Counties with highest COVID-19 infection rates in Pennsylvania

Written by:
November 17, 2022
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Counties with highest COVID-19 infection rates in Pennsylvania

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 Pennsylvania 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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Smallbones // Wikimedia Commons

#50. Fulton County, PA

- New cases per 100k in the past week: 83 (12 new cases, 0% change from previous week)
- Cumulative cases per 100k: 33,035 (4,800 total cases)
--- 27.0% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 475 (69 total deaths)
--- 27.0% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 31.0% (4,506 fully vaccinated)
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Nicholas // Wikimedia Commons

#49. Warren County, PA

- New cases per 100k in the past week: 84 (33 new cases, -34% change from previous week)
- Cumulative cases per 100k: 23,245 (9,110 total cases)
--- 10.6% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 582 (228 total deaths)
--- 55.6% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 48.0% (18,814 fully vaccinated)
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Smallbones // Wikimedia Commons

#48. Bucks County, PA

- New cases per 100k in the past week: 84 (530 new cases, -4% change from previous week)
- Cumulative cases per 100k: 23,376 (146,866 total cases)
--- 10.1% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 327 (2,054 total deaths)
--- 12.6% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 73.7% (462,978 fully vaccinated)
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Generic1139 // Wikimedia Commons

#47. Washington County, PA

- New cases per 100k in the past week: 84 (173 new cases, -32% change from previous week)
- Cumulative cases per 100k: 29,587 (61,206 total cases)
--- 13.8% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 335 (693 total deaths)
--- 10.4% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 64.8% (133,984 fully vaccinated)
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Nicholas // Wikimedia Commons

#46. Potter County, PA

- New cases per 100k in the past week: 85 (14 new cases, 0% change from previous week)
- Cumulative cases per 100k: 22,504 (3,719 total cases)
--- 13.5% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 599 (99 total deaths)
--- 60.2% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 39.1% (6,460 fully vaccinated)
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Rina Pitucci // Flickr

#45. Dauphin County, PA

- New cases per 100k in the past week: 87 (241 new cases, -16% change from previous week)
- Cumulative cases per 100k: 24,671 (68,659 total cases)
--- 5.1% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 368 (1,023 total deaths)
--- 1.6% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 63.8% (177,574 fully vaccinated)
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#44. Mercer County, PA

- New cases per 100k in the past week: 87 (95 new cases, -25% change from previous week)
- Cumulative cases per 100k: 24,769 (27,103 total cases)
--- 4.8% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 483 (528 total deaths)
--- 29.1% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 52.7% (57,705 fully vaccinated)
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Mvincec // Wikimedia Commons

#43. Butler County, PA

- New cases per 100k in the past week: 88 (165 new cases, -17% change from previous week)
- Cumulative cases per 100k: 28,060 (52,712 total cases)
--- 7.9% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 427 (802 total deaths)
--- 14.2% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 65.1% (122,260 fully vaccinated)
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#42. Pike County, PA

- New cases per 100k in the past week: 91 (51 new cases, -37% change from previous week)
- Cumulative cases per 100k: 22,305 (12,448 total cases)
--- 14.2% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 194 (108 total deaths)
--- 48.1% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 55.2% (30,831 fully vaccinated)
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Nicholas // Wikimedia Commons

#41. Crawford County, PA

- New cases per 100k in the past week: 91 (77 new cases, -34% change from previous week)
- Cumulative cases per 100k: 27,981 (23,680 total cases)
--- 7.6% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 411 (348 total deaths)
--- 9.9% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 49.2% (41,629 fully vaccinated)
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Smallbones // Wikimedia Commons

#40. Snyder County, PA

- New cases per 100k in the past week: 92 (37 new cases, +9% change from previous week)
- Cumulative cases per 100k: 22,914 (9,251 total cases)
--- 11.9% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 409 (165 total deaths)
--- 9.4% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 43.9% (17,734 fully vaccinated)
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Smallbones // Wikimedia Commons

#39. Delaware County, PA

- New cases per 100k in the past week: 92 (523 new cases, +7% change from previous week)
- Cumulative cases per 100k: 23,521 (133,302 total cases)
--- 9.6% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 348 (1,974 total deaths)
--- 7.0% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 75.7% (428,965 fully vaccinated)
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Nicholas // Wikimedia Commons

#38. Susquehanna County, PA

- New cases per 100k in the past week: 92 (37 new cases, -43% change from previous week)
- Cumulative cases per 100k: 23,599 (9,517 total cases)
--- 9.3% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 300 (121 total deaths)
--- 19.8% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 44.8% (18,053 fully vaccinated)
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Pubdog // Wikimedia Commons

#37. Mifflin County, PA

- New cases per 100k in the past week: 93 (43 new cases, -17% change from previous week)
- Cumulative cases per 100k: 31,057 (14,329 total cases)
--- 19.4% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 644 (297 total deaths)
--- 72.2% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 50.0% (23,069 fully vaccinated)
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#36. Cumberland County, PA

- New cases per 100k in the past week: 94 (239 new cases, +1% change from previous week)
- Cumulative cases per 100k: 23,582 (59,750 total cases)
--- 9.3% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 371 (941 total deaths)
--- 0.8% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 69.8% (176,740 fully vaccinated)
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#35. Westmoreland County, PA

- New cases per 100k in the past week: 94 (329 new cases, -17% change from previous week)
- Cumulative cases per 100k: 27,131 (94,660 total cases)
--- 4.3% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 426 (1,487 total deaths)
--- 13.9% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 59.3% (207,024 fully vaccinated)
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Daderot // Wikimedia Commons

#34. Lancaster County, PA

- New cases per 100k in the past week: 95 (520 new cases, 0% change from previous week)
- Cumulative cases per 100k: 25,777 (140,673 total cases)
--- 0.9% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 367 (2,001 total deaths)
--- 1.9% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 60.2% (328,715 fully vaccinated)
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Generic1139 // Wikimedia Commons

#33. Armstrong County, PA

- New cases per 100k in the past week: 96 (62 new cases, +5% change from previous week)
- Cumulative cases per 100k: 27,138 (17,568 total cases)
--- 4.3% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 581 (376 total deaths)
--- 55.3% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 61.7% (39,910 fully vaccinated)
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Douglas Muth // Wikimedia Commons

#32. Montgomery County, PA

- New cases per 100k in the past week: 97 (804 new cases, +6% change from previous week)
- Cumulative cases per 100k: 22,610 (187,873 total cases)
--- 13.1% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 300 (2,494 total deaths)
--- 19.8% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 78.5% (651,866 fully vaccinated)
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Ruhrfisch (talk) // Wikimedia Commons

#31. Columbia County, PA

- New cases per 100k in the past week: 97 (63 new cases, +40% change from previous week)
- Cumulative cases per 100k: 28,310 (18,391 total cases)
--- 8.9% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 413 (268 total deaths)
--- 10.4% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 61.2% (39,790 fully vaccinated)
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Doug Kerr // Wikimedia Commons

#30. Indiana County, PA

- New cases per 100k in the past week: 101 (85 new cases, -29% change from previous week)
- Cumulative cases per 100k: 24,869 (20,908 total cases)
--- 4.4% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 456 (383 total deaths)
--- 21.9% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 45.6% (38,344 fully vaccinated)
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Smallbones // Wikimedia Commons

#29. Lehigh County, PA

- New cases per 100k in the past week: 103 (380 new cases, +7% change from previous week)
- Cumulative cases per 100k: 28,402 (104,895 total cases)
--- 9.2% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 354 (1,308 total deaths)
--- 5.3% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 73.6% (271,729 fully vaccinated)
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#28. York County, PA

- New cases per 100k in the past week: 107 (481 new cases, 0% change from previous week)
- Cumulative cases per 100k: 30,950 (138,984 total cases)
--- 19.0% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 356 (1,599 total deaths)
--- 4.8% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 58.2% (261,303 fully vaccinated)
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Canva

#27. Luzerne County, PA

- New cases per 100k in the past week: 108 (344 new cases, -1% change from previous week)
- Cumulative cases per 100k: 27,998 (88,869 total cases)
--- 7.7% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 476 (1,510 total deaths)
--- 27.3% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 65.2% (206,875 fully vaccinated)
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#26. Clinton County, PA

- New cases per 100k in the past week: 109 (42 new cases, -7% change from previous week)
- Cumulative cases per 100k: 27,441 (10,601 total cases)
--- 5.5% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 352 (136 total deaths)
--- 5.9% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 47.1% (18,196 fully vaccinated)
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User:Ruhrfisch // Wikimedia Commons

#25. Lycoming County, PA

- New cases per 100k in the past week: 109 (124 new cases, -21% change from previous week)
- Cumulative cases per 100k: 29,301 (33,198 total cases)
--- 12.7% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 504 (571 total deaths)
--- 34.8% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 54.8% (62,094 fully vaccinated)
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#24. Carbon County, PA

- New cases per 100k in the past week: 109 (70 new cases, -20% change from previous week)
- Cumulative cases per 100k: 29,405 (18,873 total cases)
--- 13.1% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 500 (321 total deaths)
--- 33.7% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 61.8% (39,633 fully vaccinated)
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#23. Erie County, PA

- New cases per 100k in the past week: 112 (301 new cases, -23% change from previous week)
- Cumulative cases per 100k: 25,417 (68,556 total cases)
--- 2.3% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 313 (845 total deaths)
--- 16.3% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 61.3% (165,236 fully vaccinated)
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#22. Fayette County, PA

- New cases per 100k in the past week: 113 (146 new cases, -20% change from previous week)
- Cumulative cases per 100k: 28,911 (37,375 total cases)
--- 11.2% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 564 (729 total deaths)
--- 50.8% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 56.3% (72,820 fully vaccinated)
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Nicholas // Wikimedia Commons

#21. Sullivan County, PA

- New cases per 100k in the past week: 115 (7 new cases, -12% change from previous week)
- Cumulative cases per 100k: 21,513 (1,305 total cases)
--- 17.3% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 610 (37 total deaths)
--- 63.1% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 55.1% (3,340 fully vaccinated)
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Nicholas // Wikimedia Commons

#20. Monroe County, PA

- New cases per 100k in the past week: 115 (196 new cases, -7% change from previous week)
- Cumulative cases per 100k: 26,405 (44,960 total cases)
--- 1.5% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 333 (567 total deaths)
--- 11.0% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 59.2% (100,885 fully vaccinated)
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Nicholas // Wikimedia Commons

#19. Berks County, PA

- New cases per 100k in the past week: 115 (485 new cases, +13% change from previous week)
- Cumulative cases per 100k: 28,414 (119,669 total cases)
--- 9.3% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 403 (1,696 total deaths)
--- 7.8% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 61.1% (257,344 fully vaccinated)
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Pubdog // Wikimedia Commons

#18. Clearfield County, PA

- New cases per 100k in the past week: 116 (92 new cases, -11% change from previous week)
- Cumulative cases per 100k: 28,963 (22,955 total cases)
--- 11.4% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 478 (379 total deaths)
--- 27.8% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 50.6% (40,117 fully vaccinated)
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Ruhrfisch (talk) // Wikimedia Commons

#17. Union County, PA

- New cases per 100k in the past week: 116 (52 new cases, +44% change from previous week)
- Cumulative cases per 100k: 29,070 (13,059 total cases)
--- 11.8% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 352 (158 total deaths)
--- 5.9% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 51.1% (22,959 fully vaccinated)
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Publichall // Wikimedia Commons

#16. Cambria County, PA

- New cases per 100k in the past week: 117 (152 new cases, +8% change from previous week)
- Cumulative cases per 100k: 31,692 (41,260 total cases)
--- 21.9% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 603 (785 total deaths)
--- 61.2% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 56.0% (72,960 fully vaccinated)
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Canva

#15. Lackawanna County, PA

- New cases per 100k in the past week: 121 (254 new cases, -9% change from previous week)
- Cumulative cases per 100k: 26,230 (54,997 total cases)
--- 0.9% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 408 (855 total deaths)
--- 9.1% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 71.7% (150,392 fully vaccinated)
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Shuvaev // Wikimedia Commons

#14. Northampton County, PA

- New cases per 100k in the past week: 121 (370 new cases, +1% change from previous week)
- Cumulative cases per 100k: 30,813 (94,068 total cases)
--- 18.5% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 387 (1,181 total deaths)
--- 3.5% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 68.5% (208,970 fully vaccinated)
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Nyttend // Wikimedia Commons

#13. Greene County, PA

- New cases per 100k in the past week: 124 (45 new cases, -25% change from previous week)
- Cumulative cases per 100k: 28,129 (10,192 total cases)
--- 8.2% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 315 (114 total deaths)
--- 15.8% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 47.0% (17,033 fully vaccinated)
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Publichall // Wikimedia Commons

#12. Northumberland County, PA

- New cases per 100k in the past week: 125 (114 new cases, +5% change from previous week)
- Cumulative cases per 100k: 29,674 (26,957 total cases)
--- 14.1% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 624 (567 total deaths)
--- 66.8% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 58.8% (53,426 fully vaccinated)
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Pixabay

#11. Adams County, PA

- New cases per 100k in the past week: 126 (130 new cases, +17% change from previous week)
- Cumulative cases per 100k: 28,661 (29,523 total cases)
--- 10.2% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 388 (400 total deaths)
--- 3.7% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 52.9% (54,538 fully vaccinated)
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Canadian2006 // Wikimedia Commons

#10. Somerset County, PA

- New cases per 100k in the past week: 128 (94 new cases, +24% change from previous week)
- Cumulative cases per 100k: 29,235 (21,472 total cases)
--- 12.4% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 583 (428 total deaths)
--- 55.9% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 49.4% (36,296 fully vaccinated)
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Smallbones // Wikimedia Commons

#9. Lebanon County, PA

- New cases per 100k in the past week: 129 (183 new cases, +21% change from previous week)
- Cumulative cases per 100k: 29,979 (42,508 total cases)
--- 15.3% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 383 (543 total deaths)
--- 2.4% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 54.8% (77,756 fully vaccinated)
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Smallbones // Wikimedia Commons

#8. Montour County, PA

- New cases per 100k in the past week: 132 (24 new cases, -14% change from previous week)
- Cumulative cases per 100k: 30,702 (5,597 total cases)
--- 18.1% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 527 (96 total deaths)
--- 40.9% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 80.6% (14,689 fully vaccinated)
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Nicholas from Pennsylvania, USA // Wikimedia Commons

#7. McKean County, PA

- New cases per 100k in the past week: 135 (55 new cases, +38% change from previous week)
- Cumulative cases per 100k: 23,247 (9,444 total cases)
--- 10.6% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 396 (161 total deaths)
--- 5.9% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 48.0% (19,501 fully vaccinated)
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Canva

#6. Franklin County, PA

- New cases per 100k in the past week: 150 (232 new cases, -24% change from previous week)
- Cumulative cases per 100k: 31,004 (48,065 total cases)
--- 19.2% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 486 (754 total deaths)
--- 29.9% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 46.4% (71,880 fully vaccinated)
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Jakec // Wikimedia Commons

#5. Schuylkill County, PA

- New cases per 100k in the past week: 160 (226 new cases, +40% change from previous week)
- Cumulative cases per 100k: 28,361 (40,091 total cases)
--- 9.1% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 511 (722 total deaths)
--- 36.6% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 60.6% (85,636 fully vaccinated)
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Andrew Rodland // Wikimedia Commons

#4. Wayne County, PA

- New cases per 100k in the past week: 164 (84 new cases, +9% change from previous week)
- Cumulative cases per 100k: 24,197 (12,428 total cases)
--- 7.0% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 366 (188 total deaths)
--- 2.1% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 60.4% (31,041 fully vaccinated)
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#3. Bradford County, PA

- New cases per 100k in the past week: 174 (105 new cases, -29% change from previous week)
- Cumulative cases per 100k: 32,157 (19,398 total cases)
--- 23.6% more cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 370 (223 total deaths)
--- 1.1% less deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 41.8% (25,193 fully vaccinated)
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Nicholas // Wikimedia Commons

#2. Cameron County, PA

- New cases per 100k in the past week: 180 (8 new cases, +300% change from previous week)
- Cumulative cases per 100k: 21,835 (971 total cases)
--- 16.0% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 472 (21 total deaths)
--- 26.2% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 56.0% (2,489 fully vaccinated)
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#1. Tioga County, PA

- New cases per 100k in the past week: 187 (76 new cases, -7% change from previous week)
- Cumulative cases per 100k: 23,993 (9,739 total cases)
--- 7.7% less cases per 100k residents than Pennsylvania
- Cumulative deaths per 100k: 510 (207 total deaths)
--- 36.4% more deaths per 100k residents than Pennsylvania
- Population that is fully vaccinated: 46.2% (18,738 fully vaccinated)

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