Counties with highest COVID-19 infection rates in Texas
Counties with highest COVID-19 infection rates in Texas
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 Texas 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. Brazoria County
--- Compared to average rate of new cases in Texas: 62.9% more cases per 100k residents
- Cumulative cases per 100k: 9,793 (36,650 total cases)
- New deaths per 100k in the past week: 2.1 (8 new deaths, -27% change from previous week)
- Cumulative deaths per 100k: 126 (473 total deaths)
- Test positivity rate: 8.4%
#49. Galveston County
--- Compared to average rate of new cases in Texas: 62.9% more cases per 100k residents
- Cumulative cases per 100k: 11,164 (38,196 total cases)
- New deaths per 100k in the past week: 0.9 (3 new deaths, -40% change from previous week)
- Cumulative deaths per 100k: 117 (400 total deaths)
- Test positivity rate: 7.9%
#48. Angelina County
--- Compared to average rate of new cases in Texas: 62.9% more cases per 100k residents
- Cumulative cases per 100k: 9,681 (8,395 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 316 (274 total deaths)
- Test positivity rate: 10.5%
#47. Victoria County
--- Compared to average rate of new cases in Texas: 65.7% more cases per 100k residents
- Cumulative cases per 100k: 9,099 (8,379 total cases)
- New deaths per 100k in the past week: 1.1 (1 new deaths, 0% change from previous week)
- Cumulative deaths per 100k: 216 (199 total deaths)
- Test positivity rate: 17.5%
#46. Fort Bend County
--- Compared to average rate of new cases in Texas: 67.1% more cases per 100k residents
- Cumulative cases per 100k: 8,064 (65,458 total cases)
- New deaths per 100k in the past week: 0.5 (4 new deaths, -43% change from previous week)
- Cumulative deaths per 100k: 80 (647 total deaths)
- Test positivity rate: 7.5%
#45. El Paso County
--- Compared to average rate of new cases in Texas: 68.6% more cases per 100k residents
- Cumulative cases per 100k: 15,782 (132,448 total cases)
- New deaths per 100k in the past week: 2.4 (20 new deaths, -44% change from previous week)
- Cumulative deaths per 100k: 312 (2,622 total deaths)
- Test positivity rate: 8.8%
#44. Orange County
--- Compared to average rate of new cases in Texas: 72.9% more cases per 100k residents
- Cumulative cases per 100k: 9,920 (8,273 total cases)
- New deaths per 100k in the past week: 4.8 (4 new deaths, -33% change from previous week)
- Cumulative deaths per 100k: 174 (145 total deaths)
- Test positivity rate: 8.8%
#43. Calhoun County
--- Compared to average rate of new cases in Texas: 74.3% more cases per 100k residents
- Cumulative cases per 100k: 10,488 (2,233 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 108 (23 total deaths)
- Test positivity rate: 9.4%
#42. Shackelford County
--- Compared to average rate of new cases in Texas: 75.7% more cases per 100k residents
- Cumulative cases per 100k: 7,994 (261 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 153 (5 total deaths)
- Test positivity rate: 0.0%
#41. Frio County
--- Compared to average rate of new cases in Texas: 82.9% more cases per 100k residents
- Cumulative cases per 100k: 13,750 (2,792 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 236 (48 total deaths)
- Test positivity rate: 9.1%
#40. Lavaca County
--- Compared to average rate of new cases in Texas: 84.3% more cases per 100k residents
- Cumulative cases per 100k: 12,107 (2,440 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 372 (75 total deaths)
- Test positivity rate: 11.5%
#39. Kent County
--- Compared to average rate of new cases in Texas: 87.1% more cases per 100k residents
- Cumulative cases per 100k: 13,386 (102 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 262 (2 total deaths)
- Test positivity rate: 0.0%
#38. Hays County
--- Compared to average rate of new cases in Texas: 90.0% more cases per 100k residents
- Cumulative cases per 100k: 8,615 (19,830 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 103 (238 total deaths)
- Test positivity rate: 8.2%
#37. Castro County
--- Compared to average rate of new cases in Texas: 90.0% more cases per 100k residents
- Cumulative cases per 100k: 12,961 (976 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 425 (32 total deaths)
- Test positivity rate: 0.0%
#36. Nueces County
--- Compared to average rate of new cases in Texas: 95.7% more cases per 100k residents
- Cumulative cases per 100k: 11,313 (40,987 total cases)
- New deaths per 100k in the past week: 1.7 (6 new deaths, -14% change from previous week)
- Cumulative deaths per 100k: 211 (764 total deaths)
- Test positivity rate: 9.9%
#35. Hardin County
--- Compared to average rate of new cases in Texas: 98.6% more cases per 100k residents
- Cumulative cases per 100k: 9,689 (5,581 total cases)
- New deaths per 100k in the past week: 1.7 (1 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 189 (109 total deaths)
- Test positivity rate: 5.2%
#34. Martin County
--- Compared to average rate of new cases in Texas: 98.6% more cases per 100k residents
- Cumulative cases per 100k: 10,951 (632 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 312 (18 total deaths)
- Test positivity rate: 0.0%
#33. Bexar County
--- Compared to average rate of new cases in Texas: 105.7% more cases per 100k residents
- Cumulative cases per 100k: 10,665 (213,677 total cases)
- New deaths per 100k in the past week: 1.2 (24 new deaths, -50% change from previous week)
- Cumulative deaths per 100k: 171 (3,422 total deaths)
- Test positivity rate: 3.2%
#32. Donley County
--- Compared to average rate of new cases in Texas: 118.6% more cases per 100k residents
- Cumulative cases per 100k: 11,714 (384 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 458 (15 total deaths)
- Test positivity rate: 0.0%
#31. Fayette County
--- Compared to average rate of new cases in Texas: 125.7% more cases per 100k residents
- Cumulative cases per 100k: 10,400 (2,636 total cases)
- New deaths per 100k in the past week: 11.8 (3 new deaths, 0% change from previous week)
- Cumulative deaths per 100k: 237 (60 total deaths)
- Test positivity rate: 5.6%
#30. Brazos County
--- Compared to average rate of new cases in Texas: 131.4% more cases per 100k residents
- Cumulative cases per 100k: 11,290 (25,879 total cases)
- New deaths per 100k in the past week: 0.9 (2 new deaths, -60% change from previous week)
- Cumulative deaths per 100k: 107 (245 total deaths)
- Test positivity rate: 6.7%
#29. Wheeler County
--- Compared to average rate of new cases in Texas: 154.3% more cases per 100k residents
- Cumulative cases per 100k: 10,483 (530 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 198 (10 total deaths)
- Test positivity rate: 0.0%
#28. Ochiltree County
--- Compared to average rate of new cases in Texas: 161.4% more cases per 100k residents
- Cumulative cases per 100k: 11,336 (1,115 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 264 (26 total deaths)
- Test positivity rate: data not available
#27. Oldham County
--- Compared to average rate of new cases in Texas: 170.0% more cases per 100k residents
- Cumulative cases per 100k: 12,689 (268 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 189 (4 total deaths)
- Test positivity rate: 0.0%
#26. Deaf Smith County
--- Compared to average rate of new cases in Texas: 177.1% more cases per 100k residents
- Cumulative cases per 100k: 15,022 (2,786 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 356 (66 total deaths)
- Test positivity rate: 11.1%
#25. Hall County
--- Compared to average rate of new cases in Texas: 188.6% more cases per 100k residents
- Cumulative cases per 100k: 15,587 (462 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 472 (14 total deaths)
- Test positivity rate: 0.0%
#24. Collingsworth County
--- Compared to average rate of new cases in Texas: 192.9% more cases per 100k residents
- Cumulative cases per 100k: 11,027 (322 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 308 (9 total deaths)
- Test positivity rate: 0.0%
#23. Chambers County
--- Compared to average rate of new cases in Texas: 215.7% more cases per 100k residents
- Cumulative cases per 100k: 10,972 (4,810 total cases)
- New deaths per 100k in the past week: 2.3 (1 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 59 (26 total deaths)
- Test positivity rate: 5.4%
#22. Dickens County
--- Compared to average rate of new cases in Texas: 222.9% more cases per 100k residents
- Cumulative cases per 100k: 8,096 (179 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 452 (10 total deaths)
- Test positivity rate: 0.0%
#21. Gray County
--- Compared to average rate of new cases in Texas: 225.7% more cases per 100k residents
- Cumulative cases per 100k: 10,518 (2,302 total cases)
- New deaths per 100k in the past week: 4.6 (1 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 251 (55 total deaths)
- Test positivity rate: 0.0%
#20. Moore County
--- Compared to average rate of new cases in Texas: 234.3% more cases per 100k residents
- Cumulative cases per 100k: 11,705 (2,451 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 344 (72 total deaths)
- Test positivity rate: 16.7%
#19. Roberts County
--- Compared to average rate of new cases in Texas: 234.3% more cases per 100k residents
- Cumulative cases per 100k: 7,143 (61 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 117 (1 total deaths)
- Test positivity rate: 0.0%
#18. Kenedy County
--- Compared to average rate of new cases in Texas: 254.3% more cases per 100k residents
- Cumulative cases per 100k: 9,158 (37 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 495 (2 total deaths)
- Test positivity rate: 50.0%
#17. Jackson County
--- Compared to average rate of new cases in Texas: 258.6% more cases per 100k residents
- Cumulative cases per 100k: 12,114 (1,788 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 210 (31 total deaths)
- Test positivity rate: 10.0%
#16. Matagorda County
--- Compared to average rate of new cases in Texas: 294.3% more cases per 100k residents
- Cumulative cases per 100k: 10,283 (3,768 total cases)
- New deaths per 100k in the past week: 10.9 (4 new deaths, +300% change from previous week)
- Cumulative deaths per 100k: 278 (102 total deaths)
- Test positivity rate: 15.9%
#15. Floyd County
--- Compared to average rate of new cases in Texas: 300.0% more cases per 100k residents
- Cumulative cases per 100k: 14,758 (843 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 525 (30 total deaths)
- Test positivity rate: 0.0%
#14. Garza County
--- Compared to average rate of new cases in Texas: 381.4% more cases per 100k residents
- Cumulative cases per 100k: 7,834 (488 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 353 (22 total deaths)
- Test positivity rate: 0.0%
#13. Carson County
--- Compared to average rate of new cases in Texas: 381.4% more cases per 100k residents
- Cumulative cases per 100k: 8,758 (519 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 236 (14 total deaths)
- Test positivity rate: 0.0%
#12. Lipscomb County
--- Compared to average rate of new cases in Texas: 430.0% more cases per 100k residents
- Cumulative cases per 100k: 10,300 (333 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 371 (12 total deaths)
- Test positivity rate: data not available
#11. Armstrong County
--- Compared to average rate of new cases in Texas: 430.0% more cases per 100k residents
- Cumulative cases per 100k: 9,645 (182 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 318 (6 total deaths)
- Test positivity rate: 0.0%
#10. Hansford County
--- Compared to average rate of new cases in Texas: 455.7% more cases per 100k residents
- Cumulative cases per 100k: 16,466 (889 total cases)
- New deaths per 100k in the past week: 37.0 (2 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 463 (25 total deaths)
- Test positivity rate: 0.0%
#9. Hutchinson County
--- Compared to average rate of new cases in Texas: 487.1% more cases per 100k residents
- Cumulative cases per 100k: 9,528 (1,995 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 339 (71 total deaths)
- Test positivity rate: 0.0%
#8. Hockley County
--- Compared to average rate of new cases in Texas: 490.0% more cases per 100k residents
- Cumulative cases per 100k: 12,158 (2,799 total cases)
- New deaths per 100k in the past week: 4.3 (1 new deaths, 0% change from previous week)
- Cumulative deaths per 100k: 443 (102 total deaths)
- Test positivity rate: 7.1%
#7. Lamb County
--- Compared to average rate of new cases in Texas: 531.4% more cases per 100k residents
- Cumulative cases per 100k: 17,575 (2,266 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 636 (82 total deaths)
- Test positivity rate: 3.8%
#6. Briscoe County
--- Compared to average rate of new cases in Texas: 547.1% more cases per 100k residents
- Cumulative cases per 100k: 10,220 (158 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 323 (5 total deaths)
- Test positivity rate: 0.0%
#5. Cochran County
--- Compared to average rate of new cases in Texas: 601.4% more cases per 100k residents
- Cumulative cases per 100k: 10,726 (306 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 526 (15 total deaths)
- Test positivity rate: 0.0%
#4. Crosby County
--- Compared to average rate of new cases in Texas: 671.4% more cases per 100k residents
- Cumulative cases per 100k: 11,365 (652 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 505 (29 total deaths)
- Test positivity rate: 0.0%
#3. Motley County
--- Compared to average rate of new cases in Texas: 852.9% more cases per 100k residents
- Cumulative cases per 100k: 8,833 (106 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 667 (8 total deaths)
- Test positivity rate: 25.0%
#2. Karnes County
--- Compared to average rate of new cases in Texas: 962.9% more cases per 100k residents
- Cumulative cases per 100k: 13,082 (2,041 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 231 (36 total deaths)
- Test positivity rate: 6.2%
#1. Dimmit County
--- Compared to average rate of new cases in Texas: 1861.4% more cases per 100k residents
- Cumulative cases per 100k: 19,814 (2,006 total cases)
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative deaths per 100k: 306 (31 total deaths)
- Test positivity rate: 13.1%



