Interpretation of Rate/Trend Comparison by Cancer Data
Death Rate/Trend Comparison by Cancer, 2016-2020
Kentucky Counties versus United States
Prostate
All Races, Male
Sorted by priority index
Explanation of Column HeadersState/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 stable because the trend is -0.5 with a 95% confidence interval from -0.9 to 0.0.
- Rate : The death rate is 18.8 with a 95% confidence interval from 18.7 to 18.9 and 31,337 average annual deaths.
Kentucky
- Recent Trend(2) : The trend is falling because the trend is -3.2 with a 95% confidence interval from -3.5 to -2.9.
- Rate : The death rate is 18.3 with a 95% confidence interval from 17.5 to 19.1 and 399 average annual deaths.
Harlan 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 -2.3 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 27.7 with a 95% confidence interval from 16.6 to 43.7 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.5
Henderson 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 -3.6 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 23.4 with a 95% confidence interval from 15.5 to 34.0 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Whitley 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 -2.6 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 22.3 with a 95% confidence interval from 13.0 to 35.3 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Boone County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.6 with a 95% confidence interval from -3.1 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 24.4 with a 95% confidence interval from 18.5 to 31.4 and 12 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
Boyd County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.5 with a 95% confidence interval from -3.9 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 21.0 with a 95% confidence interval from 13.9 to 30.6 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Campbell County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -3.0 with a 95% confidence interval from -4.4 to -1.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 14.7 with a 95% confidence interval from 10.2 to 20.6 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Christian County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -3.8 with a 95% confidence interval from -5.2 to -2.3.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 14.4 with a 95% confidence interval from 8.6 to 22.3 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Daviess County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -4.5 with a 95% confidence interval from -5.8 to -3.2.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 14.2 with a 95% confidence interval from 9.8 to 19.7 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Fayette County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -3.3 with a 95% confidence interval from -4.2 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 19.2 with a 95% confidence interval from 15.8 to 23.0 and 24 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Franklin County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -3.9 with a 95% confidence interval from -5.7 to -2.1.
- 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 10.7 to 26.5 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Greenup 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 -4.0 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 23.7 with a 95% confidence interval from 15.4 to 35.3 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
Hardin County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -3.2 with a 95% confidence interval from -4.5 to -1.9.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 19.9 with a 95% confidence interval from 14.4 to 26.6 and 9 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.1
Hopkins County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -1.9 with a 95% confidence interval from -3.4 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 19.0 with a 95% confidence interval from 12.1 to 28.4 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Jefferson County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -3.3 with a 95% confidence interval from -3.8 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 19.4 with a 95% confidence interval from 17.4 to 21.5 and 72 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
Jessamine 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 -4.7 to -1.4.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 14.2 with a 95% confidence interval from 8.6 to 22.2 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Kenton 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 -3.8 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 22.5 with a 95% confidence interval from 17.7 to 28.2 and 16 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
Laurel County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -3.0 with a 95% confidence interval from -4.8 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 16.2 with a 95% confidence interval from 10.4 to 24.0 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
Madison County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -3.6 with a 95% confidence interval from -5.0 to -2.1.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 13.8 with a 95% confidence interval from 8.9 to 20.4 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
McCracken County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.4 with a 95% confidence interval from -4.0 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 13.9 with a 95% confidence interval from 9.1 to 20.5 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.7
Pulaski 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 -4.1 to -1.6.
- County Death Rate Compared to US Rate : This death rate is similar compared to the US rate
- Rate : The death rate is 14.9 with a 95% confidence interval from 9.6 to 22.2 and 5 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
Warren County
- Priority Index(1) : The priority index is 8.
- Recent Trend(2) : The trend is falling because the trend is -2.7 with a 95% confidence interval from -4.1 to -1.4.
- 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 12.5 to 23.3 and 9 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 38.4 with a 95% confidence interval from 21.5 to 62.5 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 2.0
- 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 28.5 with a 95% confidence interval from 19.3 to 40.6 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.5
- 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 18.1 with a 95% confidence interval from 10.3 to 29.8 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
- 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 16.4 with a 95% confidence interval from 11.1 to 23.2 and 7 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
- 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 19.1 with a 95% confidence interval from 11.6 to 30.0 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.0
- 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 18.8 to 56.3 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.8
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is higher compared to the US rate
- Rate : The death rate is 41.1 with a 95% confidence interval from 24.3 to 64.9 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 2.2
- 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 22.4 with a 95% confidence interval from 13.1 to 35.9 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
- 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 31.9 with a 95% confidence interval from 18.3 to 51.5 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.7
- 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 16.1 with a 95% confidence interval from 9.4 to 26.3 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
- 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 22.0 with a 95% confidence interval from 13.2 to 34.2 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.2
- Priority Index(1) : The priority index cannot be determined.
- Recent Trend(2) : **
- County Death Rate Compared to US Rate : This death rate is lower compared to the US rate
- Rate : The death rate is 11.4 with a 95% confidence interval from 6.4 to 18.7 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.6
- 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 17.5 with a 95% confidence interval from 11.4 to 25.7 and 6 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.9
- 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 15.2 with a 95% confidence interval from 8.6 to 24.9 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 0.8
- 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 24.6 with a 95% confidence interval from 14.3 to 39.9 and 4 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
- 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 25.3 with a 95% confidence interval from 14.4 to 41.4 and 3 average annual deaths.
- Rate Ratio(3) County to US : The rate ratio is 1.3
- Priority Index(1) : The priority index cannot be determined.
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- Rate Ratio(3) County to US : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 : *
- 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 04/19/2024 10:15 am.
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:
Adair County, Allen County, Ballard County, Bath County, Bell County, Bourbon County, Bracken County, Breathitt County, Breckinridge County, Butler County, Caldwell County, Carlisle County, Carroll County, Carter County, Casey County, Clark County, Clinton County, Crittenden County, Cumberland County, Edmonson County, Elliott County, Estill County, Fleming County, Floyd County, Fulton County, Gallatin County, Garrard County, Grant County, Graves County, Grayson County, Green County, Hancock County, Harrison County, Henry County, Hickman County, Jackson County, Johnson County, Knott County, Larue County, Lawrence County, Lee County, Leslie County, Lewis County, Lincoln County, Livingston County, Logan County, Lyon County, Magoffin County, Marion County, Martin County, Mason County, McCreary County, McLean County, Meade County, Menifee County, Mercer County, Metcalfe County, Monroe County, Montgomery County, Morgan County, Muhlenberg County, Nicholas County, Ohio County, Owen County, Owsley County, Pendleton County, Perry County, Powell County, Robertson County, Rockcastle County, Rowan County, Russell County, Scott County, Simpson County, Spencer County, Todd County, Trigg County, Trimble County, Union County, Washington County, Wayne County, Webster County, Wolfe County
Trend for the following could not be reliably determined due to small number of deaths per year:
Anderson County, Barren County, Boyle County, Bullitt County, Calloway County, Clay County, Hart County, Knox County, Letcher County, Marshall County, Nelson County, Oldham County, Pike County, Shelby County, Taylor County, Woodford 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 does not include Puerto Rico.