Counties with highest COVID-19 infection rates in Alabama

Published 12:53 pm Thursday, March 31, 2022

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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 March 30 reached 978,842 COVID-19-related deaths and 80 million COVID-19 cases, according to Johns Hopkins University. Currently, 65.5% of the population is fully vaccinated, and 44.8% 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 March 29, 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.

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#50. Baldwin County, AL

– New cases per 100k in the past week: 14 (32 new cases, -80% change from previous week)
– Cumulative cases per 100k: 24,810 (55,385 total cases)
— 6.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 302 (675 total deaths)
— 23.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.5% (112,632 fully vaccinated)

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#49. Escambia County, AL

– New cases per 100k in the past week: 14 (5 new cases, 0% change from previous week)
– Cumulative cases per 100k: 27,251 (9,983 total cases)
— 3.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 461 (169 total deaths)
— 17.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.3% (13,295 fully vaccinated)

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#48. Walker County, AL

– New cases per 100k in the past week: 14 (9 new cases, -10% change from previous week)
– Cumulative cases per 100k: 29,184 (18,538 total cases)
— 10.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 688 (437 total deaths)
— 75.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.0% (29,877 fully vaccinated)

Chris Pruitt // wikicommons

#47. Montgomery County, AL

– New cases per 100k in the past week: 17 (39 new cases, -41% change from previous week)
– Cumulative cases per 100k: 24,136 (54,664 total cases)
— 8.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 408 (925 total deaths)
— 3.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.8% (117,230 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#46. Marion County, AL

– New cases per 100k in the past week: 17 (5 new cases, 0% change from previous week)
– Cumulative cases per 100k: 27,180 (8,075 total cases)
— 2.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 508 (151 total deaths)
— 29.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.3% (10,786 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#45. Cullman County, AL

– New cases per 100k in the past week: 17 (14 new cases, +56% change from previous week)
– Cumulative cases per 100k: 29,244 (24,497 total cases)
— 10.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 435 (364 total deaths)
— 10.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.1% (31,899 fully vaccinated)

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#44. Jefferson County, AL

– New cases per 100k in the past week: 20 (132 new cases, -65% change from previous week)
– Cumulative cases per 100k: 27,991 (184,340 total cases)
— 6.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 352 (2,318 total deaths)
— 10.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 57.7% (379,992 fully vaccinated)

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#43. Madison County, AL

– New cases per 100k in the past week: 21 (77 new cases, -40% change from previous week)
– Cumulative cases per 100k: 23,863 (88,988 total cases)
— 9.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 253 (944 total deaths)
— 35.6% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 61.4% (228,843 fully vaccinated)

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#42. Russell County, AL

– New cases per 100k in the past week: 22 (13 new cases, +333% change from previous week)
– Cumulative cases per 100k: 17,312 (10,034 total cases)
— 34.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 150 (87 total deaths)
— 61.8% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.7% (23,564 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#41. Limestone County, AL

– New cases per 100k in the past week: 22 (22 new cases, -21% change from previous week)
– Cumulative cases per 100k: 25,123 (24,850 total cases)
— 4.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 291 (288 total deaths)
— 26.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.8% (38,370 fully vaccinated)

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#40. Lamar County, AL

– New cases per 100k in the past week: 22 (3 new cases, -50% change from previous week)
– Cumulative cases per 100k: 26,903 (3,714 total cases)
— 1.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 456 (63 total deaths)
— 16.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.8% (6,044 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#39. St. Clair County, AL

– New cases per 100k in the past week: 22 (20 new cases, -13% change from previous week)
– Cumulative cases per 100k: 28,182 (25,226 total cases)
— 6.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 460 (412 total deaths)
— 17.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.9% (34,851 fully vaccinated)

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#38. Bibb County, AL

– New cases per 100k in the past week: 22 (5 new cases, -50% change from previous week)
– Cumulative cases per 100k: 28,651 (6,416 total cases)
— 8.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 451 (101 total deaths)
— 14.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.6% (7,751 fully vaccinated)

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#37. Talladega County, AL

– New cases per 100k in the past week: 24 (19 new cases, -14% change from previous week)
– Cumulative cases per 100k: 27,856 (22,279 total cases)
— 5.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 464 (371 total deaths)
— 18.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.4% (29,121 fully vaccinated)

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#36. Jackson County, AL

– New cases per 100k in the past week: 25 (13 new cases, +62% change from previous week)
– Cumulative cases per 100k: 29,092 (15,019 total cases)
— 10.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 455 (235 total deaths)
— 15.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.1% (25,326 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#35. Butler County, AL

– New cases per 100k in the past week: 26 (5 new cases, +67% change from previous week)
– Cumulative cases per 100k: 25,972 (5,051 total cases)
— 1.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 658 (128 total deaths)
— 67.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.3% (7,635 fully vaccinated)

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#34. Lauderdale County, AL

– New cases per 100k in the past week: 28 (26 new cases, -32% change from previous week)
– Cumulative cases per 100k: 25,952 (24,065 total cases)
— 1.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 417 (387 total deaths)
— 6.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.3% (42,961 fully vaccinated)

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#33. Bullock County, AL

– New cases per 100k in the past week: 30 (3 new cases, +200% change from previous week)
– Cumulative cases per 100k: 22,631 (2,286 total cases)
— 14.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 515 (52 total deaths)
— 31.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.9% (5,339 fully vaccinated)

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#32. Elmore County, AL

– New cases per 100k in the past week: 30 (24 new cases, +41% change from previous week)
– Cumulative cases per 100k: 28,286 (22,971 total cases)
— 7.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 420 (341 total deaths)
— 6.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.1% (37,418 fully vaccinated)

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#31. Clay County, AL

– New cases per 100k in the past week: 30 (4 new cases, 0% change from previous week)
– Cumulative cases per 100k: 30,865 (4,085 total cases)
— 16.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 612 (81 total deaths)
— 55.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.5% (5,490 fully vaccinated)

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#30. Tallapoosa County, AL

– New cases per 100k in the past week: 35 (14 new cases, +56% change from previous week)
– Cumulative cases per 100k: 28,174 (11,373 total cases)
— 6.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 575 (232 total deaths)
— 46.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.3% (15,466 fully vaccinated)

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#29. Chambers County, AL

– New cases per 100k in the past week: 36 (12 new cases, +100% change from previous week)
– Cumulative cases per 100k: 25,456 (8,465 total cases)
— 3.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 484 (161 total deaths)
— 23.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 31.2% (10,389 fully vaccinated)

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#28. Washington County, AL

– New cases per 100k in the past week: 37 (6 new cases, +500% change from previous week)
– Cumulative cases per 100k: 22,835 (3,728 total cases)
— 13.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 361 (59 total deaths)
— 8.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.8% (7,481 fully vaccinated)

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#27. Greene County, AL

– New cases per 100k in the past week: 37 (3 new cases, 0% change from previous week)
– Cumulative cases per 100k: 23,006 (1,866 total cases)
— 12.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 592 (48 total deaths)
— 50.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.6% (4,104 fully vaccinated)

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#26. Sumter County, AL

– New cases per 100k in the past week: 40 (5 new cases, +67% change from previous week)
– Cumulative cases per 100k: 20,697 (2,572 total cases)
— 21.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 402 (50 total deaths)
— 2.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.1% (6,347 fully vaccinated)

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#25. Pickens County, AL

– New cases per 100k in the past week: 40 (8 new cases, +60% change from previous week)
– Cumulative cases per 100k: 26,332 (5,248 total cases)
— 0.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 507 (101 total deaths)
— 29.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.1% (9,789 fully vaccinated)

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#24. Colbert County, AL

– New cases per 100k in the past week: 40 (22 new cases, +5% change from previous week)
– Cumulative cases per 100k: 29,469 (16,279 total cases)
— 11.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 462 (255 total deaths)
— 17.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.8% (26,422 fully vaccinated)

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#23. Tuscaloosa County, AL

– New cases per 100k in the past week: 42 (88 new cases, -59% change from previous week)
– Cumulative cases per 100k: 26,625 (55,741 total cases)
— 0.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 363 (761 total deaths)
— 7.6% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.5% (91,046 fully vaccinated)

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#22. Marengo County, AL

– New cases per 100k in the past week: 42 (8 new cases, +33% change from previous week)
– Cumulative cases per 100k: 27,424 (5,173 total cases)
— 3.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 567 (107 total deaths)
— 44.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.2% (10,225 fully vaccinated)

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#21. Shelby County, AL

– New cases per 100k in the past week: 46 (100 new cases, -65% change from previous week)
– Cumulative cases per 100k: 27,771 (60,458 total cases)
— 5.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 203 (441 total deaths)
— 48.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.0% (78,444 fully vaccinated)

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#20. Wilcox County, AL

– New cases per 100k in the past week: 48 (5 new cases, +150% change from previous week)
– Cumulative cases per 100k: 27,726 (2,876 total cases)
— 5.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 443 (46 total deaths)
— 12.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.7% (5,569 fully vaccinated)

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#19. Lawrence County, AL

– New cases per 100k in the past week: 49 (16 new cases, +60% change from previous week)
– Cumulative cases per 100k: 23,211 (7,642 total cases)
— 12.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 468 (154 total deaths)
— 19.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.0% (15,465 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#18. Autauga County, AL

– New cases per 100k in the past week: 54 (30 new cases, +76% change from previous week)
– Cumulative cases per 100k: 27,951 (15,616 total cases)
— 5.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 376 (210 total deaths)
— 4.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.9% (24,501 fully vaccinated)

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#17. Randolph County, AL

– New cases per 100k in the past week: 57 (13 new cases, +160% change from previous week)
– Cumulative cases per 100k: 22,348 (5,078 total cases)
— 15.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 326 (74 total deaths)
— 17.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 32.7% (7,428 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#16. Conecuh County, AL

– New cases per 100k in the past week: 58 (7 new cases, +17% change from previous week)
– Cumulative cases per 100k: 23,651 (2,854 total cases)
— 10.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 588 (71 total deaths)
— 49.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.5% (5,244 fully vaccinated)

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#15. Dallas County, AL

– New cases per 100k in the past week: 59 (22 new cases, +100% change from previous week)
– Cumulative cases per 100k: 22,535 (8,382 total cases)
— 14.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 651 (242 total deaths)
— 65.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.1% (16,782 fully vaccinated)

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#14. Clarke County, AL

– New cases per 100k in the past week: 64 (15 new cases, +400% change from previous week)
– Cumulative cases per 100k: 30,036 (7,095 total cases)
— 13.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 419 (99 total deaths)
— 6.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.9% (12,019 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#13. Coosa County, AL

– New cases per 100k in the past week: 66 (7 new cases, -22% change from previous week)
– Cumulative cases per 100k: 27,666 (2,950 total cases)
— 4.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 544 (58 total deaths)
— 38.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.4% (4,312 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#12. Hale County, AL

– New cases per 100k in the past week: 68 (10 new cases, -29% change from previous week)
– Cumulative cases per 100k: 32,059 (4,697 total cases)
— 21.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 710 (104 total deaths)
— 80.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 61.1% (8,958 fully vaccinated)

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#11. Macon County, AL

– New cases per 100k in the past week: 77 (14 new cases, +367% change from previous week)
– Cumulative cases per 100k: 21,347 (3,857 total cases)
— 19.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 459 (83 total deaths)
— 16.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.6% (8,602 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#10. Covington County, AL

– New cases per 100k in the past week: 84 (31 new cases, +121% change from previous week)
– Cumulative cases per 100k: 25,102 (9,300 total cases)
— 4.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 613 (227 total deaths)
— 56.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.0% (14,083 fully vaccinated)

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#9. Crenshaw County, AL

– New cases per 100k in the past week: 94 (13 new cases, +333% change from previous week)
– Cumulative cases per 100k: 27,570 (3,797 total cases)
— 4.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 712 (98 total deaths)
— 81.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.2% (4,716 fully vaccinated)

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#8. Pike County, AL

– New cases per 100k in the past week: 106 (35 new cases, +1,067% change from previous week)
– Cumulative cases per 100k: 22,525 (7,459 total cases)
— 14.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 402 (133 total deaths)
— 2.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.9% (13,879 fully vaccinated)

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#7. Chilton County, AL

– New cases per 100k in the past week: 225 (100 new cases, -12% change from previous week)
– Cumulative cases per 100k: 24,827 (11,030 total cases)
— 6.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 452 (201 total deaths)
— 15.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.2% (16,068 fully vaccinated)

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#6. Coffee County, AL

– New cases per 100k in the past week: 409 (214 new cases, +2,957% change from previous week)
– Cumulative cases per 100k: 25,889 (13,551 total cases)
— 2.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 439 (230 total deaths)
— 11.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.0% (24,589 fully vaccinated)

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

#5. Houston County, AL

– New cases per 100k in the past week: 608 (644 new cases, +2,377% change from previous week)
– Cumulative cases per 100k: 24,217 (25,641 total cases)
— 8.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 469 (497 total deaths)
— 19.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.0% (45,516 fully vaccinated)

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#4. Henry County, AL

– New cases per 100k in the past week: 703 (121 new cases, +3,933% change from previous week)
– Cumulative cases per 100k: 26,568 (4,571 total cases)
— 0.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 430 (74 total deaths)
— 9.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.2% (7,784 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#3. Barbour County, AL

– New cases per 100k in the past week: 745 (184 new cases, +1,740% change from previous week)
– Cumulative cases per 100k: 22,908 (5,655 total cases)
— 13.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 393 (97 total deaths)
— 0.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.0% (11,120 fully vaccinated)

Michael Rivera // Wikimedia Commons

#2. Dale County, AL

– New cases per 100k in the past week: 795 (391 new cases, +2,344% change from previous week)
– Cumulative cases per 100k: 26,137 (12,852 total cases)
— 1.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 462 (227 total deaths)
— 17.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.6% (23,412 fully vaccinated)

Wmr36104 // Wikimedia Commons

#1. Geneva County, AL

– New cases per 100k in the past week: 921 (242 new cases, +1,762% change from previous week)
– Cumulative cases per 100k: 24,578 (6,457 total cases)
— 6.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 620 (163 total deaths)
— 57.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.2% (10,553 fully vaccinated)