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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 Oct. 12 reached over 1 million COVID-19-related deaths and 96.8 million COVID-19 cases, according to Johns Hopkins University. Currently, 68% of the population is fully vaccinated, and 48.9% 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 Oct. 8, 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.

Calvin Beale // Wikimedia Commons

#50. Coffee County, AL

– New cases per 100k in the past week: 44 (23 new cases, -26% change from previous week)
– Cumulative cases per 100k: 30,549 (15,990 total cases)
— 1.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 460 (241 total deaths)
— 10.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.2% (25,254 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#49. Monroe County, AL

– New cases per 100k in the past week: 48 (10 new cases, -41% change from previous week)
– Cumulative cases per 100k: 29,759 (6,170 total cases)
— 4.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 405 (84 total deaths)
— 3.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.4% (9,210 fully vaccinated)

Wmr36104 // Wikimedia Commons

#48. Geneva County, AL

– New cases per 100k in the past week: 49 (13 new cases, +8% change from previous week)
– Cumulative cases per 100k: 28,111 (7,385 total cases)
— 9.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 647 (170 total deaths)
— 54.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.0% (10,775 fully vaccinated)

Jodybwiki // Wikimedia Commons

#47. Baldwin County, AL

– New cases per 100k in the past week: 49 (109 new cases, -43% change from previous week)
– Cumulative cases per 100k: 29,410 (65,653 total cases)
— 5.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 319 (712 total deaths)
— 23.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.4% (116,979 fully vaccinated)

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#46. Bullock County, AL

– New cases per 100k in the past week: 50 (5 new cases, -44% change from previous week)
– Cumulative cases per 100k: 27,740 (2,802 total cases)
— 10.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 535 (54 total deaths)
— 28.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 56.0% (5,654 fully vaccinated)

DXR // Wikimedia Commons

#45. Dallas County, AL

– New cases per 100k in the past week: 51 (19 new cases, +12% change from previous week)
– Cumulative cases per 100k: 27,121 (10,088 total cases)
— 12.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 683 (254 total deaths)
— 63.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.6% (17,344 fully vaccinated)

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

#44. Houston County, AL

– New cases per 100k in the past week: 55 (58 new cases, -21% change from previous week)
– Cumulative cases per 100k: 28,597 (30,279 total cases)
— 8.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 494 (523 total deaths)
— 18.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.2% (46,845 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#43. Butler County, AL

– New cases per 100k in the past week: 57 (11 new cases, -42% change from previous week)
– Cumulative cases per 100k: 31,114 (6,051 total cases)
— 0.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 663 (129 total deaths)
— 58.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.4% (7,855 fully vaccinated)

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#42. Lawrence County, AL

– New cases per 100k in the past week: 58 (19 new cases, -32% change from previous week)
– Cumulative cases per 100k: 26,917 (8,862 total cases)
— 13.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 519 (171 total deaths)
— 24.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.9% (15,769 fully vaccinated)

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#41. DeKalb County, AL

– New cases per 100k in the past week: 59 (42 new cases, +83% change from previous week)
– Cumulative cases per 100k: 29,620 (21,182 total cases)
— 4.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 477 (341 total deaths)
— 14.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.8% (24,869 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#40. Tallapoosa County, AL

– New cases per 100k in the past week: 59 (24 new cases, -49% change from previous week)
– Cumulative cases per 100k: 33,592 (13,560 total cases)
— 8.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 614 (248 total deaths)
— 46.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.3% (15,861 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#39. Limestone County, AL

– New cases per 100k in the past week: 60 (59 new cases, -49% change from previous week)
– Cumulative cases per 100k: 30,004 (29,678 total cases)
— 3.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 309 (306 total deaths)
— 26.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.8% (39,362 fully vaccinated)

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#38. Macon County, AL

– New cases per 100k in the past week: 61 (11 new cases, 0% change from previous week)
– Cumulative cases per 100k: 26,555 (4,798 total cases)
— 14.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 493 (89 total deaths)
— 17.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.5% (8,944 fully vaccinated)

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#37. Barbour County, AL

– New cases per 100k in the past week: 61 (15 new cases, +88% change from previous week)
– Cumulative cases per 100k: 27,935 (6,896 total cases)
— 10.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 417 (103 total deaths)
— 0.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.8% (11,557 fully vaccinated)

Tracy Burroughs Brown // Shutterstock

#36. Tuscaloosa County, AL

– New cases per 100k in the past week: 61 (127 new cases, -47% change from previous week)
– Cumulative cases per 100k: 31,424 (65,788 total cases)
— 1.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 393 (822 total deaths)
— 6.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.8% (93,835 fully vaccinated)

RuralSWAlabama (Billy Milstead) // Wikimedia Commons

#35. Choctaw County, AL

– New cases per 100k in the past week: 64 (8 new cases, 0% change from previous week)
– Cumulative cases per 100k: 17,380 (2,188 total cases)
— 44.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 302 (38 total deaths)
— 27.8% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 67.9% (8,542 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#34. Blount County, AL

– New cases per 100k in the past week: 64 (37 new cases, -55% change from previous week)
– Cumulative cases per 100k: 29,246 (16,912 total cases)
— 6.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 446 (258 total deaths)
— 6.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 32.6% (18,839 fully vaccinated)

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#33. Lauderdale County, AL

– New cases per 100k in the past week: 64 (59 new cases, -12% change from previous week)
– Cumulative cases per 100k: 30,418 (28,206 total cases)
— 2.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 440 (408 total deaths)
— 5.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.8% (44,312 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#32. Cherokee County, AL

– New cases per 100k in the past week: 65 (17 new cases, -26% change from previous week)
– Cumulative cases per 100k: 22,935 (6,008 total cases)
— 26.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 332 (87 total deaths)
— 20.6% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 31.7% (8,315 fully vaccinated)

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#31. Crenshaw County, AL

– New cases per 100k in the past week: 65 (9 new cases, -55% change from previous week)
– Cumulative cases per 100k: 31,905 (4,394 total cases)
— 2.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 762 (105 total deaths)
— 82.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 35.3% (4,862 fully vaccinated)

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#30. Coosa County, AL

– New cases per 100k in the past week: 66 (7 new cases, -50% change from previous week)
– Cumulative cases per 100k: 32,852 (3,503 total cases)
— 5.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 581 (62 total deaths)
— 39.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.6% (4,434 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#29. Autauga County, AL

– New cases per 100k in the past week: 66 (37 new cases, -34% change from previous week)
– Cumulative cases per 100k: 32,927 (18,396 total cases)
— 5.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 406 (227 total deaths)
— 2.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.3% (25,296 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#28. Elmore County, AL

– New cases per 100k in the past week: 69 (56 new cases, -37% change from previous week)
– Cumulative cases per 100k: 34,068 (27,666 total cases)
— 9.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 441 (358 total deaths)
— 5.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.7% (38,703 fully vaccinated)

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#27. Chilton County, AL

– New cases per 100k in the past week: 72 (32 new cases, +7% change from previous week)
– Cumulative cases per 100k: 27,879 (12,386 total cases)
— 10.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 479 (213 total deaths)
— 14.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.2% (16,508 fully vaccinated)

Altairisfar // Wikimedia Commons

#26. Lowndes County, AL

– New cases per 100k in the past week: 72 (7 new cases, -12% change from previous week)
– Cumulative cases per 100k: 31,544 (3,068 total cases)
— 1.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 823 (80 total deaths)
— 96.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.0% (5,154 fully vaccinated)

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#25. Jefferson County, AL

– New cases per 100k in the past week: 72 (474 new cases, -27% change from previous week)
– Cumulative cases per 100k: 33,270 (219,105 total cases)
— 6.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 372 (2,450 total deaths)
— 11.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 60.2% (396,569 fully vaccinated)

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#24. Perry County, AL

– New cases per 100k in the past week: 78 (7 new cases, -63% change from previous week)
– Cumulative cases per 100k: 27,861 (2,486 total cases)
— 10.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 549 (49 total deaths)
— 31.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.7% (4,435 fully vaccinated)

Chris Pruitt // wikicommons

#23. Montgomery County, AL

– New cases per 100k in the past week: 79 (179 new cases, -24% change from previous week)
– Cumulative cases per 100k: 29,482 (66,773 total cases)
— 5.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 438 (993 total deaths)
— 4.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.0% (122,270 fully vaccinated)

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#22. Cleburne County, AL

– New cases per 100k in the past week: 80 (12 new cases, +20% change from previous week)
– Cumulative cases per 100k: 27,525 (4,104 total cases)
— 11.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 476 (71 total deaths)
— 13.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 29.3% (4,376 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#21. Cullman County, AL

– New cases per 100k in the past week: 80 (67 new cases, -83% change from previous week)
– Cumulative cases per 100k: 35,060 (29,369 total cases)
— 12.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 455 (381 total deaths)
— 8.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.9% (32,567 fully vaccinated)

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#20. Henry County, AL

– New cases per 100k in the past week: 81 (14 new cases, -7% change from previous week)
– Cumulative cases per 100k: 31,340 (5,392 total cases)
— 0.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 459 (79 total deaths)
— 9.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.2% (7,956 fully vaccinated)

Springfieldohio // Wikimedia Commons

#19. Jackson County, AL

– New cases per 100k in the past week: 81 (42 new cases, -21% change from previous week)
– Cumulative cases per 100k: 32,869 (16,969 total cases)
— 5.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 486 (251 total deaths)
— 16.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.6% (26,118 fully vaccinated)

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#18. Clay County, AL

– New cases per 100k in the past week: 83 (11 new cases, +22% change from previous week)
– Cumulative cases per 100k: 35,844 (4,744 total cases)
— 15.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 680 (90 total deaths)
— 62.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.1% (5,703 fully vaccinated)

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#17. Colbert County, AL

– New cases per 100k in the past week: 85 (47 new cases, +24% change from previous week)
– Cumulative cases per 100k: 35,265 (19,481 total cases)
— 13.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 487 (269 total deaths)
— 16.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.9% (27,031 fully vaccinated)

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#16. Wilcox County, AL

– New cases per 100k in the past week: 87 (9 new cases, -10% change from previous week)
– Cumulative cases per 100k: 32,989 (3,422 total cases)
— 6.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 463 (48 total deaths)
— 10.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.8% (5,687 fully vaccinated)

MPearsallArt // Wikimedia Commons

#15. Morgan County, AL

– New cases per 100k in the past week: 87 (104 new cases, -46% change from previous week)
– Cumulative cases per 100k: 35,810 (42,857 total cases)
— 15.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 448 (536 total deaths)
— 7.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.5% (53,272 fully vaccinated)

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#14. Walker County, AL

– New cases per 100k in the past week: 91 (58 new cases, -32% change from previous week)
– Cumulative cases per 100k: 35,091 (22,290 total cases)
— 12.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 730 (464 total deaths)
— 74.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.3% (30,699 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#13. St. Clair County, AL

– New cases per 100k in the past week: 94 (84 new cases, +9% change from previous week)
– Cumulative cases per 100k: 33,602 (30,078 total cases)
— 8.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 485 (434 total deaths)
— 16.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.0% (35,844 fully vaccinated)

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#12. Talladega County, AL

– New cases per 100k in the past week: 95 (76 new cases, +4% change from previous week)
– Cumulative cases per 100k: 33,285 (26,621 total cases)
— 7.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 483 (386 total deaths)
— 15.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.4% (29,901 fully vaccinated)

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#11. Madison County, AL

– New cases per 100k in the past week: 98 (364 new cases, -25% change from previous week)
– Cumulative cases per 100k: 28,746 (107,197 total cases)
— 7.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 271 (1,011 total deaths)
— 35.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 64.1% (239,144 fully vaccinated)

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#10. Bibb County, AL

– New cases per 100k in the past week: 98 (22 new cases, -4% change from previous week)
– Cumulative cases per 100k: 33,607 (7,526 total cases)
— 8.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 478 (107 total deaths)
— 14.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 35.9% (8,050 fully vaccinated)

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#9. Etowah County, AL

– New cases per 100k in the past week: 105 (107 new cases, -2% change from previous week)
– Cumulative cases per 100k: 31,217 (31,925 total cases)
— 0.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 661 (676 total deaths)
— 58.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.0% (42,971 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#8. Marion County, AL

– New cases per 100k in the past week: 118 (35 new cases, -5% change from previous week)
– Cumulative cases per 100k: 31,509 (9,361 total cases)
— 1.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 518 (154 total deaths)
— 23.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.1% (11,015 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#7. Shelby County, AL

– New cases per 100k in the past week: 129 (280 new cases, -5% change from previous week)
– Cumulative cases per 100k: 32,613 (70,999 total cases)
— 4.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 216 (470 total deaths)
— 48.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.2% (81,027 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#6. Franklin County, AL

– New cases per 100k in the past week: 143 (45 new cases, +41% change from previous week)
– Cumulative cases per 100k: 35,907 (11,261 total cases)
— 15.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 466 (146 total deaths)
— 11.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.8% (14,038 fully vaccinated)

Michael Rivera // Wikimedia Commons

#5. Dale County, AL

– New cases per 100k in the past week: 157 (77 new cases, +45% change from previous week)
– Cumulative cases per 100k: 31,349 (15,415 total cases)
— 0.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 496 (244 total deaths)
— 18.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.0% (24,077 fully vaccinated)

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#4. Sumter County, AL

– New cases per 100k in the past week: 169 (21 new cases, +133% change from previous week)
– Cumulative cases per 100k: 23,908 (2,971 total cases)
— 23.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 435 (54 total deaths)
— 4.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.4% (6,632 fully vaccinated)

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#3. Fayette County, AL

– New cases per 100k in the past week: 221 (36 new cases, +200% change from previous week)
– Cumulative cases per 100k: 34,033 (5,548 total cases)
— 9.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 595 (97 total deaths)
— 42.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 35.9% (5,854 fully vaccinated)

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#2. Winston County, AL

– New cases per 100k in the past week: 609 (144 new cases, +148% change from previous week)
– Cumulative cases per 100k: 37,065 (8,758 total cases)
— 19.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 584 (138 total deaths)
— 39.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 22.4% (5,289 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#1. Calhoun County, AL

– New cases per 100k in the past week: 633 (719 new cases, 0% change from previous week)
– Cumulative cases per 100k: 33,635 (38,211 total cases)
— 8.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 577 (656 total deaths)
— 38.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.3% (54,865 fully vaccinated)