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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

Lung & Bronchus

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 - 134,732 31.5 (31.4, 31.6) - -3.7 (-3.9, -3.5)
Virginia - falling - 3,529 32.5 (32.0, 33.0) - -3.8 (-4.9, -3.5)
York County 8 falling similar 29 30.8 (26.0, 36.4) 1.0 -3.2 (-4.6, -1.7)
Wythe County 8 falling similar 17 38.1 (30.2, 47.6) 1.2 -2.7 (-4.4, -1.1)
Wise County 5 falling higher 34 65.7 (55.9, 76.8) 2.1 -1.3 (-2.5, -0.2)
Winchester City 8 falling similar 15 40.1 (31.3, 50.7) 1.3 -3.1 (-5.1, -1.4)
Williamsburg City
**
** similar 6 32.5 (21.8, 47.7) 1.0
**
Westmoreland County 5 falling higher 17 45.1 (35.9, 56.7) 1.4 -3.3 (-4.9, -1.8)
Waynesboro City 4 stable higher 16 52.3 (41.2, 65.6) 1.7 -0.2 (-1.3, 0.9)
Washington County 5 falling higher 41 44.2 (38.1, 51.1) 1.4 -2.5 (-3.3, -1.8)
Warren County 5 falling higher 27 50.4 (42.1, 60.0) 1.6 -1.6 (-3.0, -0.1)
Virginia Beach City 8 falling similar 183 34.0 (31.8, 36.4) 1.1 -3.2 (-3.8, -2.6)
Tazewell County 5 falling higher 32 47.3 (40.0, 55.8) 1.5 -5.5 (-17.0, -1.7)
Sussex County 5 falling higher 9 55.9 (40.0, 76.8) 1.8 -19.8 (-35.9, -2.3)
Surry County 6 stable similar 4 30.1 (18.0, 50.5) 1.0 -2.8 (-6.3, 0.8)
Suffolk City 8 falling similar 38 32.8 (28.2, 38.0) 1.0 -4.0 (-4.9, -3.1)
Staunton City 4 stable higher 16 40.6 (32.2, 50.9) 1.3 -1.4 (-3.0, 0.2)
Stafford County 8 falling similar 45 31.9 (27.7, 36.5) 1.0 -5.6 (-9.3, -4.0)
Spotsylvania County 8 falling similar 52 32.0 (28.1, 36.3) 1.0 -3.2 (-4.4, -2.0)
Southampton County 5 falling higher 13 43.1 (33.1, 55.8) 1.4 -2.3 (-3.7, -0.9)
Smyth County 5 falling higher 30 59.2 (50.1, 69.9) 1.9 -1.4 (-2.5, -0.4)
Shenandoah County 5 falling higher 28 39.3 (33.0, 46.7) 1.2 -1.9 (-3.0, -0.9)
Scott County 5 falling higher 20 49.9 (40.6, 61.4) 1.6 -1.6 (-3.1, 0.0)
Salem City 4 stable higher 16 41.3 (32.5, 52.0) 1.3 -1.5 (-3.2, 0.1)
Russell County 8 falling similar 18 38.7 (31.0, 48.2) 1.2 -17.8 (-32.4, -1.9)
Rockingham County 8 falling similar 38 30.3 (26.0, 35.1) 1.0 -2.6 (-3.7, -1.5)
Rockbridge County 6 stable similar 14 32.1 (24.6, 41.8) 1.0 -3.7 (-17.1, 1.2)
Roanoke County 8 falling similar 45 28.1 (24.5, 32.2) 0.9 -2.7 (-3.7, -1.8)
Roanoke City 5 falling higher 63 47.9 (42.6, 53.6) 1.5 -2.7 (-13.3, -1.4)
Richmond County 8 falling similar 6 39.0 (26.1, 57.5) 1.2 -2.8 (-5.6, -0.2)
Richmond City 8 falling similar 82 34.0 (30.7, 37.6) 1.1 -4.1 (-5.0, -3.4)
Rappahannock County 6 stable similar 3 21.4 (12.1, 38.4) 0.7 -2.5 (-6.2, 1.3)
Radford City 8 falling similar 5 36.2 (22.6, 55.2) 1.1 -4.2 (-7.1, -1.9)
Pulaski County 5 falling higher 24 43.6 (35.9, 52.7) 1.4 -1.9 (-3.6, -0.3)
Prince William County 9 falling lower 107 26.2 (24.0, 28.6) 0.8 -4.0 (-4.6, -3.3)
Prince George County 4 stable higher 19 43.5 (35.0, 53.5) 1.4 -1.0 (-2.5, 0.8)
Prince Edward County 4 stable higher 14 54.9 (42.5, 70.0) 1.7 -0.1 (-2.0, 1.8)
Powhatan County 8 falling similar 16 36.8 (28.9, 46.4) 1.2 -3.0 (-4.7, -1.3)
Portsmouth City 5 falling higher 48 43.0 (37.6, 48.9) 1.4 -2.5 (-3.6, -1.5)
Poquoson City 6 stable similar 7 38.7 (26.8, 54.8) 1.2 -1.9 (-4.2, 0.6)
Pittsylvania County 5 falling higher 39 37.2 (32.0, 43.2) 1.2 -2.3 (-3.8, -0.9)
Petersburg City 5 falling higher 26 60.0 (49.8, 71.8) 1.9 -1.8 (-3.1, -0.5)
Patrick County 4 stable higher 16 47.3 (37.2, 60.2) 1.5 -0.8 (-2.3, 0.8)
Page County 4 stable higher 19 46.4 (37.5, 57.4) 1.5 -0.8 (-2.5, 0.9)
Orange County 8 falling similar 22 38.4 (31.4, 46.7) 1.2 -2.2 (-3.8, -0.6)
Nottoway County 4 stable higher 12 54.6 (41.4, 71.1) 1.7 -2.1 (-5.2, 0.6)
Norton City
**
**
*
3 or fewer
*
*
**
Northumberland County 6 stable similar 13 39.5 (30.3, 53.1) 1.3 -1.6 (-4.8, 1.7)
Northampton County 8 falling similar 8 37.0 (25.4, 53.2) 1.2 -29.2 (-46.3, -6.0)
Norfolk City 5 falling higher 95 40.7 (37.0, 44.7) 1.3 -2.9 (-3.6, -2.3)
Newport News City 5 falling higher 73 36.4 (32.7, 40.4) 1.2 -6.0 (-13.2, -3.4)
New Kent County 4 stable higher 16 54.2 (42.3, 68.5) 1.7 -1.8 (-3.9, 0.6)
Nelson County 6 stable similar 11 37.2 (27.6, 50.2) 1.2 -2.0 (-4.5, 0.3)
Montgomery County 8 falling similar 28 27.7 (23.2, 32.8) 0.9 -2.3 (-4.0, -0.5)
Middlesex County 5 falling higher 11 45.1 (33.0, 62.1) 1.4 -2.4 (-4.6, -0.2)
Mecklenburg County 4 stable higher 27 45.2 (37.8, 54.2) 1.4 -1.1 (-2.8, 0.6)
Mathews County 6 stable similar 6 30.9 (19.4, 49.2) 1.0 -2.5 (-5.6, 0.3)
Martinsville City 5 falling higher 9 47.7 (34.4, 65.0) 1.5 -17.3 (-38.8, -2.2)
Manassas Park City
**
**
*
3 or fewer
*
*
**
Manassas City 8 falling similar 9 29.8 (21.2, 40.4) 0.9 -2.6 (-4.6, -0.6)
Madison County 6 stable similar 8 34.1 (24.3, 47.5) 1.1 -1.0 (-3.5, 1.8)
Lynchburg City 5 falling higher 38 44.1 (37.9, 51.0) 1.4 -1.9 (-2.8, -1.1)
Lunenburg County 4 stable higher 10 46.1 (33.6, 62.7) 1.5 -0.9 (-3.5, 1.7)
Louisa County 8 falling similar 22 34.4 (27.9, 42.2) 1.1 -6.0 (-18.3, -3.8)
Loudoun County 9 falling lower 68 19.1 (17.1, 21.3) 0.6 -5.0 (-5.9, -4.1)
Lexington City
**
**
*
3 or fewer
*
*
**
Lee County 4 stable higher 24 63.3 (52.2, 76.6) 2.0 -1.5 (-3.4, 0.2)
Lancaster County 4 stable higher 15 61.7 (45.8, 82.9) 2.0 0.0 (-3.0, 3.0)
King and Queen County 6 stable similar 6 47.0 (30.8, 71.0) 1.5 -1.8 (-5.1, 1.4)
King William County 5 falling higher 11 44.2 (32.8, 58.5) 1.4 -3.5 (-6.1, -1.1)
King George County 4 stable higher 13 42.7 (32.6, 55.1) 1.4 -2.0 (-4.4, 0.7)
James City County 9 falling lower 38 24.4 (20.9, 28.3) 0.8 -3.4 (-4.3, -2.5)
Isle of Wight County 8 falling similar 20 33.6 (27.2, 41.3) 1.1 -4.1 (-5.4, -2.8)
Hopewell City 4 stable higher 17 62.5 (49.6, 77.9) 2.0 14.4 (-3.2, 29.0)
Highland County
**
**
*
3 or fewer
*
*
**
Henry County 5 falling higher 35 39.9 (34.1, 46.8) 1.3 -1.7 (-2.9, -0.5)
Henrico County 5 falling higher 149 35.1 (32.6, 37.8) 1.1 -2.4 (-2.9, -2.0)
Harrisonburg City 8 falling similar 11 27.7 (20.8, 36.2) 0.9 -2.4 (-4.8, -0.2)
Hanover County 8 falling similar 53 33.5 (29.5, 37.9) 1.1 -3.2 (-4.4, -2.1)
Hampton City 5 falling higher 63 36.7 (32.6, 41.1) 1.2 -10.8 (-17.3, -3.3)
Halifax County with South Boston City 5 falling higher 27 43.3 (36.1, 51.8) 1.4 -1.6 (-2.9, -0.3)
Greensville County 4 stable higher 7 52.5 (36.7, 73.6) 1.7 -0.7 (-3.5, 2.1)
Greene County 8 falling similar 8 28.2 (20.2, 38.8) 0.9 -3.5 (-6.1, -0.9)
Grayson County 5 falling higher 13 45.2 (34.7, 58.7) 1.4 -2.3 (-4.0, -0.7)
Goochland County 8 falling similar 12 25.8 (19.5, 34.1) 0.8 -3.9 (-6.5, -1.4)
Gloucester County 5 falling higher 25 42.3 (35.1, 50.9) 1.3 -18.6 (-35.6, -0.4)
Giles County 5 falling higher 15 54.1 (42.6, 68.6) 1.7 -1.6 (-3.0, -0.2)
Galax City 4 stable higher 5 60.3 (39.5, 89.2) 1.9 11.0 (-12.0, 31.3)
Fredericksburg City 8 falling similar 8 32.0 (22.8, 43.6) 1.0 -4.0 (-6.9, -1.5)
Frederick County 8 falling similar 44 33.5 (29.1, 38.3) 1.1 -4.1 (-6.0, -3.2)
Franklin County 8 falling similar 33 33.7 (28.5, 39.7) 1.1 -1.9 (-3.1, -0.6)
Franklin City 4 stable higher 6 52.9 (35.9, 76.2) 1.7 26.1 (-3.5, 54.2)
Fluvanna County 8 falling similar 13 31.8 (24.4, 41.1) 1.0 -2.5 (-4.6, -0.3)
Floyd County 6 stable similar 8 29.8 (21.3, 41.6) 0.9 -1.7 (-3.6, 0.4)
Fauquier County 8 falling similar 30 30.8 (26.0, 36.2) 1.0 -2.3 (-3.8, -0.8)
Falls Church City 7 stable lower 3 20.7 (12.0, 33.6) 0.7 -2.7 (-5.7, 0.2)
Fairfax County 9 falling lower 200 15.7 (14.7, 16.7) 0.5 -4.5 (-5.2, -3.8)
Fairfax City 4 stable higher 11 42.9 (32.3, 55.9) 1.4 -1.5 (-3.4, 0.3)
Essex County 6 stable similar 7 38.5 (26.3, 55.6) 1.2 -2.2 (-4.8, 0.3)
Emporia City
**
** similar 4 54.1 (33.5, 84.0) 1.7
**
Dinwiddie County 5 falling higher 18 42.4 (33.8, 52.9) 1.3 -2.8 (-4.1, -1.6)
Dickenson County 4 stable higher 12 49.0 (36.9, 64.7) 1.6 -1.5 (-3.2, 0.3)
Danville City 5 falling higher 30 45.3 (38.2, 53.6) 1.4 -2.2 (-3.3, -1.2)
Cumberland County 8 falling similar 6 31.6 (20.9, 47.4) 1.0 -4.3 (-7.3, -1.5)
Culpeper County 8 falling similar 20 29.6 (23.9, 36.2) 0.9 -5.9 (-17.0, -3.5)
Craig County
**
**
*
3 or fewer
*
*
**
Covington City 6 stable similar 4 43.2 (25.7, 70.0) 1.4 -0.3 (-3.5, 2.6)
Colonial Heights City 5 falling higher 15 53.8 (42.2, 68.1) 1.7 -1.6 (-3.0, -0.2)
Clarke County 8 falling similar 7 25.7 (17.7, 37.0) 0.8 -9.7 (-30.6, -5.6)
Chesterfield County 8 falling similar 133 30.8 (28.4, 33.3) 1.0 -5.6 (-12.1, -3.4)
Chesapeake City 5 falling higher 95 34.7 (31.6, 38.1) 1.1 -3.4 (-4.1, -2.7)
Charlottesville City 8 falling similar 12 26.8 (20.3, 34.9) 0.9 -7.4 (-20.8, -4.4)
Charlotte County 4 stable higher 12 61.2 (46.5, 80.2) 1.9 2.4 (-2.1, 18.5)
Charles City County 8 falling similar 5 38.0 (24.4, 60.0) 1.2 -3.1 (-5.8, -0.5)
Carroll County 8 falling similar 19 33.7 (27.3, 41.8) 1.1 -3.5 (-6.6, -2.2)
Caroline County 5 falling higher 18 42.9 (34.2, 53.3) 1.4 -3.4 (-5.0, -1.9)
Campbell County 8 falling similar 28 31.2 (26.2, 37.1) 1.0 -3.6 (-5.1, -2.2)
Buena Vista City
**
** similar 5 47.6 (30.1, 73.1) 1.5
**
Buckingham County 4 stable higher 12 49.4 (37.7, 64.2) 1.6 -1.3 (-3.0, 0.3)
Buchanan County 5 falling higher 17 50.5 (40.1, 63.3) 1.6 -1.9 (-3.3, -0.6)
Brunswick County 5 falling higher 12 45.5 (34.6, 59.5) 1.4 -2.3 (-3.9, -0.8)
Bristol City 1 rising higher 14 51.6 (40.2, 65.8) 1.6 32.2 (12.6, 50.6)
Botetourt County 6 stable similar 21 36.0 (29.3, 44.2) 1.1 -1.9 (-3.8, 0.1)
Bland County
**
** similar 3 31.1 (17.8, 53.6) 1.0
**
Bedford City and County 8 falling similar 48 34.9 (30.5, 39.9) 1.1 -2.0 (-3.5, -0.4)
Bath County
**
** similar 4 49.6 (30.6, 81.8) 1.6
**
Augusta County 8 falling similar 41 31.7 (27.4, 36.5) 1.0 -3.9 (-5.5, -3.0)
Arlington County 9 falling lower 37 17.7 (15.3, 20.5) 0.6 -4.3 (-5.9, -3.0)
Appomattox County 6 stable similar 9 34.4 (24.9, 46.9) 1.1 -2.4 (-5.5, 0.5)
Amherst County 5 falling higher 22 44.2 (36.1, 53.8) 1.4 -2.4 (-4.1, -0.8)
Amelia County 4 stable higher 11 52.4 (39.2, 69.4) 1.7 -2.1 (-4.4, 0.3)
Alleghany County and Clifton Forge City 4 stable higher 15 53.2 (41.6, 68.1) 1.7 -0.2 (-2.3, 2.0)
Alexandria City 9 falling lower 32 21.5 (18.2, 25.2) 0.7 -4.1 (-5.4, -3.0)
Albemarle County 9 falling lower 35 20.6 (17.6, 23.9) 0.7 -3.7 (-4.7, -2.6)
Accomack County 5 falling higher 25 40.3 (33.4, 48.5) 1.3 -3.5 (-10.6, -2.1)
Notes:
Created by statecancerprofiles.cancer.gov on 03/17/2026 4:42 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:
Craig County, Highland County, Lexington City, Manassas Park City, Norton City

Trend for the following could not be reliably determined due to small number of deaths per year:
Bath County, Bland County, Buena Vista City, Emporia City, Williamsburg 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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