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RANKING · 2024 ACS · 39 SHOWN OF 39

Highest fertility rate, Washington counties

Washington 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 39 counties in Washington that qualify, ranked against each other statewide.

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SAME RANKING BYCitiesStatesMetrosZIP codes
RELATEDLargest foreign-born populationMost residents with a disabilityLargest veteran populationMost uninsured peopleLargest senior populationMost unmarried people
YEAR20102024
Highest fertility rate by state
RANKPLACESTATEPOPBIRTHS PER 1,000 WOMEN (15-50)VS 2010
01Wahkiakum County, WAWA4,873108.8+72%
02Okanogan County, WAWA45,230102.1+29%
03Garfield County, WAWA2,41696.1+290%
04Asotin County, WAWA22,54594.7+3%
05Lincoln County, WAWA11,98287.8+51%
06Columbia County, WAWA4,14187.3+101%
07Franklin County, WAWA102,61277.8−15%
08Lewis County, WAWA88,06275.2+19%
09Yakima County, WAWA259,18569.2−13%
10Douglas County, WAWA46,47368.5+10%
11Grant County, WAWA105,72768.0−14%
12Grays Harbor County, WAWA78,14467.6+31%
13Chelan County, WAWA81,94157.4−4%
14Stevens County, WAWA49,66857.2+47%
15Pend Oreille County, WAWA14,45757.1−3%
16Kitsap County, WAWA283,37457.0−6%
17Pierce County, WAWA946,28855.7−8%
18Mason County, WAWA71,16555.4−4%
19Clark County, WAWA532,11955.1−6%
20Island County, WAWA85,65752.8−22%
21Klickitat County, WAWA24,33152.8+73%
22Cowlitz County, WAWA114,88552.7−22%
23Snohomish County, WAWA870,65652.6−8%
24Clallam County, WAWA78,20252.4−4%
25Adams County, WAWA21,48851.7−58%
26Spokane County, WAWA558,34451.5−3%
27Skagit County, WAWA132,97549.8−32%
28Benton County, WAWA221,72247.8−31%
29Walla Walla County, WAWA62,36145.0−6%
30King County, WAWA2,344,93943.5−18%
31Pacific County, WAWA24,35743.2−4%
32Thurston County, WAWA304,26142.6−36%
33Ferry County, WAWA7,51742.5+135%
34Jefferson County, WAWA33,97041.8−23%
35San Juan County, WAWA18,57735.4−29%
36Kittitas County, WAWA48,80333.8−2%
37Whatcom County, WAWA236,39232.0−30%
38Whitman County, WAWA48,51230.3−11%
39Skamania County, WAWA12,66924.4+158%
SHOWING 1–39 OF 39
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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES