Data / Rankings / COPD in adults, local model estimate / US counties

US counties by COPD in adults, local model estimate

Wolfe County had the highest COPD in adults, local model estimate of 3068 counties in 2021, at 18.9%. Arlington County had the lowest, at 3.4%. The median was 8.5%. Source: the Centers for Disease Control and Prevention.

Keep it in a collection in your library.
Highest18.9Wolfe County
Lowest3.4Arlington County
Median8.53068 counties

Map of counties, 2021

%, 2021. Hatched areas have no value for this period. 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

Wolfe County: 18.9 %Wolfe County18.9McDowell County: 17.9 %McDowell County17.9Harlan County: 16.8 %Harlan County16.8Calhoun County: 16.2 %Calhoun County16.2Lewis County: 16.2 %Lewis County16.2Mingo County: 16.1 %Mingo County16.1Jackson County: 15.9 %Jackson County15.9Magoffin County: 15.9 %Magoffin County15.9Knott County: 15.8 %Knott County15.8Lee County: 15.8 %Lee County15.8Webster County: 15.8 %Webster County15.8Bell County: 15.6 %Bell County15.6Letcher County: 15.5 %Letcher County15.5Hancock County: 15.3 %Hancock County15.3Leslie County: 15.3 %Leslie County15.3Logan County: 15.3 %Logan County15.3Clay County: 15.2 %Clay County15.2Knox County: 15.2 %Knox County15.2Clay County: 15.1 %Clay County15.1Owsley County: 15.1 %Owsley County15.1Ozark County: 15.1 %Ozark County15.1Wyoming County: 15.1 %Wyoming County15.1Casey County: 15 %Casey County15McCreary County: 15 %McCreary County15Roane County: 14.9 %Roane County14.9Braxton County: 14.8 %Braxton County14.8East Carroll Parish: 14.8 %East Carroll Parish14.8Estill County: 14.7 %Estill County14.7Lincoln County: 14.6 %Lincoln County14.6Pocahontas County: 14.6 %Pocahontas County14.6Breathitt County: 14.5 %Breathitt County14.5Cumberland County: 14.4 %Cumberland County14.4Oregon County: 14.4 %Oregon County14.4Floyd County: 14.3 %Floyd County14.3Menifee County: 14.3 %Menifee County14.3Clay County: 14.2 %Clay County14.2Clinton County: 14.2 %Clinton County14.2Hickory County: 14.2 %Hickory County14.2Green County: 14.1 %Green County14.1Lawrence County: 14.1 %Lawrence County14.1Wolfe County: 18.9 %Wolfe County18.9McDowell County: 17.9 %McDowell County17.9Harlan County: 16.8 %Harlan County16.8Calhoun County: 16.2 %Calhoun County16.2Lewis County: 16.2 %Lewis County16.2Mingo County: 16.1 %Mingo County16.1Jackson County: 15.9 %Jackson County15.9Magoffin County: 15.9 %Magoffin County15.9Knott County: 15.8 %Knott County15.8Lee County: 15.8 %Lee County15.8Webster County: 15.8 %Webster County15.8Bell County: 15.6 %Bell County15.6Letcher County: 15.5 %Letcher County15.5Hancock County: 15.3 %Hancock County15.3Leslie County: 15.3 %Leslie County15.3Logan County: 15.3 %Logan County15.3Clay County: 15.2 %Clay County15.2Knox County: 15.2 %Knox County15.2Clay County: 15.1 %Clay County15.1Owsley County: 15.1 %Owsley County15.1Ozark County: 15.1 %Ozark County15.1Wyoming County: 15.1 %Wyoming County15.1Casey County: 15 %Casey County15McCreary County: 15 %McCreary County15Roane County: 14.9 %Roane County14.9Braxton County: 14.8 %Braxton County14.8East Carroll Parish: 14.8 %East Carroll Parish14.8Estill County: 14.7 %Estill County14.7Lincoln County: 14.6 %Lincoln County14.6Pocahontas County: 14.6 %Pocahontas County14.6Breathitt County: 14.5 %Breathitt County14.5Cumberland County: 14.4 %Cumberland County14.4Oregon County: 14.4 %Oregon County14.4Floyd County: 14.3 %Floyd County14.3Menifee County: 14.3 %Menifee County14.3Clay County: 14.2 %Clay County14.2Clinton County: 14.2 %Clinton County14.2Hickory County: 14.2 %Hickory County14.2Green County: 14.1 %Green County14.1Lawrence County: 14.1 %Lawrence County14.1
%. 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 (%)
1Wolfe County18.9
2McDowell County17.9
3Harlan County16.8
4Calhoun County16.2
4Lewis County16.2
6Mingo County16.1
7Jackson County15.9
7Magoffin County15.9
9Knott County15.8
9Lee County15.8
9Webster County15.8
12Bell County15.6
13Letcher County15.5
14Hancock County15.3
14Leslie County15.3
14Logan County15.3
17Clay County15.2
17Knox County15.2
19Clay County15.1
19Owsley County15.1
19Ozark County15.1
19Wyoming County15.1
23Casey County15
23McCreary County15
25Roane County14.9
26Braxton County14.8
26East Carroll Parish14.8
28Estill County14.7
29Lincoln County14.6
29Pocahontas County14.6
31Breathitt County14.5
32Cumberland County14.4
32Oregon County14.4
34Floyd County14.3
34Menifee County14.3
36Clay County14.2
36Clinton County14.2
36Hickory County14.2
39Green County14.1
39Lawrence County14.1
39Tensas Parish14.1
42Pike County14
42Summers County14
42Wayne County14
45Carter County13.9
45Elliott County13.9
45Pickett County13.9
48Stone County13.8
48Van Buren County13.8
48Wirt County13.8
51Lake County13.7
51Ritchie County13.7
51Wayne County13.7
54Buchanan County13.5
54Randolph County13.5
56Fulton County13.4
56Pendleton County13.4
56Ripley County13.4
56Rockcastle County13.4
56San Augustine County13.4
61Fentress County13.2
61Greene County13.2
61Johnson County13.2
61Monroe County13.2
61Searcy County13.2
66Boone County13.1
66Fayette County13.1
66Fulton County13.1
66Johnson County13.1
66Meigs County13.1
66Mercer County13.1
66Morgan County13.1
66Perry County13.1
74Carlisle County13
74Dickenson County13
74Foard County13
74Greenbrier County13
74Hardy County13
74Hart County13
74Kusilvak Census Area13
74Lafayette County13
74Lee County13
74Mason County13
74Robertson County13
74Scott County13
74Wayne County13
74Wright County13
88Benton County12.9
88Catron County12.9
88Cocke County12.9
88Perry County12.9
88Russell County12.9
88Sequatchie County12.9
88Sharp County12.9
95Benton County12.8
95Grayson County12.8
95Mellette County12.8
95Monroe County12.8
95Morgan County12.8
95Noble County12.8
95Pemiscot County12.8
95Shannon County12.8
103Campbell County12.7
103Cedar County12.7
103Grant County12.7
103Knox County12.7
103Lewis County12.7
103Todd County12.7
109Claiborne Parish12.6
109Concordia Parish12.6
109Crawford County12.6
109Douglas County12.6
109Edmonson County12.6
109Hampshire County12.6
109Hickman County12.6
109Mississippi County12.6
109Nicholas County12.6
109Pike County12.6
109St. Clair County12.6
109Vinton County12.6
121Barbour County12.5
121Bienville Parish12.5
121Clinch County12.5
121Cumberland County12.5
121Dent County12.5
121Humphreys County12.5
121Jackson County12.5
121Jackson County12.5
121Lincoln County12.5
121Martin County12.5
121Montgomery County12.5
121Morgan County12.5
121Nicholas County12.5
121Raleigh County12.5
121Reynolds County12.5
121Webster Parish12.5
121Wetzel County12.5
138Dade County12.4
138Dunklin County12.4
138Lewis County12.4
138Real County12.4
138Sabine County12.4
138Upshur County12.4
138Van Buren County12.4
145Adams County12.3
145Alleghany County12.3
145Barren County12.3
145Bath County12.3
145Chicot County12.3
145Grainger County12.3
145Grundy County12.3
145King County12.3
145Pulaski County12.3
145Texas County12.3
155Breckinridge County12.2
155Clare County12.2
155Decatur County12.2
155Esmeralda County12.2
155Evangeline Parish12.2
155Franklin Parish12.2
155Laurel County12.2
155McDonald County12.2
155Metcalfe County12.2
155Morehouse Parish12.2
155New Madrid County12.2
155Newton County12.2
155Overton County12.2
155Quitman County12.2
155Quitman County12.2
170Adair County12.1
170Bath County12.1
170Butler County12.1
170Butler County12.1
170Carroll County12.1
170Clark County12.1
170Crittenden County12.1
170Henry County12.1
170Jeff Davis County12.1
170Marion County12.1
170Okfuskee County12.1
170Perry County12.1
182Ashtabula County12
182Barton County12
182Dallas County12
182Hardin County12
182Howell County12
182Iron County12
182McNairy County12
182Monroe County12
182Montmorency County12
182Oglala Lakota County12
182Oscoda County12
182Phillips County12
182Wilcox County12
195Amite County11.9
195Cottle County11.9
195Emporia city11.9
195Fleming County11.9
195Hamilton County11.9
195Marion County11.9
195McIntosh County11.9
195Morgan County11.9
195Scioto County11.9
195Stoddard County11.9
195Union County11.9
195Webster County11.9
195White County11.9
208Alexander County11.8
208Bledsoe County11.8
208Bollinger County11.8
208Bracken County11.8
208Caldwell Parish11.8
208Cameron County11.8
208Crawford County11.8
208Desha County11.8
208Doddridge County11.8
208Highland County11.8
208Jasper County11.8
208Lake County11.8
208Livingston County11.8
208Macon County11.8
208Mineral County11.8
208Monroe County11.8
208Ogemaw County11.8
208Pushmataha County11.8
208Stone County11.8
208Washington County11.8
208Washington County11.8
208Whitley County11.8
208Winston County11.8
231Apache County11.7
231Avoyelles Parish11.7
231Blackford County11.7
231Franklin County11.7
231Greene County11.7
231Haywood County11.7
231Jackson County11.7
231Obion County11.7
231Prairie County11.7
231Roscommon County11.7
231Russell County11.7
231Taylor County11.7
231Trinity County11.7
231Tucker County11.7
231Tyler County11.7
231Unicoi County11.7
231Washington Parish11.7
231Wood County11.7
249Ashley County11.6
249Baxter County11.6

Showing the top 250 of 3068. The Excel download has every row.

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. 76 counties with data in other periods have no value for 2021 and are left out rather than filled from another source. 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 (US counties 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, US counties 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/us-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. US counties 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/us-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, US counties 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/us-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_us_counties_by_copd_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: US counties 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/us-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: US counties 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/us-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/us-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  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank US counties by COPD in adults, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_copd_rate_modelled","level":"province","within":"United States","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_copd_rate_modelled&level=province&within=United%20States&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Wolfe County, with 18.9% in 2021, according to the Centers for Disease Control and Prevention.

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

Arlington County, with 3.4% 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. 76 counties have no value for 2021 and are not ranked.

COPD in adults, local model estimate: other rankings

US counties: more rankings