Special Report

COVID-19: How Cases in the Florence-Muscle Shoals, AL Metro Area Compare to Other Major Metros

Handout / Getty Images News via Getty Images

The U.S. reported over 562,000 new cases of coronavirus over the seven days ending May 15, bringing the total count to more than 81.4 million confirmed cases of COVID-19. There have been more than 991,000 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 22.7 daily new coronavirus cases per 100,000 Americans — essentially unchanged from the week prior, when there were an average of 18.2 daily new coronavirus cases per 100,000 people.

While new data shows that the risk of contracting COVID-19 is high in almost every part of the country, cities continue to be the sites of major outbreaks and superspreader events. 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 different neighborhoods and a large population may be particularly at-risk.

In the 50 largest metro areas, the incidence of COVID-19 grew at an average rate of 26.4 new cases a day per 100,000 residents in the past week — 23.3% greater than the case growth in all counties outside of metro areas.

The Florence-Muscle Shoals, AL metro area consists of Lauderdale County and Colbert County. As of May 15, there were 27,512.9 confirmed cases of COVID-19 per 100,000 Florence residents, 9.1% higher than the national rate. For comparison, the U.S. has so far reported 25,214.1 cases per 100,000 Americans nationwide.

The incidence of coronavirus cases depends on a variety of factors and can vary even between neighboring counties. Within the Florence-Muscle Shoals metro area, Colbert County has the highest incidence of COVID-19 cases. As of May 15, there were 29,857.0 cases per 100,000 residents in Colbert County, the most of any county in Florence-Muscle Shoals, yet not too far from the county with the lowest incidence. In Lauderdale County, there were 26,125.8 cases per 100,000 residents — the least of any county in Florence-Muscle Shoals.

In order to slow the spread of COVID-19, city and county governments have ordered the closure of thousands of consumer-facing businesses. These measures have led to widespread job loss and record unemployment. In the Florence-Muscle Shoals metro area, unemployment peaked at 16.2% in April 2020. As of November 2021, the metro area’s unemployment rate was 3.1%.

To determine how the incidence of COVID-19 in the Florence-Muscle Shoals, AL metro area compares to the rest of the country, 24/7 Wall St. compiled and reviewed data from state and local health departments. We ranked metro areas based on the number of confirmed COVID-19 cases per 100,000 residents.To estimate the incidence of COVID-19 at the metropolitan level, we aggregated data 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 seasonally adjusted.

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

FIPS MSA Population Confirmed COVID-19 cases as of May 15 Confirmed COVID-19 cases as of May 15 per 100,000 residents Cumulative COVID-19 deaths as of May 15 Cumulative COVID-19 deaths as of May 15 per 100,000 residents
19460 Decatur, AL 152,271 43,830 28,784.2 675 443.3
11500 Anniston-Oxford, AL 114,618 32,443 28,305.3 626 546.2
13820 Birmingham-Hoover, AL 1,085,330 304,929 28,095.5 3,794 349.6
23460 Gadsden, AL 102,748 28,778 28,008.3 651 633.6
22520 Florence-Muscle Shoals, AL 147,327 40,534 27,512.9 656 445.3
46220 Tuscaloosa, AL 250,681 68,152 27,186.7 1,043 416.1
33660 Mobile, AL 430,655 117,014 27,171.2 1,710 397.1
19300 Daphne-Fairhope-Foley, AL 212,830 55,807 26,221.4 680 319.5
33860 Montgomery, AL 373,544 97,157 26,009.5 1,588 425.1
26620 Huntsville, AL 457,003 115,300 25,229.6 1,258 275.3
20020 Dothan, AL 148,252 36,852 24,857.7 746 503.2
12220 Auburn-Opelika, AL 161,152 37,858 23,492.1 341 211.6

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