While almost every part of the country has been affected in some way by COVID-19, some parts have been hit much harder. As of May 19, there have been about 470 confirmed cases of coronavirus for every 100,000 Americans nationwide. In some counties, however, infections are far more common.
Using COVID-19 data from state and local health departments and population data from the U.S. Census Bureau, 24/7 Wall St. reviewed the number of confirmed COVID-19 cases in over 3,000 U.S. counties and county equivalents to determine the counties with the most confirmed cases, adjusted for population size.
While, unsurprisingly, there are a number of counties on this list in states like New York, New Jersey, and Massachusetts — which lead all states in confirmed cases per capita — the list also includes counties from states with relatively few confirmed cases per capita, including Oklahoma, Idaho, and Arkansas. These are the states with the highest numbers of COVID-19 cases.
In several counties on this list in states with relatively few infections per capita, large outbreaks in institutions like nursing homes and prisons have accounted for a large share of COVID-19 cases. According to the New York Times, one in three COVID-19-related deaths in the United States have been nursing home residents or workers. To help protect these high-risk populations, some states have discouraged or even banned state residents from visiting certain facilities. These are every state’s rules for staying at home and social distancing.
50. Scott County, Mississippi
> COVID-19 cases in Scott County as of May 19, 2020: 1,935.6 per 100,000 residents (total cases: 550)
> COVID-19 cases in Mississippi as of May 19, 2020: 391.9 per 100,000 residents — 17th most (total cases: 11,704)
> COVID-19 deaths in Scott County as of May 19, 2020: 35.2 per 100,000 residents (total deaths: 10)
> COVID-19 deaths in Mississippi as of May 19, 2020: 18.5 per 100,000 residents — 14th most (total deaths: 554)
> Scott County population: 28,415 (1.0% of Mississippi population)
> Largest place in county: Forest
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49. Hancock County, Georgia
> COVID-19 cases in Hancock County as of May 19, 2020: 1,991.8 per 100,000 residents (total cases: 170)
> COVID-19 cases in Georgia as of May 19, 2020: 369.4 per 100,000 residents — 18th most (total cases: 38,858)
> COVID-19 deaths in Hancock County as of May 19, 2020: 70.3 per 100,000 residents (Total deaths: 6)
> COVID-19 deaths in Georgia as of May 19, 2020: 16.0 per 100,000 residents — 15th most (total deaths: 1,680)
> Hancock County population: 8,535 (0.1% of Georgia population)
> Largest place in county: Sparta
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48. Kings County, New York
> COVID-19 cases in Kings County as of May 19, 2020: 2,018.1 per 100,000 residents (total cases: 52,485)
> COVID-19 cases in New York as of May 19, 2020: 1,798.0 per 100,000 residents — the most (total cases: 351,371)
> COVID-19 deaths in Kings County as of May 19, 2020: 181.1 per 100,000 residents (total deaths: 4,711)
> COVID-19 deaths in New York as of May 19, 2020: 116.3 per 100,000 residents — 2nd most (total deaths: 22,729)
> Kings County population: 2,600,747 (13.3% of New York population)
> Largest place in county: New York
47. Marshall County, Iowa
> COVID-19 cases in Marshall County as of May 19, 2020: 2,028.8 per 100,000 residents (total cases: 817)
> COVID-19 cases in Iowa as of May 19, 2020: 484.6 per 100,000 residents — 13th most (total cases: 15,296)
> COVID-19 deaths in Marshall County as of May 19, 2020: 17.4 per 100,000 residents (Total deaths: 7)
> COVID-19 deaths in Iowa as of May 19, 2020: 11.6 per 100,000 residents — 23rd most (total deaths: 367)
> Marshall County population: 40,271 (1.3% of Iowa population)
> Largest place in county: Marshalltown
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46. Morgan County, Colorado
> COVID-19 cases in Morgan County as of May 19, 2020: 2,031.4 per 100,000 residents (total cases: 574)
> COVID-19 cases in Colorado as of May 19, 2020: 394.7 per 100,000 residents — 16th most (total cases: 22,482)
> COVID-19 deaths in Morgan County as of May 19, 2020: 123.9 per 100,000 residents (total deaths: 35)
> COVID-19 deaths in Colorado as of May 19, 2020: 22.1 per 100,000 residents — 13th most (total deaths: 1,257)
> Morgan County population: 28,257 (0.5% of Colorado population)
> Largest place in county: Fort Morgan
45. Essex County, New Jersey
> COVID-19 cases in Essex County as of May 19, 2020: 2,102.7 per 100,000 residents (total cases: 16,686)
> COVID-19 cases in New Jersey as of May 19, 2020: 1,672.7 per 100,000 residents — 2nd most (total cases: 149,013)
> COVID-19 deaths in Essex County as of May 19, 2020: 197.2 per 100,000 residents (total deaths: 1,565)
> COVID-19 deaths in New Jersey as of May 19, 2020: 118.8 per 100,000 residents — the most (total deaths: 10,586)
> Essex County population: 793,555 (8.9% of New Jersey population)
> Largest place in county: Newark
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44. Tama County, Iowa
> COVID-19 cases in Tama County as of May 19, 2020: 2,112.5 per 100,000 residents (total cases: 362)
> COVID-19 cases in Iowa as of May 19, 2020: 484.6 per 100,000 residents — 13th most (total cases: 15,296)
> COVID-19 deaths in Tama County as of May 19, 2020: 105.0 per 100,000 residents (total deaths: 18)
> COVID-19 deaths in Iowa as of May 19, 2020: 11.6 per 100,000 residents — 23rd most (total deaths: 367)
> Tama County population: 17,136 (0.5% of Iowa population)
> Largest place in county: Tama
43. Suffolk County, Massachusetts
> COVID-19 cases in Suffolk County as of May 19, 2020: 2,125.0 per 100,000 residents (total cases: 16,825)
> COVID-19 cases in Massachusetts as of May 19, 2020: 1,273.9 per 100,000 residents — 3rd most (total cases: 87,925)
> COVID-19 deaths in Suffolk County as of May 19, 2020: 100.7 per 100,000 residents (total deaths: 797)
> COVID-19 deaths in Massachusetts as of May 19, 2020: 86.0 per 100,000 residents — 4th most (total deaths: 5,938)
> Suffolk County population: 791,766 (11.5% of Massachusetts population)
> Largest place in county: Boston
42. Accomack County, Virginia
> COVID-19 cases in Accomack County as of May 19, 2020: 2,141.0 per 100,000 residents (total cases: 701)
> COVID-19 cases in Virginia as of May 19, 2020: 358.5 per 100,000 residents — 19th most (total cases: 30,539)
> COVID-19 deaths in Accomack County as of May 19, 2020: 27.5 per 100,000 residents (Total deaths: 9)
> COVID-19 deaths in Virginia as of May 19, 2020: 11.8 per 100,000 residents — 22nd most (total deaths: 1,007)
> Accomack County population: 32,742 (0.4% of Virginia population)
> Largest place in county: Chincoteague
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41. Terrell County, Georgia
> COVID-19 cases in Terrell County as of May 19, 2020: 2,246.3 per 100,000 residents (total cases: 199)
> COVID-19 cases in Georgia as of May 19, 2020: 369.4 per 100,000 residents — 18th most (total cases: 38,858)
> COVID-19 deaths in Terrell County as of May 19, 2020: 270.9 per 100,000 residents (total deaths: 24)
> COVID-19 deaths in Georgia as of May 19, 2020: 16.0 per 100,000 residents — 15th most (total deaths: 1,680)
> Terrell County population: 8,859 (0.1% of Georgia population)
> Largest place in county: Dawson
40. Logan County, Colorado
> COVID-19 cases in Logan County as of May 19, 2020: 2,250.0 per 100,000 residents (total cases: 488)
> COVID-19 cases in Colorado as of May 19, 2020: 394.7 per 100,000 residents — 16th most (total cases: 22,482)
> COVID-19 deaths in Logan County as of May 19, 2020: 13.8 per 100,000 residents (Total deaths: 3)
> COVID-19 deaths in Colorado as of May 19, 2020: 22.1 per 100,000 residents — 13th most (total deaths: 1,257)
> Logan County population: 21,689 (0.4% of Colorado population)
> Largest place in county: Sterling
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39. Blaine County, Idaho
> COVID-19 cases in Blaine County as of May 19, 2020: 2,259.7 per 100,000 residents (total cases: 497)
> COVID-19 cases in Idaho as of May 19, 2020: 139.9 per 100,000 residents — 9th fewest (total cases: 2,455)
> COVID-19 deaths in Blaine County as of May 19, 2020: 22.7 per 100,000 residents (Total deaths: 5)
> COVID-19 deaths in Idaho as of May 19, 2020: 4.2 per 100,000 residents — 9th fewest (total deaths: 74)
> Blaine County population: 21,994 (1.3% of Idaho population)
> Largest place in county: Hailey
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38. Early County, Georgia
> COVID-19 cases in Early County as of May 19, 2020: 2,261.3 per 100,000 residents (total cases: 234)
> COVID-19 cases in Georgia as of May 19, 2020: 369.4 per 100,000 residents — 18th most (total cases: 38,858)
> COVID-19 deaths in Early County as of May 19, 2020: 270.6 per 100,000 residents (total deaths: 28)
> COVID-19 deaths in Georgia as of May 19, 2020: 16.0 per 100,000 residents — 15th most (total deaths: 1,680)
> Early County population: 10,348 (0.1% of Georgia population)
> Largest place in county: Blakely
37. Woodbury County, Iowa
> COVID-19 cases in Woodbury County as of May 19, 2020: 2,287.2 per 100,000 residents (total cases: 2,342)
> COVID-19 cases in Iowa as of May 19, 2020: 484.6 per 100,000 residents — 13th most (total cases: 15,296)
> COVID-19 deaths in Woodbury County as of May 19, 2020: 16.6 per 100,000 residents (total deaths: 17)
> COVID-19 deaths in Iowa as of May 19, 2020: 11.6 per 100,000 residents — 23rd most (total deaths: 367)
> Woodbury County population: 102,398 (3.2% of Iowa population)
> Largest place in county: Sioux City
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36. Crawford County, Iowa
> COVID-19 cases in Crawford County as of May 19, 2020: 2,299.8 per 100,000 residents (total cases: 394)
> COVID-19 cases in Iowa as of May 19, 2020: 484.6 per 100,000 residents — 13th most (total cases: 15,296)
> COVID-19 deaths in Crawford County as of May 19, 2020: 5.8 per 100,000 residents (Total deaths: 1)
> COVID-19 deaths in Iowa as of May 19, 2020: 11.6 per 100,000 residents — 23rd most (total deaths: 367)
> Crawford County population: 17,132 (0.5% of Iowa population)
> Largest place in county: Denison
35. Hall County, Nebraska
> COVID-19 cases in Hall County as of May 19, 2020: 2,336.0 per 100,000 residents (total cases: 1,433)
> COVID-19 cases in Nebraska as of May 19, 2020: 562.2 per 100,000 residents — 10th most (total cases: 10,846)
> COVID-19 deaths in Hall County as of May 19, 2020: 63.6 per 100,000 residents (total deaths: 39)
> COVID-19 deaths in Nebraska as of May 19, 2020: 6.8 per 100,000 residents — 17th fewest (total deaths: 132)
> Hall County population: 61,343 (3.2% of Nebraska population)
> Largest place in county: Grand Island
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34. Liberty County, Florida
> COVID-19 cases in Liberty County as of May 19, 2020: 2,379.0 per 100,000 residents (total cases: 199)
> COVID-19 cases in Florida as of May 19, 2020: 220.4 per 100,000 residents — 19th fewest (total cases: 46,944)
> COVID-19 deaths in Liberty County as of May 19, 2020: 0.0 per 100,000 residents (Total deaths: 0)
> COVID-19 deaths in Florida as of May 19, 2020: 9.6 per 100,000 residents — 25th fewest (total deaths: 2,052)
> Liberty County population: 8,365 (0.0% of Florida population)
> Largest place in county: Bristol
33. Randolph County, Georgia
> COVID-19 cases in Randolph County as of May 19, 2020: 2,384.6 per 100,000 residents (total cases: 169)
> COVID-19 cases in Georgia as of May 19, 2020: 369.4 per 100,000 residents — 18th most (total cases: 38,858)
> COVID-19 deaths in Randolph County as of May 19, 2020: 296.3 per 100,000 residents (total deaths: 21)
> COVID-19 deaths in Georgia as of May 19, 2020: 16.0 per 100,000 residents — 15th most (total deaths: 1,680)
> Randolph County population: 7,087 (0.1% of Georgia population)
> Largest place in county: Cuthbert
32. Buckingham County, Virginia
> COVID-19 cases in Buckingham County as of May 19, 2020: 2,464.1 per 100,000 residents (total cases: 419)
> COVID-19 cases in Virginia as of May 19, 2020: 358.5 per 100,000 residents — 19th most (total cases: 30,539)
> COVID-19 deaths in Buckingham County as of May 19, 2020: 11.8 per 100,000 residents (Total deaths: 2)
> COVID-19 deaths in Virginia as of May 19, 2020: 11.8 per 100,000 residents — 22nd most (total deaths: 1,007)
> Buckingham County population: 17,004 (0.2% of Virginia population)
> Largest place in county: Dillwyn
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31. Suffolk County, New York
> COVID-19 cases in Suffolk County as of May 19, 2020: 2,569.0 per 100,000 residents (total cases: 38,224)
> COVID-19 cases in New York as of May 19, 2020: 1,798.0 per 100,000 residents — the most (total cases: 351,371)
> COVID-19 deaths in Suffolk County as of May 19, 2020: 117.9 per 100,000 residents (total deaths: 1,754)
> COVID-19 deaths in New York as of May 19, 2020: 116.3 per 100,000 residents — 2nd most (total deaths: 22,729)
> Suffolk County population: 1,487,901 (7.6% of New York population)
> Largest place in county: Brentwood CDP
30. Queens County, New York
> COVID-19 cases in Queens County as of May 19, 2020: 2,581.0 per 100,000 residents (total cases: 59,324)
> COVID-19 cases in New York as of May 19, 2020: 1,798.0 per 100,000 residents — the most (total cases: 351,371)
> COVID-19 deaths in Queens County as of May 19, 2020: 208.1 per 100,000 residents (total deaths: 4,784)
> COVID-19 deaths in New York as of May 19, 2020: 116.3 per 100,000 residents — 2nd most (total deaths: 22,729)
> Queens County population: 2,298,513 (11.8% of New York population)
> Largest place in county: New York
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29. Orange County, New York
> COVID-19 cases in Orange County as of May 19, 2020: 2,634.7 per 100,000 residents (total cases: 9,965)
> COVID-19 cases in New York as of May 19, 2020: 1,798.0 per 100,000 residents — the most (total cases: 351,371)
> COVID-19 deaths in Orange County as of May 19, 2020: 92.5 per 100,000 residents (total deaths: 350)
> COVID-19 deaths in New York as of May 19, 2020: 116.3 per 100,000 residents — 2nd most (total deaths: 22,729)
> Orange County population: 378,227 (1.9% of New York population)
> Largest place in county: Newburgh
28. Hudson County, New Jersey
> COVID-19 cases in Hudson County as of May 19, 2020: 2,635.4 per 100,000 residents (total cases: 17,621)
> COVID-19 cases in New Jersey as of May 19, 2020: 1,672.7 per 100,000 residents — 2nd most (total cases: 149,013)
> COVID-19 deaths in Hudson County as of May 19, 2020: 161.8 per 100,000 residents (total deaths: 1,082)
> COVID-19 deaths in New Jersey as of May 19, 2020: 118.8 per 100,000 residents — the most (total deaths: 10,586)
> Hudson County population: 668,631 (7.5% of New Jersey population)
> Largest place in county: Jersey City
27. Moore County, Texas
> COVID-19 cases in Moore County as of May 19, 2020: 2,637.5 per 100,000 residents (total cases: 575)
> COVID-19 cases in Texas as of May 19, 2020: 173.9 per 100,000 residents — 12th fewest (total cases: 49,912)
> COVID-19 deaths in Moore County as of May 19, 2020: 55.0 per 100,000 residents (total deaths: 12)
> COVID-19 deaths in Texas as of May 19, 2020: 4.8 per 100,000 residents — 11th fewest (total deaths: 1,369)
> Moore County population: 21,801 (0.1% of Texas population)
> Largest place in county: Dumas
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26. Union County, New Jersey
> COVID-19 cases in Union County as of May 19, 2020: 2,717.8 per 100,000 residents (total cases: 15,031)
> COVID-19 cases in New Jersey as of May 19, 2020: 1,672.7 per 100,000 residents — 2nd most (total cases: 149,013)
> COVID-19 deaths in Union County as of May 19, 2020: 176.7 per 100,000 residents (total deaths: 977)
> COVID-19 deaths in New Jersey as of May 19, 2020: 118.8 per 100,000 residents — the most (total deaths: 10,586)
> Union County population: 553,066 (6.2% of New Jersey population)
> Largest place in county: Elizabeth
25. McKinley County, New Mexico
> COVID-19 cases in McKinley County as of May 19, 2020: 2,727.6 per 100,000 residents (total cases: 1,987)
> COVID-19 cases in New Mexico as of May 19, 2020: 295.5 per 100,000 residents — 21st most (total cases: 6,192)
> COVID-19 deaths in McKinley County as of May 19, 2020: 108.4 per 100,000 residents (total deaths: 79)
> COVID-19 deaths in New Mexico as of May 19, 2020: 13.2 per 100,000 residents — 20th most (total deaths: 276)
> McKinley County population: 72,849 (3.5% of New Mexico population)
> Largest place in county: Gallup
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24. Richmond County, New York
> COVID-19 cases in Richmond County as of May 19, 2020: 2,751.9 per 100,000 residents (total cases: 13,047)
> COVID-19 cases in New York as of May 19, 2020: 1,798.0 per 100,000 residents — the most (total cases: 351,371)
> COVID-19 deaths in Richmond County as of May 19, 2020: 146.4 per 100,000 residents (total deaths: 694)
> COVID-19 deaths in New York as of May 19, 2020: 116.3 per 100,000 residents — 2nd most (total deaths: 22,729)
> Richmond County population: 474,101 (2.4% of New York population)
> Largest place in county: New York
23. Louisa County, Iowa
> COVID-19 cases in Louisa County as of May 19, 2020: 2,806.7 per 100,000 residents (total cases: 315)
> COVID-19 cases in Iowa as of May 19, 2020: 484.6 per 100,000 residents — 13th most (total cases: 15,296)
> COVID-19 deaths in Louisa County as of May 19, 2020: 35.6 per 100,000 residents (Total deaths: 4)
> COVID-19 deaths in Iowa as of May 19, 2020: 11.6 per 100,000 residents — 23rd most (total deaths: 367)
> Louisa County population: 11,223 (0.4% of Iowa population)
> Largest place in county: Columbus Junction
22. Nassau County, New York
> COVID-19 cases in Nassau County as of May 19, 2020: 2,891.5 per 100,000 residents (total cases: 39,225)
> COVID-19 cases in New York as of May 19, 2020: 1,798.0 per 100,000 residents — the most (total cases: 351,371)
> COVID-19 deaths in Nassau County as of May 19, 2020: 151.3 per 100,000 residents (total deaths: 2,053)
> COVID-19 deaths in New York as of May 19, 2020: 116.3 per 100,000 residents — 2nd most (total deaths: 22,729)
> Nassau County population: 1,356,564 (6.9% of New York population)
> Largest place in county: Hempstead
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21. Richmond County, Virginia
> COVID-19 cases in Richmond County as of May 19, 2020: 2,984.9 per 100,000 residents (total cases: 265)
> COVID-19 cases in Virginia as of May 19, 2020: 358.5 per 100,000 residents — 19th most (total cases: 30,539)
> COVID-19 deaths in Richmond County as of May 19, 2020: 45.1 per 100,000 residents (Total deaths: 4)
> COVID-19 deaths in Virginia as of May 19, 2020: 11.8 per 100,000 residents — 22nd most (total deaths: 1,007)
> Richmond County population: 8,878 (0.1% of Virginia population)
> Largest place in county: Warsaw
20. Bronx County, New York
> COVID-19 cases in Bronx County as of May 19, 2020: 3,001.5 per 100,000 residents (total cases: 43,158)
> COVID-19 cases in New York as of May 19, 2020: 1,798.0 per 100,000 residents — the most (total cases: 351,371)
> COVID-19 deaths in Bronx County as of May 19, 2020: 216.3 per 100,000 residents (total deaths: 3,110)
> COVID-19 deaths in New York as of May 19, 2020: 116.3 per 100,000 residents — 2nd most (total deaths: 22,729)
> Bronx County population: 1,437,872 (7.4% of New York population)
> Largest place in county: New York
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19. Saline County, Nebraska
> COVID-19 cases in Saline County as of May 19, 2020: 3,023.5 per 100,000 residents (total cases: 432)
> COVID-19 cases in Nebraska as of May 19, 2020: 562.2 per 100,000 residents — 10th most (total cases: 10,846)
> COVID-19 deaths in Saline County as of May 19, 2020: 7.0 per 100,000 residents (Total deaths: 1)
> COVID-19 deaths in Nebraska as of May 19, 2020: 6.8 per 100,000 residents — 17th fewest (total deaths: 132)
> Saline County population: 14,288 (0.7% of Nebraska population)
> Largest place in county: Crete
18. Passaic County, New Jersey
> COVID-19 cases in Passaic County as of May 19, 2020: 3,049.6 per 100,000 residents (total cases: 15,371)
> COVID-19 cases in New Jersey as of May 19, 2020: 1,672.7 per 100,000 residents — 2nd most (total cases: 149,013)
> COVID-19 deaths in Passaic County as of May 19, 2020: 167.0 per 100,000 residents (total deaths: 842)
> COVID-19 deaths in New Jersey as of May 19, 2020: 118.8 per 100,000 residents — the most (total deaths: 10,586)
> Passaic County population: 504,041 (5.7% of New Jersey population)
> Largest place in county: Paterson
17. Westchester County, New York
> COVID-19 cases in Westchester County as of May 19, 2020: 3,336.3 per 100,000 residents (total cases: 32,323)
> COVID-19 cases in New York as of May 19, 2020: 1,798.0 per 100,000 residents — the most (total cases: 351,371)
> COVID-19 deaths in Westchester County as of May 19, 2020: 133.7 per 100,000 residents (total deaths: 1,295)
> COVID-19 deaths in New York as of May 19, 2020: 116.3 per 100,000 residents — 2nd most (total deaths: 22,729)
> Westchester County population: 968,815 (5.0% of New York population)
> Largest place in county: Yonkers
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16. Dawson County, Nebraska
> COVID-19 cases in Dawson County as of May 19, 2020: 3,407.0 per 100,000 residents (total cases: 811)
> COVID-19 cases in Nebraska as of May 19, 2020: 562.2 per 100,000 residents — 10th most (total cases: 10,846)
> COVID-19 deaths in Dawson County as of May 19, 2020: 29.4 per 100,000 residents (Total deaths: 7)
> COVID-19 deaths in Nebraska as of May 19, 2020: 6.8 per 100,000 residents — 17th fewest (total deaths: 132)
> Dawson County population: 23,804 (1.2% of Nebraska population)
> Largest place in county: Lexington
15. Seward County, Kansas
> COVID-19 cases in Seward County as of May 19, 2020: 3,437.3 per 100,000 residents (total cases: 780)
> COVID-19 cases in Kansas as of May 19, 2020: 286.4 per 100,000 residents — 22nd most (total cases: 8,340)
> COVID-19 deaths in Seward County as of May 19, 2020: 0.0 per 100,000 residents (Total deaths: 0)
> COVID-19 deaths in Kansas as of May 19, 2020: 5.9 per 100,000 residents — 15th fewest (total deaths: 173)
> Seward County population: 22,692 (0.8% of Kansas population)
> Largest place in county: Liberal
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14. Finney County, Kansas
> COVID-19 cases in Finney County as of May 19, 2020: 3,466.2 per 100,000 residents (total cases: 1,281)
> COVID-19 cases in Kansas as of May 19, 2020: 286.4 per 100,000 residents — 22nd most (total cases: 8,340)
> COVID-19 deaths in Finney County as of May 19, 2020: 0.0 per 100,000 residents (Total deaths: 0)
> COVID-19 deaths in Kansas as of May 19, 2020: 5.9 per 100,000 residents — 15th fewest (total deaths: 173)
> Finney County population: 36,957 (1.3% of Kansas population)
> Largest place in county: Garden City
13. Pickaway County, Ohio
> COVID-19 cases in Pickaway County as of May 19, 2020: 3,526.6 per 100,000 residents (total cases: 2,025)
> COVID-19 cases in Ohio as of May 19, 2020: 247.7 per 100,000 residents — 24th fewest (total cases: 28,952)
> COVID-19 deaths in Pickaway County as of May 19, 2020: 54.0 per 100,000 residents (total deaths: 31)
> COVID-19 deaths in Ohio as of May 19, 2020: 14.7 per 100,000 residents — 16th most (total deaths: 1,720)
> Pickaway County population: 57,420 (0.5% of Ohio population)
> Largest place in county: Circleville
12. Texas County, Oklahoma
> COVID-19 cases in Texas County as of May 19, 2020: 3,711.9 per 100,000 residents (total cases: 784)
> COVID-19 cases in Oklahoma as of May 19, 2020: 139.2 per 100,000 residents — 8th fewest (total cases: 5,489)
> COVID-19 deaths in Texas County as of May 19, 2020: 18.9 per 100,000 residents (Total deaths: 4)
> COVID-19 deaths in Oklahoma as of May 19, 2020: 7.5 per 100,000 residents — 18th fewest (total deaths: 294)
> Texas County population: 21,121 (0.5% of Oklahoma population)
> Largest place in county: Guymon
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11. Marion County, Ohio
> COVID-19 cases in Marion County as of May 19, 2020: 3,862.6 per 100,000 residents (total cases: 2,524)
> COVID-19 cases in Ohio as of May 19, 2020: 247.7 per 100,000 residents — 24th fewest (total cases: 28,952)
> COVID-19 deaths in Marion County as of May 19, 2020: 23.0 per 100,000 residents (total deaths: 15)
> COVID-19 deaths in Ohio as of May 19, 2020: 14.7 per 100,000 residents — 16th most (total deaths: 1,720)
> Marion County population: 65,344 (0.6% of Ohio population)
> Largest place in county: Marion
10. Rockland County, New York
> COVID-19 cases in Rockland County as of May 19, 2020: 3,947.3 per 100,000 residents (total cases: 12,777)
> COVID-19 cases in New York as of May 19, 2020: 1,798.0 per 100,000 residents — the most (total cases: 351,371)
> COVID-19 deaths in Rockland County as of May 19, 2020: 148.0 per 100,000 residents (total deaths: 479)
> COVID-19 deaths in New York as of May 19, 2020: 116.3 per 100,000 residents — 2nd most (total deaths: 22,729)
> Rockland County population: 323,686 (1.7% of New York population)
> Largest place in county: New City CDP
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9. Ford County, Kansas
> COVID-19 cases in Ford County as of May 19, 2020: 4,059.9 per 100,000 residents (total cases: 1,400)
> COVID-19 cases in Kansas as of May 19, 2020: 286.4 per 100,000 residents — 22nd most (total cases: 8,340)
> COVID-19 deaths in Ford County as of May 19, 2020: 0.0 per 100,000 residents (Total deaths: 0)
> COVID-19 deaths in Kansas as of May 19, 2020: 5.9 per 100,000 residents — 15th fewest (total deaths: 173)
> Ford County population: 34,484 (1.2% of Kansas population)
> Largest place in county: Dodge City
8. Cass County, Indiana
> COVID-19 cases in Cass County as of May 19, 2020: 4,096.2 per 100,000 residents (total cases: 1,560)
> COVID-19 cases in Indiana as of May 19, 2020: 429.0 per 100,000 residents — 15th most (total cases: 28,705)
> COVID-19 deaths in Cass County as of May 19, 2020: 15.8 per 100,000 residents (Total deaths: 6)
> COVID-19 deaths in Indiana as of May 19, 2020: 25.1 per 100,000 residents — 12th most (total deaths: 1,678)
> Cass County population: 38,084 (0.6% of Indiana population)
> Largest place in county: Logansport
7. Bledsoe County, Tennessee
> COVID-19 cases in Bledsoe County as of May 19, 2020: 4,157.0 per 100,000 residents (total cases: 607)
> COVID-19 cases in Tennessee as of May 19, 2020: 271.5 per 100,000 residents — 24th most (total cases: 18,378)
> COVID-19 deaths in Bledsoe County as of May 19, 2020: 6.8 per 100,000 residents (Total deaths: 1)
> COVID-19 deaths in Tennessee as of May 19, 2020: 4.5 per 100,000 residents — 10th fewest (total deaths: 305)
> Bledsoe County population: 14,602 (0.2% of Tennessee population)
> Largest place in county: Pikeville
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6. Colfax County, Nebraska
> COVID-19 cases in Colfax County as of May 19, 2020: 4,944.2 per 100,000 residents (total cases: 532)
> COVID-19 cases in Nebraska as of May 19, 2020: 562.2 per 100,000 residents — 10th most (total cases: 10,846)
> COVID-19 deaths in Colfax County as of May 19, 2020: 9.3 per 100,000 residents (Total deaths: 1)
> COVID-19 deaths in Nebraska as of May 19, 2020: 6.8 per 100,000 residents — 17th fewest (total deaths: 132)
> Colfax County population: 10,760 (0.6% of Nebraska population)
> Largest place in county: Schuyler
5. Lake County, Tennessee
> COVID-19 cases in Lake County as of May 19, 2020: 5,354.8 per 100,000 residents (total cases: 403)
> COVID-19 cases in Tennessee as of May 19, 2020: 271.5 per 100,000 residents — 24th most (total cases: 18,378)
> COVID-19 deaths in Lake County as of May 19, 2020: 0.0 per 100,000 residents (Total deaths: 0)
> COVID-19 deaths in Tennessee as of May 19, 2020: 4.5 per 100,000 residents — 10th fewest (total deaths: 305)
> Lake County population: 7,526 (0.1% of Tennessee population)
> Largest place in county: Tiptonville
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4. Nobles County, Minnesota
> COVID-19 cases in Nobles County as of May 19, 2020: 6,383.1 per 100,000 residents (total cases: 1,394)
> COVID-19 cases in Minnesota as of May 19, 2020: 303.5 per 100,000 residents — 20th most (total cases: 17,029)
> COVID-19 deaths in Nobles County as of May 19, 2020: 9.2 per 100,000 residents (Total deaths: 2)
> COVID-19 deaths in Minnesota as of May 19, 2020: 13.3 per 100,000 residents — 18th most (total deaths: 748)
> Nobles County population: 21,839 (0.4% of Minnesota population)
> Largest place in county: Worthington
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3. Lincoln County, Arkansas
> COVID-19 cases in Lincoln County as of May 19, 2020: 7,046.4 per 100,000 residents (total cases: 965)
> COVID-19 cases in Arkansas as of May 19, 2020: 163.3 per 100,000 residents — 11th fewest (total cases: 4,923)
> COVID-19 deaths in Lincoln County as of May 19, 2020: 58.4 per 100,000 residents (Total deaths: 8)
> COVID-19 deaths in Arkansas as of May 19, 2020: 3.4 per 100,000 residents — 7th fewest (total deaths: 102)
> Lincoln County population: 13,695 (0.5% of Arkansas population)
> Largest place in county: Star City
2. Dakota County, Nebraska
> COVID-19 cases in Dakota County as of May 19, 2020: 7,264.9 per 100,000 residents (total cases: 1,476)
> COVID-19 cases in Nebraska as of May 19, 2020: 562.2 per 100,000 residents — 10th most (total cases: 10,846)
> COVID-19 deaths in Dakota County as of May 19, 2020: 49.2 per 100,000 residents (total deaths: 10)
> COVID-19 deaths in Nebraska as of May 19, 2020: 6.8 per 100,000 residents — 17th fewest (total deaths: 132)
> Dakota County population: 20,317 (1.1% of Nebraska population)
> Largest place in county: South Sioux City
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1. Trousdale County, Tennessee
> COVID-19 cases in Trousdale County as of May 19, 2020: 14,457.3 per 100,000 residents (total cases: 1,384)
> COVID-19 cases in Tennessee as of May 19, 2020: 271.5 per 100,000 residents — 24th most (total cases: 18,378)
> COVID-19 deaths in Trousdale County as of May 19, 2020: 41.8 per 100,000 residents (Total deaths: 4)
> COVID-19 deaths in Tennessee as of May 19, 2020: 4.5 per 100,000 residents — 10th fewest (total deaths: 305)
> Trousdale County population: 9,573 (0.1% of Tennessee population)
> Largest place in county: Hartsville
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