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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 May 25 reached over 1 million COVID-19-related deaths and 83.6 million COVID-19 cases, according to Johns Hopkins University. Currently, 66.6% of the population is fully vaccinated, and 46.6% 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 May 24, 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.

DXR // Wikimedia Commons

#50. Dallas County, AL

– New cases per 100k in the past week: 27 (10 new cases, 0% change from previous week)
– Cumulative cases per 100k: 22,701 (8,444 total cases)
— 15.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 656 (244 total deaths)
— 63.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.8% (17,023 fully vaccinated)

Wmr36104 // Wikimedia Commons

#49. Geneva County, AL

– New cases per 100k in the past week: 27 (7 new cases, 0% change from previous week)
– Cumulative cases per 100k: 24,750 (6,502 total cases)
— 7.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 624 (164 total deaths)
— 55.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.5% (10,631 fully vaccinated)

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#48. DeKalb County, AL

– New cases per 100k in the past week: 27 (19 new cases, -30% change from previous week)
– Cumulative cases per 100k: 26,321 (18,823 total cases)
— 1.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 461 (330 total deaths)
— 15.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.1% (24,414 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#47. Coosa County, AL

– New cases per 100k in the past week: 28 (3 new cases, -50% change from previous week)
– Cumulative cases per 100k: 27,947 (2,980 total cases)
— 4.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 544 (58 total deaths)
— 35.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.8% (4,348 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#46. Franklin County, AL

– New cases per 100k in the past week: 29 (9 new cases, -10% change from previous week)
– Cumulative cases per 100k: 31,621 (9,917 total cases)
— 18.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 443 (139 total deaths)
— 10.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.0% (13,792 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#45. Covington County, AL

– New cases per 100k in the past week: 30 (11 new cases, +57% change from previous week)
– Cumulative cases per 100k: 25,280 (9,366 total cases)
— 5.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 626 (232 total deaths)
— 56.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.3% (14,178 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#44. Cherokee County, AL

– New cases per 100k in the past week: 31 (8 new cases, +167% change from previous week)
– Cumulative cases per 100k: 19,617 (5,139 total cases)
— 26.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 328 (86 total deaths)
— 18.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 30.9% (8,086 fully vaccinated)

Idawriter // Wikimedia Commons

#43. Washington County, AL

– New cases per 100k in the past week: 31 (5 new cases, +67% change from previous week)
– Cumulative cases per 100k: 22,914 (3,741 total cases)
— 14.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 361 (59 total deaths)
— 10.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.1% (7,529 fully vaccinated)

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#42. Lawrence County, AL

– New cases per 100k in the past week: 33 (11 new cases, +10% change from previous week)
– Cumulative cases per 100k: 23,387 (7,700 total cases)
— 12.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 486 (160 total deaths)
— 21.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.3% (15,578 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#41. Cleburne County, AL

– New cases per 100k in the past week: 34 (5 new cases, -17% change from previous week)
– Cumulative cases per 100k: 23,950 (3,571 total cases)
— 10.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 463 (69 total deaths)
— 15.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 28.9% (4,315 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#40. Chambers County, AL

– New cases per 100k in the past week: 36 (12 new cases, -25% change from previous week)
– Cumulative cases per 100k: 25,630 (8,523 total cases)
— 4.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 487 (162 total deaths)
— 21.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 31.6% (10,521 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#39. Crenshaw County, AL

– New cases per 100k in the past week: 36 (5 new cases, +25% change from previous week)
– Cumulative cases per 100k: 27,883 (3,840 total cases)
— 4.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 726 (100 total deaths)
— 81.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.6% (4,764 fully vaccinated)

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#38. Walker County, AL

– New cases per 100k in the past week: 39 (25 new cases, +32% change from previous week)
– Cumulative cases per 100k: 29,585 (18,793 total cases)
— 10.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 704 (447 total deaths)
— 75.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.5% (30,166 fully vaccinated)

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#37. Chilton County, AL

– New cases per 100k in the past week: 41 (18 new cases, +125% change from previous week)
– Cumulative cases per 100k: 25,099 (11,151 total cases)
— 6.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 466 (207 total deaths)
— 16.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.5% (16,215 fully vaccinated)

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#36. Jackson County, AL

– New cases per 100k in the past week: 41 (21 new cases, +75% change from previous week)
– Cumulative cases per 100k: 29,200 (15,075 total cases)
— 9.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 467 (241 total deaths)
— 16.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.7% (25,642 fully vaccinated)

Rivers Langley SaveRivers // Wikimedia Commons

#35. Russell County, AL

– New cases per 100k in the past week: 43 (25 new cases, +150% change from previous week)
– Cumulative cases per 100k: 17,496 (10,141 total cases)
— 34.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 162 (94 total deaths)
— 59.6% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.8% (24,242 fully vaccinated)

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#34. Escambia County, AL

– New cases per 100k in the past week: 44 (16 new cases, -24% change from previous week)
– Cumulative cases per 100k: 27,576 (10,102 total cases)
— 3.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 467 (171 total deaths)
— 16.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.7% (13,455 fully vaccinated)

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#33. Marshall County, AL

– New cases per 100k in the past week: 44 (43 new cases, +10% change from previous week)
– Cumulative cases per 100k: 28,403 (27,487 total cases)
— 6.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 407 (394 total deaths)
— 1.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.9% (44,463 fully vaccinated)

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#32. Bibb County, AL

– New cases per 100k in the past week: 45 (10 new cases, -38% change from previous week)
– Cumulative cases per 100k: 28,905 (6,473 total cases)
— 8.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 469 (105 total deaths)
— 17.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.9% (7,808 fully vaccinated)

Altairisfar // Wikicommons

#31. Mobile County, AL

– New cases per 100k in the past week: 46 (190 new cases, +53% change from previous week)
– Cumulative cases per 100k: 27,478 (113,541 total cases)
— 2.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 401 (1,656 total deaths)
— 0.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.2% (207,501 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#30. Tallapoosa County, AL

– New cases per 100k in the past week: 47 (19 new cases, 0% change from previous week)
– Cumulative cases per 100k: 28,417 (11,471 total cases)
— 6.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 580 (234 total deaths)
— 44.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.8% (15,653 fully vaccinated)

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#29. Greene County, AL

– New cases per 100k in the past week: 49 (4 new cases, +100% change from previous week)
– Cumulative cases per 100k: 23,191 (1,881 total cases)
— 13.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 604 (49 total deaths)
— 50.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.2% (4,151 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#28. Blount County, AL

– New cases per 100k in the past week: 52 (30 new cases, +11% change from previous week)
– Cumulative cases per 100k: 26,018 (15,045 total cases)
— 2.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 420 (243 total deaths)
— 4.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 31.9% (18,428 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#27. Talladega County, AL

– New cases per 100k in the past week: 53 (42 new cases, -7% change from previous week)
– Cumulative cases per 100k: 28,075 (22,454 total cases)
— 5.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 471 (377 total deaths)
— 17.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.8% (29,399 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#26. Calhoun County, AL

– New cases per 100k in the past week: 53 (60 new cases, +62% change from previous week)
– Cumulative cases per 100k: 28,633 (32,528 total cases)
— 7.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 553 (628 total deaths)
— 37.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.2% (53,618 fully vaccinated)

Library of Congress

#25. Lee County, AL

– New cases per 100k in the past week: 54 (89 new cases, -3% change from previous week)
– Cumulative cases per 100k: 23,101 (38,011 total cases)
— 13.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 207 (341 total deaths)
— 48.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.4% (66,557 fully vaccinated)

Wayne James // Shutterstock

#24. Lauderdale County, AL

– New cases per 100k in the past week: 57 (53 new cases, +77% change from previous week)
– Cumulative cases per 100k: 26,159 (24,257 total cases)
— 2.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 428 (397 total deaths)
— 6.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.9% (43,502 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#23. St. Clair County, AL

– New cases per 100k in the past week: 57 (51 new cases, -7% change from previous week)
– Cumulative cases per 100k: 28,457 (25,472 total cases)
— 6.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 465 (416 total deaths)
— 16.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.4% (35,225 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#22. Conecuh County, AL

– New cases per 100k in the past week: 58 (7 new cases, +250% change from previous week)
– Cumulative cases per 100k: 23,842 (2,877 total cases)
— 10.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 580 (70 total deaths)
— 44.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.9% (5,295 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#21. Elmore County, AL

– New cases per 100k in the past week: 59 (48 new cases, +109% change from previous week)
– Cumulative cases per 100k: 28,906 (23,474 total cases)
— 8.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 427 (347 total deaths)
— 6.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.7% (37,945 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#20. Autauga County, AL

– New cases per 100k in the past week: 61 (34 new cases, +42% change from previous week)
– Cumulative cases per 100k: 28,467 (15,904 total cases)
— 6.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 387 (216 total deaths)
— 3.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.5% (24,843 fully vaccinated)

Tracy Burroughs Brown // Shutterstock

#19. Tuscaloosa County, AL

– New cases per 100k in the past week: 62 (130 new cases, +6% change from previous week)
– Cumulative cases per 100k: 26,972 (56,467 total cases)
— 1.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 376 (788 total deaths)
— 6.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.0% (92,056 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#18. Cullman County, AL

– New cases per 100k in the past week: 63 (53 new cases, +66% change from previous week)
– Cumulative cases per 100k: 29,501 (24,712 total cases)
— 10.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 438 (367 total deaths)
— 9.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.4% (32,130 fully vaccinated)

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#17. Morgan County, AL

– New cases per 100k in the past week: 64 (77 new cases, +38% change from previous week)
– Cumulative cases per 100k: 30,300 (36,263 total cases)
— 13.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 433 (518 total deaths)
— 8.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.8% (52,443 fully vaccinated)

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#16. Houston County, AL

– New cases per 100k in the past week: 67 (71 new cases, +20% change from previous week)
– Cumulative cases per 100k: 24,454 (25,892 total cases)
— 8.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 478 (506 total deaths)
— 19.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.5% (46,052 fully vaccinated)

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#15. Dale County, AL

– New cases per 100k in the past week: 69 (34 new cases, +13% change from previous week)
– Cumulative cases per 100k: 26,411 (12,987 total cases)
— 1.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 470 (231 total deaths)
— 17.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.2% (23,716 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#14. Henry County, AL

– New cases per 100k in the past week: 70 (12 new cases, +33% change from previous week)
– Cumulative cases per 100k: 26,725 (4,598 total cases)
— 0.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 442 (76 total deaths)
— 10.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.6% (7,854 fully vaccinated)

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#13. Sumter County, AL

– New cases per 100k in the past week: 72 (9 new cases, +50% change from previous week)
– Cumulative cases per 100k: 20,954 (2,604 total cases)
— 21.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 418 (52 total deaths)
— 4.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.9% (6,445 fully vaccinated)

Calvin Beale // Wikimedia Commons

#12. Coffee County, AL

– New cases per 100k in the past week: 82 (43 new cases, +59% change from previous week)
– Cumulative cases per 100k: 26,170 (13,698 total cases)
— 2.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 441 (231 total deaths)
— 10.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.6% (24,916 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#11. Hale County, AL

– New cases per 100k in the past week: 82 (12 new cases, 0% change from previous week)
– Cumulative cases per 100k: 32,469 (4,757 total cases)
— 21.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 724 (106 total deaths)
— 80.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 61.6% (9,023 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#10. Marion County, AL

– New cases per 100k in the past week: 84 (25 new cases, +32% change from previous week)
– Cumulative cases per 100k: 27,544 (8,183 total cases)
— 3.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 512 (152 total deaths)
— 27.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.7% (10,903 fully vaccinated)

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#9. Colbert County, AL

– New cases per 100k in the past week: 85 (47 new cases, +194% change from previous week)
– Cumulative cases per 100k: 29,710 (16,412 total cases)
— 11.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 474 (262 total deaths)
— 18.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.3% (26,658 fully vaccinated)

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#8. Bullock County, AL

– New cases per 100k in the past week: 89 (9 new cases, +800% change from previous week)
– Cumulative cases per 100k: 23,047 (2,328 total cases)
— 13.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 535 (54 total deaths)
— 33.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.8% (5,436 fully vaccinated)

Chris Pruitt // wikicommons

#7. Montgomery County, AL

– New cases per 100k in the past week: 97 (220 new cases, +43% change from previous week)
– Cumulative cases per 100k: 24,539 (55,577 total cases)
— 8.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 420 (952 total deaths)
— 4.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.6% (119,180 fully vaccinated)

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#6. Baldwin County, AL

– New cases per 100k in the past week: 98 (218 new cases, +41% change from previous week)
– Cumulative cases per 100k: 25,146 (56,134 total cases)
— 5.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 305 (681 total deaths)
— 23.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.2% (114,397 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#5. Shelby County, AL

– New cases per 100k in the past week: 104 (227 new cases, +15% change from previous week)
– Cumulative cases per 100k: 28,284 (61,575 total cases)
— 5.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 208 (453 total deaths)
— 48.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.5% (79,410 fully vaccinated)

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#4. Jefferson County, AL

– New cases per 100k in the past week: 115 (758 new cases, +39% change from previous week)
– Cumulative cases per 100k: 28,379 (186,897 total cases)
— 6.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 360 (2,374 total deaths)
— 10.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 58.6% (386,000 fully vaccinated)

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#3. Macon County, AL

– New cases per 100k in the past week: 116 (21 new cases, +62% change from previous week)
– Cumulative cases per 100k: 21,629 (3,908 total cases)
— 19.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 470 (85 total deaths)
— 17.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.4% (8,752 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#2. Limestone County, AL

– New cases per 100k in the past week: 120 (119 new cases, +55% change from previous week)
– Cumulative cases per 100k: 25,490 (25,213 total cases)
— 4.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 298 (295 total deaths)
— 25.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.2% (38,753 fully vaccinated)

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#1. Madison County, AL

– New cases per 100k in the past week: 132 (493 new cases, +30% change from previous week)
– Cumulative cases per 100k: 24,413 (91,037 total cases)
— 8.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 260 (970 total deaths)
— 35.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 62.6% (233,471 fully vaccinated)