Counties with highest COVID-19 infection rates in Texas

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

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 Texas 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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Larry D. Moore // Wikimedia Commons

#50. Williamson County, TX

- New cases per 100k in the past week: 59 (349 new cases, -1% change from previous week)
- Cumulative cases per 100k: 27,261 (160,991 total cases)
--- 1.4% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 155 (917 total deaths)
--- 50.8% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 70.5% (416,336 fully vaccinated)
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Aualliso // Wikimedia Commons

#49. Coke County, TX

- New cases per 100k in the past week: 59 (2 new cases, 0% change from previous week)
- Cumulative cases per 100k: 30,027 (1,017 total cases)
--- 8.6% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 590 (20 total deaths)
--- 87.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 47.4% (1,604 fully vaccinated)
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Billy Hathorn // Wikimedia Commons

#48. Eastland County, TX

- New cases per 100k in the past week: 60 (11 new cases, +57% change from previous week)
- Cumulative cases per 100k: 17,505 (3,214 total cases)
--- 36.7% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 637 (117 total deaths)
--- 102.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 37.1% (6,814 fully vaccinated)
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i_am_jim // Wikimedia Commons

#47. Burleson County, TX

- New cases per 100k in the past week: 60 (11 new cases, -31% change from previous week)
- Cumulative cases per 100k: 31,329 (5,778 total cases)
--- 13.3% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 369 (68 total deaths)
--- 17.1% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 49.4% (9,110 fully vaccinated)
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Elred // Wikimedia Commons

#46. Lubbock County, TX

- New cases per 100k in the past week: 60 (187 new cases, +9% change from previous week)
- Cumulative cases per 100k: 34,367 (106,732 total cases)
--- 24.3% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 440 (1,368 total deaths)
--- 39.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 49.7% (154,217 fully vaccinated)
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Adavyd // Wikimedia Commons

#45. Lamar County, TX

- New cases per 100k in the past week: 62 (31 new cases, +41% change from previous week)
- Cumulative cases per 100k: 22,205 (11,071 total cases)
--- 19.7% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 544 (271 total deaths)
--- 72.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 40.0% (19,929 fully vaccinated)
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Aualliso // Wikimedia Commons

#44. Coryell County, TX

- New cases per 100k in the past week: 62 (47 new cases, -24% change from previous week)
- Cumulative cases per 100k: 26,682 (20,265 total cases)
--- 3.5% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 295 (224 total deaths)
--- 6.3% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 49.0% (37,202 fully vaccinated)
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Aualliso // Wikimedia Commons

#43. Llano County, TX

- New cases per 100k in the past week: 64 (14 new cases, +75% change from previous week)
- Cumulative cases per 100k: 22,023 (4,800 total cases)
--- 20.4% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 450 (98 total deaths)
--- 42.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 51.3% (11,190 fully vaccinated)
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BenjaminMonroy // Wikimedia Commons

#42. El Paso County, TX

- New cases per 100k in the past week: 65 (547 new cases, -37% change from previous week)
- Cumulative cases per 100k: 28,695 (240,823 total cases)
--- 3.8% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 456 (3,826 total deaths)
--- 44.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 84.9% (712,645 fully vaccinated)
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Aualliso // Wikimedia Commons

#41. Throckmorton County, TX

- New cases per 100k in the past week: 67 (1 new cases, 0% change from previous week)
- Cumulative cases per 100k: 19,454 (292 total cases)
--- 29.7% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 666 (10 total deaths)
--- 111.4% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 40.9% (614 fully vaccinated)
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#40. Hale County, TX

- New cases per 100k in the past week: 69 (23 new cases, +64% change from previous week)
- Cumulative cases per 100k: 23,292 (7,781 total cases)
--- 15.8% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 742 (248 total deaths)
--- 135.6% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 43.9% (14,653 fully vaccinated)
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#39. Midland County, TX

- New cases per 100k in the past week: 71 (125 new cases, +9% change from previous week)
- Cumulative cases per 100k: 25,938 (45,866 total cases)
--- 6.2% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 287 (508 total deaths)
--- 8.9% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 43.9% (77,561 fully vaccinated)
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Billy Hathorn // Wikimedia Commons

#38. Webb County, TX

- New cases per 100k in the past week: 72 (198 new cases, +9% change from previous week)
- Cumulative cases per 100k: 38,914 (107,656 total cases)
--- 40.7% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 385 (1,064 total deaths)
--- 22.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 95.0% (307,392 fully vaccinated)
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Aualliso // Wikimedia Commons

#37. Bell County, TX

- New cases per 100k in the past week: 73 (265 new cases, +141% change from previous week)
- Cumulative cases per 100k: 22,263 (80,796 total cases)
--- 19.5% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 256 (930 total deaths)
--- 18.7% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 62.3% (225,988 fully vaccinated)
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Renelibrary // Wikimedia Commons

#36. Coleman County, TX

- New cases per 100k in the past week: 73 (6 new cases, +500% change from previous week)
- Cumulative cases per 100k: 23,865 (1,951 total cases)
--- 13.7% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 905 (74 total deaths)
--- 187.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 36.4% (2,978 fully vaccinated)
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Billy Hathorn // Wikimedia Commons

#35. Sterling County, TX

- New cases per 100k in the past week: 77 (1 new cases, 0% change from previous week)
- Cumulative cases per 100k: 23,935 (309 total cases)
--- 13.5% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 697 (9 total deaths)
--- 121.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 39.8% (514 fully vaccinated)
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Billy Hathorn // Wikimedia Commons

#34. Zapata County, TX

- New cases per 100k in the past week: 78 (11 new cases, +450% change from previous week)
- Cumulative cases per 100k: 30,284 (4,294 total cases)
--- 9.5% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 395 (56 total deaths)
--- 25.4% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 60.8% (8,624 fully vaccinated)
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#33. Lamb County, TX

- New cases per 100k in the past week: 78 (10 new cases, +150% change from previous week)
- Cumulative cases per 100k: 37,982 (4,897 total cases)
--- 37.3% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 977 (126 total deaths)
--- 210.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 43.6% (5,622 fully vaccinated)
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Wordbuilder // Wikimedia Commons

#32. Hutchinson County, TX

- New cases per 100k in the past week: 81 (17 new cases, +112% change from previous week)
- Cumulative cases per 100k: 34,803 (7,287 total cases)
--- 25.8% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 673 (141 total deaths)
--- 113.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 35.5% (7,443 fully vaccinated)
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Aualliso // Wikimedia Commons

#31. Mills County, TX

- New cases per 100k in the past week: 82 (4 new cases, -20% change from previous week)
- Cumulative cases per 100k: 32,075 (1,563 total cases)
--- 16.0% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 759 (37 total deaths)
--- 141.0% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 43.4% (2,117 fully vaccinated)
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Renelibrary // Wikimedia Commons

#30. Motley County, TX

- New cases per 100k in the past week: 83 (1 new cases, 0% change from previous week)
- Cumulative cases per 100k: 25,417 (305 total cases)
--- 8.1% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 1,083 (13 total deaths)
--- 243.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 28.5% (342 fully vaccinated)
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Renelibrary // Wikimedia Commons

#29. Brown County, TX

- New cases per 100k in the past week: 85 (32 new cases, +129% change from previous week)
- Cumulative cases per 100k: 36,903 (13,973 total cases)
--- 33.4% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 615 (233 total deaths)
--- 95.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 41.6% (15,766 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#28. Jim Wells County, TX

- New cases per 100k in the past week: 86 (35 new cases, -5% change from previous week)
- Cumulative cases per 100k: 33,412 (13,526 total cases)
--- 20.8% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 553 (224 total deaths)
--- 75.6% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 54.8% (22,184 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#27. Van Zandt County, TX

- New cases per 100k in the past week: 88 (50 new cases, +257% change from previous week)
- Cumulative cases per 100k: 21,294 (12,050 total cases)
--- 23.0% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 525 (297 total deaths)
--- 66.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 37.8% (21,371 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#26. Tyler County, TX

- New cases per 100k in the past week: 92 (20 new cases, +900% change from previous week)
- Cumulative cases per 100k: 21,899 (4,746 total cases)
--- 20.8% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 406 (88 total deaths)
--- 28.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 36.9% (7,998 fully vaccinated)
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#25. Cameron County, TX

- New cases per 100k in the past week: 92 (390 new cases, +22% change from previous week)
- Cumulative cases per 100k: 30,129 (127,495 total cases)
--- 8.9% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 494 (2,092 total deaths)
--- 56.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 80.9% (342,148 fully vaccinated)
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Aualliso // Wikimedia Commons

#24. Shackelford County, TX

- New cases per 100k in the past week: 92 (3 new cases, -25% change from previous week)
- Cumulative cases per 100k: 31,884 (1,041 total cases)
--- 15.3% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 368 (12 total deaths)
--- 16.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 37.0% (1,209 fully vaccinated)
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Billy Hathorn // Wikimedia Commons

#23. Castro County, TX

- New cases per 100k in the past week: 93 (7 new cases, 0% change from previous week)
- Cumulative cases per 100k: 34,675 (2,611 total cases)
--- 25.4% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 637 (48 total deaths)
--- 102.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 44.1% (3,324 fully vaccinated)
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Vami IV // Wikimedia Commons

#22. Tom Green County, TX

- New cases per 100k in the past week: 101 (120 new cases, +3% change from previous week)
- Cumulative cases per 100k: 31,402 (37,431 total cases)
--- 13.5% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 401 (478 total deaths)
--- 27.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 50.8% (60,520 fully vaccinated)
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Josh Berglund from Richardson, United States // Wikimedia Commons

#21. Hardeman County, TX

- New cases per 100k in the past week: 102 (4 new cases, +33% change from previous week)
- Cumulative cases per 100k: 15,484 (609 total cases)
--- 44.0% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 509 (20 total deaths)
--- 61.6% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 46.5% (1,829 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#20. Matagorda County, TX

- New cases per 100k in the past week: 106 (39 new cases, +290% change from previous week)
- Cumulative cases per 100k: 27,214 (9,972 total cases)
--- 1.6% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 505 (185 total deaths)
--- 60.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 47.2% (17,290 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#19. Bee County, TX

- New cases per 100k in the past week: 111 (36 new cases, +800% change from previous week)
- Cumulative cases per 100k: 29,473 (9,598 total cases)
--- 6.6% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 476 (155 total deaths)
--- 51.1% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 51.7% (16,828 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#18. McCulloch County, TX

- New cases per 100k in the past week: 113 (9 new cases, +200% change from previous week)
- Cumulative cases per 100k: 20,754 (1,657 total cases)
--- 25.0% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 614 (49 total deaths)
--- 94.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 38.2% (3,051 fully vaccinated)
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Austin Lamar Allison // Wikimedia Commons

#17. Roberts County, TX

- New cases per 100k in the past week: 117 (1 new cases, 0% change from previous week)
- Cumulative cases per 100k: 22,014 (188 total cases)
--- 20.4% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 234 (2 total deaths)
--- 25.7% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 31.9% (272 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#16. Wharton County, TX

- New cases per 100k in the past week: 125 (52 new cases, +550% change from previous week)
- Cumulative cases per 100k: 26,427 (10,982 total cases)
--- 4.4% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 541 (225 total deaths)
--- 71.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 50.7% (21,074 fully vaccinated)
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Travis K. Witt // Wikimedia Commons

#15. Wichita County, TX

- New cases per 100k in the past week: 132 (175 new cases, +6% change from previous week)
- Cumulative cases per 100k: 29,173 (38,576 total cases)
--- 5.5% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 534 (706 total deaths)
--- 69.5% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 52.9% (70,010 fully vaccinated)
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25or6to4 // Wikimedia Commons

#14. Kleberg County, TX

- New cases per 100k in the past week: 134 (41 new cases, +128% change from previous week)
- Cumulative cases per 100k: 28,810 (8,839 total cases)
--- 4.2% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 495 (152 total deaths)
--- 57.1% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 61.7% (18,939 fully vaccinated)
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Liveon001 ©Travis K. Witt // Wikimedia Commons

#13. Blanco County, TX

- New cases per 100k in the past week: 142 (17 new cases, +70% change from previous week)
- Cumulative cases per 100k: 25,430 (3,034 total cases)
--- 8.0% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 293 (35 total deaths)
--- 7.0% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 57.5% (6,858 fully vaccinated)
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Aualliso // Wikimedia Commons

#12. Crane County, TX

- New cases per 100k in the past week: 146 (7 new cases, +250% change from previous week)
- Cumulative cases per 100k: 30,457 (1,461 total cases)
--- 10.1% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 500 (24 total deaths)
--- 58.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 37.2% (1,785 fully vaccinated)
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Aualliso // Wikimedia Commons

#11. Borden County, TX

- New cases per 100k in the past week: 153 (1 new cases, 0% change from previous week)
- Cumulative cases per 100k: 17,737 (116 total cases)
--- 35.9% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 306 (2 total deaths)
--- 2.9% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 31.3% (205 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#10. San Patricio County, TX

- New cases per 100k in the past week: 169 (113 new cases, +151% change from previous week)
- Cumulative cases per 100k: 20,595 (13,743 total cases)
--- 25.5% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 536 (358 total deaths)
--- 70.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 56.5% (37,719 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#9. Taylor County, TX

- New cases per 100k in the past week: 181 (250 new cases, -15% change from previous week)
- Cumulative cases per 100k: 27,538 (38,012 total cases)
--- 0.4% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 542 (748 total deaths)
--- 72.1% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 51.1% (70,555 fully vaccinated)
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Aualliso // Wikimedia Commons

#8. Concho County, TX

- New cases per 100k in the past week: 183 (5 new cases, -38% change from previous week)
- Cumulative cases per 100k: 47,395 (1,292 total cases)
--- 71.4% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 440 (12 total deaths)
--- 39.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 52.2% (1,422 fully vaccinated)
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#7. Briscoe County, TX

- New cases per 100k in the past week: 194 (3 new cases, 0% change from previous week)
- Cumulative cases per 100k: 34,023 (526 total cases)
--- 23.0% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 517 (8 total deaths)
--- 64.1% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 42.8% (661 fully vaccinated)
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Aualliso // Wikimedia Commons

#6. Runnels County, TX

- New cases per 100k in the past week: 195 (20 new cases, +122% change from previous week)
- Cumulative cases per 100k: 25,877 (2,656 total cases)
--- 6.4% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 672 (69 total deaths)
--- 113.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 44.2% (4,536 fully vaccinated)
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Aualliso // Wikimedia Commons

#5. Irion County, TX

- New cases per 100k in the past week: 195 (3 new cases, 0% change from previous week)
- Cumulative cases per 100k: 37,174 (571 total cases)
--- 34.4% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 195 (3 total deaths)
--- 38.1% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 95.0% (2,236 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#4. Duval County, TX

- New cases per 100k in the past week: 197 (22 new cases, +214% change from previous week)
- Cumulative cases per 100k: 37,125 (4,142 total cases)
--- 34.2% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 654 (73 total deaths)
--- 107.6% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 63.1% (7,044 fully vaccinated)
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Aualliso // Wikimedia Commons

#3. Cottle County, TX

- New cases per 100k in the past week: 215 (3 new cases, 0% change from previous week)
- Cumulative cases per 100k: 25,608 (358 total cases)
--- 7.4% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 644 (9 total deaths)
--- 104.4% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 31.6% (442 fully vaccinated)
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Aualliso // Wikimedia Commons

#2. Mason County, TX

- New cases per 100k in the past week: 281 (12 new cases, 0% change from previous week)
- Cumulative cases per 100k: 22,368 (956 total cases)
--- 19.1% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 304 (13 total deaths)
--- 3.5% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 47.1% (2,012 fully vaccinated)
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#1. Brooks County, TX

- New cases per 100k in the past week: 493 (35 new cases, +1,067% change from previous week)
- Cumulative cases per 100k: 27,929 (1,981 total cases)
--- 1.0% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 733 (52 total deaths)
--- 132.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 95.0% (7,055 fully vaccinated)

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