Special Report

This is the City in Alabama With the Most COVID-19 Cases

John Moore / Getty Images News via Getty Images

The U.S. has reported more than 43.8 million confirmed COVID-19 cases as of October 12. More than 705,000 Americans have died of COVID-19 — the highest death toll of any country.

Nationwide, there were an average of 28.8 daily new coronavirus cases per 100,000 Americans in the week ending October 12. Cumulatively, the U.S. has reported 13,374.3 cases per 100,000 Americans, and 214.9 deaths per 100,000 Americans.

In Alabama, there were an average of 24.7 daily new coronavirus cases per 100,000 residents in the week ending October 12. Cumulatively, Alabama has reported 16,449.7 cases per 100,000 state residents, the eighth most of all 50 states. Alabama has reported 300.9 deaths per 100,000, the fourth most of all 50 states.

While the nation’s largest metropolitan areas were hit hardest in the early months of the pandemic, nearly every city has suffered from the virus. Outbreaks are particularly likely to occur in places where large numbers of people tend to congregate, leaving cities with high concentrations of colleges, correctional facilities, and nursing homes particularly at risk.

Since the beginning of the pandemic, the Gadsden metropolitan area has reported 19,641 confirmed cases, or 19,115.7 per 100,000 residents — the most of any city in Alabama.

Anniston-Oxford, the city with the second most cases per capita, has reported 19,094.7 cases per 100,000 residents.

The coronavirus crisis has led to widespread unemployment across the country as consumer-facing businesses are forced to close and customers are encouraged to stay home. Unemployment in Gadsden peaked at 19.2% in April 2020, and is now at 3.9% as of May 2021.

To determine the metropolitan area in each state with the highest number of COVID-19 cases per capita, 24/7 Wall St. compiled and reviewed data from state and local health departments. We ranked metropolitan areas according to the number of confirmed COVID-19 cases per 100,000 residents as of October 12. Data was aggregated from the county level to the metropolitan area level using boundary definitions from the U.S. Census Bureau. Population data used to adjust case and death totals came from the U.S. Census Bureau’s 2019 American Community Survey and are five-year estimates.

These are all the counties in Alabama where COVID-19 is slowing (and where it’s still getting worse).

MSA Population Total cases Cases per 100,000 Total deaths Deaths per 100,000
Gadsden, AL 102,748 19,641 19,115.7 482 469.1
Anniston-Oxford, AL 114,618 21,886 19,094.7 440 383.9
Daphne-Fairhope-Foley, AL 212,830 36,780 17,281.4 528 248.1
Mobile, AL 430,655 74,167 17,221.9 1,346 312.5
Birmingham-Hoover, AL 1,085,330 186,784 17,209.9 2,910 268.1
Tuscaloosa, AL 250,681 41,899 16,714.1 783 312.3
Dothan, AL 148,252 24,739 16,687.1 576 388.5
Decatur, AL 152,271 24,586 16,146.2 462 303.4
Montgomery, AL 373,544 60,036 16,072.0 1,174 314.3
Florence-Muscle Shoals, AL 147,327 22,590 15,333.2 481 326.5
Huntsville, AL 457,003 66,373 14,523.5 852 186.4
Auburn-Opelika, AL 161,152 22,988 14,264.8 228 141.5

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