Canva

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. 17 reached over 1 million COVID-19-related deaths and 86 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. 15, 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.

Canva

#50. Sumter County, AL

– New cases per 100k in the past week: 97 (12 new cases, +33% change from previous week)
– Cumulative cases per 100k: 21,212 (2,636 total cases)
— 21.3% 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: 52.2% (6,488 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#49. Calhoun County, AL

– New cases per 100k in the past week: 102 (116 new cases, +55% change from previous week)
– Cumulative cases per 100k: 28,847 (32,772 total cases)
— 7.0% 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: 47.3% (53,791 fully vaccinated)

Canva

#48. Walker County, AL

– New cases per 100k in the past week: 102 (65 new cases, +41% change from previous week)
– Cumulative cases per 100k: 29,839 (18,954 total cases)
— 10.7% 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: 47.6% (30,245 fully vaccinated)

Canva

#47. Winston County, AL

– New cases per 100k in the past week: 102 (24 new cases, -23% change from previous week)
– Cumulative cases per 100k: 32,371 (7,649 total cases)
— 20.1% 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: 22.2% (5,236 fully vaccinated)

Springfieldohio // Wikimedia Commons

#46. Jackson County, AL

– New cases per 100k in the past week: 105 (54 new cases, -7% change from previous week)
– Cumulative cases per 100k: 29,499 (15,229 total cases)
— 9.4% 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% (25,733 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#45. Blount County, AL

– New cases per 100k in the past week: 107 (62 new cases, +59% change from previous week)
– Cumulative cases per 100k: 26,241 (15,174 total cases)
— 2.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 424 (245 total deaths)
— 5.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 32.0% (18,506 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#44. Hale County, AL

– New cases per 100k in the past week: 109 (16 new cases, -27% change from previous week)
– Cumulative cases per 100k: 33,028 (4,839 total cases)
— 22.5% 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: 61.7% (9,045 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#43. Monroe County, AL

– New cases per 100k in the past week: 111 (23 new cases, -15% change from previous week)
– Cumulative cases per 100k: 25,771 (5,343 total cases)
— 4.4% 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% (9,112 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#42. Talladega County, AL

– New cases per 100k in the past week: 115 (92 new cases, -12% change from previous week)
– Cumulative cases per 100k: 28,419 (22,729 total cases)
— 5.4% 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: 36.9% (29,489 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#41. Covington County, AL

– New cases per 100k in the past week: 116 (43 new cases, +26% change from previous week)
– Cumulative cases per 100k: 25,536 (9,461 total cases)
— 5.3% 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: 38.4% (14,218 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#40. Chambers County, AL

– New cases per 100k in the past week: 117 (39 new cases, +34% change from previous week)
– Cumulative cases per 100k: 25,895 (8,611 total cases)
— 4.0% 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% (10,549 fully vaccinated)

Myself – Nathon Morris // Wikimedia Commons

#39. Lamar County, AL

– New cases per 100k in the past week: 123 (17 new cases, -15% change from previous week)
– Cumulative cases per 100k: 27,483 (3,794 total cases)
— 1.9% 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% (6,116 fully vaccinated)

Michael Rivera // Wikimedia Commons

#38. Dale County, AL

– New cases per 100k in the past week: 124 (61 new cases, -8% change from previous week)
– Cumulative cases per 100k: 26,826 (13,191 total cases)
— 0.5% 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: 48.4% (23,789 fully vaccinated)

DXR // Wikimedia Commons

#37. Dallas County, AL

– New cases per 100k in the past week: 124 (46 new cases, +31% change from previous week)
– Cumulative cases per 100k: 23,035 (8,568 total cases)
— 14.6% 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% (17,078 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#36. Barbour County, AL

– New cases per 100k in the past week: 126 (31 new cases, +19% change from previous week)
– Cumulative cases per 100k: 23,349 (5,764 total cases)
— 13.4% 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: 45.9% (11,325 fully vaccinated)

Library of Congress

#35. Lee County, AL

– New cases per 100k in the past week: 133 (219 new cases, +17% change from previous week)
– Cumulative cases per 100k: 23,477 (38,630 total cases)
— 12.9% 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% (66,866 fully vaccinated)

Altairisfar // Wikicommons

#34. Mobile County, AL

– New cases per 100k in the past week: 137 (566 new cases, +20% change from previous week)
– Cumulative cases per 100k: 27,775 (114,770 total cases)
— 3.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 402 (1,660 total deaths)
— 0.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.4% (208,250 fully vaccinated)

Mccallk69 // Shutterstock

#33. Macon County, AL

– New cases per 100k in the past week: 138 (25 new cases, 0% change from previous week)
– Cumulative cases per 100k: 22,011 (3,977 total cases)
— 18.4% 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: 48.6% (8,786 fully vaccinated)

Wayne James // Shutterstock

#32. Lauderdale County, AL

– New cases per 100k in the past week: 139 (129 new cases, +15% change from previous week)
– Cumulative cases per 100k: 26,526 (24,597 total cases)
— 1.6% 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: 47.1% (43,677 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#31. Limestone County, AL

– New cases per 100k in the past week: 145 (143 new cases, 0% change from previous week)
– Cumulative cases per 100k: 25,931 (25,650 total cases)
— 3.8% 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% (38,869 fully vaccinated)

Dailynetworks // Wikimedia Commons

#30. Colbert County, AL

– New cases per 100k in the past week: 147 (81 new cases, +16% change from previous week)
– Cumulative cases per 100k: 30,079 (16,616 total cases)
— 11.6% 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: 48.4% (26,727 fully vaccinated)

Idawriter // Wikimedia Commons

#29. Washington County, AL

– New cases per 100k in the past week: 147 (24 new cases, +167% change from previous week)
– Cumulative cases per 100k: 23,172 (3,783 total cases)
— 14.1% 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: 46.2% (7,548 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#28. Conecuh County, AL

– New cases per 100k in the past week: 149 (18 new cases, -10% change from previous week)
– Cumulative cases per 100k: 24,198 (2,920 total cases)
— 10.2% 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% (5,310 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#27. Coosa County, AL

– New cases per 100k in the past week: 150 (16 new cases, +100% change from previous week)
– Cumulative cases per 100k: 28,247 (3,012 total cases)
— 4.8% 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)

Rivers Langley; SaveRivers // Wikimedia Commons

#26. Crenshaw County, AL

– New cases per 100k in the past week: 152 (21 new cases, +5% change from previous week)
– Cumulative cases per 100k: 28,238 (3,889 total cases)
— 4.7% 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% (4,780 fully vaccinated)

Canva

#25. Escambia County, AL

– New cases per 100k in the past week: 158 (58 new cases, -17% change from previous week)
– Cumulative cases per 100k: 28,005 (10,259 total cases)
— 3.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 470 (172 total deaths)
— 17.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.9% (13,518 fully vaccinated)

MPearsallArt // Wikimedia Commons

#24. Morgan County, AL

– New cases per 100k in the past week: 164 (196 new cases, +28% change from previous week)
– Cumulative cases per 100k: 30,675 (36,711 total cases)
— 13.8% 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% (52,586 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#23. Cullman County, AL

– New cases per 100k in the past week: 165 (138 new cases, +70% change from previous week)
– Cumulative cases per 100k: 29,842 (24,998 total cases)
— 10.7% 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: 38.5% (32,210 fully vaccinated)

Calvin Beale // Wikimedia Commons

#22. Coffee County, AL

– New cases per 100k in the past week: 166 (87 new cases, +2% change from previous week)
– Cumulative cases per 100k: 26,621 (13,934 total cases)
— 1.3% 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: 47.8% (25,010 fully vaccinated)

Tracy Burroughs Brown // Shutterstock

#21. Tuscaloosa County, AL

– New cases per 100k in the past week: 168 (351 new cases, +6% change from previous week)
– Cumulative cases per 100k: 27,530 (57,635 total cases)
— 2.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 377 (790 total deaths)
— 6.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.1% (92,394 fully vaccinated)

Canva

#20. Bullock County, AL

– New cases per 100k in the past week: 168 (17 new cases, +70% change from previous week)
– Cumulative cases per 100k: 23,394 (2,363 total cases)
— 13.2% 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: 54.6% (5,516 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#19. Elmore County, AL

– New cases per 100k in the past week: 170 (138 new cases, +1% change from previous week)
– Cumulative cases per 100k: 29,334 (23,822 total cases)
— 8.8% 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: 46.9% (38,119 fully vaccinated)

Canva

#18. Bibb County, AL

– New cases per 100k in the past week: 170 (38 new cases, +9% change from previous week)
– Cumulative cases per 100k: 29,352 (6,573 total cases)
— 8.9% 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: 35.0% (7,832 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#17. Marion County, AL

– New cases per 100k in the past week: 172 (51 new cases, -6% change from previous week)
– Cumulative cases per 100k: 28,035 (8,329 total cases)
— 4.0% 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% (10,934 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#16. Tallapoosa County, AL

– New cases per 100k in the past week: 176 (71 new cases, +48% change from previous week)
– Cumulative cases per 100k: 28,749 (11,605 total cases)
— 6.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 582 (235 total deaths)
— 45.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.9% (15,695 fully vaccinated)

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

#15. Houston County, AL

– New cases per 100k in the past week: 177 (187 new cases, +13% change from previous week)
– Cumulative cases per 100k: 24,905 (26,370 total cases)
— 7.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 480 (508 total deaths)
— 19.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.7% (46,218 fully vaccinated)

Altairisfar // Wikimedia Commons

#14. Clarke County, AL

– New cases per 100k in the past week: 178 (42 new cases, +250% change from previous week)
– Cumulative cases per 100k: 30,582 (7,224 total cases)
— 13.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 428 (101 total deaths)
— 6.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.4% (12,140 fully vaccinated)

Pixabay

#13. Madison County, AL

– New cases per 100k in the past week: 186 (692 new cases, -7% change from previous week)
– Cumulative cases per 100k: 24,988 (93,183 total cases)
— 7.3% 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: 62.9% (234,666 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#12. Autauga County, AL

– New cases per 100k in the past week: 190 (106 new cases, +19% change from previous week)
– Cumulative cases per 100k: 28,921 (16,158 total cases)
— 7.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 388 (217 total deaths)
— 3.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.6% (24,944 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#11. Butler County, AL

– New cases per 100k in the past week: 190 (37 new cases, +37% change from previous week)
– Cumulative cases per 100k: 26,496 (5,153 total cases)
— 1.7% 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: 39.8% (7,747 fully vaccinated)

Chris Pruitt // wikicommons

#10. Montgomery County, AL

– New cases per 100k in the past week: 193 (438 new cases, +16% change from previous week)
– Cumulative cases per 100k: 25,054 (56,743 total cases)
— 7.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 422 (955 total deaths)
— 5.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.9% (119,811 fully vaccinated)

Altairisfar // Wikimedia Commons

#9. Lowndes County, AL

– New cases per 100k in the past week: 206 (20 new cases, +67% change from previous week)
– Cumulative cases per 100k: 27,473 (2,672 total cases)
— 1.9% 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% (5,013 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#8. Henry County, AL

– New cases per 100k in the past week: 209 (36 new cases, +89% change from previous week)
– Cumulative cases per 100k: 27,196 (4,679 total cases)
— 0.9% 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: 45.8% (7,878 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#7. Shelby County, AL

– New cases per 100k in the past week: 210 (458 new cases, +18% change from previous week)
– Cumulative cases per 100k: 28,837 (62,779 total cases)
— 7.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 209 (456 total deaths)
— 47.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.6% (79,694 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#6. St. Clair County, AL

– New cases per 100k in the past week: 211 (189 new cases, +32% change from previous week)
– Cumulative cases per 100k: 28,947 (25,911 total cases)
— 7.4% 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: 39.5% (35,341 fully vaccinated)

Canva

#5. Marengo County, AL

– New cases per 100k in the past week: 217 (41 new cases, +86% change from previous week)
– Cumulative cases per 100k: 28,002 (5,282 total cases)
— 3.9% 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% (10,326 fully vaccinated)

Jodybwiki // Wikimedia Commons

#4. Baldwin County, AL

– New cases per 100k in the past week: 223 (498 new cases, +12% change from previous week)
– Cumulative cases per 100k: 25,737 (57,453 total cases)
— 4.5% 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: 51.5% (114,906 fully vaccinated)

M Floyd // Flickr

#3. Jefferson County, AL

– New cases per 100k in the past week: 239 (1,577 new cases, +19% change from previous week)
– Cumulative cases per 100k: 28,987 (190,903 total cases)
— 7.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 362 (2,383 total deaths)
— 9.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 58.9% (387,892 fully vaccinated)

JNix // Shutterstock

#2. Clay County, AL

– New cases per 100k in the past week: 249 (33 new cases, +312% change from previous week)
– Cumulative cases per 100k: 31,379 (4,153 total cases)
— 16.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 620 (82 total deaths)
— 54.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.2% (5,582 fully vaccinated)

Canva

#1. Perry County, AL

– New cases per 100k in the past week: 291 (26 new cases, +117% change from previous week)
– Cumulative cases per 100k: 24,005 (2,142 total cases)
— 11.0% 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: 49.1% (4,383 fully vaccinated)