AL / county disease rankings
Counties with the highest cancer death rates in Alabama
Among 67 Alabama counties with published values, the counties with the highest cancer death rates are Russell County, AL (205.7, 1.44 times the U.S. rate of 143.2), Clarke County, AL (195, 1.36 times the U.S. rate of 143.2) and Hale County, AL (192.7, 1.35 times the U.S. rate of 143.2). Values are per 100,000, age-adjusted. 42 of the 67 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.
All Alabama counties, highest first
All cancer cancer deaths, per 100,000, age-adjusted.
| Rank | County | State | Value | U.S. rate | Times reference | Significant |
|---|---|---|---|---|---|---|
| 1 | Russell County | AL | 205.7 | 143.2 | 1.44x | Significant |
| 2 | Clarke County | AL | 195 | 143.2 | 1.36x | Significant |
| 3 | Hale County | AL | 192.7 | 143.2 | 1.35x | Significant |
| 4 | Walker County | AL | 192.1 | 143.2 | 1.34x | Significant |
| 5 | Cleburne County | AL | 191.1 | 143.2 | 1.33x | Significant |
| 6 | Escambia County | AL | 190 | 143.2 | 1.33x | Significant |
| 7 | Lawrence County | AL | 184.6 | 143.2 | 1.29x | Significant |
| 8 | Chilton County | AL | 183.9 | 143.2 | 1.28x | Significant |
| 9 | Cherokee County | AL | 183.5 | 143.2 | 1.28x | Significant |
| 10 | Etowah County | AL | 182.5 | 143.2 | 1.27x | Significant |
| 11 | Covington County | AL | 181.9 | 143.2 | 1.27x | Significant |
| 12 | Greene County | AL | 181 | 143.2 | 1.26x | Significant |
| 13 | Crenshaw County | AL | 179.5 | 143.2 | 1.25x | Significant |
| 14 | Calhoun County | AL | 179.4 | 143.2 | 1.25x | Significant |
| 15 | Pike County | AL | 179.2 | 143.2 | 1.25x | Significant |
| 16 | Barbour County | AL | 177.9 | 143.2 | 1.24x | Significant |
| 17 | Jackson County | AL | 177.7 | 143.2 | 1.24x | Significant |
| 18 | Chambers County | AL | 177.2 | 143.2 | 1.24x | Significant |
| 19 | Talladega County | AL | 176.8 | 143.2 | 1.23x | Significant |
| 20 | Marion County | AL | 175.8 | 143.2 | 1.23x | Significant |
| 21 | Lowndes County | AL | 175.6 | 143.2 | 1.23x | Significant |
| 22 | Butler County | AL | 175.3 | 143.2 | 1.22x | Significant |
| 23 | Fayette County | AL | 174.9 | 143.2 | 1.22x | Significant |
| 24 | Franklin County | AL | 173.3 | 143.2 | 1.21x | Significant |
| 25 | Marshall County | AL | 173.2 | 143.2 | 1.21x | Significant |
| 26 | Pickens County | AL | 173 | 143.2 | 1.21x | Significant |
| 27 | Geneva County | AL | 172.4 | 143.2 | 1.2x | Significant |
| 28 | Wilcox County | AL | 170.8 | 143.2 | 1.19x | No |
| 29 | Elmore County | AL | 170.1 | 143.2 | 1.19x | Significant |
| 30 | Houston County | AL | 168.5 | 143.2 | 1.18x | Significant |
| 31 | Conecuh County | AL | 167.1 | 143.2 | 1.17x | No |
| 32 | Bibb County | AL | 166.8 | 143.2 | 1.16x | Significant |
| 33 | Mobile County | AL | 166.7 | 143.2 | 1.16x | Significant |
| 34 | Monroe County | AL | 166.5 | 143.2 | 1.16x | Significant |
| 35 | Lamar County | AL | 166.3 | 143.2 | 1.16x | No |
| 36 | Clay County | AL | 164.4 | 143.2 | 1.15x | No |
| 37 | Dale County | AL | 162.7 | 143.2 | 1.14x | Significant |
| 38 | Blount County | AL | 162.1 | 143.2 | 1.13x | Significant |
| 39 | Tallapoosa County | AL | 161.5 | 143.2 | 1.13x | Significant |
| 40 | Winston County | AL | 161.4 | 143.2 | 1.13x | No |
| 41 | Montgomery County | AL | 160.1 | 143.2 | 1.12x | Significant |
| 42 | St. Clair County | AL | 159.7 | 143.2 | 1.12x | Significant |
| 43 | Washington County | AL | 159.4 | 143.2 | 1.11x | No |
| 44 | Autauga County | AL | 159.3 | 143.2 | 1.11x | Significant |
| 45 | Henry County | AL | 159 | 143.2 | 1.11x | No |
| 46 | Choctaw County | AL | 157.8 | 143.2 | 1.1x | No |
| 47 | Dallas County | AL | 157.4 | 143.2 | 1.1x | No |
| 48 | Colbert County | AL | 157.3 | 143.2 | 1.1x | Significant |
| 49 | Jefferson County | AL | 157.1 | 143.2 | 1.1x | Significant |
| 50 | Macon County | AL | 156.9 | 143.2 | 1.1x | No |
| 51 | Randolph County | AL | 156.8 | 143.2 | 1.09x | No |
| 52 | DeKalb County | AL | 155.5 | 143.2 | 1.09x | Significant |
| 53 | Coosa County | AL | 154.7 | 143.2 | 1.08x | No |
| 54 | Morgan County | AL | 152.5 | 143.2 | 1.06x | Significant |
| 55 | Lee County | AL | 151.2 | 143.2 | 1.06x | No |
| 56 | Coffee County | AL | 149.8 | 143.2 | 1.05x | No |
| 57 | Cullman County | AL | 149.6 | 143.2 | 1.04x | No |
| 58 | Bullock County | AL | 146.3 | 143.2 | 1.02x | No |
| 59 | Perry County | AL | 144.9 | 143.2 | 1.01x | No |
| 60 | Limestone County | AL | 143.5 | 143.2 | 1x | No |
| 61 | Lauderdale County | AL | 142.6 | 143.2 | 1x | No |
| 62 | Baldwin County | AL | 142.5 | 143.2 | 1x | No |
| 63 | Madison County | AL | 138.6 | 143.2 | 0.97x | No |
| 64 | Marengo County | AL | 135.2 | 143.2 | 0.94x | No |
| 65 | Sumter County | AL | 134.9 | 143.2 | 0.94x | No |
| 66 | Tuscaloosa County | AL | 132.5 | 143.2 | 0.93x | No |
| 67 | Shelby County | AL | 114.4 | 143.2 | 0.8x | No |