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Incidence Rates Table

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Incidence Rate Report for Virginia by County

Lung & Bronchus (All Stages^), 2017-2021

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

Sorted by Rate

County
sort alphabetically by name ascending 		2023 Rural-Urban Continuum Codes Φ
sort by rural urban descending 		Age-Adjusted Incidence Rate †
cases per 100,000
(95% Confidence Interval)
sort by rate descending 		CI*Rank ⋔
(95% Confidence Interval)
sort by CI rank descending 		Average Annual Count
sort by count descending 		Recent Trend
 Recent 5-Year Trend ‡ in Incidence Rates
(95% Confidence Interval)
sort by trend descending
Virginia 6 N/A 51.3 (50.7, 51.9) N/A 5,461 falling falling trend -2.2 (-2.7, -1.9)
US (SEER+NPCR) 1 N/A 53.1 (53.0, 53.2) N/A 216,523 falling falling trend -3.5 (-4.2, -2.9)
Arlington County 6 Urban 26.8 (23.6, 30.2) N/A 55 falling falling trend -3.8 (-8.9, -1.9)
Fairfax County 6 Urban 27.7 (26.4, 29.1) N/A 346 falling falling trend -3.8 (-7.4, -3.3)
Falls Church City 6 Urban 28.6 (17.9, 43.6) N/A 5 stable stable trend -4.1 (-9.6, 1.1)
Alexandria City 6 Urban 29.1 (25.3, 33.4) N/A 43 falling falling trend -3.6 (-4.9, -2.5)
Loudoun County 6 Urban 31.9 (29.2, 34.8) N/A 108 falling falling trend -3.2 (-4.3, -1.9)
Harrisonburg City 6 Urban 33.3 (25.6, 42.6) N/A 13 falling falling trend -7.3 (-35.4, -2.4)
Albemarle County 6 Urban 38.6 (34.3, 43.3) N/A 62 falling falling trend -3.2 (-4.6, -1.7)
Manassas City 6 Urban 40.1 (30.5, 51.6) N/A 13 falling falling trend -3.3 (-6.2, -0.2)
James City County 6 Urban 40.5 (35.9, 45.7) N/A 58 stable stable trend -1.0 (-2.7, 0.9)
Prince William County 6 Urban 41.0 (38.2, 44.1) N/A 167 falling falling trend -2.5 (-3.5, -1.5)
Fairfax City 6 Urban 41.2 (30.9, 53.9) N/A 11 stable stable trend -1.7 (-4.9, 1.3)
Franklin City 6 Rural 41.4 (26.8, 62.3) N/A 5 stable stable trend -2.7 (-5.6, 0.1)
Clarke County 6 Urban 41.6 (31.0, 55.8) N/A 10 stable stable trend -1.9 (-5.6, 1.8)
Fauquier County 6 Urban 42.0 (36.4, 48.3) N/A 41 falling falling trend -8.4 (-19.7, -2.3)
Montgomery County 6 Urban 43.7 (38.0, 50.2) N/A 42 stable stable trend -1.9 (-3.8, 0.0)
Bristol City 6 Urban 44.0 (33.2, 57.8) N/A 12 falling falling trend -5.1 (-10.0, -1.4)
Bland County 6 Rural 44.7 (29.4, 68.5) N/A 5 stable stable trend -2.0 (-7.2, 3.2)
Buchanan County 6 Rural 45.4 (35.8, 57.5) N/A 16 falling falling trend -3.7 (-5.9, -1.7)
Rockingham County 6 Urban 47.1 (41.7, 53.0) N/A 58 falling falling trend -2.4 (-15.3, -0.2)
Radford City 6 Urban 47.4 (31.6, 68.7) N/A 6 falling falling trend -2.9 (-5.8, -0.2)
Cumberland County 6 Rural 47.5 (33.8, 66.3) N/A 8 stable stable trend -3.0 (-7.1, 1.2)
York County 6 Urban 47.6 (41.4, 54.6) N/A 43 stable stable trend -2.0 (-4.2, 0.3)
Frederick County 6 Urban 47.7 (42.4, 53.6) N/A 60 falling falling trend -3.7 (-11.1, -2.3)
Charlottesville City 6 Urban 48.4 (39.5, 58.7) N/A 22 stable stable trend -2.4 (-5.5, 0.6)
Accomack County 6 Rural 48.6 (40.9, 57.6) N/A 30 falling falling trend -3.8 (-5.8, -2.0)
Manassas Park City 6 Urban 49.7 (33.1, 71.0) N/A 6 stable stable trend -3.5 (-9.0, 2.9)
Chesterfield County 6 Urban 50.0 (46.9, 53.1) N/A 215 falling falling trend -2.4 (-3.4, -1.3)
Culpeper County 6 Urban 50.7 (43.1, 59.3) N/A 33 falling falling trend -2.5 (-4.8, -0.2)
Fluvanna County 6 Urban 50.8 (41.4, 62.0) N/A 21 stable stable trend -0.7 (-3.8, 2.5)
Henry County 6 Rural 51.4 (44.8, 58.9) N/A 46 falling falling trend -1.6 (-2.6, -0.5)
Pittsylvania County 6 Rural 51.5 (45.3, 58.6) N/A 53 falling falling trend -2.1 (-3.8, -0.4)
Craig County 6 Urban 51.8 (30.7, 84.8) N/A 4 stable stable trend -1.5 (-5.6, 3.1)
Shenandoah County 6 Rural 52.0 (44.5, 60.5) N/A 36 stable stable trend -1.2 (-2.9, 0.5)
Rappahannock County 6 Urban 52.0 (36.0, 75.2) N/A 7 stable stable trend -1.7 (-5.8, 2.6)
Williamsburg City 6 Urban 52.2 (36.2, 73.5) N/A 8 stable stable trend -0.3 (-4.7, 4.6)
Madison County 6 Rural 52.6 (39.7, 69.2) N/A 12 falling falling trend -6.8 (-15.3, -1.8)
Powhatan County 6 Urban 53.1 (43.6, 64.2) N/A 24 stable stable trend -2.2 (-4.2, 0.0)
Isle of Wight County 6 Urban 53.7 (45.4, 63.2) N/A 31 falling falling trend -2.1 (-3.7, -0.3)
Rockbridge County 6 Rural 53.9 (43.7, 66.4) N/A 22 stable stable trend 2.8 (-0.9, 13.5)
Roanoke County 6 Urban 54.1 (49.0, 59.8) N/A 83 stable stable trend -0.8 (-2.4, 0.9)
Hanover County 6 Urban 54.3 (49.1, 60.0) N/A 82 falling falling trend -1.6 (-3.1, -0.1)
Washington County 6 Urban 54.5 (47.6, 62.3) N/A 49 falling falling trend -4.4 (-12.9, -2.6)
Russell County 6 Rural 54.6 (45.1, 65.8) N/A 24 falling falling trend -3.2 (-5.2, -1.2)
Emporia City 6 Rural 54.6 (34.0, 84.5) N/A 4 stable stable trend -1.0 (-4.9, 3.0)
Newport News City 6 Urban 54.6 (50.0, 59.5) N/A 109 falling falling trend -2.0 (-3.0, -1.0)
Halifax County with South Boston City 6 Rural 54.6 (46.1, 64.6) N/A 32 stable stable trend -1.1 (-2.8, 0.5)
Suffolk City 6 Urban 55.2 (49.1, 61.9) N/A 61 stable stable trend -1.6 (-3.3, 0.1)
Stafford County 6 Urban 55.6 (49.9, 61.6) N/A 77 falling falling trend -5.5 (-11.1, -3.2)
Salem City 6 Urban 55.7 (45.3, 68.2) N/A 20 stable stable trend -2.0 (-4.0, 0.0)
Henrico County 6 Urban 55.7 (52.5, 59.1) N/A 228 falling falling trend -1.3 (-1.9, -0.6)
Hampton City 6 Urban 55.8 (50.8, 61.1) N/A 96 falling falling trend -4.1 (-11.3, -2.1)
Augusta County 6 Urban 56.2 (50.4, 62.6) N/A 71 falling falling trend -2.0 (-3.2, -0.7)
Floyd County 6 Urban 56.3 (43.9, 72.0) N/A 15 stable stable trend 0.2 (-2.0, 2.6)
Lynchburg City 6 Urban 56.5 (49.5, 64.3) N/A 49 falling falling trend -3.4 (-8.7, -1.9)
Surry County 6 Urban 56.9 (39.3, 82.3) N/A 7 stable stable trend -3.5 (-11.9, 9.6)
Chesapeake City 6 Urban 57.0 (53.0, 61.3) N/A 155 falling falling trend -1.9 (-2.8, -1.0)
Patrick County 6 Rural 57.2 (46.2, 70.9) N/A 20 stable stable trend 0.2 (-2.5, 3.1)
Nelson County 6 Urban 57.4 (45.5, 72.7) N/A 17 stable stable trend -2.1 (-5.0, 0.9)
Greene County 6 Urban 57.5 (45.3, 72.2) N/A 16 stable stable trend -2.0 (-4.5, 0.9)
Lexington City 6 Rural 57.5 (35.3, 90.7) N/A 4
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*
Carroll County 6 Rural 57.7 (48.8, 68.1) N/A 31 stable stable trend -0.1 (-2.1, 2.1)
Franklin County 6 Urban 57.7 (50.9, 65.3) N/A 56 stable stable trend 0.2 (-1.8, 2.3)
Scott County 6 Urban 57.7 (47.0, 70.7) N/A 22 falling falling trend -3.7 (-6.3, -1.4)
Northumberland County 6 Rural 57.9 (45.7, 74.6) N/A 17 stable stable trend -0.9 (-4.9, 3.1)
Greensville County 6 Rural 58.0 (41.4, 79.7) N/A 8 stable stable trend -0.7 (-5.3, 4.1)
Bedford City and County 6 Urban 58.2 (52.4, 64.6) N/A 78 stable stable trend -1.2 (-2.5, 0.2)
Southampton County 6 Rural 58.2 (46.1, 73.1) N/A 17 stable stable trend -1.1 (-4.6, 2.5)
Goochland County 6 Urban 58.3 (47.7, 71.1) N/A 23 stable stable trend -1.9 (-4.0, 0.4)
Campbell County 6 Urban 58.3 (51.1, 66.4) N/A 50 falling falling trend -2.6 (-4.3, -1.1)
Virginia Beach City 6 Urban 58.5 (55.6, 61.6) N/A 306 falling falling trend -1.4 (-2.6, -0.2)
Louisa County 6 Rural 59.4 (50.6, 69.5) N/A 35 falling falling trend -10.6 (-18.8, -4.9)
Mathews County 6 Urban 59.5 (44.3, 80.9) N/A 11 stable stable trend -1.4 (-3.7, 0.8)
Appomattox County 6 Urban 59.6 (46.8, 75.4) N/A 15 falling falling trend -2.3 (-7.3, -0.3)
Poquoson City 6 Urban 60.4 (45.1, 79.8) N/A 11 stable stable trend 0.9 (-3.1, 5.6)
Warren County 6 Urban 60.5 (51.5, 70.9) N/A 33 stable stable trend -1.6 (-4.3, 1.3)
Tazewell County 6 Rural 60.8 (52.4, 70.5) N/A 40 falling falling trend -2.0 (-3.7, -0.3)
Staunton City 6 Urban 61.0 (50.6, 73.3) N/A 25 falling falling trend -4.0 (-15.2, -1.4)
Brunswick County 6 Rural 61.4 (48.3, 77.6) N/A 16 stable stable trend -0.9 (-4.1, 2.5)
Spotsylvania County 6 Urban 61.8 (56.3, 67.8) N/A 97 stable stable trend -1.3 (-2.7, 0.3)
Botetourt County 6 Urban 62.0 (52.9, 72.5) N/A 35 stable stable trend 0.7 (-0.8, 2.3)
Richmond City 6 Urban 62.2 (57.7, 67.0) N/A 153 falling falling trend -2.9 (-6.9, -2.0)
Grayson County 6 Rural 62.4 (49.8, 78.2) N/A 18 falling falling trend -2.0 (-3.5, -0.5)
Lee County 6 Rural 63.1 (52.1, 76.3) N/A 24 falling falling trend -4.2 (-6.1, -2.4)
Wythe County 6 Rural 63.5 (53.5, 75.2) N/A 30 stable stable trend -0.1 (-1.7, 1.6)
Gloucester County 6 Urban 63.8 (54.7, 74.2) N/A 37 falling falling trend -6.2 (-22.7, -1.6)
Northampton County 6 Rural 64.1 (48.7, 83.9) N/A 14 falling falling trend -3.4 (-6.4, -0.7)
Danville City 6 Rural 64.5 (55.8, 74.4) N/A 42 falling falling trend -1.8 (-3.4, -0.4)
Orange County 6 Rural 65.0 (55.6, 75.7) N/A 36 stable stable trend -0.4 (-2.5, 1.9)
Norton City 6 Rural 65.5 (37.7, 108.2) N/A 3
*
*
Dickenson County 6 Rural 65.6 (51.8, 82.8) N/A 16 stable stable trend -2.5 (-5.1, 0.0)
Caroline County 6 Rural 65.7 (54.9, 78.3) N/A 27 stable stable trend -1.6 (-4.0, 1.0)
Portsmouth City 6 Urban 66.2 (59.6, 73.5) N/A 75 stable stable trend -0.8 (-2.0, 0.3)
Amherst County 6 Urban 67.5 (57.5, 78.9) N/A 34 stable stable trend -2.1 (-4.3, 0.1)
Martinsville City 6 Rural 67.8 (52.1, 87.1) N/A 13 stable stable trend -0.3 (-3.5, 2.9)
Pulaski County 6 Urban 68.2 (58.4, 79.4) N/A 37 stable stable trend 0.2 (-1.0, 1.6)
Middlesex County 6 Rural 68.3 (53.4, 87.9) N/A 16 falling falling trend -2.8 (-6.1, -0.8)
Essex County 6 Rural 68.4 (51.5, 90.3) N/A 12 stable stable trend -0.5 (-3.7, 2.9)
King William County 6 Urban 68.5 (54.2, 85.9) N/A 16 stable stable trend -1.3 (-6.1, 3.8)
Charles City County 6 Urban 68.7 (49.6, 95.6) N/A 9 stable stable trend 0.0 (-3.7, 4.4)
Colonial Heights City 6 Urban 68.9 (55.6, 84.9) N/A 19 stable stable trend 0.5 (-1.8, 3.1)
Mecklenburg County 6 Rural 69.1 (59.5, 80.2) N/A 39 stable stable trend 0.7 (-0.7, 2.1)
King and Queen County 6 Urban 69.3 (47.9, 98.8) N/A 8 stable stable trend -1.6 (-6.0, 3.0)
Winchester City 6 Urban 69.5 (57.5, 83.4) N/A 24 stable stable trend -1.5 (-3.1, 0.1)
Page County 6 Rural 69.8 (58.4, 83.3) N/A 27 stable stable trend -0.4 (-2.5, 1.8)
Charlotte County 6 Rural 69.8 (54.3, 89.4) N/A 14 stable stable trend 0.5 (-2.4, 3.6)
Norfolk City 6 Urban 69.9 (65.1, 75.1) N/A 165 stable stable trend -0.6 (-1.2, 0.1)
Westmoreland County 6 Rural 70.5 (58.2, 85.3) N/A 25 stable stable trend -1.3 (-3.7, 1.2)
Wise County 6 Rural 71.5 (61.3, 83.0) N/A 37 falling falling trend -3.2 (-4.9, -1.6)
Buckingham County 6 Rural 72.7 (58.3, 90.1) N/A 18 stable stable trend 0.0 (-2.5, 2.8)
Smyth County 6 Rural 74.2 (63.8, 86.2) N/A 37 falling falling trend -2.2 (-10.2, -0.6)
Lancaster County 6 Rural 74.3 (58.1, 95.7) N/A 18 stable stable trend 1.7 (-0.3, 3.8)
Nottoway County 6 Rural 74.9 (59.6, 93.3) N/A 17 stable stable trend -1.7 (-4.1, 0.6)
Alleghany County and Clifton Forge City 6 Rural 76.7 (62.3, 94.4) N/A 21 stable stable trend -1.5 (-4.1, 0.9)
Waynesboro City 6 Urban 77.0 (63.6, 92.6) N/A 24 stable stable trend -0.8 (-3.1, 1.5)
Roanoke City 6 Urban 77.0 (70.3, 84.2) N/A 102 falling falling trend -2.2 (-6.4, -1.2)
King George County 6 Rural 77.1 (63.0, 93.5) N/A 22 stable stable trend -0.2 (-4.6, 5.0)
Fredericksburg City 6 Urban 77.8 (62.8, 95.2) N/A 20 stable stable trend 0.3 (-2.7, 3.5)
Richmond County 6 Rural 78.6 (59.0, 103.8) N/A 11 stable stable trend 1.1 (-2.1, 4.7)
Giles County 6 Urban 79.0 (64.8, 95.9) N/A 22 stable stable trend 0.3 (-1.5, 2.2)
New Kent County 6 Urban 81.2 (66.5, 98.4) N/A 25 stable stable trend -1.9 (-4.9, 1.6)
Prince George County 6 Urban 81.7 (69.7, 95.1) N/A 34 stable stable trend -0.9 (-2.8, 1.2)
Petersburg City 6 Urban 82.1 (70.1, 95.8) N/A 36 stable stable trend -1.5 (-3.3, 0.3)
Lunenburg County 6 Rural 82.5 (65.0, 104.0) N/A 16 stable stable trend 1.2 (-1.9, 4.7)
Dinwiddie County 6 Urban 82.9 (70.3, 97.3) N/A 33 stable stable trend -0.6 (-3.0, 2.1)
Covington City 6 Rural 85.0 (59.4, 119.5) N/A 7 stable stable trend -3.8 (-21.1, 1.7)
Highland County 6 Rural 85.3 (44.9, 158.1) N/A 4
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Hopewell City 6 Urban 89.8 (74.6, 107.3) N/A 25 stable stable trend -1.4 (-3.5, 0.6)
Bath County 6 Rural 90.9 (63.6, 130.6) N/A 8 stable stable trend 3.2 (-0.7, 8.2)
Amelia County 6 Urban 91.7 (74.2, 112.8) N/A 20 stable stable trend -0.3 (-2.1, 1.8)
Prince Edward County 6 Rural 91.9 (75.5, 111.1) N/A 23 stable stable trend 5.4 (-13.0, 23.3)
Buena Vista City 6 Rural 94.5 (69.0, 127.6) N/A 9
*
*
Sussex County 6 Urban 97.2 (76.0, 123.4) N/A 15 stable stable trend 1.8 (-0.9, 4.9)
Galax City 6 Rural 112.8 (82.3, 151.5) N/A 10 stable stable trend 3.1 (0.0, 6.7)
Notes:
Created by statecancerprofiles.cancer.gov on 06/13/2025 10:32 am.

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.
* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category. If an average count of 3 is shown, the total number of cases for the time period is 16 or more which exceeds suppression threshold (but is rounded to 3).
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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