Counties with highest COVID-19 infection rates in Texas

Written by:
September 14, 2022
Matthew Rutledge // Wikimedia Commons

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 Sep. 28 reached over 1 million COVID-19-related deaths and 96.2 million COVID-19 cases, according to Johns Hopkins University. Currently, 67.8% of the population is fully vaccinated, and 48.7% of vaccinated people have received 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 Sep. 22, 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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Aualliso // Wikimedia Commons

#50. Irion County, TX

- New cases per 100k in the past week: 130 (2 new cases, -33% change from previous week)
- Cumulative cases per 100k: 36,328 (558 total cases)
--- 34.4% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 195 (3 total deaths)
--- 36.5% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 95.0% (2,170 fully vaccinated)
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Mark Fisher // Wikimedia Commons

#49. Tarrant County, TX

- New cases per 100k in the past week: 131 (2,759 new cases, -45% change from previous week)
- Cumulative cases per 100k: 30,766 (646,861 total cases)
--- 13.8% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 290 (6,092 total deaths)
--- 5.5% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 57.3% (1,204,472 fully vaccinated)
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Reading Associate 17 // Wikimedia Commons

#48. Caldwell County, TX

- New cases per 100k in the past week: 131 (57 new cases, -10% change from previous week)
- Cumulative cases per 100k: 38,521 (16,820 total cases)
--- 42.5% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 421 (184 total deaths)
--- 37.1% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 56.2% (24,536 fully vaccinated)
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Aualliso // Wikimedia Commons

#47. Llano County, TX

- New cases per 100k in the past week: 133 (29 new cases, -19% change from previous week)
- Cumulative cases per 100k: 21,670 (4,723 total cases)
--- 19.8% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 450 (98 total deaths)
--- 46.6% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 50.8% (11,068 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#46. Jim Wells County, TX

- New cases per 100k in the past week: 133 (54 new cases, -32% change from previous week)
- Cumulative cases per 100k: 32,985 (13,353 total cases)
--- 22.0% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 546 (221 total deaths)
--- 77.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 54.5% (22,064 fully vaccinated)
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Patrick Feller from Humble, Texas, USA // Wikimedia Commons

#45. Grimes County, TX

- New cases per 100k in the past week: 135 (39 new cases, -19% change from previous week)
- Cumulative cases per 100k: 33,300 (9,617 total cases)
--- 23.2% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 433 (125 total deaths)
--- 41.0% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 53.5% (15,454 fully vaccinated)
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Farragutful // Wikimedia Commons

#44. Smith County, TX

- New cases per 100k in the past week: 140 (327 new cases, +6% change from previous week)
- Cumulative cases per 100k: 22,933 (53,376 total cases)
--- 15.2% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 423 (985 total deaths)
--- 37.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 46.6% (108,411 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#43. Menard County, TX

- New cases per 100k in the past week: 140 (3 new cases, +200% change from previous week)
- Cumulative cases per 100k: 27,923 (597 total cases)
--- 3.3% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 561 (12 total deaths)
--- 82.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 53.3% (1,139 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#42. Bastrop County, TX

- New cases per 100k in the past week: 144 (128 new cases, -14% change from previous week)
- Cumulative cases per 100k: 28,955 (25,690 total cases)
--- 7.1% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 274 (243 total deaths)
--- 10.7% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 58.0% (51,461 fully vaccinated)
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Aualliso // Wikimedia Commons

#41. Coke County, TX

- New cases per 100k in the past week: 148 (5 new cases, -17% change from previous week)
- Cumulative cases per 100k: 29,229 (990 total cases)
--- 8.1% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 590 (20 total deaths)
--- 92.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 47.0% (1,592 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#40. Lee County, TX

- New cases per 100k in the past week: 151 (26 new cases, +37% change from previous week)
- Cumulative cases per 100k: 28,598 (4,930 total cases)
--- 5.8% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 360 (62 total deaths)
--- 17.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 46.5% (8,010 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#39. Brazos County, TX

- New cases per 100k in the past week: 152 (349 new cases, -44% change from previous week)
- Cumulative cases per 100k: 30,834 (70,676 total cases)
--- 14.0% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 195 (447 total deaths)
--- 36.5% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 52.0% (119,300 fully vaccinated)
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Aualliso // Wikimedia Commons

#38. Shackelford County, TX

- New cases per 100k in the past week: 153 (5 new cases, +400% change from previous week)
- Cumulative cases per 100k: 31,118 (1,016 total cases)
--- 15.1% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 368 (12 total deaths)
--- 19.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 36.8% (1,201 fully vaccinated)
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Billy Hathorn // Wikimedia Commons

#37. Sterling County, TX

- New cases per 100k in the past week: 155 (2 new cases, +100% change from previous week)
- Cumulative cases per 100k: 22,773 (294 total cases)
--- 15.8% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 697 (9 total deaths)
--- 127.0% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 39.8% (514 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#36. Fisher County, TX

- New cases per 100k in the past week: 157 (6 new cases, -14% change from previous week)
- Cumulative cases per 100k: 17,859 (684 total cases)
--- 33.9% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 679 (26 total deaths)
--- 121.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 35.9% (1,376 fully vaccinated)
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Billy Hathorn // Wikimedia Commons

#35. Armstrong County, TX

- New cases per 100k in the past week: 159 (3 new cases, +50% change from previous week)
- Cumulative cases per 100k: 33,757 (637 total cases)
--- 24.9% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 530 (10 total deaths)
--- 72.6% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 40.0% (755 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#34. Duval County, TX

- New cases per 100k in the past week: 161 (18 new cases, -57% change from previous week)
- Cumulative cases per 100k: 36,623 (4,086 total cases)
--- 35.5% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 636 (71 total deaths)
--- 107.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 62.7% (7,000 fully vaccinated)
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Renelibrary // Wikimedia Commons

#33. Marion County, TX

- New cases per 100k in the past week: 162 (16 new cases, -50% change from previous week)
- Cumulative cases per 100k: 19,474 (1,919 total cases)
--- 28.0% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 619 (61 total deaths)
--- 101.6% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 39.6% (3,903 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#32. McCulloch County, TX

- New cases per 100k in the past week: 163 (13 new cases, -19% change from previous week)
- Cumulative cases per 100k: 20,403 (1,629 total cases)
--- 24.5% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 614 (49 total deaths)
--- 100.0% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 38.2% (3,051 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#31. Robertson County, TX

- New cases per 100k in the past week: 164 (28 new cases, -24% change from previous week)
- Cumulative cases per 100k: 29,700 (5,071 total cases)
--- 9.9% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 451 (77 total deaths)
--- 46.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 44.4% (7,573 fully vaccinated)
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Aualliso // Wikimedia Commons

#30. Mills County, TX

- New cases per 100k in the past week: 164 (8 new cases, -43% change from previous week)
- Cumulative cases per 100k: 31,726 (1,546 total cases)
--- 17.3% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 759 (37 total deaths)
--- 147.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 43.2% (2,103 fully vaccinated)
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Aualliso // Wikimedia Commons

#29. Bell County, TX

- New cases per 100k in the past week: 168 (610 new cases, +27% change from previous week)
- Cumulative cases per 100k: 21,912 (79,525 total cases)
--- 19.0% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 256 (928 total deaths)
--- 16.6% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 61.2% (222,123 fully vaccinated)
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Michael Barera // Wikimedia Commons

#28. Delta County, TX

- New cases per 100k in the past week: 169 (9 new cases, +12% change from previous week)
- Cumulative cases per 100k: 36,879 (1,966 total cases)
--- 36.4% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 506 (27 total deaths)
--- 64.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 35.2% (1,876 fully vaccinated)
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Canva

#27. Baylor County, TX

- New cases per 100k in the past week: 171 (6 new cases, 0% change from previous week)
- Cumulative cases per 100k: 25,563 (897 total cases)
--- 5.4% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 940 (33 total deaths)
--- 206.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 40.9% (1,435 fully vaccinated)
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Canva

#26. Collingsworth County, TX

- New cases per 100k in the past week: 171 (5 new cases, -50% change from previous week)
- Cumulative cases per 100k: 28,116 (821 total cases)
--- 4.0% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 548 (16 total deaths)
--- 78.5% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 33.4% (976 fully vaccinated)
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Renelibrary // Wikimedia Commons

#25. Titus County, TX

- New cases per 100k in the past week: 171 (56 new cases, -2% change from previous week)
- Cumulative cases per 100k: 29,646 (9,709 total cases)
--- 9.7% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 403 (132 total deaths)
--- 31.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 39.8% (13,030 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#24. Refugio County, TX

- New cases per 100k in the past week: 173 (12 new cases, +20% change from previous week)
- Cumulative cases per 100k: 30,037 (2,087 total cases)
--- 11.1% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 561 (39 total deaths)
--- 82.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 53.6% (3,724 fully vaccinated)
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Aualliso // Wikimedia Commons

#23. Crosby County, TX

- New cases per 100k in the past week: 174 (10 new cases, -41% change from previous week)
- Cumulative cases per 100k: 37,197 (2,134 total cases)
--- 37.6% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 802 (46 total deaths)
--- 161.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 43.0% (2,469 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#22. Floyd County, TX

- New cases per 100k in the past week: 175 (10 new cases, -52% change from previous week)
- Cumulative cases per 100k: 38,673 (2,209 total cases)
--- 43.0% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 858 (49 total deaths)
--- 179.5% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 45.0% (2,572 fully vaccinated)
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Billy Hathorn // Wikimedia Commons

#21. Webb County, TX

- New cases per 100k in the past week: 177 (491 new cases, +34% change from previous week)
- Cumulative cases per 100k: 38,308 (105,979 total cases)
--- 41.7% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 383 (1,059 total deaths)
--- 24.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 95.0% (304,082 fully vaccinated)
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Matthew T Rader // Wikimedia Commons

#20. Willacy County, TX

- New cases per 100k in the past week: 178 (38 new cases, -14% change from previous week)
- Cumulative cases per 100k: 38,754 (8,277 total cases)
--- 43.3% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 632 (135 total deaths)
--- 105.9% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 67.1% (14,340 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#19. Limestone County, TX

- New cases per 100k in the past week: 179 (42 new cases, +31% change from previous week)
- Cumulative cases per 100k: 24,645 (5,776 total cases)
--- 8.8% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 550 (129 total deaths)
--- 79.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 37.4% (8,769 fully vaccinated)
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Aualliso // Wikimedia Commons

#18. Hemphill County, TX

- New cases per 100k in the past week: 183 (7 new cases, -22% change from previous week)
- Cumulative cases per 100k: 34,826 (1,330 total cases)
--- 28.8% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 209 (8 total deaths)
--- 31.9% less deaths per 100k residents than Texas
- Population that is fully vaccinated: 41.9% (1,601 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#17. Callahan County, TX

- New cases per 100k in the past week: 186 (26 new cases, +117% change from previous week)
- Cumulative cases per 100k: 23,775 (3,315 total cases)
--- 12.1% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 538 (75 total deaths)
--- 75.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 41.7% (5,817 fully vaccinated)
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Renelibrary // Wikimedia Commons

#16. Brown County, TX

- New cases per 100k in the past week: 190 (72 new cases, -50% change from previous week)
- Cumulative cases per 100k: 36,465 (13,807 total cases)
--- 34.9% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 613 (232 total deaths)
--- 99.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 41.5% (15,728 fully vaccinated)
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Travis K. Witt // Wikimedia Commons

#15. Wichita County, TX

- New cases per 100k in the past week: 191 (253 new cases, -11% change from previous week)
- Cumulative cases per 100k: 28,193 (37,280 total cases)
--- 4.3% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 528 (698 total deaths)
--- 72.0% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 52.2% (68,989 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#14. Taylor County, TX

- New cases per 100k in the past week: 206 (284 new cases, +26% change from previous week)
- Cumulative cases per 100k: 26,717 (36,879 total cases)
--- 1.2% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 538 (743 total deaths)
--- 75.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 50.7% (70,002 fully vaccinated)
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25or6to4 // Wikimedia Commons

#13. Kleberg County, TX

- New cases per 100k in the past week: 215 (66 new cases, +38% change from previous week)
- Cumulative cases per 100k: 28,409 (8,716 total cases)
--- 5.1% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 495 (152 total deaths)
--- 61.2% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 61.4% (18,852 fully vaccinated)
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Distrito Medico Monterrey // Flickr

#12. Hidalgo County, TX

- New cases per 100k in the past week: 216 (1,876 new cases, +7% change from previous week)
- Cumulative cases per 100k: 28,730 (249,582 total cases)
--- 6.3% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 460 (3,993 total deaths)
--- 49.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 78.1% (678,113 fully vaccinated)
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Aualliso // Wikimedia Commons

#11. Yoakum County, TX

- New cases per 100k in the past week: 218 (19 new cases, +90% change from previous week)
- Cumulative cases per 100k: 18,685 (1,628 total cases)
--- 30.9% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 482 (42 total deaths)
--- 57.0% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 40.3% (3,509 fully vaccinated)
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Vami IV // Wikimedia Commons

#10. Tom Green County, TX

- New cases per 100k in the past week: 232 (277 new cases, -56% change from previous week)
- Cumulative cases per 100k: 39,876 (47,532 total cases)
--- 47.5% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 472 (563 total deaths)
--- 53.7% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 50.7% (60,387 fully vaccinated)
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Renelibrary // Wikimedia Commons

#9. Swisher County, TX

- New cases per 100k in the past week: 257 (19 new cases, +36% change from previous week)
- Cumulative cases per 100k: 34,230 (2,532 total cases)
--- 26.6% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 460 (34 total deaths)
--- 49.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 40.3% (2,979 fully vaccinated)
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Leaflet // Wikimedia Commons

#8. Jones County, TX

- New cases per 100k in the past week: 259 (52 new cases, +189% change from previous week)
- Cumulative cases per 100k: 25,136 (5,048 total cases)
--- 7.0% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 463 (93 total deaths)
--- 50.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 43.2% (8,683 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#7. Van Zandt County, TX

- New cases per 100k in the past week: 269 (152 new cases, +111% change from previous week)
- Cumulative cases per 100k: 21,011 (11,890 total cases)
--- 22.3% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 514 (291 total deaths)
--- 67.4% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 37.4% (21,163 fully vaccinated)
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Renelibrary // Wikimedia Commons

#6. Coleman County, TX

- New cases per 100k in the past week: 269 (22 new cases, 0% change from previous week)
- Cumulative cases per 100k: 23,437 (1,916 total cases)
--- 13.3% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 905 (74 total deaths)
--- 194.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 36.4% (2,977 fully vaccinated)
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Nicolas Henderson // Wikimedia Commons

#5. Knox County, TX

- New cases per 100k in the past week: 273 (10 new cases, +400% change from previous week)
- Cumulative cases per 100k: 16,157 (592 total cases)
--- 40.2% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 682 (25 total deaths)
--- 122.1% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 39.1% (1,434 fully vaccinated)
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Larry D. Moore // Wikimedia Commons

#4. Jim Hogg County, TX

- New cases per 100k in the past week: 346 (18 new cases, -44% change from previous week)
- Cumulative cases per 100k: 67,596 (3,515 total cases)
--- 150.0% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 423 (22 total deaths)
--- 37.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 57.2% (2,972 fully vaccinated)
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Renelibrary // Wikimedia Commons

#3. Camp County, TX

- New cases per 100k in the past week: 367 (48 new cases, +55% change from previous week)
- Cumulative cases per 100k: 25,569 (3,348 total cases)
--- 5.4% less cases per 100k residents than Texas
- Cumulative deaths per 100k: 588 (77 total deaths)
--- 91.5% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 40.3% (5,278 fully vaccinated)
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Aualliso // Wikimedia Commons

#2. Edwards County, TX

- New cases per 100k in the past week: 518 (10 new cases, +400% change from previous week)
- Cumulative cases per 100k: 28,830 (557 total cases)
--- 6.6% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 569 (11 total deaths)
--- 85.3% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 85.6% (1,654 fully vaccinated)
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Matthew Rutledge // Wikimedia Commons

#1. Loving County, TX

- New cases per 100k in the past week: 2,959 (5 new cases, +25% change from previous week)
- Cumulative cases per 100k: 200,592 (339 total cases)
--- 641.9% more cases per 100k residents than Texas
- Cumulative deaths per 100k: 592 (1 total deaths)
--- 92.8% more deaths per 100k residents than Texas
- Population that is fully vaccinated: 18.3% (31 fully vaccinated)

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