 In land area only (water area omitted), it is the third-smallest county in the United States, following Kalawao County, Hawaii and New York County, New York (Manhattan).The highest point in the county is Mount Hope, in Bristol, which stands 217 feet (66 m) above sea level.As of the census of 2000, there were 50,648 people, 19,033 households, and 13,361 families living in the county.