Healthcare Economy

These Are The 20 Counties Where The Most People Have Died Of COVID-19

The spread of COVID-19 in the United States has become virtually out of control. There were 181,191 new confirmed cases yesterday, according to The New York Times. Two weeks ago, the figures most days were half of that. A total of 1,389 people died, also a tremendous spike. The national total for confirmed cases has reached 10,818,600. Fatal cases have reached 244,200.

A very large number of fatal cases are concentrated in 20 counties, even though the rapid spread is currently in rural states like North Dakota.

The fatal case count among the large 20 counties with the highest numbers is dominated by the area in and around New York City. Four of these counties are among the five that make up New York City proper. The city has posted a total of 24,108 primarily because it was ravaged by the disease in late March, well into April. Deaths have slowed very considerably since then.

The two counties with the highest fatal case counts are Kings County which is the same as the New York City borough of Brooklyn. It has posted 7,443 deaths. Queens County in the city has had 7,319 deaths, also among the top 20 counties by that measure. Bronx County has posted 5,014 deaths. New York County, which covers the same area as Manhattan has had 3,200.

The areas adjacent to New York City have also been hit particularly hard. Middlesex County in New Jersey has had 2,341 deaths. Nassau County just to the east of New York on Long Island has had 2,226. Essex County in New Jersey has had 2,162 deaths. Bergen County, also in New Jersey has had 2,078 deaths. And, Westchester County, to the north, has had 1,482 deaths.

The county with the third-largest death toll is the largest in the nation by population–Los Angeles County. It has had 7,221 deaths. Its population of 10,105,518 makes it almost twice the size of any other county, by that measure. Cook County, the second largest in the nation with a population of 5,180,493. It includes the City of Chicago. Its fatal cases of 5,889 deaths puts it in the top 20. Harris County, Texas, home to Houston, is the third-largest county in the U.S. with a population of 4,698,619. Its fatal case count is 2,877.

Top 20 Counties By Fatal Cases  (total deaths, county name)

7,443 deaths


7,319 deaths


7,221 deaths

Los Angeles

5,889 deaths


5,014 deaths


3,759 deaths


3,701 deaths


3,200 deaths

New York

3,108 deaths


2,877 deaths


2,341 deaths


2,226 deaths


2,162 deaths


2,078 deaths


2,023 deaths


1,994 deaths


1,904 deaths


1,619 deaths

Palm Beach

1,593 deaths


1,570 deaths


1,540 deaths


1,525 deaths


1,520 deaths


1,482 deaths




Sponsored: Find a Qualified Financial Advisor

Finding a qualified financial advisor doesn’t have to be hard. SmartAsset’s free tool matches you with up to 3 fiduciary financial advisors in your area in 5 minutes. Each advisor has been vetted by SmartAsset and is held to a fiduciary standard to act in your best interests. If you’re ready to be matched with local advisors that can help you achieve your financial goals, get started now.