Looking downstream, the refuge is currently located in parts of these counties: Beaver, Brooke, Ohio, Marshall, Wetzel, Tyler, Pleasants, Wood, Jackson, Mason, and Lewis. All counties are part of West Virginia, with the Pennsylvania and Kentucky exceptions that are mentioned above.
History
The ORINWR was established in 1990 and consists of 3,354 acres (13.57 km2) of land and underwater habitat on twenty-two islands and four mainland properties.
The following islands in the Ohio River are part of the Ohio River Islands National Wildlife Refuge. All are located in West Virginia unless indicated otherwise.