COVID-19 claimed its first 100,000 lives in the U.S. at the end of May, four months after the first confirmed case. At the time, some of the states with currently high cases per capita — such as North and South Dakota — were among the states with the fewest reported deaths.
Seven month after that somber milestone, the death toll in the U.S. has more than tripled to nearly 330,000, and the country’s death per capita figure has steadily increased. Despite the beginning of vaccinations, the coronavirus is still devastating the country — and just as the caseload varies significantly nationwide, so does the COVID-19 death toll
Using data from state and local health departments, 24/7 Wall St. calculated the cumulative COVID-19 death per capita figure for every metro area in the country.
About 1.8% of the 18.6 million people who have tested positive for the coronavirus in the U.S. have succumbed to the disease. Nationwide, there have been 94 deaths per 100,000 people since the start of the outbreak. In the 50 cities on this list the death rate is at least 136 per 100,000 people.
At the end of December, the cities with the most confirmed coronavirus cases per 100,000 residents are largely different from the cities with the most COVID-19-related deaths per 100,000 people. Just seven of the 30 metro areas with the highest cumulative COVID-19 cases per capita are also among the 30 metro areas with the highest cumulative deaths per capita.
Since the beginning of the pandemic, lower-income cities have generally been harder hit by the virus — in both caseload and death rates. Of the 50 metro areas on this list with the highest COVID-19 mortality rate as of Dec. 21,, only 13 have lower poverty rates than the national rate of 12.3%.
Also since the beginning of the coronavirus outbreak, preexisting conditions have increased the risk of severe COVID-19 and death. Only 18 of the 50 cities with the highest COVID-19 death rates have a smaller share of the population reporting poor or fair health.
There are large differences in the current spread of the novel coronavirus from state to state. In two states, there were over 100 average daily new cases per 100,000 people in the week ending Dec. 20. In two other states, there were fewer than 20 average daily new infections per 100,000 in the same week. These are the states where the virus spread is slowing (and where it’s getting worse).
Click here for the cities with the highest COVID-19 death rates
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50. San Angelo, Texas
> COVID-19 deaths as of Dec. 21: 136 per 100,000 people (total: 165)
> COVID-19 cases as of Dec. 21: 7,401 per 100,000 people — 62nd out of 384 (total: 8,983)
> Median household income:$55,097 (US median income: $65,712)
> Poverty rate: 11.9% — 233rd out of 384
> Adults who report being in poor or fair health: 19.2% — 104th out of 384
> Population: 121,376
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49. Dubuque, Iowa
> COVID-19 deaths as of Dec. 21: 137 per 100,000 people (total: 133)
> COVID-19 cases as of Dec. 21: 10,533 per 100,000 people — 10th out of 384 (total: 10,250)
> Median household income:$62,178 (US median income: $65,712)
> Poverty rate: 11.4% — 257th out of 384
> Adults who report being in poor or fair health: 11.6% — 371st out of 384
> Population: 97,311
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48. Ocean City, New Jersey
> COVID-19 deaths as of Dec. 21: 138 per 100,000 people (total: 127)
> COVID-19 cases as of Dec. 21: 2,346 per 100,000 people — 353rd out of 384 (total: 2,159)
> Median household income:$69,980 (US median income: $65,712)
> Poverty rate: 8.8% — 345th out of 384
> Adults who report being in poor or fair health: 17.6% — 158th out of 384
> Population: 92,039
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47. Flagstaff, Arizona
> COVID-19 deaths as of Dec. 21: 139 per 100,000 people (total: 199)
> COVID-19 cases as of Dec. 21: 7,071 per 100,000 people — 76th out of 384 (total: 10,145)
> Median household income:$58,085 (US median income: $65,712)
> Poverty rate: 15.8% — 90th out of 384
> Adults who report being in poor or fair health: 15.9% — 236th out of 384
> Population: 143,476
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46. Muskegon, Michigan
> COVID-19 deaths as of Dec. 21: 139 per 100,000 people (total: 241)
> COVID-19 cases as of Dec. 21: 5,227 per 100,000 people — 201st out of 384 (total: 9,072)
> Median household income:$50,366 (US median income: $65,712)
> Poverty rate: 12.9% — 187th out of 384
> Adults who report being in poor or fair health: 16.1% — 223rd out of 384
> Population: 173,566
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45. Grand Island, Nebraska
> COVID-19 deaths as of Dec. 21: 142 per 100,000 people (total: 107)
> COVID-19 cases as of Dec. 21: 8,642 per 100,000 people — 25th out of 384 (total: 6,529)
> Median household income:$55,907 (US median income: $65,712)
> Poverty rate: 10.3% — 301st out of 384
> Adults who report being in poor or fair health: 16.3% — 213th out of 384
> Population: 75,553
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44. Lake Havasu City-Kingman, Arizona
> COVID-19 deaths as of Dec. 21: 142 per 100,000 people (total: 302)
> COVID-19 cases as of Dec. 21: 4,823 per 100,000 people — 237th out of 384 (total: 10,234)
> Median household income:$50,179 (US median income: $65,712)
> Poverty rate: 15.7% — 93rd out of 384
> Adults who report being in poor or fair health: 18.9% — 111th out of 384
> Population: 212,181
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43. Hattiesburg, Mississippi
> COVID-19 deaths as of Dec. 21: 142 per 100,000 people (total: 240)
> COVID-19 cases as of Dec. 21: 6,551 per 100,000 people — 101st out of 384 (total: 11,036)
> Median household income:$48,359 (US median income: $65,712)
> Poverty rate: 22.5% — 11th out of 384
> Adults who report being in poor or fair health: 21.1% — 51st out of 384
> Population: 168,469
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42. Jonesboro, Arkansas
> COVID-19 deaths as of Dec. 21: 143 per 100,000 people (total: 191)
> COVID-19 cases as of Dec. 21: 9,349 per 100,000 people — 18th out of 384 (total: 12,515)
> Median household income:$44,998 (US median income: $65,712)
> Poverty rate: 18.9% — 34th out of 384
> Adults who report being in poor or fair health: 22.9% — 15th out of 384
> Population: 133,860
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41. Elkhart-Goshen, Indiana
> COVID-19 deaths as of Dec. 21: 143 per 100,000 people (total: 296)
> COVID-19 cases as of Dec. 21: 10,563 per 100,000 people — 9th out of 384 (total: 21,795)
> Median household income:$54,531 (US median income: $65,712)
> Poverty rate: 9.2% — 335th out of 384
> Adults who report being in poor or fair health: 19.8% — 82nd out of 384
> Population: 206,341
40. Houma-Thibodaux, Louisiana
> COVID-19 deaths as of Dec. 21: 145 per 100,000 people (total: 302)
> COVID-19 cases as of Dec. 21: 5,390 per 100,000 people — 192nd out of 384 (total: 11,215)
> Median household income:$49,874 (US median income: $65,712)
> Poverty rate: 19.5% — 27th out of 384
> Adults who report being in poor or fair health: 19.7% — 89th out of 384
> Population: 208,075
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39. Sioux City, Iowa
> COVID-19 deaths as of Dec. 21: 149 per 100,000 people (total: 216)
> COVID-19 cases as of Dec. 21: 10,857 per 100,000 people — 8th out of 384 (total: 15,707)
> Median household income:$60,132 (US median income: $65,712)
> Poverty rate: 11.5% — 252nd out of 384
> Adults who report being in poor or fair health: 17.8% — 152nd out of 384
> Population: 144,670
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38. Homosassa Springs, Florida
> COVID-19 deaths as of Dec. 21: 150 per 100,000 people (total: 224)
> COVID-19 cases as of Dec. 21: 4,043 per 100,000 people — 296th out of 384 (total: 6,050)
> Median household income:$50,751 (US median income: $65,712)
> Poverty rate: 15.7% — 93rd out of 384
> Adults who report being in poor or fair health: 17.7% — 153rd out of 384
> Population: 149,657
Source: Ken Lund / Wikimedia Commons
37. New Orleans-Metairie, Louisiana
> COVID-19 deaths as of Dec. 21: 152 per 100,000 people (total: 1,927)
> COVID-19 cases as of Dec. 21: 5,651 per 100,000 people — 167th out of 384 (total: 71,793)
> Median household income:$55,710 (US median income: $65,712)
> Poverty rate: 16.4% — 76th out of 384
> Adults who report being in poor or fair health: 19.8% — 84th out of 384
> Population: 1,270,530
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36. Amarillo, Texas
> COVID-19 deaths as of Dec. 21: 153 per 100,000 people (total: 411)
> COVID-19 cases as of Dec. 21: 10,509 per 100,000 people — 11th out of 384 (total: 28,317)
> Median household income:$53,510 (US median income: $65,712)
> Poverty rate: 14.4% — 127th out of 384
> Adults who report being in poor or fair health: 19.0% — 110th out of 384
> Population: 269,447
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35. Decatur, Illinois
> COVID-19 deaths as of Dec. 21: 154 per 100,000 people (total: 160)
> COVID-19 cases as of Dec. 21: 7,334 per 100,000 people — 64th out of 384 (total: 7,628)
> Median household income:$50,839 (US median income: $65,712)
> Poverty rate: 17.4% — 59th out of 384
> Adults who report being in poor or fair health: 16.3% — 211th out of 384
> Population: 104,009
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34. Hot Springs, Arkansas
> COVID-19 deaths as of Dec. 21: 154 per 100,000 people (total: 153)
> COVID-19 cases as of Dec. 21: 5,714 per 100,000 people — 160th out of 384 (total: 5,679)
> Median household income:$45,265 (US median income: $65,712)
> Poverty rate: 17.4% — 59th out of 384
> Adults who report being in poor or fair health: 20.0% — 76th out of 384
> Population: 99,386
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33. Johnstown, Pennsylvania
> COVID-19 deaths as of Dec. 21: 154 per 100,000 people (total: 201)
> COVID-19 cases as of Dec. 21: 6,195 per 100,000 people — 122nd out of 384 (total: 8,065)
> Median household income:$49,076 (US median income: $65,712)
> Poverty rate: 15.3% — 111th out of 384
> Adults who report being in poor or fair health: 16.7% — 198th out of 384
> Population: 130,192
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32. Waterloo-Cedar Falls, Iowa
> COVID-19 deaths as of Dec. 21: 155 per 100,000 people (total: 261)
> COVID-19 cases as of Dec. 21: 9,153 per 100,000 people — 20th out of 384 (total: 15,424)
> Median household income:$63,131 (US median income: $65,712)
> Poverty rate: 11.6% — 248th out of 384
> Adults who report being in poor or fair health: 13.4% — 324th out of 384
> Population: 168,522
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31. Worcester, Massachusetts
> COVID-19 deaths as of Dec. 21: 155 per 100,000 people (total: 1,469)
> COVID-19 cases as of Dec. 21: 4,341 per 100,000 people — 271st out of 384 (total: 41,123)
> Median household income:$76,348 (US median income: $65,712)
> Poverty rate: 9.8% — 322nd out of 384
> Adults who report being in poor or fair health: 13.8% — 308th out of 384
> Population: 947,404
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30. Jackson, Tennessee
> COVID-19 deaths as of Dec. 21: 156 per 100,000 people (total: 279)
> COVID-19 cases as of Dec. 21: 8,271 per 100,000 people — 34th out of 384 (total: 14,775)
> Median household income:$48,700 (US median income: $65,712)
> Poverty rate: 16.0% — 85th out of 384
> Adults who report being in poor or fair health: 23.1% — 14th out of 384
> Population: 178,644
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29. Florence, South Carolina
> COVID-19 deaths as of Dec. 21: 157 per 100,000 people (total: 321)
> COVID-19 cases as of Dec. 21: 6,385 per 100,000 people — 110th out of 384 (total: 13,084)
> Median household income:$48,547 (US median income: $65,712)
> Poverty rate: 16.9% — 65th out of 384
> Adults who report being in poor or fair health: 21.0% — 53rd out of 384
> Population: 204,911
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28. Laredo, Texas
> COVID-19 deaths as of Dec. 21: 157 per 100,000 people (total: 434)
> COVID-19 cases as of Dec. 21: 8,827 per 100,000 people — 22nd out of 384 (total: 24,420)
> Median household income:$56,084 (US median income: $65,712)
> Poverty rate: 20.5% — 18th out of 384
> Adults who report being in poor or fair health: 34.8% — 1st out of 384
> Population: 276,652
27. Macon-Bibb County, Georgia
> COVID-19 deaths as of Dec. 21: 158 per 100,000 people (total: 366)
> COVID-19 cases as of Dec. 21: 4,858 per 100,000 people — 233rd out of 384 (total: 11,229)
> Median household income:$48,435 (US median income: $65,712)
> Poverty rate: 19.2% — 31st out of 384
> Adults who report being in poor or fair health: 20.0% — 75th out of 384
> Population: 231,130
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26. Pueblo, Colorado
> COVID-19 deaths as of Dec. 21: 159 per 100,000 people (total: 267)
> COVID-19 cases as of Dec. 21: 7,315 per 100,000 people — 65th out of 384 (total: 12,320)
> Median household income:$51,276 (US median income: $65,712)
> Poverty rate: 17.9% — 47th out of 384
> Adults who report being in poor or fair health: 22.5% — 25th out of 384
> Population: 168,424
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25. Bay City, Michigan
> COVID-19 deaths as of Dec. 21: 159 per 100,000 people (total: 164)
> COVID-19 cases as of Dec. 21: 5,710 per 100,000 people — 163rd out of 384 (total: 5,888)
> Median household income:$49,610 (US median income: $65,712)
> Poverty rate: 13.9% — 146th out of 384
> Adults who report being in poor or fair health: 14.5% — 286th out of 384
> Population: 103,126
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24. Detroit-Warren-Dearborn, Michigan
> COVID-19 deaths as of Dec. 21: 159 per 100,000 people (total: 6,871)
> COVID-19 cases as of Dec. 21: 4,738 per 100,000 people — 244th out of 384 (total: 204,661)
> Median household income:$63,474 (US median income: $65,712)
> Poverty rate: 12.6% — 202nd out of 384
> Adults who report being in poor or fair health: 15.8% — 240th out of 384
> Population: 4,319,629
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23. Alexandria, Louisiana
> COVID-19 deaths as of Dec. 21: 160 per 100,000 people (total: 243)
> COVID-19 cases as of Dec. 21: 5,768 per 100,000 people — 154th out of 384 (total: 8,770)
> Median household income:$50,553 (US median income: $65,712)
> Poverty rate: 17.6% — 56th out of 384
> Adults who report being in poor or fair health: 21.7% — 39th out of 384
> Population: 152,037
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22. Boston-Cambridge-Newton, Massachusetts
> COVID-19 deaths as of Dec. 21: 162 per 100,000 people (total: 7,873)
> COVID-19 cases as of Dec. 21: 4,591 per 100,000 people — 252nd out of 384 (total: 223,742)
> Median household income:$94,430 (US median income: $65,712)
> Poverty rate: 8.6% — 349th out of 384
> Adults who report being in poor or fair health: 12.6% — 349th out of 384
> Population: 4,873,019
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21. Lubbock, Texas
> COVID-19 deaths as of Dec. 21: 165 per 100,000 people (total: 530)
> COVID-19 cases as of Dec. 21: 12,419 per 100,000 people — 2nd out of 384 (total: 39,988)
> Median household income:$54,598 (US median income: $65,712)
> Poverty rate: 18.3% — 42nd out of 384
> Adults who report being in poor or fair health: 20.7% — 62nd out of 384
> Population: 321,982
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20. New Haven-Milford, Connecticut
> COVID-19 deaths as of Dec. 21: 170 per 100,000 people (total: 1,449)
> COVID-19 cases as of Dec. 21: 5,001 per 100,000 people — 220th out of 384 (total: 42,747)
> Median household income:$69,751 (US median income: $65,712)
> Poverty rate: 12.2% — 219th out of 384
> Adults who report being in poor or fair health: 14.4% — 292nd out of 384
> Population: 854,757
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19. Hartford-East Hartford-Middletown, Connecticut
> COVID-19 deaths as of Dec. 21: 173 per 100,000 people (total: 2,088)
> COVID-19 cases as of Dec. 21: 4,305 per 100,000 people — 276th out of 384 (total: 51,869)
> Median household income:$77,005 (US median income: $65,712)
> Poverty rate: 10.1% — 307th out of 384
> Adults who report being in poor or fair health: 12.4% — 358th out of 384
> Population: 1,204,877
Source: DenisTangneyJr / Getty Images
18. Bridgeport-Stamford-Norwalk, Connecticut
> COVID-19 deaths as of Dec. 21: 175 per 100,000 people (total: 1,647)
> COVID-19 cases as of Dec. 21: 5,482 per 100,000 people — 184th out of 384 (total: 51,717)
> Median household income:$97,053 (US median income: $65,712)
> Poverty rate: 9.1% — 339th out of 384
> Adults who report being in poor or fair health: 10.6% — 378th out of 384
> Population: 943,332
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17. Monroe, Louisiana
> COVID-19 deaths as of Dec. 21: 179 per 100,000 people (total: 358)
> COVID-19 cases as of Dec. 21: 8,106 per 100,000 people — 38th out of 384 (total: 16,233)
> Median household income:$40,136 (US median income: $65,712)
> Poverty rate: 26.0% — 2nd out of 384
> Adults who report being in poor or fair health: 22.8% — 17th out of 384
> Population: 200,261
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16. El Paso, Texas
> COVID-19 deaths as of Dec. 21: 181 per 100,000 people (total: 1,530)
> COVID-19 cases as of Dec. 21: 11,324 per 100,000 people — 7th out of 384 (total: 95,544)
> Median household income:$48,823 (US median income: $65,712)
> Poverty rate: 18.7% — 37th out of 384
> Adults who report being in poor or fair health: 26.8% — 4th out of 384
> Population: 843,725
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15. Sebring-Avon Park, Florida
> COVID-19 deaths as of Dec. 21: 182 per 100,000 people (total: 193)
> COVID-19 cases as of Dec. 21: 4,323 per 100,000 people — 274th out of 384 (total: 4,592)
> Median household income:$48,698 (US median income: $65,712)
> Poverty rate: 14.4% — 127th out of 384
> Adults who report being in poor or fair health: 20.9% — 54th out of 384
> Population: 106,221
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14. Springfield, Massachusetts
> COVID-19 deaths as of Dec. 21: 182 per 100,000 people (total: 1,272)
> COVID-19 cases as of Dec. 21: 3,938 per 100,000 people — 302nd out of 384 (total: 27,466)
> Median household income:$62,346 (US median income: $65,712)
> Poverty rate: 12.6% — 202nd out of 384
> Adults who report being in poor or fair health: 16.8% — 192nd out of 384
> Population: 697,382
Source: Sean Pavone / Getty Images
13. Shreveport-Bossier City, Louisiana
> COVID-19 deaths as of Dec. 21: 183 per 100,000 people (total: 722)
> COVID-19 cases as of Dec. 21: 6,556 per 100,000 people — 100th out of 384 (total: 25,876)
> Median household income:$47,447 (US median income: $65,712)
> Poverty rate: 22.2% — 12th out of 384
> Adults who report being in poor or fair health: 21.7% — 37th out of 384
> Population: 394,706
Source: DenisTangneyJr / Getty Images
12. Saginaw, Michigan
> COVID-19 deaths as of Dec. 21: 187 per 100,000 people (total: 356)
> COVID-19 cases as of Dec. 21: 6,099 per 100,000 people — 134th out of 384 (total: 11,621)
> Median household income:$48,303 (US median income: $65,712)
> Poverty rate: 19.0% — 33rd out of 384
> Adults who report being in poor or fair health: 17.7% — 156th out of 384
> Population: 190,539
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11. Trenton-Princeton, New Jersey
> COVID-19 deaths as of Dec. 21: 191 per 100,000 people (total: 700)
> COVID-19 cases as of Dec. 21: 4,749 per 100,000 people — 242nd out of 384 (total: 17,450)
> Median household income:$79,492 (US median income: $65,712)
> Poverty rate: 12.8% — 194th out of 384
> Adults who report being in poor or fair health: 15.0% — 270th out of 384
> Population: 367,430
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10. Bismarck, North Dakota
> COVID-19 deaths as of Dec. 21: 191 per 100,000 people (total: 247)
> COVID-19 cases as of Dec. 21: 13,993 per 100,000 people — 1st out of 384 (total: 18,067)
> Median household income:$70,979 (US median income: $65,712)
> Poverty rate: 5.9% — 381st out of 384
> Adults who report being in poor or fair health: 13.1% — 333rd out of 384
> Population: 129,115
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9. Pine Bluff, Arkansas
> COVID-19 deaths as of Dec. 21: 201 per 100,000 people (total: 180)
> COVID-19 cases as of Dec. 21: 11,842 per 100,000 people — 4th out of 384 (total: 10,591)
> Median household income:$41,541 (US median income: $65,712)
> Poverty rate: 23.6% — 6th out of 384
> Adults who report being in poor or fair health: 25.3% — 6th out of 384
> Population: 89,437
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8. New York-Newark-Jersey City, New Jersey
> COVID-19 deaths as of Dec. 21: 202 per 100,000 people (total: 38,812)
> COVID-19 cases as of Dec. 21: 5,061 per 100,000 people — 210th out of 384 (total: 972,514)
> Median household income:$83,160 (US median income: $65,712)
> Poverty rate: 11.6% — 248th out of 384
> Adults who report being in poor or fair health: 16.8% — 191st out of 384
> Population: 19,216,182
Source: John M. Chase / Getty Images
7. Cumberland, Maryland
> COVID-19 deaths as of Dec. 21: 202 per 100,000 people (total: 197)
> COVID-19 cases as of Dec. 21: 7,262 per 100,000 people — 69th out of 384 (total: 7,065)
> Median household income:$49,729 (US median income: $65,712)
> Poverty rate: 13.9% — 146th out of 384
> Adults who report being in poor or fair health: 17.6% — 159th out of 384
> Population: 97,284
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6. Albany, Georgia
> COVID-19 deaths as of Dec. 21: 213 per 100,000 people (total: 314)
> COVID-19 cases as of Dec. 21: 4,053 per 100,000 people — 295th out of 384 (total: 5,974)
> Median household income:$40,625 (US median income: $65,712)
> Poverty rate: 22.6% — 10th out of 384
> Adults who report being in poor or fair health: 22.6% — 21st out of 384
> Population: 147,384
Source: Cbl62 / Wikimedia Commons
5. El Centro, California
> COVID-19 deaths as of Dec. 21: 217 per 100,000 people (total: 394)
> COVID-19 cases as of Dec. 21: 11,523 per 100,000 people — 6th out of 384 (total: 20,882)
> Median household income:$48,472 (US median income: $65,712)
> Poverty rate: 25.1% — 5th out of 384
> Adults who report being in poor or fair health: 24.6% — 8th out of 384
> Population: 181,215
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4. Yuma, Arizona
> COVID-19 deaths as of Dec. 21: 218 per 100,000 people (total: 465)
> COVID-19 cases as of Dec. 21: 11,677 per 100,000 people — 5th out of 384 (total: 24,964)
> Median household income:$46,419 (US median income: $65,712)
> Poverty rate: 21.4% — 13th out of 384
> Adults who report being in poor or fair health: 22.7% — 18th out of 384
> Population: 213,787
Source: Mig Esc / Wikimedia Commons
3. McAllen-Edinburg-Mission, Texas
> COVID-19 deaths as of Dec. 21: 219 per 100,000 people (total: 1,902)
> COVID-19 cases as of Dec. 21: 5,479 per 100,000 people — 185th out of 384 (total: 47,594)
> Median household income:$41,800 (US median income: $65,712)
> Poverty rate: 27.3% — 1st out of 384
> Adults who report being in poor or fair health: 30.5% — 3rd out of 384
> Population: 868,707
Source: AllenS / Wikimedia Commons
2. Farmington, New Mexico
> COVID-19 deaths as of Dec. 21: 224 per 100,000 people (total: 278)
> COVID-19 cases as of Dec. 21: 7,192 per 100,000 people — 71st out of 384 (total: 8,915)
> Median household income:$44,321 (US median income: $65,712)
> Poverty rate: 21.2% — 14th out of 384
> Adults who report being in poor or fair health: 22.0% — 30th out of 384
> Population: 123,958
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1. Brownsville-Harlingen, Texas
> COVID-19 deaths as of Dec. 21: 250 per 100,000 people (total: 1,059)
> COVID-19 cases as of Dec. 21: 6,676 per 100,000 people — 96th out of 384 (total: 28,252)
> Median household income:$41,123 (US median income: $65,712)
> Poverty rate: 25.6% — 4th out of 384
> Adults who report being in poor or fair health: 31.4% — 2nd out of 384
> Population: 423,163
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