Counties with highest COVID-19 infection rates in Alabama
Published 11:26 pm Wednesday, November 9, 2022
Rivers A. Langley; SaveRivers // 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. 8 reached over 1 million COVID-19-related deaths and 97.7 million COVID-19 cases, according to Johns Hopkins University. Currently, 68.5% of the population is fully vaccinated, and 8.4% 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 Nov. 3, 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.
Kreeder13 // Wikimedia Commons
#50. Pike County, AL
– New cases per 100k in the past week: 33 (11 new cases, +38% change from previous week)
– Cumulative cases per 100k: 26,457 (8,761 total cases)
— 15.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 423 (140 total deaths)
— 1.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 43.3% (14,341 fully vaccinated)
Altairisfar // Wikicommons
#49. Mobile County, AL
– New cases per 100k in the past week: 33 (138 new cases, +14% change from previous week)
– Cumulative cases per 100k: 31,116 (128,574 total cases)
— 0.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 423 (1,749 total deaths)
— 1.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 51.5% (212,647 fully vaccinated)
Canva
#48. Perry County, AL
– New cases per 100k in the past week: 34 (3 new cases, 0% change from previous week)
– Cumulative cases per 100k: 28,118 (2,509 total cases)
— 10.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 549 (49 total deaths)
— 31.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 49.8% (4,441 fully vaccinated)
Jodybwiki // Wikimedia Commons
#47. Baldwin County, AL
– New cases per 100k in the past week: 35 (78 new cases, +3% change from previous week)
– Cumulative cases per 100k: 29,553 (65,973 total cases)
— 5.6% 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: 52.7% (117,671 fully vaccinated)
Library of Congress
#46. Lee County, AL
– New cases per 100k in the past week: 36 (59 new cases, +13% change from previous week)
– Cumulative cases per 100k: 26,955 (44,352 total cases)
— 13.9% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 216 (355 total deaths)
— 48.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.7% (68,562 fully vaccinated)
Springfieldohio // Wikimedia Commons
#45. Jackson County, AL
– New cases per 100k in the past week: 41 (21 new cases, -64% change from previous week)
– Cumulative cases per 100k: 33,142 (17,110 total cases)
— 5.9% 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% (26,193 fully vaccinated)
Carol M. Highsmith // Wikimedia Commons
#44. Hale County, AL
– New cases per 100k in the past week: 41 (6 new cases, -33% change from previous week)
– Cumulative cases per 100k: 36,830 (5,396 total cases)
— 17.7% 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: 62.7% (9,181 fully vaccinated)
Canva
#43. Marshall County, AL
– New cases per 100k in the past week: 45 (44 new cases, +16% change from previous week)
– Cumulative cases per 100k: 32,119 (31,083 total cases)
— 2.6% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 419 (405 total deaths)
— 0.0% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 47.0% (45,453 fully vaccinated)
Rivers A. Langley; SaveRivers // Wikimedia Commons
#42. Tallapoosa County, AL
– New cases per 100k in the past week: 45 (18 new cases, +29% change from previous week)
– Cumulative cases per 100k: 33,773 (13,633 total cases)
— 7.9% 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% (15,893 fully vaccinated)
Carol M. Highsmith/Library of Congress // Wikimedia Commons
#41. Houston County, AL
– New cases per 100k in the past week: 48 (51 new cases, +46% change from previous week)
– Cumulative cases per 100k: 28,794 (30,488 total cases)
— 8.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 497 (526 total deaths)
— 18.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.4% (46,964 fully vaccinated)
Chris Pruitt // wikicommons
#40. Montgomery County, AL
– New cases per 100k in the past week: 49 (110 new cases, -2% change from previous week)
– Cumulative cases per 100k: 29,685 (67,232 total cases)
— 5.1% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 441 (999 total deaths)
— 5.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 54.2% (122,796 fully vaccinated)
Rivers A. Langley; SaveRivers // Wikimedia Commons
#39. Elmore County, AL
– New cases per 100k in the past week: 50 (41 new cases, -7% change from previous week)
– Cumulative cases per 100k: 34,295 (27,851 total cases)
— 9.6% 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: 47.9% (38,862 fully vaccinated)
DXR // Wikimedia Commons
#38. Dallas County, AL
– New cases per 100k in the past week: 51 (19 new cases, +6% change from previous week)
– Cumulative cases per 100k: 27,315 (10,160 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% (17,371 fully vaccinated)
Tracy Burroughs Brown // Shutterstock
#37. Tuscaloosa County, AL
– New cases per 100k in the past week: 51 (107 new cases, +4% change from previous week)
– Cumulative cases per 100k: 31,636 (66,232 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: 45.0% (94,204 fully vaccinated)
Chris Pruitt // Wikimedia Commons
#36. Autauga County, AL
– New cases per 100k in the past week: 55 (31 new cases, +11% change from previous week)
– Cumulative cases per 100k: 33,133 (18,511 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% (25,430 fully vaccinated)
Altairisfar // Wikimedia Commons
#35. Clarke County, AL
– New cases per 100k in the past week: 55 (13 new cases, +333% change from previous week)
– Cumulative cases per 100k: 34,095 (8,054 total cases)
— 9.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 449 (106 total deaths)
— 7.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 52.0% (12,276 fully vaccinated)
Canva
#34. Walker County, AL
– New cases per 100k in the past week: 57 (36 new cases, -23% change from previous week)
– Cumulative cases per 100k: 35,347 (22,453 total cases)
— 13.0% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 743 (472 total deaths)
— 77.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.4% (30,756 fully vaccinated)
Rudi Weikard // Wikimedia Commons
#33. Blount County, AL
– New cases per 100k in the past week: 59 (34 new cases, +13% change from previous week)
– Cumulative cases per 100k: 29,952 (17,320 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% (18,878 fully vaccinated)
Calvin Beale // Wikimedia Commons
#32. Coffee County, AL
– New cases per 100k in the past week: 59 (31 new cases, +48% change from previous week)
– Cumulative cases per 100k: 30,746 (16,093 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: 48.4% (25,311 fully vaccinated)
Rivers Langley; SaveRivers // Wikimedia Commons
#31. Calhoun County, AL
– New cases per 100k in the past week: 60 (68 new cases, +19% change from previous week)
– Cumulative cases per 100k: 33,929 (38,545 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% (55,027 fully vaccinated)
Michael Rivera // Wikimedia Commons
#30. Dale County, AL
– New cases per 100k in the past week: 61 (30 new cases, +30% change from previous week)
– Cumulative cases per 100k: 31,555 (15,516 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: 49.1% (24,134 fully vaccinated)
Rudi Weikard // Wikimedia Commons
#29. Marion County, AL
– New cases per 100k in the past week: 61 (18 new cases, -10% change from previous week)
– Cumulative cases per 100k: 31,792 (9,445 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% (11,033 fully vaccinated)
Rivers Langley; SaveRivers // Wikimedia Commons
#28. Shelby County, AL
– New cases per 100k in the past week: 62 (135 new cases, 0% change from previous week)
– Cumulative cases per 100k: 33,109 (72,078 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: 37.4% (81,358 fully vaccinated)
Rivers Langley; SaveRivers // Wikimedia Commons
#27. Chambers County, AL
– New cases per 100k in the past week: 66 (22 new cases, +144% change from previous week)
– Cumulative cases per 100k: 30,189 (10,039 total cases)
— 3.5% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 508 (169 total deaths)
— 21.2% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 32.9% (10,940 fully vaccinated)
Rivers A. Langley; SaveRivers // Wikimedia Commons
#26. Coosa County, AL
– New cases per 100k in the past week: 66 (7 new cases, +250% change from previous week)
– Cumulative cases per 100k: 32,993 (3,518 total cases)
— 5.4% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 581 (62 total deaths)
— 38.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 41.7% (4,444 fully vaccinated)
Canva
#25. Bibb County, AL
– New cases per 100k in the past week: 67 (15 new cases, +15% change from previous week)
– Cumulative cases per 100k: 33,826 (7,575 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% (8,073 fully vaccinated)
Chris Pruitt // Wikimedia Commons
#24. Cullman County, AL
– New cases per 100k in the past week: 68 (57 new cases, +30% change from previous week)
– Cumulative cases per 100k: 35,317 (29,584 total cases)
— 12.9% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 458 (384 total deaths)
— 9.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 39.0% (32,664 fully vaccinated)
Carol M. Highsmith // Wikimedia Commons
#23. Limestone County, AL
– New cases per 100k in the past week: 70 (69 new cases, +33% change from previous week)
– Cumulative cases per 100k: 30,260 (29,932 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% (39,499 fully vaccinated)
M Floyd // Flickr
#22. Jefferson County, AL
– New cases per 100k in the past week: 70 (458 new cases, +11% change from previous week)
– Cumulative cases per 100k: 33,520 (220,753 total cases)
— 7.1% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 375 (2,472 total deaths)
— 10.5% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 60.5% (398,588 fully vaccinated)
Wmr36104 // Wikimedia Commons
#21. Geneva County, AL
– New cases per 100k in the past week: 72 (19 new cases, +58% change from previous week)
– Cumulative cases per 100k: 28,511 (7,490 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% (10,800 fully vaccinated)
Public Domain
#20. Pickens County, AL
– New cases per 100k in the past week: 75 (15 new cases, -17% change from previous week)
– Cumulative cases per 100k: 30,221 (6,023 total cases)
— 3.4% 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% (10,257 fully vaccinated)
Rudi Weikard // Wikimedia Commons
#19. St. Clair County, AL
– New cases per 100k in the past week: 75 (67 new cases, 0% change from previous week)
– Cumulative cases per 100k: 33,869 (30,317 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: 40.2% (35,944 fully vaccinated)
Pixabay
#18. Madison County, AL
– New cases per 100k in the past week: 78 (290 new cases, +14% change from previous week)
– Cumulative cases per 100k: 29,020 (108,219 total cases)
— 7.3% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 275 (1,026 total deaths)
— 34.4% less deaths per 100k residents than Alabama
– Population that is fully vaccinated: 64.5% (240,481 fully vaccinated)
Rudi Weikard // Wikimedia Commons
#17. Cherokee County, AL
– New cases per 100k in the past week: 80 (21 new cases, +110% change from previous week)
– Cumulative cases per 100k: 23,133 (6,060 total cases)
— 26.1% 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% (8,334 fully vaccinated)
Canva
#16. Lawrence County, AL
– New cases per 100k in the past week: 88 (29 new cases, +71% change from previous week)
– Cumulative cases per 100k: 27,166 (8,944 total cases)
— 13.2% 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: 48.0% (15,793 fully vaccinated)
Canva
#15. Winston County, AL
– New cases per 100k in the past week: 89 (21 new cases, 0% change from previous week)
– Cumulative cases per 100k: 37,412 (8,840 total cases)
— 19.6% 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% (5,302 fully vaccinated)
Wayne James // Shutterstock
#14. Lauderdale County, AL
– New cases per 100k in the past week: 91 (84 new cases, +65% change from previous week)
– Cumulative cases per 100k: 30,679 (28,448 total cases)
— 2.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 443 (411 total deaths)
— 5.7% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 48.0% (44,472 fully vaccinated)
Prestinian // Wikimedia Commons
#13. Etowah County, AL
– New cases per 100k in the past week: 91 (93 new cases, -11% change from previous week)
– Cumulative cases per 100k: 31,768 (32,489 total cases)
— 1.5% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 666 (681 total deaths)
— 58.9% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 42.1% (43,071 fully vaccinated)
Dailynetworks // Wikimedia Commons
#12. Colbert County, AL
– New cases per 100k in the past week: 94 (52 new cases, +6% change from previous week)
– Cumulative cases per 100k: 35,579 (19,654 total cases)
— 13.7% 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% (27,088 fully vaccinated)
Canva
#11. Fayette County, AL
– New cases per 100k in the past week: 98 (16 new cases, +14% change from previous week)
– Cumulative cases per 100k: 34,345 (5,599 total cases)
— 9.8% 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% (5,860 fully vaccinated)
MPearsallArt // Wikimedia Commons
#10. Morgan County, AL
– New cases per 100k in the past week: 98 (117 new cases, +5% change from previous week)
– Cumulative cases per 100k: 36,268 (43,405 total cases)
— 15.9% 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% (53,422 fully vaccinated)
Rivers Langley; SaveRivers // Wikimedia Commons
#9. Henry County, AL
– New cases per 100k in the past week: 99 (17 new cases, +89% change from previous week)
– Cumulative cases per 100k: 31,956 (5,498 total cases)
— 2.1% 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% (7,971 fully vaccinated)
Canva
#8. DeKalb County, AL
– New cases per 100k in the past week: 105 (75 new cases, +127% change from previous week)
– Cumulative cases per 100k: 29,867 (21,359 total cases)
— 4.6% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 478 (342 total deaths)
— 14.1% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 34.8% (24,919 fully vaccinated)
Rudi Weikard // Wikimedia Commons
#7. Franklin County, AL
– New cases per 100k in the past week: 115 (36 new cases, +140% change from previous week)
– Cumulative cases per 100k: 36,238 (11,365 total cases)
— 15.8% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 472 (148 total deaths)
— 12.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 44.8% (14,063 fully vaccinated)
Chris Pruitt // Wikimedia Commons
#6. Covington County, AL
– New cases per 100k in the past week: 116 (43 new cases, +438% change from previous week)
– Cumulative cases per 100k: 29,717 (11,010 total cases)
— 5.0% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 680 (252 total deaths)
— 62.3% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 38.8% (14,388 fully vaccinated)
Rivers Langley; SaveRivers // Wikimedia Commons
#5. Cleburne County, AL
– New cases per 100k in the past week: 121 (18 new cases, +500% change from previous week)
– Cumulative cases per 100k: 27,740 (4,136 total cases)
— 11.4% less cases per 100k residents than Alabama
– Cumulative deaths per 100k: 476 (71 total deaths)
— 13.6% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 29.4% (4,385 fully vaccinated)
JNix // Shutterstock
#4. Clay County, AL
– New cases per 100k in the past week: 144 (19 new cases, +171% change from previous week)
– Cumulative cases per 100k: 36,116 (4,780 total cases)
— 15.4% 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% (5,718 fully vaccinated)
Myself – Nathon Morris // Wikimedia Commons
#3. Lamar County, AL
– New cases per 100k in the past week: 159 (22 new cases, +10% change from previous week)
– Cumulative cases per 100k: 32,285 (4,457 total cases)
— 3.2% 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: 45.1% (6,227 fully vaccinated)
Canva
#2. Escambia County, AL
– New cases per 100k in the past week: 164 (60 new cases, +567% change from previous week)
– Cumulative cases per 100k: 31,821 (11,657 total cases)
— 1.7% more cases per 100k residents than Alabama
– Cumulative deaths per 100k: 486 (178 total deaths)
— 16.0% more deaths per 100k residents than Alabama
– Population that is fully vaccinated: 37.5% (13,750 fully vaccinated)
Rivers A. Langley; SaveRivers // Wikimedia Commons
#1. Randolph County, AL
– New cases per 100k in the past week: 286 (65 new cases, +183% change from previous week)
– Cumulative cases per 100k: 26,371 (5,992 total cases)
— 15.7% 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% (7,703 fully vaccinated)