U.S. / county disease rankings
Counties with the highest cancer death rates (U.S.)
Among 3,085 U.S. counties with published values, the counties with the highest cancer death rates are Union County, FL (424.8, 2.97 times the U.S. rate of 143.2), Kingman County, KS (376.7, 2.63 times the U.S. rate of 143.2) and Norton city, VA (290.7, 2.03 times the U.S. rate of 143.2). Values are per 100,000, age-adjusted. 1,505 of the 3,085 are significantly above the U.S. rate.
Source: NCI and CDC State Cancer Profiles, both sexes, all ages. These are county-level figures, age-adjusted as published by the source, compared with the U.S. rate. A high rate does not prove an environmental cause: age, smoking, income, access to care, screening and chance all move county rates, and small counties swing widely. Significant means the lower bound of the county’s 95 percent confidence interval is above the U.S. rate.
Top 50 U.S. counties
All cancer cancer deaths, per 100,000, age-adjusted. Showing 50 of 3,085 counties with published values.
| Rank | County | State | Value | U.S. rate | Times reference | Significant |
|---|---|---|---|---|---|---|
| 1 | Union County | FL | 424.8 | 143.2 | 2.97x | Significant |
| 2 | Kingman County | KS | 376.7 | 143.2 | 2.63x | Significant |
| 3 | Norton city | VA | 290.7 | 143.2 | 2.03x | Significant |
| 4 | Dewey County | SD | 287.8 | 143.2 | 2.01x | Significant |
| 5 | Polk County | TX | 278.5 | 143.2 | 1.94x | Significant |
| 6 | Humphreys County | MS | 276.8 | 143.2 | 1.93x | Significant |
| 7 | Real County | TX | 276.3 | 143.2 | 1.93x | Significant |
| 8 | Hudspeth County | TX | 275.2 | 143.2 | 1.92x | Significant |
| 9 | Cumberland County | KY | 271.2 | 143.2 | 1.89x | Significant |
| 10 | Hanson County | SD | 271.1 | 143.2 | 1.89x | Significant |
| 11 | Ripley County | MO | 270.4 | 143.2 | 1.89x | Significant |
| 12 | Galax city | VA | 269.6 | 143.2 | 1.88x | Significant |
| 13 | Owsley County | KY | 263.2 | 143.2 | 1.84x | Significant |
| 14 | Tunica County | MS | 261.2 | 143.2 | 1.82x | Significant |
| 15 | Issaquena County | MS | 260.1 | 143.2 | 1.82x | Significant |
| 16 | Todd County | SD | 259.9 | 143.2 | 1.81x | Significant |
| 17 | Clinton County | KY | 254.4 | 143.2 | 1.78x | Significant |
| 18 | Clay County | KY | 254.3 | 143.2 | 1.78x | Significant |
| 19 | Franklin city | VA | 254.3 | 143.2 | 1.78x | Significant |
| 20 | Lincoln County | WV | 254.2 | 143.2 | 1.78x | Significant |
| 21 | Crockett County | TX | 253.4 | 143.2 | 1.77x | Significant |
| 22 | Baylor County | TX | 250.9 | 143.2 | 1.75x | Significant |
| 23 | New Madrid County | MO | 249.9 | 143.2 | 1.75x | Significant |
| 24 | Carter County | MO | 249.4 | 143.2 | 1.74x | Significant |
| 25 | Lawrence County | KY | 248.8 | 143.2 | 1.74x | Significant |
| 26 | Clay County | TN | 246.9 | 143.2 | 1.72x | Significant |
| 27 | Leflore County | MS | 246.7 | 143.2 | 1.72x | Significant |
| 28 | Perry County | KY | 246.5 | 143.2 | 1.72x | Significant |
| 29 | Quitman County | MS | 246.2 | 143.2 | 1.72x | Significant |
| 30 | Petersburg city | VA | 245.3 | 143.2 | 1.71x | Significant |
| 31 | East Carroll Parish | LA | 244.9 | 143.2 | 1.71x | Significant |
| 32 | Martinsville city | VA | 244 | 143.2 | 1.7x | Significant |
| 33 | Wibaux County | MT | 243.1 | 143.2 | 1.7x | No |
| 34 | Alexander County | IL | 242.2 | 143.2 | 1.69x | Significant |
| 35 | Carlisle County | KY | 241.9 | 143.2 | 1.69x | Significant |
| 36 | Oregon County | MO | 241.7 | 143.2 | 1.69x | Significant |
| 37 | Hardin County | IL | 240.9 | 143.2 | 1.68x | Significant |
| 38 | Coahoma County | MS | 240.7 | 143.2 | 1.68x | Significant |
| 39 | Knox County | KY | 240 | 143.2 | 1.68x | Significant |
| 40 | Okfuskee County | OK | 238.6 | 143.2 | 1.67x | Significant |
| 41 | Holmes County | MS | 237.9 | 143.2 | 1.66x | Significant |
| 42 | Edwards County | KS | 237.2 | 143.2 | 1.66x | Significant |
| 43 | Poinsett County | AR | 235.8 | 143.2 | 1.65x | Significant |
| 44 | Rolette County | ND | 235.8 | 143.2 | 1.65x | Significant |
| 45 | Kusilvak Census Area | AK | 235.6 | 143.2 | 1.65x | Significant |
| 46 | Greensville County | VA | 235.1 | 143.2 | 1.64x | Significant |
| 47 | Fairfax city | VA | 235 | 143.2 | 1.64x | Significant |
| 48 | Nowata County | OK | 235 | 143.2 | 1.64x | Significant |
| 49 | Blaine County | OK | 234.1 | 143.2 | 1.63x | Significant |
| 50 | Trousdale County | TN | 233.6 | 143.2 | 1.63x | Significant |