West Virginia does not fit a standard suburban thunderstorm profile. FEMA's top modeled hazard is landslide, and the federal declaration mix is split between flood and severe-storm events. NOAA's outage-relevant record reinforces that terrain problem: thunderstorm wind leads, but flash flood, flood, heavy snow, and winter storm all remain major outage drivers. The planning problem is what happens after roads, hillsides, and access routes are compromised, not just the moment power goes out.
The county-level overlap is unusually coherent for a small state. Kanawha leads both NOAA activity and HHS emPOWER medical-load counts, while Berkeley and Harrison also clear the public BPI threshold. That means West Virginia is not just a rural-runtime problem. It is a terrain-and-access problem layered onto real concentrations of electricity-dependent residents in counties that already see frequent storm and flood exposure.