RANKING · 2024 ACS · 133 SHOWN OF 133

Lowest fertility rate, Virginia counties

Virginia counties with the lowest general fertility rate, births per 1,000 women ages 15-50 in the past 12 months (2024 ACS). This list covers the 133 counties in Virginia that qualify, ranked against each other statewide. The median across all 133 is 51.0.

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SAME RANKING BYCities States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

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

01Mathews County, VAVA8,5292.8−94%

02Middlesex County, VAVA10,84110.6+36%

03Northumberland County, VAVA12,55713.8−79%

04Richmond County, VAVA9,29414.5−71%

05Rappahannock County, VAVA7,43915.1−77%

06Manassas Park, VAVA16,56015.6−73%

07Harrisonburg, VAVA50,83917.4−39%

08Montgomery County, VAVA98,43423.4−35%

09Covington, VAVA5,68023.9−30%

10Fredericksburg, VAVA30,39325.0−34%

11Norton, VAVA3,47725.1+285%

12Shenandoah County, VAVA45,83929.9−34%

13Halifax County, VAVA33,44731.5−40%

14Charlotte County, VAVA11,40131.5−58%

15Radford, VAVA17,24331.6+104%

16Arlington County, VAVA243,93132.4−30%

17Gloucester County, VAVA40,09732.5−4%

18Nottoway County, VAVA15,79633.0−50%

19Falls Church, VAVA15,15933.1−43%

20Smyth County, VAVA28,88233.2+19%

21Cumberland County, VAVA10,35236.0−24%

22Floyd County, VAVA15,78936.5+1%

23Amherst County, VAVA31,96237.1−6%

24Giles County, VAVA16,56437.9−35%

25Powhatan County, VAVA32,59138.1+3%

26Prince Edward County, VAVA22,39139.4+65%

27Mecklenburg County, VAVA30,74739.6−39%

28Albemarle County, VAVA118,35639.9−9%

29Henrico County, VAVA342,77540.2−29%

30Alleghany County, VAVA14,54640.5−13%

31Frederick County, VAVA99,95540.7−37%

32Henry County, VAVA49,24241.0−15%

33Isle of Wight County, VAVA41,32141.6−10%

34Galax, VAVA6,67041.8+30%

35Richmond, VAVA237,25741.9−16%

36Greene County, VAVA21,95843.2+57%

37Fauquier County, VAVA76,50343.2−1%

38Northampton County, VAVA11,87943.6+1%

39Dinwiddie County, VAVA28,89644.7+82%

40Rockingham County, VAVA89,31644.7−35%

41Caroline County, VAVA34,41345.0−38%

42Wise County, VAVA34,82446.40%

43Amelia County, VAVA13,63246.5−14%

44Lynchburg, VAVA81,34746.6−5%

45Waynesboro, VAVA23,95146.7−10%

46Lancaster County, VAVA10,99547.0+65%

47Buckingham County, VAVA17,13747.2−3%

48Buena Vista, VAVA6,67247.2+45%

49Augusta County, VAVA78,94047.4+24%

50Roanoke County, VAVA97,15047.5+5%

51Surry County, VAVA6,60347.6+7%

52Lunenburg County, VAVA12,05848.3+12%

53Staunton, VAVA26,80148.4+130%

54Alexandria, VAVA160,66248.5−12%

55Fluvanna County, VAVA28,97548.7−8%

56Chesapeake, VAVA255,33248.7−10%

57Goochland County, VAVA29,18748.8−62%

58Danville, VAVA41,64748.8−18%

59Spotsylvania County, VAVA155,38849.0−17%

60Loudoun County, VAVA449,74949.1−33%

61Virginia Beach, VAVA453,73749.4−6%

62Rockbridge County, VAVA22,66349.9+32%

63Bedford County, VAVA83,05950.0+17%

64Page County, VAVA23,76250.5+4%

65Craig County, VAVA4,80050.7+77%

66Botetourt County, VAVA34,14450.9+23%

67Roanoke, VAVA99,11151.0+12%

68Williamsburg, VAVA15,86151.1+505%

69Salem, VAVA25,81651.3+18%

70Hanover County, VAVA116,42351.4+31%

71York County, VAVA71,37451.5−5%

72Warren County, VAVA42,74051.6−14%

73Fairfax County, VAVA1,167,87351.7−4%

74Chesterfield County, VAVA397,14852.0+9%

75Norfolk, VAVA231,01352.7−18%

76James City County, VAVA83,32652.8+31%

77Portsmouth, VAVA96,77752.9−26%

78Greensville County, VAVA11,18153.1+6%

79Washington County, VAVA53,89853.2+41%

80Culpeper County, VAVA57,66653.6+5%

81Colonial Heights, VAVA18,73853.6+195%

82Hampton, VAVA137,31553.8+10%

83Charlottesville, VAVA44,38853.8+112%

84Wythe County, VAVA27,98353.9+67%

85Southampton County, VAVA18,11054.6+7%

86Stafford County, VAVA170,80354.8−14%

87Brunswick County, VAVA15,72755.1−18%

88Petersburg, VAVA33,73455.6+79%

89Accomack County, VAVA33,85955.6+12%

90Newport News, VAVA183,23055.8−8%

91Sussex County, VAVA10,75555.9−9%

92Carroll County, VAVA29,29956.2−12%

93Charles City County, VAVA6,62356.6+53%

94Essex County, VAVA10,65456.7+32%

95Martinsville, VAVA13,84956.8+50%

96Prince George County, VAVA43,93657.0+176%

97Pittsylvania County, VAVA59,49057.1+25%

98Lee County, VAVA21,64259.3+119%

99Poquoson, VAVA13,29260.0+39%

100Lexington, VAVA7,76960.1+1895%

101Campbell County, VAVA55,62960.3+12%

102Orange County, VAVA40,08361.1+23%

103Prince William County, VAVA502,96661.7−3%

104Patrick County, VAVA17,42462.6+49%

105Russell County, VAVA25,33262.9+102%

106Winchester, VAVA28,27263.0+45%

107Bristol, VAVA16,41863.2+36%

108Clarke County, VAVA15,60963.3+112%

109Grayson County, VAVA15,23064.0+143%

110Suffolk, VAVA104,69964.3+5%

111Dickenson County, VAVA13,23664.9+5%

112Madison County, VAVA14,23766.3+87%

113King George County, VAVA29,64666.5+4%

114Appomattox County, VAVA17,17266.7+25%

115Hopewell, VAVA23,26166.7+100%

116Westmoreland County, VAVA19,71569.2+11%

117Franklin County, VAVA55,52669.5+20%

118Manassas, VAVA44,33269.8−2%

119Pulaski County, VAVA33,58669.9+25%

120Emporia, VAVA5,44771.1−21%

121Tazewell County, VAVA38,63571.2+49%

122Fairfax, VAVA26,77271.5+4%

123New Kent County, VAVA28,02271.8+109%

124Bath County, VAVA4,07675.2+104%

125Bland County, VAVA6,15176.0+73%

126Louisa County, VAVA42,92476.4+25%

127Scott County, VAVA21,20077.7+107%

128King William County, VAVA19,61778.3+17%

129Franklin, VAVA8,47883.6−8%

130Buchanan County, VAVA18,49283.7+145%

131King and Queen County, VAVA6,74399.7+140%

132Nelson County, VAVA14,920103.4+381%

133Highland County, VAVA2,318152.9+363%

SHOWING 1–133 OF 133

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES