RANKING · 2010 CENSUS · 133 SHOWN OF 133

Lowest fertility rate, Virginia counties · 2010

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

01Lexington, VAVA7,7693.0–

02Norton, VAVA3,4776.5–

03Middlesex County, VAVA10,8417.8–

04Williamsburg, VAVA15,8618.4–

05Radford, VAVA17,24315.5–

06Colonial Heights, VAVA18,73818.2–

07Prince George County, VAVA43,93620.7–

08Staunton, VAVA26,80121.0–

09Nelson County, VAVA14,92021.5–

10Prince Edward County, VAVA22,39123.8–

11Dinwiddie County, VAVA28,89624.6–

12Charlottesville, VAVA44,38825.4–

13Grayson County, VAVA15,23026.4–

14Lee County, VAVA21,64227.1–

15Greene County, VAVA21,95827.5–

16Smyth County, VAVA28,88227.9–

17Lancaster County, VAVA10,99528.5–

18Craig County, VAVA4,80028.6–

19Harrisonburg, VAVA50,83928.6–

20Clarke County, VAVA15,60929.9–

21Petersburg, VAVA33,73431.0–

22Russell County, VAVA25,33231.2–

23Galax, VAVA6,67032.1–

24Wythe County, VAVA27,98332.3–

25Buena Vista, VAVA6,67232.5–

26Highland County, VAVA2,31833.0–

27Hopewell, VAVA23,26133.4–

28Gloucester County, VAVA40,09733.8–

29Buchanan County, VAVA18,49234.2–

30Covington, VAVA5,68034.4–

31New Kent County, VAVA28,02234.4–

32Madison County, VAVA14,23735.4–

33Floyd County, VAVA15,78936.0–

34Montgomery County, VAVA98,43436.2–

35Bath County, VAVA4,07636.8–

36Powhatan County, VAVA32,59136.9–

37Charles City County, VAVA6,62337.0–

38Scott County, VAVA21,20037.6–

39Fredericksburg, VAVA30,39337.7–

40Washington County, VAVA53,89837.8–

41Rockbridge County, VAVA22,66337.8–

42Martinsville, VAVA13,84937.9–

43Augusta County, VAVA78,94038.1–

44Hanover County, VAVA116,42339.1–

45Amherst County, VAVA31,96239.4–

46James City County, VAVA83,32640.3–

47Botetourt County, VAVA34,14441.4–

48King and Queen County, VAVA6,74341.6–

49Patrick County, VAVA17,42442.0–

50Bedford County, VAVA83,05942.9–

51Essex County, VAVA10,65443.0–

52Northampton County, VAVA11,87943.0–

53Poquoson, VAVA13,29243.2–

54Lunenburg County, VAVA12,05843.3–

55Winchester, VAVA28,27243.4–

56Salem, VAVA25,81643.5–

57Fauquier County, VAVA76,50343.8–

58Bland County, VAVA6,15143.8–

59Albemarle County, VAVA118,35643.9–

60Surry County, VAVA6,60344.4–

61Shenandoah County, VAVA45,83945.0–

62Roanoke County, VAVA97,15045.1–

63Roanoke, VAVA99,11145.6–

64Mathews County, VAVA8,52945.9–

65Pittsylvania County, VAVA59,49045.9–

66Isle of Wight County, VAVA41,32146.3–

67Bristol, VAVA16,41846.5–

68Wise County, VAVA34,82446.6–

69Arlington County, VAVA243,93146.6–

70Alleghany County, VAVA14,54646.8–

71Cumberland County, VAVA10,35247.1–

72Chesterfield County, VAVA397,14847.6–

73Tazewell County, VAVA38,63547.9–

74Henry County, VAVA49,24248.5–

75Page County, VAVA23,76248.6–

76Hampton, VAVA137,31548.8–

77Lynchburg, VAVA81,34748.8–

78Buckingham County, VAVA17,13748.9–

79Accomack County, VAVA33,85949.5–

80Orange County, VAVA40,08349.6–

81Richmond County, VAVA9,29449.9–

82Richmond, VAVA237,25750.0–

83Greensville County, VAVA11,18150.0–

84Southampton County, VAVA18,11051.0–

85Culpeper County, VAVA57,66651.2–

86Waynesboro, VAVA23,95151.8–

87Halifax County, VAVA33,44752.5–

88Virginia Beach, VAVA453,73752.6–

89Fluvanna County, VAVA28,97553.2–

90Appomattox County, VAVA17,17253.5–

91Campbell County, VAVA55,62953.6–

92Fairfax County, VAVA1,167,87353.9–

93Amelia County, VAVA13,63254.1–

94Chesapeake, VAVA255,33254.2–

95York County, VAVA71,37454.3–

96Alexandria, VAVA160,66255.0–

97Pulaski County, VAVA33,58656.0–

98Manassas Park, VAVA16,56056.9–

99Henrico County, VAVA342,77556.9–

100Franklin County, VAVA55,52657.8–

101Falls Church, VAVA15,15958.2–

102Giles County, VAVA16,56458.7–

103Spotsylvania County, VAVA155,38859.1–

104Danville, VAVA41,64759.8–

105Warren County, VAVA42,74059.8–

106Newport News, VAVA183,23060.6–

107Suffolk, VAVA104,69961.0–

108Louisa County, VAVA42,92461.3–

109Sussex County, VAVA10,75561.7–

110Dickenson County, VAVA13,23662.1–

111Westmoreland County, VAVA19,71562.3–

112Stafford County, VAVA170,80363.4–

113Prince William County, VAVA502,96663.4–

114Carroll County, VAVA29,29963.8–

115King George County, VAVA29,64664.0–

116Rappahannock County, VAVA7,43964.3–

117Norfolk, VAVA231,01364.4–

118Mecklenburg County, VAVA30,74764.7–

119Frederick County, VAVA99,95565.0–

120Nottoway County, VAVA15,79665.5–

121Northumberland County, VAVA12,55766.7–

122Brunswick County, VAVA15,72767.1–

123King William County, VAVA19,61767.1–

124Rockingham County, VAVA89,31668.3–

125Fairfax, VAVA26,77269.1–

126Portsmouth, VAVA96,77771.1–

127Manassas, VAVA44,33271.2–

128Caroline County, VAVA34,41372.4–

129Loudoun County, VAVA449,74973.3–

130Charlotte County, VAVA11,40175.6–

131Emporia, VAVA5,44789.6–

132Franklin, VAVA8,47890.7–

133Goochland County, VAVA29,187127.1–

SHOWING 1–133 OF 133

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