2020-2024 North Carolina Cancer Mortality by County for Selected Sites: Table 1

Per 100,000 Population

Age-Adjusted to the 2000 U.S. Standard Population

Back to Cancer Mortality Reports

County Colon/Rectum Lung/Bronchus  Melanoma (SKIN)
Deaths Rate Lower_CI Upper_CI Deaths Rate Lower_CI Upper_CI Deaths Rate Lower_CI Upper_CI
NORTH CAROLINA 8,398 12.9 12.6 13.1 25,032 36.0 35.5 36.5 1,411 2.2 2.0 2.3
Alamance 150 13.4 11.3 15.8 483 41.4 37.8 45.4 27 2.5 1.7 3.7
Alexander 38 15.1 10.5 21.2 119 42.1 34.7 50.7 12 ** ** **
Alleghany 15 ** ** ** 48 40.5 29.8 55.7 2 ** ** **
Anson 27 17.2 11.2 25.6 79 47.9 37.7 60.4 9 ** ** **
Ashe 28 10.5 7.0 16.0 93 33.9 27.3 42.2 8 ** ** **
Avery 10 ** ** ** 45 29.9 21.7 41.1 7 ** ** **
Beaufort 51 15.1 11.0 20.5 163 39.3 33.4 46.3 6 ** ** **
Bertie 23 16.1 9.8 25.8 62 41.0 31.1 53.8 2 ** ** **
Bladen 37 15.7 10.9 22.3 125 48.5 40.2 58.4 3 ** ** **
Brunswick 148 10.8 8.9 13.1 563 34.4 31.4 37.9 59 4.5 3.3 6.1
Buncombe 233 11.6 10.1 13.2 596 28.4 26.1 30.9 42 2.2 1.5 3.0
Burke 88 13.5 10.7 16.9 318 44.0 39.2 49.3 19 3.1 1.8 5.1
Cabarrus 141 11.6 9.7 13.8 439 35.1 31.9 38.7 21 1.8 1.1 2.8
Caldwell 102 17.4 14.0 21.4 319 50.0 44.6 56.1 18 3.1 1.8 5.1
Camden 10 ** ** ** 29 40.7 26.8 59.9 0 0.0 0.0 0.0
Carteret 83 13.3 10.5 16.9 247 37.9 33.2 43.4 19 3.2 1.8 5.4
Caswell 22 11.9 7.3 18.9 102 52.2 42.3 64.1 1 ** ** **
Catawba 152 14.2 11.9 16.7 391 33.7 30.4 37.3 33 3.2 2.1 4.5
Chatham 62 9.8 7.3 12.9 177 23.7 20.3 27.6 13 ** ** **
Cherokee 50 18.0 12.8 25.2 124 38.4 31.6 46.8 10 ** ** **
Chowan 15 ** ** ** 43 32.1 23.2 44.7 1 ** ** **
Clay 18 13.7 8.0 24.6 39 28.6 20.1 41.7 2 ** ** **
Cleveland 113 17.2 14.0 20.8 296 40.7 36.1 45.8 17 2.8 1.6 4.6
Columbus 60 16.1 12.2 21.1 187 48.7 41.8 56.5 16 5.3 2.9 8.9
Craven 97 13.9 11.1 17.2 328 43.4 38.7 48.6 17 2.1 1.2 3.5
Cumberland 209 13.1 11.3 15.0 743 44.3 41.1 47.7 19 1.2 0.7 1.9
Currituck 21 12.2 7.3 19.2 89 44.5 35.2 55.6 6 ** ** **
Dare 37 12.2 8.4 17.5 116 36.8 30.1 44.9 12 ** ** **
Davidson 174 14.9 12.7 17.3 557 44.6 40.9 48.6 35 3.0 2.0 4.2
Davie 42 12.3 8.8 17.0 151 42.6 35.9 50.4 9 ** ** **
Duplin 56 16.7 12.5 22.0 169 45.8 39.1 53.6 4 ** ** **
Durham 204 12.0 10.4 13.8 456 25.4 23.1 27.9 20 1.1 0.7 1.7
Edgecombe 47 13.2 9.6 17.9 179 46.9 40.1 54.6 10 ** ** **
Forsyth 289 12.6 11.1 14.2 913 37.0 34.6 39.5 44 1.9 1.4 2.5
Franklin 44 9.2 6.6 12.5 186 37.0 31.7 43.0 12 ** ** **
Gaston 219 15.4 13.4 17.7 638 42.0 38.7 45.5 30 2.2 1.5 3.2
Gates 10 ** ** ** 34 39.9 27.2 57.7 0 0.0 0.0 0.0
Graham 8 ** ** ** 37 51.0 35.7 72.5 1 ** ** **
Granville 78 20.2 15.9 25.5 164 38.5 32.7 45.1 6 ** ** **
Greene 17 12.7 7.2 21.0 54 39.6 29.6 52.3 3 ** ** **
Guilford 389 12.4 11.2 13.7 1,080 32.9 31.0 35.0 69 2.2 1.7 2.8
Halifax 55 16.1 11.9 21.3 168 44.3 37.6 52.0 3 ** ** **
Harnett 124 17.4 14.4 20.8 351 47.7 42.7 53.0 12 ** ** **
Haywood 80 16.2 12.6 20.6 208 36.3 31.4 42.0 14 ** ** **
Henderson 140 13.8 11.5 16.6 346 31.0 27.8 34.7 27 2.7 1.7 4.2
Hertford 20 13.3 7.8 21.7 83 49.6 39.3 62.3 2 ** ** **
Hoke 39 15.7 11.0 21.8 106 45.1 36.5 55.0 7 ** ** **
Hyde 4 ** ** ** 11 ** ** ** 0 0.0 0.0 0.0
Iredell 156 12.9 10.9 15.2 431 34.0 30.8 37.5 36 3.2 2.2 4.4
Jackson 47 15.5 11.2 21.0 81 24.6 19.4 31.0 8 ** ** **
Johnston 128 10.4 8.6 12.5 564 44.7 41.0 48.8 35 3.0 2.0 4.2
Jones 10 ** ** ** 41 49.0 34.9 68.6 6 ** ** **
Lee 50 12.4 9.1 16.5 158 36.9 31.2 43.3 8 ** ** **
Lenoir 57 14.7 10.9 19.5 188 44.4 38.1 51.6 9 ** ** **
Lincoln 82 13.7 10.8 17.2 235 35.3 30.8 40.3 11 ** ** **
McDowell 61 18.5 14.0 24.2 160 43.7 37.1 51.4 10 ** ** **
Macon 53 15.7 11.5 21.3 136 36.7 30.5 44.1 10 ** ** **
Madison 23 14.4 8.8 22.7 70 40.1 30.9 51.5 3 ** ** **
Martin 23 14.6 8.7 23.2 91 48.3 38.5 60.3 1 ** ** **
Mecklenburg 603 11.2 10.3 12.2 1,373 25.6 24.2 27.0 76 1.5 1.2 1.9
Mitchell 18 13.9 8.1 23.4 52 37.8 27.9 51.0 4 ** ** **
Montgomery 29 14.6 9.5 21.7 77 35.5 27.8 45.1 3 ** ** **
Moore 107 12.5 10.1 15.3 298 33.2 29.4 37.4 13 ** ** **
Nash 68 10.6 8.2 13.6 253 35.8 31.4 40.7 14 ** ** **
New Hanover 170 11.1 9.4 12.9 531 32.5 29.8 35.5 47 3.1 2.3 4.2
Northampton 21 14.3 8.0 24.4 79 44.6 34.5 57.6 3 ** ** **
Onslow 119 15.6 12.9 18.8 420 52.0 47.0 57.3 22 2.9 1.8 4.4
Orange 89 10.6 8.5 13.1 193 21.9 18.9 25.3 21 2.4 1.5 3.8
Pamlico 10 ** ** ** 51 37.5 27.6 51.8 3 ** ** **
Pasquotank 37 13.9 9.6 19.5 115 39.8 32.8 48.2 3 ** ** **
Pender 45 11.1 8.0 15.0 197 43.8 37.7 50.6 13 ** ** **
Perquimans 18 17.2 9.4 29.7 61 44.9 34.0 59.6 1 ** ** **
Person 45 16.1 11.6 22.0 137 43.2 36.1 51.5 3 ** ** **
Pitt 110 12.1 9.9 14.7 343 35.8 32.0 39.9 19 2.2 1.3 3.4
Polk 29 14.9 9.0 24.0 53 22.6 16.8 31.1 4 ** ** **
Randolph 118 12.4 10.2 15.0 491 47.3 43.1 51.8 36 4.0 2.8 5.7
Richmond 57 21.4 16.0 28.2 180 59.8 51.2 69.6 2 ** ** **
Robeson 134 19.6 16.3 23.3 395 55.0 49.6 60.8 9 ** ** **
Rockingham 93 13.8 11.1 17.1 361 48.7 43.7 54.3 17 2.4 1.4 4.1
Rowan 109 11.6 9.5 14.1 413 40.3 36.4 44.5 22 2.0 1.3 3.2
Rutherford 76 15.7 12.2 20.0 221 41.5 36.1 47.6 13 ** ** **
Sampson 63 16.4 12.5 21.2 205 49.6 42.9 57.1 6 ** ** **
Scotland 30 14.2 9.4 20.6 130 57.0 47.4 68.2 2 ** ** **
Stanly 65 15.1 11.6 19.5 214 47.4 41.1 54.4 10 ** ** **
Stokes 47 13.8 9.9 19.0 173 44.6 38.0 52.1 5 ** ** **
Surry 86 16.9 13.4 21.2 257 45.3 39.9 51.4 13 ** ** **
Swain 22 25.0 15.1 39.2 45 43.6 31.6 59.4 2 ** ** **
Transylvania 37 10.7 7.3 15.8 109 29.2 23.7 36.0 5 ** ** **
Tyrrell 9 ** ** ** 18 56.6 33.3 95.3 1 ** ** **
Union 141 10.5 8.8 12.5 394 30.1 27.2 33.3 30 2.4 1.6 3.5
Vance 45 16.0 11.5 21.8 136 44.3 37.0 52.9 3 ** ** **
Wake 601 10.5 9.6 11.4 1,424 24.9 23.6 26.2 80 1.4 1.1 1.7
Warren 19 11.1 6.5 18.6 69 38.2 29.5 49.4 1 ** ** **
Washington 24 28.2 16.4 45.9 50 48.8 35.3 67.1 1 ** ** **
Watauga 25 9.0 5.8 13.7 78 25.1 19.7 31.7 9 ** ** **
Wayne 121 17.1 14.1 20.5 363 47.2 42.4 52.5 12 ** ** **
Wilkes 66 12.4 9.5 16.1 228 41.4 36.0 47.5 20 3.5 2.1 5.7
Wilson 80 15.9 12.5 20.0 227 40.1 34.9 45.8 9 ** ** **
Yadkin 27 9.8 6.3 14.8 148 51.1 43.0 60.5 7 ** ** **
Yancey 16 9.7 5.3 17.0 61 35.0 26.6 46.1 1 ** ** **

Produced by the NC Central Cancer Registry, 3/2026.

**Cancer mortality rates based on any cancer deaths less than 16 are suppressed as they are not stable.

Cases may not sum to totals due to unknown values.

Rates are calculated using vintage 2024 non-bridged population estimates, based on the 2020 Census.


Age-adjusted rates are point estimates. The standard error (SE) for an age-adjusted rate defines the variability in this point estimate. 95% Confidence Interval (CI) based on a formula for estimating the (SE) is provided to illustrate how precise an estimate is; the wider the CI range, the less precise the estimate and the more the estimate could vary. Age-adjusted rates for two different populations are significantly different when 95% confidence intervals for their age-adjusted rates do not overlap. CI should be framed in the following statement: We are 95 percent confident that the age-adjusted rate for the given population is between Lower_CI and Upper_CI.


Reference: Tiwari RC, Clegg LX, Zou Z. Efficient interval estimation for age-adjusted cancer rates. Statistical Methods in Medical Research. 2006;15(6):547-69.