Counties with highest COVID-19 infection rates in Alabama

Published 11:03 am Thursday, July 21, 2022

DXR // 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 Jul. 20 reached over 1 million COVID-19-related deaths and 89.9 million COVID-19 cases, according to Johns Hopkins University. Currently, 67.1% of the population is fully vaccinated, and 48.1% 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. 19, 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. Washington County, AL

– New cases per 100k in the past week: 294 (48 new cases, +92% change from previous week)
– Cumulative cases per 100k: 24,164 (3,945 total cases)
— 15.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 361 (59 total deaths)
— 10.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.4% (7,569 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#49. Calhoun County, AL

– New cases per 100k in the past week: 295 (335 new cases, +5% change from previous week)
– Cumulative cases per 100k: 29,948 (34,022 total cases)
— 5.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 562 (638 total deaths)
— 38.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.6% (54,041 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#48. Marion County, AL

– New cases per 100k in the past week: 296 (88 new cases, +29% change from previous week)
– Cumulative cases per 100k: 29,045 (8,629 total cases)
— 1.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 515 (153 total deaths)
— 27.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.9% (10,950 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#47. Blount County, AL

– New cases per 100k in the past week: 313 (181 new cases, +25% change from previous week)
– Cumulative cases per 100k: 27,232 (15,747 total cases)
— 4.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 427 (247 total deaths)
— 5.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 32.1% (18,559 fully vaccinated)

Rivers Langley SaveRivers // Wikimedia Commons

#46. Russell County, AL

– New cases per 100k in the past week: 316 (183 new cases, +37% change from previous week)
– Cumulative cases per 100k: 18,899 (10,954 total cases)
— 33.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 166 (96 total deaths)
— 59.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.3% (24,545 fully vaccinated)

Calvin Beale // Wikimedia Commons

#45. Coffee County, AL

– New cases per 100k in the past week: 317 (166 new cases, -12% change from previous week)
– Cumulative cases per 100k: 27,867 (14,586 total cases)
— 2.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 451 (236 total deaths)
— 11.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.3% (24,760 fully vaccinated)

Pixabay

#44. Madison County, AL

– New cases per 100k in the past week: 320 (1,192 new cases, +10% change from previous week)
– Cumulative cases per 100k: 26,284 (98,015 total cases)
— 7.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 264 (984 total deaths)
— 34.8% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 63.1% (235,480 fully vaccinated)

Tracy Burroughs Brown // Shutterstock

#43. Tuscaloosa County, AL

– New cases per 100k in the past week: 321 (672 new cases, +54% change from previous week)
– Cumulative cases per 100k: 28,929 (60,564 total cases)
— 1.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 379 (794 total deaths)
— 6.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.3% (92,707 fully vaccinated)

Library of Congress

#42. Lee County, AL

– New cases per 100k in the past week: 325 (534 new cases, +13% change from previous week)
– Cumulative cases per 100k: 24,605 (40,485 total cases)
— 13.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 208 (342 total deaths)
— 48.6% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.8% (67,051 fully vaccinated)

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#41. Marengo County, AL

– New cases per 100k in the past week: 329 (62 new cases, +3% change from previous week)
– Cumulative cases per 100k: 29,311 (5,529 total cases)
— 2.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 573 (108 total deaths)
— 41.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.8% (10,345 fully vaccinated)

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#40. Sumter County, AL

– New cases per 100k in the past week: 330 (41 new cases, +273% change from previous week)
– Cumulative cases per 100k: 22,186 (2,757 total cases)
— 22.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 418 (52 total deaths)
— 3.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.5% (6,526 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#39. Crenshaw County, AL

– New cases per 100k in the past week: 334 (46 new cases, +24% change from previous week)
– Cumulative cases per 100k: 29,451 (4,056 total cases)
— 3.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 741 (102 total deaths)
— 83.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.8% (4,795 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#38. Randolph County, AL

– New cases per 100k in the past week: 343 (78 new cases, +66% change from previous week)
– Cumulative cases per 100k: 23,532 (5,347 total cases)
— 17.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 330 (75 total deaths)
— 18.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 33.4% (7,583 fully vaccinated)

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#37. Greene County, AL

– New cases per 100k in the past week: 345 (28 new cases, +33% change from previous week)
– Cumulative cases per 100k: 24,917 (2,021 total cases)
— 12.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 629 (51 total deaths)
— 55.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.7% (4,193 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#36. Shelby County, AL

– New cases per 100k in the past week: 345 (751 new cases, +5% change from previous week)
– Cumulative cases per 100k: 30,104 (65,538 total cases)
— 5.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 211 (459 total deaths)
— 47.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.8% (80,063 fully vaccinated)

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#35. Perry County, AL

– New cases per 100k in the past week: 347 (31 new cases, 0% change from previous week)
– Cumulative cases per 100k: 25,249 (2,253 total cases)
— 11.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 527 (47 total deaths)
— 30.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.3% (4,399 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#34. Limestone County, AL

– New cases per 100k in the past week: 351 (347 new cases, +5% change from previous week)
– Cumulative cases per 100k: 27,223 (26,928 total cases)
— 4.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 302 (299 total deaths)
— 25.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.3% (38,855 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#33. Butler County, AL

– New cases per 100k in the past week: 355 (69 new cases, -22% change from previous week)
– Cumulative cases per 100k: 27,890 (5,424 total cases)
— 2.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 663 (129 total deaths)
— 63.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.0% (7,775 fully vaccinated)

Altairisfar // Wikicommons

#32. Mobile County, AL

– New cases per 100k in the past week: 356 (1,469 new cases, +23% change from previous week)
– Cumulative cases per 100k: 29,042 (120,004 total cases)
— 1.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 405 (1,673 total deaths)
— 0.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.6% (209,107 fully vaccinated)

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#31. Baldwin County, AL

– New cases per 100k in the past week: 362 (807 new cases, 0% change from previous week)
– Cumulative cases per 100k: 27,225 (60,775 total cases)
— 4.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 306 (684 total deaths)
— 24.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.7% (115,450 fully vaccinated)

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#30. Walker County, AL

– New cases per 100k in the past week: 362 (230 new cases, -6% change from previous week)
– Cumulative cases per 100k: 31,279 (19,869 total cases)
— 9.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 710 (451 total deaths)
— 75.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.9% (30,399 fully vaccinated)

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#29. Lamar County, AL

– New cases per 100k in the past week: 369 (51 new cases, -6% change from previous week)
– Cumulative cases per 100k: 28,779 (3,973 total cases)
— 0.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 471 (65 total deaths)
— 16.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.5% (6,146 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#28. Covington County, AL

– New cases per 100k in the past week: 389 (144 new cases, +27% change from previous week)
– Cumulative cases per 100k: 27,013 (10,008 total cases)
— 5.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 634 (235 total deaths)
— 56.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.5% (14,260 fully vaccinated)

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#27. Jefferson County, AL

– New cases per 100k in the past week: 389 (2,562 new cases, +2% change from previous week)
– Cumulative cases per 100k: 30,586 (201,433 total cases)
— 7.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 363 (2,393 total deaths)
— 10.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 59.2% (389,870 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#26. Henry County, AL

– New cases per 100k in the past week: 395 (68 new cases, -9% change from previous week)
– Cumulative cases per 100k: 28,759 (4,948 total cases)
— 0.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 453 (78 total deaths)
— 11.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.9% (7,899 fully vaccinated)

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

#25. Houston County, AL

– New cases per 100k in the past week: 400 (423 new cases, +34% change from previous week)
– Cumulative cases per 100k: 26,199 (27,740 total cases)
— 8.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 483 (511 total deaths)
— 19.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.8% (46,405 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#24. Hale County, AL

– New cases per 100k in the past week: 410 (60 new cases, -2% change from previous week)
– Cumulative cases per 100k: 34,776 (5,095 total cases)
— 21.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 724 (106 total deaths)
— 78.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 61.9% (9,073 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#23. St. Clair County, AL

– New cases per 100k in the past week: 426 (381 new cases, +29% change from previous week)
– Cumulative cases per 100k: 30,505 (27,306 total cases)
— 6.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 467 (418 total deaths)
— 15.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.6% (35,465 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#22. Cullman County, AL

– New cases per 100k in the past week: 426 (357 new cases, +12% change from previous week)
– Cumulative cases per 100k: 31,439 (26,336 total cases)
— 10.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 442 (370 total deaths)
— 9.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.5% (32,271 fully vaccinated)

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#21. Tallapoosa County, AL

– New cases per 100k in the past week: 436 (176 new cases, +24% change from previous week)
– Cumulative cases per 100k: 30,134 (12,164 total cases)
— 5.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 592 (239 total deaths)
— 46.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.0% (15,736 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#20. Barbour County, AL

– New cases per 100k in the past week: 446 (110 new cases, -3% change from previous week)
– Cumulative cases per 100k: 24,864 (6,138 total cases)
— 12.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 405 (100 total deaths)
— 0.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.1% (11,379 fully vaccinated)

JNix // Shutterstock

#19. Clay County, AL

– New cases per 100k in the past week: 446 (59 new cases, +34% change from previous week)
– Cumulative cases per 100k: 32,739 (4,333 total cases)
— 14.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 627 (83 total deaths)
— 54.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.5% (5,623 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#18. Autauga County, AL

– New cases per 100k in the past week: 447 (250 new cases, -5% change from previous week)
– Cumulative cases per 100k: 30,656 (17,127 total cases)
— 7.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 388 (217 total deaths)
— 4.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.5% (24,870 fully vaccinated)

Dailynetworks // Wikimedia Commons

#17. Colbert County, AL

– New cases per 100k in the past week: 451 (249 new cases, +30% change from previous week)
– Cumulative cases per 100k: 31,726 (17,526 total cases)
— 11.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 476 (263 total deaths)
— 17.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.5% (26,804 fully vaccinated)

Michael Rivera // Wikimedia Commons

#16. Dale County, AL

– New cases per 100k in the past week: 462 (227 new cases, +36% change from previous week)
– Cumulative cases per 100k: 28,327 (13,929 total cases)
— 0.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 474 (233 total deaths)
— 17.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.1% (23,664 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#15. Conecuh County, AL

– New cases per 100k in the past week: 472 (57 new cases, +19% change from previous week)
– Cumulative cases per 100k: 25,590 (3,088 total cases)
— 10.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 580 (70 total deaths)
— 43.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.1% (5,320 fully vaccinated)

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#14. Bullock County, AL

– New cases per 100k in the past week: 475 (48 new cases, -17% change from previous week)
– Cumulative cases per 100k: 25,403 (2,566 total cases)
— 11.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 535 (54 total deaths)
— 32.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 55.0% (5,556 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#13. Elmore County, AL

– New cases per 100k in the past week: 475 (386 new cases, -1% change from previous week)
– Cumulative cases per 100k: 31,125 (25,276 total cases)
— 9.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 433 (352 total deaths)
— 6.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.1% (38,220 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#12. Talladega County, AL

– New cases per 100k in the past week: 481 (385 new cases, +29% change from previous week)
– Cumulative cases per 100k: 29,856 (23,878 total cases)
— 4.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 473 (378 total deaths)
— 16.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.0% (29,585 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#11. Monroe County, AL

– New cases per 100k in the past week: 482 (100 new cases, +32% change from previous week)
– Cumulative cases per 100k: 27,222 (5,644 total cases)
— 4.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 391 (81 total deaths)
— 3.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.1% (9,140 fully vaccinated)

Altairisfar // Wikimedia Commons

#10. Lowndes County, AL

– New cases per 100k in the past week: 483 (47 new cases, -34% change from previous week)
– Cumulative cases per 100k: 29,241 (2,844 total cases)
— 2.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 792 (77 total deaths)
— 95.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.9% (5,044 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#9. Chambers County, AL

– New cases per 100k in the past week: 487 (162 new cases, +60% change from previous week)
– Cumulative cases per 100k: 27,461 (9,132 total cases)
— 3.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 496 (165 total deaths)
— 22.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 32.0% (10,643 fully vaccinated)

MPearsallArt // Wikimedia Commons

#8. Morgan County, AL

– New cases per 100k in the past week: 488 (584 new cases, +42% change from previous week)
– Cumulative cases per 100k: 32,256 (38,604 total cases)
— 13.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 434 (519 total deaths)
— 7.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.1% (52,772 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#7. Coosa County, AL

– New cases per 100k in the past week: 497 (53 new cases, +26% change from previous week)
– Cumulative cases per 100k: 29,738 (3,171 total cases)
— 4.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 553 (59 total deaths)
— 36.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.0% (4,377 fully vaccinated)

Altairisfar // Wikimedia Commons

#6. Clarke County, AL

– New cases per 100k in the past week: 508 (120 new cases, +85% change from previous week)
– Cumulative cases per 100k: 31,775 (7,506 total cases)
— 11.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 428 (101 total deaths)
— 5.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.6% (12,181 fully vaccinated)

Chris Pruitt // wikicommons

#5. Montgomery County, AL

– New cases per 100k in the past week: 518 (1,174 new cases, -6% change from previous week)
– Cumulative cases per 100k: 26,980 (61,106 total cases)
— 5.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 423 (959 total deaths)
— 4.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.0% (120,085 fully vaccinated)

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#4. Escambia County, AL

– New cases per 100k in the past week: 519 (190 new cases, +184% change from previous week)
– Cumulative cases per 100k: 29,427 (10,780 total cases)
— 3.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 472 (173 total deaths)
— 16.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.1% (13,587 fully vaccinated)

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#3. Wilcox County, AL

– New cases per 100k in the past week: 559 (58 new cases, -12% change from previous week)
– Cumulative cases per 100k: 29,972 (3,109 total cases)
— 5.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 463 (48 total deaths)
— 14.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.3% (5,634 fully vaccinated)

Mccallk69 // Shutterstock

#2. Macon County, AL

– New cases per 100k in the past week: 570 (103 new cases, +34% change from previous week)
– Cumulative cases per 100k: 23,683 (4,279 total cases)
— 17.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 476 (86 total deaths)
— 17.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.9% (8,839 fully vaccinated)

DXR // Wikimedia Commons

#1. Dallas County, AL

– New cases per 100k in the past week: 653 (243 new cases, +40% change from previous week)
– Cumulative cases per 100k: 24,766 (9,212 total cases)
— 13.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 659 (245 total deaths)
— 62.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.1% (17,139 fully vaccinated)