Virginia: 78.1

Alleghany County: 73.6

Botetourt County: 78.3

City of Covington: 69.3

Craig County: 75.9

Franklin County: 76.7

City of Roanoke: 71.4

Roanoke County: 78.5

City of Salem: 74.5

Source: County Health Rankings (2024 Annual Data Release used data from 2019-2021)
Last Updated By RVARC: January 2026

Virginia: 6.9%

Alleghany County: 6.6%

Botetourt County: 5%

Town of Clifton Forge: 9%

City of Covington: 7%

Craig County: 3.1% 

Franklin County: 6.8%

City of Roanoke: 9.8%

Roanoke County: 7.6%

Town of Rocky Mount: 9.2%

City of Salem: 4.3%

Town of Vinton: 4.2%

Source: U.S. Census ACS 5-Year Estimates (2024), Table S2701
Last Updated By RVARC: January 2026

Alleghany County: 9.4%

Botetourt County: 8.9%

City of Covington: 8%

Craig County: 9%

Franklin County: 9%

City of Roanoke: 7%

Roanoke County: 8.5%

City of Salem: 7.7%

Source: EPH Tracking Network, CDC (2021)
Last Updated By RVARC: January 2026

Virginia: 13.1%

Alleghany County: 17.9%

Botetourt County: 11.8%

Town of Clifton Forge: 30.2%

City of Covington: 15.1%

Craig County: 13.7%

Franklin County: 16%

City of Roanoke: 14.6%

Roanoke County: 14.6%

Town of Rocky Mount: 17.6%

City of Salem: 12.6%

Town of Vinton: 20.5%

Source: U.S. Census ACS 5-Year Estimates (2024), Table S1810
Last Updated By RVARC: January 2026

City of Covington: 47.5% of housing had potential elevated lead risk

City of Roanoke: 38.9% of housing had potential elevated lead risk

City of Salem: 28.3% of housing had potential elevated lead risk

*Average across the dashboard’s cities is 24.7%. Min: 24% Max: 49%

Source: City Health Dashboard (2023)
Last Updated By RVARC: January 2026

Virginia: 34%

Alleghany County: 38%

Botetourt County: 33%

City of Covington: 40%

Craig County: 38%

Franklin County: 36%

City of Roanoke: 41%

Roanoke County: 35%

City of Salem: 36%

Source: County Health Rankings (2024 Annual Data Release used data from 2021)
Last Updated By RVARC: January 2026

Annual Heat-Related Illness (counted from May – September 2025)

Southwest Virginia: 550

(Higher than the average of 364 visits per year)

Alleghany County: 9 (14 per 10,000 visits)

Botetourt County: 15 (18 per 10,000 visits)

Craig County: 3 (27.2 per 10,000 visits)

Franklin County: 24 (17.8 per 10,000 visits)

Roanoke County, City of Roanoke, and City of Salem: 95 (14.7 per 10,000 visits)

* VDH definition of heat-related illness: ranges from mild (heat cramps) to severs (heat stroke, death) and occurs when the body is not able to properly cool itself. This data includes emergency department and urgent care visits.

Source: Virginia Department of Health (2025)
Last Updated By RVARC: January 2026

Food Insecure Populations

Southwest Virginia: 

171,280 (14.9% food insecurity rate)

Alleghany County: 

2,120 (14.2% food insecurity rate)

Botetourt County: 

3,280 (9.7% food insecurity rate)

City of Covington: 

960 (17% food insecurity rate)

Craig County: 

670 (13.8% food insecurity rate)

Franklin County: 

6,920 (12.6% food insecurity rate)

City of Roanoke:

15,820 (16% food insecurity rate)

Roanoke County: 

10,620 (11% food insecurity rate)

City of Salem: 

3,320 (13% food insecurity rate)

Source: Feeding America Map the Meal Gap (2023)
Last Updated By RVARC: January 2026

United States: 4.2

Virginia: 2.4

Alleghany County: 0

Botetourt County: 0

City of Covington: 17.5

Craig County: 0

Franklin County: 1.8

City of Roanoke: 5

Roanoke County: 2.1

City of Salem: 15.8

Source: The Recovery Ecosystem Index (Data Source is SAMHSA, May 2024)
Last Updated By RVARC: January 2026

United States: 340.5

Virginia: 243.3

Alleghany County: 33.7

Botetourt County: 49.8

City of Covington: 334.6

Craig County: N/A

Franklin County: 107.1

City of Roanoke: 417

Roanoke County: 310.6

City of Salem: 850.2

Source: The Recovery Ecosystem Index (Data Source is CMS, 2023)
Last Updated By RVARC: January 2026

United States: 26.9

Virginia: 24.1

Alleghany County: 21.5

Botetourt County: 27.9

City of Covington: N/A, 42.4 from 2013-2017

Craig County: N/A

Franklin County: 34.1

City of Roanoke: 73.6

Roanoke County: 25.4

City of Salem: 44

Source: The Recovery Ecosystem Index (Data Source is CDC Wonder, 2018-2022)
Last Updated By RVARC: January 2026

United States: 19.8

Virginia: 20.2

Alleghany County: 18.8

Botetourt County: 22

City of Covington: N/A

Craig County: N/A

Franklin County: 24.8

City of Roanoke: 61.6

Roanoke County: 20.8

City of Salem: 33.8

Source: The Recovery Ecosystem Index (Data Source is CDC Wonder, 2018-2022)
Last Updated By RVARC: January 2026