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

Alleghany County had the highest COPD in adults, local model estimate of 100 counties in 2021, at 12.3%. Wake County had the lowest, at 4.7%. The median was 9%. Source: the Centers for Disease Control and Prevention.

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Highest12.3Alleghany County
Lowest4.7Wake County
Median9100 counties

Map of counties, 2021

Alamance County: 7.6 %Alexander County: 8.8 %Alleghany County: 12.3 %Anson County: 9.6 %Ashe County: 10 %Avery County: 8.9 %Beaufort County: 9.7 %Bertie County: 10.8 %Bladen County: 10.3 %Brunswick County: 8.7 %Buncombe County: 7 %Burke County: 9.8 %Cabarrus County: 6 %Caldwell County: 9.7 %Camden County: 7.1 %Carteret County: 8.3 %Caswell County: 9.4 %Catawba County: 8.1 %Chatham County: 7.4 %Cherokee County: 10.8 %Chowan County: 10.3 %Clay County: 10.2 %Cleveland County: 9.2 %Columbus County: 10.5 %Craven County: 7.8 %Cumberland County: 6.5 %Currituck County: 6.9 %Dare County: 6.9 %Davidson County: 8.8 %Davie County: 8.1 %Duplin County: 9.7 %Durham County: 5.3 %Edgecombe County: 10 %Forsyth County: 7.1 %Franklin County: 7.8 %Gaston County: 7.9 %Gates County: 9.3 %Graham County: 10 %Granville County: 8.2 %Greene County: 9.5 %Guilford County: 6.4 %Halifax County: 11.3 %Harnett County: 7.1 %Haywood County: 8.9 %Henderson County: 8 %Hertford County: 9.7 %Hoke County: 6.8 %Hyde County: 10.5 %Iredell County: 6.6 %Jackson County: 8.2 %Johnston County: 7.1 %Jones County: 10.8 %Lee County: 8 %Lenoir County: 10.6 %Lincoln County: 7.8 %McDowell County: 9.2 %Macon County: 10 %Madison County: 8.5 %Martin County: 10.6 %Mecklenburg County: 5.1 %Mitchell County: 9.3 %Montgomery County: 9.6 %Moore County: 7 %Nash County: 8.1 %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: 7.7 %Perquimans County: 9.6 %Person County: 9 %Pitt County: 6.5 %Polk County: 8.6 %Randolph County: 9 %Richmond County: 10.1 %Robeson County: 10.7 %Rockingham County: 9.7 %Rowan County: 8.7 %Rutherford County: 10.1 %Sampson County: 9.3 %Scotland County: 10.6 %Stanly County: 8.6 %Stokes County: 9.8 %Surry County: 10 %Swain County: 9.9 %Transylvania County: 8.7 %Tyrrell County: 9.8 %Union County: 5.9 %Vance County: 9.4 %Wake County: 4.7 %Warren County: 10.8 %Washington County: 11.2 %Watauga County: 6.8 %Wayne County: 8.2 %Wilkes County: 10.2 %Wilson County: 9.5 %Yadkin County: 9.6 %Yancey County: 9.8 %
  • Under 7
  • 7 to 8.1
  • 8.1 to 9
  • 9 to 9.7
  • 9.7 to 10
  • 10 and over
%, 2021. 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, 2021

Alleghany County: 12.3 %Alleghany County12.3Halifax County: 11.3 %Halifax County11.3Northampton County: 11.2 %Northampton County11.2Washington County: 11.2 %Washington County11.2Bertie County: 10.8 %Bertie County10.8Cherokee County: 10.8 %Cherokee County10.8Jones County: 10.8 %Jones County10.8Warren County: 10.8 %Warren County10.8Robeson County: 10.7 %Robeson County10.7Lenoir County: 10.6 %Lenoir County10.6Martin County: 10.6 %Martin County10.6Scotland County: 10.6 %Scotland County10.6Columbus County: 10.5 %Columbus County10.5Hyde County: 10.5 %Hyde County10.5Bladen County: 10.3 %Bladen County10.3Chowan County: 10.3 %Chowan County10.3Clay County: 10.2 %Clay County10.2Wilkes County: 10.2 %Wilkes County10.2Richmond County: 10.1 %Richmond County10.1Rutherford County: 10.1 %Rutherford County10.1Ashe County: 10 %Ashe County10Edgecombe County: 10 %Edgecombe County10Graham County: 10 %Graham County10Macon County: 10 %Macon County10Surry County: 10 %Surry County10Swain County: 9.9 %Swain County9.9Burke County: 9.8 %Burke County9.8Stokes County: 9.8 %Stokes County9.8Tyrrell County: 9.8 %Tyrrell County9.8Yancey County: 9.8 %Yancey County9.8Beaufort County: 9.7 %Beaufort County9.7Caldwell County: 9.7 %Caldwell County9.7Duplin County: 9.7 %Duplin County9.7Hertford County: 9.7 %Hertford County9.7Rockingham County: 9.7 %Rockingham County9.7Anson County: 9.6 %Anson County9.6Montgomery County: 9.6 %Montgomery County9.6Pamlico County: 9.6 %Pamlico County9.6Perquimans County: 9.6 %Perquimans County9.6Yadkin County: 9.6 %Yadkin County9.6Alleghany County: 12.3 %Alleghany County12.3Halifax County: 11.3 %Halifax County11.3Northampton County: 11.2 %Northampton County11.2Washington County: 11.2 %Washington County11.2Bertie County: 10.8 %Bertie County10.8Cherokee County: 10.8 %Cherokee County10.8Jones County: 10.8 %Jones County10.8Warren County: 10.8 %Warren County10.8Robeson County: 10.7 %Robeson County10.7Lenoir County: 10.6 %Lenoir County10.6Martin County: 10.6 %Martin County10.6Scotland County: 10.6 %Scotland County10.6Columbus County: 10.5 %Columbus County10.5Hyde County: 10.5 %Hyde County10.5Bladen County: 10.3 %Bladen County10.3Chowan County: 10.3 %Chowan County10.3Clay County: 10.2 %Clay County10.2Wilkes County: 10.2 %Wilkes County10.2Richmond County: 10.1 %Richmond County10.1Rutherford County: 10.1 %Rutherford County10.1Ashe County: 10 %Ashe County10Edgecombe County: 10 %Edgecombe County10Graham County: 10 %Graham County10Macon County: 10 %Macon County10Surry County: 10 %Surry County10Swain County: 9.9 %Swain County9.9Burke County: 9.8 %Burke County9.8Stokes County: 9.8 %Stokes County9.8Tyrrell County: 9.8 %Tyrrell County9.8Yancey County: 9.8 %Yancey County9.8Beaufort County: 9.7 %Beaufort County9.7Caldwell County: 9.7 %Caldwell County9.7Duplin County: 9.7 %Duplin County9.7Hertford County: 9.7 %Hertford County9.7Rockingham County: 9.7 %Rockingham County9.7Anson County: 9.6 %Anson County9.6Montgomery County: 9.6 %Montgomery County9.6Pamlico County: 9.6 %Pamlico County9.6Perquimans County: 9.6 %Perquimans County9.6Yadkin County: 9.6 %Yadkin County9.6
%. 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

RankCounties2021 (%)
1Alleghany County12.3
2Halifax County11.3
3Northampton County11.2
3Washington County11.2
5Bertie County10.8
5Cherokee County10.8
5Jones County10.8
5Warren County10.8
9Robeson County10.7
10Lenoir County10.6
10Martin County10.6
10Scotland County10.6
13Columbus County10.5
13Hyde County10.5
15Bladen County10.3
15Chowan County10.3
17Clay County10.2
17Wilkes County10.2
19Richmond County10.1
19Rutherford County10.1
21Ashe County10
21Edgecombe County10
21Graham County10
21Macon County10
21Surry County10
26Swain County9.9
27Burke County9.8
27Stokes County9.8
27Tyrrell County9.8
27Yancey County9.8
31Beaufort County9.7
31Caldwell County9.7
31Duplin County9.7
31Hertford County9.7
31Rockingham County9.7
36Anson County9.6
36Montgomery County9.6
36Pamlico County9.6
36Perquimans County9.6
36Yadkin County9.6
41Greene County9.5
41Wilson County9.5
43Caswell County9.4
43Vance County9.4
45Gates County9.3
45Mitchell County9.3
45Sampson County9.3
48Cleveland County9.2
48McDowell County9.2
50Person County9
50Randolph County9
52Avery County8.9
52Haywood County8.9
54Alexander County8.8
54Davidson County8.8
56Brunswick County8.7
56Rowan County8.7
56Transylvania County8.7
59Polk County8.6
59Stanly County8.6
61Madison County8.5
62Carteret County8.3
63Granville County8.2
63Jackson County8.2
63Wayne County8.2
66Catawba County8.1
66Davie County8.1
66Nash County8.1
69Henderson County8
69Lee County8
71Gaston County7.9
72Craven County7.8
72Franklin County7.8
72Lincoln County7.8
75Pender County7.7
76Alamance County7.6
77Chatham County7.4
78Pasquotank County7.2
79Camden County7.1
79Forsyth County7.1
79Harnett County7.1
79Johnston County7.1
83Buncombe County7
83Moore County7
85Currituck County6.9
85Dare County6.9
87Hoke County6.8
87Watauga County6.8
89Iredell County6.6
90Cumberland County6.5
90New Hanover County6.5
90Pitt County6.5
93Guilford County6.4
94Cabarrus County6
95Union County5.9
96Onslow County5.6
97Durham County5.3
98Mecklenburg County5.1
99Orange County5
100Wake County4.7

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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-copd-rate-county-estimate/north-carolina-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_2021,
  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, 2021}},
  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?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/north-carolina-counties?period=2021.
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?

Alleghany County, with 12.3% in 2021, according to the Centers for Disease Control and Prevention.

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

Wake County, with 4.7% in 2021.

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