Counties in North Carolina by birth rate (July to June)

Onslow County had the highest birth rate (July to June) of 100 counties in 2024, at 17.29 per 1,000 inhabitants. Watauga County had the lowest, at 5.97 per 1,000 inhabitants. The median was 10.19 per 1,000 inhabitants and the figure for North Carolina was 11.08 per 1,000 inhabitants. Source: the U.S. Census Bureau.

Highest17.29Onslow County
Lowest5.97Watauga County
Median10.19100 counties
North Carolina11.08History

Top 40 counties, 2024

CSVChart (SVG)

Onslow CountyOnslow County: 17.29 per 1,000 inhabitants17.29Robeson CountyRobeson County: 15.84 per 1,000 inhabitants15.84Cumberland CountyCumberland County: 15.19 per 1,000 inhabitants15.19Hoke CountyHoke County: 14.9 per 1,000 inhabitants14.9Sampson CountySampson County: 14.08 per 1,000 inhabitants14.08Duplin CountyDuplin County: 13.97 per 1,000 inhabitants13.97Wayne CountyWayne County: 13.94 per 1,000 inhabitants13.94Harnett CountyHarnett County: 13.36 per 1,000 inhabitants13.36Bladen CountyBladen County: 13.03 per 1,000 inhabitants13.03Mecklenburg CountyMecklenburg County: 12.81 per 1,000 inhabitants12.81Vance CountyVance County: 12.76 per 1,000 inhabitants12.76Richmond CountyRichmond County: 12.75 per 1,000 inhabitants12.75Anson CountyAnson County: 12.52 per 1,000 inhabitants12.52Durham CountyDurham County: 12.18 per 1,000 inhabitants12.18Gaston CountyGaston County: 12.13 per 1,000 inhabitants12.13Craven CountyCraven County: 11.98 per 1,000 inhabitants11.98Franklin CountyFranklin County: 11.87 per 1,000 inhabitants11.87Lee CountyLee County: 11.69 per 1,000 inhabitants11.69Johnston CountyJohnston County: 11.67 per 1,000 inhabitants11.67Lenoir CountyLenoir County: 11.67 per 1,000 inhabitants11.67Cleveland CountyCleveland County: 11.66 per 1,000 inhabitants11.66Columbus CountyColumbus County: 11.66 per 1,000 inhabitants11.66Edgecombe CountyEdgecombe County: 11.55 per 1,000 inhabitants11.55Wilson CountyWilson County: 11.47 per 1,000 inhabitants11.47Stanly CountyStanly County: 11.43 per 1,000 inhabitants11.43Graham CountyGraham County: 11.37 per 1,000 inhabitants11.37Jones CountyJones County: 11.29 per 1,000 inhabitants11.29Moore CountyMoore County: 11.26 per 1,000 inhabitants11.26Pitt CountyPitt County: 11.22 per 1,000 inhabitants11.22Forsyth CountyForsyth County: 11.2 per 1,000 inhabitants11.2Tyrrell CountyTyrrell County: 11.14 per 1,000 inhabitants11.14Cabarrus CountyCabarrus County: 11.02 per 1,000 inhabitants11.02Person CountyPerson County: 10.99 per 1,000 inhabitants10.99Randolph CountyRandolph County: 10.89 per 1,000 inhabitants10.89Surry CountySurry County: 10.89 per 1,000 inhabitants10.89Wake CountyWake County: 10.76 per 1,000 inhabitants10.76Guilford CountyGuilford County: 10.67 per 1,000 inhabitants10.67Scotland CountyScotland County: 10.66 per 1,000 inhabitants10.66Cherokee CountyCherokee County: 10.65 per 1,000 inhabitants10.65Nash CountyNash County: 10.59 per 1,000 inhabitants10.59
per 1,000 inhabitants. Source: U.S. Census Bureau. Retrieved 2026-10-08.

Full ranking

RankCounties2024
per 1,000 inhabitants
Change on 2023
1Onslow County Estimated17.29-0.51 pts
2Robeson County Estimated15.84-0.58 pts
3Cumberland County Estimated15.19-0.04 pts
4Hoke County Estimated14.9-0.73 pts
5Sampson County Estimated14.08+0.05 pts
6Duplin County Estimated13.97-0.48 pts
7Wayne County Estimated13.94+0.17 pts
8Harnett County Estimated13.36+0.23 pts
9Bladen County Estimated13.03-0.3 pts
10Mecklenburg County Estimated12.81-0.28 pts
11Vance County Estimated12.76+0.13 pts
12Richmond County Estimated12.75-0.04 pts
13Anson County Estimated12.52+0.66 pts
14Durham County Estimated12.18+0.05 pts
15Gaston County Estimated12.13+0.08 pts
16Craven County Estimated11.98-0.39 pts
17Franklin County Estimated11.87+0.05 pts
18Lee County Estimated11.69-0.18 pts
19Johnston County Estimated11.67-0.23 pts
20Lenoir County Estimated11.67-0.11 pts
21Cleveland County Estimated11.66+0.58 pts
22Columbus County Estimated11.66-0.45 pts
23Edgecombe County Estimated11.55-0.48 pts
24Wilson County Estimated11.47-0.15 pts
25Stanly County Estimated11.43+0.07 pts
26Graham County Estimated11.37+0.06 pts
27Jones County Estimated11.29+0.7 pts
28Moore County Estimated11.26+0.39 pts
29Pitt County Estimated11.22+0.22 pts
30Forsyth County Estimated11.2-0.23 pts
31Tyrrell County Estimated11.14-1.21 pts
32Cabarrus County Estimated11.02-0.53 pts
33Person County Estimated10.99+1.04 pts
34Randolph County Estimated10.890 pts
35Surry County Estimated10.89+0.25 pts
36Wake County Estimated10.76-0.36 pts
37Guilford County Estimated10.67-0.06 pts
38Scotland County Estimated10.66-0.56 pts
39Cherokee County Estimated10.65+1.86 pts
40Nash County Estimated10.59-0.1 pts
41Alamance County Estimated10.44-0.15 pts
42Pasquotank County Estimated10.41-0.93 pts
43Chowan County Estimated10.39+0.96 pts
44Washington County Estimated10.39+1 pts
45Rowan County Estimated10.36-0.28 pts
46Pender County Estimated10.33-0.9 pts
47Davidson County Estimated10.3-0.05 pts
48Yadkin County Estimated10.28-1.08 pts
49Montgomery County Estimated10.27-0.21 pts
50Wilkes County Estimated10.19-0.37 pts
51Catawba County Estimated10.18-0.07 pts
52Halifax County Estimated10.14-0.44 pts
53Union County Estimated10.14-0.16 pts
54Iredell County Estimated10.06-0.15 pts
55Greene County Estimated9.98+0.85 pts
56Rockingham County Estimated9.95-0.05 pts
57Lincoln County Estimated9.87-0.08 pts
58Hertford County Estimated9.87+0.2 pts
59Clay County Estimated9.83+2.23 pts
60Beaufort County Estimated9.75-0.24 pts
61Martin County Estimated9.71-0.99 pts
62Alexander County Estimated9.68-0.04 pts
63Caldwell County Estimated9.67-0.68 pts
64Rutherford County Estimated9.65+0.02 pts
65Burke County Estimated9.55-0.62 pts
66Granville County Estimated9.53-0.34 pts
67Bertie County Estimated9.42+0.41 pts
68Yancey County Estimated9.37+0.41 pts
69Swain County Estimated9.28-0.67 pts
70Caswell County Estimated9.21-0.18 pts
71Alleghany County Estimated9.15-0.26 pts
72Currituck County Estimated9.09-1.07 pts
73New Hanover County Estimated9-0.34 pts
74Madison County Estimated8.99-0.16 pts
75McDowell County Estimated8.84+0.46 pts
76Northampton County Estimated8.79-0.59 pts
77Buncombe County Estimated8.72+0.09 pts
78Warren County Estimated8.68-1.74 pts
79Chatham County Estimated8.68-0.02 pts
80Mitchell County Estimated8.62+1.7 pts
81Camden County Estimated8.57+1.11 pts
82Haywood County Estimated8.54+0.31 pts
83Davie County Estimated8.45-0.92 pts
84Macon County Estimated8.44-0.02 pts
85Henderson County Estimated8.38-0.35 pts
86Avery County Estimated8.31+0.34 pts
87Pamlico County Estimated8.2+0.75 pts
88Hyde County Estimated8.01+0.24 pts
89Stokes County Estimated7.95-0.66 pts
90Orange County Estimated7.78-0.06 pts
91Gates County Estimated7.65-1.9 pts
92Dare County Estimated7.57-0.08 pts
93Brunswick County Estimated7.39-0.32 pts
94Perquimans County Estimated7.38-0.51 pts
95Ashe County Estimated7.31-0.38 pts
96Jackson County Estimated7.29-0.22 pts
97Transylvania County Estimated7.1+0.12 pts
98Carteret County Estimated7.01-0.02 pts
99Polk County Estimated6.19+0.39 pts
100Watauga County Estimated5.97+0.39 pts

Other periods

About this ranking

Estimated live births from July 1 of the previous year through June 30 of the reported year per 1,000 residents, using the average of the population estimates at the two July 1 endpoints.

Published Census population estimates rate. The year identifies the end of the July-to-June period. These estimates can be revised and differ from calendar-year birth rates.

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

U.S. Census Bureau. Population Estimates Program: birth rate, July 1 of the previous year to June 30 of the reported year, nation, states and counties. https://www2.census.gov/programs-surveys/popest/datasets/2020-2025/. Retrieved 2026-10-08.

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Rank Counties in North Carolina by birth rate (July to June) using official data, and cite the source.
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Questions

Which county has the highest birth rate (July to June)?

Onslow County, with 17.29 per 1,000 inhabitants in 2024, according to the U.S. Census Bureau.

Which county has the lowest birth rate (July to June)?

Watauga County, with 5.97 per 1,000 inhabitants in 2024.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, Population Estimates Program: birth rate, July 1 of the previous year to June 30 of the reported year, nation, states and counties. Retrieved 2026-10-08.

Crude birth rate, July to June: other rankings

Counties in North Carolina: more rankings