Special Report

COVID-19: Lexington-Fayette, KY Metro Area Among the Most Dangerous in America

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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 Lexington-Fayette, KY metro area consists of Fayette County, Scott County, Jessamine County, and three other counties. As of May 17, there were 29,990.4 confirmed cases of COVID-19 per 100,000 Lexington residents, the 41st highest rate of all 383 metro areas with available data. 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 Lexington-Fayette metro area, Scott County has the highest incidence of COVID-19 cases. As of May 17, there were 32,504.1 cases per 100,000 residents in Scott County, the most of any county in Lexington-Fayette, and far greater than the county with the lowest incidence. In Woodford County, there were 26,586.4 cases per 100,000 residents — the least of any county in Lexington-Fayette.

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 Lexington-Fayette metro area, unemployment peaked at 15.8% in April 2020. As of November 2021, the metro area’s unemployment rate was 2.8%.

To determine how the incidence of COVID-19 in the Lexington-Fayette, KY 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 Kentucky 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
21060 Elizabethtown-Fort Knox, KY 150,913 42,412 28,103.6 573 379.7
31140 Louisville/Jefferson County, KY-IN 1,257,088 360,534 28,680.1 3,919 311.8
30460 Lexington-Fayette, KY 510,647 153,145 29,990.4 1,033 202.3
36980 Owensboro, KY 118,477 36,320 30,655.7 470 396.7
14540 Bowling Green, KY 174,498 56,189 32,200.4 580 332.4

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