Special Report

COVID-19: How Cases in the Durham-Chapel Hill, NC Metro Area Compare to Other Major Metros

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The U.S. reported over 700,000 new cases of coronavirus over the seven days ending May 22, bringing the total count to more than 82.1 million confirmed cases of COVID-19. There have been more than 993,000 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 29.3 daily new coronavirus cases per 100,000 Americans — an increase from the week prior, when there were an average of 22.7 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 30.6 new cases a day per 100,000 residents in the past week — 11.1% greater than the case growth in all counties outside of metro areas.

The Durham-Chapel Hill, NC metro area consists of Durham County, Orange County, Chatham County, and two other counties. As of May 22, there were 22,760.8 confirmed cases of COVID-19 per 100,000 Durham residents, 10.5% lower than the national rate. For comparison, the U.S. has so far reported 25,431.1 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 Durham-Chapel Hill metro area, Granville County has the highest incidence of COVID-19 cases. As of May 22, there were 24,730.3 cases per 100,000 residents in Granville County, the most of any county in Durham-Chapel Hill, and far greater than the county with the lowest incidence. In Chatham County, there were 18,879.1 cases per 100,000 residents — the least of any county in Durham-Chapel Hill.

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 Durham-Chapel Hill metro area, unemployment peaked at 10.8% in May 2020. As of November 2021, the metro area’s unemployment rate was 3.3%.

To determine how the incidence of COVID-19 in the Durham-Chapel Hill, 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 22 Confirmed COVID-19 cases as of May 22 per 100,000 residents Cumulative COVID-19 deaths as of May 22 Cumulative COVID-19 deaths as of May 22 per 100,000 residents
24780 Greenville, NC 178,433 53,125 29,773.1 223 125.0
15500 Burlington, NC 163,324 48,164 29,489.8 488 298.8
25860 Hickory-Lenoir-Morganton, NC 366,678 106,656 29,087.1 1,375 375.0
39580 Raleigh-Cary, NC 1,332,311 387,520 29,086.3 1,653 124.1
16740 Charlotte-Concord-Gastonia, NC-SC 2,545,560 710,829 27,924.3 5,896 231.6
40580 Rocky Mount, NC 146,678 40,311 27,482.6 463 315.7
27340 Jacksonville, NC 195,069 52,620 26,975.1 378 193.8
22180 Fayetteville, NC 519,101 137,772 26,540.5 1,086 209.2
49180 Winston-Salem, NC 666,216 172,972 25,963.4 1,655 248.4
24140 Goldsboro, NC 123,603 31,690 25,638.5 404 326.9
35100 New Bern, NC 124,786 29,870 23,937.0 274 219.6
24660 Greensboro-High Point, NC 762,063 181,303 23,791.1 1,949 255.8
48900 Wilmington, NC 288,337 67,251 23,323.8 522 181.0
20500 Durham-Chapel Hill, NC 626,695 142,641 22,760.8 810 129.2
11700 Asheville, NC 454,351 98,830 21,751.9 1,202 264.6

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