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 in January. Currently, total confirmed cases in the United States stand at 18,184,737 and fatalities at 322,343.

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 36,147.

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 grimmer 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 stay outside as much as possible when talking. Just as important, do not gather inside in groups of more than a few people.

COVID-19: This Is the Hardest Hit City in America

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

Alabama
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Franklin31,5423,021369,577.71114
Jackson52,0944,689319,001.0460
DeKalb71,2006,408519,000.0072
Clarke24,3872,182248,947.3998
Marshall95,1458,380718,807.6175
Alaska
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Bethel18,0401,61488,946.7944
Anchorage296,11216,5171065,577.9636
Kusilvak8,19842935,232.9837
Northwest Arctic7,73434904,512.540
North Slope9,79743024,389.1020
Arizona
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Yuma207,82924,59246511,832.80224
Santa Cruz46,5845,3628711,510.39187
Apache71,5226,8622189,594.25305
Navajo108,70510,3013009,476.11276
Gila53,4004,0051197,500.00223
Arkansas
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Lincoln13,6952,9092421,241.33175
Jackson17,2253,1661918,380.26110
Lee9,3981,4102215,003.19234
Sevier17,1932,3962113,935.90122
Chicot10,8261,4413013,310.55277
California
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Lassen31,1853,595711,527.9822
Imperial180,21620,71139411,492.32219
Kings150,07514,4741039,644.5169
San Bernardino2,135,413159,8831,3277,487.2262
Kern883,05355,1184816,241.7554
Colorado
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Crowley5,6301,5761227,992.89213
Bent5,8098671014,925.12172
Logan21,6893,0305213,970.21240
Lincoln5,548749213,500.3636
Fremont47,0024,012148,535.8130
Connecticut
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Fairfield944,34850,6141,6285,359.68172
New Haven859,33941,7231,4254,855.24166
Hartford894,73040,6111,7334,538.91194
Windham116,5384,153513,563.6444
Litchfield183,0316,5152053,559.51112
Delaware
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Sussex219,54013,4602846,131.00129
New Castle555,13329,1264225,246.6776
Kent174,8227,9101564,524.6089
Florida
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Lafayette8,7441,4032016,045.29229
Miami-Dade2,715,516274,1174,06610,094.47150
Jackson48,4724,3551108,984.57227
Union15,2391,365658,957.28427
Suwannee43,9243,680938,378.11212
Georgia
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Chattahoochee10,7672,129319,773.3828
Stewart6,042600179,930.49281
Whitfield103,8499,8231119,458.93107
Hall195,96115,6252157,973.53110
Echols3,99430437,611.4275
Hawaii
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Honolulu987,63817,0542181,726.7522
Hawaii197,6581,80344912.1822
Maui165,28189917543.9210
Kauai71,3771371191.941
Idaho
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Madison38,7055,0731013,106.8326
Cassia23,6152,4491910,370.5380
Minidoka20,6151,953229,473.68107
Washington10,025925149,226.93140
Twin Falls83,6667,6551109,149.48131
Illinois
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Fayette21,7242,5024611,517.22212
Cass12,6651,4252811,251.48221
Clinton37,6284,1567711,044.97205
Effingham34,1743,6074910,554.81143
Lawrence16,1891,7032410,519.49148
Indiana
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Elkhart203,60421,70629410,660.89144
Cass38,0843,9213610,295.6695
Dubois42,4183,929379,262.5887
Marshall46,5954,215659,046.04139
Clinton32,3012,897308,968.7693
Iowa
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Buena Vista20,2603,5352217,448.17109
Plymouth25,0393,2384612,931.83184
Jones20,5682,5213812,256.90185
Sioux34,8254,1924112,037.33118
Henry19,9262,3962112,024.49105
Kansas
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Norton5,4861,122N/A20,452.06N/A
Ellsworth6,293921N/A14,635.31N/A
Sheridan2,506319N/A12,729.45N/A
Ford34,4844,302N/A12,475.35N/A
Seward22,6922,540N/A11,193.37N/A
Kentucky
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Lee6,7511,0161815,049.62267
Elliott7,51774319,884.2613
Monroe10,634880198,275.34179
Marion19,2321,434177,456.3288
Warren126,4279,218837,291.1666
Louisiana
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
East Carroll7,2259131412,636.68194
East Feliciana19,4992,3759012,180.11462
Madison11,4721,2071610,521.27139
Franklin20,3221,929739,492.18359
Allen25,6612,346719,142.28277
Maine
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Androscoggin107,4442,152422,002.9039
Cumberland290,9445,745831,974.6129
York203,1023,773481,857.6924
Oxford57,325869121,515.9221
Franklin30,01938451,279.1917
Maryland
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Allegany71,9775,0501407,016.13195
Somerset25,7371,577166,127.3762
Prince George’s906,20250,3191,0365,552.74114
Baltimore city614,70029,3316644,771.60108
Garrett29,3761,306344,445.81116
Massachusetts
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Essex781,02450,9021,5866,517.34203
Suffolk791,76648,6541,3156,145.00166
Nantucket11,10166105,954.420
Bristol558,90529,4289955,265.30178
Hampden469,11622,7761,0034,855.09214
Michigan
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Dickinson25,5702,079648,130.62250
Delta36,1902,820737,792.21202
Iron11,212789377,037.10330
Menominee23,2341,571236,761.6499
Branch43,5842,903576,660.70131
Minnesota
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Nobles21,8393,4634315,856.95197
Kandiyohi42,6585,2145512,222.79129
Rock9,4139981010,602.36106
Lyon25,8392,7082610,480.28101
Stearns156,81916,42215910,471.95101
Mississippi
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Issaquena1,328140410,542.17301
Neshoba29,3762,7381339,320.53453
Bolivar32,5923,035929,312.10282
Montgomery10,198923309,050.79294
Winston18,3581,650448,987.91240
Missouri
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Sullivan6,31761899,783.13142
Cole76,7407,192779,371.91100
Perry19,1461,771159,249.9778
St. Francois66,3426,070589,149.5687
Madison12,2051,097108,988.1282
Montana
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Big Horn13,3762,0115715,034.39426
Toole4,976670813,464.63161
Roosevelt11,2281,3654212,157.11374
Powell6,861788511,485.2173
Rosebud9,2501,0012710,821.62292
Nebraska
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Dakota20,3173,3935116,700.30251
Colfax10,7601,3961712,973.98158
Saline14,2881,684311,786.1121
Platte33,0633,4133910,322.72118
Madison35,1643,6233610,303.15102
Nevada
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Carson City54,4674,516438,291.2679
Washoe450,48632,8304077,287.6990
Clark2,141,574153,9512,1627,188.68101
Elko52,2523,637326,960.5061
Lander5,74636066,265.23104
New Hampshire
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Hillsborough411,08714,9653863,640.3594
Rockingham305,1299,0531252,966.9441
Merrimack149,4523,952472,644.3331
Belknap60,6401,523412,511.5468
Strafford128,2372,778202,166.3016
New Jersey
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Passaic504,04137,4881,3927,437.49276
Union553,06634,2511,5046,192.93272
Hudson668,63139,7691,6605,947.82248
Essex793,55543,7932,3315,518.58294
Camden507,36725,7817575,081.33149
New Mexico
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
McKinley72,8499,04432312,414.72443
Chaves65,4596,181799,442.55121
Luna24,2642,233389,202.93157
Lea70,1266,013758,574.57107
Curry50,1993,775397,520.0778
New York
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Rockland323,68625,2755637,808.49174
Westchester968,81562,9401,6066,496.60166
Richmond474,10130,5058476,434.28179
Nassau1,356,56476,3222,3255,626.13171
Orange378,22721,0724815,571.26127
North Carolina
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Sampson63,5614,503577,084.5390
Avery17,5011,230157,028.1786
Greene21,0081,437276,840.25129
Scotland35,2622,372516,726.79145
Duplin59,0623,915656,628.63110
North Dakota
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Eddy2,313391616,904.45259
Foster3,2905341916,231.00578
Morton30,5444,5328414,837.61275
Walsh10,8021,5642114,478.80194
Burleigh93,73713,36616014,259.04171
Ohio
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Marion65,3446,289939,624.45142
Pickaway57,4205,492509,564.6187
Mercer40,8063,700769,067.29186
Putnam33,9693,054628,990.55183
Darke51,7343,786747,318.20143
Oklahoma
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Alfalfa5,857855314,597.9251
Texas21,1212,8291513,394.2571
Woodward20,9672,3021010,979.1648
Okfuskee12,1151,2811510,573.67124
Craig14,4931,31759,087.1534
Oregon
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Malheur30,4312,739499,000.69161
Morrow11,21577476,901.4762
Umatilla76,8985,164546,715.3970
Jefferson23,1431,259145,440.0960
Marion335,55312,5431953,738.0158
Pennsylvania
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Mifflin46,3623,034926,544.15198
Cambria134,5507,9581985,914.53147
Blair123,8426,9881425,642.67115
Huntingdon45,4212,550765,614.14167
Lebanon138,6747,6931415,547.54102
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
Pickens122,7468,9551297,295.55105
Newberry38,0682,585706,790.48184
Dillon30,8712,067546,695.60175
Greenville498,40232,2074646,462.0593
Marlboro27,1311,749236,446.5085
South Dakota
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Bon Homme6,9691,4272120,476.39301
Dewey5,7791,170720,245.72121
Buffalo2,0534011019,532.39487
Aurora2,759391714,171.80254
Beadle18,3742,4263213,203.44174
Tennessee
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Trousdale9,5732,0741221,665.10125
Lake7,5261,3401217,804.94159
Wayne16,6492,2411613,460.2796
Haywood17,7792,0083411,294.22191
Obion30,5203,3356710,927.26220
Texas
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Childress7,2261,149615,900.9183
Hale34,1134,84111414,191.07334
Crockett3,633486813,377.37220
Lubbock301,45438,89050212,900.81167
Culberson2,241288312,851.41134
Utah
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Utah590,44058,9551869,984.9332
Wasatch30,5232,814159,219.2849
Salt Lake1,120,80595,9174878,557.8743
San Juan15,2811,275328,343.69209
Summit40,5112,69556,652.5112
Vermont
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Washington58,47784861,450.1410
Chittenden162,0522,330571,437.8135
Essex6,2087501,208.120
Bennington35,92037921,055.126
Orange28,93729511,019.463
Virginia
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Galax6,6387313111,012.35467
Greensville11,659976168,371.22137
Radford17,6301,38977,878.6240
Franklin8,211629177,660.46207
Harrisonburg53,3914,063407,609.9075
Washington
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Franklin90,6608,161769,001.7684
Adams19,4521,549167,963.1982
Yakima249,32517,4383056,994.08122
Chelan75,7574,483335,917.6044
Douglas41,3712,396145,791.5034
West Virginia
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Mineral27,2781,989557,291.59202
Marshall31,6451,781485,628.06152
Grant11,641651165,592.30137
Hancock29,6801,546205,208.9067
Ohio42,5472,214315,203.6673
Wisconsin
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Menominee4,5796851014,959.60218
Dodge87,77610,01710711,412.00122
Jackson20,5062,2271310,860.2463
Shawano41,0094,025549,814.92132
Fond du Lac102,3159,942619,717.0560
Wyoming
CountyPopulationCasesDeathsCases per 100kDeaths per 100k
Fremont40,0763,814549,516.92135
Albany38,1023,38098,870.9324
Teton23,0592,00228,682.089
Washakie8,129699118,598.84135
Campbell47,7083,917228,210.3646

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