Special Report

COVID-19: How Cases in the Hickory-Lenoir-Morganton, NC 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 Hickory-Lenoir-Morganton, NC metro area consists of Catawba County, Burke County, Caldwell County, and one other county. As of May 17, there were 28,975.8 confirmed cases of COVID-19 per 100,000 Hickory residents, 14.5% 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 Hickory-Lenoir-Morganton metro area, Catawba County has the highest incidence of COVID-19 cases. As of May 17, there were 30,428.3 cases per 100,000 residents in Catawba County, the most of any county in Hickory-Lenoir-Morganton, yet not too far from the county with the lowest incidence. In Caldwell County, there were 27,369.2 cases per 100,000 residents — the least of any county in Hickory-Lenoir-Morganton.

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 Hickory-Lenoir-Morganton metro area, unemployment peaked at 18.2% in April 2020. As of November 2021, the metro area’s unemployment rate was 3.7%.

To determine how the incidence of COVID-19 in the Hickory-Lenoir-Morganton, NC 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 North Carolina 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
11700 Asheville, NC 454,351 97,800 21,525.2 1,201 264.3
20500 Durham-Chapel Hill, NC 626,695 140,377 22,399.6 810 129.2
48900 Wilmington, NC 288,337 66,837 23,180.2 522 181.0
24660 Greensboro-High Point, NC 762,063 179,375 23,538.1 1,945 255.2
35100 New Bern, NC 124,786 29,563 23,691.0 274 219.6
24140 Goldsboro, NC 123,603 31,560 25,533.4 405 327.7
49180 Winston-Salem, NC 666,216 171,551 25,750.1 1,655 248.4
22180 Fayetteville, NC 519,101 136,769 26,347.3 1,085 209.0
27340 Jacksonville, NC 195,069 52,306 26,814.1 376 192.8
40580 Rocky Mount, NC 146,678 40,174 27,389.2 463 315.7
16740 Charlotte-Concord-Gastonia, NC-SC 2,545,560 705,538 27,716.4 5,889 231.3
39580 Raleigh-Cary, NC 1,332,311 381,473 28,632.4 1,650 123.8
25860 Hickory-Lenoir-Morganton, NC 366,678 106,248 28,975.8 1,374 374.7
15500 Burlington, NC 163,324 47,756 29,240.0 488 298.8
24780 Greenville, NC 178,433 52,792 29,586.5 205 114.9

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