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 Jun. 29 reached over 1 million COVID-19-related deaths and 87.3 million COVID-19 cases, according to Johns Hopkins University. Currently, 66.9% of the population is fully vaccinated, and 47.3% 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 Jun. 28, 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. Blount County, AL
- Cumulative cases per 100k: 26,500 (15,324 total cases)
--- 4.0% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 424 (245 total deaths)
--- 5.2% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 32.0% (18,520 fully vaccinated)
#49. Sumter County, AL
- Cumulative cases per 100k: 21,582 (2,682 total cases)
--- 21.8% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 418 (52 total deaths)
--- 3.7% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 52.3% (6,494 fully vaccinated)
#48. Franklin County, AL
- Cumulative cases per 100k: 32,074 (10,059 total cases)
--- 16.2% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 446 (140 total deaths)
--- 10.7% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 44.1% (13,838 fully vaccinated)
#47. Russell County, AL
- Cumulative cases per 100k: 18,078 (10,478 total cases)
--- 34.5% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 164 (95 total deaths)
--- 59.3% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 42.2% (24,444 fully vaccinated)
#46. Lowndes County, AL
- Cumulative cases per 100k: 27,884 (2,712 total cases)
--- 1.1% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 792 (77 total deaths)
--- 96.5% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 51.6% (5,017 fully vaccinated)
#45. Marion County, AL
- Cumulative cases per 100k: 28,348 (8,422 total cases)
--- 2.7% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 515 (153 total deaths)
--- 27.8% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 36.8% (10,940 fully vaccinated)
#44. Lee County, AL
- Cumulative cases per 100k: 23,816 (39,187 total cases)
--- 13.7% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 208 (342 total deaths)
--- 48.4% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 40.7% (66,942 fully vaccinated)
#43. Tallapoosa County, AL
- Cumulative cases per 100k: 29,076 (11,737 total cases)
--- 5.4% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 585 (236 total deaths)
--- 45.2% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 38.9% (15,701 fully vaccinated)
#42. Bullock County, AL
- Cumulative cases per 100k: 23,968 (2,421 total cases)
--- 13.1% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 535 (54 total deaths)
--- 32.8% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 54.8% (5,539 fully vaccinated)
#41. Macon County, AL
- Cumulative cases per 100k: 22,415 (4,050 total cases)
--- 18.8% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 470 (85 total deaths)
--- 16.6% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 48.7% (8,797 fully vaccinated)
#40. Randolph County, AL
- Cumulative cases per 100k: 22,775 (5,175 total cases)
--- 17.5% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 330 (75 total deaths)
--- 18.1% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 33.3% (7,568 fully vaccinated)
#39. Butler County, AL
- Cumulative cases per 100k: 26,851 (5,222 total cases)
--- 2.7% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 663 (129 total deaths)
--- 64.5% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 39.9% (7,756 fully vaccinated)

#38. Lauderdale County, AL
- Cumulative cases per 100k: 26,907 (24,951 total cases)
--- 2.5% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 430 (399 total deaths)
--- 6.7% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 47.1% (43,709 fully vaccinated)
#37. Crenshaw County, AL
- Cumulative cases per 100k: 28,602 (3,939 total cases)
--- 3.7% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 733 (101 total deaths)
--- 81.9% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 34.7% (4,782 fully vaccinated)
#36. Calhoun County, AL
- Cumulative cases per 100k: 29,169 (33,137 total cases)
--- 5.7% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 557 (633 total deaths)
--- 38.2% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 47.4% (53,845 fully vaccinated)
#35. Lamar County, AL
- Cumulative cases per 100k: 27,780 (3,835 total cases)
--- 0.7% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 471 (65 total deaths)
--- 16.9% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 44.3% (6,120 fully vaccinated)
#34. Coosa County, AL
- Cumulative cases per 100k: 28,594 (3,049 total cases)
--- 3.6% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 544 (58 total deaths)
--- 35.0% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 40.9% (4,362 fully vaccinated)
#33. Clay County, AL
- Cumulative cases per 100k: 31,779 (4,206 total cases)
--- 15.2% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 620 (82 total deaths)
--- 53.8% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 42.4% (5,608 fully vaccinated)
#32. Dallas County, AL
- Cumulative cases per 100k: 23,382 (8,697 total cases)
--- 15.3% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 656 (244 total deaths)
--- 62.8% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 46.0% (17,098 fully vaccinated)
#31. Coffee County, AL
- Cumulative cases per 100k: 27,009 (14,137 total cases)
--- 2.1% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 447 (234 total deaths)
--- 10.9% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 47.8% (25,031 fully vaccinated)
#30. Talladega County, AL
- Cumulative cases per 100k: 28,748 (22,992 total cases)
--- 4.2% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 471 (377 total deaths)
--- 16.9% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 36.9% (29,515 fully vaccinated)
#29. Shelby County, AL
- Cumulative cases per 100k: 29,282 (63,747 total cases)
--- 6.1% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 209 (456 total deaths)
--- 48.1% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 36.6% (79,765 fully vaccinated)
#28. Limestone County, AL
- Cumulative cases per 100k: 26,352 (26,066 total cases)
--- 4.5% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 298 (295 total deaths)
--- 26.1% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 39.3% (38,895 fully vaccinated)

#27. Mobile County, AL
- Cumulative cases per 100k: 28,173 (116,412 total cases)
--- 2.1% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 403 (1,665 total deaths)
--- 0.0% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 50.4% (208,454 fully vaccinated)

#26. Houston County, AL
- Cumulative cases per 100k: 25,294 (26,782 total cases)
--- 8.3% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 481 (509 total deaths)
--- 19.4% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 43.7% (46,258 fully vaccinated)

#25. Madison County, AL
- Cumulative cases per 100k: 25,418 (94,785 total cases)
--- 7.9% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 262 (977 total deaths)
--- 35.0% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 63.0% (234,919 fully vaccinated)
#24. Barbour County, AL
- Cumulative cases per 100k: 23,726 (5,857 total cases)
--- 14.0% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 401 (99 total deaths)
--- 0.5% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 45.9% (11,340 fully vaccinated)
#23. Wilcox County, AL
- Cumulative cases per 100k: 28,478 (2,954 total cases)
--- 3.2% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 443 (46 total deaths)
--- 9.9% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 54.2% (5,619 fully vaccinated)
#22. Colbert County, AL
- Cumulative cases per 100k: 30,492 (16,844 total cases)
--- 10.5% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 474 (262 total deaths)
--- 17.6% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 48.4% (26,737 fully vaccinated)
#21. Walker County, AL
- Cumulative cases per 100k: 30,228 (19,201 total cases)
--- 9.5% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 707 (449 total deaths)
--- 75.4% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 47.7% (30,285 fully vaccinated)
#20. Winston County, AL
- Cumulative cases per 100k: 32,828 (7,757 total cases)
--- 19.0% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 559 (132 total deaths)
--- 38.7% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 22.2% (5,237 fully vaccinated)
#19. Bibb County, AL
- Cumulative cases per 100k: 29,825 (6,679 total cases)
--- 8.1% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 469 (105 total deaths)
--- 16.4% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 35.0% (7,839 fully vaccinated)
#18. Monroe County, AL
- Cumulative cases per 100k: 26,147 (5,421 total cases)
--- 5.2% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 386 (80 total deaths)
--- 4.2% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 44.0% (9,115 fully vaccinated)
#17. Conecuh County, AL
- Cumulative cases per 100k: 24,538 (2,961 total cases)
--- 11.1% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 580 (70 total deaths)
--- 43.9% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 44.0% (5,313 fully vaccinated)
#16. Morgan County, AL
- Cumulative cases per 100k: 31,130 (37,256 total cases)
--- 12.8% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 434 (519 total deaths)
--- 7.7% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 44.0% (52,626 fully vaccinated)
#15. Chambers County, AL
- Cumulative cases per 100k: 26,319 (8,752 total cases)
--- 4.6% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 487 (162 total deaths)
--- 20.8% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 31.8% (10,560 fully vaccinated)
#14. Elmore County, AL
- Cumulative cases per 100k: 29,859 (24,248 total cases)
--- 8.2% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 430 (349 total deaths)
--- 6.7% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 47.0% (38,151 fully vaccinated)
#13. Marengo County, AL
- Cumulative cases per 100k: 28,384 (5,354 total cases)
--- 2.9% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 573 (108 total deaths)
--- 42.2% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 54.8% (10,331 fully vaccinated)

#12. Montgomery County, AL
- Cumulative cases per 100k: 25,589 (57,955 total cases)
--- 7.3% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 423 (957 total deaths)
--- 5.0% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 53.0% (119,940 fully vaccinated)
#11. Dale County, AL
- Cumulative cases per 100k: 27,286 (13,417 total cases)
--- 1.1% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 474 (233 total deaths)
--- 17.6% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 48.4% (23,802 fully vaccinated)
#10. Cullman County, AL
- Cumulative cases per 100k: 30,315 (25,394 total cases)
--- 9.9% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 441 (369 total deaths)
--- 9.4% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 38.5% (32,232 fully vaccinated)
#9. Baldwin County, AL
- Cumulative cases per 100k: 26,248 (58,595 total cases)
--- 4.9% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 306 (683 total deaths)
--- 24.1% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 51.5% (115,032 fully vaccinated)
#8. St. Clair County, AL
- Cumulative cases per 100k: 29,473 (26,382 total cases)
--- 6.8% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 466 (417 total deaths)
--- 15.6% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 39.5% (35,391 fully vaccinated)

#7. Jefferson County, AL
- Cumulative cases per 100k: 29,552 (194,620 total cases)
--- 7.1% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 362 (2,383 total deaths)
--- 10.2% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 59.0% (388,348 fully vaccinated)
#6. Covington County, AL
- Cumulative cases per 100k: 25,968 (9,621 total cases)
--- 5.9% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 629 (233 total deaths)
--- 56.1% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 38.4% (14,235 fully vaccinated)
#5. Henry County, AL
- Cumulative cases per 100k: 27,672 (4,761 total cases)
--- 0.3% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 442 (76 total deaths)
--- 9.7% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 45.9% (7,889 fully vaccinated)
#4. Autauga County, AL
- Cumulative cases per 100k: 29,476 (16,468 total cases)
--- 6.8% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 388 (217 total deaths)
--- 3.7% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 44.7% (24,966 fully vaccinated)

#3. Tuscaloosa County, AL
- Cumulative cases per 100k: 28,188 (59,013 total cases)
--- 2.2% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 378 (791 total deaths)
--- 6.2% less deaths per 100k residents than Alabama
- Population that is fully vaccinated: 44.2% (92,464 fully vaccinated)
#2. Greene County, AL
- Cumulative cases per 100k: 24,029 (1,949 total cases)
--- 12.9% less cases per 100k residents than Alabama
- Cumulative deaths per 100k: 629 (51 total deaths)
--- 56.1% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 51.5% (4,175 fully vaccinated)
#1. Hale County, AL
- Cumulative cases per 100k: 33,779 (4,949 total cases)
--- 22.4% more cases per 100k residents than Alabama
- Cumulative deaths per 100k: 724 (106 total deaths)
--- 79.7% more deaths per 100k residents than Alabama
- Population that is fully vaccinated: 61.8% (9,053 fully vaccinated)