This tenth annual KIDS COUNT data book examines statewide and county trends in the well-being of West Virginia's children; this year's report looks at a decade of data based on indicators in four areas: child health, education, safety and security, and economic conditions. Following a summary that describes overall findings, the bulk of the report presents county profiles based on the 12 specific indicators of well-being: (1) percent low birth weight babies; (2) infant mortality rate; (3) child death rate; (4) percent of eligible children served by Head Start; (5) percent children approved for free and reduced school meals; (6) child abuse/neglect rate; (7) teen birth rate; (8) percent births to unmarried teens; (9) percent of high school dropouts; (10) juvenile delinquency case rate; (11) teen violent death rate; and (12) percent births to mothers with less than a twelfth-grade education. Trends for data are indicated for 1990-2000 decade. Over this time range, several indicators show improvement, including infant and child deaths, unemployment, and median family income. Worsening indicators include rates for low-birth weight babies, children approved for free or reduced-price meals, and juvenile delinquency cases. Information on definitions, methodology, and sources concludes the data book. (HTH)