**
 		**
*
3 or fewer
*
*
**
Bland County
**
 		**
*
3 or fewer
*
*
**
Bristol City
**
 		**
*
3 or fewer
*
*
**
Brunswick County
**
 		**
*
3 or fewer
*
*
**
Buena Vista City
**
 		**
*
3 or fewer
*
*
**
Charles City County
**
 		**
*
3 or fewer
*
*
**
Charlotte County
**
 		**
*
3 or fewer
*
*
**
Clarke County
**
 		**
*
3 or fewer
*
*
**
Colonial Heights City
**
 		**
*
3 or fewer
*
*
**
Covington City
**
 		**
*
3 or fewer
*
*
**
Craig County
**
 		**
*
3 or fewer
*
*
**
Cumberland County
**
 		**
*
3 or fewer
*
*
**
Emporia City
**
 		**
*
3 or fewer
*
*
**
Essex County
**
 		**
*
3 or fewer
*
*
**
Falls Church City
**
 		**
*
3 or fewer
*
*
**
Floyd County
**
 		**
*
3 or fewer
*
*
**
Franklin City
**
 		**
*
3 or fewer
*
*
**
Fredericksburg City
**
 		**
*
3 or fewer
*
*
**
Galax City
**
 		**
*
3 or fewer
*
*
**
Giles County
**
 		**
*
3 or fewer
*
*
**
Greensville County
**
 		**
*
3 or fewer
*
*
**
Highland County
**
 		**
*
3 or fewer
*
*
**
King and Queen County
**
 		**
*
3 or fewer
*
*
**
Lexington City
**
 		**
*
3 or fewer
*
*
**
Lunenburg County
**
 		**
*
3 or fewer
*
*
**
Madison County
**
 		**
*
3 or fewer
*
*
**
Manassas Park City
**
 		**
*
3 or fewer
*
*
**
Mathews County
**
 		**
*
3 or fewer
*
*
**
Middlesex County
**
 		**
*
3 or fewer
*
*
**
Nelson County
**
 		**
*
3 or fewer
*
*
**
Northumberland County
**
 		**
*
3 or fewer
*
*
**
Norton City
**
 		**
*
3 or fewer
*
*
**
Nottoway County
**
 		**
*
3 or fewer
*
*
**
Poquoson City
**
 		**
*
3 or fewer
*
*
**
Radford City
**
 		**
*
3 or fewer
*
*
**
Rappahannock County
**
 		**
*
3 or fewer
*
*
**
Richmond County
**
 		**
*
3 or fewer
*
*
**
Surry County
**
 		**
*
3 or fewer
*
*
**
Sussex County
**
 		**
*
3 or fewer
*
*
**
Williamsburg City
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/16/2026 11:48 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. 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.

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