Special Report

COVID-19: How Cases in the Roanoke, VA 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 Roanoke, VA metro area consists of the city of Roanoke, Roanoke County, Franklin County, and three other counties. As of May 22, there were 22,129.4 confirmed cases of COVID-19 per 100,000 Roanoke residents, 13.0% 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 Roanoke metro area, Roanoke County has the highest incidence of COVID-19 cases. As of May 22, there were 23,288.5 cases per 100,000 residents in Roanoke County, the most of any county in Roanoke, and far greater than the county with the lowest incidence. In Franklin County, there were 19,650.5 cases per 100,000 residents — the least of any county in Roanoke.

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 Roanoke metro area, unemployment peaked at 10.9% in April 2020. As of November 2021, the metro area’s unemployment rate was 3.0%.

To determine how the incidence of COVID-19 in the Roanoke, VA 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 Virginia 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
44420 Staunton, VA 121,651 31,068 25,538.6 393 323.1
49020 Winchester, VA-WV 137,621 33,423 24,286.3 402 292.1
31340 Lynchburg, VA 261,652 61,246 23,407.4 865 330.6
40220 Roanoke, VA 313,009 69,267 22,129.4 1,072 342.5
13980 Blacksburg-Christiansburg, VA 166,785 36,164 21,683.0 396 237.4
40060 Richmond, VA 1,269,530 273,037 21,506.9 3,353 264.1
25500 Harrisonburg, VA 133,557 28,219 21,128.8 389 291.3
47260 Virginia Beach-Norfolk-Newport News, VA-NC 1,761,729 355,046 20,153.3 3,916 222.3
16820 Charlottesville, VA 215,445 40,556 18,824.3 381 176.8

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