As the U.S. braces for winter and flu season, the national COVID-19 vaccination effort is as urgent as it ever has been. So far, an estimated 195,973,992 Americans have been fully vaccinated, or 59.9% of the U.S. population.
Some states are proving more effective than others in getting their residents vaccinated. In North Dakota, 48.7% of the population are fully vaccinated, lower than the U.S. average.
Lower than average vaccination rates in North Dakota appear to be attributable in part to vaccine hesitancy and resistance among residents. As of Nov. 23, North Dakota has received about 1,122,700 vaccinations and administered about 78.7% of those doses.
Meanwhile, the virus continues to spread. In total, there have been 158,486 confirmed cases of the virus in North Dakota as of Nov. 23 — or 20,851 for every 100,000 people. For context, there have been 14,499 known infections for every 100,000 people nationwide.
All COVID-19 and vaccination data used in this story are current as of Nov. 23, 2021.
| Rank | Place | Share of pop. fully vaccinated | Fully vaccinated residents | Total COVID-19 cases per 100k people |
|---|---|---|---|---|
| 1 | Vermont | 72.3% | 453,088 | 6,870 |
| 2 | Rhode Island | 72.3% | 764,559 | 17,628 |
| 3 | Maine | 72.3% | 967,742 | 8,656 |
| 4 | Connecticut | 71.6% | 2,556,762 | 11,558 |
| 5 | Massachusetts | 70.7% | 4,880,326 | 12,905 |
| 6 | New York | 67.8% | 13,257,320 | 13,686 |
| 7 | New Jersey | 67.3% | 5,992,387 | 13,829 |
| 8 | Maryland | 67.2% | 4,057,859 | 9,566 |
| 9 | Washington D.C. | 66.0% | 451,906 | 9,646 |
| 10 | Washington | 65.4% | 4,931,514 | 10,114 |
| 11 | Virginia | 64.7% | 5,512,994 | 11,213 |
| 12 | New Hampshire | 64.2% | 870,658 | 11,118 |
| 13 | Oregon | 64.2% | 2,689,092 | 9,165 |
| 14 | Colorado | 63.5% | 3,618,599 | 14,129 |
| 15 | New Mexico | 63.3% | 1,326,770 | 14,409 |
| 16 | California | 62.7% | 24,807,432 | 12,676 |
| 17 | Minnesota | 62.5% | 3,505,802 | 15,526 |
| 18 | Florida | 61.5% | 13,091,601 | 17,283 |
| 19 | Delaware | 61.3% | 593,225 | 15,549 |
| 20 | Illinois | 60.9% | 7,756,194 | 13,844 |
| 21 | Hawaii | 60.5% | 859,284 | 5,913 |
| 22 | Wisconsin | 59.4% | 3,450,734 | 16,267 |
| 23 | Pennsylvania | 58.0% | 7,422,148 | 13,166 |
| 24 | Nebraska | 57.3% | 1,105,783 | 15,683 |
| 25 | Iowa | 56.5% | 1,781,756 | 16,274 |
| 26 | Utah | 56.0% | 1,769,932 | 18,441 |
| 27 | Arizona | 55.2% | 3,958,592 | 17,316 |
| 28 | Nevada | 55.0% | 1,669,459 | 15,312 |
| 29 | Texas | 55.0% | 15,779,930 | 14,948 |
| 30 | Kansas | 54.4% | 1,583,062 | 15,655 |
| 31 | North Carolina | 54.4% | 5,645,069 | 14,589 |
| 32 | Michigan | 54.3% | 5,430,099 | 14,090 |
| 33 | South Dakota | 54.2% | 478,376 | 18,405 |
| 34 | Alaska | 53.6% | 394,909 | 19,353 |
| 35 | Ohio | 52.8% | 6,171,795 | 14,054 |
| 36 | Montana | 52.0% | 552,265 | 17,699 |
| 37 | Kentucky | 51.9% | 2,317,051 | 17,226 |
| 38 | South Carolina | 51.8% | 2,632,698 | 17,931 |
| 39 | Oklahoma | 51.4% | 2,028,140 | 16,728 |
| 40 | Missouri | 50.8% | 3,113,940 | 14,595 |
| 41 | Indiana | 50.8% | 3,399,473 | 15,981 |
| 42 | Georgia | 49.8% | 5,238,889 | 15,729 |
| 43 | Tennessee | 49.8% | 3,369,932 | 19,259 |
| 44 | Arkansas | 49.1% | 1,480,182 | 17,392 |
| 45 | North Dakota | 48.7% | 370,014 | 20,851 |
| 46 | Louisiana | 48.5% | 2,260,073 | 16,466 |
| 47 | Mississippi | 46.7% | 1,394,157 | 17,102 |
| 48 | Alabama | 46.0% | 2,247,882 | 17,250 |
| 49 | Idaho | 45.8% | 804,220 | 17,290 |
| 50 | Wyoming | 45.4% | 262,354 | 18,922 |
| 51 | West Virginia | 41.2% | 743,883 | 16,002 |
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