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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 July 15. 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 July 14, 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.

Rivers Langley SaveRivers // Wikimedia Commons

#50. Russell County, AL

– New cases per 100k in the past week: 231 (134 new cases, -16% change from previous week)
– Cumulative cases per 100k: 18,583 (10,771 total cases)
— 34.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 166 (96 total deaths)
— 58.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.3% (24,545 fully vaccinated)

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#49. Chilton County, AL

– New cases per 100k in the past week: 232 (103 new cases, +102% change from previous week)
– Cumulative cases per 100k: 25,808 (11,466 total cases)
— 8.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 475 (211 total deaths)
— 17.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.7% (16,309 fully vaccinated)

Kreeder13 // Wikimedia Commons

#48. Pike County, AL

– New cases per 100k in the past week: 239 (79 new cases, +39% change from previous week)
– Cumulative cases per 100k: 23,745 (7,863 total cases)
— 16.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 405 (134 total deaths)
— 0.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.7% (14,131 fully vaccinated)

Wayne James // Shutterstock

#47. Lauderdale County, AL

– New cases per 100k in the past week: 244 (226 new cases, +13% change from previous week)
– Cumulative cases per 100k: 27,367 (25,377 total cases)
— 3.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 431 (400 total deaths)
— 6.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.3% (43,831 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#46. Blount County, AL

– New cases per 100k in the past week: 251 (145 new cases, +49% change from previous week)
– Cumulative cases per 100k: 26,919 (15,566 total cases)
— 4.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 427 (247 total deaths)
— 5.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 32.1% (18,559 fully vaccinated)

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#45. Greene County, AL

– New cases per 100k in the past week: 259 (21 new cases, -9% change from previous week)
– Cumulative cases per 100k: 24,572 (1,993 total cases)
— 13.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 629 (51 total deaths)
— 55.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.7% (4,193 fully vaccinated)

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#44. Bibb County, AL

– New cases per 100k in the past week: 263 (59 new cases, +40% change from previous week)
– Cumulative cases per 100k: 30,276 (6,780 total cases)
— 7.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 469 (105 total deaths)
— 16.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 35.2% (7,889 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#43. Crenshaw County, AL

– New cases per 100k in the past week: 269 (37 new cases, +9% change from previous week)
– Cumulative cases per 100k: 29,117 (4,010 total cases)
— 2.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 741 (102 total deaths)
— 83.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.8% (4,795 fully vaccinated)

Altairisfar // Wikimedia Commons

#42. Clarke County, AL

– New cases per 100k in the past week: 275 (65 new cases, +62% change from previous week)
– Cumulative cases per 100k: 31,267 (7,386 total cases)
— 10.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 428 (101 total deaths)
— 5.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.6% (12,181 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#41. Calhoun County, AL

– New cases per 100k in the past week: 280 (318 new cases, +37% change from previous week)
– Cumulative cases per 100k: 29,653 (33,687 total cases)
— 4.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 558 (634 total deaths)
— 38.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.6% (54,041 fully vaccinated)

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#40. Jackson County, AL

– New cases per 100k in the past week: 283 (146 new cases, +68% change from previous week)
– Cumulative cases per 100k: 30,165 (15,573 total cases)
— 6.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 467 (241 total deaths)
— 15.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.0% (25,823 fully vaccinated)

Library of Congress

#39. Lee County, AL

– New cases per 100k in the past week: 287 (472 new cases, +62% change from previous week)
– Cumulative cases per 100k: 24,280 (39,951 total cases)
— 14.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 208 (342 total deaths)
— 48.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.8% (67,051 fully vaccinated)

Altairisfar // Wikicommons

#38. Mobile County, AL

– New cases per 100k in the past week: 288 (1,192 new cases, +28% change from previous week)
– Cumulative cases per 100k: 28,686 (118,535 total cases)
— 1.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 405 (1,672 total deaths)
— 0.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.6% (209,107 fully vaccinated)

Pixabay

#37. Madison County, AL

– New cases per 100k in the past week: 290 (1,082 new cases, +13% change from previous week)
– Cumulative cases per 100k: 25,964 (96,823 total cases)
— 8.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 263 (981 total deaths)
— 34.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 63.1% (235,480 fully vaccinated)

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

#36. Houston County, AL

– New cases per 100k in the past week: 298 (315 new cases, +43% change from previous week)
– Cumulative cases per 100k: 25,799 (27,317 total cases)
— 8.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 482 (510 total deaths)
— 19.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.8% (46,405 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#35. Chambers County, AL

– New cases per 100k in the past week: 304 (101 new cases, -14% change from previous week)
– Cumulative cases per 100k: 26,974 (8,970 total cases)
— 4.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 493 (164 total deaths)
— 22.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 32.0% (10,643 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#34. Covington County, AL

– New cases per 100k in the past week: 305 (113 new cases, -13% change from previous week)
– Cumulative cases per 100k: 26,624 (9,864 total cases)
— 5.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 634 (235 total deaths)
— 56.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.5% (14,260 fully vaccinated)

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#33. Marengo County, AL

– New cases per 100k in the past week: 318 (60 new cases, +13% change from previous week)
– Cumulative cases per 100k: 28,983 (5,467 total cases)
— 2.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 573 (108 total deaths)
— 41.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.8% (10,345 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#32. Shelby County, AL

– New cases per 100k in the past week: 327 (712 new cases, +117% change from previous week)
– Cumulative cases per 100k: 29,759 (64,787 total cases)
— 5.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 210 (457 total deaths)
— 48.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.8% (80,063 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#31. St. Clair County, AL

– New cases per 100k in the past week: 330 (295 new cases, +19% change from previous week)
– Cumulative cases per 100k: 30,080 (26,925 total cases)
— 6.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 467 (418 total deaths)
— 15.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.6% (35,465 fully vaccinated)

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#30. Geneva County, AL

– New cases per 100k in the past week: 331 (87 new cases, +58% change from previous week)
– Cumulative cases per 100k: 25,907 (6,806 total cases)
— 8.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 628 (165 total deaths)
— 55.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.5% (10,635 fully vaccinated)

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#29. Clay County, AL

– New cases per 100k in the past week: 332 (44 new cases, +83% change from previous week)
– Cumulative cases per 100k: 32,293 (4,274 total cases)
— 14.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 627 (83 total deaths)
— 55.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.5% (5,623 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#28. Limestone County, AL

– New cases per 100k in the past week: 333 (329 new cases, +77% change from previous week)
– Cumulative cases per 100k: 26,873 (26,581 total cases)
— 5.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 301 (298 total deaths)
— 25.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.3% (38,855 fully vaccinated)

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#27. Dale County, AL

– New cases per 100k in the past week: 340 (167 new cases, +42% change from previous week)
– Cumulative cases per 100k: 27,865 (13,702 total cases)
— 1.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 474 (233 total deaths)
— 17.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.1% (23,664 fully vaccinated)

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#26. Morgan County, AL

– New cases per 100k in the past week: 344 (412 new cases, +17% change from previous week)
– Cumulative cases per 100k: 31,768 (38,020 total cases)
— 12.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 434 (519 total deaths)
— 7.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.1% (52,772 fully vaccinated)

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#25. Colbert County, AL

– New cases per 100k in the past week: 346 (191 new cases, -21% change from previous week)
– Cumulative cases per 100k: 31,276 (17,277 total cases)
— 10.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 474 (262 total deaths)
— 17.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.5% (26,804 fully vaccinated)

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#24. Perry County, AL

– New cases per 100k in the past week: 347 (31 new cases, +24% change from previous week)
– Cumulative cases per 100k: 24,902 (2,222 total cases)
— 12.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 527 (47 total deaths)
— 30.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.3% (4,399 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#23. Tallapoosa County, AL

– New cases per 100k in the past week: 352 (142 new cases, +30% change from previous week)
– Cumulative cases per 100k: 29,698 (11,988 total cases)
— 4.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 587 (237 total deaths)
— 45.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.0% (15,736 fully vaccinated)

Calvin Beale // Wikimedia Commons

#22. Coffee County, AL

– New cases per 100k in the past week: 359 (188 new cases, +98% change from previous week)
– Cumulative cases per 100k: 27,550 (14,420 total cases)
— 2.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 451 (236 total deaths)
— 11.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.3% (24,760 fully vaccinated)

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#21. Baldwin County, AL

– New cases per 100k in the past week: 363 (810 new cases, +44% change from previous week)
– Cumulative cases per 100k: 26,863 (59,968 total cases)
— 5.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 306 (683 total deaths)
— 24.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.7% (115,450 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#20. Monroe County, AL

– New cases per 100k in the past week: 367 (76 new cases, +62% change from previous week)
– Cumulative cases per 100k: 26,740 (5,544 total cases)
— 5.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 391 (81 total deaths)
— 3.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.1% (9,140 fully vaccinated)

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#19. Talladega County, AL

– New cases per 100k in the past week: 374 (299 new cases, +48% change from previous week)
– Cumulative cases per 100k: 29,374 (23,493 total cases)
— 3.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 473 (378 total deaths)
— 17.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.0% (29,585 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#18. Cullman County, AL

– New cases per 100k in the past week: 381 (319 new cases, +20% change from previous week)
– Cumulative cases per 100k: 31,013 (25,979 total cases)
— 9.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 441 (369 total deaths)
— 9.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.5% (32,271 fully vaccinated)

M Floyd // Flickr

#17. Jefferson County, AL

– New cases per 100k in the past week: 382 (2,517 new cases, +45% change from previous week)
– Cumulative cases per 100k: 30,197 (198,871 total cases)
— 6.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 363 (2,391 total deaths)
— 10.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 59.2% (389,870 fully vaccinated)

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#16. Walker County, AL

– New cases per 100k in the past week: 386 (245 new cases, +27% change from previous week)
– Cumulative cases per 100k: 30,917 (19,639 total cases)
— 9.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 707 (449 total deaths)
— 75.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.9% (30,399 fully vaccinated)

Myself – Nathon Morris // Wikimedia Commons

#15. Lamar County, AL

– New cases per 100k in the past week: 391 (54 new cases, +64% change from previous week)
– Cumulative cases per 100k: 28,410 (3,922 total cases)
— 0.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 471 (65 total deaths)
— 16.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.5% (6,146 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#14. Coosa County, AL

– New cases per 100k in the past week: 394 (42 new cases, +56% change from previous week)
– Cumulative cases per 100k: 29,241 (3,118 total cases)
— 3.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 553 (59 total deaths)
— 36.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.0% (4,377 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#13. Conecuh County, AL

– New cases per 100k in the past week: 398 (48 new cases, +118% change from previous week)
– Cumulative cases per 100k: 25,118 (3,031 total cases)
— 11.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 580 (70 total deaths)
— 43.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.1% (5,320 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#12. Hale County, AL

– New cases per 100k in the past week: 416 (61 new cases, +144% change from previous week)
– Cumulative cases per 100k: 34,366 (5,035 total cases)
— 21.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 724 (106 total deaths)
— 79.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 61.9% (9,073 fully vaccinated)

Mccallk69 // Shutterstock

#11. Macon County, AL

– New cases per 100k in the past week: 426 (77 new cases, +57% change from previous week)
– Cumulative cases per 100k: 23,113 (4,176 total cases)
— 18.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 476 (86 total deaths)
— 17.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.9% (8,839 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#10. Henry County, AL

– New cases per 100k in the past week: 436 (75 new cases, +70% change from previous week)
– Cumulative cases per 100k: 28,364 (4,880 total cases)
— 0.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 453 (78 total deaths)
— 12.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.9% (7,899 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#9. Barbour County, AL

– New cases per 100k in the past week: 458 (113 new cases, +95% change from previous week)
– Cumulative cases per 100k: 24,419 (6,028 total cases)
— 13.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 405 (100 total deaths)
— 0.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.1% (11,379 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#8. Butler County, AL

– New cases per 100k in the past week: 458 (89 new cases, +102% change from previous week)
– Cumulative cases per 100k: 27,535 (5,355 total cases)
— 2.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 663 (129 total deaths)
— 64.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.0% (7,775 fully vaccinated)

DXR // Wikimedia Commons

#7. Dallas County, AL

– New cases per 100k in the past week: 465 (173 new cases, +75% change from previous week)
– Cumulative cases per 100k: 24,113 (8,969 total cases)
— 14.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 659 (245 total deaths)
— 63.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.1% (17,139 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#6. Autauga County, AL

– New cases per 100k in the past week: 473 (264 new cases, +82% change from previous week)
– Cumulative cases per 100k: 30,208 (16,877 total cases)
— 6.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 388 (217 total deaths)
— 4.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.5% (24,870 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#5. Elmore County, AL

– New cases per 100k in the past week: 479 (389 new cases, +54% change from previous week)
– Cumulative cases per 100k: 30,649 (24,890 total cases)
— 8.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 432 (351 total deaths)
— 6.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.1% (38,220 fully vaccinated)

Chris Pruitt // wikicommons

#4. Montgomery County, AL

– New cases per 100k in the past week: 552 (1,251 new cases, +72% change from previous week)
– Cumulative cases per 100k: 26,462 (59,932 total cases)
— 6.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 423 (959 total deaths)
— 4.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.0% (120,085 fully vaccinated)

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#3. Bullock County, AL

– New cases per 100k in the past week: 574 (58 new cases, +49% change from previous week)
– Cumulative cases per 100k: 24,928 (2,518 total cases)
— 11.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 535 (54 total deaths)
— 32.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 55.0% (5,556 fully vaccinated)

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#2. Wilcox County, AL

– New cases per 100k in the past week: 636 (66 new cases, +113% change from previous week)
– Cumulative cases per 100k: 29,413 (3,051 total cases)
— 3.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 453 (47 total deaths)
— 12.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.3% (5,634 fully vaccinated)

Altairisfar // Wikimedia Commons

#1. Lowndes County, AL

– New cases per 100k in the past week: 730 (71 new cases, +407% change from previous week)
– Cumulative cases per 100k: 28,758 (2,797 total cases)
— 1.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 792 (77 total deaths)
— 96.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.9% (5,044 fully vaccinated)