Counties with highest COVID-19 infection rates in Texas

Written by:
September 22, 2021
Nicolas Henderson from Coppell, Texas // Wikimedia Commons

Counties with highest COVID-19 infection rates in Texas

As has been true throughout America’s COVID-19 history, every state—and every county therein—has its own COVID-19 story, driven by local policies and behaviors. The United States as of Sep. 21 had reached678,353 COVID-19-related deaths and 42.4 million COVID-19 cases, according to Johns Hopkins University. As of Feb. 2, more Americans had been vaccinated for COVID-19 than had been infected. But as vaccination rates lagged over the summer, new surges of COVID-19 came. More than 80% of these cases by late July were caused by the Delta variant, which is more contagious than the original virus. This has resulted in growing rates of community transmission and—especially in counties with lower vaccination rates—increasing rates of hospitalization and death.

Stacker compiled a list of the counties with highest COVID-19 infection rates in Texas using data from the U.S. Department of Health & Human Services. Counties are ranked by the highest infection rate per 100k residents within the past week as of Sep. 20, 2021. Cumulative cases per 100k 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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Larry D. Moore // Wikimedia Commons

#50. Rockwall County, TX

- New cases per 100k in the past week: 575 (603 new cases, -14% change from previous week)
- Cumulative cases per 100k: 15,274 (16,025 total cases)
--- 13.0% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 180 (189 total deaths)
--- 14.3% less deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Jeffrey Beall // Wikimedia Commons

#49. Gray County, TX

- New cases per 100k in the past week: 576 (126 new cases, +12% change from previous week)
- Cumulative cases per 100k: 14,726 (3,223 total cases)
--- 8.9% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 297 (65 total deaths)
--- 41.4% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Aualliso // Wikimedia Commons

#48. Crockett County, TX

- New cases per 100k in the past week: 577 (20 new cases, +567% change from previous week)
- Cumulative cases per 100k: 21,565 (747 total cases)
--- 59.5% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 462 (16 total deaths)
--- 120.0% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Liveon001 ©Travis K. Witt // Wikimedia Commons

#47. Blanco County, TX

- New cases per 100k in the past week: 578 (69 new cases, -3% change from previous week)
- Cumulative cases per 100k: 9,672 (1,154 total cases)
--- 28.5% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 218 (26 total deaths)
--- 3.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Aualliso // Wikimedia Commons

#46. Erath County, TX

- New cases per 100k in the past week: 578 (247 new cases, -15% change from previous week)
- Cumulative cases per 100k: 13,539 (5,781 total cases)
--- 0.2% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 204 (87 total deaths)
--- 2.9% less deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Canva

#45. Comanche County, TX

- New cases per 100k in the past week: 579 (79 new cases, -29% change from previous week)
- Cumulative cases per 100k: 14,756 (2,012 total cases)
--- 9.2% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 411 (56 total deaths)
--- 95.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Aualliso // Wikimedia Commons

#44. Lampasas County, TX

- New cases per 100k in the past week: 579 (124 new cases, -31% change from previous week)
- Cumulative cases per 100k: 15,461 (3,313 total cases)
--- 14.4% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 243 (52 total deaths)
--- 15.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Elred // Wikimedia Commons

#43. Lubbock County, TX

- New cases per 100k in the past week: 582 (1,808 new cases, -17% change from previous week)
- Cumulative cases per 100k: 19,997 (62,104 total cases)
--- 47.9% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 288 (895 total deaths)
--- 37.1% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Canva

#42. Lamb County, TX

- New cases per 100k in the past week: 582 (75 new cases, +178% change from previous week)
- Cumulative cases per 100k: 22,400 (2,888 total cases)
--- 65.7% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 675 (87 total deaths)
--- 221.4% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#41. Uvalde County, TX

- New cases per 100k in the past week: 587 (157 new cases, -28% change from previous week)
- Cumulative cases per 100k: 21,518 (5,754 total cases)
--- 59.2% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 329 (88 total deaths)
--- 56.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Matthew Rutledge // Wikimedia Commons

#40. Loving County, TX

- New cases per 100k in the past week: 592 (1 new cases, 0% change from previous week)
- Cumulative cases per 100k: 4,734 (8 total cases)
--- 65.0% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 0 (0 total deaths)
--- 100.0% less deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Billy Hathorn // Wikimedia Commons

#39. Harrison County, TX

- New cases per 100k in the past week: 601 (400 new cases, -2% change from previous week)
- Cumulative cases per 100k: 12,667 (8,430 total cases)
--- 6.3% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 216 (144 total deaths)
--- 2.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Michael Barera // Wikimedia Commons

#38. Franklin County, TX

- New cases per 100k in the past week: 606 (65 new cases, +23% change from previous week)
- Cumulative cases per 100k: 11,077 (1,188 total cases)
--- 18.1% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 261 (28 total deaths)
--- 24.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#37. Matagorda County, TX

- New cases per 100k in the past week: 614 (225 new cases, +12% change from previous week)
- Cumulative cases per 100k: 15,752 (5,772 total cases)
--- 16.5% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 382 (140 total deaths)
--- 81.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Aualliso // Wikimedia Commons

#36. Crane County, TX

- New cases per 100k in the past week: 625 (30 new cases, 0% change from previous week)
- Cumulative cases per 100k: 16,052 (770 total cases)
--- 18.7% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 292 (14 total deaths)
--- 39.0% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Aualliso // Wikimedia Commons

#35. Hamilton County, TX

- New cases per 100k in the past week: 626 (53 new cases, -40% change from previous week)
- Cumulative cases per 100k: 14,159 (1,198 total cases)
--- 4.7% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 343 (29 total deaths)
--- 63.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Renelibrary // Wikimedia Commons

#34. Navarro County, TX

- New cases per 100k in the past week: 631 (316 new cases, +56% change from previous week)
- Cumulative cases per 100k: 16,187 (8,112 total cases)
--- 19.7% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 321 (161 total deaths)
--- 52.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Mark Fisher // Wikimedia Commons

#33. Tarrant County, TX

- New cases per 100k in the past week: 632 (13,281 new cases, +31% change from previous week)
- Cumulative cases per 100k: 15,814 (332,485 total cases)
--- 17.0% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 194 (4,083 total deaths)
--- 7.6% less deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Lpret // Wikicommons

#32. McLennan County, TX

- New cases per 100k in the past week: 639 (1,639 new cases, -14% change from previous week)
- Cumulative cases per 100k: 15,248 (39,131 total cases)
--- 12.8% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 231 (593 total deaths)
--- 10.0% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Aualliso // Wikimedia Commons

#31. Terrell County, TX

- New cases per 100k in the past week: 644 (5 new cases, -17% change from previous week)
- Cumulative cases per 100k: 12,758 (99 total cases)
--- 5.6% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 387 (3 total deaths)
--- 84.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Aualliso // Wikimedia Commons

#30. Reagan County, TX

- New cases per 100k in the past week: 650 (25 new cases, +14% change from previous week)
- Cumulative cases per 100k: 13,354 (514 total cases)
--- 1.2% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 234 (9 total deaths)
--- 11.4% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Canva

#29. Hale County, TX

- New cases per 100k in the past week: 680 (227 new cases, +36% change from previous week)
- Cumulative cases per 100k: 22,083 (7,377 total cases)
--- 63.4% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 524 (175 total deaths)
--- 149.5% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Adavyd // Wikimedia Commons

#28. Lamar County, TX

- New cases per 100k in the past week: 698 (348 new cases, -20% change from previous week)
- Cumulative cases per 100k: 16,071 (8,013 total cases)
--- 18.9% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 361 (180 total deaths)
--- 71.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#27. Anderson County, TX

- New cases per 100k in the past week: 719 (415 new cases, +73% change from previous week)
- Cumulative cases per 100k: 13,053 (7,536 total cases)
--- 3.4% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 277 (160 total deaths)
--- 31.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Reading Associate 17 // Wikimedia Commons

#26. Caldwell County, TX

- New cases per 100k in the past week: 721 (315 new cases, -21% change from previous week)
- Cumulative cases per 100k: 18,177 (7,937 total cases)
--- 34.5% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 293 (128 total deaths)
--- 39.5% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#25. Hardin County, TX

- New cases per 100k in the past week: 729 (420 new cases, -30% change from previous week)
- Cumulative cases per 100k: 17,048 (9,820 total cases)
--- 26.1% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 278 (160 total deaths)
--- 32.4% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Aualliso // Wikimedia Commons

#24. King County, TX

- New cases per 100k in the past week: 735 (2 new cases, 0% change from previous week)
- Cumulative cases per 100k: 4,779 (13 total cases)
--- 64.6% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 0 (0 total deaths)
--- 100.0% less deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#23. Morris County, TX

- New cases per 100k in the past week: 735 (91 new cases, +52% change from previous week)
- Cumulative cases per 100k: 12,335 (1,528 total cases)
--- 8.8% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 371 (46 total deaths)
--- 76.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#22. Chambers County, TX

- New cases per 100k in the past week: 735 (322 new cases, -19% change from previous week)
- Cumulative cases per 100k: 18,384 (8,059 total cases)
--- 36.0% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 103 (45 total deaths)
--- 51.0% less deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#21. Bailey County, TX

- New cases per 100k in the past week: 757 (53 new cases, +382% change from previous week)
- Cumulative cases per 100k: 13,929 (975 total cases)
--- 3.0% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 329 (23 total deaths)
--- 56.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#20. Ward County, TX

- New cases per 100k in the past week: 767 (92 new cases, +11% change from previous week)
- Cumulative cases per 100k: 14,319 (1,718 total cases)
--- 5.9% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 217 (26 total deaths)
--- 3.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#19. Angelina County, TX

- New cases per 100k in the past week: 767 (665 new cases, +53% change from previous week)
- Cumulative cases per 100k: 14,670 (12,721 total cases)
--- 8.5% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 393 (341 total deaths)
--- 87.1% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#18. Nolan County, TX

- New cases per 100k in the past week: 782 (115 new cases, -15% change from previous week)
- Cumulative cases per 100k: 15,380 (2,263 total cases)
--- 13.8% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 415 (61 total deaths)
--- 97.6% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Aualliso // Wikimedia Commons

#17. Coke County, TX

- New cases per 100k in the past week: 797 (27 new cases, +108% change from previous week)
- Cumulative cases per 100k: 18,866 (639 total cases)
--- 39.6% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 443 (15 total deaths)
--- 111.0% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#16. Wood County, TX

- New cases per 100k in the past week: 799 (364 new cases, -12% change from previous week)
- Cumulative cases per 100k: 12,585 (5,731 total cases)
--- 6.9% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 389 (177 total deaths)
--- 85.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Renelibrary // Wikimedia Commons

#15. Marion County, TX

- New cases per 100k in the past week: 802 (79 new cases, +4% change from previous week)
- Cumulative cases per 100k: 10,615 (1,046 total cases)
--- 21.5% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 406 (40 total deaths)
--- 93.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Michael Barera // Wikimedia Commons

#14. Rains County, TX

- New cases per 100k in the past week: 807 (101 new cases, +9% change from previous week)
- Cumulative cases per 100k: 10,540 (1,319 total cases)
--- 22.0% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 280 (35 total deaths)
--- 33.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Eaglegrafix // Wikimedia Commons

#13. Gregg County, TX

- New cases per 100k in the past week: 823 (1,020 new cases, -17% change from previous week)
- Cumulative cases per 100k: 14,344 (17,779 total cases)
--- 6.1% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 355 (440 total deaths)
--- 69.0% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#12. Van Zandt County, TX

- New cases per 100k in the past week: 834 (472 new cases, +18% change from previous week)
- Cumulative cases per 100k: 12,350 (6,989 total cases)
--- 8.6% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 307 (174 total deaths)
--- 46.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Renelibrary // Wikimedia Commons

#11. Titus County, TX

- New cases per 100k in the past week: 849 (278 new cases, +96% change from previous week)
- Cumulative cases per 100k: 16,461 (5,391 total cases)
--- 21.8% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 278 (91 total deaths)
--- 32.4% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Billy Hathorn // Wikimedia Commons

#10. Jackson County, TX

- New cases per 100k in the past week: 881 (130 new cases, +11% change from previous week)
- Cumulative cases per 100k: 17,588 (2,596 total cases)
--- 30.1% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 298 (44 total deaths)
--- 41.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#9. Live Oak County, TX

- New cases per 100k in the past week: 901 (110 new cases, -9% change from previous week)
- Cumulative cases per 100k: 13,845 (1,690 total cases)
--- 2.4% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 254 (31 total deaths)
--- 21.0% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#8. Upton County, TX

- New cases per 100k in the past week: 902 (33 new cases, +27% change from previous week)
- Cumulative cases per 100k: 14,301 (523 total cases)
--- 5.8% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 328 (12 total deaths)
--- 56.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Renelibrary // Wikimedia Commons

#7. Cass County, TX

- New cases per 100k in the past week: 919 (276 new cases, +26% change from previous week)
- Cumulative cases per 100k: 13,368 (4,014 total cases)
--- 1.1% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 380 (114 total deaths)
--- 81.0% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Farragutful // Wikimedia Commons

#6. Smith County, TX

- New cases per 100k in the past week: 961 (2,237 new cases, +5% change from previous week)
- Cumulative cases per 100k: 13,989 (32,559 total cases)
--- 3.5% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 258 (600 total deaths)
--- 22.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Travis K. Witt // Wikimedia Commons

#5. Wichita County, TX

- New cases per 100k in the past week: 1,125 (1,488 new cases, 0% change from previous week)
- Cumulative cases per 100k: 15,286 (20,213 total cases)
--- 13.1% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 321 (425 total deaths)
--- 52.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Larry D. Moore // Wikimedia Commons

#4. Goliad County, TX

- New cases per 100k in the past week: 1,306 (100 new cases, 0% change from previous week)
- Cumulative cases per 100k: 8,723 (668 total cases)
--- 35.5% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 248 (19 total deaths)
--- 18.1% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Aualliso // Wikimedia Commons

#3. Donley County, TX

- New cases per 100k in the past week: 1,312 (43 new cases, +207% change from previous week)
- Cumulative cases per 100k: 15,741 (516 total cases)
--- 16.4% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 549 (18 total deaths)
--- 161.4% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Renelibrary // Wikimedia Commons

#2. Swisher County, TX

- New cases per 100k in the past week: 1,352 (100 new cases, +355% change from previous week)
- Cumulative cases per 100k: 15,155 (1,121 total cases)
--- 12.1% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 297 (22 total deaths)
--- 41.4% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available
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Nicolas Henderson from Coppell, Texas // Wikimedia Commons

#1. Andrews County, TX

- New cases per 100k in the past week: 1,577 (295 new cases, 0% change from previous week)
- Cumulative cases per 100k: 13,766 (2,575 total cases)
--- 1.8% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 262 (49 total deaths)
--- 24.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: not available

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