Counties in Virginia by COPD in adults, local model estimate

Buchanan County had the highest COPD in adults, local model estimate of 133 counties in 2022, at 14.2%. Fairfax County had the lowest, at 4.1%. The median was 8.9%. Source: the Centers for Disease Control and Prevention.

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Highest14.2Buchanan County
Median8.9133 counties

Map of counties, 2022

Accomack County: 11 %Albemarle County: 5.6 %Alleghany County: 10.8 %Amelia County: 9.7 %Amherst County: 9.6 %Appomattox County: 10.1 %Arlington County: 4.3 %Augusta County: 8.2 %Bath County: 12.2 %Bedford County: 7.7 %Bland County: 9.3 %Botetourt County: 9.1 %Brunswick County: 10.2 %Buchanan County: 14.2 %Buckingham County: 10 %Campbell County: 8.7 %Caroline County: 8.7 %Carroll County: 11.2 %Charles City County: 10.2 %Charlotte County: 12.1 %Chesterfield County: 5.9 %Clarke County: 7.7 %Craig County: 10.6 %Culpeper County: 7.8 %Cumberland County: 9.1 %Dickenson County: 12.4 %Dinwiddie County: 9.3 %Essex County: 11.3 %Fairfax County: 4.1 %Fauquier County: 6.6 %Floyd County: 9.1 %Fluvanna County: 8.5 %Franklin County: 10.1 %Frederick County: 8.2 %Giles County: 9.3 %Gloucester County: 8.4 %Goochland County: 7 %Grayson County: 13.2 %Greene County: 8.3 %Greensville County: 8.6 %Halifax County: 11.2 %Hanover County: 7.1 %Henrico County: 6.3 %Henry County: 12.1 %Highland County: 9 %Isle of Wight County: 8.2 %James City County: 7.8 %King and Queen County: 10.7 %King George County: 7.1 %King William County: 8.5 %Lancaster County: 10.3 %Lee County: 12.1 %Loudoun County: 4.3 %Louisa County: 7.8 %Lunenburg County: 11.4 %Madison County: 9.4 %Mathews County: 9.5 %Mecklenburg County: 10.9 %Middlesex County: 9.9 %Montgomery County: 6.2 %Nelson County: 10.1 %New Kent County: 6.3 %Northampton County: 9.8 %Northumberland County: 10.3 %Nottoway County: 10.5 %Orange County: 8.2 %Page County: 10.4 %Patrick County: 12.2 %Pittsylvania County: 11.2 %Powhatan County: 7.4 %Prince Edward County: 7.6 %Prince George County: 7.3 %Prince William County: 5.4 %Pulaski County: 9.6 %Rappahannock County: 9.7 %Richmond County: 11.8 %Roanoke County: 7.4 %Rockbridge County: 9.5 %Rockingham County: 7.9 %Russell County: 13.1 %Scott County: 12.6 %Shenandoah County: 10.5 %Smyth County: 12.5 %Southampton County: 7.8 %Spotsylvania County: 6.7 %Stafford County: 5.2 %Surry County: 9.4 %Sussex County: 8.7 %Tazewell County: 10.9 %Warren County: 9 %Washington County: 10.8 %Westmoreland County: 11.8 %Wise County: 11.3 %Wythe County: 8.9 %York County: 5.9 %Alexandria city: 4.1 %Bristol city: 11.4 %Buena Vista city: 10.4 %Charlottesville city: 7 %Chesapeake city: 6.5 %Colonial Heights city: 8 %Covington city: 9.3 %Danville city: 11.9 %Emporia city: 10.9 %Fairfax city: 5.1 %Falls Church city: 4.4 %Franklin city: 9.7 %Fredericksburg city: 6.7 %Galax city: 11.8 %Hampton city: 6.8 %Harrisonburg city: 6.1 %Hopewell city: 10.6 %Lexington city: 5.1 %Lynchburg city: 5.9 %Manassas city: 5.3 %Manassas Park city: 6 %Martinsville city: 10.2 %Newport News city: 6.7 %Norfolk city: 6.8 %Norton city: 11 %Petersburg city: 8.6 %Poquoson city: 6.5 %Portsmouth city: 7.9 %Radford city: 6 %Richmond city: 7.1 %Roanoke city: 8.9 %Salem city: 6.5 %Staunton city: 8.8 %Suffolk city: 6.6 %Virginia Beach city: 6 %Waynesboro city: 7.9 %Williamsburg city: 6.4 %Winchester city: 8 %
  • Under 6.5
  • 6.5 to 7.8
  • 7.8 to 8.9
  • 8.9 to 10
  • 10 to 11
  • 11 and over
%, 2022. 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, 2022

Buchanan County: 14.2 %Buchanan County14.2Grayson County: 13.2 %Grayson County13.2Russell County: 13.1 %Russell County13.1Scott County: 12.6 %Scott County12.6Smyth County: 12.5 %Smyth County12.5Dickenson County: 12.4 %Dickenson County12.4Bath County: 12.2 %Bath County12.2Patrick County: 12.2 %Patrick County12.2Charlotte County: 12.1 %Charlotte County12.1Henry County: 12.1 %Henry County12.1Lee County: 12.1 %Lee County12.1Danville city: 11.9 %Danville city11.9Galax city: 11.8 %Galax city11.8Richmond County: 11.8 %Richmond County11.8Westmoreland County: 11.8 %Westmoreland County11.8Bristol city: 11.4 %Bristol city11.4Lunenburg County: 11.4 %Lunenburg County11.4Essex County: 11.3 %Essex County11.3Wise County: 11.3 %Wise County11.3Carroll County: 11.2 %Carroll County11.2Halifax County: 11.2 %Halifax County11.2Pittsylvania County: 11.2 %Pittsylvania County11.2Accomack County: 11 %Accomack County11Norton city: 11 %Norton city11Emporia city: 10.9 %Emporia city10.9Mecklenburg County: 10.9 %Mecklenburg County10.9Tazewell County: 10.9 %Tazewell County10.9Alleghany County: 10.8 %Alleghany County10.8Washington County: 10.8 %Washington County10.8King and Queen County: 10.7 %King and Queen County10.7Craig County: 10.6 %Craig County10.6Hopewell city: 10.6 %Hopewell city10.6Nottoway County: 10.5 %Nottoway County10.5Shenandoah County: 10.5 %Shenandoah County10.5Buena Vista city: 10.4 %Buena Vista city10.4Page County: 10.4 %Page County10.4Lancaster County: 10.3 %Lancaster County10.3Northumberland County: 10.3 %Northumberland County10.3Brunswick County: 10.2 %Brunswick County10.2Charles City County: 10.2 %Charles City County10.2Buchanan County: 14.2 %Buchanan County14.2Grayson County: 13.2 %Grayson County13.2Russell County: 13.1 %Russell County13.1Scott County: 12.6 %Scott County12.6Smyth County: 12.5 %Smyth County12.5Dickenson County: 12.4 %Dickenson County12.4Bath County: 12.2 %Bath County12.2Patrick County: 12.2 %Patrick County12.2Charlotte County: 12.1 %Charlotte County12.1Henry County: 12.1 %Henry County12.1Lee County: 12.1 %Lee County12.1Danville city: 11.9 %Danville city11.9Galax city: 11.8 %Galax city11.8Richmond County: 11.8 %Richmond County11.8Westmoreland County: 11.8 %Westmoreland County11.8Bristol city: 11.4 %Bristol city11.4Lunenburg County: 11.4 %Lunenburg County11.4Essex County: 11.3 %Essex County11.3Wise County: 11.3 %Wise County11.3Carroll County: 11.2 %Carroll County11.2Halifax County: 11.2 %Halifax County11.2Pittsylvania County: 11.2 %Pittsylvania County11.2Accomack County: 11 %Accomack County11Norton city: 11 %Norton city11Emporia city: 10.9 %Emporia city10.9Mecklenburg County: 10.9 %Mecklenburg County10.9Tazewell County: 10.9 %Tazewell County10.9Alleghany County: 10.8 %Alleghany County10.8Washington County: 10.8 %Washington County10.8King and Queen County: 10.7 %King and Queen County10.7Craig County: 10.6 %Craig County10.6Hopewell city: 10.6 %Hopewell city10.6Nottoway County: 10.5 %Nottoway County10.5Shenandoah County: 10.5 %Shenandoah County10.5Buena Vista city: 10.4 %Buena Vista city10.4Page County: 10.4 %Page County10.4Lancaster County: 10.3 %Lancaster County10.3Northumberland County: 10.3 %Northumberland County10.3Brunswick County: 10.2 %Brunswick County10.2Charles City County: 10.2 %Charles City County10.2
%. 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

RankCounties2022 (%)Change on 2021
1Buchanan County14.2+0.7 pts
2Grayson County13.2+1.7 pts
3Russell County13.1+1.4 pts
4Scott County12.6+1.1 pts
5Smyth County12.5+1.3 pts
6Dickenson County12.4-0.6 pts
7Bath County12.2-0.1 pts
7Patrick County12.2+1.9 pts
9Charlotte County12.1+1.6 pts
9Henry County12.1+0.6 pts
9Lee County12.1-0.9 pts
12Danville city11.9+1.4 pts
13Galax city11.8+1.3 pts
13Richmond County11.8+2.1 pts
13Westmoreland County11.8+1.3 pts
16Bristol city11.4+1.2 pts
16Lunenburg County11.4+0.6 pts
18Essex County11.3+0.8 pts
18Wise County11.3+0.7 pts
20Carroll County11.2+0.2 pts
20Halifax County11.2+0.7 pts
20Pittsylvania County11.2+0.8 pts
23Accomack County11+0.4 pts
23Norton city11+0.6 pts
25Emporia city10.9-1 pts
25Mecklenburg County10.9+0.9 pts
25Tazewell County10.9-0.3 pts
28Alleghany County10.8+0.7 pts
28Washington County10.8+1.6 pts
30King and Queen County10.7+1.5 pts
31Craig County10.6+1.1 pts
31Hopewell city10.6+0.6 pts
33Nottoway County10.5+1 pts
33Shenandoah County10.5+1.2 pts
35Buena Vista city10.40 pts
35Page County10.4+0.3 pts
37Lancaster County10.3+0.6 pts
37Northumberland County10.3+0.4 pts
39Brunswick County10.2+0.4 pts
39Charles City County10.2+0.2 pts
39Martinsville city10.2+0.2 pts
42Appomattox County10.1+1.1 pts
42Franklin County10.1+0.6 pts
42Nelson County10.1+0.8 pts
45Buckingham County10-0.3 pts
46Middlesex County9.9+0.1 pts
47Northampton County9.80 pts
48Amelia County9.7+0.3 pts
48Franklin city9.7-0.3 pts
48Rappahannock County9.7+1.3 pts
51Amherst County9.6+0.5 pts
51Pulaski County9.6+0.3 pts
53Mathews County9.5+0.8 pts
53Rockbridge County9.5+0.2 pts
55Madison County9.4+0.4 pts
55Surry County9.4-0.3 pts
57Bland County9.3-0.1 pts
57Covington city9.3-1 pts
57Dinwiddie County9.3+1.3 pts
57Giles County9.3-0.1 pts
61Botetourt County9.1+1.1 pts
61Cumberland County9.1+0.8 pts
61Floyd County9.1-0.1 pts
64Highland County9-1.5 pts
64Warren County9+1 pts
66Roanoke city8.9+0.2 pts
66Wythe County8.9-1 pts
68Staunton city8.8+0.8 pts
69Campbell County8.70 pts
69Caroline County8.7+1.3 pts
69Sussex County8.7+0.6 pts
72Greensville County8.6+0.2 pts
72Petersburg city8.6-0.2 pts
74Fluvanna County8.5+1.9 pts
74King William County8.5+1.3 pts
76Gloucester County8.4+0.6 pts
77Greene County8.3+0.7 pts
78Augusta County8.2-0.3 pts
78Frederick County8.2+0.9 pts
78Isle of Wight County8.2+0.7 pts
78Orange County8.2+0.3 pts
82Colonial Heights city8+0.8 pts
82Winchester city8+0.7 pts
84Portsmouth city7.9+0.3 pts
84Rockingham County7.90 pts
84Waynesboro city7.9-0.7 pts
87Culpeper County7.8+0.7 pts
87James City County7.8+1.3 pts
87Louisa County7.8-0.6 pts
87Southampton County7.8-0.5 pts
91Bedford County7.7-0.3 pts
91Clarke County7.7+0.4 pts
93Prince Edward County7.6-0.3 pts
94Powhatan County7.4+0.5 pts
94Roanoke County7.4+0.2 pts
96Prince George County7.3+0.2 pts
97Hanover County7.1+0.7 pts
97King George County7.1+0.8 pts
97Richmond city7.1+0.7 pts
100Charlottesville city7+1.3 pts
100Goochland County7+0.5 pts
102Hampton city6.8-0.1 pts
102Norfolk city6.8+0.8 pts
104Fredericksburg city6.7+1.4 pts
104Newport News city6.7-0.3 pts
104Spotsylvania County6.7+0.4 pts
107Fauquier County6.6+0.3 pts
107Suffolk city6.60 pts
109Chesapeake city6.5+0.4 pts
109Poquoson city6.5+0.3 pts
109Salem city6.5-0.7 pts
112Williamsburg city6.4+0.7 pts
113Henrico County6.3+0.6 pts
113New Kent County6.3-0.3 pts
115Montgomery County6.2-0.2 pts
116Harrisonburg city6.1-0.2 pts
117Manassas Park city6+0.8 pts
117Radford city6-0.7 pts
117Virginia Beach city6+0.5 pts
120Chesterfield County5.90 pts
120Lynchburg city5.9-0.4 pts
120York County5.9+0.5 pts
123Albemarle County5.6+0.1 pts
124Prince William County5.4+0.5 pts
125Manassas city5.30 pts
126Stafford County5.2+0.3 pts
127Fairfax city5.1+0.4 pts
127Lexington city5.1-0.1 pts
129Falls Church city4.4+0.7 pts
130Arlington County4.3+0.9 pts
130Loudoun County4.3+0.5 pts
132Alexandria city4.1-0.2 pts
132Fairfax County4.1-0.1 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 Virginia by COPD in adults, local model estimate, 2022) [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, 2022. 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?period=2022. 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, 2022. 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?period=2022.

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, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-copd-rate-county-estimate/virginia-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_virginia_by_2022,
  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, 2022}},
  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?period=2022. 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, 2022
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?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-copd-rate-county-estimate/virginia-counties?period=2022.
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 14.2% in 2022, according to the Centers for Disease Control and Prevention.

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

Fairfax County, with 4.1% in 2022.

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