The U.S. reported over 248,000 new cases of coronavirus in the seven days ending April 19, bringing the total count to more than 79.8 million confirmed cases of COVID-19. There have been more than 981,000 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 10.1 daily new coronavirus cases per 100,000 Americans — essentially unchanged from the week prior, when there were an average of 9.0 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 lowest incidence of COVID-19 cases are distributed relatively unevenly across the United States. Of the 50 metro areas with the lowest case counts per capita, 25 are in the West, 13 are in the South, 11 are in the Northeast, and one is in the Midwest.
The five metro areas with the smallest number of coronavirus cases per capita are: St. George, UT; Bremerton-Silverdale-Port Orchard, WA; Portland-Vancouver-Hillsboro, OR-WA; Eugene-Springfield, OR; and Baltimore-Columbia-Towson, MD. The incidence of COVID-19 in these metro areas range from 12,376.7 cases per 100,000 to 15,936.7 cases per 100,000. For comparison, there are currently 24,743.1 cases per 100,000 Americans nationwide.
The 50 cities with the lowest incidence of COVID-19 have more than 6,800 fewer coronavirus cases per capita than the U.S. as a whole, but cases are still growing at a steady pace. There were an average of 20.8 daily new coronavirus cases per 100,000 people in the week ending April 19, roughly unchanged from the week prior, when there were an average of 17.4 daily new coronavirus cases per 100,000 people. In 45 of the 50 cities with the lowest COVID-19 incidence, new cases are rising at a slowing rate.
To determine the cities with the fewest 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 April 19.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. Killeen-Temple, TX
> Confirmed COVID-19 cases as of April 19: 89,981
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 20,233.4
> Cumulative COVID-19 deaths as of April 19: 1,196
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 268.9
> Population: 444,716
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).
49. Rochester, NY
> Confirmed COVID-19 cases as of April 19: 216,686
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 20,196.7
> Cumulative COVID-19 deaths as of April 19: 2,172
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 202.4
> Population: 1,072,877
48. Albany-Schenectady-Troy, NY
> Confirmed COVID-19 cases as of April 19: 177,087
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 20,106.7
> Cumulative COVID-19 deaths as of April 19: 1,422
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 161.5
> Population: 880,736
47. Bloomington, IN
> Confirmed COVID-19 cases as of April 19: 33,571
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 20,066.8
> Cumulative COVID-19 deaths as of April 19: 399
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 238.5
> Population: 167,296
46. San Luis Obispo-Paso Robles, CA
> Confirmed COVID-19 cases as of April 19: 56,515
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 20,029.1
> Cumulative COVID-19 deaths as of April 19: 476
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 168.7
> Population: 282,165
45. Punta Gorda, FL
> Confirmed COVID-19 cases as of April 19: 36,192
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 19,988.2
> Cumulative COVID-19 deaths as of April 19: 806
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 445.1
> Population: 181,067
44. Tyler, TX
> Confirmed COVID-19 cases as of April 19: 45,427
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 19,972.4
> Cumulative COVID-19 deaths as of April 19: 964
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 423.8
> Population: 227,449
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).
43. Salem, OR
> Confirmed COVID-19 cases as of April 19: 84,395
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 19,966.7
> Cumulative COVID-19 deaths as of April 19: 842
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 199.2
> Population: 422,678
These are all the counties in Oregon where COVID-19 is slowing (and where it’s still getting worse).
42. Victoria, TX
> Confirmed COVID-19 cases as of April 19: 19,848
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 19,912.9
> Cumulative COVID-19 deaths as of April 19: 443
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 444.4
> Population: 99,674
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).
41. Boulder, CO
> Confirmed COVID-19 cases as of April 19: 63,807
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 19,784.5
> Cumulative COVID-19 deaths as of April 19: 357
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 110.7
> Population: 322,510
40. Vallejo, CA
> Confirmed COVID-19 cases as of April 19: 87,351
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 19,770.3
> Cumulative COVID-19 deaths as of April 19: 447
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 101.2
> Population: 441,829
39. Medford, OR
> Confirmed COVID-19 cases as of April 19: 42,780
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 19,753.1
> Cumulative COVID-19 deaths as of April 19: 527
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 243.3
> Population: 216,574
These are all the counties in Oregon where COVID-19 is slowing (and where it’s still getting worse).
38. Virginia Beach-Norfolk-Newport News, VA-NC
> Confirmed COVID-19 cases as of April 19: 345,079
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 19,587.5
> Cumulative COVID-19 deaths as of April 19: 3,851
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 218.6
> Population: 1,761,729
37. Burlington-South Burlington, VT
> Confirmed COVID-19 cases as of April 19: 42,810
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 19,567.2
> Cumulative COVID-19 deaths as of April 19: 238
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 108.8
> Population: 218,784
36. Longview, TX
> Confirmed COVID-19 cases as of April 19: 55,165
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 19,370.0
> Cumulative COVID-19 deaths as of April 19: 1,322
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 464.2
> Population: 284,796
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).
35. Napa, CA
> Confirmed COVID-19 cases as of April 19: 26,906
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 19,270.5
> Cumulative COVID-19 deaths as of April 19: 143
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 102.4
> Population: 139,623
34. Sacramento-Roseville-Folsom, CA
> Confirmed COVID-19 cases as of April 19: 445,734
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 19,246.0
> Cumulative COVID-19 deaths as of April 19: 4,116
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 177.7
> Population: 2,315,980
33. Santa Fe, NM
> Confirmed COVID-19 cases as of April 19: 28,422
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 19,037.7
> Cumulative COVID-19 deaths as of April 19: N/A
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: N/A
> Population: 149,293
32. Grants Pass, OR
> Confirmed COVID-19 cases as of April 19: 16,365
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 18,973.7
> Cumulative COVID-19 deaths as of April 19: 333
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 386.1
> Population: 86,251
These are all the counties in Oregon where COVID-19 is slowing (and where it’s still getting worse).
31. Ithaca, NY
> Confirmed COVID-19 cases as of April 19: 19,447
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 18,946.4
> Cumulative COVID-19 deaths as of April 19: 84
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 81.8
> Population: 102,642
30. Hartford-East Hartford-Middletown, CT
> Confirmed COVID-19 cases as of April 19: 227,718
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 18,855.9
> Cumulative COVID-19 deaths as of April 19: 3,878
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 321.1
> Population: 1,207,677
29. Seattle-Tacoma-Bellevue, WA
> Confirmed COVID-19 cases as of April 19: 729,350
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 18,839.8
> Cumulative COVID-19 deaths as of April 19: 5,230
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 135.1
> Population: 3,871,323
28. Hinesville, GA
> Confirmed COVID-19 cases as of April 19: 15,075
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 18,834.1
> Cumulative COVID-19 deaths as of April 19: 178
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 222.4
> Population: 80,041
27. Beaumont-Port Arthur, TX
> Confirmed COVID-19 cases as of April 19: 74,115
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 18,755.0
> Cumulative COVID-19 deaths as of April 19: 1,439
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 364.1
> Population: 395,174
These are all the counties in Texas where COVID-19 is slowing (and where it’s still getting worse).
26. Pittsfield, MA
> Confirmed COVID-19 cases as of April 19: 23,627
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 18,688.6
> Cumulative COVID-19 deaths as of April 19: 373
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 295.0
> Population: 126,425
25. Bangor, ME
> Confirmed COVID-19 cases as of April 19: 27,923
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 18,397.7
> Cumulative COVID-19 deaths as of April 19: 325
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 214.1
> Population: 151,774
These are all the counties in Maine where COVID-19 is slowing (and where it’s still getting worse).
24. Santa Cruz-Watsonville, CA
> Confirmed COVID-19 cases as of April 19: 50,036
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 18,263.8
> Cumulative COVID-19 deaths as of April 19: 261
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 95.3
> Population: 273,962
23. Kahului-Wailuku-Lahaina, HI
> Confirmed COVID-19 cases as of April 19: 30,191
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 18,189.7
> Cumulative COVID-19 deaths as of April 19: 137
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 82.5
> Population: 165,979
These are all the counties in Hawaii where COVID-19 is slowing (and where it’s still getting worse).
22. Kingston, NY
> Confirmed COVID-19 cases as of April 19: 32,230
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 18,039.3
> Cumulative COVID-19 deaths as of April 19: 361
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 202.1
> Population: 178,665
21. Watertown-Fort Drum, NY
> Confirmed COVID-19 cases as of April 19: 20,331
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 18,017.2
> Cumulative COVID-19 deaths as of April 19: 137
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 121.4
> Population: 112,842
20. Washington-Arlington-Alexandria, DC-VA-MD-WV
> Confirmed COVID-19 cases as of April 19: 1,113,592
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 17,971.1
> Cumulative COVID-19 deaths as of April 19: 10,919
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 176.2
> Population: 6,196,585
Click here to see all current COVID-19 data for Washington D.C.
19. Charlottesville, VA
> Confirmed COVID-19 cases as of April 19: 38,271
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 17,763.7
> Cumulative COVID-19 deaths as of April 19: 373
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 173.1
> Population: 215,445
18. Portland-South Portland, ME
> Confirmed COVID-19 cases as of April 19: 94,063
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 17,678.5
> Cumulative COVID-19 deaths as of April 19: 673
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 126.5
> Population: 532,075
These are all the counties in Maine where COVID-19 is slowing (and where it’s still getting worse).
17. Mount Vernon-Anacortes, WA
> Confirmed COVID-19 cases as of April 19: 22,121
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 17,610.6
> Cumulative COVID-19 deaths as of April 19: 204
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 162.4
> Population: 125,612
16. Chico, CA
> Confirmed COVID-19 cases as of April 19: 39,736
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 17,596.5
> Cumulative COVID-19 deaths as of April 19: 405
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 179.3
> Population: 225,817
15. The Villages, FL
> Confirmed COVID-19 cases as of April 19: 21,951
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 17,554.6
> Cumulative COVID-19 deaths as of April 19: 572
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 457.4
> Population: 125,044
14. Santa Rosa-Petaluma, CA
> Confirmed COVID-19 cases as of April 19: 86,731
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 17,354.1
> Cumulative COVID-19 deaths as of April 19: 485
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 97.0
> Population: 499,772
13. San Jose-Sunnyvale-Santa Clara, CA
> Confirmed COVID-19 cases as of April 19: 341,303
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 17,169.5
> Cumulative COVID-19 deaths as of April 19: 2,366
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 119.0
> Population: 1,987,846
12. Urban Honolulu, HI
> Confirmed COVID-19 cases as of April 19: 168,444
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 17,104.0
> Cumulative COVID-19 deaths as of April 19: 1,029
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 104.5
> Population: 984,821
These are all the counties in Hawaii where COVID-19 is slowing (and where it’s still getting worse).
11. Bellingham, WA
> Confirmed COVID-19 cases as of April 19: 37,658
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 17,053.6
> Cumulative COVID-19 deaths as of April 19: 293
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 132.7
> Population: 220,821
_along_the_border_of_Solomons,_Calvert_County,_Maryland_and_California,_St._Mary%27s_County,_Maryland_just_before_sunset.jpg "View northwest up the Patuxent River... by Famartin")
10. California-Lexington Park, MD
> Confirmed COVID-19 cases as of April 19: 18,930
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 16,858.1
> Cumulative COVID-19 deaths as of April 19: 213
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 189.7
> Population: 112,290
9. Corvallis, OR
> Confirmed COVID-19 cases as of April 19: 15,344
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 16,841.7
> Cumulative COVID-19 deaths as of April 19: 69
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 75.7
> Population: 91,107
These are all the counties in Oregon where COVID-19 is slowing (and where it’s still getting worse).
8. Olympia-Lacey-Tumwater, WA
> Confirmed COVID-19 cases as of April 19: 47,027
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 16,812.7
> Cumulative COVID-19 deaths as of April 19: 416
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 148.7
> Population: 279,711
7. Barnstable Town, MA
> Confirmed COVID-19 cases as of April 19: 35,384
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 16,573.6
> Cumulative COVID-19 deaths as of April 19: 576
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 269.8
> Population: 213,496
6. San Francisco-Oakland-Berkeley, CA
> Confirmed COVID-19 cases as of April 19: 776,715
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 16,521.2
> Cumulative COVID-19 deaths as of April 19: 4,968
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 105.7
> Population: 4,701,332
5. Baltimore-Columbia-Towson, MD
> Confirmed COVID-19 cases as of April 19: 445,708
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 15,936.7
> Cumulative COVID-19 deaths as of April 19: 6,760
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 241.7
> Population: 2,796,733
4. Eugene-Springfield, OR
> Confirmed COVID-19 cases as of April 19: 57,555
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 15,416.2
> Cumulative COVID-19 deaths as of April 19: 531
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 142.2
> Population: 373,340
These are all the counties in Oregon where COVID-19 is slowing (and where it’s still getting worse).
3. Portland-Vancouver-Hillsboro, OR-WA
> Confirmed COVID-19 cases as of April 19: 376,856
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 15,408.5
> Cumulative COVID-19 deaths as of April 19: 3,514
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 143.7
> Population: 2,445,761
These are all the counties in Oregon where COVID-19 is slowing (and where it’s still getting worse).
2. Bremerton-Silverdale-Port Orchard, WA
> Confirmed COVID-19 cases as of April 19: 39,540
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 14,871.3
> Cumulative COVID-19 deaths as of April 19: 335
> Cumulative COVID-19 deaths as of April 19 per 100,000 residents: 126.0
> Population: 265,882
1. St. George, UT
> Confirmed COVID-19 cases as of April 19: 20,522
> Confirmed COVID-19 cases as of April 19 per 100,000 residents: 12,376.7
> Cumulative COVID-19 deaths as of April 19: 204
> Cumulative COVID-19 deaths as of April 19 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).
Click here to see all coronavirus data for every state.
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