Counties with the highest rates of strokes in West Virginia

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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.8% (range between 2.5% and 3.2%)
- Death rate for ischemic strokes, 2018-20: 22.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.0 per 100K people
#50. Mineral County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.6% and 3.3%)
- Death rate for ischemic strokes, 2018-20: 19.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#49. Pleasants County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.5% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 19.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.4 per 100K people
#48. Tucker County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.6% and 3.3%)
- Death rate for ischemic strokes, 2018-20: 19.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.4 per 100K people
#47. Tyler County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.6% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 22.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.0 per 100K people

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#46. Morgan County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 2.9% (range between 2.5% and 3.3%)
- Death rate for ischemic strokes, 2018-20: 24.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.4 per 100K people
#45. Berkeley County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.7% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 16.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 6.8 per 100K people
#44. Preston County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.6% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 18.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 6.2 per 100K people
#43. Harrison County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.6% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 20.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.7 per 100K people
#42. Hancock County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.6% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 21.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 6.2 per 100K people

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#41. Marion County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.6% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 21.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.7 per 100K people
#40. Wood County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.6% and 3.4%)
- Death rate for ischemic strokes, 2018-20: 23.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.7 per 100K people
#39. Marshall County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.0% (range between 2.7% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 29.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people
#38. Kanawha County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.1% (range between 2.7% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 16.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 6.1 per 100K people
#37. Taylor County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.1% (range between 2.7% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 21.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 5.9 per 100K people

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#36. Randolph County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.1% (range between 2.7% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 23.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.8 per 100K people
#35. Monroe County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.1% (range between 2.7% and 3.5%)
- Death rate for ischemic strokes, 2018-20: 30.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.2 per 100K people
#34. Nicholas County
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- 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: 16.2 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.8 per 100K people
#33. Hampshire 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: 17.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.6 per 100K people
#32. Doddridge 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: 19.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.2 per 100K people

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#31. Pendleton 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: 19.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 6.1 per 100K people
#30. Lewis County
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- 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: 20.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.1 per 100K people
#29. Grant 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: 21.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 5.6 per 100K people
#28. Gilmer County
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- 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: 22.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.1 per 100K people
#27. Wetzel 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: 24.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people

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#26. Cabell 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: 25.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people
#25. Mason County
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- 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: 26.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.1 per 100K people
#24. Jackson 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: 28.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.5 per 100K people
#23. Greenbrier 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: 18.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 6.7 per 100K people
#22. Upshur 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: 19.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.7 per 100K people

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#21. Hardy 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: 21.5 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.6 per 100K people
#20. Ritchie County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.3% (range between 2.8% and 3.8%)
- Death rate for ischemic strokes, 2018-20: 23.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.9 per 100K people
#19. Wayne 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: 29.1 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.8 per 100K people
#18. Boone 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: 18.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 6.2 per 100K people
#17. Barbour County
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- 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: 21.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people

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#16. Wirt County
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- 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: 24.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.3 per 100K people
#15. Mercer 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: 27.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.0 per 100K people
#14. Summers County
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- 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: 29.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.1 per 100K people
#13. Raleigh County
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- 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: 30.6 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 per 100K people
#12. Fayette County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.5% (range between 3.1% and 4.0%)
- Death rate for ischemic strokes, 2018-20: 23.7 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.4 per 100K people

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#11. Pocahontas 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: 27.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 4.9 per 100K people
#10. Braxton 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: 27.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people
#9. Lincoln 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: 28.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 8.4 per 100K people
#8. Wyoming 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: 28.4 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.4 per 100K people
#7. Roane 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: 29.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.5 per 100K people

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#6. Clay County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.3% and 4.2%)
- Death rate for ischemic strokes, 2018-20: 23.0 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 4.7 per 100K people
#5. Calhoun County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.7% (range between 3.2% and 4.2%)
- Death rate for ischemic strokes, 2018-20: 26.8 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 7.3 per 100K people
#4. Webster County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.8% (range between 3.3% and 4.3%)
- Death rate for ischemic strokes, 2018-20: 27.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 10.1 per 100K people
#3. Logan County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 3.9% (range between 3.4% and 4.4%)
- Death rate for ischemic strokes, 2018-20: 26.9 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.6 per 100K people
#2. Mingo County
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- Age-adjusted rate of all strokes among adults, estimates for 2021: 4.2% (range between 3.7% and 4.8%)
- Death rate for ischemic strokes, 2018-20: 25.3 per 100K people
- Death rate for hemorrhagic strokes, 2018-20: 9.3 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. McDowell County
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