Counties in Virginia by death rate (July to June)

Martinsville city had the highest death rate (July to June) of 133 counties in 2021, at 24.65 per 1,000 inhabitants. Manassas Park city had the lowest, at 3.56 per 1,000 inhabitants. The median was 13.3 per 1,000 inhabitants and the figure for Virginia was 9.69 per 1,000 inhabitants. Source: the U.S. Census Bureau.

Highest24.65Martinsville city
Median13.3133 counties
Virginia9.69History

Top 40 counties, 2021

CSVChart (SVG)

Martinsville cityMartinsville city: 24.65 per 1,000 inhabitants24.65Galax cityGalax city: 23.33 per 1,000 inhabitants23.33Lancaster CountyLancaster County: 21.8 per 1,000 inhabitants21.8Franklin cityFranklin city: 21.35 per 1,000 inhabitants21.35Covington cityCovington city: 21.28 per 1,000 inhabitants21.28Danville cityDanville city: 21.19 per 1,000 inhabitants21.19Emporia cityEmporia city: 20.66 per 1,000 inhabitants20.66Norton cityNorton city: 20.51 per 1,000 inhabitants20.51Patrick CountyPatrick County: 20.44 per 1,000 inhabitants20.44Petersburg cityPetersburg city: 19.75 per 1,000 inhabitants19.75Tazewell CountyTazewell County: 19.73 per 1,000 inhabitants19.73Alleghany CountyAlleghany County: 19.61 per 1,000 inhabitants19.61Charlotte CountyCharlotte County: 19.19 per 1,000 inhabitants19.19Lee CountyLee County: 19.13 per 1,000 inhabitants19.13Smyth CountySmyth County: 19.06 per 1,000 inhabitants19.06Scott CountyScott County: 19.03 per 1,000 inhabitants19.03Henry CountyHenry County: 18.81 per 1,000 inhabitants18.81Bristol cityBristol city: 18.77 per 1,000 inhabitants18.77Bath CountyBath County: 18.6 per 1,000 inhabitants18.6Northumberland CountyNorthumberland County: 18.5 per 1,000 inhabitants18.5Northampton CountyNorthampton County: 18.36 per 1,000 inhabitants18.36Giles CountyGiles County: 18.34 per 1,000 inhabitants18.34Middlesex CountyMiddlesex County: 18.23 per 1,000 inhabitants18.23Buchanan CountyBuchanan County: 18.14 per 1,000 inhabitants18.14Charles City CountyCharles City County: 17.66 per 1,000 inhabitants17.66Wythe CountyWythe County: 17.58 per 1,000 inhabitants17.58Mathews CountyMathews County: 17.58 per 1,000 inhabitants17.58Halifax CountyHalifax County: 17.54 per 1,000 inhabitants17.54Hopewell cityHopewell city: 17.4 per 1,000 inhabitants17.4Mecklenburg CountyMecklenburg County: 17.25 per 1,000 inhabitants17.25Wise CountyWise County: 17.25 per 1,000 inhabitants17.25Russell CountyRussell County: 17.14 per 1,000 inhabitants17.14Grayson CountyGrayson County: 17.04 per 1,000 inhabitants17.04Pulaski CountyPulaski County: 16.59 per 1,000 inhabitants16.59Washington CountyWashington County: 16.49 per 1,000 inhabitants16.49King and Queen CountyKing and Queen County: 16.45 per 1,000 inhabitants16.45Dickenson CountyDickenson County: 16.39 per 1,000 inhabitants16.39Carroll CountyCarroll County: 16.38 per 1,000 inhabitants16.38Brunswick CountyBrunswick County: 16.04 per 1,000 inhabitants16.04Nottoway CountyNottoway County: 16.02 per 1,000 inhabitants16.02
per 1,000 inhabitants. Source: U.S. Census Bureau. Retrieved 2026-10-08.

Full ranking

RankCounties2021
per 1,000 inhabitants
1Martinsville city Estimated24.65
2Galax city Estimated23.33
3Lancaster County Estimated21.8
4Franklin city Estimated21.35
5Covington city Estimated21.28
6Danville city Estimated21.19
7Emporia city Estimated20.66
8Norton city Estimated20.51
9Patrick County Estimated20.44
10Petersburg city Estimated19.75
11Tazewell County Estimated19.73
12Alleghany County Estimated19.61
13Charlotte County Estimated19.19
14Lee County Estimated19.13
15Smyth County Estimated19.06
16Scott County Estimated19.03
17Henry County Estimated18.81
18Bristol city Estimated18.77
19Bath County Estimated18.6
20Northumberland County Estimated18.5
21Northampton County Estimated18.36
22Giles County Estimated18.34
23Middlesex County Estimated18.23
24Buchanan County Estimated18.14
25Charles City County Estimated17.66
26Wythe County Estimated17.58
27Mathews County Estimated17.58
28Halifax County Estimated17.54
29Hopewell city Estimated17.4
30Mecklenburg County Estimated17.25
31Wise County Estimated17.25
32Russell County Estimated17.14
33Grayson County Estimated17.04
34Pulaski County Estimated16.59
35Washington County Estimated16.49
36King and Queen County Estimated16.45
37Dickenson County Estimated16.39
38Carroll County Estimated16.38
39Brunswick County Estimated16.04
40Nottoway County Estimated16.02
41Colonial Heights city Estimated15.95
42Essex County Estimated15.68
43Salem city Estimated15.62
44Amelia County Estimated15.42
45Staunton city Estimated15.41
46Bland County Estimated15.28
47Roanoke city Estimated15.24
48Buena Vista city Estimated14.96
49Accomack County Estimated14.87
50Pittsylvania County Estimated14.8
51Rockbridge County Estimated14.65
52Floyd County Estimated14.59
53Page County Estimated14.56
54Lunenburg County Estimated14.44
55Shenandoah County Estimated14.3
56Nelson County Estimated14.27
57Greensville County Estimated13.94
58Westmoreland County Estimated13.89
59Amherst County Estimated13.71
60Southampton County Estimated13.67
61Franklin County Estimated13.66
62Portsmouth city Estimated13.62
63Campbell County Estimated13.52
64Richmond County Estimated13.44
65Waynesboro city Estimated13.41
66Sussex County Estimated13.41
67Surry County Estimated13.3
68Roanoke County Estimated13.28
69Orange County Estimated13.2
70Winchester city Estimated13.19
71Craig County Estimated13.11
72Clarke County Estimated13.1
73Bedford County Estimated12.98
74Buckingham County Estimated12.97
75Gloucester County Estimated12.91
76Lynchburg city Estimated12.61
77Dinwiddie County Estimated12.35
78Isle of Wight County Estimated12.21
79Cumberland County Estimated12.06
80Hampton city Estimated12.03
81Botetourt County Estimated11.98
82Prince Edward County Estimated11.75
83Madison County Estimated11.64
84Poquoson city Estimated11.55
85Lexington city Estimated11.51
86Augusta County Estimated11.49
87Louisa County Estimated11.43
88Fairfax city Estimated11.33
89James City County Estimated11.32
90Appomattox County Estimated11.3
91Caroline County Estimated11.26
92Rockingham County Estimated11.07
93Hanover County Estimated10.97
94Warren County Estimated10.93
95Suffolk city Estimated10.83
96Newport News city Estimated10.62
97Henrico County Estimated10.6
98Goochland County Estimated10.59
99Greene County Estimated10.43
100Richmond city Estimated10.35
101New Kent County Estimated10.33
102Fluvanna County Estimated10.31
103Rappahannock County Estimated10.3
104King William County Estimated10.29
105Norfolk city Estimated10.21
106Frederick County Estimated10.16
107Highland County Estimated9.81
108Fredericksburg city Estimated9.67
109Powhatan County Estimated9.53
110Culpeper County Estimated9.46
111Williamsburg city Estimated9.44
112Chesapeake city Estimated9.28
113Radford city Estimated9.14
114Chesterfield County Estimated8.7
115Albemarle County Estimated8.7
116York County Estimated8.63
117Virginia Beach city Estimated8.42
118Fauquier County Estimated8.33
119Falls Church city Estimated8.29
120Prince George County Estimated8.09
121Spotsylvania County Estimated7.95
122King George County Estimated7.94
123Montgomery County Estimated7.93
124Manassas city Estimated7.32
125Charlottesville city Estimated7.27
126Harrisonburg city Estimated6.57
127Stafford County Estimated5.96
128Alexandria city Estimated5.43
129Prince William County Estimated5.42
130Fairfax County Estimated5.17
131Arlington County Estimated4.67
132Loudoun County Estimated4.14
133Manassas Park city Estimated3.56

Other periods

About this ranking

Estimated deaths 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 death 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: death 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 Virginia by death rate (July to June) using official data, and cite the source.
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Questions

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

Martinsville city, with 24.65 per 1,000 inhabitants in 2021, according to the U.S. Census Bureau.

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

Manassas Park city, with 3.56 per 1,000 inhabitants in 2021.

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: death rate, July 1 of the previous year to June 30 of the reported year, nation, states and counties. Retrieved 2026-10-08.

Crude death rate, July to June: other rankings

Counties in Virginia: more rankings