Special Report

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

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The U.S. reported over 620,000 new cases of coronavirus over the seven days ending May 17, bringing the total count to more than 81.6 million confirmed cases of COVID-19. There have been more than 992,000 COVID-19-related deaths — the highest death toll of any country.

New cases continue to rise at a faster rate. In the past week, there were an average of 24.6 daily new coronavirus cases per 100,000 Americans — an increase from the week prior, when there were an average of 19.2 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 27.6 new cases a day per 100,000 residents in the past week — 19.2% 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 17, there were 27,523.1 confirmed cases of COVID-19 per 100,000 Florence residents, 8.8% higher than the national rate. For comparison, the U.S. has so far reported 25,296.3 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 17, there were 29,862.5 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 26,138.8 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 17 Confirmed COVID-19 cases as of May 17 per 100,000 residents Cumulative COVID-19 deaths as of May 17 Cumulative COVID-19 deaths as of May 17 per 100,000 residents
12220 Auburn-Opelika, AL 161,152 37,888 23,510.7 341 211.6
20020 Dothan, AL 148,252 36,878 24,875.2 746 503.2
26620 Huntsville, AL 457,003 115,460 25,264.6 1,261 275.9
33860 Montgomery, AL 373,544 97,227 26,028.3 1,588 425.1
19300 Daphne-Fairhope-Foley, AL 212,830 55,862 26,247.2 681 320.0
33660 Mobile, AL 430,655 117,036 27,176.3 1,712 397.5
46220 Tuscaloosa, AL 250,681 68,190 27,201.9 1,043 416.1
22520 Florence-Muscle Shoals, AL 147,327 40,549 27,523.1 658 446.6
23460 Gadsden, AL 102,748 28,779 28,009.3 651 633.6
13820 Birmingham-Hoover, AL 1,085,330 305,191 28,119.7 3,796 349.8
11500 Anniston-Oxford, AL 114,618 32,453 28,314.1 627 547.0
19460 Decatur, AL 152,271 43,849 28,796.7 678 445.3

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