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County in West Virginia, United States

McDowell County is a county in the U. S. state of West Virginia. As of the 2020 census, the population was 19,111. Its county seat is Welch. McDowell County is the southernmost county in the state. It was created in 1858 by the Virginia General Assembly and named for Virginia Governor James McDowell. It became a part of West Virginia in 1863, when several Union affiliated counties seceded from the state of Virginia during the American Civil War. McDowell County is located in the Cumberland Mountains, part of the Appalachia region. Due mostly to a decline in employment in the coal mining industry, McDowell County's population has decreased from almost 100,000 in 1950 to less than 20,000 in 2020. The people of McDowell County suffer high rates of drug abuse and poverty, and have a life expectancy well below the national average.

On February 20, 1858, McDowell County was formed from the northern portion of Tazewell County, Virginia. The northwestern counties of the region were Union affiliated and voted to secede from Virginia the following year, but McDowell, Greenbrier, Logan, Mercer, Monroe, Pocahontas, Webster, and Wyoming counties in the southern section all refused to participate. The status of these eight counties would be decided by the United States Supreme Court in the case of Virginia v. West Virginia. McDowell was one of fifty former Virginia counties that were recognized as the state of West Virginia on June 20, 1863. The same year, the residents of McDowell County chose Perryville, now English, then the most populous town, as their new county seat. The location of the county seat remained in dispute until 1892, when it moved to Welch. McDowell County was divided into three districts: Big Creek, Elkhorn, and Sandy River. In the 1890s, Browns Creek District was formed from a portion of Elkhorn, and North Fork District was created from parts of Browns Creek and Elkhorn. A sixth district, Adkin, was created from part of Elkhorn District in the early 1900s. These districts remained stable until the 1980s, when Adkin, Elkhorn, and North Fork were consolidated into the district of North Elkin. Referring to the unconventional demographics and political state of McDowell County, a local newspaper editor described the county as "the Free State of McDowell", a description that has stuck in the popular imagination. The origin of this moniker is unknown. Tom Whittico, the founder and first editor of The McDowell Times–the first African American paper in West Virginia–, said he used it because African Americans had greater electoral power, civil freedoms, and freedom from segregation in McDowell County than in other locations in the state. McDowell County had the first World War One Memorial to honor black soldiers. While running for president, John F. Kennedy visited McDowell County and promised to send help if elected. His first executive order created the Food Stamps program and the first recipients of food stamps were in McDowell County. In May 1963, the increasing rate of poverty in McDowell County led President Kennedy to remark in a speech given in the city of Welch:
I don't think any American can be satisfied to find in McDowell County, in West Virginia, 20 or 25 percent of the people of that county out of work, not for 6 weeks or 12 weeks, but for a year, 2, 3, or 4 years.

McDowell County, the southernmost county in West Virginia, is located at It is bordered by Tazewell County, Virginia, to the south; Buchanan County, Virginia, to the west; Mingo County to the northwest; Wyoming County to the north; and Mercer County to the east. The county is located in the Cumberland Mountains, a sub region of the Appalachian Mountains. The highest elevation in the county is approximately on the northwest slope of Flat Top Mountain. According to the United States Census Bureau, the county has a total area of 535 square miles (1,386 km2), of which 533 square miles (1,380 km2) is land and 1.4 square miles (4 km2) (0.3%) is water. The county is roughly in the shape of a semi circle, with the border following the mountains around the county.

Of 3,142 counties in the United States in 2013, McDowell County ranked last in the life expectancy of both male and female residents. Males in McDowell County lived an average of 63.5 years and females lived an average of 71.5 years, compared to the national average for life expectancy of 76.5 for males and 81.2 for females. Moreover, the average life expectancy in McDowell County declined by 3.2 years for males and 4.1 years for females between 1985 and 2013, compared to a national average for the same period of an increased life span of 5.5 years for men and 3.1 years for women. High rates of smoking and obesity and a low level of physical activity appear to be contributing factors to the declining life expectancy for both sexes. In 2020, the Robert Wood Johnson Foundation ranked McDowell County as 55th of 55 counties in West Virginia in "health outcomes," as measured by length and quality of life.

In 2015, McDowell County had the highest rate of drug induced deaths of any county in the United States, with 141 deaths per 100,000 people. The rate for the United States as a whole was 14.7 per 100,000 people. Neighboring Wyoming County had the second highest rate.

The county has been classified as a "food desert" by the USDA. In 2017, there were only two full sized grocery stores to serve the county's 535 square miles (1,386 km2). The county's only Walmart Supercenter, the county's largest employer, closed in 2016. Financial services remain scant in the area. In 1999, The First National Bank of Keystone, the only bank located in the coal town of Keystone and the town's major employer at the time, was closed by the FDIC due to fraud. Management had been falsifying the bank's financial statements by booking income from loans the bank did not own, giving the appearance that the bank was generating large profits when it was in fact insolvent. At the height of the scandal, executives buried large volumes of documents in a trench in an attempt to conceal the fraud from the bank's accounting firm and from the Office of the Comptroller of the Currency.

In 2020 McDowell was the third poorest county in the U. S. (out of 3,143 counties), with a median annual household income of $26,072. The percentage of the population living in poverty was estimated at 31.8 percent. This compares with a median annual household income of $67,521 and a poverty rate of 11.4 percent in the U. S. as a whole.

McDowell County Schools operates the county's public K 12 education system of 7 elementary schools, 2 middle schools, and 2 public high schools in McDowell County including Mount View High School, and River View High School. The county also has a private school, Twinbranch Pentecostal Christian Academy which is located in Twinbranch. McDowell County Schools were under state control as a 'take over' county from 2001 to 2013. Some medical services have been brought onsite into schools to reduce student absenteeism among families with only one car, and personal items such as sneakers and backpacks are now made available to students. A mixed use, multistory building in Welch aimed at reducing the housing shortage for teachers is scheduled to open in 2020.

Melville Davisson Post used McDowell County as the setting of his short story "Once In Jeopardy". This 1890s tale of the working out of a legal problem is rich in description of the people, customs, politics, and recent history of the area, including the impact of the railroad coming through and the rise of Republican influence. Author and NASA engineer Homer Hickam grew up in Coalwood, McDowell County. His memoir October Sky, which was adapted into a 1999 Hollywood film, is based on his childhood amateur rocket building experiences in Coalwood.

The county had one airport, Welch Municipal Airport, which has closed indefinitely.