Counties with highest COVID-19 infection rates in North Carolina
Counties with highest COVID-19 infection rates in North Carolina
The United States by April 21 had reached 569,404 deaths due to COVID-19 and more than 31.9 million cases, according to Johns Hopkins University. Amid the grim numbers come two bright spots: As of Feb. 2, more Americans had been vaccinated for COVID-19 than had been infected; and since then, rolling averages for case counts and deaths have been on the decline.
Stacker compiled a list of the counties with highest COVID-19 infection rates in North Carolina using data from the U.S. Department of Health & Human Services. Counties are ranked by the highest infection rate per 100k residents from 4/13/2021 to 4/19/2021. Ties are broken by total new cases.
As has been true throughout America’s COVID-19 history, every state—and even every county—has its own COVID-19 story, driven by local policies and behaviors. Keep reading to see where infection rates are highest in your home state.
#50. Bladen County
--- Compared to average rate of new cases in North Carolina: 16.9% less cases per 100k residents
- Cumulative cases per 100k: 9,682 (3,168 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 125 (41 total deaths)
- Test positivity rate: 11.2%
#49. Wilkes County
--- Compared to average rate of new cases in North Carolina: 16.2% less cases per 100k residents
- Cumulative cases per 100k: 9,468 (6,477 total cases)
- New deaths per 100k in the past week: 1.5 (1 new deaths, -50% change from previous week)
- Cumulative deaths per 100k: 158 (108 total deaths)
- Test positivity rate: 5.8%
#48. Vance County
--- Compared to average rate of new cases in North Carolina: 15.4% less cases per 100k residents
- Cumulative cases per 100k: 10,776 (4,799 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 191 (85 total deaths)
- Test positivity rate: 4.4%
#47. Surry County
--- Compared to average rate of new cases in North Carolina: 13.2% less cases per 100k residents
- Cumulative cases per 100k: 11,088 (7,959 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 217 (156 total deaths)
- Test positivity rate: 6.9%
#46. Northampton County
--- Compared to average rate of new cases in North Carolina: 13.2% less cases per 100k residents
- Cumulative cases per 100k: 9,475 (1,846 total cases)
- New deaths per 100k in the past week: 15.4 (3 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 216 (42 total deaths)
- Test positivity rate: 5.7%
#45. Wake County
--- Compared to average rate of new cases in North Carolina: 12.5% less cases per 100k residents
- Cumulative cases per 100k: 7,569 (84,154 total cases)
- New deaths per 100k in the past week: 1.4 (16 new deaths, +129% change from previous week)
- Cumulative deaths per 100k: 64 (713 total deaths)
- Test positivity rate: 5.6%
#44. Davie County
--- Compared to average rate of new cases in North Carolina: 11.0% less cases per 100k residents
- Cumulative cases per 100k: 9,191 (3,938 total cases)
- New deaths per 100k in the past week: 2.3 (1 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 86 (37 total deaths)
- Test positivity rate: 7.4%
#43. Granville County
--- Compared to average rate of new cases in North Carolina: 10.3% less cases per 100k residents
- Cumulative cases per 100k: 9,515 (5,751 total cases)
- New deaths per 100k in the past week: 1.7 (1 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 132 (80 total deaths)
- Test positivity rate: 3.9%

#42. Forsyth County
--- Compared to average rate of new cases in North Carolina: 6.6% less cases per 100k residents
- Cumulative cases per 100k: 9,038 (34,553 total cases)
- New deaths per 100k in the past week: 0.8 (3 new deaths, 0% change from previous week)
- Cumulative deaths per 100k: 97 (369 total deaths)
- Test positivity rate: 5.4%
#41. Hoke County
--- Compared to average rate of new cases in North Carolina: 6.6% less cases per 100k residents
- Cumulative cases per 100k: 8,167 (4,511 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 100 (55 total deaths)
- Test positivity rate: 10.0%
#40. Anson County
--- Compared to average rate of new cases in North Carolina: 6.6% less cases per 100k residents
- Cumulative cases per 100k: 10,190 (2,491 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 225 (55 total deaths)
- Test positivity rate: 5.9%
#39. Alexander County
--- Compared to average rate of new cases in North Carolina: 5.9% less cases per 100k residents
- Cumulative cases per 100k: 11,449 (4,293 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 221 (83 total deaths)
- Test positivity rate: 6.8%
#38. Henderson County
--- Compared to average rate of new cases in North Carolina: 5.1% less cases per 100k residents
- Cumulative cases per 100k: 8,391 (9,853 total cases)
- New deaths per 100k in the past week: 3.4 (4 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 134 (157 total deaths)
- Test positivity rate: 5.5%
#37. Cleveland County
--- Compared to average rate of new cases in North Carolina: 3.7% less cases per 100k residents
- Cumulative cases per 100k: 11,379 (11,145 total cases)
- New deaths per 100k in the past week: 1.0 (1 new deaths, 0% change from previous week)
- Cumulative deaths per 100k: 228 (223 total deaths)
- Test positivity rate: 4.9%
#36. Alamance County
--- Compared to average rate of new cases in North Carolina: 2.2% less cases per 100k residents
- Cumulative cases per 100k: 10,297 (17,455 total cases)
- New deaths per 100k in the past week: 5.9 (10 new deaths, -17% change from previous week)
- Cumulative deaths per 100k: 155 (263 total deaths)
- Test positivity rate: 6.2%

#35. Cumberland County
--- Compared to average rate of new cases in North Carolina: 1.5% less cases per 100k residents
- Cumulative cases per 100k: 8,042 (26,982 total cases)
- New deaths per 100k in the past week: 0.6 (2 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 88 (294 total deaths)
- Test positivity rate: 11.7%
#34. Davidson County
--- Compared to average rate of new cases in North Carolina: 1.5% less cases per 100k residents
- Cumulative cases per 100k: 9,486 (15,899 total cases)
- New deaths per 100k in the past week: 1.8 (3 new deaths, -25% change from previous week)
- Cumulative deaths per 100k: 110 (185 total deaths)
- Test positivity rate: 7.8%
#33. Mitchell County
--- Compared to average rate of new cases in North Carolina: 1.5% less cases per 100k residents
- Cumulative cases per 100k: 9,068 (1,357 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 107 (16 total deaths)
- Test positivity rate: 7.8%
#32. Chowan County
--- Compared to average rate of new cases in North Carolina: 0.0% less cases per 100k residents
- Cumulative cases per 100k: 10,227 (1,426 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 158 (22 total deaths)
- Test positivity rate: 7.7%

#31. Durham County
--- Compared to average rate of new cases in North Carolina: 0.7% more cases per 100k residents
- Cumulative cases per 100k: 7,541 (24,242 total cases)
- New deaths per 100k in the past week: 0.6 (2 new deaths, 0% change from previous week)
- Cumulative deaths per 100k: 67 (217 total deaths)
- Test positivity rate: 4.7%

#30. New Hanover County
--- Compared to average rate of new cases in North Carolina: 1.5% more cases per 100k residents
- Cumulative cases per 100k: 7,862 (18,435 total cases)
- New deaths per 100k in the past week: 0.4 (1 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 69 (162 total deaths)
- Test positivity rate: 7.1%

#29. Clay County
--- Compared to average rate of new cases in North Carolina: 4.4% more cases per 100k residents
- Cumulative cases per 100k: 6,340 (712 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 160 (18 total deaths)
- Test positivity rate: 4.9%
#28. Richmond County
--- Compared to average rate of new cases in North Carolina: 6.6% more cases per 100k residents
- Cumulative cases per 100k: 10,094 (4,525 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 205 (92 total deaths)
- Test positivity rate: 7.9%
#27. Halifax County
--- Compared to average rate of new cases in North Carolina: 7.4% more cases per 100k residents
- Cumulative cases per 100k: 10,814 (5,408 total cases)
- New deaths per 100k in the past week: 2.0 (1 new deaths, -50% change from previous week)
- Cumulative deaths per 100k: 216 (108 total deaths)
- Test positivity rate: 8.4%
#26. Iredell County
--- Compared to average rate of new cases in North Carolina: 8.8% more cases per 100k residents
- Cumulative cases per 100k: 9,920 (18,036 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 113 (205 total deaths)
- Test positivity rate: 9.1%
#25. Perquimans County
--- Compared to average rate of new cases in North Carolina: 9.6% more cases per 100k residents
- Cumulative cases per 100k: 7,205 (970 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 67 (9 total deaths)
- Test positivity rate: 16.5%
#24. Jones County
--- Compared to average rate of new cases in North Carolina: 9.6% more cases per 100k residents
- Cumulative cases per 100k: 8,557 (806 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 191 (18 total deaths)
- Test positivity rate: 3.4%
#23. Harnett County
--- Compared to average rate of new cases in North Carolina: 11.0% more cases per 100k residents
- Cumulative cases per 100k: 8,098 (11,012 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 121 (165 total deaths)
- Test positivity rate: 8.6%
#22. Wilson County
--- Compared to average rate of new cases in North Carolina: 14.0% more cases per 100k residents
- Cumulative cases per 100k: 11,447 (9,364 total cases)
- New deaths per 100k in the past week: 4.9 (4 new deaths, +100% change from previous week)
- Cumulative deaths per 100k: 204 (167 total deaths)
- Test positivity rate: 6.6%

#21. Guilford County
--- Compared to average rate of new cases in North Carolina: 19.1% more cases per 100k residents
- Cumulative cases per 100k: 8,428 (45,274 total cases)
- New deaths per 100k in the past week: 4.7 (25 new deaths, +178% change from previous week)
- Cumulative deaths per 100k: 122 (655 total deaths)
- Test positivity rate: 6.8%
#20. Gaston County
--- Compared to average rate of new cases in North Carolina: 19.9% more cases per 100k residents
- Cumulative cases per 100k: 11,449 (25,706 total cases)
- New deaths per 100k in the past week: 0.9 (2 new deaths, -60% change from previous week)
- Cumulative deaths per 100k: 182 (409 total deaths)
- Test positivity rate: 9.9%

#19. Onslow County
--- Compared to average rate of new cases in North Carolina: 20.6% more cases per 100k residents
- Cumulative cases per 100k: 8,097 (16,028 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 72 (142 total deaths)
- Test positivity rate: 8.9%

#18. Pitt County
--- Compared to average rate of new cases in North Carolina: 20.6% more cases per 100k residents
- Cumulative cases per 100k: 10,426 (18,844 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 48 (86 total deaths)
- Test positivity rate: 7.6%

#17. Mecklenburg County
--- Compared to average rate of new cases in North Carolina: 22.1% more cases per 100k residents
- Cumulative cases per 100k: 9,682 (107,500 total cases)
- New deaths per 100k in the past week: 0.5 (5 new deaths, -44% change from previous week)
- Cumulative deaths per 100k: 83 (924 total deaths)
- Test positivity rate: 7.2%
#16. Rowan County
--- Compared to average rate of new cases in North Carolina: 22.8% more cases per 100k residents
- Cumulative cases per 100k: 11,447 (16,265 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 210 (299 total deaths)
- Test positivity rate: 8.7%

#15. Alleghany County
--- Compared to average rate of new cases in North Carolina: 25.7% more cases per 100k residents
- Cumulative cases per 100k: 8,862 (987 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 45 (5 total deaths)
- Test positivity rate: 5.8%

#14. Avery County
--- Compared to average rate of new cases in North Carolina: 33.8% more cases per 100k residents
- Cumulative cases per 100k: 11,728 (2,059 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 114 (20 total deaths)
- Test positivity rate: 6.6%

#13. Hyde County
--- Compared to average rate of new cases in North Carolina: 33.8% more cases per 100k residents
- Cumulative cases per 100k: 13,287 (656 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 162 (8 total deaths)
- Test positivity rate: 6.2%
#12. Edgecombe County
--- Compared to average rate of new cases in North Carolina: 38.2% more cases per 100k residents
- Cumulative cases per 100k: 10,301 (5,302 total cases)
- New deaths per 100k in the past week: 3.9 (2 new deaths, -33% change from previous week)
- Cumulative deaths per 100k: 208 (107 total deaths)
- Test positivity rate: 10.7%
#11. Union County
--- Compared to average rate of new cases in North Carolina: 47.1% more cases per 100k residents
- Cumulative cases per 100k: 9,754 (23,395 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 88 (211 total deaths)
- Test positivity rate: 9.2%
#10. Lincoln County
--- Compared to average rate of new cases in North Carolina: 48.5% more cases per 100k residents
- Cumulative cases per 100k: 11,213 (9,656 total cases)
- New deaths per 100k in the past week: 5.8 (5 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 99 (85 total deaths)
- Test positivity rate: 9.0%
#9. Sampson County
--- Compared to average rate of new cases in North Carolina: 50.7% more cases per 100k residents
- Cumulative cases per 100k: 12,095 (7,684 total cases)
- New deaths per 100k in the past week: 3.1 (2 new deaths, -33% change from previous week)
- Cumulative deaths per 100k: 167 (106 total deaths)
- Test positivity rate: 8.0%
#8. Stanly County
--- Compared to average rate of new cases in North Carolina: 54.4% more cases per 100k residents
- Cumulative cases per 100k: 12,056 (7,572 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 178 (112 total deaths)
- Test positivity rate: 9.0%

#7. Cherokee County
--- Compared to average rate of new cases in North Carolina: 54.4% more cases per 100k residents
- Cumulative cases per 100k: 8,353 (2,390 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 70 (20 total deaths)
- Test positivity rate: 21.1%
#6. Nash County
--- Compared to average rate of new cases in North Carolina: 63.2% more cases per 100k residents
- Cumulative cases per 100k: 11,715 (11,047 total cases)
- New deaths per 100k in the past week: 3.2 (3 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 188 (177 total deaths)
- Test positivity rate: 11.2%
#5. Cabarrus County
--- Compared to average rate of new cases in North Carolina: 74.3% more cases per 100k residents
- Cumulative cases per 100k: 9,666 (20,922 total cases)
- New deaths per 100k in the past week: 0.5 (1 new deaths, -80% change from previous week)
- Cumulative deaths per 100k: 115 (248 total deaths)
- Test positivity rate: 9.7%
#4. Transylvania County
--- Compared to average rate of new cases in North Carolina: 77.2% more cases per 100k residents
- Cumulative cases per 100k: 6,480 (2,228 total cases)
- New deaths per 100k in the past week: 2.9 (1 new deaths, -50% change from previous week)
- Cumulative deaths per 100k: 87 (30 total deaths)
- Test positivity rate: 13.5%
#3. Franklin County
--- Compared to average rate of new cases in North Carolina: 81.6% more cases per 100k residents
- Cumulative cases per 100k: 9,209 (6,417 total cases)
- New deaths per 100k in the past week: 1.4 (1 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 69 (48 total deaths)
- Test positivity rate: 8.5%
#2. Johnston County
--- Compared to average rate of new cases in North Carolina: 87.5% more cases per 100k residents
- Cumulative cases per 100k: 9,729 (20,367 total cases)
- New deaths per 100k in the past week: 1.0 (2 new deaths, +100% change from previous week)
- Cumulative deaths per 100k: 100 (209 total deaths)
- Test positivity rate: 7.2%
#1. Macon County
--- Compared to average rate of new cases in North Carolina: 199.3% more cases per 100k residents
- Cumulative cases per 100k: 8,210 (2,944 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 89 (32 total deaths)
- Test positivity rate: 6.5%



