The Central Shenandoah Health District is one of thirty five health districts in the Commonwealth of Virginia under the Virginia Department of Health. It encompasses the counties of Rockingham, Augusta, Rockbridge, Bath and Highland and the cities of Harrisonburg, Staunton, Waynesboro, Lexington and Buena Vista. There are a total of seven health departments serving an area of approximately 3,500 square miles and a population of approximately 293,000 citizens.