West Virginia Virginia is the only state where death rates exceeds birth rates. During 2010–2013, about 21,000 babies per year were born in West Virginia, but over 3 years West Virginia had 3,000 more deaths than births. Gallup-Healthways annual "State of American Well-Being" rankings reports that 1,261 concerned West Virginians rated themselves as "suffering" in categories such as Quality of Life, Physical Health, and Access to Basic Needs. Overall, West Virginia citizens rated themselves as being more miserable than people in all other states – for 5 years running. In addition, the Gallup Well-Being Index for 2013 ranked Charleston, the state capital,
West Virginia Route 4 Virginia via WV 20, US 33, WV 28, and US 50. West Virginia Route 4 West Virginia Route 4 is a north–south state highway within and maintained by the U.S. state of West Virginia. The southern terminus is at U.S. Route 119 in Clendenin. The northern terminus of the route is at West Virginia Route 20 in Rock Cave. The road connects several towns in the central part of the state. WV 4 is concurrent with U.S. Route 19 from Flatwoods to Ireland. WV 4 used to extend across the state, running west from Clendenin to Kentucky via US 119