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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 Aug. 10 reached over 1 million COVID-19-related deaths and 92.4 million COVID-19 cases, according to Johns Hopkins University. Currently, 67.2% of the population is fully vaccinated, and 48.2% of vaccinated people have received booster doses.

Stacker compiled a list of the counties with highest COVID-19 infection rates in Alabama using data from the U.S. Department of Health & Human Services and vaccination data from Covid Act Now. Counties are ranked by the highest infection rate per 100,000 residents within the week leading up to Aug. 9, 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. Wilcox County, AL

– New cases per 100k in the past week: 193 (20 new cases, -35% change from previous week)
– Cumulative cases per 100k: 30,898 (3,205 total cases)
— 4.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 463 (48 total deaths)
— 13.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.5% (5,658 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#49. Covington County, AL

– New cases per 100k in the past week: 200 (74 new cases, +1% change from previous week)
– Cumulative cases per 100k: 27,763 (10,286 total cases)
— 5.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 650 (241 total deaths)
— 59.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.6% (14,295 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#48. Cherokee County, AL

– New cases per 100k in the past week: 202 (53 new cases, +20% change from previous week)
– Cumulative cases per 100k: 21,305 (5,581 total cases)
— 27.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 332 (87 total deaths)
— 18.6% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 31.3% (8,211 fully vaccinated)

Rivers Langley SaveRivers // Wikimedia Commons

#47. Russell County, AL

– New cases per 100k in the past week: 204 (118 new cases, +4% change from previous week)
– Cumulative cases per 100k: 19,603 (11,362 total cases)
— 33.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 166 (96 total deaths)
— 59.3% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.7% (24,735 fully vaccinated)

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#46. Escambia County, AL

– New cases per 100k in the past week: 207 (76 new cases, +33% change from previous week)
– Cumulative cases per 100k: 30,071 (11,016 total cases)
— 2.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 478 (175 total deaths)
— 17.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.2% (13,634 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#45. Calhoun County, AL

– New cases per 100k in the past week: 210 (239 new cases, +4% change from previous week)
– Cumulative cases per 100k: 30,625 (34,792 total cases)
— 3.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 562 (639 total deaths)
— 37.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.7% (54,225 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#44. Randolph County, AL

– New cases per 100k in the past week: 216 (49 new cases, +36% change from previous week)
– Cumulative cases per 100k: 24,223 (5,504 total cases)
— 17.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 330 (75 total deaths)
— 19.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 33.5% (7,613 fully vaccinated)

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#43. Madison County, AL

– New cases per 100k in the past week: 219 (815 new cases, +8% change from previous week)
– Cumulative cases per 100k: 27,033 (100,807 total cases)
— 8.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 266 (991 total deaths)
— 34.8% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 63.5% (236,684 fully vaccinated)

Altairisfar // Wikicommons

#42. Mobile County, AL

– New cases per 100k in the past week: 219 (903 new cases, +13% change from previous week)
– Cumulative cases per 100k: 29,791 (123,099 total cases)
— 1.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 408 (1,687 total deaths)
— 0.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.8% (209,991 fully vaccinated)

Springfieldohio // Wikimedia Commons

#41. Jackson County, AL

– New cases per 100k in the past week: 219 (113 new cases, -12% change from previous week)
– Cumulative cases per 100k: 31,174 (16,094 total cases)
— 5.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 477 (246 total deaths)
— 16.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.3% (25,946 fully vaccinated)

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#40. Bibb County, AL

– New cases per 100k in the past week: 219 (49 new cases, +29% change from previous week)
– Cumulative cases per 100k: 31,241 (6,996 total cases)
— 6.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 469 (105 total deaths)
— 15.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 35.5% (7,951 fully vaccinated)

Altairisfar // Wikimedia Commons

#39. Lowndes County, AL

– New cases per 100k in the past week: 226 (22 new cases, +57% change from previous week)
– Cumulative cases per 100k: 29,940 (2,912 total cases)
— 1.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 812 (79 total deaths)
— 99.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.1% (5,066 fully vaccinated)

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#38. DeKalb County, AL

– New cases per 100k in the past week: 228 (163 new cases, +13% change from previous week)
– Cumulative cases per 100k: 28,033 (20,047 total cases)
— 4.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 467 (334 total deaths)
— 14.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.6% (24,710 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#37. Conecuh County, AL

– New cases per 100k in the past week: 232 (28 new cases, +33% change from previous week)
– Cumulative cases per 100k: 26,411 (3,187 total cases)
— 10.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 588 (71 total deaths)
— 44.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.3% (5,343 fully vaccinated)

Jodybwiki // Wikimedia Commons

#36. Baldwin County, AL

– New cases per 100k in the past week: 232 (519 new cases, +16% change from previous week)
– Cumulative cases per 100k: 27,991 (62,486 total cases)
— 5.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 310 (691 total deaths)
— 24.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.9% (115,953 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#35. Franklin County, AL

– New cases per 100k in the past week: 233 (73 new cases, +35% change from previous week)
– Cumulative cases per 100k: 33,215 (10,417 total cases)
— 12.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 446 (140 total deaths)
— 9.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.4% (13,914 fully vaccinated)

DXR // Wikimedia Commons

#34. Dallas County, AL

– New cases per 100k in the past week: 234 (87 new cases, -11% change from previous week)
– Cumulative cases per 100k: 25,804 (9,598 total cases)
— 12.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 669 (249 total deaths)
— 64.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.3% (17,218 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#33. Limestone County, AL

– New cases per 100k in the past week: 234 (231 new cases, +22% change from previous week)
– Cumulative cases per 100k: 27,964 (27,661 total cases)
— 5.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 302 (299 total deaths)
— 26.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.4% (39,001 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#32. Shelby County, AL

– New cases per 100k in the past week: 238 (519 new cases, +43% change from previous week)
– Cumulative cases per 100k: 30,840 (67,139 total cases)
— 4.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 213 (464 total deaths)
— 47.8% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.9% (80,389 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#31. Marion County, AL

– New cases per 100k in the past week: 242 (72 new cases, -8% change from previous week)
– Cumulative cases per 100k: 29,829 (8,862 total cases)
— 1.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 515 (153 total deaths)
— 26.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.9% (10,970 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#30. Talladega County, AL

– New cases per 100k in the past week: 244 (195 new cases, +20% change from previous week)
– Cumulative cases per 100k: 30,681 (24,538 total cases)
— 4.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 476 (381 total deaths)
— 16.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.1% (29,709 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#29. Autauga County, AL

– New cases per 100k in the past week: 245 (137 new cases, +15% change from previous week)
– Cumulative cases per 100k: 31,511 (17,605 total cases)
— 6.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 396 (221 total deaths)
— 2.9% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.8% (25,017 fully vaccinated)

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#28. Perry County, AL

– New cases per 100k in the past week: 247 (22 new cases, -8% change from previous week)
– Cumulative cases per 100k: 26,124 (2,331 total cases)
— 11.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 527 (47 total deaths)
— 29.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.5% (4,413 fully vaccinated)

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

#27. Houston County, AL

– New cases per 100k in the past week: 247 (262 new cases, +16% change from previous week)
– Cumulative cases per 100k: 26,965 (28,551 total cases)
— 8.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 485 (513 total deaths)
— 18.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.0% (46,550 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#26. Monroe County, AL

– New cases per 100k in the past week: 251 (52 new cases, -34% change from previous week)
– Cumulative cases per 100k: 28,279 (5,863 total cases)
— 4.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 391 (81 total deaths)
— 4.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.2% (9,168 fully vaccinated)

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#25. Tuscaloosa County, AL

– New cases per 100k in the past week: 253 (530 new cases, +1% change from previous week)
– Cumulative cases per 100k: 29,674 (62,124 total cases)
— 0.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 382 (800 total deaths)
— 6.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.4% (92,981 fully vaccinated)

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#24. Macon County, AL

– New cases per 100k in the past week: 255 (46 new cases, +21% change from previous week)
– Cumulative cases per 100k: 24,640 (4,452 total cases)
— 16.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 476 (86 total deaths)
— 16.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.0% (8,861 fully vaccinated)

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#23. Geneva County, AL

– New cases per 100k in the past week: 255 (67 new cases, +20% change from previous week)
– Cumulative cases per 100k: 26,904 (7,068 total cases)
— 8.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 628 (165 total deaths)
— 53.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.6% (10,676 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#22. Cullman County, AL

– New cases per 100k in the past week: 255 (214 new cases, -4% change from previous week)
– Cumulative cases per 100k: 32,315 (27,070 total cases)
— 9.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 443 (371 total deaths)
— 8.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.6% (32,355 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#21. Henry County, AL

– New cases per 100k in the past week: 262 (45 new cases, +2% change from previous week)
– Cumulative cases per 100k: 29,677 (5,106 total cases)
— 0.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 453 (78 total deaths)
— 11.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.0% (7,916 fully vaccinated)

Library of Congress

#20. Lee County, AL

– New cases per 100k in the past week: 263 (432 new cases, +11% change from previous week)
– Cumulative cases per 100k: 25,460 (41,892 total cases)
— 13.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 210 (346 total deaths)
— 48.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.0% (67,519 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#19. St. Clair County, AL

– New cases per 100k in the past week: 269 (241 new cases, +14% change from previous week)
– Cumulative cases per 100k: 31,418 (28,123 total cases)
— 6.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 474 (424 total deaths)
— 16.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.8% (35,611 fully vaccinated)

Chris Pruitt // wikicommons

#18. Montgomery County, AL

– New cases per 100k in the past week: 276 (625 new cases, +1% change from previous week)
– Cumulative cases per 100k: 27,961 (63,328 total cases)
— 5.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 429 (971 total deaths)
— 5.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.3% (120,741 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#17. Crenshaw County, AL

– New cases per 100k in the past week: 283 (39 new cases, +22% change from previous week)
– Cumulative cases per 100k: 30,257 (4,167 total cases)
— 2.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 741 (102 total deaths)
— 81.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 35.0% (4,819 fully vaccinated)

M Floyd // Flickr

#16. Jefferson County, AL

– New cases per 100k in the past week: 283 (1,862 new cases, +12% change from previous week)
– Cumulative cases per 100k: 31,509 (207,512 total cases)
— 6.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 365 (2,402 total deaths)
— 10.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 59.5% (391,783 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#15. Elmore County, AL

– New cases per 100k in the past week: 286 (232 new cases, -9% change from previous week)
– Cumulative cases per 100k: 32,256 (26,195 total cases)
— 9.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 433 (352 total deaths)
— 6.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.2% (38,363 fully vaccinated)

Wayne James // Shutterstock

#14. Lauderdale County, AL

– New cases per 100k in the past week: 291 (270 new cases, +24% change from previous week)
– Cumulative cases per 100k: 28,509 (26,436 total cases)
— 3.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 436 (404 total deaths)
— 6.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.5% (44,000 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#13. Barbour County, AL

– New cases per 100k in the past week: 300 (74 new cases, +16% change from previous week)
– Cumulative cases per 100k: 25,853 (6,382 total cases)
— 12.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 409 (101 total deaths)
— 0.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.3% (11,433 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#12. Butler County, AL

– New cases per 100k in the past week: 309 (60 new cases, +58% change from previous week)
– Cumulative cases per 100k: 28,831 (5,607 total cases)
— 2.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 663 (129 total deaths)
— 62.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.1% (7,808 fully vaccinated)

Myself – Nathon Morris // Wikimedia Commons

#11. Lamar County, AL

– New cases per 100k in the past week: 311 (43 new cases, -2% change from previous week)
– Cumulative cases per 100k: 29,699 (4,100 total cases)
— 0.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 478 (66 total deaths)
— 17.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.6% (6,162 fully vaccinated)

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#10. Winston County, AL

– New cases per 100k in the past week: 313 (74 new cases, +12% change from previous week)
– Cumulative cases per 100k: 34,394 (8,127 total cases)
— 16.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 567 (134 total deaths)
— 39.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 22.3% (5,259 fully vaccinated)

Michael Rivera // Wikimedia Commons

#9. Dale County, AL

– New cases per 100k in the past week: 325 (160 new cases, +6% change from previous week)
– Cumulative cases per 100k: 29,442 (14,477 total cases)
— 0.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 478 (235 total deaths)
— 17.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.3% (23,756 fully vaccinated)

MPearsallArt // Wikimedia Commons

#8. Morgan County, AL

– New cases per 100k in the past week: 326 (390 new cases, +11% change from previous week)
– Cumulative cases per 100k: 33,350 (39,913 total cases)
— 13.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 438 (524 total deaths)
— 7.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.2% (52,920 fully vaccinated)

Dailynetworks // Wikimedia Commons

#7. Colbert County, AL

– New cases per 100k in the past week: 331 (183 new cases, +21% change from previous week)
– Cumulative cases per 100k: 32,816 (18,128 total cases)
— 11.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 480 (265 total deaths)
— 17.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.7% (26,886 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#6. Chambers County, AL

– New cases per 100k in the past week: 337 (112 new cases, +27% change from previous week)
– Cumulative cases per 100k: 28,568 (9,500 total cases)
— 3.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 496 (165 total deaths)
— 21.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 32.2% (10,695 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#5. Coosa County, AL

– New cases per 100k in the past week: 347 (37 new cases, +68% change from previous week)
– Cumulative cases per 100k: 30,657 (3,269 total cases)
— 4.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 553 (59 total deaths)
— 35.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.2% (4,396 fully vaccinated)

Calvin Beale // Wikimedia Commons

#4. Coffee County, AL

– New cases per 100k in the past week: 352 (184 new cases, +23% change from previous week)
– Cumulative cases per 100k: 28,872 (15,112 total cases)
— 2.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 453 (237 total deaths)
— 11.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.6% (24,908 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#3. Tallapoosa County, AL

– New cases per 100k in the past week: 367 (148 new cases, +18% change from previous week)
– Cumulative cases per 100k: 31,298 (12,634 total cases)
— 6.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 599 (242 total deaths)
— 46.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.1% (15,777 fully vaccinated)

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#2. Walker County, AL

– New cases per 100k in the past week: 367 (233 new cases, +31% change from previous week)
– Cumulative cases per 100k: 32,339 (20,542 total cases)
— 9.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 713 (453 total deaths)
— 74.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.0% (30,520 fully vaccinated)

JNix // Shutterstock

#1. Clay County, AL

– New cases per 100k in the past week: 370 (49 new cases, +36% change from previous week)
– Cumulative cases per 100k: 33,804 (4,474 total cases)
— 14.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 627 (83 total deaths)
— 53.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.6% (5,644 fully vaccinated)