U.S. health authorities have reported at least 100,000 confirmed COVID-19 cases each day since Nov. 4, including a single day record high of over 194,000 on Nov. 27 — the day after Thanksgiving. Health experts cautioned ahead of the holiday that traveling home to visit family could trigger another surge of the virus.
Though the number of people who test positive for the virus per capita is decreasing in half the states, every state except for one has at least one county in which daily new cases per 100,000 are growing.
Using data from state and local health departments, 24/7 Wall St. compiled and reviewed county-level COVID-19 data. We compared the average of daily new confirmed COVID-19 cases for the week ending Nov. 29 and compared it to the previous week to determine the county in each state where the virus is spreading the fastest, adjusted for the population. Every state has at least one county or county equivalent in which cases have grown over the past week. We excluded counties with populations of fewer than 5,000 people as well as those with fewer than 20 reported new cases in the past 14 days.
Nationwide, there were 57.1 confirmed cases per 100,000 Americans for the week ending Nov. 29, an increase from 48.5 cases per 100,000 the week before. In 41 states there is at least one county reporting a higher weekly increase in the number of cases per capita than the nationwide increase of 8.6 per 100,000. In five states, the county with the largest increase in cases reported a weekly surge of more than 100 COVID-19 cases per 100,000 residents.
In many counties, the pandemic has stretched hospitals and health care centers — that were already struggling — to the limit. In many parts of the country, health care infrastructure is at risk of being overwhelmed as there may be just one hospital to serve over 100,000 patients. These are the counties with the fewest hospitals.
Click here to see the places in every state where COVID-19 is growing the fastest right now.
Alabama: Bibb County
> Change in daily avg. new COVID-19 cases, week over week: +44 per 100,000 people
> Avg. new daily cases in Bibb County in 7 days ending Nov. 29: 87 per 100,000
> Avg. new daily cases in Bibb County in 7 days ending Nov. 22: 42 per 100,000
> Avg. new daily cases in Alabama in 7 days ending Nov. 29: 44 per 100,000 (18th fewest)
> Cumulative confirmed COVID-19 cases in Bibb County as of Nov. 29: 5,274 per 100,000 people (total: 1,188)
> Population: 22,527
> Largest place in Bibb County: Brent
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Source: Mitchell Forbes / iStock via Getty Images
Alaska: Bethel Census Area
> Change in daily avg. new COVID-19 cases, week over week: +58 per 100,000 people
> Avg. new daily cases in Bethel Census Area in 7 days ending Nov. 29: 230 per 100,000
> Avg. new daily cases in Bethel Census Area in 7 days ending Nov. 22: 172 per 100,000
> Avg. new daily cases in Alaska in 7 days ending Nov. 29: 79 per 100,000 (16th most)
> Cumulative confirmed COVID-19 cases in Bethel Census Area as of Nov. 29: 8,442 per 100,000 people (total: 1,523)
> Population: 18,040
> Largest place in Bethel Census Area: Bethel
Arizona: Greenlee County
> Change in daily avg. new COVID-19 cases, week over week: +41 per 100,000 people
> Avg. new daily cases in Greenlee County in 7 days ending Nov. 29: 81 per 100,000
> Avg. new daily cases in Greenlee County in 7 days ending Nov. 22: 41 per 100,000
> Avg. new daily cases in Arizona in 7 days ending Nov. 29: 53 per 100,000 (25th most)
> Cumulative confirmed COVID-19 cases in Greenlee County as of Nov. 29: 2,357 per 100,000 people (total: 224)
> Population: 9,504
> Largest place in Greenlee County: Clifton
Arkansas: Drew County
> Change in daily avg. new COVID-19 cases, week over week: +77 per 100,000 people
> Avg. new daily cases in Drew County in 7 days ending Nov. 29: 139 per 100,000
> Avg. new daily cases in Drew County in 7 days ending Nov. 22: 63 per 100,000
> Avg. new daily cases in Arkansas in 7 days ending Nov. 29: 56 per 100,000 (24th most)
> Cumulative confirmed COVID-19 cases in Drew County as of Nov. 29: 4,870 per 100,000 people (total: 901)
> Population: 18,502
> Largest place in Drew County: Monticello
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Source: jmoor17 / iStock Unreleased via Getty Images
California: Sutter County
> Change in daily avg. new COVID-19 cases, week over week: +28 per 100,000 people
> Avg. new daily cases in Sutter County in 7 days ending Nov. 29: 84 per 100,000
> Avg. new daily cases in Sutter County in 7 days ending Nov. 22: 56 per 100,000
> Avg. new daily cases in California in 7 days ending Nov. 29: 34 per 100,000 (11th fewest)
> Cumulative confirmed COVID-19 cases in Sutter County as of Nov. 29: 3,384 per 100,000 people (total: 3,244)
> Population: 95,872
> Largest place in Sutter County: Yuba City
Source: chapin31 / iStock Editorial via Getty Images
Colorado: Bent County
> Change in daily avg. new COVID-19 cases, week over week: +107 per 100,000 people
> Avg. new daily cases in Bent County in 7 days ending Nov. 29: 156 per 100,000
> Avg. new daily cases in Bent County in 7 days ending Nov. 22: 49 per 100,000
> Avg. new daily cases in Colorado in 7 days ending Nov. 29: 81 per 100,000 (15th most)
> Cumulative confirmed COVID-19 cases in Bent County as of Nov. 29: 3,013 per 100,000 people (total: 175)
> Population: 5,809
> Largest place in Bent County: Las Animas
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Connecticut: Litchfield County
> Change in daily avg. new COVID-19 cases, week over week: +4 per 100,000 people
> Avg. new daily cases in Litchfield County in 7 days ending Nov. 29: 48 per 100,000
> Avg. new daily cases in Litchfield County in 7 days ending Nov. 22: 44 per 100,000
> Avg. new daily cases in Connecticut in 7 days ending Nov. 29: 46 per 100,000 (21st fewest)
> Cumulative confirmed COVID-19 cases in Litchfield County as of Nov. 29: 2,312 per 100,000 people (total: 4,231)
> Population: 183,031
> Largest place in Litchfield County: Torrington
Source: pabradyphoto / Getty Images
Delaware: Kent County
> Change in daily avg. new COVID-19 cases, week over week: +11 per 100,000 people
> Avg. new daily cases in Kent County in 7 days ending Nov. 29: 38 per 100,000
> Avg. new daily cases in Kent County in 7 days ending Nov. 22: 27 per 100,000
> Avg. new daily cases in Delaware in 7 days ending Nov. 29: 48 per 100,000 (22nd fewest)
> Cumulative confirmed COVID-19 cases in Kent County as of Nov. 29: 2,846 per 100,000 people (total: 4,975)
> Population: 174,822
> Largest place in Kent County: Dover
Source: Michael Rivera / Wikimedia Commons
Florida: Liberty County
> Change in daily avg. new COVID-19 cases, week over week: +24 per 100,000 people
> Avg. new daily cases in Liberty County in 7 days ending Nov. 29: 39 per 100,000
> Avg. new daily cases in Liberty County in 7 days ending Nov. 22: 14 per 100,000
> Avg. new daily cases in Florida in 7 days ending Nov. 29: 36 per 100,000 (13th fewest)
> Cumulative confirmed COVID-19 cases in Liberty County as of Nov. 29: 7,113 per 100,000 people (total: 595)
> Population: 8,365
> Largest place in Liberty County: Bristol
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Source: Different_Brian / iStock Editorial via Getty Images
Georgia: Wayne County
> Change in daily avg. new COVID-19 cases, week over week: +25 per 100,000 people
> Avg. new daily cases in Wayne County in 7 days ending Nov. 29: 42 per 100,000
> Avg. new daily cases in Wayne County in 7 days ending Nov. 22: 17 per 100,000
> Avg. new daily cases in Georgia in 7 days ending Nov. 29: 23 per 100,000 (4th fewest)
> Cumulative confirmed COVID-19 cases in Wayne County as of Nov. 29: 4,915 per 100,000 people (total: 1,463)
> Population: 29,767
> Largest place in Wayne County: Jesup
Source: mariusz_prusaczyk / iStock via Getty Images
Hawaii: Kauai County
> Change in daily avg. new COVID-19 cases, week over week: +1 per 100,000 people
> Avg. new daily cases in Kauai County in 7 days ending Nov. 29: 04 per 100,000
> Avg. new daily cases in Kauai County in 7 days ending Nov. 22: 02 per 100,000
> Avg. new daily cases in Hawaii in 7 days ending Nov. 29: 08 per 100,000 (the fewest)
> Cumulative confirmed COVID-19 cases in Kauai County as of Nov. 29: 157 per 100,000 people (total: 112)
> Population: 71,377
> Largest place in Kauai County: Kapaa CDP
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Source: JosephZahnlePhotography / iStock via Getty Images
Idaho: Clearwater County
> Change in daily avg. new COVID-19 cases, week over week: +107 per 100,000 people
> Avg. new daily cases in Clearwater County in 7 days ending Nov. 29: 295 per 100,000
> Avg. new daily cases in Clearwater County in 7 days ending Nov. 22: 188 per 100,000
> Avg. new daily cases in Idaho in 7 days ending Nov. 29: 75 per 100,000 (20th most)
> Cumulative confirmed COVID-19 cases in Clearwater County as of Nov. 29: 6,123 per 100,000 people (total: 529)
> Population: 8,640
> Largest place in Clearwater County: Orofino
Source: Public Domain / Wikimedia Commons
Illinois: Stark County
> Change in daily avg. new COVID-19 cases, week over week: +62 per 100,000 people
> Avg. new daily cases in Stark County in 7 days ending Nov. 29: 150 per 100,000
> Avg. new daily cases in Stark County in 7 days ending Nov. 22: 88 per 100,000
> Avg. new daily cases in Illinois in 7 days ending Nov. 29: 82 per 100,000 (14th most)
> Cumulative confirmed COVID-19 cases in Stark County as of Nov. 29: 4,873 per 100,000 people (total: 268)
> Population: 5,500
> Largest place in Stark County: Wyoming
Source: Nyttend / Wikimedia Commons
Indiana: Sullivan County
> Change in daily avg. new COVID-19 cases, week over week: +47 per 100,000 people
> Avg. new daily cases in Sullivan County in 7 days ending Nov. 29: 147 per 100,000
> Avg. new daily cases in Sullivan County in 7 days ending Nov. 22: 100 per 100,000
> Avg. new daily cases in Indiana in 7 days ending Nov. 29: 90 per 100,000 (11th most)
> Cumulative confirmed COVID-19 cases in Sullivan County as of Nov. 29: 5,050 per 100,000 people (total: 1,050)
> Population: 20,792
> Largest place in Sullivan County: Sullivan
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Source: Brandonrush / Wikimedia Commons
Iowa: Humboldt County
> Change in daily avg. new COVID-19 cases, week over week: +45 per 100,000 people
> Avg. new daily cases in Humboldt County in 7 days ending Nov. 29: 168 per 100,000
> Avg. new daily cases in Humboldt County in 7 days ending Nov. 22: 122 per 100,000
> Avg. new daily cases in Iowa in 7 days ending Nov. 29: 98 per 100,000 (8th most)
> Cumulative confirmed COVID-19 cases in Humboldt County as of Nov. 29: 8,039 per 100,000 people (total: 769)
> Population: 9,566
> Largest place in Humboldt County: Humboldt
Kansas: Ellsworth County
> Change in daily avg. new COVID-19 cases, week over week: +123 per 100,000 people
> Avg. new daily cases in Ellsworth County in 7 days ending Nov. 29: 244 per 100,000
> Avg. new daily cases in Ellsworth County in 7 days ending Nov. 22: 121 per 100,000
> Avg. new daily cases in Kansas in 7 days ending Nov. 29: 93 per 100,000 (9th most)
> Cumulative confirmed COVID-19 cases in Ellsworth County as of Nov. 29: 10,424 per 100,000 people (total: 656)
> Population: 6,293
> Largest place in Ellsworth County: Ellsworth
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Source: W.marsh / Wikimedia Commons
Kentucky: Leslie County
> Change in daily avg. new COVID-19 cases, week over week: +51 per 100,000 people
> Avg. new daily cases in Leslie County in 7 days ending Nov. 29: 81 per 100,000
> Avg. new daily cases in Leslie County in 7 days ending Nov. 22: 30 per 100,000
> Avg. new daily cases in Kentucky in 7 days ending Nov. 29: 63 per 100,000 (23rd most)
> Cumulative confirmed COVID-19 cases in Leslie County as of Nov. 29: 2,511 per 100,000 people (total: 263)
> Population: 10,472
> Largest place in Leslie County: Hyden
Source: Billy Hathorn / Wikimedia Commons
Louisiana: East Carroll Parish
> Change in daily avg. new COVID-19 cases, week over week: +47 per 100,000 people
> Avg. new daily cases in East Carroll Parish in 7 days ending Nov. 29: 142 per 100,000
> Avg. new daily cases in East Carroll Parish in 7 days ending Nov. 22: 94 per 100,000
> Avg. new daily cases in Louisiana in 7 days ending Nov. 29: 45 per 100,000 (19th fewest)
> Cumulative confirmed COVID-19 cases in East Carroll Parish as of Nov. 29: 10,436 per 100,000 people (total: 754)
> Population: 7,225
> Largest place in East Carroll Parish: Lake Providence
Source: traveler1116 / Getty Images
Maine: Penobscot County
> Change in daily avg. new COVID-19 cases, week over week: +6 per 100,000 people
> Avg. new daily cases in Penobscot County in 7 days ending Nov. 29: 19 per 100,000
> Avg. new daily cases in Penobscot County in 7 days ending Nov. 22: 13 per 100,000
> Avg. new daily cases in Maine in 7 days ending Nov. 29: 15 per 100,000 (3rd fewest)
> Cumulative confirmed COVID-19 cases in Penobscot County as of Nov. 29: 565 per 100,000 people (total: 857)
> Population: 151,748
> Largest place in Penobscot County: Bangor
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Maryland: Somerset County
> Change in daily avg. new COVID-19 cases, week over week: +41 per 100,000 people
> Avg. new daily cases in Somerset County in 7 days ending Nov. 29: 103 per 100,000
> Avg. new daily cases in Somerset County in 7 days ending Nov. 22: 62 per 100,000
> Avg. new daily cases in Maryland in 7 days ending Nov. 29: 37 per 100,000 (14th fewest)
> Cumulative confirmed COVID-19 cases in Somerset County as of Nov. 29: 3,536 per 100,000 people (total: 910)
> Population: 25,737
> Largest place in Somerset County: Princess Anne
Source: mamahoohooba / iStock via Getty Images
Massachusetts: Barnstable County
> Change in daily avg. new COVID-19 cases, week over week: +8 per 100,000 people
> Avg. new daily cases in Barnstable County in 7 days ending Nov. 29: 26 per 100,000
> Avg. new daily cases in Barnstable County in 7 days ending Nov. 22: 17 per 100,000
> Avg. new daily cases in Massachusetts in 7 days ending Nov. 29: 37 per 100,000 (16th fewest)
> Cumulative confirmed COVID-19 cases in Barnstable County as of Nov. 29: 1,413 per 100,000 people (total: 3,020)
> Population: 213,690
> Largest place in Barnstable County: Barnstable Town
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Michigan: Benzie County
> Change in daily avg. new COVID-19 cases, week over week: +31 per 100,000 people
> Avg. new daily cases in Benzie County in 7 days ending Nov. 29: 78 per 100,000
> Avg. new daily cases in Benzie County in 7 days ending Nov. 22: 47 per 100,000
> Avg. new daily cases in Michigan in 7 days ending Nov. 29: 70 per 100,000 (21st most)
> Cumulative confirmed COVID-19 cases in Benzie County as of Nov. 29: 2,273 per 100,000 people (total: 399)
> Population: 17,552
> Largest place in Benzie County: Frankfort
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Minnesota: Cottonwood County
> Change in daily avg. new COVID-19 cases, week over week: +65 per 100,000 people
> Avg. new daily cases in Cottonwood County in 7 days ending Nov. 29: 247 per 100,000
> Avg. new daily cases in Cottonwood County in 7 days ending Nov. 22: 182 per 100,000
> Avg. new daily cases in Minnesota in 7 days ending Nov. 29: 106 per 100,000 (4th most)
> Cumulative confirmed COVID-19 cases in Cottonwood County as of Nov. 29: 7,615 per 100,000 people (total: 866)
> Population: 11,372
> Largest place in Cottonwood County: Windom
Source: nataliemaynor / Flickr
Mississippi: Covington County
> Change in daily avg. new COVID-19 cases, week over week: +24 per 100,000 people
> Avg. new daily cases in Covington County in 7 days ending Nov. 29: 58 per 100,000
> Avg. new daily cases in Covington County in 7 days ending Nov. 22: 33 per 100,000
> Avg. new daily cases in Mississippi in 7 days ending Nov. 29: 40 per 100,000 (17th fewest)
> Cumulative confirmed COVID-19 cases in Covington County as of Nov. 29: 6,527 per 100,000 people (total: 1,246)
> Population: 19,091
> Largest place in Covington County: Collins
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Source: Parker Botanical / Wikimedia Commons
Missouri: Madison County
> Change in daily avg. new COVID-19 cases, week over week: +20 per 100,000 people
> Avg. new daily cases in Madison County in 7 days ending Nov. 29: 127 per 100,000
> Avg. new daily cases in Madison County in 7 days ending Nov. 22: 107 per 100,000
> Avg. new daily cases in Missouri in 7 days ending Nov. 29: 66 per 100,000 (22nd most)
> Cumulative confirmed COVID-19 cases in Madison County as of Nov. 29: 7,268 per 100,000 people (total: 887)
> Population: 12,205
> Largest place in Madison County: Fredericktown
Montana: Ravalli County
> Change in daily avg. new COVID-19 cases, week over week: +47 per 100,000 people
> Avg. new daily cases in Ravalli County in 7 days ending Nov. 29: 144 per 100,000
> Avg. new daily cases in Ravalli County in 7 days ending Nov. 22: 97 per 100,000
> Avg. new daily cases in Montana in 7 days ending Nov. 29: 98 per 100,000 (7th most)
> Cumulative confirmed COVID-19 cases in Ravalli County as of Nov. 29: 3,666 per 100,000 people (total: 1,536)
> Population: 41,902
> Largest place in Ravalli County: Hamilton
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Nebraska: Box Butte County
> Change in daily avg. new COVID-19 cases, week over week: +40 per 100,000 people
> Avg. new daily cases in Box Butte County in 7 days ending Nov. 29: 161 per 100,000
> Avg. new daily cases in Box Butte County in 7 days ending Nov. 22: 121 per 100,000
> Avg. new daily cases in Nebraska in 7 days ending Nov. 29: 101 per 100,000 (6th most)
> Cumulative confirmed COVID-19 cases in Box Butte County as of Nov. 29: 5,717 per 100,000 people (total: 634)
> Population: 11,089
> Largest place in Box Butte County: Alliance
Source: Jerry Moorman / iStock via Getty Images
Nevada: Lyon County
> Change in daily avg. new COVID-19 cases, week over week: +75 per 100,000 people
> Avg. new daily cases in Lyon County in 7 days ending Nov. 29: 86 per 100,000
> Avg. new daily cases in Lyon County in 7 days ending Nov. 22: 12 per 100,000
> Avg. new daily cases in Nevada in 7 days ending Nov. 29: 77 per 100,000 (18th most)
> Cumulative confirmed COVID-19 cases in Lyon County as of Nov. 29: 2,327 per 100,000 people (total: 1,237)
> Population: 53,155
> Largest place in Lyon County: Fernley
New Hampshire: Merrimack County
> Change in daily avg. new COVID-19 cases, week over week: +1 per 100,000 people
> Avg. new daily cases in Merrimack County in 7 days ending Nov. 29: 22 per 100,000
> Avg. new daily cases in Merrimack County in 7 days ending Nov. 22: 21 per 100,000
> Avg. new daily cases in New Hampshire in 7 days ending Nov. 29: 30 per 100,000 (8th fewest)
> Cumulative confirmed COVID-19 cases in Merrimack County as of Nov. 29: 1,103 per 100,000 people (total: 1,649)
> Population: 149,452
> Largest place in Merrimack County: Concord
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Source: 169503926@N06 / Flickr
New Jersey: Burlington County
> Change in daily avg. new COVID-19 cases, week over week: +12 per 100,000 people
> Avg. new daily cases in Burlington County in 7 days ending Nov. 29: 54 per 100,000
> Avg. new daily cases in Burlington County in 7 days ending Nov. 22: 43 per 100,000
> Avg. new daily cases in New Jersey in 7 days ending Nov. 29: 46 per 100,000 (20th fewest)
> Cumulative confirmed COVID-19 cases in Burlington County as of Nov. 29: 3,055 per 100,000 people (total: 13,636)
> Population: 446,367
> Largest place in Burlington County: Moorestown-Lenola CDP
New Mexico: McKinley County
> Change in daily avg. new COVID-19 cases, week over week: +95 per 100,000 people
> Avg. new daily cases in McKinley County in 7 days ending Nov. 29: 197 per 100,000
> Avg. new daily cases in McKinley County in 7 days ending Nov. 22: 102 per 100,000
> Avg. new daily cases in New Mexico in 7 days ending Nov. 29: 107 per 100,000 (3rd most)
> Cumulative confirmed COVID-19 cases in McKinley County as of Nov. 29: 9,668 per 100,000 people (total: 7,043)
> Population: 72,849
> Largest place in McKinley County: Gallup
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Source: DenisTangneyJr / iStock via Getty Images
New York: Chemung County
> Change in daily avg. new COVID-19 cases, week over week: +21 per 100,000 people
> Avg. new daily cases in Chemung County in 7 days ending Nov. 29: 62 per 100,000
> Avg. new daily cases in Chemung County in 7 days ending Nov. 22: 41 per 100,000
> Avg. new daily cases in New York in 7 days ending Nov. 29: 30 per 100,000 (9th fewest)
> Cumulative confirmed COVID-19 cases in Chemung County as of Nov. 29: 3,555 per 100,000 people (total: 3,048)
> Population: 85,740
> Largest place in Chemung County: Elmira
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North Carolina: Jones County
> Change in daily avg. new COVID-19 cases, week over week: +28 per 100,000 people
> Avg. new daily cases in Jones County in 7 days ending Nov. 29: 50 per 100,000
> Avg. new daily cases in Jones County in 7 days ending Nov. 22: 22 per 100,000
> Avg. new daily cases in North Carolina in 7 days ending Nov. 29: 34 per 100,000 (12th fewest)
> Cumulative confirmed COVID-19 cases in Jones County as of Nov. 29: 2,847 per 100,000 people (total: 276)
> Population: 9,695
> Largest place in Jones County: Maysville
North Dakota: Traill County
> Change in daily avg. new COVID-19 cases, week over week: +20 per 100,000 people
> Avg. new daily cases in Traill County in 7 days ending Nov. 29: 183 per 100,000
> Avg. new daily cases in Traill County in 7 days ending Nov. 22: 164 per 100,000
> Avg. new daily cases in North Dakota in 7 days ending Nov. 29: 141 per 100,000 (the most)
> Cumulative confirmed COVID-19 cases in Traill County as of Nov. 29: 9,228 per 100,000 people (total: 740)
> Population: 8,019
> Largest place in Traill County: Mayville
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Source: Nyttend / Wikimedia Commons
Ohio: Hardin County
> Change in daily avg. new COVID-19 cases, week over week: +46 per 100,000 people
> Avg. new daily cases in Hardin County in 7 days ending Nov. 29: 118 per 100,000
> Avg. new daily cases in Hardin County in 7 days ending Nov. 22: 72 per 100,000
> Avg. new daily cases in Ohio in 7 days ending Nov. 29: 76 per 100,000 (19th most)
> Cumulative confirmed COVID-19 cases in Hardin County as of Nov. 29: 3,532 per 100,000 people (total: 1,114)
> Population: 31,542
> Largest place in Hardin County: Kenton
Source: BOB WESTON / iStock via Getty Images
Oklahoma: Noble County
> Change in daily avg. new COVID-19 cases, week over week: +107 per 100,000 people
> Avg. new daily cases in Noble County in 7 days ending Nov. 29: 184 per 100,000
> Avg. new daily cases in Noble County in 7 days ending Nov. 22: 77 per 100,000
> Avg. new daily cases in Oklahoma in 7 days ending Nov. 29: 78 per 100,000 (17th most)
> Cumulative confirmed COVID-19 cases in Noble County as of Nov. 29: 4,802 per 100,000 people (total: 548)
> Population: 11,411
> Largest place in Noble County: Perry
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Source: icetsarina / Flickr
Oregon: Grant County
> Change in daily avg. new COVID-19 cases, week over week: +36 per 100,000 people
> Avg. new daily cases in Grant County in 7 days ending Nov. 29: 86 per 100,000
> Avg. new daily cases in Grant County in 7 days ending Nov. 22: 50 per 100,000
> Avg. new daily cases in Oregon in 7 days ending Nov. 29: 27 per 100,000 (5th fewest)
> Cumulative confirmed COVID-19 cases in Grant County as of Nov. 29: 1,866 per 100,000 people (total: 134)
> Population: 7,183
> Largest place in Grant County: John Day
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Pennsylvania: Union County
> Change in daily avg. new COVID-19 cases, week over week: +55 per 100,000 people
> Avg. new daily cases in Union County in 7 days ending Nov. 29: 124 per 100,000
> Avg. new daily cases in Union County in 7 days ending Nov. 22: 70 per 100,000
> Avg. new daily cases in Pennsylvania in 7 days ending Nov. 29: 52 per 100,000 (24th fewest)
> Cumulative confirmed COVID-19 cases in Union County as of Nov. 29: 3,686 per 100,000 people (total: 1,663)
> Population: 45,114
> Largest place in Union County: Lewisburg
Source: kickstand / Getty Images
Rhode Island: Kent County
> Change in daily avg. new COVID-19 cases, week over week: +23 per 100,000 people
> Avg. new daily cases in Kent County in 7 days ending Nov. 29: 84 per 100,000
> Avg. new daily cases in Kent County in 7 days ending Nov. 22: 60 per 100,000
> Avg. new daily cases in Rhode Island in 7 days ending Nov. 29: 83 per 100,000 (13th most)
> Cumulative confirmed COVID-19 cases in Kent County as of Nov. 29: 3,161 per 100,000 people (total: 5,180)
> Population: 163,861
> Largest place in Kent County: Warwick
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South Carolina: Pickens County
> Change in daily avg. new COVID-19 cases, week over week: +13 per 100,000 people
> Avg. new daily cases in Pickens County in 7 days ending Nov. 29: 66 per 100,000
> Avg. new daily cases in Pickens County in 7 days ending Nov. 22: 53 per 100,000
> Avg. new daily cases in South Carolina in 7 days ending Nov. 29: 29 per 100,000 (7th fewest)
> Cumulative confirmed COVID-19 cases in Pickens County as of Nov. 29: 5,241 per 100,000 people (total: 6,433)
> Population: 122,746
> Largest place in Pickens County: Easley
Source: iip-photo-archive / Flickr
South Dakota: Charles Mix County
> Change in daily avg. new COVID-19 cases, week over week: +12 per 100,000 people
> Avg. new daily cases in Charles Mix County in 7 days ending Nov. 29: 186 per 100,000
> Avg. new daily cases in Charles Mix County in 7 days ending Nov. 22: 174 per 100,000
> Avg. new daily cases in South Dakota in 7 days ending Nov. 29: 102 per 100,000 (5th most)
> Cumulative confirmed COVID-19 cases in Charles Mix County as of Nov. 29: 9,204 per 100,000 people (total: 860)
> Population: 9,344
> Largest place in Charles Mix County: Platte
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Source: BOB WESTON / iStock via Getty Images
Tennessee: Hancock County
> Change in daily avg. new COVID-19 cases, week over week: +16 per 100,000 people
> Avg. new daily cases in Hancock County in 7 days ending Nov. 29: 36 per 100,000
> Avg. new daily cases in Hancock County in 7 days ending Nov. 22: 20 per 100,000
> Avg. new daily cases in Tennessee in 7 days ending Nov. 29: 51 per 100,000 (23rd fewest)
> Cumulative confirmed COVID-19 cases in Hancock County as of Nov. 29: 2,612 per 100,000 people (total: 172)
> Population: 6,585
> Largest place in Hancock County: Sneedville
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Texas: Brewster County
> Change in daily avg. new COVID-19 cases, week over week: +93 per 100,000 people
> Avg. new daily cases in Brewster County in 7 days ending Nov. 29: 244 per 100,000
> Avg. new daily cases in Brewster County in 7 days ending Nov. 22: 151 per 100,000
> Avg. new daily cases in Texas in 7 days ending Nov. 29: 37 per 100,000 (15th fewest)
> Cumulative confirmed COVID-19 cases in Brewster County as of Nov. 29: 7,585 per 100,000 people (total: 699)
> Population: 9,216
> Largest place in Brewster County: Alpine
Utah: Wasatch County
> Change in daily avg. new COVID-19 cases, week over week: +5 per 100,000 people
> Avg. new daily cases in Wasatch County in 7 days ending Nov. 29: 132 per 100,000
> Avg. new daily cases in Wasatch County in 7 days ending Nov. 22: 127 per 100,000
> Avg. new daily cases in Utah in 7 days ending Nov. 29: 91 per 100,000 (10th most)
> Cumulative confirmed COVID-19 cases in Wasatch County as of Nov. 29: 7,034 per 100,000 people (total: 2,147)
> Population: 30,523
> Largest place in Wasatch County: Heber
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Vermont: Windsor County
> Change in daily avg. new COVID-19 cases, week over week: +4 per 100,000 people
> Avg. new daily cases in Windsor County in 7 days ending Nov. 29: 08 per 100,000
> Avg. new daily cases in Windsor County in 7 days ending Nov. 22: 04 per 100,000
> Avg. new daily cases in Vermont in 7 days ending Nov. 29: 13 per 100,000 (2nd fewest)
> Cumulative confirmed COVID-19 cases in Windsor County as of Nov. 29: 366 per 100,000 people (total: 203)
> Population: 55,427
> Largest place in Windsor County: Springfield CDP
Source: Skye Marthaler / Wikimedia Commons
Virginia: Bland County
> Change in daily avg. new COVID-19 cases, week over week: +89 per 100,000 people
> Avg. new daily cases in Bland County in 7 days ending Nov. 29: 118 per 100,000
> Avg. new daily cases in Bland County in 7 days ending Nov. 22: 29 per 100,000
> Avg. new daily cases in Virginia in 7 days ending Nov. 29: 29 per 100,000 (6th fewest)
> Cumulative confirmed COVID-19 cases in Bland County as of Nov. 29: 3,009 per 100,000 people (total: 194)
> Population: 6,447
> Largest place in Bland County: N/A
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Source: tristanbnz / iStock via Getty Images
Washington: Okanogan County
> Change in daily avg. new COVID-19 cases, week over week: -03 per 100,000 people
> Avg. new daily cases in Okanogan County in 7 days ending Nov. 29: 05 per 100,000
> Avg. new daily cases in Okanogan County in 7 days ending Nov. 22: 08 per 100,000
> Avg. new daily cases in Washington in 7 days ending Nov. 29: 30 per 100,000 (10th fewest)
> Cumulative confirmed COVID-19 cases in Okanogan County as of Nov. 29: 2,844 per 100,000 people (total: 1,184)
> Population: 41,638
> Largest place in Okanogan County: Omak
Source: John M. Chase / Getty Images
West Virginia: Pocahontas County
> Change in daily avg. new COVID-19 cases, week over week: +72 per 100,000 people
> Avg. new daily cases in Pocahontas County in 7 days ending Nov. 29: 85 per 100,000
> Avg. new daily cases in Pocahontas County in 7 days ending Nov. 22: 13 per 100,000
> Avg. new daily cases in West Virginia in 7 days ending Nov. 29: 52 per 100,000 (25th fewest)
> Cumulative confirmed COVID-19 cases in Pocahontas County as of Nov. 29: 2,028 per 100,000 people (total: 173)
> Population: 8,531
> Largest place in Pocahontas County: Marlinton
Wisconsin: Crawford County
> Change in daily avg. new COVID-19 cases, week over week: +138 per 100,000 people
> Avg. new daily cases in Crawford County in 7 days ending Nov. 29: 285 per 100,000
> Avg. new daily cases in Crawford County in 7 days ending Nov. 22: 147 per 100,000
> Avg. new daily cases in Wisconsin in 7 days ending Nov. 29: 86 per 100,000 (12th most)
> Cumulative confirmed COVID-19 cases in Crawford County as of Nov. 29: 7,410 per 100,000 people (total: 1,207)
> Population: 16,288
> Largest place in Crawford County: Prairie du Chien
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Source: AlbertPego / iStock via Getty Images
Wyoming: Park County
> Change in daily avg. new COVID-19 cases, week over week: -11 per 100,000 people
> Avg. new daily cases in Park County in 7 days ending Nov. 29: 35 per 100,000
> Avg. new daily cases in Park County in 7 days ending Nov. 22: 46 per 100,000
> Avg. new daily cases in Wyoming in 7 days ending Nov. 29: 123 per 100,000 (2nd most)
> Cumulative confirmed COVID-19 cases in Park County as of Nov. 29: 4,117 per 100,000 people (total: 1,199)
> Population: 29,121
> Largest place in Park County: Cody
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