State Cancer Profiles > Interpretation of Rate/Trend Comparison by Cancer Data

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Interpretation of Rate/Trend Comparison by Cancer Data

Death Rate/Trend Comparison by Cancer, 2019-2023

Virginia Counties versus United States

Breast

All Races, Female

Sorted by rate

Explanation of Column Headers

State/County - The site and sex combination for this comparison.

Priority Index ¹ - The priority index is based upon the direction of the trend and the rate comparison. An index of 1 is the highest priority - that trend is rising and the rate is already higher. An index of 9 is the lowest priority - the trend is falling and the rate is already lower.

Recent Trends - This is an interpretation of the AAPC:

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.

AAPC (95% Confidence Interval) - The Average Annual Percent Change is the change in rate over time. These AAPCs are based upon APCs that were calculated by Joinpoint Regression Program

Other Notes

Larger confidence intervals indicate less stability of the data. This is often due to low counts that are not quite low enough to be suppressed.
Data is currently being suppressed if there are fewer than 16 counts for the time period.

Line by Line Interpretation of the Report

United States

Recent Trend(2) : The trend is falling because the trend is -1.5 with a 95% confidence interval from -1.7 to -1.3.
Rate : The death rate is 19.2 with a 95% confidence interval from 19.1 to 19.3 and 42,257 average annual deaths.

Virginia

Recent Trend(2) : The trend is stable because the trend is -1.2 with a 95% confidence interval from -1.6 to 0.3.
Rate : The death rate is 19.9 with a 95% confidence interval from 19.4 to 20.5 and 1,130 average annual deaths.

Fairfax City

Priority Index(1) : The priority index is 4.
Recent Trend(2) : The trend is stable because the trend is 1.1 with a 95% confidence interval from -2.3 to 5.1.
County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
Rate : The death rate is 45.3 with a 95% confidence interval from 31.2 to 63.8 and 7 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 2.4

Hopewell City

Priority Index(1) : The priority index is 4.
Recent Trend(2) : The trend is stable because the trend is 1.1 with a 95% confidence interval from -1.5 to 4.0.
County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
Rate : The death rate is 36.7 with a 95% confidence interval from 23.6 to 54.6 and 5 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.9

Petersburg City

Priority Index(1) : The priority index is 4.
Recent Trend(2) : The trend is stable because the trend is -0.8 with a 95% confidence interval from -3.1 to 1.4.
County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
Rate : The death rate is 35.3 with a 95% confidence interval from 25.1 to 48.5 and 9 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.8

Colonial Heights City

Priority Index(1) : The priority index is 2.
Recent Trend(2) : The trend is rising because the trend is 4.1 with a 95% confidence interval from 1.6 to 7.4.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 33.3 with a 95% confidence interval from 20.0 to 52.3 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.7

Wise County

Priority Index(1) : The priority index is 4.
Recent Trend(2) : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.8 to 3.1.
County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
Rate : The death rate is 32.6 with a 95% confidence interval from 23.0 to 45.2 and 8 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.7

Buchanan County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is 0.0 with a 95% confidence interval from -3.4 to 3.1.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 30.8 with a 95% confidence interval from 18.8 to 48.8 and 5 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.6

Nelson County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is 30.8 with a 95% confidence interval from -1.0 to 64.0.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 30.1 with a 95% confidence interval from 16.7 to 51.5 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.6

Danville City

Priority Index(1) : The priority index is 4.
Recent Trend(2) : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.2 to 1.8.
County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
Rate : The death rate is 29.2 with a 95% confidence interval from 20.9 to 39.9 and 10 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.5

Russell County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is 0.3 with a 95% confidence interval from -2.6 to 3.5.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 27.0 with a 95% confidence interval from 17.6 to 40.6 and 6 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.4

Salem City

Priority Index(1) : The priority index is 2.
Recent Trend(2) : The trend is rising because the trend is 3.3 with a 95% confidence interval from 0.7 to 8.4.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 26.5 with a 95% confidence interval from 17.0 to 40.2 and 5 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.4

Spotsylvania County

Priority Index(1) : The priority index is 4.
Recent Trend(2) : The trend is stable because the trend is -0.2 with a 95% confidence interval from -2.2 to 2.3.
County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
Rate : The death rate is 26.5 with a 95% confidence interval from 21.7 to 32.1 and 23 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.4

Orange County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.1 with a 95% confidence interval from -4.0 to 2.2.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 25.8 with a 95% confidence interval from 18.1 to 36.0 and 8 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.3

Hampton City

Priority Index(1) : The priority index is 5.
Recent Trend(2) : The trend is falling because the trend is -1.3 with a 95% confidence interval from -2.7 to -0.1.
County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
Rate : The death rate is 25.3 with a 95% confidence interval from 20.6 to 30.7 and 22 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.3

Wythe County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -0.9 with a 95% confidence interval from -3.7 to 1.8.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 25.1 with a 95% confidence interval from 16.3 to 37.7 and 6 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.3

Portsmouth City

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -2.1 with a 95% confidence interval from -3.7 to -0.7.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 24.6 with a 95% confidence interval from 19.2 to 31.0 and 15 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.3

Manassas City

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -2.6 with a 95% confidence interval from -6.4 to 1.2.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 24.4 with a 95% confidence interval from 15.1 to 37.1 and 5 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.3

Lynchburg City

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is 0.1 with a 95% confidence interval from -2.8 to 2.9.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 24.3 with a 95% confidence interval from 18.3 to 31.8 and 12 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.3

Halifax County with South Boston City

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.4 with a 95% confidence interval from -4.1 to 1.3.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 24.2 with a 95% confidence interval from 16.4 to 35.0 and 8 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.3

Tazewell County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.7 to 2.7.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 24.1 with a 95% confidence interval from 16.6 to 34.4 and 8 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.3

Scott County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -2.7 with a 95% confidence interval from -6.9 to 1.1.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 24.0 with a 95% confidence interval from 13.8 to 39.8 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.3

Isle of Wight County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.1 with a 95% confidence interval from -4.3 to 2.4.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 23.9 with a 95% confidence interval from 16.5 to 34.0 and 7 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Lee County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -0.8 with a 95% confidence interval from -4.8 to 3.1.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 23.8 with a 95% confidence interval from 14.0 to 39.0 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Culpeper County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.5 to 1.0.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 23.7 with a 95% confidence interval from 16.8 to 32.8 and 8 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Bristol City

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.6 with a 95% confidence interval from -3.8 to 0.4.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 23.4 with a 95% confidence interval from 14.4 to 37.9 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Roanoke City

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -0.6 with a 95% confidence interval from -2.0 to 0.8.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 23.3 with a 95% confidence interval from 18.3 to 29.2 and 17 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Richmond City

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.3 to -1.3.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 22.8 with a 95% confidence interval from 19.1 to 27.0 and 29 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Suffolk City

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.5 to -1.1.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 22.7 with a 95% confidence interval from 17.5 to 29.1 and 13 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Frederick County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -0.7 with a 95% confidence interval from -2.7 to 1.7.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 22.5 with a 95% confidence interval from 17.4 to 28.8 and 14 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Norfolk City

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -1.7 with a 95% confidence interval from -2.9 to -0.5.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 22.4 with a 95% confidence interval from 18.8 to 26.6 and 29 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Fauquier County

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.5 to -0.3.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 22.4 with a 95% confidence interval from 16.7 to 29.6 and 11 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Waynesboro City

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -2.2 with a 95% confidence interval from -5.9 to 1.3.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 22.2 with a 95% confidence interval from 13.4 to 35.4 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Charlottesville City

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.6 to 2.6.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 22.1 with a 95% confidence interval from 14.3 to 32.8 and 5 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Shenandoah County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is 0.0 with a 95% confidence interval from -2.5 to 2.5.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 22.1 with a 95% confidence interval from 15.3 to 31.2 and 8 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Warren County

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -2.9 with a 95% confidence interval from -5.3 to -0.5.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 22.1 with a 95% confidence interval from 14.9 to 31.8 and 6 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Washington County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.6 with a 95% confidence interval from -4.5 to 1.2.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 22.0 with a 95% confidence interval from 16.1 to 29.9 and 10 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.1

Chesapeake City

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -1.4 with a 95% confidence interval from -2.2 to -0.5.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 21.9 with a 95% confidence interval from 18.6 to 25.7 and 33 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.1

Accomack County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -0.5 with a 95% confidence interval from -3.0 to 5.1.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 21.8 with a 95% confidence interval from 13.5 to 33.6 and 6 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.1

Hanover County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.4 with a 95% confidence interval from -3.3 to 0.6.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 21.5 with a 95% confidence interval from 17.1 to 26.8 and 18 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.1

Stafford County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.9 with a 95% confidence interval from -4.2 to 0.5.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 21.3 with a 95% confidence interval from 16.8 to 26.6 and 17 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.1

Newport News City

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.2 with a 95% confidence interval from -2.5 to 0.1.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 21.3 with a 95% confidence interval from 17.5 to 25.7 and 24 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.1

Mecklenburg County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.6 to 0.3.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 20.9 with a 95% confidence interval from 14.2 to 30.9 and 7 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.1

Henrico County

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.8 to -1.2.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 20.7 with a 95% confidence interval from 18.2 to 23.6 and 50 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.1

Chesterfield County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is 0.2 with a 95% confidence interval from -2.1 to 9.0.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 20.6 with a 95% confidence interval from 18.0 to 23.5 and 48 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.1

Franklin County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -0.8 with a 95% confidence interval from -2.4 to 0.9.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 20.2 with a 95% confidence interval from 14.0 to 28.5 and 8 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.1

Montgomery County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.3 with a 95% confidence interval from -4.2 to 1.7.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 19.8 with a 95% confidence interval from 14.5 to 26.4 and 10 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.0

Bedford City and County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.4 with a 95% confidence interval from -2.9 to 0.2.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 19.5 with a 95% confidence interval from 14.6 to 25.8 and 12 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.0

Virginia Beach City

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -1.5 with a 95% confidence interval from -2.4 to -0.6.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 19.2 with a 95% confidence interval from 16.9 to 21.6 and 55 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.0

Roanoke County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -0.5 with a 95% confidence interval from -2.5 to 1.7.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 19.1 with a 95% confidence interval from 15.0 to 24.2 and 16 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.0

Botetourt County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.5 with a 95% confidence interval from -4.5 to 1.7.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 19.0 with a 95% confidence interval from 12.0 to 29.4 and 5 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.0

Goochland County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -3.3 with a 95% confidence interval from -6.7 to 0.1.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 18.7 with a 95% confidence interval from 11.1 to 30.7 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.0

Prince William County

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -2.3 with a 95% confidence interval from -3.3 to -1.2.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 18.0 with a 95% confidence interval from 15.6 to 20.6 and 43 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.9

Pittsylvania County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -2.2 with a 95% confidence interval from -4.9 to 0.2.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 17.8 with a 95% confidence interval from 12.5 to 25.0 and 9 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.9

Henry County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.7 with a 95% confidence interval from -4.4 to 0.7.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 17.8 with a 95% confidence interval from 12.5 to 25.1 and 8 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.9

Rockbridge County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -0.9 with a 95% confidence interval from -4.0 to 2.8.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 17.3 with a 95% confidence interval from 10.4 to 28.9 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.9

James City County

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -2.1 with a 95% confidence interval from -4.4 to -0.6.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 17.1 with a 95% confidence interval from 12.8 to 22.6 and 13 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.9

Arlington County

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -2.6 with a 95% confidence interval from -4.4 to -1.0.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 16.9 with a 95% confidence interval from 13.7 to 20.7 and 20 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.9

Fairfax County

Priority Index(1) : The priority index is 9.
Recent Trend(2) : The trend is falling because the trend is -2.0 with a 95% confidence interval from -2.8 to -1.2.
County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
Rate : The death rate is 16.9 with a 95% confidence interval from 15.5 to 18.4 and 117 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.9

Loudoun County

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -2.2 with a 95% confidence interval from -3.7 to -0.5.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 16.9 with a 95% confidence interval from 14.4 to 19.6 and 35 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.9

Rockingham County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.9 with a 95% confidence interval from -3.9 to 0.2.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 16.4 with a 95% confidence interval from 12.3 to 21.8 and 11 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.9

Pulaski County

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -3.1 with a 95% confidence interval from -5.3 to -0.9.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 16.1 with a 95% confidence interval from 10.4 to 24.7 and 5 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.8

Amherst County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -2.5 with a 95% confidence interval from -5.8 to 0.7.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 16.1 with a 95% confidence interval from 10.1 to 25.1 and 5 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.8

Augusta County

Priority Index(1) : The priority index is 6.
Recent Trend(2) : The trend is stable because the trend is -1.0 with a 95% confidence interval from -2.7 to 0.8.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 16.0 with a 95% confidence interval from 11.8 to 21.5 and 10 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.8

Alexandria City

Priority Index(1) : The priority index is 8.
Recent Trend(2) : The trend is falling because the trend is -2.0 with a 95% confidence interval from -3.7 to -0.3.
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 15.7 with a 95% confidence interval from 12.2 to 20.0 and 14 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.8

Campbell County

Priority Index(1) : The priority index is 7.
Recent Trend(2) : The trend is stable because the trend is -2.1 with a 95% confidence interval from -4.8 to 0.6.
County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
Rate : The death rate is 13.4 with a 95% confidence interval from 8.9 to 19.7 and 6 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.7

Albemarle County

Priority Index(1) : The priority index is 9.
Recent Trend(2) : The trend is falling because the trend is -3.3 with a 95% confidence interval from -5.7 to -0.9.
County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
Rate : The death rate is 11.1 with a 95% confidence interval from 8.2 to 14.9 and 10 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.6

York County

Priority Index(1) : The priority index is 7.
Recent Trend(2) : The trend is stable because the trend is -3.2 with a 95% confidence interval from -7.2 to 0.9.
County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
Rate : The death rate is 9.9 with a 95% confidence interval from 6.3 to 15.1 and 5 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.5

Amelia County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 35.2 with a 95% confidence interval from 18.9 to 60.7 and 3 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.8

Brunswick County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 30.1 with a 95% confidence interval from 17.0 to 51.0 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.6

Carroll County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 20.7 with a 95% confidence interval from 14.0 to 30.8 and 6 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.1

Dickenson County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 30.2 with a 95% confidence interval from 16.9 to 51.8 and 3 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.6

Dinwiddie County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 28.4 with a 95% confidence interval from 18.5 to 42.3 and 6 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.5

Fredericksburg City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 29.0 with a 95% confidence interval from 17.5 to 45.1 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.5

Gloucester County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 21.0 with a 95% confidence interval from 14.0 to 30.8 and 6 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.1

Louisa County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 15.1 with a 95% confidence interval from 9.5 to 23.4 and 5 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.8

Lunenburg County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 34.1 with a 95% confidence interval from 19.4 to 58.5 and 3 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.8

New Kent County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 25.0 with a 95% confidence interval from 14.2 to 41.0 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.3

Page County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 19.3 with a 95% confidence interval from 11.2 to 31.9 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.0

Powhatan County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 18.7 with a 95% confidence interval from 11.5 to 29.5 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.0

Prince George County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 16.8 with a 95% confidence interval from 9.4 to 27.6 and 3 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 0.9

Staunton City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 23.3 with a 95% confidence interval from 14.5 to 35.9 and 5 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.2

Winchester City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
Rate : The death rate is 18.8 with a 95% confidence interval from 11.2 to 30.0 and 4 average annual deaths.
Rate Ratio(3) County to US : The rate ratio is 1.0

Alleghany County and Clifton Forge City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Appomattox County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Bath County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Bland County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Buckingham County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Buena Vista City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Caroline County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Charles City County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Charlotte County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Clarke County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Covington City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Craig County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Cumberland County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Emporia City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Essex County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Falls Church City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Floyd County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Fluvanna County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Franklin City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Galax City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Giles County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Grayson County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Greene County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Greensville County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Harrisonburg City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Highland County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

King George County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

King William County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

King and Queen County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Lancaster County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Lexington City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Madison County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Manassas Park City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Martinsville City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Mathews County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Middlesex County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Northampton County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Northumberland County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Norton City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Nottoway County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Patrick County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Poquoson City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Prince Edward County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Radford City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Rappahannock County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Richmond County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Smyth County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Southampton County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Surry County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Sussex County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Westmoreland County

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Williamsburg City

Priority Index(1) : The priority index cannot be determined.
Recent Trend(2) : **
County Death Rate Compared to US Rate : *
Rate : *
Rate Ratio(3) County to US : *

Notes:
Created by statecancerprofiles.cancer.gov on 03/17/2026 9:03 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. 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:
Alleghany County and Clifton Forge City, Appomattox County, Bath County, Bland County, Buckingham County, Buena Vista City, Caroline County, Charles City County, Charlotte County, Clarke County, Covington City, Craig County, Cumberland County, Emporia City, Essex County, Falls Church City, Floyd County, Fluvanna County, Franklin City, Galax City, Giles County, Grayson County, Greene County, Greensville County, Harrisonburg City, Highland County, King George County, King William County, King and Queen County, Lancaster County, Lexington City, Madison County, Manassas Park City, Martinsville City, Mathews County, Middlesex County, Northampton County, Northumberland County, Norton City, Nottoway County, Patrick County, Poquoson City, Prince Edward County, Radford City, Rappahannock County, Richmond County, Smyth County, Southampton County, Surry County, Sussex County, Westmoreland County, Williamsburg City

Trend for the following could not be reliably determined due to small number of deaths per year:
Amelia County, Brunswick County, Carroll County, Dickenson County, Dinwiddie County, Fredericksburg City, Gloucester County, Louisa County, Lunenburg County, New Kent County, Page County, Powhatan County, Prince George County, Staunton 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.

State Cancer Profiles