Special Report

COVID-19: Durham-Chapel Hill, NC Metro Area Among the Safest in America

Michael Ciaglo / Getty Images News via Getty Images

The U.S. reported over 551,000 new cases of coronavirus over the seven days ending October 21, bringing the total count to more than 44.8 million confirmed cases of COVID-19. There have been more than 724,000 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 27.1 daily new coronavirus cases per 100,000 Americans — essentially unchanged from the week prior, when there were an average of 28.1 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.

The Durham-Chapel Hill, NC metro area consists of Durham County, Orange County, Chatham County, and two other counties. As of October 21, there were 10,433.5 confirmed cases of COVID-19 per 100,000 Durham residents, the 42nd lowest rate of all 383 metro areas with available data. For comparison, the U.S. has so far reported 13,893.5 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 October 21, there were 13,189.4 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 Orange County, there were 8,063.6 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 May 2021, the metro area’s unemployment rate was 3.7%.

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 October 21 Confirmed COVID-19 cases as of October 21 per 100,000 residents Cumulative COVID-19 deaths as of October 21 Cumulative COVID-19 deaths as of October 21 per 100,000 residents
20500 Durham-Chapel Hill, NC 626,695 65,386 10,433.5 644 102.8
11700 Asheville, NC 454,351 52,763 11,612.8 805 177.2
39580 Raleigh-Cary, NC 1,332,311 169,106 12,692.7 1,258 94.4
24140 Goldsboro, NC 123,603 15,823 12,801.5 297 240.3
48900 Wilmington, NC 288,337 37,194 12,899.5 379 131.4
24660 Greensboro-High Point, NC 762,063 100,204 13,149.0 1,357 178.1
22180 Fayetteville, NC 519,101 69,592 13,406.3 781 150.5
35100 New Bern, NC 124,786 17,133 13,729.9 206 165.1
49180 Winston-Salem, NC 666,216 94,875 14,240.9 1,096 164.5
27340 Jacksonville, NC 195,069 28,463 14,591.2 253 129.7
40580 Rocky Mount, NC 146,678 23,027 15,699.0 350 238.6
16740 Charlotte-Concord-Gastonia, NC-SC 2,545,560 404,753 15,900.4 4,253 167.1
15500 Burlington, NC 163,324 26,034 15,940.1 332 203.3
24780 Greenville, NC 178,433 29,316 16,429.7 141 79.0
25860 Hickory-Lenoir-Morganton, NC 366,678 63,022 17,187.3 952 259.6

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