Counties with highest COVID-19 infection rates in Alabama
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. 16 reached over 1 million COVID-19-related deaths and 98.1 million COVID-19 cases, according to Johns Hopkins University. Currently, 68.6% of the population is fully vaccinated, and 10.1% 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. 10, 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.
#50. Wilcox County, AL
- Cumulative cases per 100k: 33,327 (3,457 total cases)
--- 6.1% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 463 (48 total deaths)
--- 10.2% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 54.9% (5,696 fully vaccinated)
#49. Hale County, AL
- Cumulative cases per 100k: 36,899 (5,406 total cases)
--- 17.5% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 744 (109 total deaths)
--- 77.1% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 62.7% (9,189 fully vaccinated)
#48. Lawrence County, AL
- Cumulative cases per 100k: 27,235 (8,967 total cases)
--- 13.3% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 528 (174 total deaths)
--- 25.7% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 48.0% (15,800 fully vaccinated)
#47. Lee County, AL
- Cumulative cases per 100k: 27,027 (44,471 total cases)
--- 14.0% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 218 (359 total deaths)
--- 48.1% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 41.7% (68,640 fully vaccinated)
#46. Houston County, AL
- Cumulative cases per 100k: 28,867 (30,565 total cases)
--- 8.1% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 497 (526 total deaths)
--- 18.3% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 44.4% (46,996 fully vaccinated)
#45. Monroe County, AL
- Cumulative cases per 100k: 29,947 (6,209 total cases)
--- 4.7% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 410 (85 total deaths)
--- 2.4% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 44.5% (9,223 fully vaccinated)
#44. Barbour County, AL
- Cumulative cases per 100k: 28,154 (6,950 total cases)
--- 10.4% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 417 (103 total deaths)
--- 0.7% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 47.0% (11,598 fully vaccinated)
#43. Geneva County, AL
- Cumulative cases per 100k: 28,594 (7,512 total cases)
--- 9.0% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 651 (171 total deaths)
--- 55.0% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 41.1% (10,803 fully vaccinated)
#42. Covington County, AL
- Cumulative cases per 100k: 29,801 (11,041 total cases)
--- 5.1% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 686 (254 total deaths)
--- 63.3% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 38.8% (14,393 fully vaccinated)
#41. Walker County, AL
- Cumulative cases per 100k: 35,439 (22,511 total cases)
--- 12.8% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 746 (474 total deaths)
--- 77.6% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 48.4% (30,766 fully vaccinated)
#40. Franklin County, AL
- Cumulative cases per 100k: 36,331 (11,394 total cases)
--- 15.6% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 472 (148 total deaths)
--- 12.4% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 44.9% (14,066 fully vaccinated)
#39. Coffee County, AL
- Cumulative cases per 100k: 30,839 (16,142 total cases)
--- 1.8% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 464 (243 total deaths)
--- 10.5% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 48.4% (25,338 fully vaccinated)
#38. Pickens County, AL
- Cumulative cases per 100k: 30,316 (6,042 total cases)
--- 3.5% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 562 (112 total deaths)
--- 33.8% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 51.6% (10,279 fully vaccinated)
#37. Tallapoosa County, AL
- Cumulative cases per 100k: 33,869 (13,672 total cases)
--- 7.8% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 617 (249 total deaths)
--- 46.9% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 39.4% (15,901 fully vaccinated)
#36. Dale County, AL
- Cumulative cases per 100k: 31,652 (15,564 total cases)
--- 0.8% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 496 (244 total deaths)
--- 18.1% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 49.1% (24,149 fully vaccinated)
#35. Tuscaloosa County, AL
- Cumulative cases per 100k: 31,737 (66,444 total cases)
--- 1.0% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 397 (831 total deaths)
--- 5.5% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 45.0% (94,293 fully vaccinated)
#34. DeKalb County, AL
- Cumulative cases per 100k: 29,971 (21,433 total cases)
--- 4.6% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 480 (343 total deaths)
--- 14.3% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 34.9% (24,927 fully vaccinated)
#33. Lowndes County, AL
- Cumulative cases per 100k: 31,740 (3,087 total cases)
--- 1.0% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 823 (80 total deaths)
--- 96.0% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 53.1% (5,167 fully vaccinated)
#32. Coosa County, AL
- Cumulative cases per 100k: 33,096 (3,529 total cases)
--- 5.4% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 581 (62 total deaths)
--- 38.3% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 41.7% (4,446 fully vaccinated)
#31. Cullman County, AL
- Cumulative cases per 100k: 35,419 (29,670 total cases)
--- 12.7% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 458 (384 total deaths)
--- 9.0% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 39.0% (32,682 fully vaccinated)
#30. Autauga County, AL
- Cumulative cases per 100k: 33,240 (18,571 total cases)
--- 5.8% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 410 (229 total deaths)
--- 2.4% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 45.6% (25,452 fully vaccinated)
#29. Baldwin County, AL
- Cumulative cases per 100k: 29,661 (66,213 total cases)
--- 5.6% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 321 (716 total deaths)
--- 23.6% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 52.8% (117,771 fully vaccinated)
#28. Blount County, AL
- Cumulative cases per 100k: 30,066 (17,386 total cases)
--- 4.3% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 446 (258 total deaths)
--- 6.2% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 32.7% (18,889 fully vaccinated)
#27. Jackson County, AL
- Cumulative cases per 100k: 33,256 (17,169 total cases)
--- 5.9% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 486 (251 total deaths)
--- 15.7% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 50.8% (26,201 fully vaccinated)
#26. Montgomery County, AL
- Cumulative cases per 100k: 29,800 (67,493 total cases)
--- 5.1% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 442 (1,000 total deaths)
--- 5.2% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 54.3% (122,921 fully vaccinated)
#25. Chambers County, AL
- Cumulative cases per 100k: 30,306 (10,078 total cases)
--- 3.5% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 508 (169 total deaths)
--- 21.0% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 32.9% (10,943 fully vaccinated)
#24. Elmore County, AL
- Cumulative cases per 100k: 34,414 (27,947 total cases)
--- 9.5% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 441 (358 total deaths)
--- 5.0% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 47.9% (38,884 fully vaccinated)
#23. Marshall County, AL
- Cumulative cases per 100k: 32,240 (31,200 total cases)
--- 2.6% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 419 (405 total deaths)
--- 0.2% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 47.0% (45,498 fully vaccinated)
#22. Etowah County, AL
- Cumulative cases per 100k: 31,896 (32,619 total cases)
--- 1.5% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 669 (684 total deaths)
--- 59.3% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 42.1% (43,100 fully vaccinated)
#21. Bibb County, AL
- Cumulative cases per 100k: 33,956 (7,604 total cases)
--- 8.1% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 482 (108 total deaths)
--- 14.8% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 36.1% (8,080 fully vaccinated)
#20. Fayette County, AL
- Cumulative cases per 100k: 34,474 (5,620 total cases)
--- 9.7% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 601 (98 total deaths)
--- 43.1% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 36.0% (5,864 fully vaccinated)
#19. Pike County, AL
- Cumulative cases per 100k: 26,590 (8,805 total cases)
--- 15.4% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 423 (140 total deaths)
--- 0.7% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 43.4% (14,358 fully vaccinated)
#18. Jefferson County, AL
- Cumulative cases per 100k: 33,662 (221,687 total cases)
--- 7.2% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 377 (2,480 total deaths)
--- 10.2% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 60.6% (398,959 fully vaccinated)
#17. Colbert County, AL
- Cumulative cases per 100k: 35,725 (19,735 total cases)
--- 13.7% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 491 (271 total deaths)
--- 16.9% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 49.1% (27,102 fully vaccinated)
#16. Shelby County, AL
- Cumulative cases per 100k: 33,256 (72,400 total cases)
--- 5.9% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 217 (473 total deaths)
--- 48.3% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 37.4% (81,443 fully vaccinated)
#15. Winston County, AL
- Cumulative cases per 100k: 37,560 (8,875 total cases)
--- 19.6% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 584 (138 total deaths)
--- 39.0% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 22.4% (5,304 fully vaccinated)
#14. Calhoun County, AL
- Cumulative cases per 100k: 34,079 (38,716 total cases)
--- 8.5% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 582 (661 total deaths)
--- 38.6% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 48.5% (55,076 fully vaccinated)
#13. Cherokee County, AL
- Cumulative cases per 100k: 23,286 (6,100 total cases)
--- 25.9% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 332 (87 total deaths)
--- 21.0% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 31.8% (8,339 fully vaccinated)
#12. Marion County, AL
- Cumulative cases per 100k: 31,947 (9,491 total cases)
--- 1.7% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 525 (156 total deaths)
--- 25.0% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 37.2% (11,037 fully vaccinated)
#11. Limestone County, AL
- Cumulative cases per 100k: 30,419 (30,089 total cases)
--- 3.2% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 311 (308 total deaths)
--- 26.0% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 40.0% (39,534 fully vaccinated)
#10. Morgan County, AL
- Cumulative cases per 100k: 36,428 (43,597 total cases)
--- 16.0% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 450 (538 total deaths)
--- 7.1% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 44.7% (53,446 fully vaccinated)
#9. Madison County, AL
- Cumulative cases per 100k: 29,198 (108,883 total cases)
--- 7.1% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 277 (1,033 total deaths)
--- 34.0% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 64.6% (240,786 fully vaccinated)
#8. Lauderdale County, AL
- Cumulative cases per 100k: 30,862 (28,618 total cases)
--- 1.8% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 443 (411 total deaths)
--- 5.5% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 48.0% (44,501 fully vaccinated)
#7. Talladega County, AL
- Cumulative cases per 100k: 33,689 (26,944 total cases)
--- 7.2% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 488 (390 total deaths)
--- 16.2% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 37.6% (30,034 fully vaccinated)
#6. Randolph County, AL
- Cumulative cases per 100k: 26,609 (6,046 total cases)
--- 15.3% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 339 (77 total deaths)
--- 19.3% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 33.9% (7,703 fully vaccinated)
#5. Lamar County, AL
- Cumulative cases per 100k: 32,532 (4,491 total cases)
--- 3.6% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 500 (69 total deaths)
--- 19.0% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 45.1% (6,231 fully vaccinated)
#4. Bullock County, AL
- Cumulative cases per 100k: 28,166 (2,845 total cases)
--- 10.3% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 535 (54 total deaths)
--- 27.4% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 56.3% (5,684 fully vaccinated)
#3. Cleburne County, AL
- Cumulative cases per 100k: 28,008 (4,176 total cases)
--- 10.8% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 476 (71 total deaths)
--- 13.3% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 29.4% (4,387 fully vaccinated)
#2. Clay County, AL
- Cumulative cases per 100k: 36,456 (4,825 total cases)
--- 16.0% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 680 (90 total deaths)
--- 61.9% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 43.2% (5,720 fully vaccinated)
#1. St. Clair County, AL
- Cumulative cases per 100k: 34,217 (30,628 total cases)
--- 8.9% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 485 (434 total deaths)
--- 15.5% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 40.2% (35,965 fully vaccinated)