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 (2023 ACS). This list covers the 133 counties in 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

01Mathews County, VAVA8,5292.8–

02Middlesex County, VAVA10,84110.6–

03Northumberland County, VAVA12,55713.8–

04Richmond County, VAVA9,29414.5–

05Rappahannock County, VAVA7,43915.1–

06Manassas Park, VAVA16,56015.6–

07Harrisonburg, VAVA50,83917.4–

08Montgomery County, VAVA98,43423.4–

09Covington, VAVA5,68023.9–

10Fredericksburg, VAVA30,39325.0–

11Norton, VAVA3,47725.1–

12Shenandoah County, VAVA45,83929.9–

13Halifax County, VAVA33,44731.5–

14Charlotte County, VAVA11,40131.5–

15Radford, VAVA17,24331.6–

16Arlington County, VAVA243,93132.4–

17Gloucester County, VAVA40,09732.5–

18Nottoway County, VAVA15,79633.0–

19Falls Church, VAVA15,15933.1–

20Smyth County, VAVA28,88233.2–

21Cumberland County, VAVA10,35236.0–

22Floyd County, VAVA15,78936.5–

23Amherst County, VAVA31,96237.1–

24Giles County, VAVA16,56437.9–

25Powhatan County, VAVA32,59138.1–

26Prince Edward County, VAVA22,39139.4–

27Mecklenburg County, VAVA30,74739.6–

28Albemarle County, VAVA118,35639.9–

29Henrico County, VAVA342,77540.2–

30Alleghany County, VAVA14,54640.5–

31Frederick County, VAVA99,95540.7–

32Henry County, VAVA49,24241.0–

33Isle of Wight County, VAVA41,32141.6–

34Galax, VAVA6,67041.8–

35Richmond, VAVA237,25741.9–

36Greene County, VAVA21,95843.2–

37Fauquier County, VAVA76,50343.2–

38Northampton County, VAVA11,87943.6–

39Dinwiddie County, VAVA28,89644.7–

40Rockingham County, VAVA89,31644.7–

41Caroline County, VAVA34,41345.0–

42Wise County, VAVA34,82446.4–

43Amelia County, VAVA13,63246.5–

44Lynchburg, VAVA81,34746.6–

45Waynesboro, VAVA23,95146.7–

46Lancaster County, VAVA10,99547.0–

47Buckingham County, VAVA17,13747.2–

48Buena Vista, VAVA6,67247.2–

49Augusta County, VAVA78,94047.4–

50Roanoke County, VAVA97,15047.5–

51Surry County, VAVA6,60347.6–

52Lunenburg County, VAVA12,05848.3–

53Staunton, VAVA26,80148.4–

54Alexandria, VAVA160,66248.5–

55Fluvanna County, VAVA28,97548.7–

56Chesapeake, VAVA255,33248.7–

57Goochland County, VAVA29,18748.8–

58Danville, VAVA41,64748.8–

59Spotsylvania County, VAVA155,38849.0–

60Loudoun County, VAVA449,74949.1–

61Virginia Beach, VAVA453,73749.4–

62Rockbridge County, VAVA22,66349.9–

63Bedford County, VAVA83,05950.0–

64Page County, VAVA23,76250.5–

65Craig County, VAVA4,80050.7–

66Botetourt County, VAVA34,14450.9–

67Roanoke, VAVA99,11151.0–

68Williamsburg, VAVA15,86151.1–

69Salem, VAVA25,81651.3–

70Hanover County, VAVA116,42351.4–

71York County, VAVA71,37451.5–

72Warren County, VAVA42,74051.6–

73Fairfax County, VAVA1,167,87351.7–

74Chesterfield County, VAVA397,14852.0–

75Norfolk, VAVA231,01352.7–

76James City County, VAVA83,32652.8–

77Portsmouth, VAVA96,77752.9–

78Greensville County, VAVA11,18153.1–

79Washington County, VAVA53,89853.2–

80Culpeper County, VAVA57,66653.6–

81Colonial Heights, VAVA18,73853.6–

82Hampton, VAVA137,31553.8–

83Charlottesville, VAVA44,38853.8–

84Wythe County, VAVA27,98353.9–

85Southampton County, VAVA18,11054.6–

86Stafford County, VAVA170,80354.8–

87Brunswick County, VAVA15,72755.1–

88Petersburg, VAVA33,73455.6–

89Accomack County, VAVA33,85955.6–

90Newport News, VAVA183,23055.8–

91Sussex County, VAVA10,75555.9–

92Carroll County, VAVA29,29956.2–

93Charles City County, VAVA6,62356.6–

94Essex County, VAVA10,65456.7–

95Martinsville, VAVA13,84956.8–

96Prince George County, VAVA43,93657.0–

97Pittsylvania County, VAVA59,49057.1–

98Lee County, VAVA21,64259.3–

99Poquoson, VAVA13,29260.0–

100Lexington, VAVA7,76960.1–

101Campbell County, VAVA55,62960.3–

102Orange County, VAVA40,08361.1–

103Prince William County, VAVA502,96661.7–

104Patrick County, VAVA17,42462.6–

105Russell County, VAVA25,33262.9–

106Winchester, VAVA28,27263.0–

107Bristol, VAVA16,41863.2–

108Clarke County, VAVA15,60963.3–

109Grayson County, VAVA15,23064.0–

110Suffolk, VAVA104,69964.3–

111Dickenson County, VAVA13,23664.9–

112Madison County, VAVA14,23766.3–

113King George County, VAVA29,64666.5–

114Appomattox County, VAVA17,17266.7–

115Hopewell, VAVA23,26166.7–

116Westmoreland County, VAVA19,71569.2–

117Franklin County, VAVA55,52669.5–

118Manassas, VAVA44,33269.8–

119Pulaski County, VAVA33,58669.9–

120Emporia, VAVA5,44771.1–

121Tazewell County, VAVA38,63571.2–

122Fairfax, VAVA26,77271.5–

123New Kent County, VAVA28,02271.8–

124Bath County, VAVA4,07675.2–

125Bland County, VAVA6,15176.0–

126Louisa County, VAVA42,92476.4–

127Scott County, VAVA21,20077.7–

128King William County, VAVA19,61778.3–

129Franklin, VAVA8,47883.6–

130Buchanan County, VAVA18,49283.7–

131King and Queen County, VAVA6,74399.7–

132Nelson County, VAVA14,920103.4–

133Highland County, VAVA2,318152.9–

SHOWING 1–133 OF 133

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