Myself – Nathon Morris // 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 Nov. 2 reached over 1 million COVID-19-related deaths and 97.5 million COVID-19 cases, according to Johns Hopkins University. Currently, 68.3% of the population is fully vaccinated, and 7.3% of vaccinated people have received the most recently available bivalent 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 Oct. 27, 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.

Canva

#50. Wilcox County, AL

– New cases per 100k in the past week: 29 (3 new cases, -75% change from previous week)
– Cumulative cases per 100k: 33,240 (3,448 total cases)
— 6.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 463 (48 total deaths)
— 10.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.9% (5,693 fully vaccinated)

Rivers Langley SaveRivers // Wikimedia Commons

#49. Russell County, AL

– New cases per 100k in the past week: 31 (18 new cases, +125% change from previous week)
– Cumulative cases per 100k: 20,814 (12,064 total cases)
— 33.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 169 (98 total deaths)
— 59.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.5% (25,217 fully vaccinated)

Canva

#48. Sumter County, AL

– New cases per 100k in the past week: 32 (4 new cases, -64% change from previous week)
– Cumulative cases per 100k: 24,077 (2,992 total cases)
— 22.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 443 (55 total deaths)
— 5.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.5% (6,650 fully vaccinated)

Library of Congress

#47. Lee County, AL

– New cases per 100k in the past week: 32 (52 new cases, +30% change from previous week)
– Cumulative cases per 100k: 26,919 (44,293 total cases)
— 13.8% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 215 (354 total deaths)
— 48.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.6% (68,498 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#46. Conecuh County, AL

– New cases per 100k in the past week: 33 (4 new cases, 0% change from previous week)
– Cumulative cases per 100k: 27,795 (3,354 total cases)
— 11.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 605 (73 total deaths)
— 44.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.9% (5,424 fully vaccinated)

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

#45. Houston County, AL

– New cases per 100k in the past week: 33 (35 new cases, -40% change from previous week)
– Cumulative cases per 100k: 28,746 (30,437 total cases)
— 8.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 496 (525 total deaths)
— 18.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.3% (46,932 fully vaccinated)

Jodybwiki // Wikimedia Commons

#44. Baldwin County, AL

– New cases per 100k in the past week: 34 (76 new cases, -1% change from previous week)
– Cumulative cases per 100k: 29,518 (65,895 total cases)
— 5.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 321 (716 total deaths)
— 23.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.6% (117,426 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#43. Tallapoosa County, AL

– New cases per 100k in the past week: 35 (14 new cases, -12% change from previous week)
– Cumulative cases per 100k: 33,728 (13,615 total cases)
— 8.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 617 (249 total deaths)
— 47.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.4% (15,885 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#42. Cherokee County, AL

– New cases per 100k in the past week: 38 (10 new cases, -17% change from previous week)
– Cumulative cases per 100k: 23,053 (6,039 total cases)
— 26.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 332 (87 total deaths)
— 20.8% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 31.8% (8,328 fully vaccinated)

Canva

#41. Chilton County, AL

– New cases per 100k in the past week: 38 (17 new cases, +112% change from previous week)
– Cumulative cases per 100k: 27,996 (12,438 total cases)
— 10.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 482 (214 total deaths)
— 15.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.2% (16,537 fully vaccinated)

Canva

#40. Marshall County, AL

– New cases per 100k in the past week: 39 (38 new cases, +19% change from previous week)
– Cumulative cases per 100k: 32,074 (31,039 total cases)
— 2.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 417 (404 total deaths)
— 0.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.9% (45,412 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#39. Talladega County, AL

– New cases per 100k in the past week: 39 (31 new cases, -56% change from previous week)
– Cumulative cases per 100k: 33,478 (26,775 total cases)
— 7.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 486 (389 total deaths)
— 16.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.5% (29,985 fully vaccinated)

Canva

#38. Bullock County, AL

– New cases per 100k in the past week: 40 (4 new cases, 0% change from previous week)
– Cumulative cases per 100k: 27,888 (2,817 total cases)
— 10.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 535 (54 total deaths)
— 27.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 56.2% (5,674 fully vaccinated)

Calvin Beale // Wikimedia Commons

#37. Coffee County, AL

– New cases per 100k in the past week: 40 (21 new cases, -16% change from previous week)
– Cumulative cases per 100k: 30,687 (16,062 total cases)
— 1.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 462 (242 total deaths)
— 10.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.3% (25,300 fully vaccinated)

Altairisfar // Wikimedia Commons

#36. Lowndes County, AL

– New cases per 100k in the past week: 41 (4 new cases, +300% change from previous week)
– Cumulative cases per 100k: 31,637 (3,077 total cases)
— 1.3% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 823 (80 total deaths)
— 96.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 53.0% (5,159 fully vaccinated)

Wmr36104 // Wikimedia Commons

#35. Geneva County, AL

– New cases per 100k in the past week: 46 (12 new cases, -8% change from previous week)
– Cumulative cases per 100k: 28,438 (7,471 total cases)
— 8.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 651 (171 total deaths)
— 55.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.1% (10,790 fully vaccinated)

Canva

#34. DeKalb County, AL

– New cases per 100k in the past week: 46 (33 new cases, -3% change from previous week)
– Cumulative cases per 100k: 29,762 (21,284 total cases)
— 4.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 477 (341 total deaths)
— 13.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.8% (24,905 fully vaccinated)

Michael Rivera // Wikimedia Commons

#33. Dale County, AL

– New cases per 100k in the past week: 47 (23 new cases, +15% change from previous week)
– Cumulative cases per 100k: 31,494 (15,486 total cases)
— 0.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 496 (244 total deaths)
— 18.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.0% (24,118 fully vaccinated)

DXR // Wikimedia Commons

#32. Dallas County, AL

– New cases per 100k in the past week: 48 (18 new cases, +80% change from previous week)
– Cumulative cases per 100k: 27,264 (10,141 total cases)
— 12.7% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 686 (255 total deaths)
— 63.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.7% (17,362 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#31. Franklin County, AL

– New cases per 100k in the past week: 48 (15 new cases, -25% change from previous week)
– Cumulative cases per 100k: 36,123 (11,329 total cases)
— 15.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 469 (147 total deaths)
— 11.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.8% (14,059 fully vaccinated)

Chris Pruitt // wikicommons

#30. Montgomery County, AL

– New cases per 100k in the past week: 49 (112 new cases, +7% change from previous week)
– Cumulative cases per 100k: 29,636 (67,122 total cases)
— 5.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 440 (997 total deaths)
— 5.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.2% (122,665 fully vaccinated)

Tracy Burroughs Brown // Shutterstock

#29. Tuscaloosa County, AL

– New cases per 100k in the past week: 49 (103 new cases, -23% change from previous week)
– Cumulative cases per 100k: 31,585 (66,125 total cases)
— 1.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 395 (827 total deaths)
— 5.7% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.9% (94,093 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#28. Autauga County, AL

– New cases per 100k in the past week: 50 (28 new cases, -7% change from previous week)
– Cumulative cases per 100k: 33,077 (18,480 total cases)
— 5.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 408 (228 total deaths)
— 2.6% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.5% (25,397 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#27. Calhoun County, AL

– New cases per 100k in the past week: 50 (57 new cases, -37% change from previous week)
– Cumulative cases per 100k: 33,869 (38,477 total cases)
— 8.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 580 (659 total deaths)
— 38.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.4% (54,983 fully vaccinated)

Canva

#26. Lawrence County, AL

– New cases per 100k in the past week: 52 (17 new cases, -11% change from previous week)
– Cumulative cases per 100k: 27,078 (8,915 total cases)
— 13.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 528 (174 total deaths)
— 26.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.9% (15,787 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#25. Blount County, AL

– New cases per 100k in the past week: 52 (30 new cases, -86% change from previous week)
– Cumulative cases per 100k: 29,893 (17,286 total cases)
— 4.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 446 (258 total deaths)
— 6.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 32.6% (18,869 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#24. Henry County, AL

– New cases per 100k in the past week: 52 (9 new cases, -59% change from previous week)
– Cumulative cases per 100k: 31,857 (5,481 total cases)
— 2.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 459 (79 total deaths)
— 9.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.3% (7,964 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#23. Limestone County, AL

– New cases per 100k in the past week: 53 (52 new cases, -15% change from previous week)
– Cumulative cases per 100k: 30,191 (29,863 total cases)
— 3.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 310 (307 total deaths)
— 26.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.9% (39,450 fully vaccinated)

Chris Pruitt // Wikimedia Commons

#22. Cullman County, AL

– New cases per 100k in the past week: 53 (44 new cases, -2% change from previous week)
– Cumulative cases per 100k: 35,249 (29,527 total cases)
— 12.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 457 (383 total deaths)
— 9.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.0% (32,636 fully vaccinated)

JNix // Shutterstock

#21. Clay County, AL

– New cases per 100k in the past week: 53 (7 new cases, -22% change from previous week)
– Cumulative cases per 100k: 35,973 (4,761 total cases)
— 15.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 680 (90 total deaths)
— 62.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.2% (5,713 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#20. Elmore County, AL

– New cases per 100k in the past week: 54 (44 new cases, -14% change from previous week)
– Cumulative cases per 100k: 34,245 (27,810 total cases)
— 9.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 441 (358 total deaths)
— 5.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.8% (38,816 fully vaccinated)

Wayne James // Shutterstock

#19. Lauderdale County, AL

– New cases per 100k in the past week: 55 (51 new cases, -7% change from previous week)
– Cumulative cases per 100k: 30,588 (28,364 total cases)
— 2.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 442 (410 total deaths)
— 5.5% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.9% (44,421 fully vaccinated)

Canva

#18. Bibb County, AL

– New cases per 100k in the past week: 58 (13 new cases, +30% change from previous week)
– Cumulative cases per 100k: 33,759 (7,560 total cases)
— 8.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 482 (108 total deaths)
— 15.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 36.0% (8,064 fully vaccinated)

Carol M. Highsmith // Wikimedia Commons

#17. Hale County, AL

– New cases per 100k in the past week: 61 (9 new cases, +80% change from previous week)
– Cumulative cases per 100k: 36,789 (5,390 total cases)
— 17.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 744 (109 total deaths)
— 77.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 62.6% (9,173 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#16. Shelby County, AL

– New cases per 100k in the past week: 62 (135 new cases, +12% change from previous week)
– Cumulative cases per 100k: 33,047 (71,943 total cases)
— 5.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 216 (471 total deaths)
— 48.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.3% (81,274 fully vaccinated)

M Floyd // Flickr

#15. Jefferson County, AL

– New cases per 100k in the past week: 63 (414 new cases, +2% change from previous week)
– Cumulative cases per 100k: 33,450 (220,295 total cases)
— 7.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 375 (2,467 total deaths)
— 10.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 60.4% (398,068 fully vaccinated)

Rivers Langley; SaveRivers // Wikimedia Commons

#14. Barbour County, AL

– New cases per 100k in the past week: 65 (16 new cases, 0% change from previous week)
– Cumulative cases per 100k: 28,056 (6,926 total cases)
— 10.2% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 417 (103 total deaths)
— 0.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 46.9% (11,581 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#13. Marion County, AL

– New cases per 100k in the past week: 67 (20 new cases, -5% change from previous week)
– Cumulative cases per 100k: 31,731 (9,427 total cases)
— 1.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 525 (156 total deaths)
— 25.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.1% (11,028 fully vaccinated)

Pixabay

#12. Madison County, AL

– New cases per 100k in the past week: 68 (255 new cases, -5% change from previous week)
– Cumulative cases per 100k: 28,942 (107,929 total cases)
— 7.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 275 (1,024 total deaths)
— 34.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 64.4% (240,097 fully vaccinated)

Canva

#11. Walker County, AL

– New cases per 100k in the past week: 74 (47 new cases, +31% change from previous week)
– Cumulative cases per 100k: 35,291 (22,417 total cases)
— 13.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 741 (471 total deaths)
— 76.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.4% (30,746 fully vaccinated)

Rudi Weikard // Wikimedia Commons

#10. St. Clair County, AL

– New cases per 100k in the past week: 75 (67 new cases, +31% change from previous week)
– Cumulative cases per 100k: 33,794 (30,250 total cases)
— 8.2% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 485 (434 total deaths)
— 15.8% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 40.1% (35,916 fully vaccinated)

Canva

#9. Fayette County, AL

– New cases per 100k in the past week: 86 (14 new cases, +40% change from previous week)
– Cumulative cases per 100k: 34,247 (5,583 total cases)
— 9.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 595 (97 total deaths)
— 42.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 35.9% (5,859 fully vaccinated)

Dailynetworks // Wikimedia Commons

#8. Colbert County, AL

– New cases per 100k in the past week: 89 (49 new cases, +29% change from previous week)
– Cumulative cases per 100k: 35,485 (19,602 total cases)
— 13.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 489 (270 total deaths)
— 16.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.0% (27,073 fully vaccinated)

Canva

#7. Winston County, AL

– New cases per 100k in the past week: 89 (21 new cases, -12% change from previous week)
– Cumulative cases per 100k: 37,323 (8,819 total cases)
— 19.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 584 (138 total deaths)
— 39.4% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 22.4% (5,299 fully vaccinated)

Public Domain

#6. Pickens County, AL

– New cases per 100k in the past week: 90 (18 new cases, -42% change from previous week)
– Cumulative cases per 100k: 30,146 (6,008 total cases)
— 3.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 562 (112 total deaths)
— 34.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.5% (10,255 fully vaccinated)

MPearsallArt // Wikimedia Commons

#5. Morgan County, AL

– New cases per 100k in the past week: 93 (111 new cases, -48% change from previous week)
– Cumulative cases per 100k: 36,170 (43,288 total cases)
— 15.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 448 (536 total deaths)
— 6.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.6% (53,359 fully vaccinated)

Rivers A. Langley; SaveRivers // Wikimedia Commons

#4. Randolph County, AL

– New cases per 100k in the past week: 101 (23 new cases, +44% change from previous week)
– Cumulative cases per 100k: 26,085 (5,927 total cases)
— 16.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 339 (77 total deaths)
— 19.1% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 33.9% (7,697 fully vaccinated)

Prestinian // Wikimedia Commons

#3. Etowah County, AL

– New cases per 100k in the past week: 102 (104 new cases, -41% change from previous week)
– Cumulative cases per 100k: 31,678 (32,396 total cases)
— 1.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 665 (680 total deaths)
— 58.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.1% (43,044 fully vaccinated)

Springfieldohio // Wikimedia Commons

#2. Jackson County, AL

– New cases per 100k in the past week: 112 (58 new cases, +93% change from previous week)
– Cumulative cases per 100k: 33,102 (17,089 total cases)
— 6.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 486 (251 total deaths)
— 16.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 50.7% (26,172 fully vaccinated)

Myself – Nathon Morris // Wikimedia Commons

#1. Lamar County, AL

– New cases per 100k in the past week: 145 (20 new cases, 0% change from previous week)
– Cumulative cases per 100k: 32,126 (4,435 total cases)
— 2.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 500 (69 total deaths)
— 19.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 45.0% (6,219 fully vaccinated)