Counties with the highest COVID-19 death rate in Virginia

Written by:
April 16, 2021
Cyoung9 // Wikimedia Commons

Counties with the highest COVID-19 death rate in Virginia

As has been true throughout America’s COVID-19 history, every state—and every county threin—has its own COVID-19 story, driven by local policies and behaviors. The United States as of April 15 had reached 565,275 COVID-19-related deaths and more than 31.5 million COVID-19 cases, according to Johns Hopkins University. Amid the grim numbers come two bright spots: As of Feb. 2, more Americans had been vaccinated for COVID-19 than had been infected; and since then, rolling averages for case counts and deaths have been on the decline.

Stacker compiled a list of the counties with highest COVID-19 death rates in Virginia using data from the U.S. Department of Health & Human Services. Counties are ranked by the highest death rate per 100k residents as of April 14, 2021. Keep reading to see whether your county ranks among the highest COVID-19 death rates in your state.

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Nyttend // Wikimedia Commons

#50. Isle of Wight County

- Cumulative deaths per 100k: 170 (63 total deaths)
--- 38.2% more deaths per 100k residents than Virginia
--- #1,646 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.7 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 8,109 (3,009 total cases)
--- 8.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 135 (50 new cases, +2% change from previous week)
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Tburgess68 // Wikimedia Commons

#49. Buchanan County

- Cumulative deaths per 100k: 171 (36 total deaths)
--- 39.0% more deaths per 100k residents than Virginia
--- #1,633 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 6,546 (1,375 total cases)
--- 12.7% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 95 (20 new cases, +300% change from previous week)
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Acroterion // Wikimedia Commons

#48. Lynchburg city

- Cumulative deaths per 100k: 175 (144 total deaths)
--- 42.3% more deaths per 100k residents than Virginia
--- #1,589 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.4 (2 new deaths, +100% change from previous week)
- Cumulative cases per 100k: 9,024 (7,415 total cases)
--- 20.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 170 (140 new cases, +54% change from previous week)
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Taber Andrew Bain from Richmond, VA, USA // Wikimedia Commons

#47. Buckingham County

- Cumulative deaths per 100k: 175 (30 total deaths)
--- 42.3% more deaths per 100k residents than Virginia
--- #1,587 highest rate among all counties nationwide
- New deaths per 100k in the past week: 11.7 (2 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 12,159 (2,085 total cases)
--- 62.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 64 (11 new cases, +83% change from previous week)
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Betcantrell // Wikimedia Commons

#46. Norton city

- Cumulative deaths per 100k: 176 (7 total deaths)
--- 43.1% more deaths per 100k residents than Virginia
--- #1,580 highest rate among all counties nationwide
- New deaths per 100k in the past week: 25.1 (1 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 6,606 (263 total cases)
--- 11.9% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 151 (6 new cases, -25% change from previous week)
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Rifleman 82 // Wikimedia Commons

#45. Henrico County

- Cumulative deaths per 100k: 178 (588 total deaths)
--- 44.7% more deaths per 100k residents than Virginia
--- #1,559 highest rate among all counties nationwide
- New deaths per 100k in the past week: 1.8 (6 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 7,281 (24,088 total cases)
--- 2.9% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 150 (496 new cases, +11% change from previous week)
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Mojo Hand // Wikimedia Commons

#44. Salem city

- Cumulative deaths per 100k: 178 (45 total deaths)
--- 44.7% more deaths per 100k residents than Virginia
--- #1,551 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,000 (2,024 total cases)
--- 6.7% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 123 (31 new cases, +343% change from previous week)
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Alma mater // Wikimedia Commons

#43. Harrisonburg city

- Cumulative deaths per 100k: 179 (95 total deaths)
--- 45.5% more deaths per 100k residents than Virginia
--- #1,544 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 11,893 (6,305 total cases)
--- 58.6% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 111 (59 new cases, -39% change from previous week)
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Skye Marthaler // Wikimedia Commons

#42. Pulaski County

- Cumulative deaths per 100k: 179 (61 total deaths)
--- 45.5% more deaths per 100k residents than Virginia
--- #1,541 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.9 (1 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 7,353 (2,502 total cases)
--- 2.0% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 76 (26 new cases, +18% change from previous week)
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O. David Redwine // Wikimedia Commons

#41. Middlesex County

- Cumulative deaths per 100k: 180 (19 total deaths)
--- 46.3% more deaths per 100k residents than Virginia
--- #1,514 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 5,301 (561 total cases)
--- 29.3% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 47 (5 new cases, +67% change from previous week)
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Nolanwebb // Wikimedia Commons

#40. Roanoke city

- Cumulative deaths per 100k: 187 (185 total deaths)
--- 52.0% more deaths per 100k residents than Virginia
--- #1,433 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.0 (2 new deaths, -60% change from previous week)
- Cumulative cases per 100k: 8,249 (8,178 total cases)
--- 10.0% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 110 (109 new cases, +21% change from previous week)
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Puddin Tain // Wikimedia Commons

#39. Sussex County

- Cumulative deaths per 100k: 188 (21 total deaths)
--- 52.8% more deaths per 100k residents than Virginia
--- #1,412 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,324 (1,152 total cases)
--- 37.6% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 54 (6 new cases, -54% change from previous week)
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Rutke421 // Wikimedia Commons

#38. Washington County

- Cumulative deaths per 100k: 190 (102 total deaths)
--- 54.5% more deaths per 100k residents than Virginia
--- #1,399 highest rate among all counties nationwide
- New deaths per 100k in the past week: 1.9 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 8,629 (4,637 total cases)
--- 15.0% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 197 (106 new cases, +68% change from previous week)
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Aplomado~commonswiki // Wikimedia Commons

#37. Bristol city

- Cumulative deaths per 100k: 191 (32 total deaths)
--- 55.3% more deaths per 100k residents than Virginia
--- #1,386 highest rate among all counties nationwide
- New deaths per 100k in the past week: 6.0 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 8,042 (1,348 total cases)
--- 7.2% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 251 (42 new cases, +31% change from previous week)
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U.S. Navy photo // Wikimedia Commons

#36. Portsmouth city

- Cumulative deaths per 100k: 194 (183 total deaths)
--- 57.7% more deaths per 100k residents than Virginia
--- #1,352 highest rate among all counties nationwide
- New deaths per 100k in the past week: 9.5 (9 new deaths, +125% change from previous week)
- Cumulative cases per 100k: 9,110 (8,600 total cases)
--- 21.5% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 160 (151 new cases, +15% change from previous week)
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Calstanhope // Wikimedia Commons

#35. Suffolk city

- Cumulative deaths per 100k: 195 (180 total deaths)
--- 58.5% more deaths per 100k residents than Virginia
--- #1,343 highest rate among all counties nationwide
- New deaths per 100k in the past week: 1.1 (1 new deaths, -75% change from previous week)
- Cumulative cases per 100k: 8,275 (7,622 total cases)
--- 10.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 141 (130 new cases, +10% change from previous week)
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pfly // Wikimedia Commons

#34. Lee County

- Cumulative deaths per 100k: 196 (46 total deaths)
--- 59.3% more deaths per 100k residents than Virginia
--- #1,314 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.3 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 10,195 (2,388 total cases)
--- 35.9% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 64 (15 new cases, +15% change from previous week)
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LexingtonPark // Wikimedia Commons

#33. Rockbridge County

- Cumulative deaths per 100k: 204 (46 total deaths)
--- 65.9% more deaths per 100k residents than Virginia
--- #1,229 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 6,503 (1,468 total cases)
--- 13.3% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 44 (10 new cases, -23% change from previous week)
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Cnjnva // Wikimedia Commons

#32. Mecklenburg County

- Cumulative deaths per 100k: 206 (63 total deaths)
--- 67.5% more deaths per 100k residents than Virginia
--- #1,205 highest rate among all counties nationwide
- New deaths per 100k in the past week: 3.3 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 7,193 (2,200 total cases)
--- 4.1% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 101 (31 new cases, +55% change from previous week)
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Calstanhope // Wikimedia Commons

#31. Grayson County

- Cumulative deaths per 100k: 212 (33 total deaths)
--- 72.4% more deaths per 100k residents than Virginia
--- #1,141 highest rate among all counties nationwide
- New deaths per 100k in the past week: 6.4 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 8,379 (1,303 total cases)
--- 11.7% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 379 (59 new cases, +136% change from previous week)
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Mojo Hand // Wikimedia Commons

#30. Charles City County

- Cumulative deaths per 100k: 215 (15 total deaths)
--- 74.8% more deaths per 100k residents than Virginia
--- #1,102 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 6,750 (470 total cases)
--- 10.0% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 158 (11 new cases, +10% change from previous week)
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Smash the Iron Cage // Wikimedia Commons

#29. Covington city

- Cumulative deaths per 100k: 217 (12 total deaths)
--- 76.4% more deaths per 100k residents than Virginia
--- #1,073 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,437 (578 total cases)
--- 39.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 54 (3 new cases, -57% change from previous week)
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vastateparksstaff // Wikimedia Commons

#28. Halifax County

- Cumulative deaths per 100k: 218 (74 total deaths)
--- 77.2% more deaths per 100k residents than Virginia
--- #1,063 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.9 (1 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,009 (2,716 total cases)
--- 6.8% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 59 (20 new cases, -39% change from previous week)
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Taber Andrew Bain // Wikimedia Commons

#27. Greensville County

- Cumulative deaths per 100k: 221 (25 total deaths)
--- 79.7% more deaths per 100k residents than Virginia
--- #1,039 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 13,673 (1,550 total cases)
--- 82.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 97 (11 new cases, -48% change from previous week)
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Ceh2624 // Wikimedia Commons

#26. Carroll County

- Cumulative deaths per 100k: 225 (67 total deaths)
--- 82.9% more deaths per 100k residents than Virginia
--- #1,002 highest rate among all counties nationwide
- New deaths per 100k in the past week: 6.7 (2 new deaths, +100% change from previous week)
- Cumulative cases per 100k: 8,224 (2,450 total cases)
--- 9.6% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 329 (98 new cases, +8% change from previous week)
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Taber Andrew Bain from Richmond, VA, USA // Wikimedia Commons

#25. Amelia County

- Cumulative deaths per 100k: 228 (30 total deaths)
--- 85.4% more deaths per 100k residents than Virginia
--- #962 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 6,428 (845 total cases)
--- 14.3% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 129 (17 new cases, +112% change from previous week)
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Jquesen2003 // Wikimedia Commons

#24. Patrick County

- Cumulative deaths per 100k: 233 (41 total deaths)
--- 89.4% more deaths per 100k residents than Virginia
--- #912 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 7,355 (1,295 total cases)
--- 1.9% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 68 (12 new cases, +200% change from previous week)
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Skye Marthaler // Wikimedia Commons

#23. Scott County

- Cumulative deaths per 100k: 236 (51 total deaths)
--- 91.9% more deaths per 100k residents than Virginia
--- #887 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,184 (1,765 total cases)
--- 9.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 190 (41 new cases, +14% change from previous week)
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Cecouchman // Wikimedia Commons

#22. Page County

- Cumulative deaths per 100k: 238 (57 total deaths)
--- 93.5% more deaths per 100k residents than Virginia
--- #872 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,108 (1,938 total cases)
--- 8.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 88 (21 new cases, +110% change from previous week)
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Nyttend // Wikimedia Commons

#21. Henry County

- Cumulative deaths per 100k: 239 (121 total deaths)
--- 94.3% more deaths per 100k residents than Virginia
--- #868 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,780 (4,439 total cases)
--- 17.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 67 (34 new cases, +31% change from previous week)
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Nyttend // Wikimedia Commons

#20. Bath County

- Cumulative deaths per 100k: 241 (10 total deaths)
--- 95.9% more deaths per 100k residents than Virginia
--- #846 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 6,245 (259 total cases)
--- 16.7% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 145 (6 new cases, +200% change from previous week)
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Skye Marthaler // Wikimedia Commons

#19. Wise County

- Cumulative deaths per 100k: 249 (93 total deaths)
--- 102.4% more deaths per 100k residents than Virginia
--- #784 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.7 (1 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,097 (3,027 total cases)
--- 7.9% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 67 (25 new cases, +32% change from previous week)
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Nyttend // Wikimedia Commons

#18. Petersburg city

- Cumulative deaths per 100k: 255 (80 total deaths)
--- 107.3% more deaths per 100k residents than Virginia
--- #742 highest rate among all counties nationwide
- New deaths per 100k in the past week: 3.2 (1 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 11,603 (3,637 total cases)
--- 54.7% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 207 (65 new cases, -3% change from previous week)
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Skye Marthaler // Wikimedia Commons

#17. Wythe County

- Cumulative deaths per 100k: 265 (76 total deaths)
--- 115.4% more deaths per 100k residents than Virginia
--- #655 highest rate among all counties nationwide
- New deaths per 100k in the past week: 3.5 (1 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 8,545 (2,451 total cases)
--- 13.9% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 178 (51 new cases, -60% change from previous week)
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Nyttend // Wikimedia Commons

#16. Staunton city

- Cumulative deaths per 100k: 269 (67 total deaths)
--- 118.7% more deaths per 100k residents than Virginia
--- #627 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 9,883 (2,464 total cases)
--- 31.8% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 120 (30 new cases, 0% change from previous week)
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Nyttend // Wikimedia Commons

#15. Hopewell city

- Cumulative deaths per 100k: 284 (64 total deaths)
--- 130.9% more deaths per 100k residents than Virginia
--- #546 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,888 (2,453 total cases)
--- 45.2% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 306 (69 new cases, +68% change from previous week)
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Carol M. Highsmith // Wikimedia Commons

#14. Buena Vista city

- Cumulative deaths per 100k: 293 (19 total deaths)
--- 138.2% more deaths per 100k residents than Virginia
--- #488 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 13,461 (872 total cases)
--- 79.5% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 46 (3 new cases, +50% change from previous week)
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Nyttend // Wikimedia Commons

#13. Shenandoah County

- Cumulative deaths per 100k: 296 (129 total deaths)
--- 140.7% more deaths per 100k residents than Virginia
--- #476 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.6 (2 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 9,198 (4,012 total cases)
--- 22.6% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 179 (78 new cases, +70% change from previous week)
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JERRYE & ROY KLOTZ MD // Wikimedia Commons

#12. Smyth County

- Cumulative deaths per 100k: 299 (90 total deaths)
--- 143.1% more deaths per 100k residents than Virginia
--- #456 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,992 (2,707 total cases)
--- 19.9% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 156 (47 new cases, +9% change from previous week)
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Alexiskferia // Wikimedia Commons

#11. Northampton County

- Cumulative deaths per 100k: 299 (35 total deaths)
--- 143.1% more deaths per 100k residents than Virginia
--- #454 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 6,644 (778 total cases)
--- 11.4% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 60 (7 new cases, -53% change from previous week)
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Nyttend // Wikimedia Commons

#10. Nottoway County

- Cumulative deaths per 100k: 309 (47 total deaths)
--- 151.2% more deaths per 100k residents than Virginia
--- #401 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 12,316 (1,876 total cases)
--- 64.2% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 39 (6 new cases, -33% change from previous week)
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Puddin Tain // Wikimedia Commons

#9. Southampton County

- Cumulative deaths per 100k: 318 (56 total deaths)
--- 158.5% more deaths per 100k residents than Virginia
--- #360 highest rate among all counties nationwide
- New deaths per 100k in the past week: 11.3 (2 new deaths, +100% change from previous week)
- Cumulative cases per 100k: 10,986 (1,937 total cases)
--- 46.5% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 62 (11 new cases, -15% change from previous week)
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Jarek Tuszyński // Wikimedia Commons

#8. Alleghany County

- Cumulative deaths per 100k: 323 (48 total deaths)
--- 162.6% more deaths per 100k residents than Virginia
--- #339 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,721 (1,296 total cases)
--- 16.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 128 (19 new cases, +90% change from previous week)
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Nyttend // Wikimedia Commons

#7. Colonial Heights city

- Cumulative deaths per 100k: 328 (57 total deaths)
--- 166.7% more deaths per 100k residents than Virginia
--- #326 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 9,263 (1,609 total cases)
--- 23.5% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 334 (58 new cases, +115% change from previous week)
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Acroterion // Wikimedia Commons

#6. Danville city

- Cumulative deaths per 100k: 332 (133 total deaths)
--- 169.9% more deaths per 100k residents than Virginia
--- #313 highest rate among all counties nationwide
- New deaths per 100k in the past week: 20.0 (8 new deaths, +300% change from previous week)
- Cumulative cases per 100k: 10,588 (4,240 total cases)
--- 41.2% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 127 (51 new cases, +292% change from previous week)
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Nyttend // Wikimedia Commons

#5. Franklin city

- Cumulative deaths per 100k: 389 (31 total deaths)
--- 216.3% more deaths per 100k residents than Virginia
--- #173 highest rate among all counties nationwide
- New deaths per 100k in the past week: 12.6 (1 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 13,832 (1,102 total cases)
--- 84.4% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 289 (23 new cases, +21% change from previous week)
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Zeete // Wikimedia Commons

#4. Lexington city

- Cumulative deaths per 100k: 430 (32 total deaths)
--- 249.6% more deaths per 100k residents than Virginia
--- #114 highest rate among all counties nationwide
- New deaths per 100k in the past week: 13.4 (1 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 15,525 (1,156 total cases)
--- 107.0% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 54 (4 new cases, +300% change from previous week)
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Sleddog116 // Wikimedia Commons

#3. Martinsville city

- Cumulative deaths per 100k: 605 (76 total deaths)
--- 391.9% more deaths per 100k residents than Virginia
--- #23 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 12,458 (1,564 total cases)
--- 66.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 56 (7 new cases, +40% change from previous week)
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DanTD // Wikimedia Commons

#2. Emporia city

- Cumulative deaths per 100k: 786 (42 total deaths)
--- 539.0% more deaths per 100k residents than Virginia
--- #4 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 12,439 (665 total cases)
--- 65.8% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 37 (2 new cases, -80% change from previous week)
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Cyoung9 // Wikimedia Commons

#1. Galax city

- Cumulative deaths per 100k: 788 (50 total deaths)
--- 540.7% more deaths per 100k residents than Virginia
--- #3 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 17,331 (1,100 total cases)
--- 131.0% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 504 (32 new cases, -11% change from previous week)

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