Counties with highest COVID-19 infection rates in Missouri

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October 20, 2021
Art davis // Wikimedia Commons

Counties with highest COVID-19 infection rates in Missouri

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 Oct. 19 had reached 727,228 COVID-19-related deaths and 45 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 areas with lower vaccination rates—increasing rates of hospitalization and death.

Stacker compiled a list of the counties with highest COVID-19 infection rates in Missouri 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 Oct. 18, 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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David Wilson // Wikimedia Commons

#50. Pettis County, MO

- New cases per 100k in the past week: 128 (54 new cases, -37% change from previous week)
- Cumulative cases per 100k: 17,147 (7,260 total cases)
--- 25.0% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 241 (102 total deaths)
--- 24.9% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 37.9% (16,045 fully vaccinated)
--- 22.8% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#49. Randolph County, MO

- New cases per 100k in the past week: 129 (32 new cases, -20% change from previous week)
- Cumulative cases per 100k: 14,458 (3,578 total cases)
--- 5.4% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 145 (36 total deaths)
--- 24.9% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 33.0% (8,179 fully vaccinated)
--- 32.8% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#48. Howard County, MO

- New cases per 100k in the past week: 130 (13 new cases, -35% change from previous week)
- Cumulative cases per 100k: 13,999 (1,400 total cases)
--- 2.1% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 120 (12 total deaths)
--- 37.8% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 39.1% (3,914 fully vaccinated)
--- 20.4% lower vaccination rate than Missouri
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Charles W. Chapman // Wikimedia Commons

#47. Audrain County, MO

- New cases per 100k in the past week: 130 (33 new cases, +57% change from previous week)
- Cumulative cases per 100k: 14,578 (3,701 total cases)
--- 6.3% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 252 (64 total deaths)
--- 30.6% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 33.2% (8,435 fully vaccinated)
--- 32.4% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#46. Barry County, MO

- New cases per 100k in the past week: 134 (48 new cases, +92% change from previous week)
- Cumulative cases per 100k: 11,911 (4,263 total cases)
--- 13.1% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 168 (60 total deaths)
--- 13.0% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 39.5% (14,149 fully vaccinated)
--- 19.6% lower vaccination rate than Missouri
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1807060460JCM // Wikimedia Commons

#45. DeKalb County, MO

- New cases per 100k in the past week: 135 (17 new cases, +6% change from previous week)
- Cumulative cases per 100k: 11,628 (1,459 total cases)
--- 15.2% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 263 (33 total deaths)
--- 36.3% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 25.3% (3,177 fully vaccinated)
--- 48.5% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#44. Shelby County, MO

- New cases per 100k in the past week: 135 (8 new cases, -33% change from previous week)
- Cumulative cases per 100k: 15,430 (915 total cases)
--- 12.5% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 152 (9 total deaths)
--- 21.2% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 43.0% (2,552 fully vaccinated)
--- 12.4% lower vaccination rate than Missouri
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Jon Kraft // Shutterstock

#43. Jackson County, MO

- New cases per 100k in the past week: 137 (965 new cases, -17% change from previous week)
- Cumulative cases per 100k: 16,772 (117,911 total cases)
--- 22.3% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 211 (1,486 total deaths)
--- 9.3% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 48.6% (341,864 fully vaccinated)
--- 1.0% lower vaccination rate than Missouri
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Allegrorondo // Wikimedia Commons

#42. Warren County, MO

- New cases per 100k in the past week: 140 (50 new cases, -25% change from previous week)
- Cumulative cases per 100k: 13,894 (4,953 total cases)
--- 1.3% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 123 (44 total deaths)
--- 36.3% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 37.7% (13,429 fully vaccinated)
--- 23.2% lower vaccination rate than Missouri
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Vsmith // Wikimedia Commons

#41. Douglas County, MO

- New cases per 100k in the past week: 144 (19 new cases, -39% change from previous week)
- Cumulative cases per 100k: 12,287 (1,620 total cases)
--- 10.4% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 341 (45 total deaths)
--- 76.7% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 21.7% (2,855 fully vaccinated)
--- 55.8% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#40. Ste. Genevieve County, MO

- New cases per 100k in the past week: 145 (26 new cases, +30% change from previous week)
- Cumulative cases per 100k: 13,206 (2,363 total cases)
--- 3.7% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 162 (29 total deaths)
--- 16.1% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 40.9% (7,312 fully vaccinated)
--- 16.7% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#39. Crawford County, MO

- New cases per 100k in the past week: 146 (35 new cases, -35% change from previous week)
- Cumulative cases per 100k: 14,954 (3,577 total cases)
--- 9.0% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 234 (56 total deaths)
--- 21.2% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 29.6% (7,076 fully vaccinated)
--- 39.7% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#38. Franklin County, MO

- New cases per 100k in the past week: 149 (155 new cases, -8% change from previous week)
- Cumulative cases per 100k: 13,718 (14,262 total cases)
--- 0.0% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 206 (214 total deaths)
--- 6.7% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 49.4% (51,343 fully vaccinated)
--- 0.6% higher vaccination rate than Missouri
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Joseph Sohm // Shutterstock

#37. New Madrid County, MO

- New cases per 100k in the past week: 152 (26 new cases, -40% change from previous week)
- Cumulative cases per 100k: 19,279 (3,292 total cases)
--- 40.6% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 322 (55 total deaths)
--- 66.8% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 29.6% (5,055 fully vaccinated)
--- 39.7% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#36. Dunklin County, MO

- New cases per 100k in the past week: 154 (45 new cases, -2% change from previous week)
- Cumulative cases per 100k: 14,709 (4,285 total cases)
--- 7.3% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 206 (60 total deaths)
--- 6.7% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 32.5% (9,465 fully vaccinated)
--- 33.8% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#35. Montgomery County, MO

- New cases per 100k in the past week: 156 (18 new cases, -5% change from previous week)
- Cumulative cases per 100k: 13,176 (1,522 total cases)
--- 3.9% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 164 (19 total deaths)
--- 15.0% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 44.4% (5,130 fully vaccinated)
--- 9.6% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#34. Clinton County, MO

- New cases per 100k in the past week: 157 (32 new cases, -18% change from previous week)
- Cumulative cases per 100k: 13,876 (2,829 total cases)
--- 1.2% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 378 (77 total deaths)
--- 95.9% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 42.1% (8,580 fully vaccinated)
--- 14.3% lower vaccination rate than Missouri
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Paul Sableman // Wikimedia Commons

#33. Cooper County, MO

- New cases per 100k in the past week: 158 (28 new cases, -20% change from previous week)
- Cumulative cases per 100k: 15,348 (2,718 total cases)
--- 11.9% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 186 (33 total deaths)
--- 3.6% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 38.4% (6,804 fully vaccinated)
--- 21.8% lower vaccination rate than Missouri
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Calvin Beale // Wikimedia Commons

#32. Lafayette County, MO

- New cases per 100k in the past week: 159 (52 new cases, +2% change from previous week)
- Cumulative cases per 100k: 13,990 (4,576 total cases)
--- 2.0% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 223 (73 total deaths)
--- 15.5% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 41.0% (13,401 fully vaccinated)
--- 16.5% lower vaccination rate than Missouri
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Bungaloid // Wikimedia Commons

#31. Cedar County, MO

- New cases per 100k in the past week: 160 (23 new cases, +92% change from previous week)
- Cumulative cases per 100k: 11,604 (1,665 total cases)
--- 15.4% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 209 (30 total deaths)
--- 8.3% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 29.0% (4,155 fully vaccinated)
--- 40.9% lower vaccination rate than Missouri
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TommyBrison // Shutterstock

#30. St. Clair County, MO

- New cases per 100k in the past week: 160 (15 new cases, +7% change from previous week)
- Cumulative cases per 100k: 13,281 (1,248 total cases)
--- 3.2% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 149 (14 total deaths)
--- 22.8% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 31.2% (2,929 fully vaccinated)
--- 36.5% lower vaccination rate than Missouri
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Parker Botanical // Wikimedia Commons

#29. Madison County, MO

- New cases per 100k in the past week: 165 (20 new cases, +11% change from previous week)
- Cumulative cases per 100k: 19,060 (2,304 total cases)
--- 39.0% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 199 (24 total deaths)
--- 3.1% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 34.3% (4,148 fully vaccinated)
--- 30.1% lower vaccination rate than Missouri
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Brian Stansberry // Wikimedia Commons

#28. Stoddard County, MO

- New cases per 100k in the past week: 169 (49 new cases, -22% change from previous week)
- Cumulative cases per 100k: 14,832 (4,305 total cases)
--- 8.2% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 231 (67 total deaths)
--- 19.7% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 35.5% (10,317 fully vaccinated)
--- 27.7% lower vaccination rate than Missouri
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JERRYE & ROY KLOTZ MD // Wikimedia Commons

#27. McDonald County, MO

- New cases per 100k in the past week: 171 (39 new cases, -19% change from previous week)
- Cumulative cases per 100k: 15,497 (3,539 total cases)
--- 13.0% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 197 (45 total deaths)
--- 2.1% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 27.9% (6,361 fully vaccinated)
--- 43.2% lower vaccination rate than Missouri
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Onegentlemanofverona // Wikimedia Commons

#26. Callaway County, MO

- New cases per 100k in the past week: 172 (77 new cases, -7% change from previous week)
- Cumulative cases per 100k: 16,485 (7,376 total cases)
--- 20.2% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 150 (67 total deaths)
--- 22.3% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 42.1% (18,837 fully vaccinated)
--- 14.3% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#25. Grundy County, MO

- New cases per 100k in the past week: 173 (17 new cases, -6% change from previous week)
- Cumulative cases per 100k: 15,888 (1,565 total cases)
--- 15.9% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 477 (47 total deaths)
--- 147.2% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 31.9% (3,141 fully vaccinated)
--- 35.0% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#24. Cass County, MO

- New cases per 100k in the past week: 174 (184 new cases, -11% change from previous week)
- Cumulative cases per 100k: 13,368 (14,141 total cases)
--- 2.5% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 149 (158 total deaths)
--- 22.8% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 44.9% (47,471 fully vaccinated)
--- 8.6% lower vaccination rate than Missouri
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Canva

#23. Jefferson County, MO

- New cases per 100k in the past week: 175 (395 new cases, -25% change from previous week)
- Cumulative cases per 100k: 14,140 (31,827 total cases)
--- 3.1% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 142 (320 total deaths)
--- 26.4% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 38.8% (87,247 fully vaccinated)
--- 21.0% lower vaccination rate than Missouri
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Dazspell // Wikimedia Commons

#22. Scott County, MO

- New cases per 100k in the past week: 178 (68 new cases, -27% change from previous week)
- Cumulative cases per 100k: 18,545 (7,099 total cases)
--- 35.2% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 290 (111 total deaths)
--- 50.3% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 39.4% (15,073 fully vaccinated)
--- 19.8% lower vaccination rate than Missouri
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Sector001 // Wikimedia Commons

#21. Scotland County, MO

- New cases per 100k in the past week: 184 (9 new cases, -72% change from previous week)
- Cumulative cases per 100k: 7,630 (374 total cases)
--- 44.4% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 82 (4 total deaths)
--- 57.5% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 23.6% (1,156 fully vaccinated)
--- 51.9% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#20. Wayne County, MO

- New cases per 100k in the past week: 186 (24 new cases, -43% change from previous week)
- Cumulative cases per 100k: 12,165 (1,566 total cases)
--- 11.3% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 140 (18 total deaths)
--- 27.5% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 32.5% (4,188 fully vaccinated)
--- 33.8% lower vaccination rate than Missouri
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Rcool1234 // Wikimedia Commons

#19. Andrew County, MO

- New cases per 100k in the past week: 186 (33 new cases, +18% change from previous week)
- Cumulative cases per 100k: 15,436 (2,734 total cases)
--- 12.6% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 136 (24 total deaths)
--- 29.5% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 32.6% (5,773 fully vaccinated)
--- 33.6% lower vaccination rate than Missouri
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~ (The Rebel At) ~ // Wikimedia Commons

#18. Moniteau County, MO

- New cases per 100k in the past week: 186 (30 new cases, +36% change from previous week)
- Cumulative cases per 100k: 15,900 (2,565 total cases)
--- 15.9% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 236 (38 total deaths)
--- 22.3% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 32.8% (5,284 fully vaccinated)
--- 33.2% lower vaccination rate than Missouri
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Brian Stansberry // Wikimedia Commons

#17. Mississippi County, MO

- New cases per 100k in the past week: 197 (26 new cases, -30% change from previous week)
- Cumulative cases per 100k: 16,464 (2,170 total cases)
--- 20.1% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 296 (39 total deaths)
--- 53.4% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 38.9% (5,121 fully vaccinated)
--- 20.8% lower vaccination rate than Missouri
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Nja1985, retouched by Kbh3rd // Wikimedia Commons

#16. Johnson County, MO

- New cases per 100k in the past week: 202 (109 new cases, +51% change from previous week)
- Cumulative cases per 100k: 13,063 (7,062 total cases)
--- 4.7% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 133 (72 total deaths)
--- 31.1% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 35.5% (19,167 fully vaccinated)
--- 27.7% lower vaccination rate than Missouri
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Markkaempfer // Wikimedia Commons

#15. Perry County, MO

- New cases per 100k in the past week: 204 (39 new cases, -19% change from previous week)
- Cumulative cases per 100k: 16,006 (3,063 total cases)
--- 16.7% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 172 (33 total deaths)
--- 10.9% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 35.7% (6,841 fully vaccinated)
--- 27.3% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#14. Mercer County, MO

- New cases per 100k in the past week: 221 (8 new cases, +60% change from previous week)
- Cumulative cases per 100k: 12,054 (436 total cases)
--- 12.1% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 83 (3 total deaths)
--- 57.0% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 31.4% (1,137 fully vaccinated)
--- 36.0% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#13. Reynolds County, MO

- New cases per 100k in the past week: 223 (14 new cases, +8% change from previous week)
- Cumulative cases per 100k: 11,148 (699 total cases)
--- 18.7% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 96 (6 total deaths)
--- 50.3% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 22.8% (1,430 fully vaccinated)
--- 53.6% lower vaccination rate than Missouri
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Jacob Boomsma // Shutterstock

#12. Cape Girardeau County, MO

- New cases per 100k in the past week: 223 (176 new cases, -28% change from previous week)
- Cumulative cases per 100k: 15,555 (12,268 total cases)
--- 13.4% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 194 (153 total deaths)
--- 0.5% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 43.6% (34,398 fully vaccinated)
--- 11.2% lower vaccination rate than Missouri
40 / 50
Onegentlemanofverona // Wikimedia Commons

#11. Monroe County, MO

- New cases per 100k in the past week: 231 (20 new cases, +43% change from previous week)
- Cumulative cases per 100k: 15,086 (1,304 total cases)
--- 10.0% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 139 (12 total deaths)
--- 28.0% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 39.8% (3,443 fully vaccinated)
--- 18.9% lower vaccination rate than Missouri
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Skye Marthaler // Wikimedia Commons

#10. Butler County, MO

- New cases per 100k in the past week: 254 (108 new cases, +4% change from previous week)
- Cumulative cases per 100k: 15,575 (6,616 total cases)
--- 13.6% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 167 (71 total deaths)
--- 13.5% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 30.4% (12,929 fully vaccinated)
--- 38.1% lower vaccination rate than Missouri
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Jpjonesusn // Wikimedia Commons

#9. Bates County, MO

- New cases per 100k in the past week: 260 (42 new cases, +11% change from previous week)
- Cumulative cases per 100k: 14,092 (2,279 total cases)
--- 2.8% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 266 (43 total deaths)
--- 37.8% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 34.9% (5,648 fully vaccinated)
--- 28.9% lower vaccination rate than Missouri
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Kbh3rd // Wikimedia Commons

#8. Henry County, MO

- New cases per 100k in the past week: 266 (58 new cases, +61% change from previous week)
- Cumulative cases per 100k: 14,805 (3,231 total cases)
--- 8.0% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 225 (49 total deaths)
--- 16.6% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 40.5% (8,848 fully vaccinated)
--- 17.5% lower vaccination rate than Missouri
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pasa47 // Wikimedia Commons

#7. Lincoln County, MO

- New cases per 100k in the past week: 269 (159 new cases, -6% change from previous week)
- Cumulative cases per 100k: 15,498 (9,146 total cases)
--- 13.0% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 114 (67 total deaths)
--- 40.9% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 34.9% (20,581 fully vaccinated)
--- 28.9% lower vaccination rate than Missouri
45 / 50
Steveewatkins // Wikimedia Commons

#6. Dent County, MO

- New cases per 100k in the past week: 270 (42 new cases, -18% change from previous week)
- Cumulative cases per 100k: 12,246 (1,907 total cases)
--- 10.7% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 263 (41 total deaths)
--- 36.3% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 28.2% (4,386 fully vaccinated)
--- 42.6% lower vaccination rate than Missouri
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JERRYE AND ROY KLOTZ MD // Wikimedia Commons

#5. Atchison County, MO

- New cases per 100k in the past week: 272 (14 new cases, -7% change from previous week)
- Cumulative cases per 100k: 12,833 (660 total cases)
--- 6.4% less cases per 100k residents than Missouri
- Cumulative deaths per 100k: 136 (7 total deaths)
--- 29.5% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 50.9% (2,618 fully vaccinated)
--- 3.7% higher vaccination rate than Missouri
47 / 50
Charvex // Wikimedia Commons

#4. Sullivan County, MO

- New cases per 100k in the past week: 279 (17 new cases, +70% change from previous week)
- Cumulative cases per 100k: 19,396 (1,181 total cases)
--- 41.4% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 230 (14 total deaths)
--- 19.2% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 39.0% (2,375 fully vaccinated)
--- 20.6% lower vaccination rate than Missouri
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Dean Sebourn // Wikimedia Commons

#3. Ripley County, MO

- New cases per 100k in the past week: 293 (39 new cases, +15% change from previous week)
- Cumulative cases per 100k: 14,336 (1,905 total cases)
--- 4.5% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 181 (24 total deaths)
--- 6.2% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 25.7% (3,417 fully vaccinated)
--- 47.7% lower vaccination rate than Missouri
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Skye Marthaler, retouched by Kbh3rd // Wikimedia Commons

#2. Bollinger County, MO

- New cases per 100k in the past week: 297 (36 new cases, -25% change from previous week)
- Cumulative cases per 100k: 14,308 (1,736 total cases)
--- 4.3% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 157 (19 total deaths)
--- 18.7% less deaths per 100k residents than Missouri
- Population that is fully vaccinated: 29.8% (3,616 fully vaccinated)
--- 39.3% lower vaccination rate than Missouri
50 / 50
Art davis // Wikimedia Commons

#1. Vernon County, MO

- New cases per 100k in the past week: 297 (61 new cases, +39% change from previous week)
- Cumulative cases per 100k: 14,507 (2,983 total cases)
--- 5.8% more cases per 100k residents than Missouri
- Cumulative deaths per 100k: 311 (64 total deaths)
--- 61.1% more deaths per 100k residents than Missouri
- Population that is fully vaccinated: 31.4% (6,462 fully vaccinated)
--- 36.0% lower vaccination rate than Missouri

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