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Counties with highest COVID-19 infection rates in Alabama

The vaccine deployment in December 2020 signaled a turning point in the COVID-19 pandemic. By the end of May 2021, 40% of the U.S. population was fully vaccinated. But as vaccination rates lagged over the summer, new surges of COVID-19 came, including Delta in the summer of 2021, and now the Omicron variant, which comprises the majority of cases in the U.S.

Researchers around the world have reported that Omicron is more transmissible than Delta, making breakthrough and repeat infections more likely.

The United States as of Apr. 14 reached 987,801 COVID-19-related deaths and 80.5 million COVID-19 cases, according to Johns Hopkins University. Currently, 65.8% of the population is fully vaccinated, and 45.3% of vaccinated people have received booster doses.

Stacker compiled a list of the counties with highest COVID-19 infection rates in Alabama using data from the U.S. Department of Health & Human Services and vaccination data from Covid Act Now. Counties are ranked by the highest infection rate per 100,000 residents within the week leading up to Apr. 13, 2022. Cumulative cases per 100,000 served as a tiebreaker.

Keep reading to see whether your county ranks among the highest COVID-19 infection rates in your state.

Rivers Langley; SaveRivers // Wikimedia Commons

#50. Barbour County, AL

– New cases per 100k in the past week: 8 (2 new cases, 0% change from previous week)
– Cumulative cases per 100k: 22,920 (5,658 total cases)
— 13.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 586 (98 total deaths)
— 48.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.3% (11,174 fully vaccinated)

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#49. DeKalb County, AL

– New cases per 100k in the past week: 8 (6 new cases, +20% change from previous week)
– Cumulative cases per 100k: 26,216 (18,748 total cases)
— 0.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 327 (326 total deaths)
— 17.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 33.8% (24,207 fully vaccinated)

Prestinian // Wikimedia Commons

#48. Etowah County, AL

– New cases per 100k in the past week: 8 (8 new cases, 0% change from previous week)
– Cumulative cases per 100k: 28,131 (28,769 total cases)
— 6.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 449 (643 total deaths)
— 13.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.0% (41,908 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#47. Randolph County, AL

– New cases per 100k in the past week: 9 (2 new cases, -33% change from previous week)
– Cumulative cases per 100k: 22,370 (5,083 total cases)
— 15.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 622 (74 total deaths)
— 57.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 32.8% (7,450 fully vaccinated)

Carol M. Highsmith/Library of Congress // Wikimedia Commons

#46. Houston County, AL

– New cases per 100k in the past week: 9 (10 new cases, -50% change from previous week)
– Cumulative cases per 100k: 24,246 (25,672 total cases)
— 8.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 286 (503 total deaths)
— 27.8% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.1% (45,668 fully vaccinated)

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#45. Bullock County, AL

– New cases per 100k in the past week: 10 (1 new cases, -94% change from previous week)
– Cumulative cases per 100k: 22,810 (2,304 total cases)
— 13.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 326 (53 total deaths)
— 17.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.3% (5,381 fully vaccinated)

Calvin Beale // Wikimedia Commons

#44. Coffee County, AL

– New cases per 100k in the past week: 10 (5 new cases, -55% change from previous week)
– Cumulative cases per 100k: 25,920 (13,567 total cases)
— 2.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 372 (231 total deaths)
— 6.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.2% (24,701 fully vaccinated)

Public Domain

#43. Pickens County, AL

– New cases per 100k in the past week: 10 (2 new cases, +100% change from previous week)
– Cumulative cases per 100k: 26,362 (5,254 total cases)
— 0.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 379 (101 total deaths)
— 4.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.4% (9,849 fully vaccinated)

Altairisfar // Wikimedia Commons

#42. Lowndes County, AL

– New cases per 100k in the past week: 10 (1 new cases, 0% change from previous week)
– Cumulative cases per 100k: 26,825 (2,609 total cases)
— 1.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 319 (76 total deaths)
— 19.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.9% (4,946 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#41. Franklin County, AL

– New cases per 100k in the past week: 10 (3 new cases, +50% change from previous week)
– Cumulative cases per 100k: 31,430 (9,857 total cases)
— 18.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 332 (137 total deaths)
— 16.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.6% (13,663 fully vaccinated)

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#40. Perry County, AL

– New cases per 100k in the past week: 11 (1 new cases, 0% change from previous week)
– Cumulative cases per 100k: 23,445 (2,092 total cases)
— 11.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 141 (44 total deaths)
— 64.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.6% (4,335 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#39. Covington County, AL

– New cases per 100k in the past week: 11 (4 new cases, -20% change from previous week)
– Cumulative cases per 100k: 25,126 (9,309 total cases)
— 5.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 645 (229 total deaths)
— 62.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.1% (14,113 fully vaccinated)

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#38. Marengo County, AL

– New cases per 100k in the past week: 11 (2 new cases, -78% change from previous week)
– Cumulative cases per 100k: 27,488 (5,185 total cases)
— 3.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 280 (108 total deaths)
— 29.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.3% (10,244 fully vaccinated)

Rivers Langley SaveRivers // Wikimedia Commons

#37. Russell County, AL

– New cases per 100k in the past week: 14 (8 new cases, -33% change from previous week)
– Cumulative cases per 100k: 17,351 (10,057 total cases)
— 34.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 445 (91 total deaths)
— 12.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.0% (23,776 fully vaccinated)

Library of Congress

#36. Lee County, AL

– New cases per 100k in the past week: 14 (23 new cases, +64% change from previous week)
– Cumulative cases per 100k: 22,887 (37,658 total cases)
— 13.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 326 (337 total deaths)
— 17.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.1% (65,984 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#35. Cherokee County, AL

– New cases per 100k in the past week: 15 (4 new cases, +100% change from previous week)
– Cumulative cases per 100k: 19,530 (5,116 total cases)
— 26.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 393 (85 total deaths)
— 0.8% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 30.6% (8,023 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#34. Crenshaw County, AL

– New cases per 100k in the past week: 15 (2 new cases, +100% change from previous week)
– Cumulative cases per 100k: 27,592 (3,800 total cases)
— 4.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 268 (98 total deaths)
— 32.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.4% (4,731 fully vaccinated)

RuralSWAlabama (Billy Milstead) // Wikimedia Commons

#33. Choctaw County, AL

– New cases per 100k in the past week: 16 (2 new cases, -33% change from previous week)
– Cumulative cases per 100k: 16,284 (2,050 total cases)
— 38.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 395 (36 total deaths)
— 0.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 66.0% (8,315 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#32. Limestone County, AL

– New cases per 100k in the past week: 18 (18 new cases, +12% change from previous week)
– Cumulative cases per 100k: 25,161 (24,888 total cases)
— 4.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 486 (292 total deaths)
— 22.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.9% (38,499 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#31. Talladega County, AL

– New cases per 100k in the past week: 20 (16 new cases, +7% change from previous week)
– Cumulative cases per 100k: 27,895 (22,310 total cases)
— 5.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 290 (375 total deaths)
— 26.8% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.5% (29,194 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#30. Hale County, AL

– New cases per 100k in the past week: 20 (3 new cases, -62% change from previous week)
– Cumulative cases per 100k: 32,175 (4,714 total cases)
— 21.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 501 (105 total deaths)
— 26.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 61.3% (8,983 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#29. Chambers County, AL

– New cases per 100k in the past week: 21 (7 new cases, +250% change from previous week)
– Cumulative cases per 100k: 25,489 (8,476 total cases)
— 3.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 914 (161 total deaths)
— 130.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 31.4% (10,435 fully vaccinated)

DXR // Wikimedia Commons

#28. Dallas County, AL

– New cases per 100k in the past week: 22 (8 new cases, +60% change from previous week)
– Cumulative cases per 100k: 22,570 (8,395 total cases)
— 14.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 364 (242 total deaths)
— 8.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.3% (16,851 fully vaccinated)

Myself – Nathon Morris // Wikimedia Commons

#27. Lamar County, AL

– New cases per 100k in the past week: 22 (3 new cases, 0% change from previous week)
– Cumulative cases per 100k: 26,990 (3,726 total cases)
— 2.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 302 (64 total deaths)
— 23.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.9% (6,060 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#26. St. Clair County, AL

– New cases per 100k in the past week: 22 (20 new cases, +100% change from previous week)
– Cumulative cases per 100k: 28,219 (25,259 total cases)
— 6.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 260 (414 total deaths)
— 34.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.0% (34,953 fully vaccinated)

Tracy Burroughs Brown // Shutterstock

#25. Tuscaloosa County, AL

– New cases per 100k in the past week: 23 (49 new cases, -58% change from previous week)
– Cumulative cases per 100k: 26,733 (55,966 total cases)
— 1.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 589 (770 total deaths)
— 48.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.6% (91,323 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#24. Cullman County, AL

– New cases per 100k in the past week: 24 (20 new cases, +400% change from previous week)
– Cumulative cases per 100k: 29,273 (24,521 total cases)
— 10.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 230 (365 total deaths)
— 41.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.2% (31,986 fully vaccinated)

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#23. Greene County, AL

– New cases per 100k in the past week: 25 (2 new cases, 0% change from previous week)
– Cumulative cases per 100k: 23,055 (1,870 total cases)
— 12.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 365 (48 total deaths)
— 7.8% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.7% (4,115 fully vaccinated)

Chris Pruitt // wikicommons

#22. Montgomery County, AL

– New cases per 100k in the past week: 25 (57 new cases, +6% change from previous week)
– Cumulative cases per 100k: 24,190 (54,788 total cases)
— 8.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 164 (936 total deaths)
— 58.6% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.0% (117,788 fully vaccinated)

Wayne James // Shutterstock

#21. Lauderdale County, AL

– New cases per 100k in the past week: 25 (23 new cases, +188% change from previous week)
– Cumulative cases per 100k: 25,989 (24,099 total cases)
— 1.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 225 (390 total deaths)
— 43.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.5% (43,127 fully vaccinated)

MPearsallArt // Wikimedia Commons

#20. Morgan County, AL

– New cases per 100k in the past week: 25 (30 new cases, +30% change from previous week)
– Cumulative cases per 100k: 30,105 (36,029 total cases)
— 13.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 322 (512 total deaths)
— 18.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.6% (52,131 fully vaccinated)

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#19. Lawrence County, AL

– New cases per 100k in the past week: 27 (9 new cases, +12% change from previous week)
– Cumulative cases per 100k: 23,275 (7,663 total cases)
— 12.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 530 (156 total deaths)
— 33.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.1% (15,495 fully vaccinated)

M Floyd // Flickr

#18. Jefferson County, AL

– New cases per 100k in the past week: 27 (178 new cases, +48% change from previous week)
– Cumulative cases per 100k: 28,039 (184,657 total cases)
— 6.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 336 (2,347 total deaths)
— 15.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 58.0% (381,962 fully vaccinated)

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#17. Bibb County, AL

– New cases per 100k in the past week: 27 (6 new cases, +200% change from previous week)
– Cumulative cases per 100k: 28,691 (6,425 total cases)
— 8.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 548 (101 total deaths)
— 38.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.7% (7,765 fully vaccinated)

Jodybwiki // Wikimedia Commons

#16. Baldwin County, AL

– New cases per 100k in the past week: 28 (63 new cases, +11% change from previous week)
– Cumulative cases per 100k: 24,867 (55,512 total cases)
— 6.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 423 (678 total deaths)
— 6.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.7% (113,172 fully vaccinated)

Dailynetworks // Wikimedia Commons

#15. Colbert County, AL

– New cases per 100k in the past week: 33 (18 new cases, +20% change from previous week)
– Cumulative cases per 100k: 29,536 (16,316 total cases)
— 11.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 317 (260 total deaths)
— 19.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.0% (26,504 fully vaccinated)

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#14. Walker County, AL

– New cases per 100k in the past week: 36 (23 new cases, -67% change from previous week)
– Cumulative cases per 100k: 29,370 (18,656 total cases)
— 11.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 776 (440 total deaths)
— 96.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.2% (29,962 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#13. Tallapoosa County, AL

– New cases per 100k in the past week: 37 (15 new cases, +200% change from previous week)
– Cumulative cases per 100k: 28,224 (11,393 total cases)
— 6.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 406 (233 total deaths)
— 2.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.5% (15,525 fully vaccinated)

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#12. Fayette County, AL

– New cases per 100k in the past week: 37 (6 new cases, +500% change from previous week)
– Cumulative cases per 100k: 30,555 (4,981 total cases)
— 15.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 571 (96 total deaths)
— 44.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.9% (5,696 fully vaccinated)

Pixabay

#11. Madison County, AL

– New cases per 100k in the past week: 40 (148 new cases, +10% change from previous week)
– Cumulative cases per 100k: 23,940 (89,276 total cases)
— 9.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 530 (954 total deaths)
— 33.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 61.6% (229,876 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#10. Shelby County, AL

– New cases per 100k in the past week: 45 (98 new cases, -12% change from previous week)
– Cumulative cases per 100k: 27,876 (60,686 total cases)
— 5.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 138 (447 total deaths)
— 65.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.2% (78,734 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#9. Coosa County, AL

– New cases per 100k in the past week: 47 (5 new cases, -29% change from previous week)
– Cumulative cases per 100k: 27,778 (2,962 total cases)
— 5.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 241 (58 total deaths)
— 39.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.5% (4,323 fully vaccinated)

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#8. Wilcox County, AL

– New cases per 100k in the past week: 48 (5 new cases, +25% change from previous week)
– Cumulative cases per 100k: 27,813 (2,885 total cases)
— 5.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 479 (46 total deaths)
— 21.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.8% (5,579 fully vaccinated)

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#7. Escambia County, AL

– New cases per 100k in the past week: 52 (19 new cases, +138% change from previous week)
– Cumulative cases per 100k: 27,325 (10,010 total cases)
— 3.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 169 (169 total deaths)
— 57.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.5% (13,357 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#6. Blount County, AL

– New cases per 100k in the past week: 54 (31 new cases, +675% change from previous week)
– Cumulative cases per 100k: 25,826 (14,934 total cases)
— 2.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 383 (241 total deaths)
— 3.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 31.6% (18,293 fully vaccinated)

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#5. Chilton County, AL

– New cases per 100k in the past week: 56 (25 new cases, +212% change from previous week)
– Cumulative cases per 100k: 24,921 (11,072 total cases)
— 5.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 280 (202 total deaths)
— 29.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.3% (16,119 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#4. Conecuh County, AL

– New cases per 100k in the past week: 58 (7 new cases, +600% change from previous week)
– Cumulative cases per 100k: 23,718 (2,862 total cases)
— 10.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 598 (71 total deaths)
— 51.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.5% (5,254 fully vaccinated)

Altairisfar // Wikimedia Commons

#3. Clarke County, AL

– New cases per 100k in the past week: 76 (18 new cases, -33% change from previous week)
– Cumulative cases per 100k: 30,230 (7,141 total cases)
— 14.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 394 (99 total deaths)
— 0.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.0% (12,058 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#2. Autauga County, AL

– New cases per 100k in the past week: 102 (57 new cases, -22% change from previous week)
– Cumulative cases per 100k: 28,189 (15,749 total cases)
— 6.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 511 (214 total deaths)
— 29.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.0% (24,606 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#1. Elmore County, AL

– New cases per 100k in the past week: 122 (99 new cases, -48% change from previous week)
– Cumulative cases per 100k: 28,646 (23,263 total cases)
— 8.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 615 (343 total deaths)
— 55.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.3% (37,600 fully vaccinated)