Counties with highest COVID-19 infection rates in North Carolina

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November 17, 2022
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Counties with highest COVID-19 infection rates in North Carolina

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 North Carolina 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. Johnston County, NC

- New cases per 100k in the past week: 88 (185 new cases, +9% change from previous week)
- Cumulative cases per 100k: 34,126 (71,440 total cases)
--- 9.9% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 230 (482 total deaths)
--- 11.5% less deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 55.1% (115,413 fully vaccinated)

#49. Wayne County, NC

- New cases per 100k in the past week: 89 (110 new cases, +2% change from previous week)
- Cumulative cases per 100k: 31,601 (38,911 total cases)
--- 1.8% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 357 (439 total deaths)
--- 37.3% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 50.2% (61,837 fully vaccinated)

#48. Cabarrus County, NC

- New cases per 100k in the past week: 92 (199 new cases, +21% change from previous week)
- Cumulative cases per 100k: 31,263 (67,670 total cases)
--- 0.7% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 250 (542 total deaths)
--- 3.8% less deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 56.3% (121,818 fully vaccinated)

#47. Brunswick County, NC

- New cases per 100k in the past week: 95 (135 new cases, +23% change from previous week)
- Cumulative cases per 100k: 26,811 (38,292 total cases)
--- 13.6% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 257 (367 total deaths)
--- 1.2% less deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 63.6% (90,839 fully vaccinated)

#46. Iredell County, NC

- New cases per 100k in the past week: 95 (173 new cases, 0% change from previous week)
- Cumulative cases per 100k: 31,880 (57,960 total cases)
--- 2.7% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 287 (522 total deaths)
--- 10.4% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 53.7% (97,564 fully vaccinated)

#45. Buncombe County, NC

- New cases per 100k in the past week: 96 (252 new cases, -6% change from previous week)
- Cumulative cases per 100k: 25,430 (66,420 total cases)
--- 18.1% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 253 (660 total deaths)
--- 2.7% less deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 67.1% (175,267 fully vaccinated)

#44. Rowan County, NC

- New cases per 100k in the past week: 97 (138 new cases, +31% change from previous week)
- Cumulative cases per 100k: 34,246 (48,659 total cases)
--- 10.3% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 436 (620 total deaths)
--- 67.7% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 44.1% (62,696 fully vaccinated)

#43. Forsyth County, NC

- New cases per 100k in the past week: 98 (373 new cases, -16% change from previous week)
- Cumulative cases per 100k: 30,420 (116,296 total cases)
--- 2.0% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 240 (919 total deaths)
--- 7.7% less deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 63.2% (241,568 fully vaccinated)

#42. Montgomery County, NC

- New cases per 100k in the past week: 99 (27 new cases, +29% change from previous week)
- Cumulative cases per 100k: 31,255 (8,493 total cases)
--- 0.7% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 512 (139 total deaths)
--- 96.9% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 44.0% (11,955 fully vaccinated)

#41. Polk County, NC

- New cases per 100k in the past week: 101 (21 new cases, -12% change from previous week)
- Cumulative cases per 100k: 22,332 (4,628 total cases)
--- 28.1% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 333 (69 total deaths)
--- 28.1% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 41.2% (8,531 fully vaccinated)

#40. Person County, NC

- New cases per 100k in the past week: 101 (40 new cases, +186% change from previous week)
- Cumulative cases per 100k: 29,268 (11,558 total cases)
--- 5.7% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 291 (115 total deaths)
--- 11.9% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 57.3% (22,610 fully vaccinated)

#39. Alamance County, NC

- New cases per 100k in the past week: 101 (171 new cases, +6% change from previous week)
- Cumulative cases per 100k: 33,931 (57,516 total cases)
--- 9.3% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 316 (535 total deaths)
--- 21.5% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 60.4% (102,422 fully vaccinated)

#38. Lee County, NC

- New cases per 100k in the past week: 102 (63 new cases, +9% change from previous week)
- Cumulative cases per 100k: 30,904 (19,092 total cases)
--- 0.4% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 274 (169 total deaths)
--- 5.4% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 56.6% (34,943 fully vaccinated)

#37. Franklin County, NC

- New cases per 100k in the past week: 102 (71 new cases, +31% change from previous week)
- Cumulative cases per 100k: 35,972 (25,067 total cases)
--- 15.9% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 132 (92 total deaths)
--- 49.2% less deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 55.2% (38,488 fully vaccinated)

#36. Dare County, NC

- New cases per 100k in the past week: 103 (38 new cases, -3% change from previous week)
- Cumulative cases per 100k: 25,332 (9,375 total cases)
--- 18.4% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 84 (31 total deaths)
--- 67.7% less deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 73.6% (27,244 fully vaccinated)

#35. Rutherford County, NC

- New cases per 100k in the past week: 104 (70 new cases, +32% change from previous week)
- Cumulative cases per 100k: 30,460 (20,417 total cases)
--- 1.9% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 625 (419 total deaths)
--- 140.4% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 42.5% (28,505 fully vaccinated)

#34. Bertie County, NC

- New cases per 100k in the past week: 106 (20 new cases, +67% change from previous week)
- Cumulative cases per 100k: 26,970 (5,110 total cases)
--- 13.1% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 396 (75 total deaths)
--- 52.3% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 53.9% (10,206 fully vaccinated)

#33. Yadkin County, NC

- New cases per 100k in the past week: 106 (40 new cases, -2% change from previous week)
- Cumulative cases per 100k: 37,088 (13,970 total cases)
--- 19.5% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 353 (133 total deaths)
--- 35.8% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 50.1% (18,870 fully vaccinated)

#32. Mitchell County, NC

- New cases per 100k in the past week: 107 (16 new cases, +7% change from previous week)
- Cumulative cases per 100k: 29,905 (4,475 total cases)
--- 3.7% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 281 (42 total deaths)
--- 8.1% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 49.0% (7,338 fully vaccinated)

#31. Alexander County, NC

- New cases per 100k in the past week: 107 (40 new cases, +43% change from previous week)
- Cumulative cases per 100k: 32,381 (12,142 total cases)
--- 4.3% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 408 (153 total deaths)
--- 56.9% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 45.7% (17,132 fully vaccinated)

#30. Martin County, NC

- New cases per 100k in the past week: 107 (24 new cases, +200% change from previous week)
- Cumulative cases per 100k: 32,910 (7,385 total cases)
--- 6.0% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 432 (97 total deaths)
--- 66.2% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 49.3% (11,057 fully vaccinated)

#29. Stanly County, NC

- New cases per 100k in the past week: 107 (67 new cases, 0% change from previous week)
- Cumulative cases per 100k: 36,133 (22,694 total cases)
--- 16.4% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 452 (284 total deaths)
--- 73.8% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 44.9% (28,197 fully vaccinated)

#28. Haywood County, NC

- New cases per 100k in the past week: 108 (67 new cases, -21% change from previous week)
- Cumulative cases per 100k: 25,937 (16,163 total cases)
--- 16.4% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 393 (245 total deaths)
--- 51.2% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 58.1% (36,223 fully vaccinated)

#27. Northampton County, NC

- New cases per 100k in the past week: 108 (21 new cases, -9% change from previous week)
- Cumulative cases per 100k: 28,024 (5,460 total cases)
--- 9.7% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 472 (92 total deaths)
--- 81.5% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 44.6% (8,684 fully vaccinated)

#26. Davidson County, NC

- New cases per 100k in the past week: 109 (182 new cases, +11% change from previous week)
- Cumulative cases per 100k: 31,184 (52,268 total cases)
--- 0.5% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 285 (477 total deaths)
--- 9.6% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 49.4% (82,794 fully vaccinated)

#25. Pamlico County, NC

- New cases per 100k in the past week: 110 (14 new cases, +180% change from previous week)
- Cumulative cases per 100k: 25,680 (3,268 total cases)
--- 17.3% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 283 (36 total deaths)
--- 8.8% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 55.1% (7,018 fully vaccinated)

#24. Ashe County, NC

- New cases per 100k in the past week: 110 (30 new cases, +200% change from previous week)
- Cumulative cases per 100k: 26,589 (7,233 total cases)
--- 14.3% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 331 (90 total deaths)
--- 27.3% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 56.4% (15,352 fully vaccinated)

#23. Stokes County, NC

- New cases per 100k in the past week: 110 (50 new cases, -21% change from previous week)
- Cumulative cases per 100k: 30,870 (14,074 total cases)
--- 0.5% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 432 (197 total deaths)
--- 66.2% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 48.1% (21,933 fully vaccinated)

#22. Moore County, NC

- New cases per 100k in the past week: 111 (112 new cases, +4% change from previous week)
- Cumulative cases per 100k: 29,415 (29,674 total cases)
--- 5.2% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 360 (363 total deaths)
--- 38.5% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 59.1% (59,659 fully vaccinated)

#21. Pasquotank County, NC

- New cases per 100k in the past week: 113 (45 new cases, +10% change from previous week)
- Cumulative cases per 100k: 25,173 (10,025 total cases)
--- 18.9% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 336 (134 total deaths)
--- 29.2% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 53.4% (21,268 fully vaccinated)

#20. Guilford County, NC

- New cases per 100k in the past week: 113 (606 new cases, +30% change from previous week)
- Cumulative cases per 100k: 27,703 (148,813 total cases)
--- 10.8% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 254 (1,364 total deaths)
--- 2.3% less deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 62.5% (335,640 fully vaccinated)

#19. Henderson County, NC

- New cases per 100k in the past week: 118 (138 new cases, +48% change from previous week)
- Cumulative cases per 100k: 26,271 (30,847 total cases)
--- 15.4% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 302 (355 total deaths)
--- 16.2% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 59.8% (70,157 fully vaccinated)

#18. Transylvania County, NC

- New cases per 100k in the past week: 119 (41 new cases, +64% change from previous week)
- Cumulative cases per 100k: 22,725 (7,814 total cases)
--- 26.8% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 247 (85 total deaths)
--- 5.0% less deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 56.3% (19,368 fully vaccinated)

#17. Hyde County, NC

- New cases per 100k in the past week: 122 (6 new cases, 0% change from previous week)
- Cumulative cases per 100k: 33,097 (1,634 total cases)
--- 6.6% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 284 (14 total deaths)
--- 9.2% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 68.2% (3,368 fully vaccinated)

#16. Watauga County, NC

- New cases per 100k in the past week: 123 (69 new cases, +123% change from previous week)
- Cumulative cases per 100k: 25,311 (14,219 total cases)
--- 18.5% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 139 (78 total deaths)
--- 46.5% less deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 55.5% (31,201 fully vaccinated)

#15. Surry County, NC

- New cases per 100k in the past week: 125 (90 new cases, +8% change from previous week)
- Cumulative cases per 100k: 36,649 (26,308 total cases)
--- 18.1% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 557 (400 total deaths)
--- 114.2% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 50.9% (36,513 fully vaccinated)

#14. McDowell County, NC

- New cases per 100k in the past week: 129 (59 new cases, +97% change from previous week)
- Cumulative cases per 100k: 35,781 (16,372 total cases)
--- 15.3% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 415 (190 total deaths)
--- 59.6% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 52.3% (23,909 fully vaccinated)

#13. Wilkes County, NC

- New cases per 100k in the past week: 136 (93 new cases, +43% change from previous week)
- Cumulative cases per 100k: 31,275 (21,396 total cases)
--- 0.8% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 427 (292 total deaths)
--- 64.2% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 47.3% (32,387 fully vaccinated)

#12. Catawba County, NC

- New cases per 100k in the past week: 143 (228 new cases, +16% change from previous week)
- Cumulative cases per 100k: 35,841 (57,185 total cases)
--- 15.5% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 411 (656 total deaths)
--- 58.1% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 54.9% (87,648 fully vaccinated)

#11. Robeson County, NC

- New cases per 100k in the past week: 143 (187 new cases, +63% change from previous week)
- Cumulative cases per 100k: 37,646 (49,175 total cases)
--- 21.3% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 442 (577 total deaths)
--- 70.0% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 43.3% (56,575 fully vaccinated)

#10. Chatham County, NC

- New cases per 100k in the past week: 146 (109 new cases, +28% change from previous week)
- Cumulative cases per 100k: 22,424 (16,699 total cases)
--- 27.8% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 172 (128 total deaths)
--- 33.8% less deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 61.1% (45,535 fully vaccinated)

#9. Tyrrell County, NC

- New cases per 100k in the past week: 149 (6 new cases, 0% change from previous week)
- Cumulative cases per 100k: 28,934 (1,162 total cases)
--- 6.8% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 224 (9 total deaths)
--- 13.8% less deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 49.7% (1,996 fully vaccinated)

#8. Alleghany County, NC

- New cases per 100k in the past week: 153 (17 new cases, +240% change from previous week)
- Cumulative cases per 100k: 31,319 (3,488 total cases)
--- 0.9% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 162 (18 total deaths)
--- 37.7% less deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 59.1% (6,578 fully vaccinated)

#7. Graham County, NC

- New cases per 100k in the past week: 166 (14 new cases, +56% change from previous week)
- Cumulative cases per 100k: 33,160 (2,799 total cases)
--- 6.8% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 367 (31 total deaths)
--- 41.2% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 46.7% (3,939 fully vaccinated)

#6. Avery County, NC

- New cases per 100k in the past week: 171 (30 new cases, +275% change from previous week)
- Cumulative cases per 100k: 30,392 (5,336 total cases)
--- 2.1% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 273 (48 total deaths)
--- 5.0% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 54.8% (9,626 fully vaccinated)

#5. Caldwell County, NC

- New cases per 100k in the past week: 176 (145 new cases, +34% change from previous week)
- Cumulative cases per 100k: 33,982 (27,926 total cases)
--- 9.5% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 415 (341 total deaths)
--- 59.6% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 48.0% (39,480 fully vaccinated)

#4. Clay County, NC

- New cases per 100k in the past week: 178 (20 new cases, +33% change from previous week)
- Cumulative cases per 100k: 28,279 (3,176 total cases)
--- 8.9% less cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 445 (50 total deaths)
--- 71.2% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 47.5% (5,337 fully vaccinated)

#3. Halifax County, NC

- New cases per 100k in the past week: 178 (89 new cases, +37% change from previous week)
- Cumulative cases per 100k: 34,881 (17,444 total cases)
--- 12.4% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 398 (199 total deaths)
--- 53.1% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 54.2% (27,089 fully vaccinated)

#2. Burke County, NC

- New cases per 100k in the past week: 212 (192 new cases, +174% change from previous week)
- Cumulative cases per 100k: 33,264 (30,099 total cases)
--- 7.2% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 391 (354 total deaths)
--- 50.4% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 46.8% (42,357 fully vaccinated)

#1. Swain County, NC

- New cases per 100k in the past week: 280 (40 new cases, +82% change from previous week)
- Cumulative cases per 100k: 32,226 (4,599 total cases)
--- 3.8% more cases per 100k residents than North Carolina
- Cumulative deaths per 100k: 371 (53 total deaths)
--- 42.7% more deaths per 100k residents than North Carolina
- Population that is fully vaccinated: 58.5% (8,346 fully vaccinated)

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