Counties with the highest COVID-19 death rate in Virginia

Written by:
October 14, 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 therein—has its own COVID-19 story, driven by local policies and behaviors. The United States as of Oct. 13 had reached717,812 COVID-19-related deaths and 44.6 million COVID-19 cases, according to Johns Hopkins University. As of Feb. 2, more Americans had been vaccinated for COVID-19 than had been infected, and though breakthrough infections are continuing to be studied by the CDC and other health organizations, vaccines have reduced the rate of hospitalizations and deaths from COVID-19.

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 Oct. 12, 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: 221 (82 total deaths)
--- 42.6% more deaths per 100k residents than Virginia
--- #1,695 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 11,488 (4,263 total cases)
--- 9.5% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 224 (83 new cases, -30% change from previous week)

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Skye Marthaler // Wikimedia Commons

#49. Bland County

- Cumulative deaths per 100k: 223 (14 total deaths)
--- 43.9% more deaths per 100k residents than Virginia
--- #1,673 highest rate among all counties nationwide
- New deaths per 100k in the past week: 15.9 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 16,513 (1,037 total cases)
--- 57.4% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 159 (10 new cases, -64% change from previous week)

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Ser_Amantio_di_Nicolao // Wikimedia Commons

#48. Northumberland County

- Cumulative deaths per 100k: 223 (27 total deaths)
--- 43.9% more deaths per 100k residents than Virginia
--- #1,672 highest rate among all counties nationwide
- New deaths per 100k in the past week: 8.3 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 9,483 (1,147 total cases)
--- 9.6% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 74 (9 new cases, -64% change from previous week)

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Puddin Tain // Wikimedia Commons

#47. Sussex County

- Cumulative deaths per 100k: 224 (25 total deaths)
--- 44.5% more deaths per 100k residents than Virginia
--- #1,663 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 13,505 (1,507 total cases)
--- 28.7% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 215 (24 new cases, 0% change from previous week)

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Nyttend // Wikimedia Commons

#46. Mathews County

- Cumulative deaths per 100k: 226 (20 total deaths)
--- 45.8% more deaths per 100k residents than Virginia
--- #1,638 highest rate among all counties nationwide
- New deaths per 100k in the past week: 22.6 (2 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 9,803 (866 total cases)
--- 6.6% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 113 (10 new cases, -60% change from previous week)

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Acroterion // Wikimedia Commons

#45. Accomack County

- Cumulative deaths per 100k: 226 (73 total deaths)
--- 45.8% more deaths per 100k residents than Virginia
--- #1,635 highest rate among all counties nationwide
- New deaths per 100k in the past week: 6.2 (2 new deaths, -67% change from previous week)
- Cumulative cases per 100k: 12,044 (3,892 total cases)
--- 14.8% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 118 (38 new cases, -64% change from previous week)

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Skye Marthaler // Wikimedia Commons

#44. Pulaski County

- Cumulative deaths per 100k: 226 (77 total deaths)
--- 45.8% more deaths per 100k residents than Virginia
--- #1,634 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 11,347 (3,861 total cases)
--- 8.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 200 (68 new cases, -45% change from previous week)

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Nolanwebb // Wikimedia Commons

#43. Roanoke city

- Cumulative deaths per 100k: 226 (224 total deaths)
--- 45.8% more deaths per 100k residents than Virginia
--- #1,631 highest rate among all counties nationwide
- New deaths per 100k in the past week: 8.1 (8 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 11,683 (11,583 total cases)
--- 11.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 176 (174 new cases, -50% change from previous week)

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Brian Stansberry // Wikimedia Commons

#42. Tazewell County

- Cumulative deaths per 100k: 232 (94 total deaths)
--- 49.7% more deaths per 100k residents than Virginia
--- #1,578 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.9 (2 new deaths, -67% change from previous week)
- Cumulative cases per 100k: 13,433 (5,453 total cases)
--- 28.0% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 145 (59 new cases, -60% change from previous week)

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jpmueller99 // Wikimedia Commons

#41. Campbell County

- Cumulative deaths per 100k: 237 (130 total deaths)
--- 52.9% more deaths per 100k residents than Virginia
--- #1,528 highest rate among all counties nationwide
- New deaths per 100k in the past week: 5.5 (3 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 12,484 (6,852 total cases)
--- 19.0% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 215 (118 new cases, -26% change from previous week)

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pfly // Wikimedia Commons

#40. Lee County

- Cumulative deaths per 100k: 239 (56 total deaths)
--- 54.2% more deaths per 100k residents than Virginia
--- #1,511 highest rate among all counties nationwide
- New deaths per 100k in the past week: 8.5 (2 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 15,105 (3,538 total cases)
--- 44.0% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 239 (56 new cases, -51% change from previous week)

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Calstanhope // Wikimedia Commons

#39. Suffolk city

- Cumulative deaths per 100k: 242 (223 total deaths)
--- 56.1% more deaths per 100k residents than Virginia
--- #1,477 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 11,419 (10,518 total cases)
--- 8.8% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 159 (146 new cases, -35% change from previous week)

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U.S. Navy photo // Wikimedia Commons

#38. Portsmouth city

- Cumulative deaths per 100k: 242 (228 total deaths)
--- 56.1% more deaths per 100k residents than Virginia
--- #1,476 highest rate among all counties nationwide
- New deaths per 100k in the past week: 6.4 (6 new deaths, +200% change from previous week)
- Cumulative cases per 100k: 12,938 (12,213 total cases)
--- 23.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 165 (156 new cases, -43% change from previous week)

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LexingtonPark // Wikimedia Commons

#37. Rockbridge County

- Cumulative deaths per 100k: 248 (56 total deaths)
--- 60.0% more deaths per 100k residents than Virginia
--- #1,427 highest rate among all counties nationwide
- New deaths per 100k in the past week: 13.3 (3 new deaths, +50% change from previous week)
- Cumulative cases per 100k: 8,896 (2,008 total cases)
--- 15.2% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 89 (20 new cases, -59% change from previous week)

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Rutke421 // Wikimedia Commons

#36. Washington County

- Cumulative deaths per 100k: 253 (136 total deaths)
--- 63.2% more deaths per 100k residents than Virginia
--- #1,373 highest rate among all counties nationwide
- New deaths per 100k in the past week: 5.6 (3 new deaths, +200% change from previous week)
- Cumulative cases per 100k: 13,383 (7,192 total cases)
--- 27.5% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 283 (152 new cases, -27% change from previous week)

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O. David Redwine // Wikimedia Commons

#35. Middlesex County

- Cumulative deaths per 100k: 255 (27 total deaths)
--- 64.5% more deaths per 100k residents than Virginia
--- #1,357 highest rate among all counties nationwide
- New deaths per 100k in the past week: 18.9 (2 new deaths, +100% change from previous week)
- Cumulative cases per 100k: 8,637 (914 total cases)
--- 17.7% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 76 (8 new cases, -84% change from previous week)

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Cnjnva // Wikimedia Commons

#34. Mecklenburg County

- Cumulative deaths per 100k: 255 (78 total deaths)
--- 64.5% more deaths per 100k residents than Virginia
--- #1,353 highest rate among all counties nationwide
- New deaths per 100k in the past week: 3.3 (1 new deaths, -67% change from previous week)
- Cumulative cases per 100k: 10,658 (3,260 total cases)
--- 1.6% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 262 (80 new cases, -11% change from previous week)

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Tburgess68 // Wikimedia Commons

#33. Buchanan County

- Cumulative deaths per 100k: 257 (54 total deaths)
--- 65.8% more deaths per 100k residents than Virginia
--- #1,332 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.8 (1 new deaths, -80% change from previous week)
- Cumulative cases per 100k: 10,617 (2,230 total cases)
--- 1.2% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 281 (59 new cases, +23% change from previous week)

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Smash the Iron Cage // Wikimedia Commons

#32. Covington city

- Cumulative deaths per 100k: 271 (15 total deaths)
--- 74.8% more deaths per 100k residents than Virginia
--- #1,197 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 13,200 (731 total cases)
--- 25.8% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 0 (0 new cases, -100% change from previous week)

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Mojo Hand // Wikimedia Commons

#31. Charles City County

- Cumulative deaths per 100k: 273 (19 total deaths)
--- 76.1% more deaths per 100k residents than Virginia
--- #1,183 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 9,378 (653 total cases)
--- 10.6% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 0 (0 new cases, -100% change from previous week)

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Aplomado~commonswiki // Wikimedia Commons

#30. Bristol city

- Cumulative deaths per 100k: 280 (47 total deaths)
--- 80.6% more deaths per 100k residents than Virginia
--- #1,126 highest rate among all counties nationwide
- New deaths per 100k in the past week: 17.9 (3 new deaths, +200% change from previous week)
- Cumulative cases per 100k: 13,071 (2,191 total cases)
--- 24.6% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 119 (20 new cases, -41% change from previous week)

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Cecouchman // Wikimedia Commons

#29. Page County

- Cumulative deaths per 100k: 284 (68 total deaths)
--- 83.2% more deaths per 100k residents than Virginia
--- #1,093 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.2 (1 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 13,392 (3,201 total cases)
--- 27.6% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 351 (84 new cases, -40% change from previous week)

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Nyttend // Wikimedia Commons

#28. Henry County

- Cumulative deaths per 100k: 285 (144 total deaths)
--- 83.9% more deaths per 100k residents than Virginia
--- #1,076 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.0 (1 new deaths, -75% change from previous week)
- Cumulative cases per 100k: 12,123 (6,129 total cases)
--- 15.5% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 210 (106 new cases, -24% change from previous week)

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Calstanhope // Wikimedia Commons

#27. Grayson County

- Cumulative deaths per 100k: 289 (45 total deaths)
--- 86.5% more deaths per 100k residents than Virginia
--- #1,050 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 12,637 (1,965 total cases)
--- 20.4% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 116 (18 new cases, -64% change from previous week)

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Ceh2624 // Wikimedia Commons

#26. Carroll County

- Cumulative deaths per 100k: 289 (86 total deaths)
--- 86.5% more deaths per 100k residents than Virginia
--- #1,048 highest rate among all counties nationwide
- New deaths per 100k in the past week: 3.4 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 12,373 (3,686 total cases)
--- 17.9% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 242 (72 new cases, -38% change from previous week)

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vastateparksstaff // Wikimedia Commons

#25. Halifax County

- Cumulative deaths per 100k: 292 (99 total deaths)
--- 88.4% more deaths per 100k residents than Virginia
--- #1,025 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,843 (3,677 total cases)
--- 3.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 189 (64 new cases, -49% change from previous week)

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Taber Andrew Bain from Richmond, VA, USA // Wikimedia Commons

#24. Amelia County

- Cumulative deaths per 100k: 297 (39 total deaths)
--- 91.6% more deaths per 100k residents than Virginia
--- #984 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,133 (1,332 total cases)
--- 3.4% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 114 (15 new cases, -55% change from previous week)

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Betcantrell // Wikimedia Commons

#23. Norton city

- Cumulative deaths per 100k: 301 (12 total deaths)
--- 94.2% more deaths per 100k residents than Virginia
--- #959 highest rate among all counties nationwide
- New deaths per 100k in the past week: 25.1 (1 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 13,238 (527 total cases)
--- 26.2% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 477 (19 new cases, -14% change from previous week)

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Jquesen2003 // Wikimedia Commons

#22. Patrick County

- Cumulative deaths per 100k: 312 (55 total deaths)
--- 101.3% more deaths per 100k residents than Virginia
--- #869 highest rate among all counties nationwide
- New deaths per 100k in the past week: 17.0 (3 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 11,001 (1,937 total cases)
--- 4.8% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 210 (37 new cases, -31% change from previous week)

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Nyttend // Wikimedia Commons

#21. Staunton city

- Cumulative deaths per 100k: 317 (79 total deaths)
--- 104.5% more deaths per 100k residents than Virginia
--- #839 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.0 (1 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 13,152 (3,279 total cases)
--- 25.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 140 (35 new cases, -57% change from previous week)

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Skye Marthaler // Wikimedia Commons

#20. Wythe County

- Cumulative deaths per 100k: 317 (91 total deaths)
--- 104.5% more deaths per 100k residents than Virginia
--- #837 highest rate among all counties nationwide
- New deaths per 100k in the past week: 7.0 (2 new deaths, +100% change from previous week)
- Cumulative cases per 100k: 14,834 (4,255 total cases)
--- 41.4% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 251 (72 new cases, -56% change from previous week)

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Skye Marthaler // Wikimedia Commons

#19. Wise County

- Cumulative deaths per 100k: 326 (122 total deaths)
--- 110.3% more deaths per 100k residents than Virginia
--- #776 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.7 (1 new deaths, -67% change from previous week)
- Cumulative cases per 100k: 13,062 (4,883 total cases)
--- 24.5% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 383 (143 new cases, -25% change from previous week)

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Nyttend // Wikimedia Commons

#18. Petersburg city

- Cumulative deaths per 100k: 332 (104 total deaths)
--- 114.2% more deaths per 100k residents than Virginia
--- #744 highest rate among all counties nationwide
- New deaths per 100k in the past week: 6.4 (2 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 16,327 (5,118 total cases)
--- 55.6% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 153 (48 new cases, -59% change from previous week)

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Skye Marthaler // Wikimedia Commons

#17. Scott County

- Cumulative deaths per 100k: 334 (72 total deaths)
--- 115.5% more deaths per 100k residents than Virginia
--- #731 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.6 (1 new deaths, -67% change from previous week)
- Cumulative cases per 100k: 13,327 (2,874 total cases)
--- 27.0% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 250 (54 new cases, -62% change from previous week)

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Nyttend // Wikimedia Commons

#16. Bath County

- Cumulative deaths per 100k: 338 (14 total deaths)
--- 118.1% more deaths per 100k residents than Virginia
--- #707 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 10,345 (429 total cases)
--- 1.4% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 169 (7 new cases, -53% change from previous week)

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Carol M. Highsmith // Wikimedia Commons

#15. Buena Vista city

- Cumulative deaths per 100k: 340 (22 total deaths)
--- 119.4% more deaths per 100k residents than Virginia
--- #694 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 18,632 (1,207 total cases)
--- 77.6% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 401 (26 new cases, -54% change from previous week)

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Alexiskferia // Wikimedia Commons

#14. Northampton County

- Cumulative deaths per 100k: 342 (40 total deaths)
--- 120.6% more deaths per 100k residents than Virginia
--- #682 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 9,479 (1,110 total cases)
--- 9.7% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 128 (15 new cases, -48% change from previous week)

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Nyttend // Wikimedia Commons

#13. Shenandoah County

- Cumulative deaths per 100k: 344 (150 total deaths)
--- 121.9% more deaths per 100k residents than Virginia
--- #667 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.3 (1 new deaths, -75% change from previous week)
- Cumulative cases per 100k: 13,745 (5,995 total cases)
--- 31.0% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 296 (129 new cases, -41% change from previous week)

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Puddin Tain // Wikimedia Commons

#12. Southampton County

- Cumulative deaths per 100k: 352 (62 total deaths)
--- 127.1% more deaths per 100k residents than Virginia
--- #617 highest rate among all counties nationwide
- New deaths per 100k in the past week: 5.7 (1 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 13,221 (2,331 total cases)
--- 26.0% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 238 (42 new cases, -19% change from previous week)

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JERRYE & ROY KLOTZ MD // Wikimedia Commons

#11. Smyth County

- Cumulative deaths per 100k: 359 (108 total deaths)
--- 131.6% more deaths per 100k residents than Virginia
--- #584 highest rate among all counties nationwide
- New deaths per 100k in the past week: 10.0 (3 new deaths, -40% change from previous week)
- Cumulative cases per 100k: 14,925 (4,493 total cases)
--- 42.2% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 442 (133 new cases, -45% change from previous week)

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Nyttend // Wikimedia Commons

#10. Colonial Heights city

- Cumulative deaths per 100k: 368 (64 total deaths)
--- 137.4% more deaths per 100k residents than Virginia
--- #532 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 14,347 (2,492 total cases)
--- 36.7% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 248 (43 new cases, -22% change from previous week)

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Nyttend // Wikimedia Commons

#9. Hopewell city

- Cumulative deaths per 100k: 377 (85 total deaths)
--- 143.2% more deaths per 100k residents than Virginia
--- #486 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 15,957 (3,595 total cases)
--- 52.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 186 (42 new cases, -42% change from previous week)

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Nyttend // Wikimedia Commons

#8. Nottoway County

- Cumulative deaths per 100k: 400 (61 total deaths)
--- 158.1% more deaths per 100k residents than Virginia
--- #376 highest rate among all counties nationwide
- New deaths per 100k in the past week: 6.6 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 16,446 (2,505 total cases)
--- 56.7% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 112 (17 new cases, -65% change from previous week)

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Jarek Tuszyński // Wikimedia Commons

#7. Alleghany County

- Cumulative deaths per 100k: 410 (61 total deaths)
--- 164.5% more deaths per 100k residents than Virginia
--- #341 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 13,553 (2,014 total cases)
--- 29.2% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 256 (38 new cases, -42% change from previous week)

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Acroterion // Wikimedia Commons

#6. Danville city

- Cumulative deaths per 100k: 437 (175 total deaths)
--- 181.9% more deaths per 100k residents than Virginia
--- #250 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.5 (1 new deaths, -86% change from previous week)
- Cumulative cases per 100k: 15,033 (6,020 total cases)
--- 43.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 220 (88 new cases, -45% change from previous week)

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Zeete // Wikimedia Commons

#5. Lexington city

- Cumulative deaths per 100k: 443 (33 total deaths)
--- 185.8% more deaths per 100k residents than Virginia
--- #234 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 20,481 (1,525 total cases)
--- 95.2% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 242 (18 new cases, -40% change from previous week)

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Nyttend // Wikimedia Commons

#4. Franklin city

- Cumulative deaths per 100k: 502 (40 total deaths)
--- 223.9% more deaths per 100k residents than Virginia
--- #132 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 19,694 (1,569 total cases)
--- 87.7% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 414 (33 new cases, -37% change from previous week)

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Sleddog116 // Wikimedia Commons

#3. Martinsville city

- Cumulative deaths per 100k: 685 (86 total deaths)
--- 341.9% more deaths per 100k residents than Virginia
--- #20 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 15,573 (1,955 total cases)
--- 48.4% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 191 (24 new cases, -23% change from previous week)

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DanTD // Wikimedia Commons

#2. Emporia city

- Cumulative deaths per 100k: 786 (42 total deaths)
--- 407.1% more deaths per 100k residents than Virginia
--- #7 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.0 (0 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 15,918 (851 total cases)
--- 51.7% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 150 (8 new cases, -50% change from previous week)

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Cyoung9 // Wikimedia Commons

#1. Galax city

- Cumulative deaths per 100k: 945 (60 total deaths)
--- 509.7% more deaths per 100k residents than Virginia
--- #2 highest rate among all counties nationwide
- New deaths per 100k in the past week: 15.8 (1 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 22,861 (1,451 total cases)
--- 117.9% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 173 (11 new cases, -50% change from previous week)

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