| | 1996-98 | Rate/100,000 | |
| Name | Deaths | Population | Crude | Age Adjusted | |
| GREENSVILLE, VA-BRUNSWICK, VA -HSA# 130 | 8 | 101,320 | 7.9 | 7.9 | UNSTABLE |
| NORTHAMPTON, VA-ACCOMACK, VA -HSA# 137 | 10 | 134,827 | 7.4 | 7.5 | UNSTABLE |
| PITTSYLVANIA (DANVILLE), VA-CASWELL, NC -HSA# 132 | 26 | 392,010 | 6.6 | 6.0 |
| NEWPORT NEWS CITY, VA-HAMPTON CITY, VA -HSA# 5 | 39 | 1,442,579 | 2.7 | 3.0 |
| NORFOLK/PORTSMOUTH CITY, VA-VIRGINIA BEACH CITY, VA -HSA# 6 | 73 | 3,277,253 | 2.2 | 2.7 |
| ALBEMARLE (CHARLOTTESVILLE), VA-CULPEPER, VA -HSA# 99 | 22 | 828,550 | 2.7 | 2.7 |
| HENRICO (RICHMOND), VA-PRINCE EDWARD, VA -HSA# 33 | 76 | 2,942,689 | 2.6 | 2.7 |
| MERCER, WV-TAZEWELL, VA -HSA# 39 | 12 | 534,414 | 2.2 | 2.2 | UNSTABLE |
| SULLIVAN (KINGSPORT), TN-WASHINGTON, VA -HSA# 151 | 26 | 1,049,398 | 2.5 | 2.2 |
| ROANOKE (ROANOKE), VA-CAMPBELL, VA -HSA# 14 | 35 | 1,529,147 | 2.3 | 2.0 |
| AUGUSTA, VA-ROCKBRIDGE, VA -HSA# 97 | 9 | 416,536 | 2.2 | 2.0 | UNSTABLE |
| FREDERICK, VA-BERKELEY, WV -HSA# 25 | 16 | 888,293 | 1.8 | 1.8 | UNSTABLE |
| ALLEGHANY, VA-GREENBRIER, WV -HSA# 30 | 5 | 231,246 | 2.2 | 1.8 | UNSTABLE |
| DINWIDDIE (PETERSBURG), VA-PRINCE GEORGE, VA -HSA# 77 | 7 | 383,386 | 1.8 | 1.7 | UNSTABLE |
| ALEXANDRIA CITY, VA-ARLINGTON - ALEXANDRIA (ARLINGTON), VA -HSA# 69 | 55 | 4,104,035 | 1.3 | 1.6 |
| PRINCE WILLIAM (DALE CITY), VA-FAUQUIER, VA -HSA# 109 | 14 | 1,046,696 | 1.3 | 1.6 | UNSTABLE |
| WISE, VA-LEE, VA -HSA# 55 | 4 | 253,560 | 1.6 | 1.5 | UNSTABLE |
| ROCKINGHAM, VA-PAGE, VA -HSA# 63 | 4 | 383,497 | 1.0 | 1.0 | UNSTABLE |
| SPOTSYLVANIA, VA-CAROLINE, VA -HSA# 135 | 5 | 677,559 | 0.7 | 1.0 | UNSTABLE |
| MONTGOMERY, VA-PULASKI, VA -HSA# 70 | 4 | 505,301 | 0.8 | 0.8 | UNSTABLE |
| HALIFAX, VA-MECKLENBURG, VA -HSA# 71 | 2 | 239,805 | 0.8 | 0.8 | UNSTABLE |
| HENRY, VA-PATRICK, VA -HSA# 79 | 2 | 269,455 | 0.7 | 0.6 | UNSTABLE |
| GRAYSON, VA-ALLEGHANY, NC -HSA# 73 | 1 | 181,876 | 0.5 | 0.6 | UNSTABLE |
