Counties with highest COVID-19 infection rates in Virginia
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 Virginia 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.
#50. Chesapeake city, VA
- Cumulative cases per 100k: 24,666 (60,392 total cases)
--- 1.1% less cases per 100k residents than Virginia
- Cumulative deaths per 100k: 221 (541 total deaths)
--- 15.0% less deaths per 100k residents than Virginia
- Population that is fully vaccinated: 78.6% (192,538 fully vaccinated)
#49. Nottoway County, VA
- Cumulative cases per 100k: 34,572 (5,266 total cases)
--- 38.6% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 657 (100 total deaths)
--- 152.7% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 58.2% (8,865 fully vaccinated)
#48. Poquoson city, VA
- Cumulative cases per 100k: 22,737 (2,790 total cases)
--- 8.9% less cases per 100k residents than Virginia
- Cumulative deaths per 100k: 253 (31 total deaths)
--- 2.7% less deaths per 100k residents than Virginia
- Population that is fully vaccinated: 67.5% (8,285 fully vaccinated)
#47. Roanoke city, VA
- Cumulative cases per 100k: 26,637 (26,409 total cases)
--- 6.8% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 421 (417 total deaths)
--- 61.9% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 60.1% (59,575 fully vaccinated)
#46. Floyd County, VA
- Cumulative cases per 100k: 21,519 (3,389 total cases)
--- 13.8% less cases per 100k residents than Virginia
- Cumulative deaths per 100k: 330 (52 total deaths)
--- 26.9% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 52.4% (8,259 fully vaccinated)
#45. Goochland County, VA
- Cumulative cases per 100k: 22,052 (5,238 total cases)
--- 11.6% less cases per 100k residents than Virginia
- Cumulative deaths per 100k: 253 (60 total deaths)
--- 2.7% less deaths per 100k residents than Virginia
- Population that is fully vaccinated: 77.3% (18,360 fully vaccinated)
#44. Newport News city, VA
- Cumulative cases per 100k: 25,628 (45,931 total cases)
--- 2.7% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 243 (436 total deaths)
--- 6.5% less deaths per 100k residents than Virginia
- Population that is fully vaccinated: 69.4% (124,397 fully vaccinated)
#43. Bristol city, VA
- Cumulative cases per 100k: 34,065 (5,710 total cases)
--- 36.5% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 579 (97 total deaths)
--- 122.7% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 53.4% (8,952 fully vaccinated)
#42. Scott County, VA
- Cumulative cases per 100k: 32,755 (7,064 total cases)
--- 31.3% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 580 (125 total deaths)
--- 123.1% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 48.6% (10,481 fully vaccinated)
#41. Warren County, VA
- Cumulative cases per 100k: 26,414 (10,609 total cases)
--- 5.9% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 423 (170 total deaths)
--- 62.7% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 52.0% (20,889 fully vaccinated)
#40. Carroll County, VA
- Cumulative cases per 100k: 29,741 (8,860 total cases)
--- 19.2% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 530 (158 total deaths)
--- 103.8% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 43.5% (12,964 fully vaccinated)
#39. Charlotte County, VA
- Cumulative cases per 100k: 26,524 (3,151 total cases)
--- 6.3% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 412 (49 total deaths)
--- 58.5% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 55.1% (6,544 fully vaccinated)
#38. Petersburg city, VA
- Cumulative cases per 100k: 30,441 (9,542 total cases)
--- 22.0% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 463 (145 total deaths)
--- 78.1% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 58.1% (18,199 fully vaccinated)
#37. Hanover County, VA
- Cumulative cases per 100k: 24,981 (26,921 total cases)
--- 0.1% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 302 (325 total deaths)
--- 16.2% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 72.2% (77,799 fully vaccinated)
#36. James City County, VA
- Cumulative cases per 100k: 25,811 (19,751 total cases)
--- 3.4% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 174 (133 total deaths)
--- 33.1% less deaths per 100k residents than Virginia
- Population that is fully vaccinated: 80.9% (61,872 fully vaccinated)
#35. Frederick County, VA
- Cumulative cases per 100k: 28,041 (25,044 total cases)
--- 12.4% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 301 (269 total deaths)
--- 15.8% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 59.7% (53,344 fully vaccinated)
#34. Staunton city, VA
- Cumulative cases per 100k: 29,564 (7,371 total cases)
--- 18.5% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 529 (132 total deaths)
--- 103.5% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 66.6% (16,596 fully vaccinated)
#33. Wythe County, VA
- Cumulative cases per 100k: 31,519 (9,041 total cases)
--- 26.3% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 572 (164 total deaths)
--- 120.0% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 47.1% (13,508 fully vaccinated)
#32. Hampton city, VA
- Cumulative cases per 100k: 26,473 (35,609 total cases)
--- 6.1% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 263 (354 total deaths)
--- 1.2% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 85.1% (114,513 fully vaccinated)
#31. Russell County, VA
- Cumulative cases per 100k: 32,683 (8,689 total cases)
--- 31.0% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 470 (125 total deaths)
--- 80.8% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 51.4% (13,661 fully vaccinated)
#30. Hopewell city, VA
- Cumulative cases per 100k: 32,474 (7,316 total cases)
--- 30.2% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 542 (122 total deaths)
--- 108.5% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 54.6% (12,300 fully vaccinated)
#29. Sussex County, VA
- Cumulative cases per 100k: 24,599 (2,745 total cases)
--- 1.4% less cases per 100k residents than Virginia
- Cumulative deaths per 100k: 394 (44 total deaths)
--- 51.5% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 52.5% (5,860 fully vaccinated)
#28. Mathews County, VA
- Cumulative cases per 100k: 21,496 (1,899 total cases)
--- 13.8% less cases per 100k residents than Virginia
- Cumulative deaths per 100k: 306 (27 total deaths)
--- 17.7% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 66.5% (5,877 fully vaccinated)
#27. Page County, VA
- Cumulative cases per 100k: 27,433 (6,557 total cases)
--- 9.9% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 531 (127 total deaths)
--- 104.2% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 50.6% (12,086 fully vaccinated)
#26. Shenandoah County, VA
- Cumulative cases per 100k: 29,741 (12,972 total cases)
--- 19.2% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 564 (246 total deaths)
--- 116.9% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 57.0% (24,842 fully vaccinated)
#25. Augusta County, VA
- Cumulative cases per 100k: 30,444 (23,003 total cases)
--- 22.0% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 306 (231 total deaths)
--- 17.7% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 59.3% (44,842 fully vaccinated)
#24. Richmond city, VA
- Cumulative cases per 100k: 25,545 (58,864 total cases)
--- 2.4% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 239 (550 total deaths)
--- 8.1% less deaths per 100k residents than Virginia
- Population that is fully vaccinated: 59.6% (137,451 fully vaccinated)
#23. Washington County, VA
- Cumulative cases per 100k: 31,466 (16,910 total cases)
--- 26.1% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 435 (234 total deaths)
--- 67.3% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 55.2% (29,687 fully vaccinated)
#22. Amelia County, VA
- Cumulative cases per 100k: 24,975 (3,283 total cases)
--- 0.1% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 464 (61 total deaths)
--- 78.5% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 53.8% (7,075 fully vaccinated)
#21. Lee County, VA
- Cumulative cases per 100k: 33,915 (7,944 total cases)
--- 35.9% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 448 (105 total deaths)
--- 72.3% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 49.4% (11,573 fully vaccinated)
#20. Winchester city, VA
- Cumulative cases per 100k: 27,203 (7,638 total cases)
--- 9.0% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 324 (91 total deaths)
--- 24.6% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 61.8% (17,348 fully vaccinated)
#19. Emporia city, VA
- Cumulative cases per 100k: 28,900 (1,545 total cases)
--- 15.8% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 1,048 (56 total deaths)
--- 303.1% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 56.2% (3,003 fully vaccinated)
#18. Madison County, VA
- Cumulative cases per 100k: 22,200 (2,944 total cases)
--- 11.0% less cases per 100k residents than Virginia
- Cumulative deaths per 100k: 339 (45 total deaths)
--- 30.4% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 60.1% (7,971 fully vaccinated)
#17. Patrick County, VA
- Cumulative cases per 100k: 25,823 (4,547 total cases)
--- 3.5% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 568 (100 total deaths)
--- 118.5% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 45.5% (8,018 fully vaccinated)
#16. Fluvanna County, VA
- Cumulative cases per 100k: 23,872 (6,510 total cases)
--- 4.3% less cases per 100k residents than Virginia
- Cumulative deaths per 100k: 187 (51 total deaths)
--- 28.1% less deaths per 100k residents than Virginia
- Population that is fully vaccinated: 70.9% (19,334 fully vaccinated)
#15. Buchanan County, VA
- Cumulative cases per 100k: 27,933 (5,867 total cases)
--- 12.0% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 638 (134 total deaths)
--- 145.4% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 50.4% (10,581 fully vaccinated)
#14. Wise County, VA
- Cumulative cases per 100k: 34,949 (13,065 total cases)
--- 40.1% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 567 (212 total deaths)
--- 118.1% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 49.2% (18,383 fully vaccinated)
#13. Montgomery County, VA
- Cumulative cases per 100k: 23,861 (23,511 total cases)
--- 4.4% less cases per 100k residents than Virginia
- Cumulative deaths per 100k: 170 (168 total deaths)
--- 34.6% less deaths per 100k residents than Virginia
- Population that is fully vaccinated: 55.1% (54,296 fully vaccinated)
#12. Charles City County, VA
- Cumulative cases per 100k: 22,074 (1,537 total cases)
--- 11.5% less cases per 100k residents than Virginia
- Cumulative deaths per 100k: 445 (31 total deaths)
--- 71.2% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 95.0% (9,384 fully vaccinated)
#11. Greensville County, VA
- Cumulative cases per 100k: 32,366 (3,669 total cases)
--- 29.7% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 397 (45 total deaths)
--- 52.7% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 53.6% (6,081 fully vaccinated)
#10. Grayson County, VA
- Cumulative cases per 100k: 33,460 (5,203 total cases)
--- 34.1% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 566 (88 total deaths)
--- 117.7% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 48.6% (7,563 fully vaccinated)
#9. Botetourt County, VA
- Cumulative cases per 100k: 27,679 (9,250 total cases)
--- 10.9% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 332 (111 total deaths)
--- 27.7% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 64.0% (21,385 fully vaccinated)
#8. Bland County, VA
- Cumulative cases per 100k: 35,971 (2,259 total cases)
--- 44.2% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 382 (24 total deaths)
--- 46.9% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 51.0% (3,201 fully vaccinated)
#7. Dickenson County, VA
- Cumulative cases per 100k: 31,268 (4,477 total cases)
--- 25.3% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 447 (64 total deaths)
--- 71.9% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 51.2% (7,324 fully vaccinated)
#6. Henry County, VA
- Cumulative cases per 100k: 29,681 (15,006 total cases)
--- 19.0% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 593 (300 total deaths)
--- 128.1% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 52.2% (26,389 fully vaccinated)
#5. Smyth County, VA
- Cumulative cases per 100k: 37,480 (11,283 total cases)
--- 50.2% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 641 (193 total deaths)
--- 146.5% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 54.0% (16,245 fully vaccinated)
#4. Norton city, VA
- Cumulative cases per 100k: 37,503 (1,493 total cases)
--- 50.3% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 502 (20 total deaths)
--- 93.1% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 52.4% (2,085 fully vaccinated)
#3. Martinsville city, VA
- Cumulative cases per 100k: 33,902 (4,256 total cases)
--- 35.9% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 980 (123 total deaths)
--- 276.9% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 62.5% (7,845 fully vaccinated)
#2. Galax city, VA
- Cumulative cases per 100k: 47,944 (3,043 total cases)
--- 92.2% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 1,276 (81 total deaths)
--- 390.8% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 56.1% (3,560 fully vaccinated)
#1. Pulaski County, VA
- Cumulative cases per 100k: 28,906 (9,836 total cases)
--- 15.9% more cases per 100k residents than Virginia
- Cumulative deaths per 100k: 450 (153 total deaths)
--- 73.1% more deaths per 100k residents than Virginia
- Population that is fully vaccinated: 54.5% (18,550 fully vaccinated)