25 Alabama counties with highest COVID-19 infections rates

We’re into two years of the COVID-19 pandemic and experts are saying we should expect to see cases surge due to the spread of variants.

Alabama has reported 1.3 million cases of COVID and 19,623 deaths since March 2020.

Stacker recently compiled a list of the counties with the highest COVID-19 infection rates in Alabama using data from the U.S. Department of Health and Human Resources with vaccination data from COVID Act Now. Counties are ranked by the highest infection rate per 100,000 residents within the week leading up to May 10. Cumulative cases per 100,000 served as a tiebreaker.

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Here were the top 25 counties with highest coronavirus infection rates:

25. Coosa County

New cases per 100k in the past week: 28 (3 new cases, +50% change from previous week)
Cumulative cases per 100k: 27,863 (2,971 total cases)
4.8% more cases per 100k residents than Alabama
Cumulative deaths per 100k: 544 (58 total deaths)
36% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 40.7% (4,343 fully vaccinated)

24. Talladega County

New cases per 100k in the past week: 28 (22 new cases, +47% change from previous week)
Cumulative cases per 100k: 27,966 (22,367 total cases)
5.2% more cases per 100k residents than Alabama
Cumulative deaths per 100k: 470 (376 total deaths)
17.5% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 36.7% (29,329 fully vaccinated)

23. Henry County

New cases per 100k in the past week: 29 (5 new cases, +400% change from previous week)
Cumulative cases per 100k: 26,603 (4,577 total cases)
0.1% more cases per 100k residents than Alabama
Cumulative deaths per 100k: 442 (76 total deaths)
10.5% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 45.6% (7,841 fully vaccinated)

22. Covington County

New cases per 100k in the past week: 30 (11 new cases, +22% change from previous week)
Cumulative cases per 100k: 25,231 (9,348 total cases)
5.1% less cases per 100k residents than Alabama
Cumulative deaths per 100k: 626 (232 total deaths)
56.5% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 38.2% (14,150 fully vaccinated)

21. Russell County

New cases per 100k in the past week: 31 (18 new cases, +157% change from previous week)
Cumulative cases per 100k: 17,436 (10,106 total cases)
34.4% less cases per 100k residents than Alabama
Cumulative deaths per 100k: 160 (93 total deaths)
60% less deaths per 100k residents than Alabama
Population that is fully vaccinated: 41.6% (24,104 fully vaccinated)

20. Lee County

New cases per 100k in the past week: 33 (54 new cases, +59% change from previous week)
Cumulative cases per 100k: 22,991 (37,830 total cases)
13.5% less cases per 100k residents than Alabama
Cumulative deaths per 100k: 207 (340 total deaths)
48.3% less deaths per 100k residents than Alabama
Population that is fully vaccinated: 40.3% (66,374 fully vaccinated)

19. Dale County

New cases per 100k in the past week: 33 (16 new cases, -11% change from previous week)
Cumulative cases per 100k: 26,281 (12,923 total cases)
1.1% less cases per 100k residents than Alabama
Cumulative deaths per 100k: 470 (231 total deaths)
17.5% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 48.1% (23,664 fully vaccinated)

18. Elmore County

New cases per 100k in the past week: 33 (27 new cases, +12% change from previous week)
Cumulative cases per 100k: 28,818 (23,403 total cases)
8.4% more cases per 100k residents than Alabama
Cumulative deaths per 100k: 427 (347 total deaths)
6.8% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 46.6% (37,842 fully vaccinated)

17. Cullman County

New cases per 100k in the past week: 33 (28 new cases, -18% change from previous week)
Cumulative cases per 100k: 29,399 (24,627 total cases)
10.6% more cases per 100k residents than Alabama
Cumulative deaths per 100k: 438 (367 total deaths)
9.5% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 38.3% (32,076 fully vaccinated)

16. Morgan County

New cases per 100k in the past week: 33 (39 new cases, +34% change from previous week)
Cumulative cases per 100k: 30,189 (36,130 total cases)
13.6% more cases per 100k residents than Alabama
Cumulative deaths per 100k: 431 (516 total deaths)
7.8% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 43.7% (52,346 fully vaccinated)

15. Limestone County

New cases per 100k in the past week: 34 (34 new cases, -8% change from previous week)
Cumulative cases per 100k: 25,291 (25,017 total cases)
4.9% less cases per 100k residents than Alabama
Cumulative deaths per 100k: 295 (292 total deaths)
26.3% less deaths per 100k residents than Alabama
Population that is fully vaccinated: 39.1% (38,677 fully vaccinated)

14. Tuscaloosa County

New cases per 100k in the past week: 35 (74 new cases, 0% change from previous week)
Cumulative cases per 100k: 26,851 (56,214 total cases)
1% more cases per 100k residents than Alabama
Cumulative deaths per 100k: 375 (786 total deaths)
6.3% less deaths per 100k residents than Alabama
Population that is fully vaccinated: 43.8% (91,796 fully vaccinated)

13. Lauderdale County

New cases per 100k in the past week: 36 (33 new cases, +154% change from previous week)
Cumulative cases per 100k: 26,070 (24,174 total cases)
1.9% less cases per 100k residents than Alabama
Cumulative deaths per 100k: 427 (396 total deaths)
6.8% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 46.8% (43,369 fully vaccinated)

12. Montgomery County

New cases per 100k in the past week: 39 (89 new cases, +37% change from previous week)
Cumulative cases per 100k: 24,374 (55,203 total cases)
8.3% less cases per 100k residents than Alabama
Cumulative deaths per 100k: 419 (948 total deaths)
4.8% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 52.4% (118,756 fully vaccinated)

11. Geneva County

New cases per 100k in the past week: 42 (11 new cases, +57% change from previous week)
Cumulative cases per 100k: 24,696 (6,488 total cases)
7.1% less cases per 100k residents than Alabama
Cumulative deaths per 100k: 624 (164 total deaths)
56.0% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 40.4% (10,612 fully vaccinated)

10. Baldwin County

New cases per 100k in the past week: 43 (97 new cases, +70% change from previous week)
Cumulative cases per 100k: 24,979 (55,761 total cases)
6% less cases per 100k residents than Alabama
Cumulative deaths per 100k: 305 (680 total deaths)
23.8% less deaths per 100k residents than Alabama
Population that is fully vaccinated: 51.1% (114,019 fully vaccinated)

9. Coffee County

New cases per 100k in the past week: 48 (25 new cases, +108% change from previous week)
Cumulative cases per 100k: 26,036 (13,628 total cases)
2.1% less cases per 100k residents than Alabama
Cumulative deaths per 100k: 441 (231 total deaths)
10.3% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 47.4% (24,830 fully vaccinated)

8. Jefferson County

New cases per 100k in the past week: 51 (338 new cases, +59% change from previous week)
Cumulative cases per 100k: 28,181 (185,594 total cases)
6% more cases per 100k residents than Alabama
Cumulative deaths per 100k: 360 (2,371 total deaths)
10% less deaths per 100k residents than Alabama
Population that is fully vaccinated: 58.4% (384,767 fully vaccinated)

7. Houston County

New cases per 100k in the past week: 52 (55 new cases, +206% change from previous week)
Cumulative cases per 100k: 24,331 (25,762 total cases)
8.5% less cases per 100k residents than Alabama
Cumulative deaths per 100k: 478 (506 total deaths)
19.5% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 43.4% (45,916 fully vaccinated)

6. Shelby County

New cases per 100k in the past week: 53 (115 new cases, 0% change from previous week)
Cumulative cases per 100k: 28,089 (61,150 total cases)
5.7% more cases per 100k residents than Alabama
Cumulative deaths per 100k: 207 (451 total deaths)
48.3% less deaths per 100k residents than Alabama
Population that is fully vaccinated: 36.4% (79,166 fully vaccinated)

5. St. Clair County

New cases per 100k in the past week: 56 (50 new cases, +138% change from previous week)
Cumulative cases per 100k: 28,338 (25,366 total cases)
6.6% more cases per 100k residents than Alabama
Cumulative deaths per 100k: 465 (416 total deaths)
16.3% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 39.3% (35,150 fully vaccinated)

4. Conecuh County

New cases per 100k in the past week: 58 (7 new cases, 0% change from previous week)
Cumulative cases per 100k: 23,767 (2,868 total cases)
10.6% less cases per 100k residents than Alabama
Cumulative deaths per 100k: 580 (70 total deaths)
45.0% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 43.8% (5,281 fully vaccinated)

3. Madison County

New cases per 100k in the past week: 71 (263 new cases, +10% change from previous week)
Cumulative cases per 100k: 24,179 (90,166 total cases)
9% less cases per 100k residents than Alabama
Cumulative deaths per 100k: 259 (965 total deaths)
35.3% less deaths per 100k residents than Alabama
Population that is fully vaccinated: 62.4% (232,732 fully vaccinated)

2. Lowndes County

New cases per 100k in the past week: 82 (8 new cases, +300% change from previous week)
Cumulative cases per 100k: 26,990 (2,625 total cases)
1.5% more cases per 100k residents than Alabama
Cumulative deaths per 100k: 792 (77 total deaths)
98% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 51.2% (4,980 fully vaccinated)

1. Escambia County

New cases per 100k in the past week: 115 (42 new cases, +425% change from previous week)
Cumulative cases per 100k: 27,475 (10,065 total cases)
3.4% more cases per 100k residents than Alabama
Cumulative deaths per 100k: 464 (170 total deaths)
16% more deaths per 100k residents than Alabama
Population that is fully vaccinated: 36.6% (13,421 fully vaccinated)