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U.S. / county disease rankings

Counties with the highest lung cancer incidence rates (U.S.)

Among 2,866 U.S. counties with published values, the counties with the highest lung cancer incidence rates are Union County, FL (147.1, 2.84 times the U.S. rate of 51.8), McCreary County, KY (134.5, 2.6 times the U.S. rate of 51.8) and Owsley County, KY (132.8, 2.56 times the U.S. rate of 51.8). Values are per 100,000, age-adjusted. 1,365 of the 2,866 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

Lung & bronchus cancer new cases, per 100,000, age-adjusted. Showing 50 of 2,866 counties with published values.

Counties with the highest lung cancer incidence rates (U.S.)
RankCountyStateValueU.S. rateTimes referenceSignificant
1Union CountyFL147.151.82.84xSignificant
2McCreary CountyKY134.551.82.6xSignificant
3Owsley CountyKY132.851.82.56xSignificant
4Lincoln CountyWV130.351.82.52xSignificant
5Powell CountyKY129.351.82.5xSignificant
6Bracken CountyKY124.351.82.4xSignificant
7Gallatin CountyKY12451.82.39xSignificant
8Trousdale CountyTN123.651.82.39xSignificant
9Carter CountyMO123.151.82.38xSignificant
10Whitley CountyKY122.751.82.37xSignificant
11Livingston CountyKY122.551.82.36xSignificant
12Menominee CountyWI120.551.82.33xSignificant
13Pendleton CountyKY120.551.82.33xSignificant
14Rockcastle CountyKY120.551.82.33xSignificant
15Knox CountyKY12051.82.32xSignificant
16Clay CountyKY119.251.82.3xSignificant
17Wolfe CountyKY117.351.82.26xSignificant
18Perry CountyKY116.751.82.25xSignificant
19Poinsett CountyAR113.951.82.2xSignificant
20Harlan CountyKY11351.82.18xSignificant
21Leslie CountyKY112.751.82.18xSignificant
22Dunklin CountyMO112.351.82.17xSignificant
23Estill CountyKY11251.82.16xSignificant
24Floyd CountyKY111.651.82.15xSignificant
25Montgomery CountyKY111.351.82.15xSignificant
26Dewey CountySD111.151.82.14xSignificant
27Pulaski CountyIL110.651.82.14xSignificant
28Butler CountyKY110.551.82.13xSignificant
29Madison CountyMO110.251.82.13xSignificant
30Wayne CountyMO11051.82.12xSignificant
31Adair CountyKY109.551.82.11xSignificant
32Fulton CountyKY109.451.82.11xSignificant
33Ohio CountyKY109.451.82.11xSignificant
34Christian CountyIL10951.82.1xSignificant
35Dillon CountySC10951.82.1xSignificant
36Breathitt CountyKY108.951.82.1xSignificant
37Magoffin CountyKY108.851.82.1xSignificant
38Lawrence CountyAR108.551.82.09xSignificant
39Alexander CountyIL108.151.82.09xSignificant
40Ripley CountyMO107.951.82.08xSignificant
41Grayson CountyKY107.651.82.08xSignificant
42Carter CountyKY107.251.82.07xSignificant
43Union CountyTN107.251.82.07xSignificant
44Mingo CountyWV10751.82.07xSignificant
45Mason CountyIL106.751.82.06xSignificant
46Tunica CountyMS106.151.82.05xSignificant
47Campbell CountyTN105.651.82.04xSignificant
48Scott CountyIN104.851.82.02xSignificant
49Hancock CountyTN104.251.82.01xSignificant
50Decatur CountyTN10451.82.01xSignificant

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