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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

Breast

All Races, Female

Sorted by rate

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 ascending 		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 - 42,257 19.2 (19.1, 19.3) - -1.5 (-1.7, -1.3)
Virginia - stable - 1,130 19.9 (19.4, 20.5) - -1.2 (-1.6, 0.3)
Fairfax City 4 stable higher 7 45.3 (31.2, 63.8) 2.4 1.1 (-2.3, 5.1)
Hopewell City 4 stable higher 5 36.7 (23.6, 54.6) 1.9 1.1 (-1.5, 4.0)
Petersburg City 4 stable higher 9 35.3 (25.1, 48.5) 1.8 -0.8 (-3.1, 1.4)
Colonial Heights City 2 rising similar 4 33.3 (20.0, 52.3) 1.7 4.1 (1.6, 7.4)
Wise County 4 stable higher 8 32.6 (23.0, 45.2) 1.7 0.2 (-2.8, 3.1)
Buchanan County 6 stable similar 5 30.8 (18.8, 48.8) 1.6 0.0 (-3.4, 3.1)
Nelson County 6 stable similar 4 30.1 (16.7, 51.5) 1.6 30.8 (-1.0, 64.0)
Danville City 4 stable higher 10 29.2 (20.9, 39.9) 1.5 -0.5 (-3.2, 1.8)
Russell County 6 stable similar 6 27.0 (17.6, 40.6) 1.4 0.3 (-2.6, 3.5)
Salem City 2 rising similar 5 26.5 (17.0, 40.2) 1.4 3.3 (0.7, 8.4)
Spotsylvania County 4 stable higher 23 26.5 (21.7, 32.1) 1.4 -0.2 (-2.2, 2.3)
Orange County 6 stable similar 8 25.8 (18.1, 36.0) 1.3 -1.1 (-4.0, 2.2)
Hampton City 5 falling higher 22 25.3 (20.6, 30.7) 1.3 -1.3 (-2.7, -0.1)
Wythe County 6 stable similar 6 25.1 (16.3, 37.7) 1.3 -0.9 (-3.7, 1.8)
Portsmouth City 8 falling similar 15 24.6 (19.2, 31.0) 1.3 -2.1 (-3.7, -0.7)
Manassas City 6 stable similar 5 24.4 (15.1, 37.1) 1.3 -2.6 (-6.4, 1.2)
Lynchburg City 6 stable similar 12 24.3 (18.3, 31.8) 1.3 0.1 (-2.8, 2.9)
Halifax County with South Boston City 6 stable similar 8 24.2 (16.4, 35.0) 1.3 -1.4 (-4.1, 1.3)
Tazewell County 6 stable similar 8 24.1 (16.6, 34.4) 1.3 0.0 (-2.7, 2.7)
Scott County 6 stable similar 4 24.0 (13.8, 39.8) 1.3 -2.7 (-6.9, 1.1)
Isle of Wight County 6 stable similar 7 23.9 (16.5, 34.0) 1.2 -1.1 (-4.3, 2.4)
Lee County 6 stable similar 4 23.8 (14.0, 39.0) 1.2 -0.8 (-4.8, 3.1)
Culpeper County 6 stable similar 8 23.7 (16.8, 32.8) 1.2 -1.9 (-4.5, 1.0)
Bristol City 6 stable similar 4 23.4 (14.4, 37.9) 1.2 -1.6 (-3.8, 0.4)
Roanoke City 6 stable similar 17 23.3 (18.3, 29.2) 1.2 -0.6 (-2.0, 0.8)
Richmond City 8 falling similar 29 22.8 (19.1, 27.0) 1.2 -2.3 (-3.3, -1.3)
Suffolk City 8 falling similar 13 22.7 (17.5, 29.1) 1.2 -2.3 (-3.5, -1.1)
Frederick County 6 stable similar 14 22.5 (17.4, 28.8) 1.2 -0.7 (-2.7, 1.7)
Norfolk City 8 falling similar 29 22.4 (18.8, 26.6) 1.2 -1.7 (-2.9, -0.5)
Fauquier County 8 falling similar 11 22.4 (16.7, 29.6) 1.2 -2.0 (-3.5, -0.3)
Waynesboro City 6 stable similar 4 22.2 (13.4, 35.4) 1.2 -2.2 (-5.9, 1.3)
Charlottesville City 6 stable similar 5 22.1 (14.3, 32.8) 1.2 0.0 (-2.6, 2.6)
Shenandoah County 6 stable similar 8 22.1 (15.3, 31.2) 1.2 0.0 (-2.5, 2.5)
Warren County 8 falling similar 6 22.1 (14.9, 31.8) 1.2 -2.9 (-5.3, -0.5)
Washington County 6 stable similar 10 22.0 (16.1, 29.9) 1.1 -1.6 (-4.5, 1.2)
Chesapeake City 8 falling similar 33 21.9 (18.6, 25.7) 1.1 -1.4 (-2.2, -0.5)
Accomack County 6 stable similar 6 21.8 (13.5, 33.6) 1.1 -0.5 (-3.0, 5.1)
Hanover County 6 stable similar 18 21.5 (17.1, 26.8) 1.1 -1.4 (-3.3, 0.6)
Stafford County 6 stable similar 17 21.3 (16.8, 26.6) 1.1 -1.9 (-4.2, 0.5)
Newport News City 6 stable similar 24 21.3 (17.5, 25.7) 1.1 -1.2 (-2.5, 0.1)
Mecklenburg County 6 stable similar 7 20.9 (14.2, 30.9) 1.1 -2.1 (-4.6, 0.3)
Henrico County 8 falling similar 50 20.7 (18.2, 23.6) 1.1 -2.0 (-2.8, -1.2)
Chesterfield County 6 stable similar 48 20.6 (18.0, 23.5) 1.1 0.2 (-2.1, 9.0)
Franklin County 6 stable similar 8 20.2 (14.0, 28.5) 1.1 -0.8 (-2.4, 0.9)
Montgomery County 6 stable similar 10 19.8 (14.5, 26.4) 1.0 -1.3 (-4.2, 1.7)
Bedford City and County 6 stable similar 12 19.5 (14.6, 25.8) 1.0 -1.4 (-2.9, 0.2)
Virginia Beach City 8 falling similar 55 19.2 (16.9, 21.6) 1.0 -1.5 (-2.4, -0.6)
Roanoke County 6 stable similar 16 19.1 (15.0, 24.2) 1.0 -0.5 (-2.5, 1.7)
Botetourt County 6 stable similar 5 19.0 (12.0, 29.4) 1.0 -1.5 (-4.5, 1.7)
Goochland County 6 stable similar 4 18.7 (11.1, 30.7) 1.0 -3.3 (-6.7, 0.1)
Prince William County 8 falling similar 43 18.0 (15.6, 20.6) 0.9 -2.3 (-3.3, -1.2)
Pittsylvania County 6 stable similar 9 17.8 (12.5, 25.0) 0.9 -2.2 (-4.9, 0.2)
Henry County 6 stable similar 8 17.8 (12.5, 25.1) 0.9 -1.7 (-4.4, 0.7)
Rockbridge County 6 stable similar 4 17.3 (10.4, 28.9) 0.9 -0.9 (-4.0, 2.8)
James City County 8 falling similar 13 17.1 (12.8, 22.6) 0.9 -2.1 (-4.4, -0.6)
Arlington County 8 falling similar 20 16.9 (13.7, 20.7) 0.9 -2.6 (-4.4, -1.0)
Fairfax County 9 falling lower 117 16.9 (15.5, 18.4) 0.9 -2.0 (-2.8, -1.2)
Loudoun County 8 falling similar 35 16.9 (14.4, 19.6) 0.9 -2.2 (-3.7, -0.5)
Rockingham County 6 stable similar 11 16.4 (12.3, 21.8) 0.9 -1.9 (-3.9, 0.2)
Pulaski County 8 falling similar 5 16.1 (10.4, 24.7) 0.8 -3.1 (-5.3, -0.9)
Amherst County 6 stable similar 5 16.1 (10.1, 25.1) 0.8 -2.5 (-5.8, 0.7)
Augusta County 6 stable similar 10 16.0 (11.8, 21.5) 0.8 -1.0 (-2.7, 0.8)
Alexandria City 8 falling similar 14 15.7 (12.2, 20.0) 0.8 -2.0 (-3.7, -0.3)
Campbell County 7 stable lower 6 13.4 (8.9, 19.7) 0.7 -2.1 (-4.8, 0.6)
Albemarle County 9 falling lower 10 11.1 (8.2, 14.9) 0.6 -3.3 (-5.7, -0.9)
York County 7 stable lower 5 9.9 (6.3, 15.1) 0.5 -3.2 (-7.2, 0.9)
Amelia County
**
 		** similar 3 35.2 (18.9, 60.7) 1.8
**
Brunswick County
**
 		** similar 4 30.1 (17.0, 51.0) 1.6
**
Carroll County
**
 		** similar 6 20.7 (14.0, 30.8) 1.1
**
Dickenson County
**
 		** similar 3 30.2 (16.9, 51.8) 1.6
**
Dinwiddie County
**
 		** similar 6 28.4 (18.5, 42.3) 1.5
**
Fredericksburg City
**
 		** similar 4 29.0 (17.5, 45.1) 1.5
**
Gloucester County
**
 		** similar 6 21.0 (14.0, 30.8) 1.1
**
Louisa County
**
 		** similar 5 15.1 (9.5, 23.4) 0.8
**
Lunenburg County
**
 		** similar 3 34.1 (19.4, 58.5) 1.8
**
New Kent County
**
 		** similar 4 25.0 (14.2, 41.0) 1.3
**
Page County
**
 		** similar 4 19.3 (11.2, 31.9) 1.0
**
Powhatan County
**
 		** similar 4 18.7 (11.5, 29.5) 1.0
**
Prince George County
**
 		** similar 3 16.8 (9.4, 27.6) 0.9
**
Staunton City
**
 		** similar 5 23.3 (14.5, 35.9) 1.2
**
Winchester City
**
 		** similar 4 18.8 (11.2, 30.0) 1.0
**
Alleghany County and Clifton Forge City
**
 		**
*
3 or fewer
*
*
**
Appomattox County
**
 		**
*
3 or fewer
*
*
**
Bath County
**
 		**
*
3 or fewer
*
*
**
Bland County
**
 		**
*
3 or fewer
*
*
**
Buckingham County
**
 		**
*
3 or fewer
*
*
**
Buena Vista City
**
 		**
*
3 or fewer
*
*
**
Caroline County
**
 		**
*
3 or fewer
*
*
**
Charles City County
**
 		**
*
3 or fewer
*
*
**
Charlotte County
**
 		**
*
3 or fewer
*
*
**
Clarke County
**
 		**
*
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
*
*
**
Fluvanna County
**
 		**
*
3 or fewer
*
*
**
Franklin City
**
 		**
*
3 or fewer
*
*
**
Galax City
**
 		**
*
3 or fewer
*
*
**
Giles County
**
 		**
*
3 or fewer
*
*
**
Grayson County
**
 		**
*
3 or fewer
*
*
**
Greene County
**
 		**
*
3 or fewer
*
*
**
Greensville County
**
 		**
*
3 or fewer
*
*
**
Harrisonburg City
**
 		**
*
3 or fewer
*
*
**
Highland County
**
 		**
*
3 or fewer
*
*
**
King George County
**
 		**
*
3 or fewer
*
*
**
King William County
**
 		**
*
3 or fewer
*
*
**
King and Queen County
**
 		**
*
3 or fewer
*
*
**
Lancaster County
**
 		**
*
3 or fewer
*
*
**
Lexington City
**
 		**
*
3 or fewer
*
*
**
Madison County
**
 		**
*
3 or fewer
*
*
**
Manassas Park City
**
 		**
*
3 or fewer
*
*
**
Martinsville City
**
 		**
*
3 or fewer
*
*
**
Mathews County
**
 		**
*
3 or fewer
*
*
**
Middlesex County
**
 		**
*
3 or fewer
*
*
**
Northampton County
**
 		**
*
3 or fewer
*
*
**
Northumberland County
**
 		**
*
3 or fewer
*
*
**
Norton City
**
 		**
*
3 or fewer
*
*
**
Nottoway County
**
 		**
*
3 or fewer
*
*
**
Patrick County
**
 		**
*
3 or fewer
*
*
**
Poquoson City
**
 		**
*
3 or fewer
*
*
**
Prince Edward County
**
 		**
*
3 or fewer
*
*
**
Radford City
**
 		**
*
3 or fewer
*
*
**
Rappahannock County
**
 		**
*
3 or fewer
*
*
**
Richmond County
**
 		**
*
3 or fewer
*
*
**
Smyth County
**
 		**
*
3 or fewer
*
*
**
Southampton County
**
 		**
*
3 or fewer
*
*
**
Surry County
**
 		**
*
3 or fewer
*
*
**
Sussex County
**
 		**
*
3 or fewer
*
*
**
Westmoreland County
**
 		**
*
3 or fewer
*
*
**
Williamsburg City
**
 		**
*
3 or fewer
*
*
**
Notes:
Created by statecancerprofiles.cancer.gov on 03/18/2026 5:49 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.

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