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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

Leukemia

All Races, Both Sexes

Sorted by name

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 - 23,489 5.8 (5.8, 5.9) - -1.8 (-2.0, -1.7)
Virginia - falling - 607 6.0 (5.8, 6.2) - -1.1 (-1.4, -0.8)
York County 6 stable similar 5 5.1 (3.2, 7.8) 0.9 -2.1 (-5.7, 1.8)
Wythe County 6 stable similar 4 8.1 (4.7, 13.3) 1.4 -1.6 (-4.1, 0.8)
Wise County 6 stable similar 4 7.4 (4.3, 12.1) 1.3 -2.8 (-6.6, 0.5)
Winchester City
**
 		**
*
3 or fewer
*
*
**
Williamsburg City
**
 		**
*
3 or fewer
*
*
**
Westmoreland County
**
 		**
*
3 or fewer
*
*
**
Waynesboro City
**
 		**
*
3 or fewer
*
*
**
Washington County 6 stable similar 5 5.3 (3.4, 8.2) 0.9 -1.1 (-3.6, 1.6)
Warren County
**
 		** similar 3 7.1 (4.0, 11.7) 1.2
**
Virginia Beach City 6 stable similar 33 6.4 (5.5, 7.5) 1.1 -0.2 (-1.5, 1.3)
Tazewell County 6 stable similar 4 5.7 (3.3, 9.4) 1.0 -0.5 (-3.2, 2.2)
Sussex County
**
 		**
*
3 or fewer
*
*
**
Surry County
**
 		**
*
3 or fewer
*
*
**
Suffolk City 6 stable similar 7 6.4 (4.4, 9.0) 1.1 0.0 (-2.1, 2.7)
Staunton City
**
 		**
*
3 or fewer
*
*
**
Stafford County 2 rising similar 9 6.8 (4.9, 9.3) 1.2 11.0 (0.6, 38.6)
Spotsylvania County 6 stable similar 8 5.2 (3.7, 7.2) 0.9 -1.3 (-3.2, 0.9)
Southampton County
**
 		**
*
3 or fewer
*
*
**
Smyth County
**
 		**
*
3 or fewer
*
*
**
Shenandoah County 6 stable similar 6 9.3 (6.2, 13.7) 1.6 0.7 (-3.2, 5.1)
Scott County
**
 		**
*
3 or fewer
*
*
**
Salem City
**
 		**
*
3 or fewer
*
*
**
Russell County
**
 		**
*
3 or fewer
*
*
**
Rockingham County 6 stable similar 8 6.4 (4.5, 8.9) 1.1 -1.6 (-4.6, 1.4)
Rockbridge County
**
 		**
*
3 or fewer
*
*
**
Roanoke County 6 stable similar 10 6.8 (5.1, 9.1) 1.2 -0.4 (-2.8, 2.4)
Roanoke City 6 stable similar 7 5.6 (3.8, 7.8) 1.0 -1.5 (-3.9, 0.5)
Richmond County
**
 		**
*
3 or fewer
*
*
**
Richmond City 6 stable similar 14 6.2 (4.8, 7.9) 1.1 -0.4 (-2.7, 2.0)
Rappahannock County
**
 		**
*
3 or fewer
*
*
**
Radford City
**
 		**
*
3 or fewer
*
*
**
Pulaski County
**
 		** similar 3 6.1 (3.5, 10.3) 1.0
**
Prince William County 7 stable lower 18 4.5 (3.6, 5.6) 0.8 -0.1 (-3.1, 6.1)
Prince George County
**
 		**
*
3 or fewer
*
*
**
Prince Edward County
**
 		**
*
3 or fewer
*
*
**
Powhatan County
**
 		**
*
3 or fewer
*
*
**
Portsmouth City 6 stable similar 7 6.3 (4.3, 8.9) 1.1 -1.1 (-3.0, 0.8)
Poquoson City
**
 		**
*
3 or fewer
*
*
**
Pittsylvania County 6 stable similar 5 5.2 (3.3, 8.0) 0.9 -1.5 (-3.3, 0.4)
Petersburg City
**
 		** similar 3 8.3 (4.7, 13.9) 1.4
**
Patrick County
**
 		** similar 3 12.5 (6.6, 21.9) 2.1
**
Page County
**
 		**
*
3 or fewer
*
*
**
Orange County 6 stable similar 4 8.5 (5.2, 13.2) 1.4 0.9 (-1.9, 4.2)
Nottoway County
**
 		**
*
3 or fewer
*
*
**
Norton City
**
 		**
*
3 or fewer
*
*
**
Northumberland County
**
 		**
*
3 or fewer
*
*
**
Northampton County
**
 		**
*
3 or fewer
*
*
**
Norfolk City 6 stable similar 16 7.3 (5.7, 9.2) 1.3 -0.6 (-2.5, 1.4)
Newport News City 6 stable similar 13 7.1 (5.4, 9.1) 1.2 -0.1 (-2.1, 2.0)
New Kent County
**
 		**
*
3 or fewer
*
*
**
Nelson County
**
 		** higher 4 13.4 (7.3, 23.6) 2.3
**
Montgomery County 6 stable similar 6 6.5 (4.4, 9.3) 1.1 -0.1 (-3.0, 3.3)
Middlesex County
**
 		**
*
3 or fewer
*
*
**
Mecklenburg County
**
 		**
*
3 or fewer
*
*
**
Mathews County
**
 		**
*
3 or fewer
*
*
**
Martinsville City
**
 		**
*
3 or fewer
*
*
**
Manassas Park City
**
 		**
*
3 or fewer
*
*
**
Manassas City
**
 		**
*
3 or fewer
*
*
**
Madison County
**
 		**
*
3 or fewer
*
*
**
Lynchburg City 6 stable similar 6 6.6 (4.4, 9.7) 1.1 0.0 (-2.7, 2.8)
Lunenburg County
**
 		**
*
3 or fewer
*
*
**
Louisa County
**
 		** similar 3 6.3 (3.5, 10.6) 1.1
**
Loudoun County 6 stable similar 18 5.0 (4.0, 6.2) 0.9 -1.1 (-2.5, 1.0)
Lexington City
**
 		**
*
3 or fewer
*
*
**
Lee County
**
 		**
*
3 or fewer
*
*
**
Lancaster County
**
 		**
*
3 or fewer
*
*
**
King and Queen County
**
 		**
*
3 or fewer
*
*
**
King William County
**
 		**
*
3 or fewer
*
*
**
King George County
**
 		**
*
3 or fewer
*
*
**
James City County 6 stable similar 7 4.7 (3.3, 6.7) 0.8 -0.4 (-3.4, 3.5)
Isle of Wight County 6 stable similar 3 6.4 (3.6, 10.8) 1.1 -3.2 (-7.4, 1.0)
Hopewell City
**
 		**
*
3 or fewer
*
*
**
Highland County
**
 		**
*
3 or fewer
*
*
**
Henry County 6 stable similar 6 7.1 (4.7, 10.6) 1.2 -2.0 (-4.6, 0.4)
Henrico County 9 falling lower 20 4.7 (3.8, 5.8) 0.8 -2.1 (-3.5, -0.7)
Harrisonburg City 4 stable higher 5 11.3 (7.1, 17.0) 1.9 1.7 (-1.6, 5.9)
Hanover County 6 stable similar 10 6.9 (5.1, 9.1) 1.2 -1.0 (-3.2, 1.4)
Hampton City 6 stable similar 11 6.9 (5.2, 9.1) 1.2 -1.0 (-2.9, 0.8)
Halifax County with South Boston City
**
 		** similar 4 5.9 (3.5, 9.9) 1.0
**
Greensville County
**
 		**
*
3 or fewer
*
*
**
Greene County
**
 		**
*
3 or fewer
*
*
**
Grayson County
**
 		**
*
3 or fewer
*
*
**
Goochland County
**
 		**
*
3 or fewer
*
*
**
Gloucester County
**
 		**
*
3 or fewer
*
*
**
Giles County
**
 		**
*
3 or fewer
*
*
**
Galax City
**
 		**
*
3 or fewer
*
*
**
Fredericksburg City
**
 		**
*
3 or fewer
*
*
**
Frederick County 6 stable similar 7 6.7 (4.6, 9.3) 1.1 -1.9 (-4.4, 0.8)
Franklin County 6 stable similar 4 4.8 (2.9, 7.9) 0.8 -2.4 (-7.9, 3.2)
Franklin City
**
 		**
*
3 or fewer
*
*
**
Fluvanna County
**
 		**
*
3 or fewer
*
*
**
Floyd County
**
 		**
*
3 or fewer
*
*
**
Fauquier County 6 stable similar 6 6.6 (4.4, 9.6) 1.1 -1.0 (-3.1, 1.4)
Falls Church City
**
 		**
*
3 or fewer
*
*
**
Fairfax County 9 falling lower 59 4.8 (4.3, 5.4) 0.8 -2.2 (-3.1, -1.3)
Fairfax City
**
 		**
*
3 or fewer
*
*
**
Essex County
**
 		**
*
3 or fewer
*
*
**
Emporia City
**
 		**
*
3 or fewer
*
*
**
Dinwiddie County
**
 		**
*
3 or fewer
*
*
**
Dickenson County
**
 		**
*
3 or fewer
*
*
**
Danville City 4 stable higher 6 9.3 (6.3, 13.5) 1.6 0.6 (-2.6, 4.1)
Cumberland County
**
 		**
*
3 or fewer
*
*
**
Culpeper County 4 stable higher 6 9.4 (6.2, 13.7) 1.6 -1.0 (-2.9, 1.3)
Craig County
**
 		**
*
3 or fewer
*
*
**
Covington City
**
 		**
*
3 or fewer
*
*
**
Colonial Heights City
**
 		**
*
3 or fewer
*
*
**
Clarke County
**
 		**
*
3 or fewer
*
*
**
Chesterfield County 8 falling similar 23 5.8 (4.8, 7.0) 1.0 -4.3 (-8.2, -1.1)
Chesapeake City 6 stable similar 17 6.7 (5.3, 8.3) 1.1 -0.2 (-2.4, 2.4)
Charlottesville City
**
 		**
*
3 or fewer
*
*
**
Charlotte County
**
 		**
*
3 or fewer
*
*
**
Charles City County
**
 		**
*
3 or fewer
*
*
**
Carroll County
**
 		**
*
3 or fewer
*
*
**
Caroline County
**
 		**
*
3 or fewer
*
*
**
Campbell County
**
 		** similar 4 5.1 (2.9, 8.2) 0.9
**
Buena Vista City
**
 		**
*
3 or fewer
*
*
**
Buckingham County
**
 		**
*
3 or fewer
*
*
**
Buchanan County
**
 		**
*
3 or fewer
*
*
**
Brunswick County
**
 		**
*
3 or fewer
*
*
**
Bristol City
**
 		**
*
3 or fewer
*
*
**
Botetourt County 6 stable similar 5 8.9 (5.8, 13.6) 1.5 2.1 (-1.0, 6.5)
Bland County
**
 		**
*
3 or fewer
*
*
**
Bedford City and County 4 stable higher 10 8.4 (6.1, 11.4) 1.4 0.3 (-2.1, 3.1)
Bath County
**
 		**
*
3 or fewer
*
*
**
Augusta County
**
 		** similar 8 6.7 (4.6, 9.4) 1.1
**
Arlington County 9 falling lower 9 4.5 (3.2, 6.0) 0.8 -3.1 (-6.1, -0.5)
Appomattox County
**
 		**
*
3 or fewer
*
*
**
Amherst County
**
 		** similar 4 7.3 (4.4, 11.9) 1.2
**
Amelia County
**
 		**
*
3 or fewer
*
*
**
Alleghany County and Clifton Forge City
**
 		**
*
3 or fewer
*
*
**
Alexandria City 6 stable similar 9 5.6 (4.1, 7.6) 1.0 -2.3 (-5.0, 0.3)
Albemarle County 6 stable similar 9 5.5 (3.9, 7.5) 0.9 -1.5 (-3.2, 0.4)
Accomack County 6 stable similar 5 10.0 (6.1, 15.8) 1.7 -0.2 (-3.7, 3.5)
Notes:
Created by statecancerprofiles.cancer.gov on 03/17/2026 12:00 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:
Alleghany County and Clifton Forge City, Amelia County, Appomattox County, Bath County, Bland County, Bristol City, Brunswick County, Buchanan County, Buckingham County, Buena Vista City, Caroline County, Carroll County, Charles City County, Charlotte County, Charlottesville City, Clarke County, Colonial Heights City, Covington City, Craig County, Cumberland County, Dickenson County, Dinwiddie County, Emporia City, Essex County, Fairfax City, Falls Church City, Floyd County, Fluvanna County, Franklin City, Fredericksburg City, Galax City, Giles County, Gloucester County, Goochland County, Grayson County, Greene County, Greensville County, Highland County, Hopewell City, King George County, King William County, King and Queen County, Lancaster County, Lee County, Lexington City, Lunenburg County, Madison County, Manassas City, Manassas Park City, Martinsville City, Mathews County, Mecklenburg County, Middlesex County, New Kent County, Northampton County, Northumberland County, Norton City, Nottoway County, Page County, Poquoson City, Powhatan County, Prince Edward County, Prince George County, Radford City, Rappahannock County, Richmond County, Rockbridge County, Russell County, Salem City, Scott County, Smyth County, Southampton County, Staunton City, Surry County, Sussex County, Waynesboro City, Westmoreland County, Williamsburg City, Winchester City

Trend for the following could not be reliably determined due to small number of deaths per year:
Amherst County, Augusta County, Campbell County, Halifax County with South Boston City, Louisa County, Nelson County, Patrick County, Petersburg City, Pulaski County, Warren 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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