Carol M. Highsmith // Wikimedia Commons

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. 29 reached over 1 million COVID-19-related deaths and 87.3 million COVID-19 cases, according to Johns Hopkins University. Currently, 66.9% of the population is fully vaccinated, and 47.3% 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. 28, 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.

Rudi Weikard // Wikimedia Commons

#50. Blount County, AL

– New cases per 100k in the past week: 176 (102 new cases, +42% change from previous week)
– Cumulative cases per 100k: 26,500 (15,324 total cases)
— 4.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 424 (245 total deaths)
— 5.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 32.0% (18,520 fully vaccinated)

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#49. Sumter County, AL

– New cases per 100k in the past week: 177 (22 new cases, -15% change from previous week)
– Cumulative cases per 100k: 21,582 (2,682 total cases)
— 21.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 418 (52 total deaths)
— 3.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.3% (6,494 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#48. Franklin County, AL

– New cases per 100k in the past week: 182 (57 new cases, +104% change from previous week)
– Cumulative cases per 100k: 32,074 (10,059 total cases)
— 16.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 446 (140 total deaths)
— 10.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.1% (13,838 fully vaccinated)

Rivers Langley SaveRivers // Wikimedia Commons

#47. Russell County, AL

– New cases per 100k in the past week: 185 (107 new cases, +39% change from previous week)
– Cumulative cases per 100k: 18,078 (10,478 total cases)
— 34.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 164 (95 total deaths)
— 59.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.2% (24,444 fully vaccinated)

Altairisfar // Wikimedia Commons

#46. Lowndes County, AL

– New cases per 100k in the past week: 185 (18 new cases, -31% change from previous week)
– Cumulative cases per 100k: 27,884 (2,712 total cases)
— 1.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 792 (77 total deaths)
— 96.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.6% (5,017 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#45. Marion County, AL

– New cases per 100k in the past week: 185 (55 new cases, +6% change from previous week)
– Cumulative cases per 100k: 28,348 (8,422 total cases)
— 2.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 515 (153 total deaths)
— 27.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.8% (10,940 fully vaccinated)

Library of Congress

#44. Lee County, AL

– New cases per 100k in the past week: 191 (314 new cases, +10% change from previous week)
– Cumulative cases per 100k: 23,816 (39,187 total cases)
— 13.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 208 (342 total deaths)
— 48.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.7% (66,942 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#43. Tallapoosa County, AL

– New cases per 100k in the past week: 191 (77 new cases, -11% change from previous week)
– Cumulative cases per 100k: 29,076 (11,737 total cases)
— 5.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 585 (236 total deaths)
— 45.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.9% (15,701 fully vaccinated)

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#42. Bullock County, AL

– New cases per 100k in the past week: 198 (20 new cases, -52% change from previous week)
– Cumulative cases per 100k: 23,968 (2,421 total cases)
— 13.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 535 (54 total deaths)
— 32.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.8% (5,539 fully vaccinated)

Mccallk69 // Shutterstock

#41. Macon County, AL

– New cases per 100k in the past week: 205 (37 new cases, -5% change from previous week)
– Cumulative cases per 100k: 22,415 (4,050 total cases)
— 18.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 470 (85 total deaths)
— 16.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.7% (8,797 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#40. Randolph County, AL

– New cases per 100k in the past week: 211 (48 new cases, +118% change from previous week)
– Cumulative cases per 100k: 22,775 (5,175 total cases)
— 17.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 330 (75 total deaths)
— 18.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 33.3% (7,568 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#39. Butler County, AL

– New cases per 100k in the past week: 211 (41 new cases, +17% change from previous week)
– Cumulative cases per 100k: 26,851 (5,222 total cases)
— 2.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 663 (129 total deaths)
— 64.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.9% (7,756 fully vaccinated)

Wayne James // Shutterstock

#38. Lauderdale County, AL

– New cases per 100k in the past week: 211 (196 new cases, +9% change from previous week)
– Cumulative cases per 100k: 26,907 (24,951 total cases)
— 2.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 430 (399 total deaths)
— 6.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.1% (43,709 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#37. Crenshaw County, AL

– New cases per 100k in the past week: 211 (29 new cases, +16% change from previous week)
– Cumulative cases per 100k: 28,602 (3,939 total cases)
— 3.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 733 (101 total deaths)
— 81.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.7% (4,782 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#36. Calhoun County, AL

– New cases per 100k in the past week: 217 (246 new cases, +50% change from previous week)
– Cumulative cases per 100k: 29,169 (33,137 total cases)
— 5.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 557 (633 total deaths)
— 38.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.4% (53,845 fully vaccinated)

Myself – Nathon Morris // Wikimedia Commons

#35. Lamar County, AL

– New cases per 100k in the past week: 225 (31 new cases, +63% change from previous week)
– Cumulative cases per 100k: 27,780 (3,835 total cases)
— 0.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 471 (65 total deaths)
— 16.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.3% (6,120 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#34. Coosa County, AL

– New cases per 100k in the past week: 225 (24 new cases, +26% change from previous week)
– Cumulative cases per 100k: 28,594 (3,049 total cases)
— 3.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 544 (58 total deaths)
— 35.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.9% (4,362 fully vaccinated)

JNix // Shutterstock

#33. Clay County, AL

– New cases per 100k in the past week: 227 (30 new cases, -3% change from previous week)
– Cumulative cases per 100k: 31,779 (4,206 total cases)
— 15.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 620 (82 total deaths)
— 53.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.4% (5,608 fully vaccinated)

DXR // Wikimedia Commons

#32. Dallas County, AL

– New cases per 100k in the past week: 229 (85 new cases, +60% change from previous week)
– Cumulative cases per 100k: 23,382 (8,697 total cases)
— 15.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 656 (244 total deaths)
— 62.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.0% (17,098 fully vaccinated)

Calvin Beale // Wikimedia Commons

#31. Coffee County, AL

– New cases per 100k in the past week: 233 (122 new cases, +26% change from previous week)
– Cumulative cases per 100k: 27,009 (14,137 total cases)
— 2.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 447 (234 total deaths)
— 10.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.8% (25,031 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#30. Talladega County, AL

– New cases per 100k in the past week: 233 (186 new cases, +77% change from previous week)
– Cumulative cases per 100k: 28,748 (22,992 total cases)
— 4.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 471 (377 total deaths)
— 16.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.9% (29,515 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#29. Shelby County, AL

– New cases per 100k in the past week: 236 (514 new cases, -4% change from previous week)
– Cumulative cases per 100k: 29,282 (63,747 total cases)
— 6.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 209 (456 total deaths)
— 48.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.6% (79,765 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#28. Limestone County, AL

– New cases per 100k in the past week: 244 (241 new cases, +22% change from previous week)
– Cumulative cases per 100k: 26,352 (26,066 total cases)
— 4.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 298 (295 total deaths)
— 26.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.3% (38,895 fully vaccinated)

Altairisfar // Wikicommons

#27. Mobile County, AL

– New cases per 100k in the past week: 244 (1,008 new cases, +38% change from previous week)
– Cumulative cases per 100k: 28,173 (116,412 total cases)
— 2.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 403 (1,665 total deaths)
— 0.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.4% (208,454 fully vaccinated)

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

#26. Houston County, AL

– New cases per 100k in the past week: 245 (259 new cases, +29% change from previous week)
– Cumulative cases per 100k: 25,294 (26,782 total cases)
— 8.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 481 (509 total deaths)
— 19.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.7% (46,258 fully vaccinated)

Pixabay

#25. Madison County, AL

– New cases per 100k in the past week: 249 (928 new cases, +22% change from previous week)
– Cumulative cases per 100k: 25,418 (94,785 total cases)
— 7.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 262 (977 total deaths)
— 35.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 63.0% (234,919 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#24. Barbour County, AL

– New cases per 100k in the past week: 251 (62 new cases, +63% change from previous week)
– Cumulative cases per 100k: 23,726 (5,857 total cases)
— 14.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 401 (99 total deaths)
— 0.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.9% (11,340 fully vaccinated)

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#23. Wilcox County, AL

– New cases per 100k in the past week: 251 (26 new cases, +117% change from previous week)
– Cumulative cases per 100k: 28,478 (2,954 total cases)
— 3.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 443 (46 total deaths)
— 9.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.2% (5,619 fully vaccinated)

Dailynetworks // Wikimedia Commons

#22. Colbert County, AL

– New cases per 100k in the past week: 255 (141 new cases, +45% change from previous week)
– Cumulative cases per 100k: 30,492 (16,844 total cases)
— 10.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 474 (262 total deaths)
— 17.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.4% (26,737 fully vaccinated)

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#21. Walker County, AL

– New cases per 100k in the past week: 258 (164 new cases, +82% change from previous week)
– Cumulative cases per 100k: 30,228 (19,201 total cases)
— 9.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 707 (449 total deaths)
— 75.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.7% (30,285 fully vaccinated)

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#20. Winston County, AL

– New cases per 100k in the past week: 258 (61 new cases, +15% change from previous week)
– Cumulative cases per 100k: 32,828 (7,757 total cases)
— 19.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 559 (132 total deaths)
— 38.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 22.2% (5,237 fully vaccinated)

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#19. Bibb County, AL

– New cases per 100k in the past week: 259 (58 new cases, +4% change from previous week)
– Cumulative cases per 100k: 29,825 (6,679 total cases)
— 8.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 469 (105 total deaths)
— 16.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 35.0% (7,839 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#18. Monroe County, AL

– New cases per 100k in the past week: 270 (56 new cases, +115% change from previous week)
– Cumulative cases per 100k: 26,147 (5,421 total cases)
— 5.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 386 (80 total deaths)
— 4.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.0% (9,115 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#17. Conecuh County, AL

– New cases per 100k in the past week: 273 (33 new cases, +200% change from previous week)
– Cumulative cases per 100k: 24,538 (2,961 total cases)
— 11.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 580 (70 total deaths)
— 43.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.0% (5,313 fully vaccinated)

MPearsallArt // Wikimedia Commons

#16. Morgan County, AL

– New cases per 100k in the past week: 279 (334 new cases, +43% change from previous week)
– Cumulative cases per 100k: 31,130 (37,256 total cases)
— 12.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 434 (519 total deaths)
— 7.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.0% (52,626 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#15. Chambers County, AL

– New cases per 100k in the past week: 289 (96 new cases, +55% change from previous week)
– Cumulative cases per 100k: 26,319 (8,752 total cases)
— 4.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 487 (162 total deaths)
— 20.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 31.8% (10,560 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#14. Elmore County, AL

– New cases per 100k in the past week: 291 (236 new cases, -4% change from previous week)
– Cumulative cases per 100k: 29,859 (24,248 total cases)
— 8.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 430 (349 total deaths)
— 6.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.0% (38,151 fully vaccinated)

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#13. Marengo County, AL

– New cases per 100k in the past week: 292 (55 new cases, +139% change from previous week)
– Cumulative cases per 100k: 28,384 (5,354 total cases)
— 2.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 573 (108 total deaths)
— 42.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.8% (10,331 fully vaccinated)

Chris Pruitt // wikicommons

#12. Montgomery County, AL

– New cases per 100k in the past week: 302 (683 new cases, +9% change from previous week)
– Cumulative cases per 100k: 25,589 (57,955 total cases)
— 7.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 423 (957 total deaths)
— 5.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.0% (119,940 fully vaccinated)

Michael Rivera // Wikimedia Commons

#11. Dale County, AL

– New cases per 100k in the past week: 307 (151 new cases, +72% change from previous week)
– Cumulative cases per 100k: 27,286 (13,417 total cases)
— 1.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 474 (233 total deaths)
— 17.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.4% (23,802 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#10. Cullman County, AL

– New cases per 100k in the past week: 314 (263 new cases, +64% change from previous week)
– Cumulative cases per 100k: 30,315 (25,394 total cases)
— 9.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 441 (369 total deaths)
— 9.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.5% (32,232 fully vaccinated)

Jodybwiki // Wikimedia Commons

#9. Baldwin County, AL

– New cases per 100k in the past week: 317 (708 new cases, +36% change from previous week)
– Cumulative cases per 100k: 26,248 (58,595 total cases)
— 4.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 306 (683 total deaths)
— 24.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.5% (115,032 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#8. St. Clair County, AL

– New cases per 100k in the past week: 321 (287 new cases, +26% change from previous week)
– Cumulative cases per 100k: 29,473 (26,382 total cases)
— 6.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 466 (417 total deaths)
— 15.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.5% (35,391 fully vaccinated)

M Floyd // Flickr

#7. Jefferson County, AL

– New cases per 100k in the past week: 325 (2,138 new cases, +18% change from previous week)
– Cumulative cases per 100k: 29,552 (194,620 total cases)
— 7.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 362 (2,383 total deaths)
— 10.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 59.0% (388,348 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#6. Covington County, AL

– New cases per 100k in the past week: 327 (121 new cases, +133% change from previous week)
– Cumulative cases per 100k: 25,968 (9,621 total cases)
— 5.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 629 (233 total deaths)
— 56.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.4% (14,235 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#5. Henry County, AL

– New cases per 100k in the past week: 331 (57 new cases, +58% change from previous week)
– Cumulative cases per 100k: 27,672 (4,761 total cases)
— 0.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 442 (76 total deaths)
— 9.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.9% (7,889 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#4. Autauga County, AL

– New cases per 100k in the past week: 338 (189 new cases, +30% change from previous week)
– Cumulative cases per 100k: 29,476 (16,468 total cases)
— 6.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 388 (217 total deaths)
— 3.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.7% (24,966 fully vaccinated)

Tracy Burroughs Brown // Shutterstock

#3. Tuscaloosa County, AL

– New cases per 100k in the past week: 411 (860 new cases, +52% change from previous week)
– Cumulative cases per 100k: 28,188 (59,013 total cases)
— 2.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 378 (791 total deaths)
— 6.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.2% (92,464 fully vaccinated)

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#2. Greene County, AL

– New cases per 100k in the past week: 432 (35 new cases, +400% change from previous week)
– Cumulative cases per 100k: 24,029 (1,949 total cases)
— 12.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 629 (51 total deaths)
— 56.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.5% (4,175 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#1. Hale County, AL

– New cases per 100k in the past week: 607 (89 new cases, +271% change from previous week)
– Cumulative cases per 100k: 33,779 (4,949 total cases)
— 22.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 724 (106 total deaths)
— 79.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 61.8% (9,053 fully vaccinated)