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Data Table for Rate/Trend Comparison by Cancer

Death Rate/Trend Comparison by Cancer, 2019-2023

North Carolina Counties versus United States

Melanoma of the Skin

All Races, Both Sexes

Sorted by rateratio

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 - 8,225 2.0 (2.0, 2.0) - -1.2 (-1.9, -0.3)
North Carolina - stable - 285 2.2 (2.1, 2.3) - 2.9 (-3.1, 8.2)
Cumberland County 9 falling lower 3 1.1 (0.6, 1.7) 0.5 -3.5 (-7.4, -0.1)
Durham County 7 stable lower 5 1.4 (0.9, 2.1) 0.7 -2.5 (-5.9, 1.1)
Wake County 9 falling lower 17 1.5 (1.2, 1.9) 0.7 -6.3 (-13.7, -3.7)
Mecklenburg County 9 falling lower 16 1.6 (1.3, 2.0) 0.8 -3.5 (-5.3, -1.7)
Cabarrus County 8 falling similar 4 1.9 (1.1, 2.9) 0.9 -4.9 (-7.4, -2.6)
Forsyth County 8 falling similar 9 2.0 (1.5, 2.7) 1.0 -2.4 (-4.3, -0.5)
Guilford County 6 stable similar 13 2.1 (1.6, 2.7) 1.1 -2.0 (-4.2, 0.2)
Johnston County 8 falling similar 5 2.2 (1.4, 3.3) 1.1 -2.9 (-5.5, -0.1)
Rockingham County 6 stable similar 3 2.4 (1.3, 4.0) 1.2 -1.8 (-6.1, 2.2)
Buncombe County 6 stable similar 9 2.4 (1.7, 3.2) 1.2 -1.5 (-4.2, 1.1)
Rowan County 6 stable similar 5 2.4 (1.5, 3.6) 1.2 0.1 (-3.6, 4.2)
Union County 6 stable similar 6 2.4 (1.6, 3.5) 1.2 -2.1 (-4.5, 0.7)
Gaston County 8 falling similar 7 2.4 (1.7, 3.4) 1.2 -2.9 (-5.6, -0.2)
Orange County 6 stable similar 4 2.5 (1.5, 3.9) 1.2 -1.8 (-4.5, 0.9)
Alamance County 6 stable similar 6 2.7 (1.8, 3.9) 1.3 -1.4 (-4.6, 1.9)
Catawba County 8 falling similar 6 2.8 (1.8, 4.1) 1.4 -2.9 (-5.7, -0.3)
Cleveland County 6 stable similar 4 2.9 (1.7, 4.7) 1.4 -0.2 (-3.9, 3.4)
Surry County 6 stable similar 3 3.0 (1.7, 5.1) 1.5 -0.2 (-5.2, 5.0)
Henderson County 6 stable similar 6 3.2 (2.1, 4.7) 1.6 0.6 (-3.7, 5.9)
Carteret County 6 stable similar 4 3.3 (1.9, 5.5) 1.6 -1.6 (-5.2, 1.9)
Davidson County 4 stable higher 8 3.3 (2.3, 4.6) 1.6 0.2 (-2.7, 3.5)
Iredell County 1 rising higher 7 3.4 (2.4, 4.7) 1.7 30.8 (2.2, 58.5)
Caldwell County 6 stable similar 4 3.5 (2.1, 5.6) 1.7 -1.3 (-4.8, 2.6)
Burke County 4 stable higher 5 4.2 (2.7, 6.4) 2.1 1.7 (-1.6, 5.5)
Brunswick County
**
 		** higher 9 3.6 (2.5, 5.1) 1.8
**
Moore County
**
 		** similar 3 1.8 (1.0, 3.1) 0.9
**
New Hanover County
**
 		** similar 8 2.8 (2.0, 3.8) 1.4
**
Onslow County
**
 		** similar 5 3.2 (2.0, 4.8) 1.6
**
Pitt County
**
 		** similar 4 2.5 (1.6, 3.8) 1.2
**
Randolph County
**
 		** higher 6 3.7 (2.5, 5.3) 1.8
**
Rutherford County
**
 		** similar 3 3.3 (1.8, 5.7) 1.6
**
Wilkes County
**
 		** higher 4 3.9 (2.4, 6.1) 1.9
**
Alexander County
**
 		**
*
3 or fewer
*
*
**
Alleghany County
**
 		**
*
3 or fewer
*
*
**
Anson County
**
 		**
*
3 or fewer
*
*
**
Ashe County
**
 		**
*
3 or fewer
*
*
**
Avery County
**
 		**
*
3 or fewer
*
*
**
Beaufort County
**
 		**
*
3 or fewer
*
*
**
Bertie County
**
 		**
*
3 or fewer
*
*
**
Bladen County
**
 		**
*
3 or fewer
*
*
**
Camden County
**
 		**
*
3 or fewer
*
*
**
Caswell County
**
 		**
*
3 or fewer
*
*
**
Chatham County
**
 		**
*
3 or fewer
*
*
**
Cherokee County
**
 		**
*
3 or fewer
*
*
**
Chowan County
**
 		**
*
3 or fewer
*
*
**
Clay County
**
 		**
*
3 or fewer
*
*
**
Columbus County
**
 		**
*
3 or fewer
*
*
**
Craven County
**
 		**
*
3 or fewer
*
*
**
Currituck County
**
 		**
*
3 or fewer
*
*
**
Dare County
**
 		**
*
3 or fewer
*
*
**
Davie County
**
 		**
*
3 or fewer
*
*
**
Duplin County
**
 		**
*
3 or fewer
*
*
**
Edgecombe County
**
 		**
*
3 or fewer
*
*
**
Franklin County
**
 		**
*
3 or fewer
*
*
**
Gates County
**
 		**
*
3 or fewer
*
*
**
Graham County
**
 		**
*
3 or fewer
*
*
**
Granville County
**
 		**
*
3 or fewer
*
*
**
Greene County
**
 		**
*
3 or fewer
*
*
**
Halifax County
**
 		**
*
3 or fewer
*
*
**
Harnett County
**
 		**
*
3 or fewer
*
*
**
Haywood County
**
 		**
*
3 or fewer
*
*
**
Hertford County
**
 		**
*
3 or fewer
*
*
**
Hoke County
**
 		**
*
3 or fewer
*
*
**
Hyde County
**
 		**
*
3 or fewer
*
*
**
Jackson County
**
 		**
*
3 or fewer
*
*
**
Jones County
**
 		**
*
3 or fewer
*
*
**
Lee County
**
 		**
*
3 or fewer
*
*
**
Lenoir County
**
 		**
*
3 or fewer
*
*
**
Lincoln County
**
 		**
*
3 or fewer
*
*
**
Macon County
**
 		**
*
3 or fewer
*
*
**
Madison County
**
 		**
*
3 or fewer
*
*
**
Martin County
**
 		**
*
3 or fewer
*
*
**
McDowell County
**
 		**
*
3 or fewer
*
*
**
Mitchell County
**
 		**
*
3 or fewer
*
*
**
Montgomery County
**
 		**
*
3 or fewer
*
*
**
Nash County
**
 		**
*
3 or fewer
*
*
**
Northampton County
**
 		**
*
3 or fewer
*
*
**
Pamlico County
**
 		**
*
3 or fewer
*
*
**
Pasquotank County
**
 		**
*
3 or fewer
*
*
**
Pender County
**
 		**
*
3 or fewer
*
*
**
Perquimans County
**
 		**
*
3 or fewer
*
*
**
Person County
**
 		**
*
3 or fewer
*
*
**
Polk County
**
 		**
*
3 or fewer
*
*
**
Richmond County
**
 		**
*
3 or fewer
*
*
**
Robeson County
**
 		**
*
3 or fewer
*
*
**
Sampson County
**
 		**
*
3 or fewer
*
*
**
Scotland County
**
 		**
*
3 or fewer
*
*
**
Stanly County
**
 		**
*
3 or fewer
*
*
**
Stokes County
**
 		**
*
3 or fewer
*
*
**
Swain County
**
 		**
*
3 or fewer
*
*
**
Transylvania County
**
 		**
*
3 or fewer
*
*
**
Tyrrell County
**
 		**
*
3 or fewer
*
*
**
Vance County
**
 		**
*
3 or fewer
*
*
**
Warren County
**
 		**
*
3 or fewer
*
*
**
Washington County
**
 		**
*
3 or fewer
*
*
**
Watauga County
**
 		**
*
3 or fewer
*
*
**
Wayne County
**
 		**
*
3 or fewer
*
*
**
Wilson County
**
 		**
*
3 or fewer
*
*
**
Yadkin County
**
 		**
*
3 or fewer
*
*
**
Yancey County
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/11/2026 1:13 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:
Alexander County, Alleghany County, Anson County, Ashe County, Avery County, Beaufort County, Bertie County, Bladen County, Camden County, Caswell County, Chatham County, Cherokee County, Chowan County, Clay County, Columbus County, Craven County, Currituck County, Dare County, Davie County, Duplin County, Edgecombe County, Franklin County, Gates County, Graham County, Granville County, Greene County, Halifax County, Harnett County, Haywood County, Hertford County, Hoke County, Hyde County, Jackson County, Jones County, Lee County, Lenoir County, Lincoln County, Macon County, Madison County, Martin County, McDowell County, Mitchell County, Montgomery County, Nash County, Northampton County, Pamlico County, Pasquotank County, Pender County, Perquimans County, Person County, Polk County, Richmond County, Robeson County, Sampson County, Scotland County, Stanly County, Stokes County, Swain County, Transylvania County, Tyrrell County, Vance County, Warren County, Washington County, Watauga County, Wayne County, Wilson County, Yadkin County, Yancey County

Trend for the following could not be reliably determined due to small number of deaths per year:
Brunswick County, Moore County, New Hanover County, Onslow County, Pitt County, Randolph County, Rutherford County, Wilkes 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 do not include Puerto Rico.

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