2020-2024 North Carolina Cancer Mortality by County and Year

Per 100,000 Population

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

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  2020 2021 2022 2023 2024
Cases Rate Cases Rate Cases Rate Cases Rate Cases Rate
NORTH CAROLINA 20,018 157.3 20,225 155.3 20,367 152.2 20,925 152.0 21,242 150.1
Alamance 377 171.9 368 165.2 383 171.3 357 152.6 382 161.4
Alexander 90 170.2 98 177.2 86 157.8 100 181.4 93 166.9
Alleghany 27 124.3 31 140.7 36 157.2 34 176.9 43 180.0
Anson 56 179.8 58 192.4 68 215.9 66 208.4 73 227.6
Ashe 79 161.7 74 146.1 67 129.4 81 157.1 93 179.7
Avery 43 150.9 42 154.7 28 94.0 33 108.1 43 137.0
Beaufort 100 135.1 138 179.8 130 165.1 121 153.9 124 159.1
Bertie 44 159.2 53 180.5 52 185.0 54 179.1 60 195.3
Bladen 95 201.0 79 161.9 88 182.5 72 146.2 93 185.2
Brunswick 423 153.7 441 159.7 495 164.3 465 141.6 487 148.1
Buncombe 533 138.0 563 141.4 553 135.0 572 137.1 567 132.1
Burke 196 148.6 210 155.8 231 173.3 244 173.3 260 182.9
Cabarrus 335 145.8 320 135.5 363 148.0 346 136.9 362 139.9
Caldwell 225 187.9 214 177.3 228 191.3 249 201.2 223 177.1
Camden 20 157.4 23 187.5 28 190.9 23 157.2 27 180.3
Carteret 201 168.1 200 155.8 182 143.7 232 176.9 186 144.9
Caswell 62 175.9 63 169.2 61 169.1 59 158.5 56 142.0
Catawba 312 149.2 379 175.5 330 148.5 357 158.4 348 152.2
Chatham 175 133.1 169 120.4 182 127.0 187 127.6 186 120.6
Cherokee 71 135.8 93 157.3 92 149.4 85 140.8 104 169.2
Chowan 34 133.6 45 191.6 38 150.3 40 165.2 38 162.8
Clay 25 117.3 31 116.2 34 140.8 37 131.6 34 124.9
Cleveland 258 191.7 225 167.1 269 198.3 251 181.9 231 168.0
Columbus 152 214.1 137 184.1 146 199.7 115 156.8 150 197.4
Craven 251 176.8 249 172.5 259 174.7 231 148.7 245 162.3
Cumberland 546 173.1 588 180.8 548 167.0 613 184.7 618 181.7
Currituck 57 153.1 55 145.5 56 148.2 72 175.3 67 162.6
Dare 92 154.9 92 161.9 83 134.7 114 192.5 97 151.5
Davidson 427 183.3 392 167.3 397 164.4 460 183.1 383 149.1
Davie 96 144.3 97 141.7 112 161.4 102 142.6 119 158.8
Duplin 122 184.3 111 158.1 105 155.4 127 183.3 138 187.4
Durham 467 143.5 442 132.4 458 130.3 493 137.1 483 129.6
Edgecombe 136 188.3 135 191.9 137 184.8 150 202.7 155 199.1
Forsyth 743 161.8 719 153.7 765 159.1 822 168.7 799 158.1
Franklin 139 161.2 141 159.6 130 134.6 153 153.3 159 156.4
Gaston 424 151.2 504 175.7 467 161.8 495 166.8 475 159.6
Gates 22 138.4 30 183.7 18 119.3 33 189.9 19 99.9
Graham 28 206.2 27 198.2 21 146.8 21 156.0 18 133.0
Granville 142 176.1 122 152.6 153 187.4 140 167.3 155 178.7
Greene 44 167.1 43 167.6 37 144.9 35 130.2 35 124.5
Guilford 891 144.7 1,015 163.9 956 149.8 962 146.6 918 136.8
Halifax 151 206.3 147 195.2 142 196.7 130 183.0 132 184.1
Harnett 243 180.3 252 181.7 269 186.9 274 183.5 286 187.4
Haywood 146 140.5 184 171.0 199 179.7 157 145.2 177 159.8
Henderson 323 158.0 322 154.6 324 154.8 303 140.4 311 140.1
Hertford 58 191.4 52 169.6 55 176.4 45 139.4 55 183.0
Hoke 77 179.5 86 194.1 82 175.4 96 192.8 96 170.5
Hyde 9 ** 9 ** 11 ** 5 ** 15 **
Iredell 335 146.7 343 145.7 348 142.1 372 147.7 379 147.0
Jackson 84 140.9 65 105.7 62 105.1 82 132.3 96 146.5
Johnston 364 168.4 386 165.0 394 165.8 391 154.9 463 175.5
Jones 36 240.6 22 126.1 28 190.5 27 162.5 37 274.4
Lee 133 168.7 123 153.3 124 147.0 127 147.2 137 157.9
Lenoir 151 186.8 124 142.4 139 172.7 147 175.9 148 169.0
Lincoln 185 166.0 185 150.7 171 130.1 201 149.9 194 140.7
McDowell 135 201.4 121 180.0 142 210.8 121 166.0 105 145.3
Macon 111 161.9 103 147.0 109 157.9 101 143.2 119 163.2
Madison 52 153.1 49 151.4 60 170.3 56 164.5 52 136.7
Martin 58 153.7 64 182.3 81 213.1 87 231.4 71 196.6
Mecklenburg 1,373 138.1 1,334 129.6 1,320 124.5 1,368 126.0 1,472 128.8
Mitchell 34 132.2 52 191.8 57 233.4 52 201.1 34 123.9
Montgomery 56 146.0 55 131.2 64 151.5 79 192.2 65 153.1
Moore 244 143.1 280 166.7 277 153.4 268 145.9 279 150.4
Nash 210 162.5 215 159.9 207 158.2 210 158.5 215 153.8
New Hanover 475 162.3 467 153.4 496 159.0 429 131.7 508 150.8
Northampton 55 163.5 53 158.3 61 177.3 73 215.8 63 195.4
Onslow 312 213.6 318 209.6 265 167.7 316 193.2 302 181.1
Orange 213 135.2 207 125.0 185 107.6 219 122.0 226 120.6
Pamlico 40 181.5 38 145.8 41 152.7 39 156.5 37 132.7
Pasquotank 80 151.6 103 185.9 75 142.2 94 166.5 83 139.6
Pender 143 179.0 129 159.8 155 179.7 159 180.8 180 201.4
Perquimans 49 182.7 33 138.1 42 162.1 40 162.5 39 144.7
Person 97 165.9 104 180.5 102 165.9 103 174.1 126 210.4
Pitt 293 164.1 300 165.9 274 145.3 315 164.4 333 171.0
Polk 58 151.9 71 175.7 45 104.9 51 119.1 62 142.9
Randolph 336 175.8 353 185.6 313 159.0 331 164.9 350 170.2
Richmond 104 177.3 119 219.5 128 232.5 124 217.9 122 207.4
Robeson 260 192.5 275 201.9 270 193.0 287 207.5 294 212.2
Rockingham 249 176.8 226 167.3 238 169.5 246 170.4 218 153.5
Rowan 323 167.2 314 165.5 315 159.7 309 155.6 308 150.8
Rutherford 180 184.8 173 175.3 180 177.2 196 187.4 162 149.3
Sampson 142 183.8 144 180.9 159 207.2 145 181.9 133 167.4
Scotland 95 213.8 90 207.2 88 196.8 77 171.5 88 194.1
Stanly 151 181.0 171 199.6 143 161.8 147 163.7 155 169.8
Stokes 122 175.9 109 156.2 126 167.5 142 185.8 127 166.6
Surry 220 206.7 183 172.5 202 184.3 182 163.8 195 179.0
Swain 39 199.7 44 225.4 56 285.3 40 224.9 39 202.7
Transylvania 86 119.4 96 140.6 95 131.3 88 129.6 92 123.7
Tyrrell 14 ** 10 ** 14 ** 10 ** 10 **
Union 357 147.0 328 131.5 342 133.5 360 133.8 354 125.5
Vance 109 195.8 117 197.5 100 176.7 122 208.8 101 174.7
Wake 1,325 127.0 1,331 122.1 1,324 116.1 1,427 119.1 1,504 120.1
Warren 46 136.9 57 158.5 58 159.2 66 184.7 56 150.1
Washington 30 157.5 33 196.5 42 222.5 45 226.9 37 174.3
Watauga 76 126.6 75 121.6 86 138.7 87 143.1 78 124.2
Wayne 287 200.4 258 180.5 293 205.4 274 182.8 258 166.0
Wilkes 190 181.8 163 148.5 177 159.5 163 152.7 178 161.8
Wilson 178 169.7 209 195.9 183 169.1 177 160.1 194 171.8
Yadkin 93 173.7 82 146.9 107 181.2 93 169.8 102 172.4
Yancey 63 181.1 53 157.8 50 134.0 47 129.3 44 121.9

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.