Special Report

25 American Vacation Destinations Emerging as COVID Hotspots

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The late-summer spread of COVID-19 is reaching into vacation destinations – places where people retreat for holiday rentals in the hopes of being able to relax, have fun…and be safe from the unrelenting pandemic. 

To determine the U.S. tourist destinations emerging as COVID-19 hot spots, 24/7 Tempo reviewed county-level data on new weekly COVID-19 hospitalizations from the Centers for Disease Control and Prevention. Cities, towns, villages, and census-designated places were ranked based on the number of new COVID-19 hospitalizations in their Hospital Service Area (HSA) in the week Aug. 27-Sep. 2, 2023 per 100,000 residents. Only places with at least 1,000 residents where at least 40% of housing units are vacant for seasonal, recreational, or occasional use were considered. (COVID aside, these are the best places to buy a vacation home.)

The late-summer spread is happening as a new variant, EG.5, has become the dominant strain of the coronavirus in the U.S., based on estimates from the CDC. It is not clear whether this variant is to blame for the surging numbers of hospitalizations, however.

Click here to see 25 U.S. vacation destinations emerging as COVID hotspots
Click here to see our detailed methodology

What is clear is that older people are more vulnerable to severe COVID-19, and hospitalization rates are likely to be higher in states or communities with older populations. That might explain why towns in Florida that are tourist destinations occupy 12 places on our list. Florida has the fifth-oldest population in the United States – at an average of 42.2 years – according to World Population Review. Texas has three towns and California two on the list. (Because it’s back-to-school time, here’s also a list of 25 college towns emerging as COVID hotspots.)

Vacation spots are typically small towns. Sunny Isles Beach in Florida is the most populous, with 22,234 people. In fact, eight of the 10 most populous towns on our list are in Florida.

25. Pymatuning Central, Pennsylvania (Crawford County)
> New weekly COVID-19 hospitalization rate: 8.3 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 8 in hospital service area
> Housing units designated as vacation homes: 57.7%
> Total town population: 2,282

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24. Butler Beach, Florida (St. Johns County)
> New weekly COVID-19 hospitalization rate: 8.5 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 9 in hospital service area
> Housing units designated as vacation homes: 42.0%
> Total town population: 4,973

23. Sargent, Texas (Matagorda County)
> New weekly COVID-19 hospitalization rate: 8.6 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 9 in hospital service area
> Housing units designated as vacation homes: 61.6%
> Total town population: 1,319

22. Osage Beach, Missouri (Camden County)
> New weekly COVID-19 hospitalization rate: 8.6 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 9 in hospital service area
> Housing units designated as vacation homes: 62.3%
> Total town population: 4,917

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21. Pine Mountain Lake, California (Tuolumne County)
> New weekly COVID-19 hospitalization rate: 8.9 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 9 in hospital service area
> Housing units designated as vacation homes: 44.8%
> Total town population: 3,017

20. Navarre Beach, Florida (Santa Rosa County)
> New weekly COVID-19 hospitalization rate: 9.0 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 9 in hospital service area
> Housing units designated as vacation homes: 57.9%
> Total town population: 1,515

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19. Miramar Beach, Florida (Walton County)
> New weekly COVID-19 hospitalization rate: 9.0 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 9 in hospital service area
> Housing units designated as vacation homes: 49.0%
> Total town population: 9,059

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18. Destin, Florida (Okaloosa County)
> New weekly COVID-19 hospitalization rate: 9.0 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 9 in hospital service area
> Housing units designated as vacation homes: 40.0%
> Total town population: 13,751

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17. Sunnyside-Tahoe City, California (Placer County)
> New weekly COVID-19 hospitalization rate: 9.1 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 9 in hospital service area
> Housing units designated as vacation homes: 67.4%
> Total town population: 1,507

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16. Southampton, New York (Suffolk County)
> New weekly COVID-19 hospitalization rate: 9.5 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 10 in hospital service area
> Housing units designated as vacation homes: 54.6%
> Total town population: 4,380

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15. Poipu, Hawaii (Kauai County)
> New weekly COVID-19 hospitalization rate: 9.7 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 10 in hospital service area
> Housing units designated as vacation homes: 63.3%
> Total town population: 1,008

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14. Ponce Inlet, Florida (Volusia County)
> New weekly COVID-19 hospitalization rate: 9.9 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 10 in hospital service area
> Housing units designated as vacation homes: 41.0%
> Total town population: 3,342

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13. Dauphin Island, Alabama (Mobile County)
> New weekly COVID-19 hospitalization rate: 10.0 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 10 in hospital service area
> Housing units designated as vacation homes: 53.8%
> Total town population: 1,771

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12. Tavernier, Florida (Monroe County)
> New weekly COVID-19 hospitalization rate: 10.1 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 10 in hospital service area
> Housing units designated as vacation homes: 45.6%
> Total town population: 2,286

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11. Lauderdale-by-the-Sea, Florida (Broward County)
> New weekly COVID-19 hospitalization rate: 10.1 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 10 in hospital service area
> Housing units designated as vacation homes: 41.1%
> Total town population: 6,231

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10. Sunny Isles Beach, Florida (Miami-Dade County)
> New weekly COVID-19 hospitalization rate: 10.1 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 10 in hospital service area
> Housing units designated as vacation homes: 45.2%
> Total town population: 22,234

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9. Jekyll Island, Georgia (Glynn County)
> New weekly COVID-19 hospitalization rate: 10.8 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 11 in hospital service area
> Housing units designated as vacation homes: 47.7%
> Total town population: 1,182

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8. North Myrtle Beach, South Carolina (Horry County)
> New weekly COVID-19 hospitalization rate: 10.8 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 11 in hospital service area
> Housing units designated as vacation homes: 43.4%
> Total town population: 18,502

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7. Longboat Key, Florida (Manatee County)
> New weekly COVID-19 hospitalization rate: 11.7 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 12 in hospital service area
> Housing units designated as vacation homes: 47.6%
> Total town population: 7,446

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6. Hutchinson Island South, Florida (St. Lucie County)
> New weekly COVID-19 hospitalization rate: 12.4 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 12 in hospital service area
> Housing units designated as vacation homes: 50.9%
> Total town population: 4,535

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5. Palm Beach, Florida (Palm Beach County)
> New weekly COVID-19 hospitalization rate: 12.4 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 12 in hospital service area
> Housing units designated as vacation homes: 42.5%
> Total town population: 9,175

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4. Sam Rayburn, Texas (Jasper County)
> New weekly COVID-19 hospitalization rate: 12.5 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 13 in hospital service area
> Housing units designated as vacation homes: 41.0%
> Total town population: 1,100

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3. Golden Shores, Arizona (Mohave County)
> New weekly COVID-19 hospitalization rate: 14.1 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 14 in hospital service area
> Housing units designated as vacation homes: 45.4%
> Total town population: 1,089

2. Indian Shores, Florida (Pinellas County)
> New weekly COVID-19 hospitalization rate: 16.8 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 17 in hospital service area
> Housing units designated as vacation homes: 60.1%
> Total town population: 1,133

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1. Port O’Connor, Texas (Calhoun County)
> New weekly COVID-19 hospitalization rate: 16.9 per 100,000 residents in hospital service area
> Total new weekly COVID-19 hospitalizations: 17 in hospital service area
> Housing units designated as vacation homes: 60.7%
> Total town population: 1,084

Methodology

To determine the U.S. tourist destinations emerging as COVID-19 hot spots, 24/7 Tempo reviewed county-level data on new weekly COVID-19 hospitalizations from the Centers for Disease Control and Prevention. Cities, towns, villages, and census-designated places were ranked based on the number of new COVID-19 hospitalizations in their surrounding Health Service Area (HSA) in the week Aug. 27-Sep. 2, 2023 per 100,000 residents in the hospital service area. Data on COVID-19 hospitalizations per 100,000 residents in the hospital service area was derived by the CDC using calculations performed at the Health Service Area level, the smallest geographic unit for which hospitalization data is available, and was assigned to the county level by the CDC. Only places with at least 1,000 residents where at least 40% of housing units are vacant for seasonal, recreational, or occasional use were considered. Only the largest qualifying place in each county was included. Data on population and vacancy status came from the U.S. Census Bureau’s 2021 American Community Survey and are five-year estimates.

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