RANKING · 2024 ACS · 62 SHOWN OF 62

Highest fertility rate, New York counties

New York counties ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). This list covers the 62 counties in New York that qualify, ranked against each other statewide.

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SAME RANKING BYCities States Metros ZIP codes

YEAR2010 2024

RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2010

01Franklin County, NYNY46,50093.4+70%

02Delaware County, NYNY44,30590.4+53%

03Yates County, NYNY24,54786.5+21%

04Rockland County, NYNY357,39779.9+28%

05Fulton County, NYNY52,21678.5+70%

06Wayne County, NYNY91,25071.5+31%

07Orange County, NYNY417,66970.7+13%

08Hamilton County, NYNY5,00669.1+463%

09Warren County, NYNY65,02068.9+44%

10Jefferson County, NYNY111,54068.7−5%

11Sullivan County, NYNY80,58667.1−11%

12Ontario County, NYNY113,13065.4+39%

13Oneida County, NYNY226,39265.0+48%

14Chenango County, NYNY45,71564.3+17%

15Cayuga County, NYNY74,36564.0+39%

16Livingston County, NYNY61,43863.9+56%

17Chautauqua County, NYNY124,12661.0+28%

18Cattaraugus County, NYNY75,39060.8−2%

19Otsego County, NYNY60,58959.5+37%

20Bronx County, NYNY1,406,33259.1−4%

21Washington County, NYNY59,35358.5+45%

22Essex County, NYNY36,43857.7+33%

23Schenectady County, NYNY162,58157.5+16%

24Lewis County, NYNY26,47956.7−1%

25Putnam County, NYNY99,02856.3+20%

26Genesee County, NYNY58,41656.0−5%

27Montgomery County, NYNY50,04655.7+15%

28Chemung County, NYNY80,41553.6+2%

29Allegany County, NYNY46,80053.4−1%

30Herkimer County, NYNY59,21953.4−4%

31Suffolk County, NYNY1,546,09052.6+6%

32Oswego County, NYNY118,56952.5+35%

33Clinton County, NYNY78,13851.5+38%

34Dutchess County, NYNY300,70851.4+11%

35Schoharie County, NYNY30,17650.9+2%

36Nassau County, NYNY1,398,93950.8+17%

37Broome County, NYNY195,73650.6+0%

38Richmond County, NYNY501,29050.3−3%

39St. Lawrence County, NYNY105,48849.8+4%

40Madison County, NYNY67,12049.2+29%

41Onondaga County, NYNY466,58448.9−8%

42Kings County, NYNY2,653,96348.0−11%

43Steuben County, NYNY91,85547.2−10%

44Saratoga County, NYNY241,34346.9−1%

45Erie County, NYNY946,74146.4−7%

46Niagara County, NYNY208,91246.0+1%

47Westchester County, NYNY1,015,74345.9−11%

48Cortland County, NYNY45,85045.8+21%

49Rensselaer County, NYNY160,51045.1−21%

50Monroe County, NYNY750,50644.4−3%

51Albany County, NYNY321,22543.8−1%

52Seneca County, NYNY32,88343.8−33%

53Ulster County, NYNY183,33043.3−0%

54Columbia County, NYNY60,16843.3+1%

55Queens County, NYNY2,358,18242.4−18%

56Tioga County, NYNY47,45340.7−33%

57Schuyler County, NYNY16,92440.4−27%

58Wyoming County, NYNY39,74139.8−28%

59Orleans County, NYNY39,82538.9−16%

60New York County, NYNY1,664,86232.1−20%

61Greene County, NYNY47,23828.4−18%

62Tompkins County, NYNY104,04726.2−10%

SHOWING 1–62 OF 62

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES