RANKING · 2024 ACS · 55 SHOWN OF 55

Highest fertility rate, West Virginia counties

West Virginia counties ranked by general fertility rate — births per 1,000 women ages 15-50 in the past 12 months (2023 ACS). This list covers the 55 counties in West Virginia 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 2000

01Doddridge County, WVWV7,634158.7–

02Mason County, WVWV24,707106.7–

03Webster County, WVWV7,760102.5–

04Greenbrier County, WVWV31,57896.6–

05Wetzel County, WVWV13,73491.9–

06Pleasants County, WVWV7,33873.1–

07Gilmer County, WVWV7,08572.9–

08Monroe County, WVWV12,49172.8–

09Hardy County, WVWV14,33769.8–

10Wood County, WVWV82,38568.3–

11Roane County, WVWV13,31766.9–

12Preston County, WVWV34,00465.2–

13Grant County, WVWV11,04163.1–

14Wirt County, WVWV4,87963.1–

15Ritchie County, WVWV8,03460.1–

16Taylor County, WVWV16,28759.3–

17Wayne County, WVWV37,30958.9–

18Harrison County, WVWV64,22157.9–

19Putnam County, WVWV56,88557.4–

20Randolph County, WVWV26,88257.4–

21Logan County, WVWV30,37557.3–

22Pocahontas County, WVWV7,60252.6–

23Brooke County, WVWV21,14252.6–

24Tyler County, WVWV7,88152.5–

25Marion County, WVWV55,58451.1–

26Hampshire County, WVWV24,10551.0–

27Jefferson County, WVWV63,10250.3–

28Hancock County, WVWV27,72950.0–

29Berkeley County, WVWV139,52250.0–

30Mineral County, WVWV26,79249.6–

31Marshall County, WVWV29,15948.3–

32Mingo County, WVWV21,45547.1–

33Lincoln County, WVWV19,17746.5–

34Kanawha County, WVWV172,38146.2–

35Wyoming County, WVWV19,80146.1–

36Morgan County, WVWV18,02745.7–

37McDowell County, WVWV16,87843.5–

38Raleigh County, WVWV71,77541.3–

39Lewis County, WVWV16,39440.2–

40Monongalia County, WVWV107,99137.7–

41Pendleton County, WVWV5,82637.5–

42Upshur County, WVWV23,75836.4–

43Mercer County, WVWV57,50334.2–

44Ohio County, WVWV40,49632.8–

45Braxton County, WVWV11,88532.4–

46Cabell County, WVWV91,18331.8–

47Barbour County, WVWV15,41431.2–

48Clay County, WVWV7,53830.1–

49Fayette County, WVWV38,16529.3–

50Summers County, WVWV11,53229.1–

51Jackson County, WVWV27,45028.8–

52Tucker County, WVWV6,54022.0–

53Nicholas County, WVWV23,84818.7–

54Boone County, WVWV20,25115.9–

55Calhoun County, WVWV5,97813.7–

SHOWING 1–55 OF 55

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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES