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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 Jun. 7 reached over 1 million COVID-19-related deaths and 85 million COVID-19 cases, according to Johns Hopkins University. Currently, 66.7% of the population is fully vaccinated, and 46.9% 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 Jun. 7, 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. Fayette County, AL

– New cases per 100k in the past week: 86 (14 new cases, +133% change from previous week)
– Cumulative cases per 100k: 30,726 (5,009 total cases)
— 14.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 589 (96 total deaths)
— 46.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 35.2% (5,731 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#49. Chambers County, AL

– New cases per 100k in the past week: 87 (29 new cases, +142% change from previous week)
– Cumulative cases per 100k: 25,753 (8,564 total cases)
— 4.5% 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: 31.7% (10,540 fully vaccinated)

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#48. Bullock County, AL

– New cases per 100k in the past week: 89 (9 new cases, +50% change from previous week)
– Cumulative cases per 100k: 23,196 (2,343 total cases)
— 14.0% 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: 54.5% (5,507 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#47. Covington County, AL

– New cases per 100k in the past week: 89 (33 new cases, +267% change from previous week)
– Cumulative cases per 100k: 25,393 (9,408 total cases)
— 5.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 629 (233 total deaths)
— 56.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.3% (14,203 fully vaccinated)

Rivers Langley SaveRivers // Wikimedia Commons

#46. Russell County, AL

– New cases per 100k in the past week: 90 (52 new cases, +21% change from previous week)
– Cumulative cases per 100k: 17,660 (10,236 total cases)
— 34.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 164 (95 total deaths)
— 59.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.0% (24,343 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#45. Conecuh County, AL

– New cases per 100k in the past week: 91 (11 new cases, +120% change from previous week)
– Cumulative cases per 100k: 23,974 (2,893 total cases)
— 11.1% 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: 44.0% (5,306 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#44. Coosa County, AL

– New cases per 100k in the past week: 94 (10 new cases, +100% change from previous week)
– Cumulative cases per 100k: 28,088 (2,995 total cases)
— 4.2% 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% (4,354 fully vaccinated)

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#43. Wilcox County, AL

– New cases per 100k in the past week: 96 (10 new cases, +67% change from previous week)
– Cumulative cases per 100k: 28,063 (2,911 total cases)
— 4.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 443 (46 total deaths)
— 10.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.1% (5,609 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#42. Barbour County, AL

– New cases per 100k in the past week: 97 (24 new cases, +2,300% change from previous week)
– Cumulative cases per 100k: 23,167 (5,719 total cases)
— 14.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 401 (99 total deaths)
— 0.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.8% (11,309 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#41. Cullman County, AL

– New cases per 100k in the past week: 103 (86 new cases, +100% change from previous week)
– Cumulative cases per 100k: 29,655 (24,841 total cases)
— 10.0% 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% (32,184 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#40. Franklin County, AL

– New cases per 100k in the past week: 108 (34 new cases, +580% change from previous week)
– Cumulative cases per 100k: 31,745 (9,956 total cases)
— 17.7% 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: 44.1% (13,816 fully vaccinated)

DXR // Wikimedia Commons

#39. Dallas County, AL

– New cases per 100k in the past week: 113 (42 new cases, +91% change from previous week)
– Cumulative cases per 100k: 22,873 (8,508 total cases)
— 15.2% 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: 45.9% (17,056 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#38. Tallapoosa County, AL

– New cases per 100k in the past week: 114 (46 new cases, +411% change from previous week)
– Cumulative cases per 100k: 28,553 (11,526 total cases)
— 5.9% 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: 38.9% (15,687 fully vaccinated)

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#37. Winston County, AL

– New cases per 100k in the past week: 114 (27 new cases, +145% change from previous week)
– Cumulative cases per 100k: 32,244 (7,619 total cases)
— 19.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 559 (132 total deaths)
— 39.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 22.1% (5,227 fully vaccinated)

Mccallk69 // Shutterstock

#36. Macon County, AL

– New cases per 100k in the past week: 116 (21 new cases, +62% change from previous week)
– Cumulative cases per 100k: 21,818 (3,942 total cases)
— 19.1% 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: 48.5% (8,771 fully vaccinated)

Springfieldohio // Wikimedia Commons

#35. Jackson County, AL

– New cases per 100k in the past week: 118 (61 new cases, +135% change from previous week)
– Cumulative cases per 100k: 29,369 (15,162 total cases)
— 8.9% 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: 49.8% (25,705 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#34. Butler County, AL

– New cases per 100k in the past week: 123 (24 new cases, +200% change from previous week)
– Cumulative cases per 100k: 26,260 (5,107 total cases)
— 2.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 663 (129 total deaths)
— 65.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.7% (7,726 fully vaccinated)

Library of Congress

#33. Lee County, AL

– New cases per 100k in the past week: 125 (206 new cases, +30% change from previous week)
– Cumulative cases per 100k: 23,323 (38,376 total cases)
— 13.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 208 (342 total deaths)
— 48.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.6% (66,737 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#32. Monroe County, AL

– New cases per 100k in the past week: 125 (26 new cases, +271% change from previous week)
– Cumulative cases per 100k: 25,626 (5,313 total cases)
— 4.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 386 (80 total deaths)
— 3.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.9% (9,094 fully vaccinated)

Altairisfar // Wikicommons

#31. Mobile County, AL

– New cases per 100k in the past week: 131 (543 new cases, +1,224% change from previous week)
– Cumulative cases per 100k: 27,619 (114,125 total cases)
— 2.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 401 (1,658 total deaths)
— 0.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.3% (207,961 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#30. Talladega County, AL

– New cases per 100k in the past week: 133 (106 new cases, +141% change from previous week)
– Cumulative cases per 100k: 28,263 (22,604 total cases)
— 4.8% 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% (29,462 fully vaccinated)

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#29. Pickens County, AL

– New cases per 100k in the past week: 135 (27 new cases, +440% change from previous week)
– Cumulative cases per 100k: 26,618 (5,305 total cases)
— 1.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 517 (103 total deaths)
— 28.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.1% (9,979 fully vaccinated)

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#28. Marengo County, AL

– New cases per 100k in the past week: 143 (27 new cases, +59% change from previous week)
– Cumulative cases per 100k: 27,785 (5,241 total cases)
— 3.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 573 (108 total deaths)
— 42.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.7% (10,318 fully vaccinated)

Myself – Nathon Morris // Wikimedia Commons

#27. Lamar County, AL

– New cases per 100k in the past week: 145 (20 new cases, +186% change from previous week)
– Cumulative cases per 100k: 27,345 (3,775 total cases)
— 1.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 471 (65 total deaths)
— 17.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.3% (6,113 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#26. Crenshaw County, AL

– New cases per 100k in the past week: 145 (20 new cases, +233% change from previous week)
– Cumulative cases per 100k: 28,071 (3,866 total cases)
— 4.1% 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: 34.7% (4,776 fully vaccinated)

Dailynetworks // Wikimedia Commons

#25. Colbert County, AL

– New cases per 100k in the past week: 145 (80 new cases, +158% change from previous week)
– Cumulative cases per 100k: 29,911 (16,523 total cases)
— 10.9% 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% (26,703 fully vaccinated)

Wayne James // Shutterstock

#24. Lauderdale County, AL

– New cases per 100k in the past week: 148 (137 new cases, +132% change from previous week)
– Cumulative cases per 100k: 26,370 (24,453 total cases)
— 2.2% 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: 47.0% (43,615 fully vaccinated)

MPearsallArt // Wikimedia Commons

#23. Morgan County, AL

– New cases per 100k in the past week: 150 (179 new cases, +209% change from previous week)
– Cumulative cases per 100k: 30,498 (36,500 total cases)
— 13.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 434 (519 total deaths)
— 8.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.9% (52,546 fully vaccinated)

Wmr36104 // Wikimedia Commons

#22. Geneva County, AL

– New cases per 100k in the past week: 156 (41 new cases, +720% change from previous week)
– Cumulative cases per 100k: 24,925 (6,548 total cases)
— 7.5% 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% (10,647 fully vaccinated)

Altairisfar // Wikimedia Commons

#21. Lowndes County, AL

– New cases per 100k in the past week: 165 (16 new cases, +700% change from previous week)
– Cumulative cases per 100k: 27,257 (2,651 total cases)
— 1.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 792 (77 total deaths)
— 97.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.5% (5,007 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#20. Marion County, AL

– New cases per 100k in the past week: 165 (49 new cases, +53% change from previous week)
– Cumulative cases per 100k: 27,816 (8,264 total cases)
— 3.2% 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: 36.8% (10,926 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#19. Autauga County, AL

– New cases per 100k in the past week: 166 (93 new cases, +166% change from previous week)
– Cumulative cases per 100k: 28,696 (16,032 total cases)
— 6.4% 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: 44.6% (24,920 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#18. St. Clair County, AL

– New cases per 100k in the past week: 170 (152 new cases, +120% change from previous week)
– Cumulative cases per 100k: 28,703 (25,693 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% (35,308 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#17. Henry County, AL

– New cases per 100k in the past week: 174 (30 new cases, +173% change from previous week)
– Cumulative cases per 100k: 26,963 (4,639 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: 45.7% (7,865 fully vaccinated)

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

#16. Houston County, AL

– New cases per 100k in the past week: 175 (185 new cases, +189% change from previous week)
– Cumulative cases per 100k: 24,689 (26,141 total cases)
— 8.4% 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: 43.6% (46,154 fully vaccinated)

Michael Rivera // Wikimedia Commons

#15. Dale County, AL

– New cases per 100k in the past week: 179 (88 new cases, +100% change from previous week)
– Cumulative cases per 100k: 26,680 (13,119 total cases)
— 1.0% 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: 48.3% (23,768 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#14. Elmore County, AL

– New cases per 100k in the past week: 182 (148 new cases, +279% change from previous week)
– Cumulative cases per 100k: 29,136 (23,661 total cases)
— 8.1% 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: 46.8% (38,044 fully vaccinated)

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#13. Escambia County, AL

– New cases per 100k in the past week: 183 (67 new cases, +509% change from previous week)
– Cumulative cases per 100k: 27,789 (10,180 total cases)
— 3.1% 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: 36.8% (13,485 fully vaccinated)

Calvin Beale // Wikimedia Commons

#12. Coffee County, AL

– New cases per 100k in the past week: 185 (97 new cases, +185% change from previous week)
– Cumulative cases per 100k: 26,420 (13,829 total cases)
— 2.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 443 (232 total deaths)
— 10.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.7% (24,979 fully vaccinated)

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#11. Bibb County, AL

– New cases per 100k in the past week: 192 (43 new cases, +139% change from previous week)
– Cumulative cases per 100k: 29,177 (6,534 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% (7,821 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#10. Limestone County, AL

– New cases per 100k in the past week: 196 (194 new cases, +140% change from previous week)
– Cumulative cases per 100k: 25,768 (25,488 total cases)
— 4.4% 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: 39.3% (38,829 fully vaccinated)

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#9. Perry County, AL

– New cases per 100k in the past week: 202 (18 new cases, 0% change from previous week)
– Cumulative cases per 100k: 23,714 (2,116 total cases)
— 12.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 527 (47 total deaths)
— 31.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.0% (4,374 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#8. Hale County, AL

– New cases per 100k in the past week: 205 (30 new cases, -17% change from previous week)
– Cumulative cases per 100k: 32,919 (4,823 total cases)
— 22.1% 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% (9,030 fully vaccinated)

Chris Pruitt // wikicommons

#7. Montgomery County, AL

– New cases per 100k in the past week: 209 (474 new cases, +144% change from previous week)
– Cumulative cases per 100k: 24,834 (56,245 total cases)
— 7.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 421 (953 total deaths)
— 5.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.8% (119,586 fully vaccinated)

Tracy Burroughs Brown // Shutterstock

#6. Tuscaloosa County, AL

– New cases per 100k in the past week: 220 (461 new cases, +41% change from previous week)
– Cumulative cases per 100k: 27,349 (57,256 total cases)
— 1.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 377 (789 total deaths)
— 6.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.1% (92,263 fully vaccinated)

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#5. Greene County, AL

– New cases per 100k in the past week: 222 (18 new cases, +1,700% change from previous week)
– Cumulative cases per 100k: 23,425 (1,900 total cases)
— 13.1% 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: 51.3% (4,158 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#4. Shelby County, AL

– New cases per 100k in the past week: 229 (498 new cases, +168% change from previous week)
– Cumulative cases per 100k: 28,598 (62,259 total cases)
— 6.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 209 (455 total deaths)
— 47.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.6% (79,585 fully vaccinated)

M Floyd // Flickr

#3. Jefferson County, AL

– New cases per 100k in the past week: 240 (1,581 new cases, +158% change from previous week)
– Cumulative cases per 100k: 28,712 (189,091 total cases)
— 6.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 361 (2,377 total deaths)
— 10.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 58.8% (387,289 fully vaccinated)

Jodybwiki // Wikimedia Commons

#2. Baldwin County, AL

– New cases per 100k in the past week: 254 (566 new cases, +190% change from previous week)
– Cumulative cases per 100k: 25,487 (56,895 total cases)
— 5.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 306 (683 total deaths)
— 23.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.4% (114,698 fully vaccinated)

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#1. Madison County, AL

– New cases per 100k in the past week: 278 (1,036 new cases, +197% change from previous week)
– Cumulative cases per 100k: 24,784 (92,422 total cases)
— 8.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 261 (974 total deaths)
— 34.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 62.8% (234,225 fully vaccinated)