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VA / county disease rankings

Counties with the highest cancer incidence rates in Virginia

Among 133 Virginia counties with published values, the counties with the highest cancer incidence rates are Covington city, VA (595, 1.31 times the U.S. rate of 453.4), Galax city, VA (575.5, 1.27 times the U.S. rate of 453.4) and Hopewell city, VA (557.2, 1.23 times the U.S. rate of 453.4). Values are per 100,000, age-adjusted. 22 of the 133 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.

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All Virginia counties, highest first

All cancer cancer new cases, per 100,000, age-adjusted.

Counties with the highest cancer incidence rates in Virginia
RankCountyStateValueU.S. rateTimes referenceSignificant
1Covington cityVA595453.41.31xSignificant
2Galax cityVA575.5453.41.27xSignificant
3Hopewell cityVA557.2453.41.23xSignificant
4Essex CountyVA552.9453.41.22xSignificant
5Martinsville cityVA550.1453.41.21xSignificant
6Lancaster CountyVA548.6453.41.21xSignificant
7Buena Vista cityVA545.8453.41.2xSignificant
8Sussex CountyVA544.9453.41.2xSignificant
9Dinwiddie CountyVA543453.41.2xSignificant
10Mathews CountyVA541.1453.41.19xSignificant
11New Kent CountyVA532453.41.17xSignificant
12Northampton CountyVA531453.41.17xSignificant
13King and Queen CountyVA526.9453.41.16xSignificant
14Nottoway CountyVA524.7453.41.16xSignificant
15Petersburg cityVA520.8453.41.15xSignificant
16Orange CountyVA517.5453.41.14xSignificant
17Emporia cityVA505.7453.41.12xNo
18Caroline CountyVA504.2453.41.11xSignificant
19Colonial Heights cityVA504.1453.41.11xSignificant
20Amelia CountyVA502.7453.41.11xSignificant
21Brunswick CountyVA500.6453.41.1xSignificant
22Lexington cityVA500.5453.41.1xNo
23Gloucester CountyVA496.5453.41.1xSignificant
24Lunenburg CountyVA495.8453.41.09xNo
25King William CountyVA492.7453.41.09xNo
26Prince Edward CountyVA486.9453.41.07xNo
27Waynesboro cityVA485.9453.41.07xNo
28King George CountyVA483453.41.07xNo
29Prince George CountyVA481.3453.41.06xNo
30Charles City CountyVA480.2453.41.06xNo
31Fredericksburg cityVA479.9453.41.06xNo
32Richmond CountyVA479.1453.41.06xNo
33Roanoke cityVA478.9453.41.06xSignificant
34Bath CountyVA477.9453.41.05xNo
35Mecklenburg CountyVA476.2453.41.05xNo
36Middlesex CountyVA475.2453.41.05xNo
37Westmoreland CountyVA475.1453.41.05xNo
38Franklin cityVA474.3453.41.05xNo
39Danville cityVA473.7453.41.04xNo
40Louisa CountyVA470.1453.41.04xNo
41Powhatan CountyVA469.3453.41.04xNo
42Staunton cityVA467.8453.41.03xNo
43Goochland CountyVA467.4453.41.03xNo
44Bland CountyVA465.7453.41.03xNo
45Suffolk cityVA464.4453.41.02xNo
46Giles CountyVA463453.41.02xNo
47Chesterfield CountyVA457.9453.41.01xNo
48Wythe CountyVA456.9453.41.01xNo
49Spotsylvania CountyVA456.3453.41.01xNo
50Salem cityVA455.6453.41xNo
51Alleghany CountyVA455.1453.41xNo
52Amherst CountyVA453.2453.41xNo
53Culpeper CountyVA452.7453.41xNo
54Greensville CountyVA452.4453.41xNo
55Charlotte CountyVA449.5453.40.99xNo
56Isle of Wight CountyVA448.9453.40.99xNo
57Richmond cityVA448.3453.40.99xNo
58Botetourt CountyVA447.8453.40.99xNo
59Chesapeake cityVA447453.40.99xNo
60Norfolk cityVA447453.40.99xNo
61Surry CountyVA446.9453.40.99xNo
62Northumberland CountyVA446.5453.40.98xNo
63Hanover CountyVA445.8453.40.98xNo
64Newport News cityVA444.9453.40.98xNo
65Floyd CountyVA443.7453.40.98xNo
66Portsmouth cityVA443.5453.40.98xNo
67Craig CountyVA442.8453.40.98xNo
68Augusta CountyVA442.5453.40.98xNo
69Southampton CountyVA442.1453.40.98xNo
70James City CountyVA440.5453.40.97xNo
71Buckingham CountyVA439.3453.40.97xNo
72Fairfax cityVA439.3453.40.97xNo
73Grayson CountyVA438.5453.40.97xNo
74Henrico CountyVA438.2453.40.97xNo
75Lynchburg cityVA437.6453.40.97xNo
76Virginia Beach cityVA437.1453.40.96xNo
77Rockbridge CountyVA435.9453.40.96xNo
78Hampton cityVA434.9453.40.96xNo
79Accomack CountyVA434.5453.40.96xNo
80Madison CountyVA433.7453.40.96xNo
81York CountyVA433.6453.40.96xNo
82Fluvanna CountyVA431.7453.40.95xNo
83Poquoson cityVA431.2453.40.95xNo
84Radford cityVA430.6453.40.95xNo
85Stafford CountyVA427.7453.40.94xNo
86Nelson CountyVA427.1453.40.94xNo
87Campbell CountyVA426.3453.40.94xNo
88Franklin CountyVA425.3453.40.94xNo
89Roanoke CountyVA425.3453.40.94xNo
90Bedford CountyVA424.4453.40.94xNo
91Shenandoah CountyVA422.2453.40.93xNo
92Henry CountyVA420.6453.40.93xNo
93Warren CountyVA419.4453.40.93xNo
94Cumberland CountyVA419.2453.40.92xNo
95Highland CountyVA417453.40.92xNo
96Rockingham CountyVA417453.40.92xNo
97Page CountyVA414.6453.40.91xNo
98Carroll CountyVA414.3453.40.91xNo
99Patrick CountyVA410.5453.40.91xNo
100Norton cityVA409453.40.9xNo
101Halifax CountyVA404.8453.40.89xNo
102Greene CountyVA404.2453.40.89xNo
103Appomattox CountyVA400.4453.40.88xNo
104Rappahannock CountyVA399.9453.40.88xNo
105Winchester cityVA398.1453.40.88xNo
106Albemarle CountyVA394453.40.87xNo
107Frederick CountyVA393.8453.40.87xNo
108Fauquier CountyVA388.2453.40.86xNo
109Pulaski CountyVA386.7453.40.85xNo
110Williamsburg cityVA381.1453.40.84xNo
111Charlottesville cityVA378453.40.83xNo
112Loudoun CountyVA376453.40.83xNo
113Russell CountyVA371.1453.40.82xNo
114Smyth CountyVA369.6453.40.82xNo
115Alexandria cityVA368.2453.40.81xNo
116Clarke CountyVA365.9453.40.81xNo
117Falls Church cityVA365.7453.40.81xNo
118Harrisonburg cityVA365.7453.40.81xNo
119Montgomery CountyVA365.6453.40.81xNo
120Pittsylvania CountyVA365.2453.40.81xNo
121Prince William CountyVA364.2453.40.8xNo
122Manassas cityVA361.9453.40.8xNo
123Wise CountyVA361.1453.40.8xNo
124Dickenson CountyVA358.1453.40.79xNo
125Fairfax CountyVA353.5453.40.78xNo
126Tazewell CountyVA338.4453.40.75xNo
127Manassas Park cityVA337.5453.40.74xNo
128Washington CountyVA332.9453.40.73xNo
129Arlington CountyVA331.1453.40.73xNo
130Lee CountyVA328.5453.40.72xNo
131Bristol cityVA315.8453.40.7xNo
132Buchanan CountyVA305.4453.40.67xNo
133Scott CountyVA277.8453.40.61xNo

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