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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. 17 reached over 1 million COVID-19-related deaths and 93.2 million COVID-19 cases, according to Johns Hopkins University. Currently, 67.3% of the population is fully vaccinated, and 48.3% of vaccinated people have received booster doses.

Stacker compiled a list of the counties with highest COVID-19 infection rates in Alabama using data from the U.S. Department of Health & Human Services and vaccination data from Covid Act Now. Counties are ranked by the highest infection rate per 100,000 residents within the week leading up to Aug. 16, 2022. Cumulative cases per 100,000 served as a tiebreaker.

Keep reading to see whether your county ranks among the highest COVID-19 infection rates in your state.

Rudi Weikard // Wikimedia Commons

#50. Franklin County, AL

– New cases per 100k in the past week: 226 (71 new cases, -3% change from previous week)
– Cumulative cases per 100k: 33,442 (10,488 total cases)
— 12.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 446 (140 total deaths)
— 9.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.5% (13,964 fully vaccinated)

Altairisfar // Wikicommons

#49. Mobile County, AL

– New cases per 100k in the past week: 228 (943 new cases, +4% change from previous week)
– Cumulative cases per 100k: 30,019 (124,042 total cases)
— 0.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 410 (1,693 total deaths)
— 0.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.9% (210,426 fully vaccinated)

Springfieldohio // Wikimedia Commons

#48. Jackson County, AL

– New cases per 100k in the past week: 229 (118 new cases, +4% change from previous week)
– Cumulative cases per 100k: 31,403 (16,212 total cases)
— 5.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 477 (246 total deaths)
— 16.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.3% (25,967 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#47. Calhoun County, AL

– New cases per 100k in the past week: 232 (263 new cases, +10% change from previous week)
– Cumulative cases per 100k: 30,857 (35,055 total cases)
— 3.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 563 (640 total deaths)
— 37.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.9% (54,450 fully vaccinated)

Rivers Langley SaveRivers // Wikimedia Commons

#46. Russell County, AL

– New cases per 100k in the past week: 240 (139 new cases, +18% change from previous week)
– Cumulative cases per 100k: 19,843 (11,501 total cases)
— 33.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 167 (97 total deaths)
— 59.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.8% (24,783 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#45. Conecuh County, AL

– New cases per 100k in the past week: 240 (29 new cases, +4% change from previous week)
– Cumulative cases per 100k: 26,651 (3,216 total cases)
— 10.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 597 (72 total deaths)
— 46.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.6% (5,378 fully vaccinated)

Jodybwiki // Wikimedia Commons

#44. Baldwin County, AL

– New cases per 100k in the past week: 240 (536 new cases, +3% change from previous week)
– Cumulative cases per 100k: 28,231 (63,022 total cases)
— 5.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 310 (693 total deaths)
— 24.2% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.0% (116,121 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#43. Crenshaw County, AL

– New cases per 100k in the past week: 240 (33 new cases, -15% change from previous week)
– Cumulative cases per 100k: 30,497 (4,200 total cases)
— 2.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 741 (102 total deaths)
— 81.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 35.0% (4,825 fully vaccinated)

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#42. Sumter County, AL

– New cases per 100k in the past week: 241 (30 new cases, +233% change from previous week)
– Cumulative cases per 100k: 22,982 (2,856 total cases)
— 22.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 418 (52 total deaths)
— 2.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.0% (6,586 fully vaccinated)

Tracy Burroughs Brown // Shutterstock

#41. Tuscaloosa County, AL

– New cases per 100k in the past week: 244 (511 new cases, -4% change from previous week)
– Cumulative cases per 100k: 29,918 (62,635 total cases)
— 0.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 384 (804 total deaths)
— 6.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.5% (93,141 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#40. Covington County, AL

– New cases per 100k in the past week: 248 (92 new cases, +24% change from previous week)
– Cumulative cases per 100k: 28,012 (10,378 total cases)
— 5.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 656 (243 total deaths)
— 60.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.6% (14,307 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#39. Shelby County, AL

– New cases per 100k in the past week: 248 (540 new cases, +4% change from previous week)
– Cumulative cases per 100k: 31,088 (67,679 total cases)
— 4.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 214 (465 total deaths)
— 47.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.0% (80,502 fully vaccinated)

Library of Congress

#38. Lee County, AL

– New cases per 100k in the past week: 252 (414 new cases, -4% change from previous week)
– Cumulative cases per 100k: 25,711 (42,306 total cases)
— 13.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 211 (347 total deaths)
— 48.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.1% (67,637 fully vaccinated)

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#37. Pickens County, AL

– New cases per 100k in the past week: 256 (51 new cases, +76% change from previous week)
– Cumulative cases per 100k: 28,359 (5,652 total cases)
— 4.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 532 (106 total deaths)
— 30.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.7% (10,104 fully vaccinated)

JNix // Shutterstock

#36. Clay County, AL

– New cases per 100k in the past week: 257 (34 new cases, -31% change from previous week)
– Cumulative cases per 100k: 34,061 (4,508 total cases)
— 14.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 635 (84 total deaths)
— 55.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.8% (5,665 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#35. Cherokee County, AL

– New cases per 100k in the past week: 263 (69 new cases, +30% change from previous week)
– Cumulative cases per 100k: 21,568 (5,650 total cases)
— 27.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 332 (87 total deaths)
— 18.8% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 31.5% (8,246 fully vaccinated)

Chris Pruitt // wikicommons

#34. Montgomery County, AL

– New cases per 100k in the past week: 268 (608 new cases, -3% change from previous week)
– Cumulative cases per 100k: 28,230 (63,936 total cases)
— 5.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 430 (975 total deaths)
— 5.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.5% (121,144 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#33. Monroe County, AL

– New cases per 100k in the past week: 270 (56 new cases, +8% change from previous week)
– Cumulative cases per 100k: 28,549 (5,919 total cases)
— 4.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 391 (81 total deaths)
— 4.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.2% (9,172 fully vaccinated)

Wmr36104 // Wikimedia Commons

#32. Geneva County, AL

– New cases per 100k in the past week: 278 (73 new cases, +9% change from previous week)
– Cumulative cases per 100k: 27,182 (7,141 total cases)
— 8.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 628 (165 total deaths)
— 53.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.8% (10,712 fully vaccinated)

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

#31. Houston County, AL

– New cases per 100k in the past week: 281 (297 new cases, +13% change from previous week)
– Cumulative cases per 100k: 27,245 (28,848 total cases)
— 8.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 486 (515 total deaths)
— 18.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.0% (46,600 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#30. Elmore County, AL

– New cases per 100k in the past week: 286 (232 new cases, 0% change from previous week)
– Cumulative cases per 100k: 32,542 (26,427 total cases)
— 9.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 436 (354 total deaths)
— 6.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.3% (38,433 fully vaccinated)

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#29. Bullock County, AL

– New cases per 100k in the past week: 287 (29 new cases, +262% change from previous week)
– Cumulative cases per 100k: 26,334 (2,660 total cases)
— 11.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 535 (54 total deaths)
— 30.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 55.5% (5,606 fully vaccinated)

Mccallk69 // Shutterstock

#28. Macon County, AL

– New cases per 100k in the past week: 288 (52 new cases, +13% change from previous week)
– Cumulative cases per 100k: 24,928 (4,504 total cases)
— 16.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 476 (86 total deaths)
— 16.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.1% (8,876 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#27. Barbour County, AL

– New cases per 100k in the past week: 288 (71 new cases, -4% change from previous week)
– Cumulative cases per 100k: 26,140 (6,453 total cases)
— 12.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 409 (101 total deaths)
— 0.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.5% (11,480 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#26. Talladega County, AL

– New cases per 100k in the past week: 290 (232 new cases, +19% change from previous week)
– Cumulative cases per 100k: 30,971 (24,770 total cases)
— 4.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 476 (381 total deaths)
— 16.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.2% (29,740 fully vaccinated)

DXR // Wikimedia Commons

#25. Dallas County, AL

– New cases per 100k in the past week: 298 (111 new cases, +28% change from previous week)
– Cumulative cases per 100k: 26,102 (9,709 total cases)
— 12.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 675 (251 total deaths)
— 65.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.4% (17,243 fully vaccinated)

Kreeder13 // Wikimedia Commons

#24. Pike County, AL

– New cases per 100k in the past week: 299 (99 new cases, +125% change from previous week)
– Cumulative cases per 100k: 24,917 (8,251 total cases)
— 16.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 414 (137 total deaths)
— 1.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.9% (14,204 fully vaccinated)

Wayne James // Shutterstock

#23. Lauderdale County, AL

– New cases per 100k in the past week: 304 (282 new cases, +4% change from previous week)
– Cumulative cases per 100k: 28,813 (26,718 total cases)
— 3.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 436 (404 total deaths)
— 6.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.5% (44,085 fully vaccinated)

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#22. Madison County, AL

– New cases per 100k in the past week: 305 (1,137 new cases, +40% change from previous week)
– Cumulative cases per 100k: 27,338 (101,944 total cases)
— 8.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 266 (993 total deaths)
— 35.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 63.6% (237,083 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#21. St. Clair County, AL

– New cases per 100k in the past week: 308 (276 new cases, +15% change from previous week)
– Cumulative cases per 100k: 31,726 (28,399 total cases)
— 6.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 475 (425 total deaths)
— 16.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.8% (35,650 fully vaccinated)

M Floyd // Flickr

#20. Jefferson County, AL

– New cases per 100k in the past week: 308 (2,030 new cases, +9% change from previous week)
– Cumulative cases per 100k: 31,818 (209,542 total cases)
— 6.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 365 (2,402 total deaths)
— 10.8% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 59.6% (392,587 fully vaccinated)

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#19. Lawrence County, AL

– New cases per 100k in the past week: 313 (103 new cases, +94% change from previous week)
– Cumulative cases per 100k: 25,404 (8,364 total cases)
— 14.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 510 (168 total deaths)
— 24.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.7% (15,692 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#18. Cullman County, AL

– New cases per 100k in the past week: 316 (265 new cases, +24% change from previous week)
– Cumulative cases per 100k: 32,632 (27,335 total cases)
— 9.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 445 (373 total deaths)
— 8.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.7% (32,403 fully vaccinated)

Michael Rivera // Wikimedia Commons

#17. Dale County, AL

– New cases per 100k in the past week: 321 (158 new cases, -1% change from previous week)
– Cumulative cases per 100k: 29,763 (14,635 total cases)
— 0.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 480 (236 total deaths)
— 17.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.4% (23,822 fully vaccinated)

MPearsallArt // Wikimedia Commons

#16. Morgan County, AL

– New cases per 100k in the past week: 322 (385 new cases, -1% change from previous week)
– Cumulative cases per 100k: 33,672 (40,298 total cases)
— 13.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 439 (525 total deaths)
— 7.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.3% (53,015 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#15. Chambers County, AL

– New cases per 100k in the past week: 325 (108 new cases, -4% change from previous week)
– Cumulative cases per 100k: 28,893 (9,608 total cases)
— 2.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 496 (165 total deaths)
— 21.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 32.4% (10,761 fully vaccinated)

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#14. Bibb County, AL

– New cases per 100k in the past week: 330 (74 new cases, +51% change from previous week)
– Cumulative cases per 100k: 31,571 (7,070 total cases)
— 6.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 469 (105 total deaths)
— 14.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 35.7% (7,986 fully vaccinated)

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#13. Winston County, AL

– New cases per 100k in the past week: 334 (79 new cases, +7% change from previous week)
– Cumulative cases per 100k: 34,729 (8,206 total cases)
— 16.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 567 (134 total deaths)
— 38.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 22.3% (5,262 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#12. Henry County, AL

– New cases per 100k in the past week: 355 (61 new cases, +36% change from previous week)
– Cumulative cases per 100k: 30,032 (5,167 total cases)
— 0.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 453 (78 total deaths)
— 10.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.1% (7,923 fully vaccinated)

Myself – Nathon Morris // Wikimedia Commons

#11. Lamar County, AL

– New cases per 100k in the past week: 355 (49 new cases, +14% change from previous week)
– Cumulative cases per 100k: 30,054 (4,149 total cases)
— 1.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 478 (66 total deaths)
— 16.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.7% (6,171 fully vaccinated)

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#10. Walker County, AL

– New cases per 100k in the past week: 356 (226 new cases, -3% change from previous week)
– Cumulative cases per 100k: 32,695 (20,768 total cases)
— 9.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 718 (456 total deaths)
— 75.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.1% (30,560 fully vaccinated)

Calvin Beale // Wikimedia Commons

#9. Coffee County, AL

– New cases per 100k in the past week: 357 (187 new cases, +2% change from previous week)
– Cumulative cases per 100k: 29,229 (15,299 total cases)
— 1.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 453 (237 total deaths)
— 10.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.8% (25,015 fully vaccinated)

Altairisfar // Wikimedia Commons

#8. Clarke County, AL

– New cases per 100k in the past week: 360 (85 new cases, +98% change from previous week)
– Cumulative cases per 100k: 33,075 (7,813 total cases)
— 11.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 440 (104 total deaths)
— 7.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.7% (12,221 fully vaccinated)

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#7. Escambia County, AL

– New cases per 100k in the past week: 374 (137 new cases, +80% change from previous week)
– Cumulative cases per 100k: 30,445 (11,153 total cases)
— 2.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 478 (175 total deaths)
— 16.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.3% (13,655 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#6. Tallapoosa County, AL

– New cases per 100k in the past week: 377 (152 new cases, +3% change from previous week)
– Cumulative cases per 100k: 31,674 (12,786 total cases)
— 6.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 604 (244 total deaths)
— 47.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.1% (15,788 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#5. Butler County, AL

– New cases per 100k in the past week: 396 (77 new cases, +28% change from previous week)
– Cumulative cases per 100k: 29,227 (5,684 total cases)
— 1.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 663 (129 total deaths)
— 62.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.2% (7,815 fully vaccinated)

Dailynetworks // Wikimedia Commons

#4. Colbert County, AL

– New cases per 100k in the past week: 413 (228 new cases, +25% change from previous week)
– Cumulative cases per 100k: 33,229 (18,356 total cases)
— 11.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 482 (266 total deaths)
— 17.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.7% (26,910 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#3. Coosa County, AL

– New cases per 100k in the past week: 422 (45 new cases, +22% change from previous week)
– Cumulative cases per 100k: 31,079 (3,314 total cases)
— 4.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 553 (59 total deaths)
— 35.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.4% (4,410 fully vaccinated)

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#2. Wilcox County, AL

– New cases per 100k in the past week: 453 (47 new cases, +135% change from previous week)
– Cumulative cases per 100k: 31,351 (3,252 total cases)
— 5.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 463 (48 total deaths)
— 13.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.6% (5,667 fully vaccinated)

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#1. Fayette County, AL

– New cases per 100k in the past week: 472 (77 new cases, +250% change from previous week)
– Cumulative cases per 100k: 32,517 (5,301 total cases)
— 9.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 595 (97 total deaths)
— 45.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 35.7% (5,815 fully vaccinated)