On April 21–24, 1968, a deadly tornado outbreak struck portions of the Midwestern United States, primarily along the Ohio River Valley. The worst tornado was an F5 that struck portions of Southeastern Ohio from Wheelersburg to Gallipolis, just north of the Ohio–Kentucky state line, killing seven people and injuring at least 93. Another long-tracked violent tornado killed six people, injured 364 others, and produced possible F5 damage as it tracked along the Ohio River. At least one other violent tornado caused an additional fatality and 33 injuries in Ohio. In the end, at least 26 tornadoes touched down, leaving 14 dead, including five in Kentucky and nine in Ohio. Background Impact Outbreak statistics Confirmed tornadoes April 21 event April 22 event April 23 event April 24 event Falmouth–Berlin–Bladeston–Chatham–Dover, Kentucky/Ripley–Decatur–Otway, Ohio This destructive, long-tracked, intense tornado began southwest of Falmouth, Kentucky, and tracked generally eastward or east-northeastward into town at approximately 3:45 p.m. EDT (19:45 UTC). The tornado passed just southeast of the business district, its parent supercell attended by grapefruit-sized hailstones. The tornado damaged 380 homes in Falmouth and 40% of the town itself. 280 homes in Falmouth were described as having been either destroyed or sustained major damage. Four fatalities and 350 injuries occurred in Pendleton County, Kentucky, primarily in and near Falmouth. Crossing into Bracken County, the tornado caused additional damage in or near the communities of Berlin, Bladeston, and Chatham. Across Bracken County about 70 homes were destroyed or damaged and 175 barns were destroyed. One fatality was reported outside Augusta, and eight other people were injured in Bracken County. Entering Mason County, the tornado devastated Dover at 4:15 p.m. EDT (20:15 UTC), severely damaging 115 of 127 houses there. Six trailers and churches were destroyed and three businesses were damaged as well. Eyewitnesses in Dover reported two or three funnel clouds during the passage of the primary tornado. Two injuries occurred in Mason County. In Kentucky the tornado left 500 to 700 people homeless. The tornado then crossed into Brown County, Ohio, south of Levanna and struck Ripley, where 30 homes were damaged, 40 barns were destroyed, and a tobacco warehouse and a shoe plant were badly damaged. Local reports suggested two separate tornado tracks in the area, one north of Ripley and another through town. One fatality occurred about north of Ripley. The main tornado, moving east-northeastward at about , then continued through Brown County,