Counties with highest COVID-19 infection rates in Ohio

Written by:
November 17, 2022
Christopher L. Riley // Wikimedia Commons

Counties with highest COVID-19 infection rates in Ohio

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 Ohio 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.

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Mark Spearman from Newark, Ohio, USA // Wikimedia Commons

#50. Knox County, OH

- New cases per 100k in the past week: 95 (59 new cases, +4% change from previous week)
- Cumulative cases per 100k: 25,460 (15,867 total cases)
--- 6.9% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 387 (241 total deaths)
--- 12.5% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 44.3% (27,635 fully vaccinated)
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James St. John // Wikimedia Commons

#49. Marion County, OH

- New cases per 100k in the past week: 95 (62 new cases, -27% change from previous week)
- Cumulative cases per 100k: 35,658 (23,211 total cases)
--- 30.4% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 432 (281 total deaths)
--- 25.6% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 50.4% (32,788 fully vaccinated)
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Derek Jensen // Wikimedia Commons

#48. Licking County, OH

- New cases per 100k in the past week: 96 (170 new cases, +3% change from previous week)
- Cumulative cases per 100k: 28,107 (49,711 total cases)
--- 2.8% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 282 (498 total deaths)
--- 18.0% less deaths per 100k residents than Ohio
- Population that is fully vaccinated: 56.1% (99,256 fully vaccinated)
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Alycat // Wikimedia Commons

#47. Stark County, OH

- New cases per 100k in the past week: 97 (360 new cases, -2% change from previous week)
- Cumulative cases per 100k: 25,104 (93,037 total cases)
--- 8.2% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 480 (1,780 total deaths)
--- 39.5% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 56.2% (208,329 fully vaccinated)
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Nyttend // Wikimedia Commons

#46. Preble County, OH

- New cases per 100k in the past week: 98 (40 new cases, +60% change from previous week)
- Cumulative cases per 100k: 26,799 (10,956 total cases)
--- 2.0% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 499 (204 total deaths)
--- 45.1% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 44.0% (18,008 fully vaccinated)
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Canva

#45. Hamilton County, OH

- New cases per 100k in the past week: 99 (810 new cases, +3% change from previous week)
- Cumulative cases per 100k: 27,435 (224,271 total cases)
--- 0.3% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 264 (2,158 total deaths)
--- 23.3% less deaths per 100k residents than Ohio
- Population that is fully vaccinated: 64.7% (528,898 fully vaccinated)
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Cindy Funk // Wikicommons

#44. Clark County, OH

- New cases per 100k in the past week: 99 (133 new cases, -20% change from previous week)
- Cumulative cases per 100k: 30,702 (41,166 total cases)
--- 12.2% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 450 (604 total deaths)
--- 30.8% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 54.0% (72,389 fully vaccinated)
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Andre Carrotflower // Wikimedia Commons

#43. Geauga County, OH

- New cases per 100k in the past week: 100 (94 new cases, +45% change from previous week)
- Cumulative cases per 100k: 20,403 (19,107 total cases)
--- 25.4% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 299 (280 total deaths)
--- 13.1% less deaths per 100k residents than Ohio
- Population that is fully vaccinated: 62.9% (58,870 fully vaccinated)
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Tysto // Wikimedia Commons

#42. Montgomery County, OH

- New cases per 100k in the past week: 100 (533 new cases, -2% change from previous week)
- Cumulative cases per 100k: 28,470 (151,373 total cases)
--- 4.1% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 399 (2,123 total deaths)
--- 16.0% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 58.0% (308,168 fully vaccinated)
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Kevin Marsh // Wikimedia Commons

#41. Huron County, OH

- New cases per 100k in the past week: 100 (58 new cases, -24% change from previous week)
- Cumulative cases per 100k: 29,278 (17,059 total cases)
--- 7.0% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 390 (227 total deaths)
--- 13.4% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 48.9% (28,494 fully vaccinated)
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Eric Lochtefeld // Wikimedia Commons

#40. Mercer County, OH

- New cases per 100k in the past week: 102 (42 new cases, -12% change from previous week)
- Cumulative cases per 100k: 26,302 (10,829 total cases)
--- 3.8% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 355 (146 total deaths)
--- 3.2% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 39.0% (16,048 fully vaccinated)
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David Wilson // Wikimedia Commons

#39. Athens County, OH

- New cases per 100k in the past week: 104 (68 new cases, +24% change from previous week)
- Cumulative cases per 100k: 28,716 (18,759 total cases)
--- 5.0% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 237 (155 total deaths)
--- 31.1% less deaths per 100k residents than Ohio
- Population that is fully vaccinated: 51.7% (33,747 fully vaccinated)
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Sleepydre // Wikicommons

#38. Summit County, OH

- New cases per 100k in the past week: 105 (566 new cases, +11% change from previous week)
- Cumulative cases per 100k: 24,870 (134,550 total cases)
--- 9.1% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 331 (1,790 total deaths)
--- 3.8% less deaths per 100k residents than Ohio
- Population that is fully vaccinated: 65.4% (353,644 fully vaccinated)
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636Buster // Wikimedia Commons

#37. Columbiana County, OH

- New cases per 100k in the past week: 108 (110 new cases, +55% change from previous week)
- Cumulative cases per 100k: 27,695 (28,217 total cases)
--- 1.3% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 488 (497 total deaths)
--- 41.9% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 50.6% (51,505 fully vaccinated)
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Aesopposea // Wikimedia Commons

#36. Adams County, OH

- New cases per 100k in the past week: 108 (30 new cases, +76% change from previous week)
- Cumulative cases per 100k: 30,269 (8,384 total cases)
--- 10.7% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 563 (156 total deaths)
--- 63.7% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 36.2% (10,027 fully vaccinated)
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Derek Jensen // Wikimedia Commons

#35. Allen County, OH

- New cases per 100k in the past week: 108 (111 new cases, -25% change from previous week)
- Cumulative cases per 100k: 30,897 (31,623 total cases)
--- 13.0% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 480 (491 total deaths)
--- 39.5% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 45.1% (46,197 fully vaccinated)
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Nyttend // Wikimedia Commons

#34. Coshocton County, OH

- New cases per 100k in the past week: 109 (40 new cases, +67% change from previous week)
- Cumulative cases per 100k: 26,161 (9,575 total cases)
--- 4.4% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 454 (166 total deaths)
--- 32.0% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 40.2% (14,700 fully vaccinated)
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Derek Jensen // Wikimedia Commons

#33. Miami County, OH

- New cases per 100k in the past week: 109 (117 new cases, +18% change from previous week)
- Cumulative cases per 100k: 28,061 (30,022 total cases)
--- 2.6% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 463 (495 total deaths)
--- 34.6% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 48.9% (52,349 fully vaccinated)
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John Siegenthaler // Wikimedia Commons

#32. Richland County, OH

- New cases per 100k in the past week: 110 (133 new cases, -11% change from previous week)
- Cumulative cases per 100k: 30,801 (37,317 total cases)
--- 12.6% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 439 (532 total deaths)
--- 27.6% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 45.8% (55,502 fully vaccinated)
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Bwsmith84 // Wikimedia Commons

#31. Clinton County, OH

- New cases per 100k in the past week: 114 (48 new cases, +12% change from previous week)
- Cumulative cases per 100k: 28,705 (12,047 total cases)
--- 4.9% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 422 (177 total deaths)
--- 22.7% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 50.5% (21,188 fully vaccinated)
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Photo shot by Derek Jensen (Tysto) // Wikimedia Commons

#30. Logan County, OH

- New cases per 100k in the past week: 116 (53 new cases, +6% change from previous week)
- Cumulative cases per 100k: 26,379 (12,048 total cases)
--- 3.6% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 388 (177 total deaths)
--- 12.8% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 43.8% (20,027 fully vaccinated)
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Christopher L. Riley // Wikimedia Commons

#29. Perry County, OH

- New cases per 100k in the past week: 119 (43 new cases, +207% change from previous week)
- Cumulative cases per 100k: 27,315 (9,870 total cases)
--- 0.1% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 363 (131 total deaths)
--- 5.5% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 42.0% (15,193 fully vaccinated)
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Canva

#28. Cuyahoga County, OH

- New cases per 100k in the past week: 121 (1,496 new cases, +3% change from previous week)
- Cumulative cases per 100k: 26,464 (326,844 total cases)
--- 3.3% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 323 (3,985 total deaths)
--- 6.1% less deaths per 100k residents than Ohio
- Population that is fully vaccinated: 67.1% (829,045 fully vaccinated)
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Aesopposea // Wikimedia Commons

#27. Clermont County, OH

- New cases per 100k in the past week: 121 (249 new cases, +19% change from previous week)
- Cumulative cases per 100k: 29,871 (61,663 total cases)
--- 9.2% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 288 (594 total deaths)
--- 16.3% less deaths per 100k residents than Ohio
- Population that is fully vaccinated: 58.7% (121,093 fully vaccinated)
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Mike Sharp // Wikimedia Commons

#26. Ross County, OH

- New cases per 100k in the past week: 121 (93 new cases, +4% change from previous week)
- Cumulative cases per 100k: 30,607 (23,465 total cases)
--- 11.9% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 412 (316 total deaths)
--- 19.8% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 52.1% (39,956 fully vaccinated)
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Willjay // Wikimedia Commons

#25. Guernsey County, OH

- New cases per 100k in the past week: 121 (47 new cases, -25% change from previous week)
- Cumulative cases per 100k: 33,412 (12,989 total cases)
--- 22.2% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 412 (160 total deaths)
--- 19.8% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 45.3% (17,614 fully vaccinated)
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Lugevas // Wikimedia Commons

#24. Wayne County, OH

- New cases per 100k in the past week: 126 (146 new cases, +22% change from previous week)
- Cumulative cases per 100k: 23,462 (27,148 total cases)
--- 14.2% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 393 (455 total deaths)
--- 14.2% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 46.7% (54,058 fully vaccinated)
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LeeG7144 // Wikimedia Commons

#23. Ottawa County, OH

- New cases per 100k in the past week: 128 (52 new cases, -5% change from previous week)
- Cumulative cases per 100k: 25,091 (10,168 total cases)
--- 8.3% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 365 (148 total deaths)
--- 6.1% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 63.0% (25,535 fully vaccinated)
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Ruhrfisch // Wikimedia Commons

#22. Hancock County, OH

- New cases per 100k in the past week: 128 (97 new cases, +106% change from previous week)
- Cumulative cases per 100k: 26,275 (19,912 total cases)
--- 3.9% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 379 (287 total deaths)
--- 10.2% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 52.1% (39,470 fully vaccinated)
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Leslie K. Dellovade // Wikimedia Commons

#21. Muskingum County, OH

- New cases per 100k in the past week: 128 (110 new cases, -6% change from previous week)
- Cumulative cases per 100k: 34,869 (30,062 total cases)
--- 27.5% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 362 (312 total deaths)
--- 5.2% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 49.4% (42,578 fully vaccinated)
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Nyttend // Wikimedia Commons

#20. Jackson County, OH

- New cases per 100k in the past week: 130 (42 new cases, +40% change from previous week)
- Cumulative cases per 100k: 34,394 (11,148 total cases)
--- 25.7% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 450 (146 total deaths)
--- 30.8% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 48.9% (15,839 fully vaccinated)
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Jimmy Emerson // Wikimedia Commons

#19. Meigs County, OH

- New cases per 100k in the past week: 131 (30 new cases, +100% change from previous week)
- Cumulative cases per 100k: 25,809 (5,912 total cases)
--- 5.6% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 419 (96 total deaths)
--- 21.8% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 48.5% (11,106 fully vaccinated)
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Jim Roberts // Wikimedia Commons

#18. Champaign County, OH

- New cases per 100k in the past week: 131 (51 new cases, +19% change from previous week)
- Cumulative cases per 100k: 26,272 (10,216 total cases)
--- 4.0% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 401 (156 total deaths)
--- 16.6% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 46.8% (18,192 fully vaccinated)
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Rona Proudfoot // Wikimedia Commons

#17. Erie County, OH

- New cases per 100k in the past week: 131 (97 new cases, -13% change from previous week)
- Cumulative cases per 100k: 31,401 (23,320 total cases)
--- 14.8% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 377 (280 total deaths)
--- 9.6% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 60.6% (44,980 fully vaccinated)
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JonRidinger // Wikimedia Commons

#16. Portage County, OH

- New cases per 100k in the past week: 134 (218 new cases, +5% change from previous week)
- Cumulative cases per 100k: 25,471 (41,381 total cases)
--- 6.9% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 288 (468 total deaths)
--- 16.3% less deaths per 100k residents than Ohio
- Population that is fully vaccinated: 58.7% (95,365 fully vaccinated)
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Jack Pearce // Wikimedia Commons

#15. Mahoning County, OH

- New cases per 100k in the past week: 135 (309 new cases, +28% change from previous week)
- Cumulative cases per 100k: 27,709 (63,366 total cases)
--- 1.3% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 499 (1,141 total deaths)
--- 45.1% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 58.6% (134,109 fully vaccinated)
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Derek Jensen // Wikimedia Commons

#14. Auglaize County, OH

- New cases per 100k in the past week: 140 (64 new cases, +19% change from previous week)
- Cumulative cases per 100k: 29,155 (13,311 total cases)
--- 6.6% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 418 (191 total deaths)
--- 21.5% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 40.1% (18,291 fully vaccinated)
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Derek Jensen (Tysto) // Wikimedia Commons

#13. Lorain County, OH

- New cases per 100k in the past week: 141 (438 new cases, +3% change from previous week)
- Cumulative cases per 100k: 26,796 (83,023 total cases)
--- 2.0% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 330 (1,022 total deaths)
--- 4.1% less deaths per 100k residents than Ohio
- Population that is fully vaccinated: 65.6% (203,192 fully vaccinated)
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Jack W. Pearce // Wikimedia Commons

#12. Trumbull County, OH

- New cases per 100k in the past week: 147 (291 new cases, +52% change from previous week)
- Cumulative cases per 100k: 25,122 (49,735 total cases)
--- 8.2% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 495 (980 total deaths)
--- 43.9% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 56.4% (111,571 fully vaccinated)
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Nyttend // Wikimedia Commons

#11. Pike County, OH

- New cases per 100k in the past week: 148 (41 new cases, +41% change from previous week)
- Cumulative cases per 100k: 33,923 (9,421 total cases)
--- 24.0% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 468 (130 total deaths)
--- 36.0% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 46.2% (12,818 fully vaccinated)
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dankeck // Wikimedia Commons

#10. Hocking County, OH

- New cases per 100k in the past week: 149 (42 new cases, +45% change from previous week)
- Cumulative cases per 100k: 28,998 (8,196 total cases)
--- 6.0% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 453 (128 total deaths)
--- 31.7% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 49.8% (14,074 fully vaccinated)
42 / 50
Brenda // Wikimedia Commons

#9. Medina County, OH

- New cases per 100k in the past week: 156 (280 new cases, +81% change from previous week)
- Cumulative cases per 100k: 26,492 (47,618 total cases)
--- 3.1% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 293 (526 total deaths)
--- 14.8% less deaths per 100k residents than Ohio
- Population that is fully vaccinated: 65.6% (117,984 fully vaccinated)
43 / 50
Myself // Wikimedia Commons

#8. Paulding County, OH

- New cases per 100k in the past week: 161 (30 new cases, +43% change from previous week)
- Cumulative cases per 100k: 28,369 (5,297 total cases)
--- 3.7% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 396 (74 total deaths)
--- 15.1% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 43.3% (8,086 fully vaccinated)
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Analogue Kid // Wikimedia Commons

#7. Pickaway County, OH

- New cases per 100k in the past week: 164 (96 new cases, +26% change from previous week)
- Cumulative cases per 100k: 34,526 (20,183 total cases)
--- 26.2% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 402 (235 total deaths)
--- 16.9% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 52.3% (30,563 fully vaccinated)
45 / 50
Spongefan // Wikimedia Commons

#6. Scioto County, OH

- New cases per 100k in the past week: 166 (125 new cases, +17% change from previous week)
- Cumulative cases per 100k: 34,342 (25,864 total cases)
--- 25.6% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 357 (269 total deaths)
--- 3.8% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 51.8% (38,977 fully vaccinated)
46 / 50
OZinOH // Wikimedia Commons

#5. Ashtabula County, OH

- New cases per 100k in the past week: 175 (170 new cases, +31% change from previous week)
- Cumulative cases per 100k: 24,938 (24,250 total cases)
--- 8.8% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 460 (447 total deaths)
--- 33.7% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 54.5% (52,952 fully vaccinated)
47 / 50
Nyttend // Wikimedia Commons

#4. Defiance County, OH

- New cases per 100k in the past week: 179 (68 new cases, +119% change from previous week)
- Cumulative cases per 100k: 30,908 (11,772 total cases)
--- 13.0% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 452 (172 total deaths)
--- 31.4% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 50.5% (19,232 fully vaccinated)
48 / 50
Seicer // Wikimedia Commons

#3. Lawrence County, OH

- New cases per 100k in the past week: 185 (110 new cases, +57% change from previous week)
- Cumulative cases per 100k: 37,951 (22,567 total cases)
--- 38.7% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 469 (279 total deaths)
--- 36.3% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 52.2% (31,051 fully vaccinated)
49 / 50
Tim Kiser // Wikimedia Commons

#2. Morgan County, OH

- New cases per 100k in the past week: 255 (37 new cases, +16% change from previous week)
- Cumulative cases per 100k: 26,999 (3,917 total cases)
--- 1.3% less cases per 100k residents than Ohio
- Cumulative deaths per 100k: 420 (61 total deaths)
--- 22.1% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 43.9% (6,367 fully vaccinated)
50 / 50
Christopher L. Riley // Wikimedia Commons

#1. Williams County, OH

- New cases per 100k in the past week: 384 (141 new cases, +101% change from previous week)
- Cumulative cases per 100k: 30,200 (11,081 total cases)
--- 10.4% more cases per 100k residents than Ohio
- Cumulative deaths per 100k: 461 (169 total deaths)
--- 34.0% more deaths per 100k residents than Ohio
- Population that is fully vaccinated: 45.6% (16,727 fully vaccinated)

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