Counties with the highest rates of strokes in Virginia

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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.1% (range between 2.8% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 22.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#50. Suffolk
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.9% and 3.6%)
- Death rate for ischemic strokes, 2018-20: 19.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.9 per 100K people
#49. King and Queen County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.8% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 22.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.3 per 100K people
#48. Tazewell County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.9% and 3.6%)
- Death rate for ischemic strokes, 2018-20: 23.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.1 per 100K people
#47. Southampton County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.8% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 23.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.6 per 100K people

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#46. Scott County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.8% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 24.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.1 per 100K people
#45. Prince George County
Nolichuckyjake // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.8% and 3.6%)
- Death rate for ischemic strokes, 2018-20: 25.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.9 per 100K people
#44. Bristol
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.2% (range between 2.9% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 25.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people
#43. Dinwiddie County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.8% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 21.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people
#42. Smyth County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.9% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 21.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.2 per 100K people

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#41. Amelia County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.9% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 22.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.4 per 100K people
#40. Grayson County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.9% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 23.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.2 per 100K people
#39. Russell County
Kyle J Little // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.9% and 3.7%)
- Death rate for ischemic strokes, 2018-20: 26.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 14.9 per 100K people
#38. Northampton County
Andriy Blokhin // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 20.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.9 per 100K people
#37. Bath County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.1% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 23.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people

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#36. Newport News
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.1% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 23.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.8 per 100K people
#35. Pittsylvania County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 26.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.3 per 100K people
#34. Covington
Nolichuckyjake // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 27.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.2 per 100K people
#33. Galax
Katssoup // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 2.9% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 27.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.7 per 100K people
#32. Wise County
Mfinity SAM // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.4% (range between 3.0% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 29.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 14.6 per 100K people

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#31. Norton
Kyle J Little // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.1% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 22.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people
#30. Hampton
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.0% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 23.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.1 per 100K people
#29. Buena Vista
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.2% and 4.0%)
- Death rate for ischemic strokes, 2018-20: 23.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.4 per 100K people
#28. Accomack County
Khairil Azhar Junos // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.1% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 24.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.1 per 100K people
#27. Westmoreland County
Bryan Pollard // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.1% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 24.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people

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#26. Radford
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.1% and 3.9%)
- Death rate for ischemic strokes, 2018-20: 27.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.3 per 100K people
#25. Mecklenburg County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.6% (range between 3.2% and 4.0%)
- Death rate for ischemic strokes, 2018-20: 22.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#24. Henry County
Timothy L Barnes // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.6% (range between 3.2% and 4.0%)
- Death rate for ischemic strokes, 2018-20: 23.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.8 per 100K people
#23. Surry County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.6% (range between 3.2% and 4.1%)
- Death rate for ischemic strokes, 2018-20: 24.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.5 per 100K people
#22. Richmond County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.6% (range between 3.1% and 4.1%)
- Death rate for ischemic strokes, 2018-20: 25.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.9 per 100K people

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#21. Dickenson County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.6% (range between 3.2% and 4.0%)
- Death rate for ischemic strokes, 2018-20: 27.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.0 per 100K people
#20. Charlotte County
Jeffery L Willis // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.6% (range between 3.1% and 4.1%)
- Death rate for ischemic strokes, 2018-20: 28.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#19. Lee County
Lekali Studio // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.3% and 4.1%)
- Death rate for ischemic strokes, 2018-20: 22.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.0 per 100K people
#18. Prince Edward County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.3% and 4.0%)
- Death rate for ischemic strokes, 2018-20: 23.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.0 per 100K people
#17. Essex County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.4% and 4.1%)
- Death rate for ischemic strokes, 2018-20: 23.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.7 per 100K people

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#16. Portsmouth
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.2% and 4.3%)
- Death rate for ischemic strokes, 2018-20: 25.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.1 per 100K people
#15. Buchanan County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.3% and 4.1%)
- Death rate for ischemic strokes, 2018-20: 30.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.9 per 100K people
#14. Halifax County
Joseph Sohm // // Shutterstock
- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.8% (range between 3.4% and 4.3%)
- Death rate for ischemic strokes, 2018-20: 20.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.7 per 100K people
#13. Buckingham County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.8% (range between 3.4% and 4.3%)
- Death rate for ischemic strokes, 2018-20: 23.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.8 per 100K people
#12. Nottoway County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.8% (range between 3.4% and 4.2%)
- Death rate for ischemic strokes, 2018-20: 23.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people

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#11. Charles City County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.8% (range between 3.4% and 4.3%)
- Death rate for ischemic strokes, 2018-20: 25.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.4 per 100K people
#10. Lunenburg County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.9% (range between 3.4% and 4.3%)
- Death rate for ischemic strokes, 2018-20: 27.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.8 per 100K people
#9. Sussex County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.0% (range between 3.6% and 4.5%)
- Death rate for ischemic strokes, 2018-20: 25.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.3 per 100K people
#8. Franklin
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.0% (range between 3.6% and 4.5%)
- Death rate for ischemic strokes, 2018-20: 25.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 17.0 per 100K people
#7. Martinsville
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.1% (range between 3.7% and 4.5%)
- Death rate for ischemic strokes, 2018-20: 22.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.0 per 100K people

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#6. Hopewell
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.1% (range between 3.7% and 4.6%)
- Death rate for ischemic strokes, 2018-20: 26.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 12.0 per 100K people
#5. Danville
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.1% (range between 3.6% and 4.5%)
- Death rate for ischemic strokes, 2018-20: 26.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.8 per 100K people
#4. Brunswick County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.1% (range between 3.7% and 4.6%)
- Death rate for ischemic strokes, 2018-20: 27.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.2 per 100K people
#3. Greensville County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.5% (range between 4.0% and 5.1%)
- Death rate for ischemic strokes, 2018-20: 30.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people
#2. Petersburg
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.8% (range between 4.3% and 5.4%)
- Death rate for ischemic strokes, 2018-20: 38.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 11.8 per 100K people

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This story features data reporting and writing by Emma Rubin and is part of a series utilizing data automation across 49 states.

#1. Emporia
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