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Incidence Rates Table

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Incidence Rate Report for Virginia by County

All Cancer Sites (All Stages^), 2017-2021

All Races (includes Hispanic), Both Sexes, All Ages

Sorted by Rate
County	2023 Rural-Urban Continuum Codes Φ	Age-Adjusted Incidence Rate † cases per 100,000 (95% Confidence Interval)	CI*Rank ⋔ (95% Confidence Interval)	Average Annual Count	Recent Trend	Recent 5-Year Trend ‡ in Incidence Rates (95% Confidence Interval)
Virginia ⁶	N/A	411.2 (409.4, 413.0)	N/A	42,411	stable	-0.5 (-0.8, 0.4)
US (SEER+NPCR) ¹	N/A	444.4 (444.1, 444.7)	N/A	1,744,459	falling	-0.5 (-0.7, -0.3)
Scott County ⁶	Urban	262.9 (237.7, 290.4)	N/A	91	falling	-5.6 (-23.7, -3.5)
Bristol City ⁶	Urban	274.7 (244.1, 308.3)	N/A	65	falling	-4.4 (-7.7, -1.7)
Buchanan County ⁶	Rural	305.5 (277.7, 335.8)	N/A	99	falling	-2.1 (-4.1, -0.2)
Washington County ⁶	Urban	311.0 (293.4, 329.5)	N/A	264	falling	-3.1 (-4.3, -2.1)
Lee County ⁶	Rural	311.7 (284.5, 341.2)	N/A	105	falling	-3.1 (-5.4, -1.1)
Arlington County ⁶	Urban	318.7 (307.9, 329.7)	N/A	699	falling	-1.8 (-2.5, -1.0)
Russell County ⁶	Rural	329.9 (303.5, 358.2)	N/A	130	falling	-2.0 (-3.3, -0.7)
Fairfax County ⁶	Urban	337.1 (332.5, 341.7)	N/A	4,294	falling	-1.3 (-1.7, -0.9)
Alexandria City ⁶	Urban	337.7 (324.6, 351.1)	N/A	537	falling	-1.4 (-2.3, -0.6)
Tazewell County ⁶	Rural	344.2 (322.5, 367.2)	N/A	209	falling	-2.8 (-9.6, -1.7)
Manassas Park City ⁶	Urban	349.5 (305.6, 397.7)	N/A	51	stable	-1.9 (-4.0, 0.7)
Clarke County ⁶	Urban	350.0 (315.0, 388.4)	N/A	82	falling	-1.7 (-2.8, -0.6)
Prince William County ⁶	Urban	350.2 (342.1, 358.4)	N/A	1,550	falling	-1.4 (-2.0, -0.8)
Wise County ⁶	Rural	356.2 (332.1, 381.7)	N/A	175	falling	-2.8 (-4.5, -1.3)
Manassas City ⁶	Urban	356.3 (328.8, 385.5)	N/A	137	falling	-2.3 (-3.5, -0.9)
Falls Church City ⁶	Urban	363.7 (322.6, 408.7)	N/A	60	stable	-1.2 (-3.0, 0.6)
Dickenson County ⁶	Rural	367.3 (331.0, 407.1)	N/A	83	falling	-2.1 (-3.7, -0.5)
Loudoun County ⁶	Urban	368.6 (359.8, 377.6)	N/A	1,403	falling	-1.2 (-1.7, -0.6)
Smyth County ⁶	Rural	373.4 (347.7, 400.8)	N/A	172	stable	-1.0 (-6.4, 0.3)
Pittsylvania County ⁶	Rural	373.4 (355.2, 392.5)	N/A	358	falling	-1.4 (-2.2, -0.6)
Fauquier County ⁶	Urban	375.0 (357.1, 393.6)	N/A	353	falling	-1.3 (-2.0, -0.5)
Appomattox County ⁶	Urban	377.2 (341.4, 416.1)	N/A	88	stable	-1.1 (-2.4, 0.2)
Harrisonburg City ⁶	Urban	378.1 (351.2, 406.6)	N/A	153	falling	-1.7 (-8.1, -0.7)
Montgomery County ⁶	Urban	383.0 (365.3, 401.3)	N/A	369	stable	-0.9 (-1.7, 0.0)
Accomack County ⁶	Rural	383.2 (358.3, 409.6)	N/A	206	stable	-1.1 (-2.4, 0.2)
Charlottesville City ⁶	Urban	387.8 (361.4, 415.6)	N/A	172	falling	-1.2 (-2.2, -0.1)
Albemarle County ⁶	Urban	389.2 (374.5, 404.3)	N/A	575	falling	-1.4 (-2.1, -0.7)
Norton City ⁶	Rural	391.8 (315.8, 481.9)	N/A	19	falling	-3.0 (-5.0, -1.1)
Fairfax City ⁶	Urban	395.6 (362.3, 431.3)	N/A	108	stable	0.0 (-1.1, 1.2)
Frederick County ⁶	Urban	396.2 (379.9, 413.1)	N/A	466	falling	-1.5 (-2.2, -1.0)
Madison County ⁶	Rural	402.3 (362.6, 445.7)	N/A	85	falling	-1.6 (-4.9, -0.6)
Rockingham County ⁶	Urban	402.8 (385.8, 420.5)	N/A	455	stable	-5.8 (-14.0, 0.6)
Patrick County ⁶	Rural	403.3 (369.6, 439.9)	N/A	124	stable	0.0 (-1.8, 1.8)
Northumberland County ⁶	Rural	404.4 (365.7, 447.4)	N/A	110	stable	-0.6 (-2.1, 0.9)
Warren County ⁶	Urban	406.7 (381.7, 433.1)	N/A	213	stable	-0.3 (-1.3, 0.7)
Henry County ⁶	Rural	407.8 (387.1, 429.6)	N/A	333	stable	-0.7 (-2.1, 0.6)
Highland County ⁶	Rural	408.8 (306.9, 540.1)	N/A	18	stable	0.9 (-1.4, 3.1)
Hampton City ⁶	Urban	408.8 (394.6, 423.4)	N/A	669	falling	-1.2 (-1.7, -0.6)
York County ⁶	Urban	410.5 (391.2, 430.5)	N/A	355	falling	-0.9 (-1.6, -0.1)
Pulaski County ⁶	Urban	410.9 (385.5, 437.8)	N/A	217	stable	-0.4 (-1.0, 0.2)
Carroll County ⁶	Rural	412.0 (384.6, 441.1)	N/A	196	stable	0.2 (-1.8, 2.1)
Nelson County ⁶	Urban	412.7 (375.6, 453.2)	N/A	110	falling	-6.2 (-14.1, -2.0)
James City County ⁶	Urban	413.7 (397.0, 431.2)	N/A	530	stable	-1.7 (-5.4, 1.0)
Shenandoah County ⁶	Rural	414.9 (392.0, 438.9)	N/A	271	stable	0.2 (-0.7, 1.2)
Halifax County with South Boston City ⁶	Rural	417.1 (391.4, 444.2)	N/A	229	falling	-6.9 (-11.8, -3.9)
Greene County ⁶	Urban	419.0 (383.8, 456.8)	N/A	112	stable	-0.9 (-1.8, 0.0)
Newport News City ⁶	Urban	420.9 (407.8, 434.3)	N/A	821	falling	-0.9 (-1.4, -0.3)
Stafford County ⁶	Urban	422.4 (407.3, 438.0)	N/A	631	falling	-1.2 (-1.8, -0.4)
Cumberland County ⁶	Rural	425.5 (377.6, 478.5)	N/A	64	stable	-0.4 (-1.7, 1.0)
Bedford City and County ⁶	Urban	425.5 (408.2, 443.4)	N/A	517	falling	-1.0 (-3.4, -0.3)
Campbell County ⁶	Urban	425.7 (404.9, 447.3)	N/A	342	stable	-0.8 (-1.8, 0.2)
Winchester City ⁶	Urban	427.3 (395.9, 460.6)	N/A	144	stable	-0.5 (-1.3, 0.2)
Page County ⁶	Rural	428.9 (397.9, 462.0)	N/A	156	stable	0.1 (-0.9, 1.1)
Rockbridge County ⁶	Rural	429.9 (398.4, 463.6)	N/A	165	stable	-0.4 (-1.7, 0.9)
Radford City ⁶	Urban	431.9 (379.1, 490.0)	N/A	52	stable	-1.3 (-3.0, 0.3)
Hanover County ⁶	Urban	432.9 (417.5, 448.7)	N/A	639	falling	-0.8 (-1.5, -0.1)
Poquoson City ⁶	Urban	433.6 (389.3, 482.0)	N/A	74	stable	-0.8 (-2.0, 0.3)
Lynchburg City ⁶	Urban	436.5 (415.6, 458.3)	N/A	352	stable	-0.2 (-0.9, 0.5)
Powhatan County ⁶	Urban	437.6 (408.4, 468.5)	N/A	185	stable	2.6 (-0.9, 7.4)
Grayson County ⁶	Rural	437.9 (399.7, 479.3)	N/A	111	stable	-0.1 (-1.5, 1.2)
Bland County ⁶	Rural	438.0 (380.5, 503.3)	N/A	45	stable	0.1 (-3.0, 3.4)
Surry County ⁶	Urban	439.4 (382.1, 504.5)	N/A	50	falling	-5.3 (-12.1, -0.1)
Roanoke County ⁶	Urban	440.5 (424.3, 457.1)	N/A	615	stable	-0.2 (-4.8, 1.2)
Buckingham County ⁶	Rural	441.9 (403.8, 483.1)	N/A	106	stable	-0.3 (-1.6, 1.1)
Richmond County ⁶	Rural	442.1 (390.9, 499.0)	N/A	58	stable	0.7 (-0.9, 2.5)
Chesterfield County ⁶	Urban	443.2 (434.0, 452.6)	N/A	1,879	falling	-0.8 (-1.3, -0.3)
Alleghany County and Clifton Forge City ⁶	Rural	444.0 (404.9, 486.3)	N/A	112	stable	-0.3 (-1.7, 1.0)
Westmoreland County ⁶	Rural	446.0 (410.0, 484.7)	N/A	137	stable	-0.4 (-1.3, 0.4)
Floyd County ⁶	Urban	446.1 (406.3, 489.3)	N/A	105	stable	0.3 (-0.6, 1.3)
Amherst County ⁶	Urban	446.5 (418.5, 476.0)	N/A	209	stable	-0.6 (-1.5, 0.2)
Virginia Beach City ⁶	Urban	446.8 (438.6, 455.2)	N/A	2,316	falling	-2.6 (-5.2, -0.2)
Fluvanna County ⁶	Urban	447.8 (417.0, 480.5)	N/A	171	falling	-1.0 (-1.9, -0.1)
Louisa County ⁶	Rural	447.8 (421.3, 475.6)	N/A	242	stable	-1.2 (-8.8, 0.8)
Richmond City ⁶	Urban	448.0 (435.6, 460.7)	N/A	1,083	falling	-1.2 (-2.3, -0.9)
Chesapeake City ⁶	Urban	448.3 (436.8, 460.0)	N/A	1,225	stable	-0.2 (-0.7, 0.4)
Middlesex County ⁶	Rural	448.3 (402.7, 498.9)	N/A	95	falling	-1.3 (-4.2, -0.2)
Portsmouth City ⁶	Urban	449.3 (431.3, 467.9)	N/A	499	stable	-0.3 (-0.9, 0.3)
King William County ⁶	Urban	450.7 (410.6, 493.8)	N/A	99	stable	-0.7 (-1.8, 0.5)
Franklin County ⁶	Urban	451.3 (429.7, 473.7)	N/A	388	stable	0.2 (-0.7, 1.0)
Botetourt County ⁶	Urban	451.4 (424.7, 479.6)	N/A	241	stable	0.4 (-0.7, 1.6)
Augusta County ⁶	Urban	452.7 (434.7, 471.3)	N/A	520	falling	-4.5 (-7.8, -0.9)
Gloucester County ⁶	Urban	453.1 (427.3, 480.2)	N/A	255	falling	-2.8 (-6.9, -0.8)
Isle of Wight County ⁶	Urban	453.7 (427.4, 481.3)	N/A	244	stable	-0.5 (-1.5, 0.6)
Henrico County ⁶	Urban	454.2 (444.7, 463.8)	N/A	1,826	stable	0.9 (-0.2, 2.8)
Charlotte County ⁶	Rural	454.6 (408.9, 504.6)	N/A	82	stable	0.6 (-0.8, 2.0)
Norfolk City ⁶	Urban	455.0 (442.4, 467.9)	N/A	1,060	stable	-0.3 (-2.0, 0.1)
Spotsylvania County ⁶	Urban	460.0 (444.8, 475.7)	N/A	724	falling	-0.8 (-1.3, -0.2)
Culpeper County ⁶	Urban	460.3 (436.5, 485.2)	N/A	292	stable	-0.7 (-1.6, 0.3)
Craig County ⁶	Urban	461.6 (391.5, 542.3)	N/A	36	stable	1.3 (-0.6, 3.5)
Southampton County ⁶	Rural	463.5 (427.0, 502.6)	N/A	131	stable	0.8 (-0.3, 1.8)
King and Queen County ⁶	Urban	464.1 (403.5, 532.5)	N/A	49	stable	0.7 (-1.0, 2.5)
Suffolk City ⁶	Urban	464.4 (446.1, 483.4)	N/A	507	stable	0.3 (-0.3, 0.9)
Caroline County ⁶	Rural	465.8 (435.1, 498.3)	N/A	181	stable	-0.5 (-1.7, 0.7)
Wythe County ⁶	Rural	468.0 (438.0, 499.7)	N/A	198	rising	1.0 (0.1, 1.9)
Roanoke City ⁶	Urban	468.8 (451.4, 486.7)	N/A	589	stable	-0.5 (-3.0, 0.1)
King George County ⁶	Rural	471.5 (436.0, 509.2)	N/A	137	stable	-0.3 (-1.7, 1.1)
Rappahannock County ⁶	Urban	471.8 (414.1, 536.6)	N/A	59	rising	6.8 (0.5, 15.4)
Salem City ⁶	Urban	473.1 (439.6, 508.7)	N/A	161	stable	0.5 (-0.8, 1.8)
Prince Edward County ⁶	Rural	474.5 (434.5, 517.5)	N/A	115	stable	-0.1 (-1.3, 1.1)
Franklin City ⁶	Rural	477.9 (420.9, 541.1)	N/A	55	stable	0.2 (-1.1, 1.6)
Prince George County ⁶	Urban	479.1 (449.7, 510.0)	N/A	206	stable	-1.0 (-2.0, 0.0)
Orange County ⁶	Rural	481.7 (454.2, 510.7)	N/A	248	stable	1.8 (-4.2, 7.9)
Lunenburg County ⁶	Rural	483.6 (437.3, 534.1)	N/A	89	stable	0.3 (-1.0, 1.6)
Charles City County ⁶	Urban	484.5 (426.0, 550.6)	N/A	58	stable	0.6 (-1.3, 2.7)
Emporia City ⁶	Rural	485.1 (414.5, 564.8)	N/A	37	stable	-0.9 (-2.6, 0.9)
Mecklenburg County ⁶	Rural	486.8 (457.6, 517.7)	N/A	248	stable	0.4 (-0.6, 1.5)
Staunton City ⁶	Urban	487.8 (455.0, 522.7)	N/A	178	stable	-4.1 (-11.3, 1.3)
Danville City ⁶	Rural	488.6 (462.5, 515.9)	N/A	296	stable	-0.1 (-1.2, 1.0)
Dinwiddie County ⁶	Urban	489.4 (457.5, 523.2)	N/A	189	stable	3.7 (-3.1, 9.2)
Greensville County ⁶	Rural	489.7 (438.0, 546.4)	N/A	69	stable	0.0 (-1.7, 1.8)
Colonial Heights City ⁶	Urban	496.3 (456.0, 539.5)	N/A	121	stable	0.7 (-0.5, 1.9)
Giles County ⁶	Urban	500.1 (459.9, 543.3)	N/A	126	stable	-1.5 (-9.7, 6.2)
Waynesboro City ⁶	Urban	504.2 (467.3, 543.4)	N/A	146	stable	-0.1 (-1.3, 1.1)
Williamsburg City ⁶	Urban	504.8 (452.2, 562.1)	N/A	81	rising	3.9 (0.2, 8.7)
New Kent County ⁶	Urban	504.8 (467.4, 544.6)	N/A	153	stable	0.0 (-1.0, 1.3)
Goochland County ⁶	Urban	505.7 (472.5, 540.9)	N/A	197	stable	-0.2 (-0.7, 0.4)
Northampton County ⁶	Rural	506.0 (458.4, 557.8)	N/A	107	stable	-0.5 (-1.6, 0.6)
Brunswick County ⁶	Rural	512.6 (471.4, 556.9)	N/A	124	rising	1.0 (0.3, 1.7)
Bath County ⁶	Rural	515.5 (440.0, 603.0)	N/A	39	stable	1.7 (-0.4, 4.0)
Sussex County ⁶	Urban	525.4 (472.5, 583.1)	N/A	77	rising	1.3 (0.3, 2.2)
Buena Vista City ⁶	Rural	526.0 (458.3, 601.6)	N/A	47	stable	1.2 (-0.3, 2.8)
Fredericksburg City ⁶	Urban	526.5 (486.5, 568.8)	N/A	134	stable	-0.6 (-1.5, 0.3)
Martinsville City ⁶	Rural	534.3 (486.1, 586.3)	N/A	97	stable	0.2 (-1.1, 1.5)
Lexington City ⁶	Rural	535.7 (458.0, 623.9)	N/A	39	rising	3.2 (1.3, 5.3)
Lancaster County ⁶	Rural	537.4 (485.6, 594.3)	N/A	121	rising	9.0 (1.6, 16.1)
Amelia County ⁶	Urban	541.1 (493.6, 592.5)	N/A	106	stable	0.4 (-0.7, 1.5)
Nottoway County ⁶	Rural	541.2 (497.0, 588.6)	N/A	116	stable	0.5 (-1.1, 2.2)
Petersburg City ⁶	Urban	544.3 (511.5, 578.6)	N/A	226	stable	0.2 (-0.9, 1.2)
Covington City ⁶	Rural	549.7 (476.6, 631.7)	N/A	45	rising	3.3 (1.7, 5.1)
Hopewell City ⁶	Urban	550.2 (510.2, 592.5)	N/A	147	stable	0.2 (-0.7, 1.2)
Mathews County ⁶	Urban	560.8 (501.8, 626.2)	N/A	89	stable	1.2 (-0.1, 2.5)
Essex County ⁶	Rural	565.6 (512.4, 623.6)	N/A	95	rising	2.5 (0.8, 7.9)
Galax City ⁶	Rural	655.0 (577.7, 740.2)	N/A	55	stable	1.7 (-0.7, 4.0)

Notes:
Created by statecancerprofiles.cancer.gov on 09/20/2024 6:12 pm.

State Cancer Registries may provide more current or more local data.

Trend
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.

† Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Rates calculated using SEER*Stat. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used for SEER and NPCR incidence rates.
‡ Incidence data come from different sources. The Average Annual Percent Change (AAPC) is based on the APCs calculated by Joinpoint. Due to data availability issues, the time period used in the calculation of the joinpoint regression model may differ for selected counties.

Rates and trends are computed using different standards for malignancy. For more information see malignant.html.

^ All Stages refers to any stage in the Surveillance, Epidemiology, and End Results (SEER) Summary/Historic Combined Summary Stage (2004+).
⋔ Results presented with the CI*Rank statistics help show the usefulness of ranks. For example, ranks for relatively rare diseases or less populated areas may be essentially meaningless because of their large variability, but ranks for more common diseases in densely populated regions can be very useful. More information about methodology can be found on the CI*Rank website.

Φ Rural-Urban Continuum Codes provided by the USDA.
¹ Source: National Program of Cancer Registries and Surveillance, Epidemiology, and End Results SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Based on the 2023 submission.
⁶ Source: National Program of Cancer Registries SEER*Stat Database - United States Department of Health and Human Services, Centers for Disease Control and Prevention (based on the 2023 submission).
⁸ Source: Incidence data provided by the SEER Program. AAPCs are calculated by the Joinpoint Regression Program and are based on APCs. Data are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ... , 80-84,85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Population counts for denominators are based on Census populations as modified by NCI. The US Population Data File is used with SEER November 2023 data.

Data for the United States does not include data from Indiana.
Data for the United States does not include Puerto Rico.

When displaying county information, the CI*Rank for the state is not shown because it's not comparable. To see the state CI*Rank please view the statistics at the US By State level.

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