The U.S. reported over 60,000 new cases of coronavirus on Apr. 22, bringing the total count to more than 31,400,000 confirmed cases of COVID-19. There have been more than 563,000 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 20.6 daily new coronavirus cases per 100,000 Americans — essentially unchanged from the week prior, when there were an average of 21.4 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 metro areas with the highest incidence of COVID-19 cases are distributed relatively unevenly across the United States. Of the 50 metro areas with the highest case counts per capita, 21 are in the South, 17 are in the Midwest, 12 are in the West, and zero are in the Northeast.
The five metro areas with the highest number of coronavirus cases per capita are: Yuma, AZ; Bismarck, ND; Sioux Falls, SD; El Paso, TX; and Laredo, TX. The incidence of COVID-19 in these metro areas range from 17,659.5 cases per 100,000 to 15,858.1 cases per 100,000. For comparison, there are currently 9,745.0 cases per 100,000 Americans nationwide.
The 50 cities with the highest incidence of COVID-19 have over 3,500 more coronavirus cases per capita than the U.S. as a whole, and cases are still growing at a steady pace. There were an average of 19.6 daily new coronavirus cases per 100,000 people in the week ending Apr. 22, roughly unchanged from the week prior, when there were an average of 21.0 daily new coronavirus cases per 100,000 people. In six of the 50 cities with the highest COVID-19 incidence, new cases are rising at an increasing rate.
To determine the cities with the most COVID-19 cases, 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 as of Apr. 22. 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.
50. Rome, GA
> Confirmed COVID-19 cases as of Apr. 22: 11,824
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,143.5
> Cumulative COVID-19 deaths as of Apr. 22: 217
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 222.9
> Population: 97,369
49. Omaha-Council Bluffs, NE-IA
> Confirmed COVID-19 cases as of Apr. 22: 113,183
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,147.0
> Cumulative COVID-19 deaths as of Apr. 22: 1,098
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 117.8
> Population: 931,779
48. Bakersfield, CA
> Confirmed COVID-19 cases as of Apr. 22: 108,013
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,168.5
> Cumulative COVID-19 deaths as of Apr. 22: 1,331
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 149.9
> Population: 887,641
47. South Bend-Mishawaka, IN-MI
> Confirmed COVID-19 cases as of Apr. 22: 39,223
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,190.9
> Cumulative COVID-19 deaths as of Apr. 22: 613
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 190.5
> Population: 321,739
46. Morristown, TN
> Confirmed COVID-19 cases as of Apr. 22: 17,185
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,195.6
> Cumulative COVID-19 deaths as of Apr. 22: 343
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 243.4
> Population: 140,912
45. Kankakee, IL
> Confirmed COVID-19 cases as of Apr. 22: 13,541
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,239.1
> Cumulative COVID-19 deaths as of Apr. 22: 196
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 177.2
> Population: 110,637
44. Phoenix-Mesa-Chandler, AZ
> Confirmed COVID-19 cases as of Apr. 22: 582,830
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,240.2
> Cumulative COVID-19 deaths as of Apr. 22: 10,650
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 223.7
> Population: 4,761,603
43. Idaho Falls, ID
> Confirmed COVID-19 cases as of Apr. 22: 17,826
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,251.0
> Cumulative COVID-19 deaths as of Apr. 22: 193
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 132.6
> Population: 145,507
These are all the counties in Idaho where COVID-19 is slowing (and where it’s still getting worse).
42. Oshkosh-Neenah, WI
> Confirmed COVID-19 cases as of Apr. 22: 20,887
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,256.8
> Cumulative COVID-19 deaths as of Apr. 22: 212
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 124.4
> Population: 170,411
41. Tuscaloosa, AL
> Confirmed COVID-19 cases as of Apr. 22: 30,857
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,309.3
> Cumulative COVID-19 deaths as of Apr. 22: 612
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 244.1
> Population: 250,681
40. Logan, UT-ID
> Confirmed COVID-19 cases as of Apr. 22: 16,964
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,325.9
> Cumulative COVID-19 deaths as of Apr. 22: 61
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 44.3
> Population: 137,629
These are all the counties in Utah where COVID-19 is slowing (and where it’s still getting worse).
39. Racine, WI
> Confirmed COVID-19 cases as of Apr. 22: 24,113
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,327.6
> Cumulative COVID-19 deaths as of Apr. 22: 365
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 186.6
> Population: 195,602
38. St. George, UT
> Confirmed COVID-19 cases as of Apr. 22: 20,522
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,376.7
> Cumulative COVID-19 deaths as of Apr. 22: 204
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 123.0
> Population: 165,811
These are all the counties in Utah where COVID-19 is slowing (and where it’s still getting worse).
37. Flagstaff, AZ
> Confirmed COVID-19 cases as of Apr. 22: 17,514
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,397.2
> Cumulative COVID-19 deaths as of Apr. 22: 328
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 232.2
> Population: 141,274
36. Jonesboro, AR
> Confirmed COVID-19 cases as of Apr. 22: 16,381
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,481.6
> Cumulative COVID-19 deaths as of Apr. 22: 255
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 194.3
> Population: 131,241
35. Enid, OK
> Confirmed COVID-19 cases as of Apr. 22: 7,735
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,496.4
> Cumulative COVID-19 deaths as of Apr. 22: 127
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 205.2
> Population: 61,898
34. Florence, SC
> Confirmed COVID-19 cases as of Apr. 22: 25,724
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,517.6
> Cumulative COVID-19 deaths as of Apr. 22: 579
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 281.7
> Population: 205,502
33. Anniston-Oxford, AL
> Confirmed COVID-19 cases as of Apr. 22: 14,365
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,532.9
> Cumulative COVID-19 deaths as of Apr. 22: 311
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 271.3
> Population: 114,618
32. Sheboygan, WI
> Confirmed COVID-19 cases as of Apr. 22: 14,464
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,558.0
> Cumulative COVID-19 deaths as of Apr. 22: 144
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 125.0
> Population: 115,178
31. Appleton, WI
> Confirmed COVID-19 cases as of Apr. 22: 29,632
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,575.8
> Cumulative COVID-19 deaths as of Apr. 22: 268
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 113.7
> Population: 235,628
30. Salt Lake City, UT
> Confirmed COVID-19 cases as of Apr. 22: 153,502
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,780.7
> Cumulative COVID-19 deaths as of Apr. 22: 880
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 73.3
> Population: 1,201,043
These are all the counties in Utah where COVID-19 is slowing (and where it’s still getting worse).
29. Riverside-San Bernardino-Ontario, CA
> Confirmed COVID-19 cases as of Apr. 22: 592,593
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 12,994.1
> Cumulative COVID-19 deaths as of Apr. 22: 9,108
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 199.7
> Population: 4,560,470
28. Nashville-Davidson–Murfreesboro–Franklin, TN
> Confirmed COVID-19 cases as of Apr. 22: 244,818
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,078.6
> Cumulative COVID-19 deaths as of Apr. 22: 2,763
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 147.6
> Population: 1,871,903
27. Spartanburg, SC
> Confirmed COVID-19 cases as of Apr. 22: 40,310
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,104.0
> Cumulative COVID-19 deaths as of Apr. 22: 781
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 253.9
> Population: 307,617
26. Fond du Lac, WI
> Confirmed COVID-19 cases as of Apr. 22: 13,451
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,110.5
> Cumulative COVID-19 deaths as of Apr. 22: 114
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 111.1
> Population: 102,597
25. Green Bay, WI
> Confirmed COVID-19 cases as of Apr. 22: 42,027
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,158.1
> Cumulative COVID-19 deaths as of Apr. 22: 366
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 114.6
> Population: 319,401
24. Fargo, ND-MN
> Confirmed COVID-19 cases as of Apr. 22: 31,741
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,202.3
> Cumulative COVID-19 deaths as of Apr. 22: 291
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 121.0
> Population: 240,421
23. Amarillo, TX
> Confirmed COVID-19 cases as of Apr. 22: 34,895
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,229.0
> Cumulative COVID-19 deaths as of Apr. 22: 743
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 281.7
> Population: 263,776
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).
22. Gadsden, AL
> Confirmed COVID-19 cases as of Apr. 22: 13,707
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,340.4
> Cumulative COVID-19 deaths as of Apr. 22: 348
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 338.7
> Population: 102,748
21. St. Cloud, MN
> Confirmed COVID-19 cases as of Apr. 22: 26,497
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,343.2
> Cumulative COVID-19 deaths as of Apr. 22: 316
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 159.1
> Population: 198,581
20. Elkhart-Goshen, IN
> Confirmed COVID-19 cases as of Apr. 22: 27,376
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,383.0
> Cumulative COVID-19 deaths as of Apr. 22: 432
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 211.2
> Population: 204,558
19. Greenville-Anderson, SC
> Confirmed COVID-19 cases as of Apr. 22: 120,197
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,415.7
> Cumulative COVID-19 deaths as of Apr. 22: 1,935
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 216.0
> Population: 895,942
18. Gainesville, GA
> Confirmed COVID-19 cases as of Apr. 22: 26,778
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,478.8
> Cumulative COVID-19 deaths as of Apr. 22: 455
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 229.0
> Population: 198,667
17. Cleveland, TN
> Confirmed COVID-19 cases as of Apr. 22: 16,633
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,571.0
> Cumulative COVID-19 deaths as of Apr. 22: 172
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 140.3
> Population: 122,563
16. Dubuque, IA
> Confirmed COVID-19 cases as of Apr. 22: 13,198
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,608.7
> Cumulative COVID-19 deaths as of Apr. 22: 203
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 209.3
> Population: 96,982
These are all the counties in Iowa where COVID-19 is slowing (and where it’s still getting worse).
15. Grand Forks, ND-MN
> Confirmed COVID-19 cases as of Apr. 22: 14,052
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,811.0
> Cumulative COVID-19 deaths as of Apr. 22: 144
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 141.5
> Population: 101,745
14. Miami-Fort Lauderdale-Pompano Beach, FL
> Confirmed COVID-19 cases as of Apr. 22: 842,061
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 13,825.4
> Cumulative COVID-19 deaths as of Apr. 22: 11,575
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 190.0
> Population: 6,090,660
13. San Angelo, TX
> Confirmed COVID-19 cases as of Apr. 22: 16,706
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 14,159.3
> Cumulative COVID-19 deaths as of Apr. 22: 269
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 228.0
> Population: 117,986
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).
12. Pine Bluff, AR
> Confirmed COVID-19 cases as of Apr. 22: 12,964
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 14,267.3
> Cumulative COVID-19 deaths as of Apr. 22: 239
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 263.0
> Population: 90,865
11. Dalton, GA
> Confirmed COVID-19 cases as of Apr. 22: 21,556
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 14,973.5
> Cumulative COVID-19 deaths as of Apr. 22: 322
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 223.7
> Population: 143,961
10. Sioux City, IA-NE-SD
> Confirmed COVID-19 cases as of Apr. 22: 21,642
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 15,045.3
> Cumulative COVID-19 deaths as of Apr. 22: 328
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 228.0
> Population: 143,846
These are all the counties in Iowa where COVID-19 is slowing (and where it’s still getting worse).
9. Hanford-Corcoran, CA
> Confirmed COVID-19 cases as of Apr. 22: 22,781
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 15,117.7
> Cumulative COVID-19 deaths as of Apr. 22: 245
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 162.6
> Population: 150,691
8. El Centro, CA
> Confirmed COVID-19 cases as of Apr. 22: 27,995
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 15,492.4
> Cumulative COVID-19 deaths as of Apr. 22: 719
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 397.9
> Population: 180,701
7. Provo-Orem, UT
> Confirmed COVID-19 cases as of Apr. 22: 95,662
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 15,509.6
> Cumulative COVID-19 deaths as of Apr. 22: 385
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 62.4
> Population: 616,791
These are all the counties in Utah where COVID-19 is slowing (and where it’s still getting worse).
6. Lubbock, TX
> Confirmed COVID-19 cases as of Apr. 22: 50,022
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 15,806.0
> Cumulative COVID-19 deaths as of Apr. 22: 834
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 263.5
> Population: 316,474
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).
5. Laredo, TX
> Confirmed COVID-19 cases as of Apr. 22: 43,376
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 15,858.1
> Cumulative COVID-19 deaths as of Apr. 22: 781
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 285.5
> Population: 273,526
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).
4. El Paso, TX
> Confirmed COVID-19 cases as of Apr. 22: 132,686
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 15,870.4
> Cumulative COVID-19 deaths as of Apr. 22: 2,623
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 313.7
> Population: 836,062
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).
3. Sioux Falls, SD
> Confirmed COVID-19 cases as of Apr. 22: 41,443
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 15,979.7
> Cumulative COVID-19 deaths as of Apr. 22: 505
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 194.7
> Population: 259,348
2. Bismarck, ND
> Confirmed COVID-19 cases as of Apr. 22: 20,587
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 16,146.3
> Cumulative COVID-19 deaths as of Apr. 22: 290
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 227.4
> Population: 127,503
1. Yuma, AZ
> Confirmed COVID-19 cases as of Apr. 22: 36,991
> Confirmed COVID-19 cases as of Apr. 22 per 100,000 residents: 17,659.5
> Cumulative COVID-19 deaths as of Apr. 22: 829
> Cumulative COVID-19 deaths as of Apr. 22 per 100,000 residents: 395.8
> Population: 209,468
Click here to see all coronavirus data for every state.
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