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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 Jul. 6 reached over 1 million COVID-19-related deaths and 88 million COVID-19 cases, according to Johns Hopkins University. Currently, 66.9% of the population is fully vaccinated, and 47.8% 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 Jul. 5, 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.

JNix // Shutterstock

#50. Clay County, AL

– New cases per 100k in the past week: 181 (24 new cases, -20% change from previous week)
– Cumulative cases per 100k: 31,961 (4,230 total cases)
— 15.0% 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% (5,616 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#49. Conecuh County, AL

– New cases per 100k in the past week: 182 (22 new cases, -33% change from previous week)
– Cumulative cases per 100k: 24,720 (2,983 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)

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#48. Sumter County, AL

– New cases per 100k in the past week: 185 (23 new cases, +5% change from previous week)
– Cumulative cases per 100k: 21,767 (2,705 total cases)
— 21.7% 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% (6,505 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#47. Limestone County, AL

– New cases per 100k in the past week: 188 (186 new cases, -23% change from previous week)
– Cumulative cases per 100k: 26,540 (26,252 total cases)
— 4.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 300 (297 total deaths)
— 25.6% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.2% (38,766 fully vaccinated)

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#46. Bibb County, AL

– New cases per 100k in the past week: 188 (42 new cases, -28% change from previous week)
– Cumulative cases per 100k: 30,013 (6,721 total cases)
— 8.0% 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% (7,846 fully vaccinated)

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#45. Marshall County, AL

– New cases per 100k in the past week: 191 (185 new cases, +27% change from previous week)
– Cumulative cases per 100k: 29,076 (28,138 total cases)
— 4.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 408 (395 total deaths)
— 1.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.2% (44,673 fully vaccinated)

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#44. DeKalb County, AL

– New cases per 100k in the past week: 194 (139 new cases, +124% change from previous week)
– Cumulative cases per 100k: 26,837 (19,192 total cases)
— 3.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 463 (331 total deaths)
— 14.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.3% (24,556 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#43. Cherokee County, AL

– New cases per 100k in the past week: 195 (51 new cases, +50% change from previous week)
– Cumulative cases per 100k: 20,190 (5,289 total cases)
— 27.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 328 (86 total deaths)
— 18.6% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 31.1% (8,153 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#42. Calhoun County, AL

– New cases per 100k in the past week: 204 (232 new cases, -6% change from previous week)
– Cumulative cases per 100k: 29,373 (33,369 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: 47.5% (53,935 fully vaccinated)

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#41. Pickens County, AL

– New cases per 100k in the past week: 206 (41 new cases, +32% change from previous week)
– Cumulative cases per 100k: 27,230 (5,427 total cases)
— 2.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 527 (105 total deaths)
— 30.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.3% (10,024 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#40. Randolph County, AL

– New cases per 100k in the past week: 207 (47 new cases, -2% change from previous week)
– Cumulative cases per 100k: 22,982 (5,222 total cases)
— 17.3% 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% (7,573 fully vaccinated)

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

#39. Houston County, AL

– New cases per 100k in the past week: 208 (220 new cases, -15% change from previous week)
– Cumulative cases per 100k: 25,502 (27,002 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% (46,320 fully vaccinated)

Wmr36104 // Wikimedia Commons

#38. Geneva County, AL

– New cases per 100k in the past week: 209 (55 new cases, +28% change from previous week)
– Cumulative cases per 100k: 25,576 (6,719 total cases)
— 8.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 628 (165 total deaths)
— 55.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.4% (10,622 fully vaccinated)

Tracy Burroughs Brown // Shutterstock

#37. Tuscaloosa County, AL

– New cases per 100k in the past week: 212 (444 new cases, -48% change from previous week)
– Cumulative cases per 100k: 28,400 (59,457 total cases)
— 2.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 378 (792 total deaths)
— 6.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.2% (92,562 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#36. Franklin County, AL

– New cases per 100k in the past week: 214 (67 new cases, +18% change from previous week)
– Cumulative cases per 100k: 32,287 (10,126 total cases)
— 16.1% 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: 44.2% (13,852 fully vaccinated)

Wayne James // Shutterstock

#35. Lauderdale County, AL

– New cases per 100k in the past week: 216 (200 new cases, +2% change from previous week)
– Cumulative cases per 100k: 27,123 (25,151 total cases)
— 2.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 431 (400 total deaths)
— 6.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.2% (43,733 fully vaccinated)

Altairisfar // Wikicommons

#34. Mobile County, AL

– New cases per 100k in the past week: 225 (931 new cases, -8% change from previous week)
– Cumulative cases per 100k: 28,398 (117,343 total cases)
— 2.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 403 (1,666 total deaths)
— 0.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.5% (208,660 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#33. Butler County, AL

– New cases per 100k in the past week: 226 (44 new cases, +7% change from previous week)
– Cumulative cases per 100k: 27,077 (5,266 total cases)
— 2.6% 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% (7,762 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#32. Monroe County, AL

– New cases per 100k in the past week: 227 (47 new cases, -16% change from previous week)
– Cumulative cases per 100k: 26,373 (5,468 total cases)
— 5.1% 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% (9,120 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#31. Barbour County, AL

– New cases per 100k in the past week: 235 (58 new cases, -6% change from previous week)
– Cumulative cases per 100k: 23,961 (5,915 total cases)
— 13.8% 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: 46.0% (11,358 fully vaccinated)

Myself – Nathon Morris // Wikimedia Commons

#30. Lamar County, AL

– New cases per 100k in the past week: 239 (33 new cases, +6% change from previous week)
– Cumulative cases per 100k: 28,019 (3,868 total cases)
— 0.8% 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: 44.4% (6,126 fully vaccinated)

Michael Rivera // Wikimedia Commons

#29. Dale County, AL

– New cases per 100k in the past week: 240 (118 new cases, -22% change from previous week)
– Cumulative cases per 100k: 27,526 (13,535 total cases)
— 1.0% 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: 48.0% (23,612 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#28. Crenshaw County, AL

– New cases per 100k in the past week: 247 (34 new cases, +17% change from previous week)
– Cumulative cases per 100k: 28,848 (3,973 total cases)
— 3.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 741 (102 total deaths)
— 83.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.7% (4,784 fully vaccinated)

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#27. Baldwin County, AL

– New cases per 100k in the past week: 252 (563 new cases, -20% change from previous week)
– Cumulative cases per 100k: 26,500 (59,158 total cases)
— 4.7% 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: 51.6% (115,130 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#26. Coosa County, AL

– New cases per 100k in the past week: 253 (27 new cases, +12% change from previous week)
– Cumulative cases per 100k: 28,847 (3,076 total cases)
— 3.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 553 (59 total deaths)
— 37.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.0% (4,371 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#25. Talladega County, AL

– New cases per 100k in the past week: 253 (202 new cases, +9% change from previous week)
– Cumulative cases per 100k: 29,000 (23,194 total cases)
— 4.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 473 (378 total deaths)
— 17.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.9% (29,531 fully vaccinated)

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#24. Madison County, AL

– New cases per 100k in the past week: 256 (956 new cases, +3% change from previous week)
– Cumulative cases per 100k: 25,674 (95,741 total cases)
— 7.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 263 (981 total deaths)
— 34.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 63.0% (234,896 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#23. Henry County, AL

– New cases per 100k in the past week: 256 (44 new cases, -23% change from previous week)
– Cumulative cases per 100k: 27,928 (4,805 total cases)
— 0.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 448 (77 total deaths)
— 11.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.9% (7,890 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#22. Autauga County, AL

– New cases per 100k in the past week: 260 (145 new cases, -23% change from previous week)
– Cumulative cases per 100k: 29,736 (16,613 total cases)
— 7.0% 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: 44.4% (24,811 fully vaccinated)

M Floyd // Flickr

#21. Jefferson County, AL

– New cases per 100k in the past week: 263 (1,734 new cases, -19% change from previous week)
– Cumulative cases per 100k: 29,815 (196,354 total cases)
— 7.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 363 (2,390 total deaths)
— 9.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 59.1% (388,976 fully vaccinated)

DXR // Wikimedia Commons

#20. Dallas County, AL

– New cases per 100k in the past week: 266 (99 new cases, +16% change from previous week)
– Cumulative cases per 100k: 23,648 (8,796 total cases)
— 14.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 659 (245 total deaths)
— 63.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.0% (17,112 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#19. Tallapoosa County, AL

– New cases per 100k in the past week: 270 (109 new cases, +42% change from previous week)
– Cumulative cases per 100k: 29,346 (11,846 total cases)
— 5.6% 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% (15,716 fully vaccinated)

Mccallk69 // Shutterstock

#18. Macon County, AL

– New cases per 100k in the past week: 271 (49 new cases, +32% change from previous week)
– Cumulative cases per 100k: 22,687 (4,099 total cases)
— 18.4% 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: 48.8% (8,824 fully vaccinated)

Rivers Langley SaveRivers // Wikimedia Commons

#17. Russell County, AL

– New cases per 100k in the past week: 274 (159 new cases, +49% change from previous week)
– Cumulative cases per 100k: 18,352 (10,637 total cases)
— 34.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 166 (96 total deaths)
— 58.8% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.2% (24,443 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#16. St. Clair County, AL

– New cases per 100k in the past week: 277 (248 new cases, -14% change from previous week)
– Cumulative cases per 100k: 29,750 (26,630 total cases)
— 7.0% 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: 39.6% (35,415 fully vaccinated)

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#15. Perry County, AL

– New cases per 100k in the past week: 280 (25 new cases, +79% change from previous week)
– Cumulative cases per 100k: 24,555 (2,191 total cases)
— 11.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 527 (47 total deaths)
— 30.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.3% (4,396 fully vaccinated)

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#14. Marengo County, AL

– New cases per 100k in the past week: 281 (53 new cases, -4% change from previous week)
– Cumulative cases per 100k: 28,665 (5,407 total cases)
— 3.1% 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% (10,338 fully vaccinated)

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#13. Greene County, AL

– New cases per 100k in the past week: 284 (23 new cases, -34% change from previous week)
– Cumulative cases per 100k: 24,313 (1,972 total cases)
— 12.5% 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: 51.6% (4,183 fully vaccinated)

MPearsallArt // Wikimedia Commons

#12. Morgan County, AL

– New cases per 100k in the past week: 294 (352 new cases, +5% change from previous week)
– Cumulative cases per 100k: 31,424 (37,608 total cases)
— 13.0% 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% (52,673 fully vaccinated)

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#11. Wilcox County, AL

– New cases per 100k in the past week: 299 (31 new cases, +19% change from previous week)
– Cumulative cases per 100k: 28,777 (2,985 total cases)
— 3.5% 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: 54.3% (5,628 fully vaccinated)

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#10. Walker County, AL

– New cases per 100k in the past week: 304 (193 new cases, +18% change from previous week)
– Cumulative cases per 100k: 30,532 (19,394 total cases)
— 9.8% 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: 47.8% (30,333 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#9. Elmore County, AL

– New cases per 100k in the past week: 312 (253 new cases, +7% change from previous week)
– Cumulative cases per 100k: 30,170 (24,501 total cases)
— 8.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 431 (350 total deaths)
— 6.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.0% (38,140 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#8. Cullman County, AL

– New cases per 100k in the past week: 318 (266 new cases, +1% change from previous week)
– Cumulative cases per 100k: 30,632 (25,660 total cases)
— 10.2% 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% (32,233 fully vaccinated)

Chris Pruitt // wikicommons

#7. Montgomery County, AL

– New cases per 100k in the past week: 321 (726 new cases, +6% change from previous week)
– Cumulative cases per 100k: 25,909 (58,681 total cases)
— 6.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 423 (958 total deaths)
— 5.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.9% (119,772 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#6. Covington County, AL

– New cases per 100k in the past week: 351 (130 new cases, +7% change from previous week)
– Cumulative cases per 100k: 26,319 (9,751 total cases)
— 5.3% 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% (14,241 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#5. Chambers County, AL

– New cases per 100k in the past week: 352 (117 new cases, +22% change from previous week)
– Cumulative cases per 100k: 26,670 (8,869 total cases)
— 4.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 490 (163 total deaths)
— 21.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 31.9% (10,615 fully vaccinated)

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#4. Escambia County, AL

– New cases per 100k in the past week: 366 (134 new cases, +113% change from previous week)
– Cumulative cases per 100k: 28,725 (10,523 total cases)
— 3.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 470 (172 total deaths)
— 16.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.0% (13,546 fully vaccinated)

Idawriter // Wikimedia Commons

#3. Washington County, AL

– New cases per 100k in the past week: 380 (62 new cases, +288% change from previous week)
– Cumulative cases per 100k: 23,717 (3,872 total cases)
— 14.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 361 (59 total deaths)
— 10.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.3% (7,559 fully vaccinated)

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#2. Bullock County, AL

– New cases per 100k in the past week: 386 (39 new cases, +95% change from previous week)
– Cumulative cases per 100k: 24,354 (2,460 total cases)
— 12.4% 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: 54.9% (5,546 fully vaccinated)

Dailynetworks // Wikimedia Commons

#1. Colbert County, AL

– New cases per 100k in the past week: 438 (242 new cases, +72% change from previous week)
– Cumulative cases per 100k: 30,930 (17,086 total cases)
— 11.3% 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% (26,752 fully vaccinated)