Counties with the highest COVID-19 death rate in Virginia

Written by:
January 20, 2022
Cyoung9 // Wikimedia Commons

Counties with the highest COVID-19 death rate in Virginia

The vaccine deployment in December 2020 signaled a turning point in the COVID-19 pandemic. By the end of May 2021, 40% of the U.S. population was fully vaccinated. But as vaccination rates lagged over the summer, new surges of COVID-19 came, including Delta in the summer of 2021, and now the Omicron variant, which comprises the majority of cases in the U.S.

Researchers around the world have reported that Omicron is more transmissible than Delta, making breakthrough and repeat infections more likely. Early research suggests this strain may cause less severe illness than Delta and the original virus, however, health officials have warned an Omicron-driven surge could still increase hospitalization and death rates—especially in areas with less vaccinated populations.

The United States as of Jan. 19 reached 854,292 COVID-19-related deaths and 67.6 million COVID-19 cases, according to Johns Hopkins University. Currently, 63% of the population is fully vaccinated, and 38.7% have received booster doses.

Stacker compiled a list of the counties with highest cumulative 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 100,000 residents as of Jan. 18, 2021.

Keep reading to see whether your county ranks among the highest COVID-19 death rates in your state.

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AgnosticPreachersKid // Wikimedia Commons

#50. Warren County

- Cumulative deaths per 100k: 274 (110 total deaths)
--- 48.1% more deaths per 100k residents than Virginia
--- #1,865 highest rate among all counties nationwide
- New deaths per 100k in the past week: 5.0 (2 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 18,823 (7,560 total cases)
--- 14.2% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,155 (464 new cases, -15% change from previous week)
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Puddin Tain // Wikimedia Commons

#49. Sussex County

- Cumulative deaths per 100k: 278 (31 total deaths)
--- 50.3% more deaths per 100k residents than Virginia
--- #1,828 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: 19,374 (2,162 total cases)
--- 17.5% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 2,581 (288 new cases, +93% change from previous week)
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Calstanhope // Wikimedia Commons

#48. Suffolk city

- Cumulative deaths per 100k: 278 (256 total deaths)
--- 50.3% more deaths per 100k residents than Virginia
--- #1,822 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.2 (2 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 17,402 (16,029 total cases)
--- 5.5% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,592 (1,466 new cases, -7% change from previous week)
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Nolanwebb // Wikimedia Commons

#47. Roanoke city

- Cumulative deaths per 100k: 278 (276 total deaths)
--- 50.3% more deaths per 100k residents than Virginia
--- #1,820 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.0 (2 new deaths, +100% change from previous week)
- Cumulative cases per 100k: 17,826 (17,673 total cases)
--- 8.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,722 (1,707 new cases, +28% change from previous week)
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Nathan Yates // Wikimedia Commons

#46. Dickenson County

- Cumulative deaths per 100k: 279 (40 total deaths)
--- 50.8% more deaths per 100k residents than Virginia
--- #1,814 highest rate among all counties nationwide
- New deaths per 100k in the past week: 14.0 (2 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 17,600 (2,520 total cases)
--- 6.7% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,285 (184 new cases, +92% change from previous week)
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Skye Marthaler // Wikimedia Commons

#45. Bland County

- Cumulative deaths per 100k: 287 (18 total deaths)
--- 55.1% more deaths per 100k residents than Virginia
--- #1,744 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: 21,465 (1,348 total cases)
--- 30.2% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,465 (92 new cases, +70% change from previous week)
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jpmueller99 // Wikimedia Commons

#44. Campbell County

- Cumulative deaths per 100k: 297 (163 total deaths)
--- 60.5% more deaths per 100k residents than Virginia
--- #1,642 highest rate among all counties nationwide
- New deaths per 100k in the past week: 5.5 (3 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 17,107 (9,389 total cases)
--- 3.7% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 869 (477 new cases, +9% change from previous week)
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Doug Kerr // Wikimedia Commons

#43. Russell County

- Cumulative deaths per 100k: 301 (80 total deaths)
--- 62.7% more deaths per 100k residents than Virginia
--- #1,592 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: 19,322 (5,137 total cases)
--- 17.2% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,098 (292 new cases, +87% change from previous week)
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pfly // Wikimedia Commons

#42. Lee County

- Cumulative deaths per 100k: 303 (71 total deaths)
--- 63.8% more deaths per 100k residents than Virginia
--- #1,571 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.3 (1 new deaths, -67% change from previous week)
- Cumulative cases per 100k: 19,310 (4,523 total cases)
--- 17.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 978 (229 new cases, +89% change from previous week)
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Brian Stansberry // Wikimedia Commons

#41. Tazewell County

- Cumulative deaths per 100k: 303 (123 total deaths)
--- 63.8% more deaths per 100k residents than Virginia
--- #1,570 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: 18,539 (7,526 total cases)
--- 12.4% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 773 (314 new cases, +32% change from previous week)
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Mojo Hand // Wikimedia Commons

#40. Charles City County

- Cumulative deaths per 100k: 316 (22 total deaths)
--- 70.8% more deaths per 100k residents than Virginia
--- #1,466 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: 14,132 (984 total cases)
--- 14.3% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 833 (58 new cases, -17% change from previous week)
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Skye Marthaler // Wikimedia Commons

#39. Pulaski County

- Cumulative deaths per 100k: 317 (108 total deaths)
--- 71.4% more deaths per 100k residents than Virginia
--- #1,449 highest rate among all counties nationwide
- New deaths per 100k in the past week: 5.9 (2 new deaths, +100% change from previous week)
- Cumulative cases per 100k: 16,319 (5,553 total cases)
--- 1.0% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,067 (363 new cases, +38% change from previous week)
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LexingtonPark // Wikimedia Commons

#38. Rockbridge County

- Cumulative deaths per 100k: 319 (72 total deaths)
--- 72.4% more deaths per 100k residents than Virginia
--- #1,425 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.4 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 11,966 (2,701 total cases)
--- 27.4% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 629 (142 new cases, +48% change from previous week)
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O. David Redwine // Wikimedia Commons

#37. Middlesex County

- Cumulative deaths per 100k: 321 (34 total deaths)
--- 73.5% more deaths per 100k residents than Virginia
--- #1,408 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: 13,816 (1,462 total cases)
--- 16.2% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,446 (153 new cases, +11% change from previous week)
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Ser_Amantio_di_Nicolao // Wikimedia Commons

#36. Northumberland County

- Cumulative deaths per 100k: 322 (39 total deaths)
--- 74.1% more deaths per 100k residents than Virginia
--- #1,394 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: 14,973 (1,811 total cases)
--- 9.2% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,306 (158 new cases, -7% change from previous week)
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Cnjnva // Wikimedia Commons

#35. Mecklenburg County

- Cumulative deaths per 100k: 327 (100 total deaths)
--- 76.8% more deaths per 100k residents than Virginia
--- #1,356 highest rate among all counties nationwide
- New deaths per 100k in the past week: 6.5 (2 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 14,366 (4,394 total cases)
--- 12.9% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 860 (263 new cases, +12% change from previous week)
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Taber Andrew Bain from Richmond, VA, USA // Wikimedia Commons

#34. Amelia County

- Cumulative deaths per 100k: 335 (44 total deaths)
--- 81.1% more deaths per 100k residents than Virginia
--- #1,295 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: 16,067 (2,112 total cases)
--- 2.6% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,445 (190 new cases, +40% change from previous week)
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Mojo Hand // Wikimedia Commons

#33. Salem city

- Cumulative deaths per 100k: 336 (85 total deaths)
--- 81.6% more deaths per 100k residents than Virginia
--- #1,279 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.0 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 22,011 (5,569 total cases)
--- 33.5% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 2,522 (638 new cases, +50% change from previous week)
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Rutke421 // Wikimedia Commons

#32. Washington County

- Cumulative deaths per 100k: 346 (186 total deaths)
--- 87.0% more deaths per 100k residents than Virginia
--- #1,196 highest rate among all counties nationwide
- New deaths per 100k in the past week: 3.7 (2 new deaths, -67% change from previous week)
- Cumulative cases per 100k: 19,499 (10,479 total cases)
--- 18.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,375 (739 new cases, +48% change from previous week)
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Aplomado~commonswiki // Wikimedia Commons

#31. Bristol city

- Cumulative deaths per 100k: 352 (59 total deaths)
--- 90.3% more deaths per 100k residents than Virginia
--- #1,153 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: 19,198 (3,218 total cases)
--- 16.4% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,700 (285 new cases, +63% change from previous week)
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Nyttend // Wikimedia Commons

#30. Staunton city

- Cumulative deaths per 100k: 357 (89 total deaths)
--- 93.0% more deaths per 100k residents than Virginia
--- #1,110 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: 18,687 (4,659 total cases)
--- 13.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,636 (408 new cases, +79% change from previous week)
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Nyttend // Wikimedia Commons

#29. Petersburg city

- Cumulative deaths per 100k: 357 (112 total deaths)
--- 93.0% more deaths per 100k residents than Virginia
--- #1,109 highest rate among all counties nationwide
- New deaths per 100k in the past week: 9.6 (3 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 23,046 (7,224 total cases)
--- 39.8% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,889 (592 new cases, -9% change from previous week)
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Smash the Iron Cage // Wikimedia Commons

#28. Covington city

- Cumulative deaths per 100k: 361 (20 total deaths)
--- 95.1% more deaths per 100k residents than Virginia
--- #1,089 highest rate among all counties nationwide
- New deaths per 100k in the past week: 18.1 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 15,710 (870 total cases)
--- 4.7% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 578 (32 new cases, +100% change from previous week)
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Nyttend // Wikimedia Commons

#27. Bath County

- Cumulative deaths per 100k: 362 (15 total deaths)
--- 95.7% more deaths per 100k residents than Virginia
--- #1,082 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: 16,639 (690 total cases)
--- 0.9% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,302 (54 new cases, +17% change from previous week)
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vastateparksstaff // Wikimedia Commons

#26. Halifax County

- Cumulative deaths per 100k: 375 (127 total deaths)
--- 102.7% more deaths per 100k residents than Virginia
--- #978 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: 16,487 (5,591 total cases)
--- 0.0% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,690 (573 new cases, +49% change from previous week)
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Ceh2624 // Wikimedia Commons

#25. Carroll County

- Cumulative deaths per 100k: 383 (114 total deaths)
--- 107.0% more deaths per 100k residents than Virginia
--- #919 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: 17,932 (5,342 total cases)
--- 8.8% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,225 (365 new cases, +102% change from previous week)
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Cecouchman // Wikimedia Commons

#24. Page County

- Cumulative deaths per 100k: 389 (93 total deaths)
--- 110.3% more deaths per 100k residents than Virginia
--- #880 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: 20,003 (4,781 total cases)
--- 21.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,272 (304 new cases, +35% change from previous week)
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Jquesen2003 // Wikimedia Commons

#23. Patrick County

- Cumulative deaths per 100k: 409 (72 total deaths)
--- 121.1% more deaths per 100k residents than Virginia
--- #738 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: 16,481 (2,902 total cases)
--- 0.0% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,096 (193 new cases, +80% change from previous week)
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Skye Marthaler // Wikimedia Commons

#22. Wise County

- Cumulative deaths per 100k: 409 (153 total deaths)
--- 121.1% more deaths per 100k residents than Virginia
--- #734 highest rate among all counties nationwide
- New deaths per 100k in the past week: 13.4 (5 new deaths, +150% change from previous week)
- Cumulative cases per 100k: 19,726 (7,374 total cases)
--- 19.6% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,158 (433 new cases, +53% change from previous week)
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Nyttend // Wikimedia Commons

#21. Colonial Heights city

- Cumulative deaths per 100k: 415 (72 total deaths)
--- 124.3% more deaths per 100k residents than Virginia
--- #701 highest rate among all counties nationwide
- New deaths per 100k in the past week: 5.8 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 22,499 (3,908 total cases)
--- 36.4% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 2,021 (351 new cases, 0% change from previous week)
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Nyttend // Wikimedia Commons

#20. Henry County

- Cumulative deaths per 100k: 419 (212 total deaths)
--- 126.5% more deaths per 100k residents than Virginia
--- #668 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: 17,914 (9,057 total cases)
--- 8.6% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,379 (697 new cases, +46% change from previous week)
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Skye Marthaler // Wikimedia Commons

#19. Wythe County

- Cumulative deaths per 100k: 422 (121 total deaths)
--- 128.1% more deaths per 100k residents than Virginia
--- #651 highest rate among all counties nationwide
- New deaths per 100k in the past week: 7.0 (2 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 20,192 (5,792 total cases)
--- 22.5% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,210 (347 new cases, +66% change from previous week)
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Calstanhope // Wikimedia Commons

#18. Grayson County

- Cumulative deaths per 100k: 424 (66 total deaths)
--- 129.2% more deaths per 100k residents than Virginia
--- #638 highest rate among all counties nationwide
- New deaths per 100k in the past week: 19.3 (3 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 18,289 (2,844 total cases)
--- 10.9% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 900 (140 new cases, +122% change from previous week)
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Puddin Tain // Wikimedia Commons

#17. Southampton County

- Cumulative deaths per 100k: 425 (75 total deaths)
--- 129.7% more deaths per 100k residents than Virginia
--- #630 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: 16,477 (2,905 total cases)
--- 0.1% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,089 (192 new cases, +56% change from previous week)
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Skye Marthaler // Wikimedia Commons

#16. Scott County

- Cumulative deaths per 100k: 427 (92 total deaths)
--- 130.8% more deaths per 100k residents than Virginia
--- #614 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: 19,753 (4,260 total cases)
--- 19.8% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,104 (238 new cases, +25% change from previous week)
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Tburgess68 // Wikimedia Commons

#15. Buchanan County

- Cumulative deaths per 100k: 428 (90 total deaths)
--- 131.4% more deaths per 100k residents than Virginia
--- #608 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.8 (1 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 17,278 (3,629 total cases)
--- 4.8% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,614 (339 new cases, +112% change from previous week)
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Nyttend // Wikimedia Commons

#14. Shenandoah County

- Cumulative deaths per 100k: 433 (189 total deaths)
--- 134.1% more deaths per 100k residents than Virginia
--- #577 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: 21,368 (9,320 total cases)
--- 29.6% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,412 (616 new cases, +8% change from previous week)
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Alexiskferia // Wikimedia Commons

#13. Northampton County

- Cumulative deaths per 100k: 436 (51 total deaths)
--- 135.7% more deaths per 100k residents than Virginia
--- #564 highest rate among all counties nationwide
- New deaths per 100k in the past week: 17.1 (2 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 14,714 (1,723 total cases)
--- 10.8% less cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,998 (234 new cases, +35% change from previous week)
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Nyttend // Wikimedia Commons

#12. Hopewell city

- Cumulative deaths per 100k: 439 (99 total deaths)
--- 137.3% more deaths per 100k residents than Virginia
--- #548 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.4 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 23,095 (5,203 total cases)
--- 40.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,909 (430 new cases, -6% change from previous week)
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JERRYE & ROY KLOTZ MD // Wikimedia Commons

#11. Smyth County

- Cumulative deaths per 100k: 468 (141 total deaths)
--- 153.0% more deaths per 100k residents than Virginia
--- #418 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: 20,831 (6,271 total cases)
--- 26.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,179 (355 new cases, +71% change from previous week)
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Nyttend // Wikimedia Commons

#10. Nottoway County

- Cumulative deaths per 100k: 473 (72 total deaths)
--- 155.7% more deaths per 100k residents than Virginia
--- #400 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: 21,783 (3,318 total cases)
--- 32.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,057 (161 new cases, -16% change from previous week)
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Betcantrell // Wikimedia Commons

#9. Norton city

- Cumulative deaths per 100k: 502 (20 total deaths)
--- 171.4% more deaths per 100k residents than Virginia
--- #285 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: 22,758 (906 total cases)
--- 38.0% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 2,035 (81 new cases, +72% change from previous week)
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Zeete // Wikimedia Commons

#8. Lexington city

- Cumulative deaths per 100k: 510 (38 total deaths)
--- 175.7% more deaths per 100k residents than Virginia
--- #269 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: 28,042 (2,088 total cases)
--- 70.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 2,834 (211 new cases, +94% change from previous week)
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Carol M. Highsmith // Wikimedia Commons

#7. Buena Vista city

- Cumulative deaths per 100k: 525 (34 total deaths)
--- 183.8% more deaths per 100k residents than Virginia
--- #233 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: 26,104 (1,691 total cases)
--- 58.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,451 (94 new cases, +40% change from previous week)
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Acroterion // Wikimedia Commons

#6. Danville city

- Cumulative deaths per 100k: 532 (213 total deaths)
--- 187.6% more deaths per 100k residents than Virginia
--- #207 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.5 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 22,280 (8,922 total cases)
--- 35.1% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 2,210 (885 new cases, +13% change from previous week)
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Nyttend // Wikimedia Commons

#5. Franklin city

- Cumulative deaths per 100k: 540 (43 total deaths)
--- 191.9% more deaths per 100k residents than Virginia
--- #195 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: 27,087 (2,158 total cases)
--- 64.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 2,222 (177 new cases, +11% change from previous week)
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Jarek Tuszyński // Wikimedia Commons

#4. Alleghany County

- Cumulative deaths per 100k: 606 (90 total deaths)
--- 227.6% more deaths per 100k residents than Virginia
--- #112 highest rate among all counties nationwide
- New deaths per 100k in the past week: 13.5 (2 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 19,394 (2,882 total cases)
--- 17.6% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,454 (216 new cases, +62% change from previous week)
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Sleddog116 // Wikimedia Commons

#3. Martinsville city

- Cumulative deaths per 100k: 797 (100 total deaths)
--- 330.8% more deaths per 100k residents than Virginia
--- #15 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: 21,810 (2,738 total cases)
--- 32.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 1,545 (194 new cases, +72% change from previous week)
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DanTD // Wikimedia Commons

#2. Emporia city

- Cumulative deaths per 100k: 860 (46 total deaths)
--- 364.9% more deaths per 100k residents than Virginia
--- #9 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: 18,294 (978 total cases)
--- 10.9% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 935 (50 new cases, +32% change from previous week)
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Cyoung9 // Wikimedia Commons

#1. Galax city

- Cumulative deaths per 100k: 1,103 (70 total deaths)
--- 496.2% more deaths per 100k residents than Virginia
--- #1 highest rate among all counties nationwide
- New deaths per 100k in the past week: 15.8 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 32,204 (2,044 total cases)
--- 95.3% more cases per 100k residents than Virginia
- New cases per 100k in the past week: 2,253 (143 new cases, +17% change from previous week)

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