Counties in Virginia by COPD in adults, local model estimate, 2023

Buchanan County had the highest COPD in adults, local model estimate of 133 counties in 2023, at 13%. Arlington County had the lowest, at 3.2%. The median was 8.3%. Source: the Centers for Disease Control and Prevention.

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Median8.3133 counties

Map of counties, 2023

Accomack County: 10.6 %Albemarle County: 5.2 %Alleghany County: 9.9 %Amelia County: 9.7 %Amherst County: 8.7 %Appomattox County: 8.7 %Arlington County: 3.2 %Augusta County: 8.1 %Bath County: 12.9 %Bedford County: 7.6 %Bland County: 8.8 %Botetourt County: 7.6 %Brunswick County: 9.6 %Buchanan County: 13 %Buckingham County: 9.3 %Campbell County: 8.4 %Caroline County: 7.4 %Carroll County: 11.1 %Charles City County: 9.5 %Charlotte County: 11.5 %Chesterfield County: 5.6 %Clarke County: 6.8 %Craig County: 9.4 %Culpeper County: 7 %Cumberland County: 8.8 %Dickenson County: 12.6 %Dinwiddie County: 7.4 %Essex County: 9.8 %Fairfax County: 4.1 %Fauquier County: 6 %Floyd County: 8.6 %Fluvanna County: 6.8 %Franklin County: 9.2 %Frederick County: 6.8 %Giles County: 8.9 %Gloucester County: 7.4 %Goochland County: 6.1 %Grayson County: 12.1 %Greene County: 7.6 %Greensville County: 8.4 %Halifax County: 11.2 %Hanover County: 6.1 %Henrico County: 5.7 %Henry County: 11 %Highland County: 9.3 %Isle of Wight County: 7.1 %James City County: 6.2 %King and Queen County: 9.6 %King George County: 6.1 %King William County: 6.7 %Lancaster County: 10.3 %Lee County: 12.6 %Loudoun County: 3.7 %Louisa County: 8.1 %Lunenburg County: 10.6 %Madison County: 8.2 %Mathews County: 8.8 %Mecklenburg County: 10.3 %Middlesex County: 9.3 %Montgomery County: 6 %Nelson County: 9.1 %New Kent County: 6.1 %Northampton County: 9.9 %Northumberland County: 9 %Nottoway County: 8.9 %Orange County: 7.4 %Page County: 9.5 %Patrick County: 11 %Pittsylvania County: 10.8 %Powhatan County: 6.7 %Prince Edward County: 7.7 %Prince George County: 5.9 %Prince William County: 4.7 %Pulaski County: 9 %Rappahannock County: 8.8 %Richmond County: 8.8 %Roanoke County: 6.8 %Rockbridge County: 8.8 %Rockingham County: 7.7 %Russell County: 11.4 %Scott County: 11.6 %Shenandoah County: 9.1 %Smyth County: 10.9 %Southampton County: 8 %Spotsylvania County: 6.1 %Stafford County: 4.8 %Surry County: 8.5 %Sussex County: 8 %Tazewell County: 10.9 %Warren County: 7.6 %Washington County: 8.8 %Westmoreland County: 10.7 %Wise County: 10.5 %Wythe County: 9.6 %York County: 5.2 %Alexandria city: 4.1 %Bristol city: 10 %Buena Vista city: 8.8 %Charlottesville city: 5.4 %Chesapeake city: 5.9 %Colonial Heights city: 6.7 %Covington city: 11 %Danville city: 10.7 %Emporia city: 10.1 %Fairfax city: 4.5 %Falls Church city: 3.6 %Franklin city: 9.3 %Fredericksburg city: 5.2 %Galax city: 10.7 %Hampton city: 6.9 %Harrisonburg city: 6.1 %Hopewell city: 10.1 %Lexington city: 4.7 %Lynchburg city: 6.2 %Manassas city: 5 %Manassas Park city: 5.5 %Martinsville city: 10.2 %Newport News city: 6.5 %Norfolk city: 6.3 %Norton city: 10.5 %Petersburg city: 8.4 %Poquoson city: 6.1 %Portsmouth city: 7.6 %Radford city: 6.6 %Richmond city: 6.2 %Roanoke city: 8.4 %Salem city: 7.1 %Staunton city: 7.5 %Suffolk city: 6.3 %Virginia Beach city: 5.6 %Waynesboro city: 7.9 %Williamsburg city: 5.3 %Winchester city: 8.3 %
  • Under 6
  • 6 to 6.9
  • 6.9 to 8.3
  • 8.3 to 9.1
  • 9.1 to 11
  • 11 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

Buchanan County: 13 %Buchanan County13Bath County: 12.9 %Bath County12.9Dickenson County: 12.6 %Dickenson County12.6Lee County: 12.6 %Lee County12.6Grayson County: 12.1 %Grayson County12.1Scott County: 11.6 %Scott County11.6Charlotte County: 11.5 %Charlotte County11.5Russell County: 11.4 %Russell County11.4Halifax County: 11.2 %Halifax County11.2Carroll County: 11.1 %Carroll County11.1Covington city: 11 %Covington city11Henry County: 11 %Henry County11Patrick County: 11 %Patrick County11Smyth County: 10.9 %Smyth County10.9Tazewell County: 10.9 %Tazewell County10.9Pittsylvania County: 10.8 %Pittsylvania County10.8Danville city: 10.7 %Danville city10.7Galax city: 10.7 %Galax city10.7Westmoreland County: 10.7 %Westmoreland County10.7Accomack County: 10.6 %Accomack County10.6Lunenburg County: 10.6 %Lunenburg County10.6Norton city: 10.5 %Norton city10.5Wise County: 10.5 %Wise County10.5Lancaster County: 10.3 %Lancaster County10.3Mecklenburg County: 10.3 %Mecklenburg County10.3Martinsville city: 10.2 %Martinsville city10.2Emporia city: 10.1 %Emporia city10.1Hopewell city: 10.1 %Hopewell city10.1Bristol city: 10 %Bristol city10Alleghany County: 9.9 %Alleghany County9.9Northampton County: 9.9 %Northampton County9.9Essex County: 9.8 %Essex County9.8Amelia County: 9.7 %Amelia County9.7Brunswick County: 9.6 %Brunswick County9.6King and Queen County: 9.6 %King and Queen County9.6Wythe County: 9.6 %Wythe County9.6Charles City County: 9.5 %Charles City County9.5Page County: 9.5 %Page County9.5Craig County: 9.4 %Craig County9.4Buckingham County: 9.3 %Buckingham County9.3Buchanan County: 13 %Buchanan County13Bath County: 12.9 %Bath County12.9Dickenson County: 12.6 %Dickenson County12.6Lee County: 12.6 %Lee County12.6Grayson County: 12.1 %Grayson County12.1Scott County: 11.6 %Scott County11.6Charlotte County: 11.5 %Charlotte County11.5Russell County: 11.4 %Russell County11.4Halifax County: 11.2 %Halifax County11.2Carroll County: 11.1 %Carroll County11.1Covington city: 11 %Covington city11Henry County: 11 %Henry County11Patrick County: 11 %Patrick County11Smyth County: 10.9 %Smyth County10.9Tazewell County: 10.9 %Tazewell County10.9Pittsylvania County: 10.8 %Pittsylvania County10.8Danville city: 10.7 %Danville city10.7Galax city: 10.7 %Galax city10.7Westmoreland County: 10.7 %Westmoreland County10.7Accomack County: 10.6 %Accomack County10.6Lunenburg County: 10.6 %Lunenburg County10.6Norton city: 10.5 %Norton city10.5Wise County: 10.5 %Wise County10.5Lancaster County: 10.3 %Lancaster County10.3Mecklenburg County: 10.3 %Mecklenburg County10.3Martinsville city: 10.2 %Martinsville city10.2Emporia city: 10.1 %Emporia city10.1Hopewell city: 10.1 %Hopewell city10.1Bristol city: 10 %Bristol city10Alleghany County: 9.9 %Alleghany County9.9Northampton County: 9.9 %Northampton County9.9Essex County: 9.8 %Essex County9.8Amelia County: 9.7 %Amelia County9.7Brunswick County: 9.6 %Brunswick County9.6King and Queen County: 9.6 %King and Queen County9.6Wythe County: 9.6 %Wythe County9.6Charles City County: 9.5 %Charles City County9.5Page County: 9.5 %Page County9.5Craig County: 9.4 %Craig County9.4Buckingham County: 9.3 %Buckingham County9.3
%. 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
1Buchanan County13-1.2 pts
2Bath County12.9+0.7 pts
3Dickenson County12.6+0.2 pts
3Lee County12.6+0.5 pts
5Grayson County12.1-1.1 pts
6Scott County11.6-1 pts
7Charlotte County11.5-0.6 pts
8Russell County11.4-1.7 pts
9Halifax County11.20 pts
10Carroll County11.1-0.1 pts
11Covington city11+1.7 pts
11Henry County11-1.1 pts
11Patrick County11-1.2 pts
14Smyth County10.9-1.6 pts
14Tazewell County10.90 pts
16Pittsylvania County10.8-0.4 pts
17Danville city10.7-1.2 pts
17Galax city10.7-1.1 pts
17Westmoreland County10.7-1.1 pts
20Accomack County10.6-0.4 pts
20Lunenburg County10.6-0.8 pts
22Norton city10.5-0.5 pts
22Wise County10.5-0.8 pts
24Lancaster County10.30 pts
24Mecklenburg County10.3-0.6 pts
26Martinsville city10.20 pts
27Emporia city10.1-0.8 pts
27Hopewell city10.1-0.5 pts
29Bristol city10-1.4 pts
30Alleghany County9.9-0.9 pts
30Northampton County9.9+0.1 pts
32Essex County9.8-1.5 pts
33Amelia County9.70 pts
34Brunswick County9.6-0.6 pts
34King and Queen County9.6-1.1 pts
34Wythe County9.6+0.7 pts
37Charles City County9.5-0.7 pts
37Page County9.5-0.9 pts
39Craig County9.4-1.2 pts
40Buckingham County9.3-0.7 pts
40Franklin city9.3-0.4 pts
40Highland County9.3+0.3 pts
40Middlesex County9.3-0.6 pts
44Franklin County9.2-0.9 pts
45Nelson County9.1-1 pts
45Shenandoah County9.1-1.4 pts
47Northumberland County9-1.3 pts
47Pulaski County9-0.6 pts
49Giles County8.9-0.4 pts
49Nottoway County8.9-1.6 pts
51Bland County8.8-0.5 pts
51Buena Vista city8.8-1.6 pts
51Cumberland County8.8-0.3 pts
51Mathews County8.8-0.7 pts
51Rappahannock County8.8-0.9 pts
51Richmond County8.8-3 pts
51Rockbridge County8.8-0.7 pts
51Washington County8.8-2 pts
59Amherst County8.7-0.9 pts
59Appomattox County8.7-1.4 pts
61Floyd County8.6-0.5 pts
62Surry County8.5-0.9 pts
63Campbell County8.4-0.3 pts
63Greensville County8.4-0.2 pts
63Petersburg city8.4-0.2 pts
63Roanoke city8.4-0.5 pts
67Winchester city8.3+0.3 pts
68Madison County8.2-1.2 pts
69Augusta County8.1-0.1 pts
69Louisa County8.1+0.3 pts
71Southampton County8+0.2 pts
71Sussex County8-0.7 pts
73Waynesboro city7.90 pts
74Prince Edward County7.7+0.1 pts
74Rockingham County7.7-0.2 pts
76Bedford County7.6-0.1 pts
76Botetourt County7.6-1.5 pts
76Greene County7.6-0.7 pts
76Portsmouth city7.6-0.3 pts
76Warren County7.6-1.4 pts
81Staunton city7.5-1.3 pts
82Caroline County7.4-1.3 pts
82Dinwiddie County7.4-1.9 pts
82Gloucester County7.4-1 pts
82Orange County7.4-0.8 pts
86Isle of Wight County7.1-1.1 pts
86Salem city7.1+0.6 pts
88Culpeper County7-0.8 pts
89Hampton city6.9+0.1 pts
90Clarke County6.8-0.9 pts
90Fluvanna County6.8-1.7 pts
90Frederick County6.8-1.4 pts
90Roanoke County6.8-0.6 pts
94Colonial Heights city6.7-1.3 pts
94King William County6.7-1.8 pts
94Powhatan County6.7-0.7 pts
97Radford city6.6+0.6 pts
98Newport News city6.5-0.2 pts
99Norfolk city6.3-0.5 pts
99Suffolk city6.3-0.3 pts
101James City County6.2-1.6 pts
101Lynchburg city6.2+0.3 pts
101Richmond city6.2-0.9 pts
104Goochland County6.1-0.9 pts
104Hanover County6.1-1 pts
104Harrisonburg city6.10 pts
104King George County6.1-1 pts
104New Kent County6.1-0.2 pts
104Poquoson city6.1-0.4 pts
104Spotsylvania County6.1-0.6 pts
111Fauquier County6-0.6 pts
111Montgomery County6-0.2 pts
113Chesapeake city5.9-0.6 pts
113Prince George County5.9-1.4 pts
115Henrico County5.7-0.6 pts
116Chesterfield County5.6-0.3 pts
116Virginia Beach city5.6-0.4 pts
118Manassas Park city5.5-0.5 pts
119Charlottesville city5.4-1.6 pts
120Williamsburg city5.3-1.1 pts
121Albemarle County5.2-0.4 pts
121Fredericksburg city5.2-1.5 pts
121York County5.2-0.7 pts
124Manassas city5-0.3 pts
125Stafford County4.8-0.4 pts
126Lexington city4.7-0.4 pts
126Prince William County4.7-0.7 pts
128Fairfax city4.5-0.6 pts
129Alexandria city4.10 pts
129Fairfax County4.10 pts
131Loudoun County3.7-0.6 pts
132Falls Church city3.6-0.8 pts
133Arlington County3.2-1.1 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 Virginia 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 Virginia 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/virginia-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 Virginia 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/virginia-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 Virginia 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/virginia-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_virginia_by_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 Virginia 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/virginia-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 Virginia 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/virginia-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/virginia-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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Questions

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

Buchanan County, with 13% in 2023, according to the Centers for Disease Control and Prevention.

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

Arlington County, with 3.2% 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 Virginia: more rankings