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