IA / county disease rankings
Counties with the highest cancer death rates in Iowa
Among 99 Iowa counties with published values, the counties with the highest cancer death rates are Palo Alto County, IA (186.8, 1.3 times the U.S. rate of 143.2), Franklin County, IA (186.6, 1.3 times the U.S. rate of 143.2) and Wapello County, IA (181.9, 1.27 times the U.S. rate of 143.2). Values are per 100,000, age-adjusted. 26 of the 99 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 Iowa counties, highest first
All cancer cancer deaths, per 100,000, age-adjusted.
| Rank | County | State | Value | U.S. rate | Times reference | Significant |
|---|---|---|---|---|---|---|
| 1 | Palo Alto County | IA | 186.8 | 143.2 | 1.3x | Significant |
| 2 | Franklin County | IA | 186.6 | 143.2 | 1.3x | Significant |
| 3 | Wapello County | IA | 181.9 | 143.2 | 1.27x | Significant |
| 4 | Lucas County | IA | 181.8 | 143.2 | 1.27x | Significant |
| 5 | Monroe County | IA | 181.4 | 143.2 | 1.27x | Significant |
| 6 | Van Buren County | IA | 178.6 | 143.2 | 1.25x | Significant |
| 7 | Clarke County | IA | 177.7 | 143.2 | 1.24x | Significant |
| 8 | Greene County | IA | 177.3 | 143.2 | 1.24x | Significant |
| 9 | Pottawattamie County | IA | 177.1 | 143.2 | 1.24x | Significant |
| 10 | Des Moines County | IA | 174.9 | 143.2 | 1.22x | Significant |
| 11 | Mahaska County | IA | 173.3 | 143.2 | 1.21x | Significant |
| 12 | Emmet County | IA | 172.6 | 143.2 | 1.21x | No |
| 13 | Clinton County | IA | 171.7 | 143.2 | 1.2x | Significant |
| 14 | Boone County | IA | 171.2 | 143.2 | 1.2x | Significant |
| 15 | Howard County | IA | 170.2 | 143.2 | 1.19x | No |
| 16 | Page County | IA | 169.4 | 143.2 | 1.18x | Significant |
| 17 | Grundy County | IA | 169.3 | 143.2 | 1.18x | Significant |
| 18 | Fremont County | IA | 169.1 | 143.2 | 1.18x | No |
| 19 | Ringgold County | IA | 168.3 | 143.2 | 1.18x | No |
| 20 | Madison County | IA | 167.7 | 143.2 | 1.17x | Significant |
| 21 | Cass County | IA | 167.4 | 143.2 | 1.17x | No |
| 22 | Floyd County | IA | 167.2 | 143.2 | 1.17x | Significant |
| 23 | Tama County | IA | 166.5 | 143.2 | 1.16x | Significant |
| 24 | Buchanan County | IA | 164.2 | 143.2 | 1.15x | No |
| 25 | Jackson County | IA | 163.9 | 143.2 | 1.14x | Significant |
| 26 | Louisa County | IA | 163.6 | 143.2 | 1.14x | No |
| 27 | Marion County | IA | 163.5 | 143.2 | 1.14x | Significant |
| 28 | Mitchell County | IA | 163.5 | 143.2 | 1.14x | No |
| 29 | Lee County | IA | 162.9 | 143.2 | 1.14x | Significant |
| 30 | Woodbury County | IA | 162.8 | 143.2 | 1.14x | Significant |
| 31 | Adams County | IA | 162.6 | 143.2 | 1.14x | No |
| 32 | Ida County | IA | 162.4 | 143.2 | 1.13x | No |
| 33 | Keokuk County | IA | 162.3 | 143.2 | 1.13x | No |
| 34 | Monona County | IA | 162.2 | 143.2 | 1.13x | No |
| 35 | Pocahontas County | IA | 161.7 | 143.2 | 1.13x | No |
| 36 | Webster County | IA | 161.3 | 143.2 | 1.13x | Significant |
| 37 | Davis County | IA | 161.1 | 143.2 | 1.13x | No |
| 38 | Montgomery County | IA | 160.8 | 143.2 | 1.12x | No |
| 39 | Marshall County | IA | 158 | 143.2 | 1.1x | Significant |
| 40 | Polk County | IA | 157.7 | 143.2 | 1.1x | Significant |
| 41 | Chickasaw County | IA | 157.1 | 143.2 | 1.1x | No |
| 42 | Harrison County | IA | 156.8 | 143.2 | 1.09x | No |
| 43 | Cherokee County | IA | 156.5 | 143.2 | 1.09x | No |
| 44 | Jasper County | IA | 155.8 | 143.2 | 1.09x | No |
| 45 | Osceola County | IA | 154.7 | 143.2 | 1.08x | No |
| 46 | Iowa County | IA | 154.6 | 143.2 | 1.08x | No |
| 47 | Union County | IA | 153.8 | 143.2 | 1.07x | No |
| 48 | Decatur County | IA | 152.9 | 143.2 | 1.07x | No |
| 49 | Black Hawk County | IA | 152.8 | 143.2 | 1.07x | Significant |
| 50 | Delaware County | IA | 152.8 | 143.2 | 1.07x | No |
| 51 | Henry County | IA | 152.6 | 143.2 | 1.07x | No |
| 52 | Crawford County | IA | 151.7 | 143.2 | 1.06x | No |
| 53 | Appanoose County | IA | 151.5 | 143.2 | 1.06x | No |
| 54 | Guthrie County | IA | 148.8 | 143.2 | 1.04x | No |
| 55 | Scott County | IA | 148.5 | 143.2 | 1.04x | No |
| 56 | Humboldt County | IA | 148.1 | 143.2 | 1.03x | No |
| 57 | Muscatine County | IA | 148 | 143.2 | 1.03x | No |
| 58 | Clayton County | IA | 147.9 | 143.2 | 1.03x | No |
| 59 | Hardin County | IA | 147.8 | 143.2 | 1.03x | No |
| 60 | O'Brien County | IA | 145.3 | 143.2 | 1.01x | No |
| 61 | Washington County | IA | 145.1 | 143.2 | 1.01x | No |
| 62 | Adair County | IA | 144.2 | 143.2 | 1.01x | No |
| 63 | Wright County | IA | 144.2 | 143.2 | 1.01x | No |
| 64 | Shelby County | IA | 143.2 | 143.2 | 1x | No |
| 65 | Winnebago County | IA | 142.6 | 143.2 | 1x | No |
| 66 | Dubuque County | IA | 142.3 | 143.2 | 0.99x | No |
| 67 | Fayette County | IA | 142.1 | 143.2 | 0.99x | No |
| 68 | Wayne County | IA | 141.4 | 143.2 | 0.99x | No |
| 69 | Worth County | IA | 141.2 | 143.2 | 0.99x | No |
| 70 | Poweshiek County | IA | 141.1 | 143.2 | 0.99x | No |
| 71 | Carroll County | IA | 140.8 | 143.2 | 0.98x | No |
| 72 | Benton County | IA | 140.5 | 143.2 | 0.98x | No |
| 73 | Warren County | IA | 139.3 | 143.2 | 0.97x | No |
| 74 | Allamakee County | IA | 139 | 143.2 | 0.97x | No |
| 75 | Cerro Gordo County | IA | 137.7 | 143.2 | 0.96x | No |
| 76 | Jefferson County | IA | 137.2 | 143.2 | 0.96x | No |
| 77 | Bremer County | IA | 136.9 | 143.2 | 0.96x | No |
| 78 | Linn County | IA | 136.9 | 143.2 | 0.96x | No |
| 79 | Audubon County | IA | 136.8 | 143.2 | 0.96x | No |
| 80 | Butler County | IA | 136.1 | 143.2 | 0.95x | No |
| 81 | Buena Vista County | IA | 135.9 | 143.2 | 0.95x | No |
| 82 | Jones County | IA | 135.8 | 143.2 | 0.95x | No |
| 83 | Mills County | IA | 135.7 | 143.2 | 0.95x | No |
| 84 | Taylor County | IA | 135.7 | 143.2 | 0.95x | No |
| 85 | Sac County | IA | 134.8 | 143.2 | 0.94x | No |
| 86 | Kossuth County | IA | 134.7 | 143.2 | 0.94x | No |
| 87 | Dickinson County | IA | 134.6 | 143.2 | 0.94x | No |
| 88 | Calhoun County | IA | 133.4 | 143.2 | 0.93x | No |
| 89 | Plymouth County | IA | 130.9 | 143.2 | 0.91x | No |
| 90 | Hancock County | IA | 130.1 | 143.2 | 0.91x | No |
| 91 | Cedar County | IA | 126.6 | 143.2 | 0.88x | No |
| 92 | Lyon County | IA | 125.4 | 143.2 | 0.88x | No |
| 93 | Winneshiek County | IA | 124.4 | 143.2 | 0.87x | No |
| 94 | Hamilton County | IA | 123.9 | 143.2 | 0.87x | No |
| 95 | Story County | IA | 120.6 | 143.2 | 0.84x | No |
| 96 | Clay County | IA | 114.5 | 143.2 | 0.8x | No |
| 97 | Dallas County | IA | 113.7 | 143.2 | 0.79x | No |
| 98 | Sioux County | IA | 112.1 | 143.2 | 0.78x | No |
| 99 | Johnson County | IA | 105 | 143.2 | 0.73x | No |