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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

Lung & Bronchus

All Races, Both Sexes

Sorted by count
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 ascending
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 - 142,497 35.0 (34.9, 35.0) - -4.8 (-5.1, -4.6)
Virginia - falling falling trend - 3,646 35.3 (34.8, 35.9) - -4.2 (-4.6, -3.8)
Fairfax County 9 falling falling trend lower 231 19.2 (18.1, 20.3) 0.5 -4.9 (-5.7, -4.0)
Virginia Beach City 8 falling falling trend similar 177 35.4 (33.0, 37.8) 1.0 -3.4 (-4.3, -2.5)
Henrico County 8 falling falling trend similar 146 36.1 (33.5, 38.9) 1.0 -2.5 (-2.9, -2.1)
Chesterfield County 8 falling falling trend similar 136 34.5 (31.9, 37.3) 1.0 -4.1 (-5.5, -2.7)
Prince William County 9 falling falling trend lower 105 28.3 (25.8, 30.9) 0.8 -3.4 (-4.0, -2.8)
Norfolk City 5 falling falling trend higher 103 45.6 (41.7, 49.9) 1.3 -2.3 (-2.7, -1.9)
Chesapeake City 5 falling falling trend higher 98 38.5 (35.1, 42.2) 1.1 -4.2 (-5.5, -2.8)
Richmond City 8 falling falling trend similar 83 33.5 (30.3, 37.0) 1.0 -7.0 (-8.7, -5.3)
Newport News City 5 falling falling trend higher 81 42.6 (38.5, 47.1) 1.2 -8.7 (-15.1, -1.8)
Hampton City 5 falling falling trend higher 69 42.7 (38.2, 47.5) 1.2 -1.9 (-2.3, -1.4)
Loudoun County 9 falling falling trend lower 65 20.8 (18.5, 23.2) 0.6 -5.6 (-6.9, -4.2)
Roanoke City 5 falling falling trend higher 65 50.3 (44.8, 56.3) 1.4 -4.6 (-8.1, -1.0)
Portsmouth City 5 falling falling trend higher 56 50.1 (44.3, 56.6) 1.4 -1.5 (-2.1, -0.9)
Spotsylvania County 8 falling falling trend similar 54 36.7 (32.3, 41.4) 1.0 -2.2 (-3.1, -1.4)
Hanover County 8 falling falling trend similar 53 36.4 (32.1, 41.2) 1.0 -2.5 (-3.2, -1.8)
Bedford City and County 8 falling falling trend similar 51 38.4 (33.8, 43.7) 1.1 -1.5 (-2.2, -0.8)
Roanoke County 8 falling falling trend similar 49 31.5 (27.6, 35.8) 0.9 -1.4 (-2.1, -0.6)
Frederick County 8 falling falling trend similar 46 37.7 (32.9, 43.0) 1.1 -2.4 (-3.1, -1.6)
Stafford County 8 falling falling trend similar 45 36.0 (31.3, 41.2) 1.0 -6.2 (-8.9, -3.6)
Pittsylvania County 5 falling falling trend higher 44 42.7 (37.1, 49.1) 1.2 -1.2 (-2.1, -0.4)
Washington County 5 falling falling trend higher 42 47.1 (40.8, 54.4) 1.3 -1.6 (-2.2, -0.9)
James City County 9 falling falling trend lower 41 29.4 (25.4, 34.0) 0.8 -2.4 (-3.1, -1.6)
Henry County 4 stable stable trend higher 39 44.0 (37.9, 51.0) 1.3 -0.1 (-0.9, 0.7)
Suffolk City 8 falling falling trend similar 39 35.9 (31.0, 41.5) 1.0 -4.5 (-6.0, -2.9)
Albemarle County 9 falling falling trend lower 38 25.3 (21.8, 29.3) 0.7 -2.4 (-3.2, -1.6)
Tazewell County 5 falling falling trend higher 38 55.3 (47.5, 64.2) 1.6 -1.0 (-1.7, -0.4)
Lynchburg City 5 falling falling trend higher 38 42.9 (36.8, 49.6) 1.2 -1.6 (-2.2, -1.0)
Augusta County 9 falling falling trend lower 37 30.4 (26.1, 35.2) 0.9 -4.8 (-7.1, -2.4)
Franklin County 8 falling falling trend similar 36 37.8 (32.4, 44.2) 1.1 -1.2 (-2.1, -0.4)
Rockingham County 9 falling falling trend lower 36 30.0 (25.7, 35.0) 0.9 -4.1 (-6.6, -1.6)
Fauquier County 8 falling falling trend similar 34 36.1 (30.7, 42.2) 1.0 -2.8 (-3.5, -2.0)
Campbell County 8 falling falling trend similar 33 38.8 (33.1, 45.5) 1.1 -1.7 (-2.6, -0.8)
Wise County 5 falling falling trend higher 33 61.4 (52.2, 71.9) 1.8 -1.2 (-1.8, -0.6)
Arlington County 9 falling falling trend lower 32 16.1 (13.6, 18.8) 0.5 -6.0 (-8.0, -4.0)
Danville City 5 falling falling trend higher 32 49.9 (42.3, 58.6) 1.4 -1.3 (-2.0, -0.5)
Halifax County with South Boston City 5 falling falling trend higher 32 52.0 (44.0, 61.3) 1.5 -1.0 (-1.7, -0.3)
Montgomery County 8 falling falling trend similar 32 33.1 (28.1, 38.8) 0.9 -1.6 (-2.6, -0.6)
Alexandria City 9 falling falling trend lower 31 22.5 (19.0, 26.5) 0.6 -3.4 (-4.0, -2.8)
Shenandoah County 5 falling falling trend higher 31 43.9 (37.1, 51.7) 1.3 -2.4 (-3.8, -1.0)
Mecklenburg County 4 stable stable trend higher 31 52.1 (44.1, 61.7) 1.5 -0.7 (-1.6, 0.1)
Accomack County 5 falling falling trend higher 29 50.0 (42.0, 59.4) 1.4 -1.5 (-2.3, -0.7)
Gloucester County 5 falling falling trend higher 29 52.4 (43.9, 62.1) 1.5 -1.6 (-2.4, -0.8)
Petersburg City 5 falling falling trend higher 28 69.4 (58.0, 82.5) 2.0 -1.8 (-2.5, -1.1)
Smyth County 5 falling falling trend higher 28 56.6 (47.4, 67.4) 1.6 -4.2 (-6.5, -1.9)
Pulaski County 5 falling falling trend higher 25 43.9 (36.5, 52.8) 1.3 -1.3 (-2.1, -0.4)
Warren County 5 falling falling trend higher 25 49.0 (40.6, 58.6) 1.4 -1.3 (-2.2, -0.4)
Scott County 4 stable stable trend higher 23 58.1 (47.7, 70.6) 1.7 -0.7 (-1.5, 0.1)
York County 9 falling falling trend lower 22 26.3 (21.6, 31.8) 0.8 -3.7 (-4.5, -2.8)
Louisa County 8 falling falling trend similar 22 38.2 (31.2, 46.5) 1.1 -2.0 (-3.0, -1.1)
Carroll County 6 stable stable trend similar 21 38.5 (31.5, 47.1) 1.1 -0.9 (-1.9, 0.2)
Orange County 8 falling falling trend similar 21 37.5 (30.7, 45.7) 1.1 -1.8 (-2.7, -0.8)
Lee County 5 falling falling trend higher 21 52.4 (42.7, 64.3) 1.5 -1.1 (-2.1, -0.1)
Dinwiddie County 5 falling falling trend higher 20 51.2 (41.6, 62.7) 1.5 -1.4 (-2.3, -0.5)
Page County 4 stable stable trend higher 20 51.5 (41.9, 63.0) 1.5 -0.3 (-1.3, 0.7)
Prince George County 5 falling falling trend higher 20 46.7 (37.9, 57.1) 1.3 -2.1 (-3.0, -1.1)
Russell County 5 falling falling trend higher 20 45.0 (36.5, 55.2) 1.3 -5.3 (-7.7, -2.8)
Culpeper County 8 falling falling trend similar 20 31.6 (25.6, 38.7) 0.9 -6.6 (-10.9, -2.0)
Wythe County 8 falling falling trend similar 19 41.5 (33.5, 51.2) 1.2 -1.9 (-2.9, -1.0)
Botetourt County 8 falling falling trend similar 19 33.9 (27.3, 42.0) 1.0 -2.1 (-3.1, -1.1)
Salem City 5 falling falling trend higher 19 50.6 (40.8, 62.5) 1.4 -1.1 (-2.1, 0.0)
Isle of Wight County 8 falling falling trend similar 18 33.5 (26.9, 41.6) 1.0 -3.0 (-4.1, -1.9)
Westmoreland County 5 falling falling trend higher 18 53.8 (43.1, 67.2) 1.5 -2.0 (-2.9, -1.1)
Amherst County 8 falling falling trend similar 17 33.5 (26.7, 41.7) 1.0 -2.2 (-3.2, -1.2)
Buchanan County 5 falling falling trend higher 17 49.4 (39.2, 61.9) 1.4 -1.2 (-2.2, -0.2)
Waynesboro City 4 stable stable trend higher 17 56.0 (44.7, 69.5) 1.6 -0.5 (-1.3, 0.3)
Caroline County 8 falling falling trend similar 17 43.5 (34.5, 54.4) 1.2 -1.7 (-2.8, -0.5)
Patrick County 4 stable stable trend higher 16 47.8 (37.8, 60.6) 1.4 -0.4 (-1.4, 0.6)
Staunton City 8 falling falling trend similar 16 41.1 (32.6, 51.7) 1.2 -1.0 (-2.0, -0.1)
Prince Edward County 4 stable stable trend higher 16 56.7 (44.7, 71.3) 1.6 -1.0 (-2.2, 0.1)
Powhatan County 8 falling falling trend similar 14 35.4 (27.5, 45.2) 1.0 -3.1 (-4.2, -2.0)
Winchester City 8 falling falling trend similar 14 40.1 (31.3, 50.8) 1.1 -2.4 (-3.6, -1.2)
Colonial Heights City 5 falling falling trend higher 14 52.5 (40.7, 67.2) 1.5 -1.4 (-2.3, -0.6)
Hopewell City 5 falling falling trend higher 14 49.9 (38.7, 63.5) 1.4 -5.1 (-7.9, -2.3)
Martinsville City 1 rising rising trend higher 14 75.3 (58.4, 96.1) 2.2 1.6 (0.3, 2.9)
Charlottesville City 8 falling falling trend similar 14 32.5 (25.0, 41.4) 0.9 -1.9 (-3.0, -0.8)
Dickenson County 4 stable stable trend higher 14 55.9 (43.2, 72.1) 1.6 -0.8 (-1.7, 0.1)
Giles County 5 falling falling trend higher 14 50.0 (38.6, 64.3) 1.4 -1.1 (-2.0, -0.1)
Lancaster County 5 falling falling trend higher 13 50.0 (37.6, 67.5) 1.4 -1.7 (-2.8, -0.5)
Harrisonburg City 8 falling falling trend similar 13 33.9 (26.0, 43.2) 1.0 -1.8 (-3.0, -0.5)
Manassas City 8 falling falling trend similar 13 42.7 (32.6, 54.8) 1.2 -1.9 (-3.2, -0.6)
New Kent County 5 falling falling trend higher 13 48.1 (36.3, 62.6) 1.4 -1.7 (-3.0, -0.4)
Charlotte County 5 falling falling trend higher 13 61.3 (47.0, 79.6) 1.8 -1.3 (-2.6, 0.0)
Fluvanna County 8 falling falling trend similar 13 31.9 (24.4, 41.3) 0.9 -2.1 (-3.3, -0.8)
Goochland County 8 falling falling trend similar 13 32.1 (24.5, 41.9) 0.9 -3.1 (-4.2, -1.9)
Grayson County 6 stable stable trend similar 12 41.7 (31.8, 54.7) 1.2 -0.8 (-2.0, 0.4)
Bristol City 8 falling falling trend similar 12 45.7 (34.6, 59.6) 1.3 -13.6 (-23.3, -2.7)
Nelson County 6 stable stable trend similar 12 41.8 (31.5, 55.4) 1.2 -0.8 (-2.0, 0.5)
Alleghany County and Clifton Forge City 6 stable stable trend similar 12 44.8 (33.7, 59.4) 1.3 -0.6 (-1.6, 0.5)
Sussex County 4 stable stable trend higher 12 78.6 (59.5, 102.7) 2.2 -0.9 (-2.1, 0.4)
Rockbridge County 9 falling falling trend lower 12 26.1 (19.5, 34.7) 0.7 -2.8 (-4.1, -1.4)
Brunswick County 8 falling falling trend similar 11 42.3 (31.9, 55.7) 1.2 -2.0 (-3.0, -1.0)
Middlesex County 5 falling falling trend higher 11 48.7 (36.2, 66.1) 1.4 -1.6 (-3.1, -0.1)
Southampton County 8 falling falling trend similar 11 40.8 (30.8, 53.7) 1.2 -2.1 (-3.0, -1.2)
Northumberland County 8 falling falling trend similar 11 34.6 (26.0, 47.8) 1.0 -2.5 (-4.0, -1.0)
King George County 8 falling falling trend similar 11 40.5 (30.3, 53.0) 1.2 -2.4 (-3.9, -0.9)
Northampton County 5 falling falling trend higher 11 51.5 (37.9, 69.6) 1.5 -1.6 (-2.5, -0.6)
Amelia County 4 stable stable trend higher 11 51.0 (38.1, 67.9) 1.5 -0.6 (-2.3, 1.1)
Buckingham County 8 falling falling trend similar 11 41.3 (30.8, 54.8) 1.2 -1.4 (-2.5, -0.3)
Fairfax City 8 falling falling trend similar 11 39.6 (29.5, 52.1) 1.1 -2.6 (-3.7, -1.4)
Greene County 8 falling falling trend similar 10 38.1 (28.1, 50.8) 1.1 -2.2 (-3.9, -0.5)
Nottoway County 8 falling falling trend similar 10 45.4 (33.6, 60.6) 1.3 -2.9 (-5.0, -0.8)
Appomattox County 6 stable stable trend similar 10 41.2 (30.2, 55.4) 1.2 -0.4 (-1.9, 1.1)
Lunenburg County 6 stable stable trend similar 9 46.7 (34.0, 63.7) 1.3 -0.6 (-2.1, 1.0)
Floyd County 6 stable stable trend similar 9 34.1 (24.8, 46.5) 1.0 -1.1 (-2.3, 0.1)
Galax City 4 stable stable trend higher 9 102.3 (74.4, 138.4) 2.9 -32.0 (-58.9, 12.6)
Fredericksburg City 8 falling falling trend similar 9 34.8 (25.2, 46.8) 1.0 -2.6 (-3.9, -1.3)
King William County 6 stable stable trend similar 9 40.0 (28.9, 54.3) 1.1 -1.6 (-3.3, 0.1)
Madison County 6 stable stable trend similar 9 41.2 (29.9, 56.2) 1.2 -0.2 (-1.6, 1.1)
Mathews County 8 falling falling trend similar 8 42.9 (29.7, 62.4) 1.2 -1.9 (-3.3, -0.4)
Essex County 8 falling falling trend similar 8 42.0 (29.5, 59.3) 1.2 -1.7 (-3.0, -0.4)
Richmond County 8 falling falling trend similar 7 50.9 (35.7, 71.8) 1.5 -1.8 (-3.3, -0.4)
Clarke County 8 falling falling trend similar 7 31.3 (21.8, 44.5) 0.9 -2.3 (-3.6, -1.0)
Poquoson City 8 falling falling trend similar 7 39.5 (27.2, 56.2) 1.1 -2.5 (-3.9, -1.0)
Covington City 4 stable stable trend higher 6 67.6 (45.1, 99.3) 1.9 0.3 (-1.1, 1.6)
Franklin City 8 falling falling trend similar 6 48.8 (32.6, 71.6) 1.4 -1.9 (-3.6, -0.1)
King and Queen County 6 stable stable trend similar 6 50.5 (33.4, 75.2) 1.4 0.1 (-1.7, 2.1)
Cumberland County 8 falling falling trend similar 6 33.5 (22.2, 50.0) 1.0 -2.6 (-4.4, -0.8)
Greensville County 6 stable stable trend similar 6 40.8 (26.7, 60.3) 1.2 -0.9 (-2.5, 0.8)
Charles City County 8 falling falling trend similar 5 39.1 (25.1, 61.1) 1.1 -3.8 (-5.4, -2.2)
Lexington City 4 stable stable trend higher 5 61.9 (39.0, 96.1) 1.8 -1.2 (-3.3, 0.9)
Radford City 8 falling falling trend similar 5 35.2 (22.4, 52.7) 1.0 -2.1 (-3.8, -0.3)
Bath County 6 stable stable trend similar 5 56.1 (35.0, 90.3) 1.6 -0.8 (-2.7, 1.2)
Falls Church City 8 falling falling trend similar 4 26.9 (16.1, 42.2) 0.8 -4.2 (-5.7, -2.8)
Rappahannock County 6 stable stable trend similar 4 26.8 (16.1, 45.2) 0.8 -1.6 (-3.5, 0.3)
Surry County 8 falling falling trend similar 4 34.4 (20.1, 57.4) 1.0 -2.3 (-4.2, -0.4)
Buena Vista City
**
** similar 5 48.9 (31.0, 75.0) 1.4
**
Emporia City
**
** similar 4 49.7 (30.1, 78.9) 1.4
**
Norton City
**
** similar 3 60.8 (35.2, 100.2) 1.7
**
Bland County
**
**
*
3 or fewer
*
*
**
Craig County
**
**
*
3 or fewer
*
*
**
Highland County
**
**
*
3 or fewer
*
*
**
Manassas Park City
**
**
*
3 or fewer
*
*
**
Williamsburg City
**
**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 05/06/2024 5:02 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 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:
Bland County, Craig County, Highland County, Manassas Park City, Williamsburg City

Trend for the following could not be reliably determined due to small number of deaths per year:
Buena Vista City, Emporia City, Norton 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 does not include Puerto Rico.

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