State index

Virginia

Environmental and community health profiles for all 133 counties in Virginia. Sorted by opportunity score (highest need first).

133

Counties

Avg opportunity score

Converging-risk counties

What the data shows in Virginia

Across Virginia's 133 counties, 6 have two or more of the four health-risk areas (environmental, disease, provider access, and social conditions) above the national threshold at the same time. These are the places where several pressures land together rather than one at a time.

Statewide, the health-risk area scoring highest on average is disease burden, the leading driver of community health need in Virginia.

The most widespread specific risk pattern is Respiratory Burden, triggered in 43 counties, followed by Industrial Burden in 24 counties.

Highland County carries the highest overall need in the state, with an opportunity score of 68 out of 100 (elevated). Higher scores mean more burden relative to the rest of the country.

County	Opportunity	Env	Disease	Provider	Social	Pop
Highland County 51091	68	33	68	99	60	2,339
Bath County 51017	64	33	90	55	58	4,051
Scott County 51169	64	33	86	51	64	21,433
Buchanan County 51027	63	24	89	46	74	19,087
Lee County 51105	62	33	86	49	61	21,745
Dickenson County 51051	61	24	88	40	73	13,640
Covington city 51580	61	33	77	69	53	5,545
Charles City County 51036	61	27	72	75	57	6,610
Charlotte County 51037	61	24	82	48	72	11,336
Galax city 51640	61	24	74	74	57	6,717
Henry County 51089	60	29	82	43	68	49,702
Bristol city 51520	60	45	74	54	55	16,807
King and Queen County 51097	60	14	72	74	63	6,720
Craig County 51045	59	33	69	60	62	4,843
Giles County 51071	59	68	62	41	56	16,457
Wythe County 51197	59	61	70	46	50	28,104
Norton city 51720	59	24	69	74	56	3,492
Russell County 51167	58	33	84	48	53	25,477
Patrick County 51141	58	28	82	40	65	17,509
Grayson County 51077	58	24	86	45	58	15,285
Lunenburg County 51111	57	22	75	55	61	12,038
Tazewell County 51185	57	33	81	37	60	39,120
Pittsylvania County 51143	57	31	78	45	57	59,571
Smyth County 51173	57	33	80	44	54	29,216
Carroll County 51035	56	24	83	42	56	29,239
Halifax County 51083	56	24	81	45	57	33,432
Amelia County 51007	55	32	70	46	61	13,480
Alleghany County 51005	55	33	76	41	56	14,595
Bland County 51021	55	33	59	71	51	6,179
Surry County 51181	55	16	66	73	54	6,593
Brunswick County 51025	54	31	66	49	60	15,749
Danville city 51590	54	35	73	44	54	41,837
Cumberland County 51049	54	36	66	42	61	9,878
Emporia city 51595	54	14	69	71	52	5,463
Buckingham County 51029	54	36	63	44	61	16,978
Rockbridge County 51163	53	41	64	45	54	22,358
Mecklenburg County 51117	53	24	79	41	53	30,648
Buena Vista city 51530	53	30	55	72	50	6,566
Middlesex County 51119	53	14	75	45	62	10,924
Wise County 51195	53	24	72	49	54	35,174
Page County 51139	53	31	67	44	56	23,741
Rappahannock County 51157	52	22	66	53	57	7,414
Hopewell city 51670	52	17	67	47	65	22,752
Nelson County 51125	52	22	71	46	57	14,705
Nottoway County 51135	52	31	59	53	57	15,566
Essex County 51057	52	15	74	43	60	10,598
Pulaski County 51155	51	33	65	50	49	33,655
Petersburg city 51730	51	32	58	46	58	33,309
Westmoreland County 51193	50	14	81	21	66	19,013
Floyd County 51063	50	24	60	50	57	15,679
Appomattox County 51011	50	34	62	48	50	16,864
Lancaster County 51103	50	13	80	43	49	10,859
Martinsville city 51690	49	11	69	50	56	13,763
Franklin city 51620	49	10	66	57	54	8,339
Mathews County 51115	49	12	70	55	49	8,514
Northampton County 51131	49	10	78	42	51	12,021
Washington County 51191	48	33	63	52	42	54,050
Franklin County 51067	48	12	72	45	52	55,549
Louisa County 51109	47	34	53	47	50	41,037
Amherst County 51009	46	21	64	44	50	31,396
Dinwiddie County 51053	46	31	49	50	53	28,343
Madison County 51113	46	40	57	38	48	14,128
Sussex County 51183	46	15	50	49	65	10,757
Campbell County 51031	46	31	57	48	45	55,270
Northumberland County 51133	46	11	73	22	62	12,391
Accomack County 51001	45	11	79	26	50	33,239
Shenandoah County 51171	45	31	63	43	41	45,228
Orange County 51137	44	34	44	46	53	38,574
Rockingham County 51165	44	57	43	43	38	86,568
Richmond County 51159	43	14	57	44	50	9,184
Bedford County 51019	42	29	52	46	43	81,525
Roanoke city 51770	42	12	55	46	51	97,171
Warren County 51187	42	33	41	47	48	41,843
Botetourt County 51023	42	28	50	51	41	34,125
Augusta County 51015	41	33	51	47	39	78,247
Fluvanna County 51065	41	35	41	51	43	28,462
Greensville County 51081	41	14	52	53	46	11,133
Salem city 51775	41	49	39	48	37	25,600
Caroline County 51033	41	27	42	44	51	32,640
Portsmouth city 51740	40	14	50	44	50	96,793
Roanoke County 51161	40	52	38	47	30	97,026
Southampton County 51175	39	14	56	46	41	17,975
Richmond city 51760	39	41	31	45	47	229,247
Prince Edward County 51147	39	28	45	44	44	22,049
Winchester city 51840	39	33	49	47	33	27,617
Waynesboro city 51820	39	29	47	43	41	23,182
Staunton city 51790	39	33	46	50	31	25,915
Clarke County 51043	38	36	40	43	41	15,466
Greene County 51079	38	24	43	44	44	21,301
Powhatan County 51145	37	34	36	44	41	32,105
Hampton city 51650	37	33	43	45	33	137,098
Gloucester County 51073	36	14	45	48	40	40,057
King William County 51101	36	16	34	50	48	19,030
Goochland County 51075	35	33	37	49	32	27,197
Norfolk city 51710	35	35	29	45	42	230,930
Frederick County 51069	35	53	32	32	33	95,994
Chesterfield County 51041	34	53	24	46	30	383,876
Isle of Wight County 51093	34	15	43	47	38	40,711
Culpeper County 51047	33	25	35	43	39	54,973
Lynchburg city 51680	33	35	29	46	33	79,535
Spotsylvania County 51177	32	34	28	45	35	149,588
Suffolk city 51800	32	22	35	46	35	100,659
Radford city 51750	31	33	28	50	28	16,971
Colonial Heights city 51570	31	16	34	47	38	18,393
Hanover County 51085	31	34	28	45	31	114,148
James City County 51095	31	16	41	48	27	82,654
Manassas Park city 51685	31	37	18	44	41	16,361
Newport News city 51700	31	14	35	45	39	183,118
Albemarle County 51003	30	44	21	47	22	115,676
Fauquier County 51061	30	30	26	46	33	75,165
Virginia Beach city 51810	30	38	25	45	23	453,649
New Kent County 51127	29	16	29	50	35	26,134
Lexington city 51678	28	33	19	52	24	7,528
Stafford County 51179	28	49	14	38	29	165,428
Henrico County 51087	28	30	23	45	25	334,760
Montgomery County 51121	28	33	20	47	23	98,666
Manassas city 51683	28	37	11	47	37	42,696
Harrisonburg city 51660	27	29	24	43	25	51,082
Prince William County 51153	26	46	9	42	29	489,640
Charlottesville city 51540	26	28	19	48	25	44,983
Prince George County 51149	26	16	22	50	32	42,871
Fredericksburg city 51630	26	17	23	44	35	28,928
Chesapeake city 51550	26	14	27	45	30	253,886
Williamsburg city 51830	25	16	22	49	30	15,847
Poquoson city 51735	25	16	30	38	29	12,635
King George County 51099	23	16	26	32	34	28,568
Falls Church city 51610	23	34	9	44	15	14,685
York County 51199	22	15	20	44	22	70,952
Loudoun County 51107	22	52	3	29	21	436,347
Fairfax County 51059	22	62	6	15	19	1,141,878
Fairfax city 51600	19	12	7	52	27	25,144
Arlington County 51013	18	53	4	14	20	234,162
Alexandria city 51510	12	20	8	14	22	155,230

Scores are national percentile ranks (0–100) from the Banana Analytics methodology (v1.2.0). Higher scores indicate more burden. Click any county for its full environmental and community health profile.