State index
Virginia
Environmental and community health profiles for all 133 counties in Virginia. Sorted by opportunity score (highest need first).
133
Counties
46
Avg opportunity score
5
Converging-risk counties
What the data shows in Virginia
Across Virginia's 133 counties, 5 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 21 counties.
Norton city carries the highest overall need in the state, with an opportunity score of 69 out of 100 (elevated). Higher scores mean more burden relative to the rest of the country.
| County | Opportunity | Env | Disease | Provider | Social | Pop |
|---|---|---|---|---|---|---|
| Norton city 51720 | 69 | 35 | 69 | 87 | 72 | 3,492 |
| Covington city 51580 | 67 | 45 | 77 | 73 | 56 | 5,545 |
| Dickenson County 51051 | 65 | 32 | 88 | 48 | 71 | 13,640 |
| Bristol city 51520 | 65 | 48 | 74 | 54 | 65 | 16,807 |
| Bath County 51017 | 64 | 32 | 90 | 58 | 57 | 4,051 |
| Scott County 51169 | 64 | 38 | 86 | 50 | 61 | 21,433 |
| Lee County 51105 | 64 | 36 | 86 | 51 | 62 | 21,745 |
| Danville city 51590 | 64 | 56 | 73 | 40 | 71 | 41,837 |
| Buchanan County 51027 | 63 | 34 | 89 | 39 | 68 | 19,087 |
| Henry County 51089 | 63 | 47 | 82 | 40 | 63 | 49,702 |
| Halifax County 51083 | 63 | 50 | 81 | 41 | 61 | 33,432 |
| Emporia city 51595 | 62 | 26 | 69 | 70 | 73 | 5,463 |
| Charlotte County 51037 | 62 | 34 | 82 | 39 | 78 | 11,336 |
| Galax city 51640 | 61 | 35 | 74 | 55 | 65 | 6,717 |
| Pittsylvania County 51143 | 60 | 53 | 78 | 41 | 54 | 59,571 |
| Patrick County 51141 | 60 | 37 | 82 | 44 | 58 | 17,509 |
| Smyth County 51173 | 60 | 48 | 80 | 44 | 53 | 29,216 |
| Essex County 51057 | 60 | 34 | 74 | 51 | 65 | 10,598 |
| Grayson County 51077 | 60 | 42 | 86 | 45 | 48 | 15,285 |
| King and Queen County 51097 | 59 | 27 | 72 | 54 | 68 | 6,720 |
| Lunenburg County 51111 | 58 | 44 | 75 | 40 | 58 | 12,038 |
| Russell County 51167 | 58 | 43 | 84 | 41 | 49 | 25,477 |
| Hopewell city 51670 | 58 | 34 | 67 | 45 | 82 | 22,752 |
| Petersburg city 51730 | 58 | 47 | 58 | 44 | 81 | 33,309 |
| Craig County 51045 | 58 | 34 | 69 | 65 | 53 | 4,843 |
| Tazewell County 51185 | 57 | 33 | 81 | 37 | 59 | 39,120 |
| Mecklenburg County 51117 | 57 | 40 | 79 | 39 | 54 | 30,648 |
| Cumberland County 51049 | 57 | 44 | 66 | 44 | 60 | 9,878 |
| Martinsville city 51690 | 57 | 32 | 69 | 41 | 71 | 13,763 |
| Alleghany County 51005 | 56 | 48 | 76 | 40 | 49 | 14,595 |
| Buckingham County 51029 | 56 | 50 | 63 | 44 | 56 | 16,978 |
| Carroll County 51035 | 56 | 31 | 83 | 43 | 50 | 29,239 |
| Roanoke city 51770 | 55 | 47 | 55 | 42 | 70 | 97,171 |
| Buena Vista city 51530 | 55 | 40 | 55 | 55 | 62 | 6,566 |
| Nottoway County 51135 | 55 | 43 | 59 | 48 | 60 | 15,566 |
| Wise County 51195 | 55 | 34 | 72 | 50 | 52 | 35,174 |
| Franklin city 51620 | 54 | 28 | 66 | 42 | 69 | 8,339 |
| Pulaski County 51155 | 54 | 49 | 65 | 44 | 50 | 33,655 |
| Amelia County 51007 | 54 | 40 | 70 | 40 | 55 | 13,480 |
| Westmoreland County 51193 | 54 | 31 | 81 | 19 | 65 | 19,013 |
| Highland County 51091 | 54 | 28 | 68 | 75 | 40 | 2,339 |
| Brunswick County 51025 | 54 | 35 | 66 | 42 | 59 | 15,749 |
| Page County 51139 | 53 | 34 | 67 | 42 | 57 | 23,741 |
| Northampton County 51131 | 53 | 21 | 78 | 40 | 56 | 12,021 |
| Wythe County 51197 | 53 | 42 | 70 | 43 | 47 | 28,104 |
| Charles City County 51036 | 53 | 26 | 72 | 53 | 49 | 6,610 |
| Nelson County 51125 | 53 | 28 | 71 | 45 | 54 | 14,705 |
| Winchester city 51840 | 52 | 57 | 49 | 43 | 55 | 27,617 |
| Sussex County 51183 | 52 | 40 | 50 | 46 | 64 | 10,757 |
| Rappahannock County 51157 | 52 | 30 | 66 | 50 | 52 | 7,414 |
| Middlesex County 51119 | 51 | 23 | 75 | 46 | 49 | 10,924 |
| Giles County 51071 | 51 | 50 | 62 | 36 | 49 | 16,457 |
| Rockbridge County 51163 | 51 | 39 | 64 | 47 | 47 | 22,358 |
| Surry County 51181 | 51 | 30 | 66 | 51 | 48 | 6,593 |
| Accomack County 51001 | 51 | 37 | 79 | 21 | 51 | 33,239 |
| Portsmouth city 51740 | 51 | 35 | 50 | 42 | 69 | 96,793 |
| Franklin County 51067 | 50 | 34 | 72 | 42 | 44 | 55,549 |
| Lancaster County 51103 | 50 | 21 | 80 | 47 | 41 | 10,859 |
| Bland County 51021 | 49 | 38 | 59 | 57 | 40 | 6,179 |
| Shenandoah County 51171 | 49 | 44 | 63 | 40 | 43 | 45,228 |
| Amherst County 51009 | 49 | 37 | 64 | 43 | 45 | 31,396 |
| Waynesboro city 51820 | 48 | 45 | 47 | 47 | 53 | 23,182 |
| Washington County 51191 | 48 | 40 | 63 | 51 | 37 | 54,050 |
| Dinwiddie County 51053 | 48 | 46 | 49 | 44 | 50 | 28,343 |
| Floyd County 51063 | 48 | 29 | 60 | 48 | 48 | 15,679 |
| Campbell County 51031 | 48 | 51 | 57 | 43 | 40 | 55,270 |
| Southampton County 51175 | 48 | 44 | 56 | 48 | 41 | 17,975 |
| Appomattox County 51011 | 47 | 43 | 62 | 41 | 42 | 16,864 |
| Greensville County 51081 | 47 | 39 | 52 | 44 | 51 | 11,133 |
| Richmond County 51159 | 47 | 34 | 57 | 42 | 50 | 9,184 |
| Richmond city 51760 | 47 | 46 | 31 | 43 | 71 | 229,247 |
| Northumberland County 51133 | 45 | 26 | 73 | 19 | 51 | 12,391 |
| Warren County 51187 | 45 | 50 | 41 | 43 | 47 | 41,843 |
| Madison County 51113 | 44 | 34 | 57 | 46 | 41 | 14,128 |
| Louisa County 51109 | 44 | 40 | 53 | 42 | 42 | 41,037 |
| Orange County 51137 | 44 | 40 | 44 | 45 | 47 | 38,574 |
| Newport News city 51700 | 43 | 34 | 35 | 44 | 59 | 183,118 |
| Augusta County 51015 | 43 | 49 | 51 | 45 | 32 | 78,247 |
| Prince Edward County 51147 | 43 | 25 | 45 | 44 | 55 | 22,049 |
| Hampton city 51650 | 43 | 34 | 43 | 44 | 51 | 137,098 |
| Norfolk city 51710 | 43 | 36 | 29 | 43 | 64 | 230,930 |
| Staunton city 51790 | 43 | 44 | 46 | 42 | 42 | 25,915 |
| Bedford County 51019 | 42 | 43 | 52 | 42 | 33 | 81,525 |
| Salem city 51775 | 41 | 43 | 39 | 40 | 46 | 25,600 |
| Caroline County 51033 | 40 | 36 | 42 | 44 | 43 | 32,640 |
| Rockingham County 51165 | 40 | 50 | 43 | 41 | 33 | 86,568 |
| Mathews County 51115 | 40 | 21 | 70 | 31 | 35 | 8,514 |
| Radford city 51750 | 40 | 47 | 28 | 41 | 50 | 16,971 |
| Botetourt County 51023 | 39 | 37 | 50 | 45 | 31 | 34,125 |
| Colonial Heights city 51570 | 39 | 34 | 34 | 47 | 46 | 18,393 |
| King William County 51101 | 38 | 42 | 34 | 48 | 38 | 19,030 |
| Manassas Park city 51685 | 38 | 58 | 18 | 44 | 45 | 16,361 |
| Isle of Wight County 51093 | 38 | 38 | 43 | 44 | 32 | 40,711 |
| Lynchburg city 51680 | 38 | 32 | 29 | 42 | 52 | 79,535 |
| Fluvanna County 51065 | 37 | 43 | 41 | 42 | 32 | 28,462 |
| Culpeper County 51047 | 37 | 43 | 35 | 42 | 39 | 54,973 |
| Harrisonburg city 51660 | 37 | 44 | 24 | 42 | 48 | 51,082 |
| Clarke County 51043 | 37 | 43 | 40 | 40 | 35 | 15,466 |
| Fredericksburg city 51630 | 37 | 34 | 23 | 40 | 57 | 28,928 |
| Suffolk city 51800 | 36 | 35 | 35 | 43 | 40 | 100,659 |
| Gloucester County 51073 | 36 | 27 | 45 | 43 | 33 | 40,057 |
| Greene County 51079 | 35 | 29 | 43 | 41 | 36 | 21,301 |
| Charlottesville city 51540 | 35 | 45 | 19 | 40 | 48 | 44,983 |
| Williamsburg city 51830 | 35 | 32 | 22 | 48 | 49 | 15,847 |
| Roanoke County 51161 | 35 | 39 | 38 | 43 | 26 | 97,026 |
| Goochland County 51075 | 34 | 44 | 37 | 41 | 22 | 27,197 |
| Lexington city 51678 | 34 | 43 | 19 | 53 | 39 | 7,528 |
| James City County 51095 | 34 | 33 | 41 | 44 | 24 | 82,654 |
| Powhatan County 51145 | 34 | 37 | 36 | 44 | 28 | 32,105 |
| Spotsylvania County 51177 | 33 | 44 | 28 | 41 | 32 | 149,588 |
| Montgomery County 51121 | 33 | 42 | 20 | 44 | 39 | 98,666 |
| Chesapeake city 51550 | 32 | 40 | 27 | 42 | 34 | 253,886 |
| Manassas city 51683 | 32 | 53 | 11 | 40 | 41 | 42,696 |
| Chesterfield County 51041 | 31 | 45 | 24 | 43 | 28 | 383,876 |
| Hanover County 51085 | 31 | 42 | 28 | 43 | 24 | 114,148 |
| Frederick County 51069 | 31 | 44 | 32 | 30 | 29 | 95,994 |
| Fauquier County 51061 | 30 | 36 | 26 | 43 | 30 | 75,165 |
| Prince George County 51149 | 30 | 45 | 22 | 41 | 29 | 42,871 |
| Virginia Beach city 51810 | 30 | 33 | 25 | 43 | 34 | 453,649 |
| Poquoson city 51735 | 30 | 32 | 30 | 45 | 22 | 12,635 |
| Henrico County 51087 | 29 | 33 | 23 | 43 | 33 | 334,760 |
| Fairfax city 51600 | 29 | 48 | 7 | 44 | 36 | 25,144 |
| New Kent County 51127 | 28 | 26 | 29 | 45 | 23 | 26,134 |
| Albemarle County 51003 | 28 | 37 | 21 | 43 | 27 | 115,676 |
| Falls Church city 51610 | 27 | 47 | 9 | 47 | 26 | 14,685 |
| York County 51199 | 27 | 37 | 20 | 43 | 23 | 70,952 |
| Stafford County 51179 | 26 | 48 | 14 | 35 | 24 | 165,428 |
| King George County 51099 | 26 | 38 | 26 | 25 | 29 | 28,568 |
| Prince William County 51153 | 25 | 44 | 9 | 39 | 31 | 489,640 |
| Alexandria city 51510 | 20 | 40 | 8 | 14 | 39 | 155,230 |
| Arlington County 51013 | 19 | 47 | 4 | 14 | 34 | 234,162 |
| Loudoun County 51107 | 19 | 47 | 3 | 23 | 19 | 436,347 |
| Fairfax County 51059 | 17 | 43 | 6 | 14 | 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.