After adding over 289,000 new cases throughout the last week, the U.S. now has more than 80.0 million confirmed cases of COVID-19. There have been more than 980,000 COVID-19-related deaths — the highest death toll of any country.

New cases continue to rise at a steady rate. In the past week, there were an average of 10.8 daily new coronavirus cases per 100,000 Americans — essentially unchanged from the week prior, when there were an average of 9.2 daily new coronavirus cases per 100,000 people.

While COVID-19 has spread to nearly every part of the country, cities continue to be the sites of major outbreaks. Experts agree that the virus is more likely to spread in group settings where large numbers of people routinely have close contact with one another, such as colleges, nursing homes, bars, and restaurants. Metropolitan areas with a high degree of connectivity between neighborhoods and a large population may be particularly at-risk.

In the 50 largest metro areas, the incidence of coronavirus grew at an average rate of 12.8 new cases a day per 100,000 residents in the past week — 24.5% greater than the case growth in all counties outside of metro areas.

The Charleston, WV, metro area consists of Kanawha County, Jackson County, Boone County, and two other counties. In the past week, there were an average of 1.9 new coronavirus cases every day per 100,000 Charleston residents, less than the national figure. The metro area’s average daily case growth in the most recent week is essentially unchanged from the week prior, when there was an average of 2.5 daily new cases per 100,000 Charleston residents.

The spread of coronavirus depends on a variety of factors and can vary even between neighboring counties. Within the Charleston metro area, COVID-19 is growing the fastest in Lincoln County. There were an average of 2.1 new cases per day per 100,000 residents in Lincoln County during the past week, the most of the five counties in Charleston with available data.

Case growth in the Charleston metro area varies at the county level. In Clay County, for example, there were an average of 0.0 new cases per day per 100,000 residents in the past week — the least of any county in Charleston and more than the case growth rate in Lincoln County.

While Lincoln County is driving the growth of COVID-19 in the Charleston area, it does not have the highest incidence of cases overall. As of April 21, there were a total of 26,503.6 confirmed cases per 100,000 residents in Lincoln County, the third most of the five counties in the metro area. For comparison, the U.S. has so far reported 24,640.3 cases per 100,000 Americans nationwide.

The pandemic has led to the closure of thousands of consumer-facing businesses around the country. These changes have led to widespread job loss and record unemployment. In Lincoln County, unemployment peaked at 17.6% in April 2020. As of June 2021, the county’s unemployment rate was 6.6%.

To determine the county in every metropolitan area where COVID-19 is growing the fastest, 24/7 Wall St. compiled and reviewed data from state and local health departments. We ranked counties according to the average number of new daily COVID-19 cases per 100,000 residents in the seven days ending April 21. To estimate the incidence of COVID-19 at the metropolitan level, we aggregated data up from the county 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. Unemployment data is from the Bureau of Labor Statistics and is not seasonally adjusted.

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

Rank in MSA	County	Population	New daily cases per 100,000, week ending April 21	New daily cases per 100,000, week ending April 14	Cumulative cases per 100,000	Cumulative deaths per 100,000
1	Lincoln County	20,850	2.1	6.9	26,503.6	388.5
2	Kanawha County	183,279	2.0	2.3	25,731.8	388.5
3	Jackson County	28,907	1.9	1.8	23,810.8	453.2
4	Boone County	22,368	1.6	0.5	29,376.8	335.3
5	Clay County	8,709	0.0	3.5	26,868.8	470.8

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