COVID-19: These Are the 5 Most Dangerous Counties in Your State

The acceleration in the spread of COVID-19 in the United States in the past month is nothing short of astonishing. Confirmed cases now routinely rise by over 200,000 a day, on the way to what experts think will be 300,000. Fatal cases per day have risen to over 3,000, and experts fear that could surge over the course of January. Currently, total confirmed cases in the United States stand at 17,287,875 and fatalities at 313,797.

Some parts of the country are much worse off than others. The states in the upper Midwest now are taking the brunt of the disease. This includes Iowa, Minnesota, Montana, North and South Dakota and Wyoming. Case counts in states where the growth has slowed also have picked up. This includes, in particular, New York, which was hit worse than any other state in terms of deaths during a horrible period from late March through April. The state still has more fatal cases than any other at 35,647.

The effects of the disease on any area are measured in several ways. Among the most widely followed are confirmed cases per 100,000 people. This shows how deeply COVID-19 has spread in any given county. It also can be a sign of likely future spread because such a large portion of the population already has been affected.

Until vaccines can slow and eventually start to eliminate COVID-19, people have to be on guard for the spread of the disease in their own communities. 24/7 Wall St. has looked at each state to determine the counties where the confirmed cases per 100,000 are the highest. We also have shown a more grim figure, which is deaths per 100,000.

The ways that people can protect themselves regardless of the intensity of the spread of the disease have changed very little since the start of the pandemic. Wear masks, social distance, wash hands and when talking stay outside as much as possible. Just as important, do not gather inside in groups of more than a few people.

This list shows the five counties in each state where the cases per 100,000 are the highest. It provides a picture of which areas in a state are most dangerous in terms of the spread of the disease.

Alabama
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Franklin31,5422,923349,267.011,163.19
Clarke24,3872,110248,652.151,137.44
Jackson52,0944,505288,647.83621.53
Lowndes10,236876318,558.033,538.81
DeKalb71,2006,068508,522.47823.99
Alaska
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Bethel18,0401,61388,941.24495.97
Anchorage296,11216,5111035,575.93623.83
Kusilvak8,19842935,232.98699.30
Northwest Arctic7,73434804,499.610.00
North Slope9,79743124,399.31464.04
Arizona
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Yuma207,82923,44743511,281.871,855.25
Santa Cruz46,5845,0978510,941.521,667.65
Apache71,5226,6222129,258.693,201.45
Navajo108,7059,9802929,180.812,925.85
Graham37,8792,673417,056.681,533.86
Arkansas
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Lincoln13,6952,6962019,686.02741.84
Jackson17,2252,4771414,380.26565.20
Lee9,3981,3402014,258.351,492.54
Sevier17,1931,9102011,109.171,047.12
Chicot10,8261,3272912,257.532,185.38
California
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Imperial180,21619,75638010,962.401,923.47
Lassen31,1853,378610,832.13177.62
Kings150,07513,6521009,096.78732.49
San Bernardino2,135,413137,5481,2416,441.28902.23
Kern883,05352,0024705,888.89903.81
Colorado
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Crowley5,6301,4571025,879.22686.34
Logan21,6892,7874912,849.831,758.16
Lincoln5,548694112,509.01144.09
Bent5,809691411,895.33578.87
Fremont47,0023,755127,989.02319.57
Connecticut
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Fairfield944,34849,4221,6125,233.453,261.71
New Haven859,33940,5391,4094,717.463,475.67
Hartford894,73039,1511,7164,375.734,383.03
Litchfield183,0316,2701973,425.653,141.95
Windham116,5383,921483,364.571,224.18
Delaware
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Sussex219,54012,7802765,821.262,159.62
New Castle555,13327,6024114,972.141,489.02
Kent174,8227,4421464,256.901,961.84
Florida
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Lafayette8,7441,3912015,908.051,437.81
Miami-Dade2,715,516264,6734,0179,746.691,517.72
Union15,2391,333658,747.294,876.22
Jackson48,4724,1971078,658.612,549.44
Suwannee43,9243,569948,125.402,633.79
Georgia
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Chattahoochee10,7672,113319,624.78141.98
Stewart6,042590179,764.982,881.36
Whitfield103,8499,2621058,918.721,133.66
Hall195,96114,8482117,577.021,421.07
Clinch6,743506147,504.082,766.80
Hawaii
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Honolulu987,63816,5432151,675.011,299.64
Hawaii197,6581,74843884.362,459.95
Maui165,28185617517.911,985.98
Kauai71,3771341187.74746.27
Idaho
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Madison38,7054,9781012,861.39200.88
Cassia23,6152,4042010,179.97831.95
Minidoka20,6151,913219,279.651,097.75
Jerome23,4312,117159,035.04708.55
Twin Falls83,6667,5241098,992.901,448.70
Illinois
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Fayette21,7242,4324211,194.991,726.97
Cass12,6651,3682610,801.421,900.58
Clinton37,6284,0407410,736.691,831.68
Effingham34,1743,5024610,247.561,313.54
Lawrence16,1891,488229,191.431,478.49
Indiana
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Elkhart203,60421,14528210,385.361,333.65
Cass38,0843,718369,762.63968.26
Marshall46,5954,086628,769.181,517.38
Dubois42,4183,633358,564.76963.39
Clinton32,3012,703298,368.161,072.88
Iowa
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Buena Vista20,2603,4332116,944.72611.71
Plymouth25,0393,1504212,580.371,333.33
Jones20,5682,4923412,115.911,364.37
Sioux34,8254,1163911,819.10947.52
Henry19,9262,3432011,758.51853.61
Kansas
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Norton5,4861,106N/A20,160.41N/A
Ellsworth6,293891N/A14,158.59N/A
Sheridan2,506311N/A12,410.22N/A
Ford34,4844,270N/A12,382.55N/A
Seward22,6922,485N/A10,951.00N/A
Kentucky
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Lee6,7511,0021714,842.251,696.61
Elliott7,51773919,831.05135.32
Monroe10,634852188,012.042,112.68
Marion19,2321,371167,128.741,167.03
Warren126,4278,825836,980.31940.51
Louisiana
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
East Carroll7,2259031412,498.271,550.39
East Feliciana19,4992,3169011,877.533,886.01
Madison11,4721,1881610,355.651,346.80
Franklin20,3221,877729,236.303,835.91
Allen25,6612,275718,865.593,120.88
Maine
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Androscoggin107,4442,057391,914.491,895.96
Cumberland290,9445,281811,815.131,533.80
York203,1023,536451,741.001,272.62
Oxford57,32571971,254.25973.57
Franklin30,01935641,185.921,123.60
Maryland
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Allegany71,9774,8481266,735.482,599.01
Somerset25,7371,504145,843.73930.85
Prince George’s906,20248,7181,0075,376.062,067.00
Baltimore City614,70028,5866354,650.402,221.37
Baltimore827,62534,7028414,192.962,423.49
Massachusetts
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Essex781,02447,8461,5606,126.063,260.46
Suffolk791,76646,3651,3095,855.902,823.25
Nantucket11,10162205,603.100.00
Bristol558,90527,5519774,929.463,546.15
Hampden469,11621,4029794,562.204,574.34
Michigan
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Dickinson25,5702,045637,997.653,080.68
Delta36,1902,799677,734.182,393.71
Iron11,212780376,956.834,743.59
Menominee23,2341,521236,546.441,512.16
Baraga8,507546286,418.245,128.21
Minnesota
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Nobles21,8393,4174215,646.321,229.15
Kandiyohi42,6585,0854811,920.39943.95
Rock9,4139781010,389.891,022.49
Stearns156,81916,13315110,287.66935.97
Lyon25,8392,6302410,178.41912.55
Mississippi
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Issaquena1,328136410,240.962,941.18
Neshoba29,3762,6351338,969.915,047.44
Bolivar32,5922,908908,922.433,094.91
Montgomery10,198902308,844.873,325.94
Winston18,3581,567428,535.792,680.28
Missouri
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Sullivan6,31760799,608.991,482.70
Cole76,7407,042779,176.441,093.44
Perry19,1461,729159,030.61867.55
St. Francois66,3425,859588,831.51989.93
Moniteau15,9581,384168,672.771,156.07
Montana
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Big Horn13,3761,9735714,750.302,889.00
Toole4,976660813,263.671,212.12
Roosevelt11,2281,3354211,889.923,146.07
Powell6,861771511,237.43648.51
Rosebud9,2509852610,648.652,639.59
Nebraska
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Dakota20,3173,3605116,537.871,517.86
Colfax10,7601,3841712,862.451,228.32
Saline14,2881,658311,604.14180.94
Platte33,0633,3903710,253.151,091.45
Madison35,1643,5483510,089.86986.47
Nevada
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Carson54,4674,028397,395.30968.22
Washoe450,48631,3213786,952.711,206.86
Clark2,141,574146,7232,0806,851.181,417.64
Elko52,2523,490316,679.17888.25
Lander5,74633765,864.951,780.42
New Hampshire
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Hillsborough411,08713,3563613,248.952,702.91
Rockingham305,1297,9061202,591.041,517.83
Merrimack149,4523,314402,217.431,207.00
Belknap60,6401,296372,137.202,854.94
Strafford128,2372,277191,775.62834.43
New Jersey
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Passaic504,04136,4141,3807,224.413,789.75
Union553,06633,3751,4946,034.544,476.40
Hudson668,63138,4291,6495,747.424,291.03
Essex793,55542,3292,3165,334.105,471.43
Camden507,36724,5397464,836.543,040.06
New Mexico
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
McKinley72,8498,65031811,873.883,676.30
Chaves65,4596,019739,195.071,212.83
Luna24,2642,185369,005.111,647.60
Lea70,1265,791708,257.991,208.77
Curry50,1993,680377,330.821,005.43
New York
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Rockland323,68624,5555557,586.062,260.23
Westchester968,81560,5401,5816,248.872,611.50
Richmond474,10129,1678356,152.062,862.82
Nassau1,356,56472,9042,3065,374.173,163.06
Orange378,22720,1144705,317.972,336.68
North Carolina
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Avery17,5011,201136,862.471,082.43
Sampson63,5614,287566,744.701,306.27
Greene21,0081,368286,511.812,046.78
Scotland35,2622,281506,468.722,192.02
Duplin59,0623,793636,422.061,660.95
North Dakota
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Eddy2,313388616,774.751,546.39
Foster3,2905251915,957.453,619.05
Morton30,5444,4738214,644.451,833.22
Walsh10,8021,5452014,302.911,294.50
Burleigh93,73713,23715714,121.421,186.07
Ohio
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Marion65,3446,080869,304.601,414.47
Pickaway57,4205,187509,033.44963.95
Mercer40,8063,613738,854.092,020.48
Putnam33,9692,937618,646.122,076.95
Darke51,7343,592736,943.212,032.29
Oklahoma
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Alfalfa5,857805213,744.24248.45
Texas21,1212,7501513,020.22545.45
Woodward20,9672,203810,506.99363.14
Okfuskee12,1151,2161510,037.141,233.55
Custer29,2092,551218,733.61823.21
Oregon
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Malheur30,4312,619458,606.361,718.21
Morrow11,21574776,660.72937.08
Umatilla76,8984,881526,347.371,065.36
Jefferson23,1431,147124,956.141,046.21
Union26,028903103,469.341,107.42
Pennsylvania
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Mifflin46,3622,872866,194.732,994.43
Cambria134,5507,4371705,527.312,285.87
Blair123,8426,5511225,289.801,862.31
Lebanon138,6747,2521375,229.531,889.13
Bedford48,6112,509725,161.382,869.67
Rhode Island
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Providence634,53351,871N/A8,174.67N/A
Kent163,8618,436N/A5,148.27N/A
Bristol48,9001,816N/A3,713.70N/A
Washington126,2423,713N/A2,941.18N/A
Newport83,0751,965N/A2,365.33N/A
South Carolina
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Pickens122,7468,4161166,856.441,378.33
Newberry38,0682,473696,496.272,790.13
Marlboro27,1311,700226,265.901,294.12
Dillon30,8711,924546,232.392,806.65
Greenville498,40230,1564506,050.541,492.24
South Dakota
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Bon Homme6,9691,4272120,476.401,471.62
Dewey5,7791,170720,245.72598.29
Buffalo2,0534011019,532.392,493.77
Aurora2,759391714,171.801,790.28
Beadle18,3742,4263213,203.441,319.04
Tennessee
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Trousdale9,5732,0411221,320.38587.95
Lake7,5261,3211117,552.48832.70
Wayne16,6492,1951513,183.98683.37
Haywood17,7791,9513110,973.621,588.93
Obion30,5203,2276510,573.392,014.25
Texas
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Childress7,2261,131315,651.81265.25
Hale34,1134,78411014,023.982,299.33
Crockett3,633478813,157.171,673.64
Lubbock301,45437,52847412,449.001,263.06
Potter120,89914,41521011,923.181,456.82
Utah
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Utah590,44058,9551869,984.93315.49
Wasatch30,5232,814159,219.28533.05
Salt Lake1,120,80595,9174878,557.87507.73
San Juan15,2811,275328,343.692,509.80
Summit40,5112,69556,652.51185.53
Vermont
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Washington58,47783551,427.91598.80
Chittenden162,0522,150551,326.732,558.14
Essex6,2087401,192.010.00
Orange28,9372871991.81348.43
Orleans26,9112473917.841,214.57
Virginia
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Galax6,6386903110,394.704,492.75
Greensville11,659967168,294.021,654.60
Radford17,6301,34877,646.06519.29
Franklin8,211612177,453.422,777.78
Harrisonburg53,3913,905407,313.971,024.33
Washington
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Franklin90,6607,789778,591.44988.57
Adams19,4521,489157,654.741,007.39
Yakima249,32515,8792966,368.801,864.10
Whitman48,5932,570255,288.83972.76
Benton194,16810,0521505,176.961,492.24
West Virginia
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Mineral27,2781,900526,965.322,736.84
Marshall31,6451,711405,406.862,337.81
Grant11,641606135,205.742,145.21
Ohio42,5472,067294,858.161,403.00
Brooke22,7721,069134,694.361,216.09
Wisconsin
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Menominee4,579666914,544.661,351.35
Dodge87,7769,7849511,146.55970.97
Jackson20,5062,096610,221.40286.26
Shawano41,0093,938539,602.771,345.86
Brown259,78624,7011559,508.21627.50
Wyoming
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Fremont40,0763,776529,422.101,377.12
Albany38,1023,35398,800.06268.42
Teton23,0591,95828,491.26102.15
Washakie8,129662118,143.681,661.63
Sheridan30,0122,359137,860.19551.08

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