Counties in North Carolina by COPD in adults, local model estimate, 2023

Washington County had the highest COPD in adults, local model estimate of 100 counties in 2023, at 12.4%. Wake County had the lowest, at 4.6%. The median was 9.2%. Source: the Centers for Disease Control and Prevention.

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Lowest4.6Wake County
Median9.2100 counties

Map of counties, 2023

Alamance County: 7.4 %Alexander County: 9.2 %Alleghany County: 11.6 %Anson County: 10.5 %Ashe County: 10 %Avery County: 9.2 %Beaufort County: 10 %Bertie County: 10.7 %Bladen County: 10 %Brunswick County: 8.5 %Buncombe County: 6.9 %Burke County: 9.8 %Cabarrus County: 5.8 %Caldwell County: 9.6 %Camden County: 6.5 %Carteret County: 8.1 %Caswell County: 9.5 %Catawba County: 7.8 %Chatham County: 7.3 %Cherokee County: 10.8 %Chowan County: 10.5 %Clay County: 10 %Cleveland County: 9.1 %Columbus County: 10 %Craven County: 7.9 %Cumberland County: 6.5 %Currituck County: 6.7 %Dare County: 7 %Davidson County: 8.7 %Davie County: 7.8 %Duplin County: 9.4 %Durham County: 5.1 %Edgecombe County: 10 %Forsyth County: 7 %Franklin County: 7.6 %Gaston County: 7.7 %Gates County: 9.5 %Graham County: 9.2 %Granville County: 8 %Greene County: 9.6 %Guilford County: 6.5 %Halifax County: 11.5 %Harnett County: 7.1 %Haywood County: 8.7 %Henderson County: 8.2 %Hertford County: 10.2 %Hoke County: 7 %Hyde County: 10.8 %Iredell County: 6.6 %Jackson County: 8.2 %Johnston County: 6.6 %Jones County: 10.8 %Lee County: 8 %Lenoir County: 11.1 %Lincoln County: 7.6 %McDowell County: 9.6 %Macon County: 10.1 %Madison County: 8.1 %Martin County: 10.6 %Mecklenburg County: 5 %Mitchell County: 9 %Montgomery County: 9.8 %Moore County: 7 %Nash County: 8.3 %New Hanover County: 6.5 %Northampton County: 11.2 %Onslow County: 5.6 %Orange County: 5 %Pamlico County: 9.6 %Pasquotank County: 7.2 %Pender County: 7.3 %Perquimans County: 9.7 %Person County: 9.1 %Pitt County: 6.7 %Polk County: 9.4 %Randolph County: 9.2 %Richmond County: 10.6 %Robeson County: 11.4 %Rockingham County: 9.7 %Rowan County: 8.4 %Rutherford County: 10.3 %Sampson County: 9.2 %Scotland County: 10.9 %Stanly County: 8.6 %Stokes County: 9.4 %Surry County: 10.1 %Swain County: 10.3 %Transylvania County: 8.5 %Tyrrell County: 10.6 %Union County: 5.7 %Vance County: 9.4 %Wake County: 4.6 %Warren County: 11.5 %Washington County: 12.4 %Watauga County: 7 %Wayne County: 8.4 %Wilkes County: 10.4 %Wilson County: 9.9 %Yadkin County: 9.5 %Yancey County: 10 %
  • Under 7
  • 7 to 8
  • 8 to 9.2
  • 9.2 to 9.7
  • 9.7 to 10
  • 10 and over
%, 2023. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Washington County: 12.4 %Washington County12.4Alleghany County: 11.6 %Alleghany County11.6Halifax County: 11.5 %Halifax County11.5Warren County: 11.5 %Warren County11.5Robeson County: 11.4 %Robeson County11.4Northampton County: 11.2 %Northampton County11.2Lenoir County: 11.1 %Lenoir County11.1Scotland County: 10.9 %Scotland County10.9Cherokee County: 10.8 %Cherokee County10.8Hyde County: 10.8 %Hyde County10.8Jones County: 10.8 %Jones County10.8Bertie County: 10.7 %Bertie County10.7Martin County: 10.6 %Martin County10.6Richmond County: 10.6 %Richmond County10.6Tyrrell County: 10.6 %Tyrrell County10.6Anson County: 10.5 %Anson County10.5Chowan County: 10.5 %Chowan County10.5Wilkes County: 10.4 %Wilkes County10.4Rutherford County: 10.3 %Rutherford County10.3Swain County: 10.3 %Swain County10.3Hertford County: 10.2 %Hertford County10.2Macon County: 10.1 %Macon County10.1Surry County: 10.1 %Surry County10.1Ashe County: 10 %Ashe County10Beaufort County: 10 %Beaufort County10Bladen County: 10 %Bladen County10Clay County: 10 %Clay County10Columbus County: 10 %Columbus County10Edgecombe County: 10 %Edgecombe County10Yancey County: 10 %Yancey County10Wilson County: 9.9 %Wilson County9.9Burke County: 9.8 %Burke County9.8Montgomery County: 9.8 %Montgomery County9.8Perquimans County: 9.7 %Perquimans County9.7Rockingham County: 9.7 %Rockingham County9.7Caldwell County: 9.6 %Caldwell County9.6Greene County: 9.6 %Greene County9.6McDowell County: 9.6 %McDowell County9.6Pamlico County: 9.6 %Pamlico County9.6Caswell County: 9.5 %Caswell County9.5Washington County: 12.4 %Washington County12.4Alleghany County: 11.6 %Alleghany County11.6Halifax County: 11.5 %Halifax County11.5Warren County: 11.5 %Warren County11.5Robeson County: 11.4 %Robeson County11.4Northampton County: 11.2 %Northampton County11.2Lenoir County: 11.1 %Lenoir County11.1Scotland County: 10.9 %Scotland County10.9Cherokee County: 10.8 %Cherokee County10.8Hyde County: 10.8 %Hyde County10.8Jones County: 10.8 %Jones County10.8Bertie County: 10.7 %Bertie County10.7Martin County: 10.6 %Martin County10.6Richmond County: 10.6 %Richmond County10.6Tyrrell County: 10.6 %Tyrrell County10.6Anson County: 10.5 %Anson County10.5Chowan County: 10.5 %Chowan County10.5Wilkes County: 10.4 %Wilkes County10.4Rutherford County: 10.3 %Rutherford County10.3Swain County: 10.3 %Swain County10.3Hertford County: 10.2 %Hertford County10.2Macon County: 10.1 %Macon County10.1Surry County: 10.1 %Surry County10.1Ashe County: 10 %Ashe County10Beaufort County: 10 %Beaufort County10Bladen County: 10 %Bladen County10Clay County: 10 %Clay County10Columbus County: 10 %Columbus County10Edgecombe County: 10 %Edgecombe County10Yancey County: 10 %Yancey County10Wilson County: 9.9 %Wilson County9.9Burke County: 9.8 %Burke County9.8Montgomery County: 9.8 %Montgomery County9.8Perquimans County: 9.7 %Perquimans County9.7Rockingham County: 9.7 %Rockingham County9.7Caldwell County: 9.6 %Caldwell County9.6Greene County: 9.6 %Greene County9.6McDowell County: 9.6 %McDowell County9.6Pamlico County: 9.6 %Pamlico County9.6Caswell County: 9.5 %Caswell County9.5
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Washington County12.4+1 pts
2Alleghany County11.6-0.4 pts
3Halifax County11.5-0.1 pts
3Warren County11.5+0.8 pts
5Robeson County11.4-0.1 pts
6Northampton County11.2-0.6 pts
7Lenoir County11.1+0.5 pts
8Scotland County10.9-0.1 pts
9Cherokee County10.8-1.3 pts
9Hyde County10.8-1.6 pts
9Jones County10.8-0.1 pts
12Bertie County10.7-0.6 pts
13Martin County10.6-1.4 pts
13Richmond County10.6+1.6 pts
13Tyrrell County10.6+0.5 pts
16Anson County10.5+0.6 pts
16Chowan County10.50 pts
18Wilkes County10.4-0.6 pts
19Rutherford County10.3-0.7 pts
19Swain County10.30 pts
21Hertford County10.2-0.4 pts
22Macon County10.1+0.1 pts
22Surry County10.1-1 pts
24Ashe County100 pts
24Beaufort County10-0.9 pts
24Bladen County10-0.5 pts
24Clay County10-0.5 pts
24Columbus County10-1.2 pts
24Edgecombe County10+0.3 pts
24Yancey County10-1.2 pts
31Wilson County9.9-0.3 pts
32Burke County9.8+0.7 pts
32Montgomery County9.8+0.2 pts
34Perquimans County9.7+0.1 pts
34Rockingham County9.7-0.9 pts
36Caldwell County9.6+0.1 pts
36Greene County9.6+0.1 pts
36McDowell County9.6-2.3 pts
36Pamlico County9.6-0.7 pts
40Caswell County9.5-1.2 pts
40Gates County9.5-0.2 pts
40Yadkin County9.5-1.3 pts
43Duplin County9.4-0.3 pts
43Polk County9.4+2.3 pts
43Stokes County9.4-0.6 pts
43Vance County9.4+0.2 pts
47Alexander County9.2+0.1 pts
47Avery County9.2+0.2 pts
47Graham County9.2-1.9 pts
47Randolph County9.2-0.9 pts
47Sampson County9.2-0.8 pts
52Cleveland County9.1-0.5 pts
52Person County9.1-1.3 pts
54Mitchell County9-0.3 pts
55Davidson County8.7+0.6 pts
55Haywood County8.7-0.4 pts
57Stanly County8.6+0.3 pts
58Brunswick County8.5-1.3 pts
58Transylvania County8.5+0.4 pts
60Rowan County8.4-0.8 pts
60Wayne County8.4+0.1 pts
62Nash County8.3-0.4 pts
63Henderson County8.2-0.2 pts
63Jackson County8.2+0.3 pts
65Carteret County8.1-1.6 pts
65Madison County8.1-1.4 pts
67Granville County8-0.8 pts
67Lee County8-1.2 pts
69Craven County7.9-0.9 pts
70Catawba County7.8-0.2 pts
70Davie County7.8-1.1 pts
72Gaston County7.7-0.8 pts
73Franklin County7.6-0.7 pts
73Lincoln County7.6-1.7 pts
75Alamance County7.4-1 pts
76Chatham County7.3-1.3 pts
76Pender County7.3-1.2 pts
78Pasquotank County7.2-0.5 pts
79Harnett County7.1-1 pts
80Dare County7-0.2 pts
80Forsyth County7+0.2 pts
80Hoke County7-0.3 pts
80Moore County7-0.6 pts
80Watauga County7+0.2 pts
85Buncombe County6.9+0.3 pts
86Currituck County6.7-1.1 pts
86Pitt County6.7+0.1 pts
88Iredell County6.6-0.7 pts
88Johnston County6.6-1.1 pts
90Camden County6.5-1 pts
90Cumberland County6.5+0.2 pts
90Guilford County6.5+0.1 pts
90New Hanover County6.5+0.6 pts
94Cabarrus County5.8-0.4 pts
95Union County5.7-0.7 pts
96Onslow County5.60 pts
97Durham County5.1+0.1 pts
98Mecklenburg County5-0.3 pts
98Orange County5+0.4 pts
100Wake County4.6+0.1 pts

Other periods

About this ranking

Percentage of adults who have ever been told by a doctor, nurse or other health professional that they had chronic obstructive pulmonary disease (COPD), emphysema or chronic bronchitis. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence (Counties in North Carolina by COPD in adults, local model estimate, 2023) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence, Counties in North Carolina by COPD in adults, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/north-carolina-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. Counties in North Carolina by COPD in adults, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/north-carolina-counties.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence, Counties in North Carolina by COPD in adults, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-copd-rate-county-estimate/north-carolina-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence: Counties in North Carolina by COPD in adults, local model estimate, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/north-carolina-counties. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence: Counties in North Carolina by COPD in adults, local model estimate, 2023
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-copd-rate-county-estimate/north-carolina-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/north-carolina-counties.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  - 
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Rank Counties in North Carolina by COPD in adults, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_copd_rate_modelled","level":"province","within":"North Carolina","limit":10}
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Questions

Which county has the highest COPD in adults, local model estimate?

Washington County, with 12.4% in 2023, according to the Centers for Disease Control and Prevention.

Which county has the lowest COPD in adults, local model estimate?

Wake County, with 4.6% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), copd in adults, crude prevalence. Retrieved 2026-10-12.

COPD in adults, local model estimate: other rankings

Counties in North Carolina: more rankings