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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. 22 reached over 1 million COVID-19-related deaths and 86.5 million COVID-19 cases, according to Johns Hopkins University. Currently, 66.8% of the population is fully vaccinated, and 47.2% 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. 21, 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. Talladega County, AL

– New cases per 100k in the past week: 131 (105 new cases, +8% change from previous week)
– Cumulative cases per 100k: 28,515 (22,806 total cases)
— 4.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 471 (377 total deaths)
— 17.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.9% (29,493 fully vaccinated)

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#49. Marshall County, AL

– New cases per 100k in the past week: 131 (127 new cases, +65% change from previous week)
– Cumulative cases per 100k: 28,734 (27,807 total cases)
— 5.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 408 (395 total deaths)
— 1.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.1% (44,617 fully vaccinated)

Rivers Langley SaveRivers // Wikimedia Commons

#48. Russell County, AL

– New cases per 100k in the past week: 133 (77 new cases, +33% change from previous week)
– Cumulative cases per 100k: 17,893 (10,371 total cases)
— 34.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 164 (95 total deaths)
— 59.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.1% (24,412 fully vaccinated)

Altairisfar // Wikimedia Commons

#47. Clarke County, AL

– New cases per 100k in the past week: 135 (32 new cases, +3% change from previous week)
– Cumulative cases per 100k: 30,654 (7,241 total cases)
— 12.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 428 (101 total deaths)
— 6.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.4% (12,140 fully vaccinated)

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#46. Lawrence County, AL

– New cases per 100k in the past week: 137 (45 new cases, +105% change from previous week)
– Cumulative cases per 100k: 23,691 (7,800 total cases)
— 13.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 486 (160 total deaths)
— 20.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.4% (15,608 fully vaccinated)

Myself – Nathon Morris // Wikimedia Commons

#45. Lamar County, AL

– New cases per 100k in the past week: 138 (19 new cases, +90% change from previous week)
– Cumulative cases per 100k: 27,555 (3,804 total cases)
— 0.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 471 (65 total deaths)
— 17.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.3% (6,116 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#44. Covington County, AL

– New cases per 100k in the past week: 140 (52 new cases, +30% change from previous week)
– Cumulative cases per 100k: 25,642 (9,500 total cases)
— 6.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 629 (233 total deaths)
— 56.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.4% (14,220 fully vaccinated)

DXR // Wikimedia Commons

#43. Dallas County, AL

– New cases per 100k in the past week: 142 (53 new cases, +4% change from previous week)
– Cumulative cases per 100k: 23,153 (8,612 total cases)
— 15.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 656 (244 total deaths)
— 63.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.9% (17,082 fully vaccinated)

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#42. Walker County, AL

– New cases per 100k in the past week: 142 (90 new cases, +34% change from previous week)
– Cumulative cases per 100k: 29,970 (19,037 total cases)
— 9.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 704 (447 total deaths)
— 75.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.6% (30,250 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#41. Calhoun County, AL

– New cases per 100k in the past week: 144 (164 new cases, +67% change from previous week)
– Cumulative cases per 100k: 28,952 (32,891 total cases)
— 5.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 553 (628 total deaths)
— 37.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.4% (53,808 fully vaccinated)

RuralSWAlabama (Billy Milstead) // Wikimedia Commons

#40. Choctaw County, AL

– New cases per 100k in the past week: 151 (19 new cases, +375% change from previous week)
– Cumulative cases per 100k: 16,570 (2,086 total cases)
— 39.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 294 (37 total deaths)
— 26.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 66.9% (8,418 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#39. Barbour County, AL

– New cases per 100k in the past week: 154 (38 new cases, 0% change from previous week)
– Cumulative cases per 100k: 23,475 (5,795 total cases)
— 14.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 401 (99 total deaths)
— 0.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.9% (11,325 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#38. Hale County, AL

– New cases per 100k in the past week: 164 (24 new cases, +85% change from previous week)
– Cumulative cases per 100k: 33,172 (4,860 total cases)
— 21.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 724 (106 total deaths)
— 80.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 61.7% (9,046 fully vaccinated)

Library of Congress

#37. Lee County, AL

– New cases per 100k in the past week: 173 (285 new cases, +34% change from previous week)
– Cumulative cases per 100k: 23,625 (38,873 total cases)
— 13.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 208 (342 total deaths)
— 48.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.6% (66,880 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#36. Marion County, AL

– New cases per 100k in the past week: 175 (52 new cases, +2% change from previous week)
– Cumulative cases per 100k: 28,163 (8,367 total cases)
— 3.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 512 (152 total deaths)
— 27.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.8% (10,935 fully vaccinated)

Altairisfar // Wikicommons

#35. Mobile County, AL

– New cases per 100k in the past week: 176 (729 new cases, +33% change from previous week)
– Cumulative cases per 100k: 27,929 (115,404 total cases)
— 2.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 402 (1,661 total deaths)
— 0.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.4% (208,288 fully vaccinated)

Dailynetworks // Wikimedia Commons

#34. Colbert County, AL

– New cases per 100k in the past week: 176 (97 new cases, +17% change from previous week)
– Cumulative cases per 100k: 30,237 (16,703 total cases)
— 10.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 474 (262 total deaths)
— 17.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.4% (26,728 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#33. Coosa County, AL

– New cases per 100k in the past week: 178 (19 new cases, +73% change from previous week)
– Cumulative cases per 100k: 28,369 (3,025 total cases)
— 3.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 544 (58 total deaths)
— 35.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.8% (4,355 fully vaccinated)

Michael Rivera // Wikimedia Commons

#32. Dale County, AL

– New cases per 100k in the past week: 179 (88 new cases, +49% change from previous week)
– Cumulative cases per 100k: 26,979 (13,266 total cases)
— 1.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 472 (232 total deaths)
— 17.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.4% (23,793 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#31. Butler County, AL

– New cases per 100k in the past week: 180 (35 new cases, -10% change from previous week)
– Cumulative cases per 100k: 26,640 (5,181 total cases)
— 2.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 663 (129 total deaths)
— 64.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.8% (7,749 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#30. Crenshaw County, AL

– New cases per 100k in the past week: 182 (25 new cases, +32% change from previous week)
– Cumulative cases per 100k: 28,391 (3,910 total cases)
— 3.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 726 (100 total deaths)
— 80.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.7% (4,781 fully vaccinated)

Calvin Beale // Wikimedia Commons

#29. Coffee County, AL

– New cases per 100k in the past week: 185 (97 new cases, +9% change from previous week)
– Cumulative cases per 100k: 26,776 (14,015 total cases)
— 2.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 443 (232 total deaths)
— 10.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.8% (25,015 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#28. Chambers County, AL

– New cases per 100k in the past week: 186 (62 new cases, +107% change from previous week)
– Cumulative cases per 100k: 26,030 (8,656 total cases)
— 4.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 487 (162 total deaths)
— 21.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 31.7% (10,550 fully vaccinated)

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

#27. Houston County, AL

– New cases per 100k in the past week: 189 (200 new cases, +10% change from previous week)
– Cumulative cases per 100k: 25,050 (26,523 total cases)
— 8.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 480 (508 total deaths)
— 19.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.7% (46,230 fully vaccinated)

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#26. Pickens County, AL

– New cases per 100k in the past week: 191 (38 new cases, +217% change from previous week)
– Cumulative cases per 100k: 26,869 (5,355 total cases)
— 1.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 517 (103 total deaths)
— 28.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.2% (10,003 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#25. Cullman County, AL

– New cases per 100k in the past week: 191 (160 new cases, +23% change from previous week)
– Cumulative cases per 100k: 30,001 (25,131 total cases)
— 9.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 438 (367 total deaths)
— 9.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.5% (32,215 fully vaccinated)

Wayne James // Shutterstock

#24. Lauderdale County, AL

– New cases per 100k in the past week: 194 (180 new cases, +48% change from previous week)
– Cumulative cases per 100k: 26,696 (24,755 total cases)
— 2.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 428 (397 total deaths)
— 6.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.1% (43,682 fully vaccinated)

MPearsallArt // Wikimedia Commons

#23. Morgan County, AL

– New cases per 100k in the past week: 196 (234 new cases, +24% change from previous week)
– Cumulative cases per 100k: 30,851 (36,922 total cases)
— 12.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 434 (519 total deaths)
— 8.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.9% (52,590 fully vaccinated)

Wmr36104 // Wikimedia Commons

#22. Geneva County, AL

– New cases per 100k in the past week: 198 (52 new cases, +148% change from previous week)
– Cumulative cases per 100k: 25,203 (6,621 total cases)
— 7.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 624 (164 total deaths)
— 55.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.6% (10,665 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#21. Limestone County, AL

– New cases per 100k in the past week: 199 (197 new cases, +41% change from previous week)
– Cumulative cases per 100k: 26,108 (25,825 total cases)
— 4.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 298 (295 total deaths)
— 25.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.3% (38,876 fully vaccinated)

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#20. Perry County, AL

– New cases per 100k in the past week: 202 (18 new cases, 0% change from previous week)
– Cumulative cases per 100k: 24,117 (2,152 total cases)
— 11.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 527 (47 total deaths)
— 31.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.1% (4,384 fully vaccinated)

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#19. Madison County, AL

– New cases per 100k in the past week: 205 (763 new cases, +14% change from previous week)
– Cumulative cases per 100k: 25,169 (93,857 total cases)
— 7.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 261 (974 total deaths)
— 35.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 62.9% (234,719 fully vaccinated)

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#18. Sumter County, AL

– New cases per 100k in the past week: 209 (26 new cases, +117% change from previous week)
– Cumulative cases per 100k: 21,405 (2,660 total cases)
— 21.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 418 (52 total deaths)
— 4.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.2% (6,490 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#17. Henry County, AL

– New cases per 100k in the past week: 209 (36 new cases, +24% change from previous week)
– Cumulative cases per 100k: 27,341 (4,704 total cases)
— 0.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 442 (76 total deaths)
— 10.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.8% (7,881 fully vaccinated)

Mccallk69 // Shutterstock

#16. Macon County, AL

– New cases per 100k in the past week: 216 (39 new cases, +22% change from previous week)
– Cumulative cases per 100k: 22,211 (4,013 total cases)
— 18.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 470 (85 total deaths)
— 16.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.6% (8,789 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#15. Tallapoosa County, AL

– New cases per 100k in the past week: 216 (87 new cases, +85% change from previous week)
– Cumulative cases per 100k: 28,885 (11,660 total cases)
— 5.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 582 (235 total deaths)
— 44.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.9% (15,696 fully vaccinated)

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#14. Winston County, AL

– New cases per 100k in the past week: 224 (53 new cases, +121% change from previous week)
– Cumulative cases per 100k: 32,570 (7,696 total cases)
— 19.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 559 (132 total deaths)
— 39.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 22.2% (5,236 fully vaccinated)

Jodybwiki // Wikimedia Commons

#13. Baldwin County, AL

– New cases per 100k in the past week: 233 (521 new cases, +11% change from previous week)
– Cumulative cases per 100k: 25,931 (57,887 total cases)
— 5.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 306 (683 total deaths)
— 23.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.5% (114,924 fully vaccinated)

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#12. Clay County, AL

– New cases per 100k in the past week: 234 (31 new cases, +19% change from previous week)
– Cumulative cases per 100k: 31,553 (4,176 total cases)
— 15.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 620 (82 total deaths)
— 54.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.2% (5,582 fully vaccinated)

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#11. Escambia County, AL

– New cases per 100k in the past week: 240 (88 new cases, +52% change from previous week)
– Cumulative cases per 100k: 28,188 (10,326 total cases)
— 3.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 470 (172 total deaths)
— 16.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.9% (13,523 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#10. Shelby County, AL

– New cases per 100k in the past week: 246 (536 new cases, +22% change from previous week)
– Cumulative cases per 100k: 29,046 (63,233 total cases)
— 6.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 209 (456 total deaths)
— 48.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.6% (79,708 fully vaccinated)

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#9. Bibb County, AL

– New cases per 100k in the past week: 250 (56 new cases, +81% change from previous week)
– Cumulative cases per 100k: 29,566 (6,621 total cases)
— 8.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 469 (105 total deaths)
— 16.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 35.0% (7,835 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#8. St. Clair County, AL

– New cases per 100k in the past week: 255 (228 new cases, +31% change from previous week)
– Cumulative cases per 100k: 29,153 (26,095 total cases)
— 6.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 465 (416 total deaths)
— 15.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.5% (35,346 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#7. Autauga County, AL

– New cases per 100k in the past week: 260 (145 new cases, +42% change from previous week)
– Cumulative cases per 100k: 29,138 (16,279 total cases)
— 6.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 388 (217 total deaths)
— 3.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.7% (24,951 fully vaccinated)

Altairisfar // Wikimedia Commons

#6. Lowndes County, AL

– New cases per 100k in the past week: 267 (26 new cases, +53% change from previous week)
– Cumulative cases per 100k: 27,699 (2,694 total cases)
— 1.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 792 (77 total deaths)
— 97.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.5% (5,013 fully vaccinated)

Tracy Burroughs Brown // Shutterstock

#5. Tuscaloosa County, AL

– New cases per 100k in the past week: 270 (565 new cases, +70% change from previous week)
– Cumulative cases per 100k: 27,777 (58,153 total cases)
— 1.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 377 (790 total deaths)
— 6.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.1% (92,401 fully vaccinated)

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#4. Jefferson County, AL

– New cases per 100k in the past week: 275 (1,812 new cases, +15% change from previous week)
– Cumulative cases per 100k: 29,227 (192,482 total cases)
— 6.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 362 (2,383 total deaths)
— 10.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 58.9% (387,986 fully vaccinated)

Chris Pruitt // wikicommons

#3. Montgomery County, AL

– New cases per 100k in the past week: 277 (628 new cases, +57% change from previous week)
– Cumulative cases per 100k: 25,287 (57,272 total cases)
— 7.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 422 (955 total deaths)
— 5.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.9% (119,829 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#2. Elmore County, AL

– New cases per 100k in the past week: 303 (246 new cases, +134% change from previous week)
– Cumulative cases per 100k: 29,568 (24,012 total cases)
— 8.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 427 (347 total deaths)
— 6.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.9% (38,125 fully vaccinated)

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#1. Bullock County, AL

– New cases per 100k in the past week: 416 (42 new cases, +162% change from previous week)
– Cumulative cases per 100k: 23,770 (2,401 total cases)
— 13.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 535 (54 total deaths)
— 33.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.6% (5,516 fully vaccinated)