After adding over 699,000 new cases throughout the last week, the U.S. now has more than 82.6 million confirmed cases of COVID-19. There have been more than 990,000 COVID-19-related deaths — the highest death toll of any country.

New cases continue to rise at a steady rate. In the past week, there were an average of 31.1 daily new coronavirus cases per 100,000 Americans — essentially unchanged from the week prior, when there were an average of 26.7 daily new coronavirus cases per 100,000 people.

While COVID-19 has spread to nearly every part of the country, cities continue to be the sites of major outbreaks. 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 neighborhoods and a large population may be particularly at-risk.

In the 50 largest metro areas, the incidence of coronavirus grew at an average rate of 36.8 new cases a day per 100,000 residents in the past week — 25.1% greater than the case growth in all counties outside of metro areas.

The Lynchburg, VA, metro area consists of Bedford County, the city of Lynchburg, Campbell County, and two other counties. In the past week, there were an average of 21.1 new coronavirus cases every day per 100,000 Lynchburg residents, less than the national figure. The metro area’s average daily case growth in the most recent week is essentially unchanged from the week prior, when there was an average of 16.8 daily new cases per 100,000 Lynchburg residents.

The spread of coronavirus depends on a variety of factors and can vary even between neighboring counties. Within the Lynchburg metro area, COVID-19 is growing the fastest in Appomattox County. There were an average of 36.4 new cases per day per 100,000 residents in Appomattox County during the past week, the most of the five counties in Lynchburg with available data.

Case growth in the Lynchburg metro area varies widely at the county level. In Lynchburg city, for example, there were an average of 11.4 new cases per day per 100,000 residents in the past week — the least of any county in Lynchburg and far more than the case growth rate in Appomattox County.

Just as Appomattox County is driving the growth of COVID-19 in the Lynchburg area, it also has the highest incidence of cases overall. As of May 26, there were a total of 24,957.0 confirmed cases per 100,000 residents in Appomattox County, the most of the five counties in the metro area. For comparison, the U.S. has so far reported 25,463.1 cases per 100,000 Americans nationwide.

The pandemic has led to the closure of thousands of consumer-facing businesses around the country. These changes have led to widespread job loss and record unemployment. In Appomattox County, unemployment peaked at 9.0% in April 2020. As of June 2021, the county’s unemployment rate was 4.5%.

To determine the county in every metropolitan area where COVID-19 is growing the fastest, 24/7 Wall St. compiled and reviewed data from state and local health departments. We ranked counties according to the average number of new daily COVID-19 cases per 100,000 residents in the seven days ending May 26. To estimate the incidence of COVID-19 at the metropolitan level, we aggregated data up 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 not seasonally adjusted.

These are all the counties in Virginia where COVID-19 is slowing (and where it’s still getting worse).

Rank in MSA	County	Population	New daily cases per 100,000, week ending May 26	New daily cases per 100,000, week ending May 19	Cumulative cases per 100,000	Cumulative deaths per 100,000
1	Appomattox County	15,707	36.4	8.6	24,957.0	337.4
2	Bedford County	78,376	33.8	34.2	22,407.4	308.8
3	Amherst County	31,775	20.2	12.2	23,276.2	276.9
4	Campbell County	55,225	13.5	14.7	23,315.5	391.1
5	Lynchburg city	80,569	11.4	5.2	24,730.4	332.6

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