Counties with the highest COVID-19 death rate in North Carolina

Written by:
April 16, 2021
Jerrye & Roy Klotz, MD // Wikimedia Commons

Counties with the highest COVID-19 death rate in North Carolina

As has been true throughout America’s COVID-19 history, every state—and every county threin—has its own COVID-19 story, driven by local policies and behaviors. The United States as of April 15 had reached 565,275 COVID-19-related deaths and more than 31.5 million COVID-19 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 death rates in North Carolina using data from the U.S. Department of Health & Human Services. Counties are ranked by the highest death rate per 100k residents as of April 14, 2021. Keep reading to see whether your county ranks among the highest COVID-19 death rates in your state.

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EbonyEaton // Wikimedia Commons

#50. Granville County

- Cumulative deaths per 100k: 131 (79 total deaths)
--- 12.0% more deaths per 100k residents than North Carolina
--- #2,135 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 9,397 (5,680 total cases)
--- 5.3% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 108 (65 new cases, -2% change from previous week)
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RnR // Wikimedia Commons

#49. McDowell County

- Cumulative deaths per 100k: 138 (63 total deaths)
--- 17.9% more deaths per 100k residents than North Carolina
--- #2,049 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 11,098 (5,078 total cases)
--- 24.3% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 46 (21 new cases, -16% change from previous week)
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digidreamgrafix // Shutterstock

#48. Graham County

- Cumulative deaths per 100k: 142 (12 total deaths)
--- 21.4% more deaths per 100k residents than North Carolina
--- #1,991 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 6,776 (572 total cases)
--- 24.1% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 12 (1 new cases, 0% change from previous week)
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Canva

#47. Haywood County

- Cumulative deaths per 100k: 148 (92 total deaths)
--- 26.5% more deaths per 100k residents than North Carolina
--- #1,923 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 6,664 (4,153 total cases)
--- 25.4% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 112 (70 new cases, +19% change from previous week)
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Shapard Wolf // Wikimedia Commons

#46. Yancey County

- Cumulative deaths per 100k: 149 (27 total deaths)
--- 27.4% more deaths per 100k residents than North Carolina
--- #1,912 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,517 (1,539 total cases)
--- 4.6% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 111 (20 new cases, +100% change from previous week)
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HarmonyReignPope // Wikimedia Commons

#45. Tyrrell County

- Cumulative deaths per 100k: 149 (6 total deaths)
--- 27.4% more deaths per 100k residents than North Carolina
--- #1,908 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 7,719 (310 total cases)
--- 13.5% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 50 (2 new cases, 0% change from previous week)
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Warren LeMay // Wikimedia Commons

#44. Alamance County

- Cumulative deaths per 100k: 150 (254 total deaths)
--- 28.2% more deaths per 100k residents than North Carolina
--- #1,906 highest rate among all counties nationwide
- New deaths per 100k in the past week: 7.7 (13 new deaths, +1200% change from previous week)
- Cumulative cases per 100k: 10,174 (17,246 total cases)
--- 14.0% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 118 (200 new cases, -18% change from previous week)
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Gary Rolband // Shutterstock

#43. Ashe County

- Cumulative deaths per 100k: 151 (41 total deaths)
--- 29.1% more deaths per 100k residents than North Carolina
--- #1,888 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 7,393 (2,011 total cases)
--- 17.2% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 81 (22 new cases, -12% change from previous week)
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Donald Lee Pardue // Wikimedia Commons

#42. Randolph County

- Cumulative deaths per 100k: 154 (221 total deaths)
--- 31.6% more deaths per 100k residents than North Carolina
--- #1,850 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.8 (4 new deaths, +33% change from previous week)
- Cumulative cases per 100k: 10,146 (14,577 total cases)
--- 13.6% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 159 (229 new cases, +35% change from previous week)
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Upstateherd // Wikimedia Commons

#41. Wilkes County

- Cumulative deaths per 100k: 158 (108 total deaths)
--- 35.0% more deaths per 100k residents than North Carolina
--- #1,798 highest rate among all counties nationwide
- New deaths per 100k in the past week: 1.5 (1 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 9,376 (6,414 total cases)
--- 5.0% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 111 (76 new cases, +62% change from previous week)
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Bethbrownebooks // Wikimedia Commons

#40. Chowan County

- Cumulative deaths per 100k: 158 (22 total deaths)
--- 35.0% more deaths per 100k residents than North Carolina
--- #1,795 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,098 (1,408 total cases)
--- 13.1% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 72 (10 new cases, +150% change from previous week)
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George Dukin // Shutterstock

#39. Clay County

- Cumulative deaths per 100k: 160 (18 total deaths)
--- 36.8% more deaths per 100k residents than North Carolina
--- #1,765 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 6,206 (697 total cases)
--- 30.5% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 89 (10 new cases, +150% change from previous week)
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#38. Hyde County

- Cumulative deaths per 100k: 162 (8 total deaths)
--- 38.5% more deaths per 100k residents than North Carolina
--- #1,744 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 13,146 (649 total cases)
--- 47.2% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 385 (19 new cases, +1,800% change from previous week)
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State Archives of North Carolina Raleigh, NC // Wikimedia Commons

#37. Sampson County

- Cumulative deaths per 100k: 164 (104 total deaths)
--- 40.2% more deaths per 100k residents than North Carolina
--- #1,723 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.7 (3 new deaths, +50% change from previous week)
- Cumulative cases per 100k: 11,912 (7,568 total cases)
--- 33.4% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 162 (103 new cases, +16% change from previous week)
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Ron Reiring // Wikimedia Commons

#36. Burke County

- Cumulative deaths per 100k: 164 (148 total deaths)
--- 40.2% more deaths per 100k residents than North Carolina
--- #1,722 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.2 (2 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 10,697 (9,679 total cases)
--- 19.8% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 81 (73 new cases, -4% change from previous week)
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Alanteitleman // Wikimedia Commons

#35. Martin County

- Cumulative deaths per 100k: 169 (38 total deaths)
--- 44.4% more deaths per 100k residents than North Carolina
--- #1,653 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 9,755 (2,189 total cases)
--- 9.3% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 107 (24 new cases, +33% change from previous week)
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Nyttend // Wikimedia Commons

#34. Person County

- Cumulative deaths per 100k: 170 (67 total deaths)
--- 45.3% more deaths per 100k residents than North Carolina
--- #1,642 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,215 (3,244 total cases)
--- 8.0% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 30 (12 new cases, -43% change from previous week)
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Jacalyn Engler // Wikimedia Commons

#33. Stokes County

- Cumulative deaths per 100k: 173 (79 total deaths)
--- 47.9% more deaths per 100k residents than North Carolina
--- #1,616 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,431 (3,844 total cases)
--- 5.6% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 90 (41 new cases, +21% change from previous week)
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Katangais // Wikimedia Commons

#32. Robeson County

- Cumulative deaths per 100k: 174 (227 total deaths)
--- 48.7% more deaths per 100k residents than North Carolina
--- #1,605 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.8 (1 new deaths, -50% change from previous week)
- Cumulative cases per 100k: 12,151 (15,872 total cases)
--- 36.1% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 82 (107 new cases, +34% change from previous week)
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Kenneth C. Zirkel // Wikimedia Commons

#31. Stanly County

- Cumulative deaths per 100k: 178 (112 total deaths)
--- 52.1% more deaths per 100k residents than North Carolina
--- #1,554 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 11,864 (7,451 total cases)
--- 32.9% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 148 (93 new cases, +18% change from previous week)
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KAD Photo // Shutterstock

#30. Moore County

- Cumulative deaths per 100k: 180 (182 total deaths)
--- 53.8% more deaths per 100k residents than North Carolina
--- #1,525 highest rate among all counties nationwide
- New deaths per 100k in the past week: 1.0 (1 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,429 (8,503 total cases)
--- 5.6% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 58 (59 new cases, -12% change from previous week)
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Upstateherd // Wikimedia Commons

#29. Gaston County

- Cumulative deaths per 100k: 182 (408 total deaths)
--- 55.6% more deaths per 100k residents than North Carolina
--- #1,503 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.7 (6 new deaths, +500% change from previous week)
- Cumulative cases per 100k: 11,306 (25,386 total cases)
--- 26.6% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 142 (319 new cases, +28% change from previous week)
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Toribio93 // Shutterstock

#28. Madison County

- Cumulative deaths per 100k: 184 (40 total deaths)
--- 57.3% more deaths per 100k residents than North Carolina
--- #1,471 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 6,946 (1,511 total cases)
--- 22.2% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 175 (38 new cases, +111% change from previous week)
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BrendaByrneGreene // Wikimedia Commons

#27. Nash County

- Cumulative deaths per 100k: 185 (174 total deaths)
--- 58.1% more deaths per 100k residents than North Carolina
--- #1,463 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 11,512 (10,856 total cases)
--- 28.9% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 168 (158 new cases, -6% change from previous week)
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Nolichuckyjake // Shutterstock

#26. Catawba County

- Cumulative deaths per 100k: 185 (295 total deaths)
--- 58.1% more deaths per 100k residents than North Carolina
--- #1,462 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0.6 (1 new deaths, -67% change from previous week)
- Cumulative cases per 100k: 11,592 (18,495 total cases)
--- 29.8% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 88 (140 new cases, -14% change from previous week)
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Pollinator // Wikimedia Commons

#25. Vance County

- Cumulative deaths per 100k: 191 (85 total deaths)
--- 63.2% more deaths per 100k residents than North Carolina
--- #1,389 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,679 (4,756 total cases)
--- 19.6% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 157 (70 new cases, +40% change from previous week)
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Tradewinds // Wikimedia Commons

#24. Jones County

- Cumulative deaths per 100k: 191 (18 total deaths)
--- 63.2% more deaths per 100k residents than North Carolina
--- #1,384 highest rate among all counties nationwide
- New deaths per 100k in the past week: 21.2 (2 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,462 (797 total cases)
--- 5.2% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 74 (7 new cases, -30% change from previous week)
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David Byron Keener // Shutterstock

#23. Beaufort County

- Cumulative deaths per 100k: 192 (90 total deaths)
--- 64.1% more deaths per 100k residents than North Carolina
--- #1,375 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 9,467 (4,449 total cases)
--- 6.0% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 32 (15 new cases, 0% change from previous week)
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Indy beetle // Wikimedia Commons

#22. Wayne County

- Cumulative deaths per 100k: 194 (239 total deaths)
--- 65.8% more deaths per 100k residents than North Carolina
--- #1,348 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.1 (5 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,696 (10,708 total cases)
--- 2.6% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 60 (74 new cases, -18% change from previous week)
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Indy beetle // Wikimedia Commons

#21. Lenoir County

- Cumulative deaths per 100k: 195 (109 total deaths)
--- 66.7% more deaths per 100k residents than North Carolina
--- #1,340 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,200 (5,707 total cases)
--- 14.2% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 61 (34 new cases, +31% change from previous week)
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Ammodramus // Wikimedia Commons

#20. Wilson County

- Cumulative deaths per 100k: 199 (163 total deaths)
--- 70.1% more deaths per 100k residents than North Carolina
--- #1,285 highest rate among all counties nationwide
- New deaths per 100k in the past week: 1.2 (1 new deaths, -75% change from previous week)
- Cumulative cases per 100k: 11,301 (9,244 total cases)
--- 26.6% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 158 (129 new cases, +18% change from previous week)
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Indy beetle // Wikimedia Commons

#19. Greene County

- Cumulative deaths per 100k: 199 (42 total deaths)
--- 70.1% more deaths per 100k residents than North Carolina
--- #1,279 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,570 (2,227 total cases)
--- 18.4% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 128 (27 new cases, +170% change from previous week)
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Indy beetle // Wikimedia Commons

#18. Northampton County

- Cumulative deaths per 100k: 200 (39 total deaths)
--- 70.9% more deaths per 100k residents than North Carolina
--- #1,268 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 9,367 (1,825 total cases)
--- 4.9% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 72 (14 new cases, -53% change from previous week)
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Canva

#17. Pasquotank County

- Cumulative deaths per 100k: 201 (80 total deaths)
--- 71.8% more deaths per 100k residents than North Carolina
--- #1,256 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.5 (1 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 8,086 (3,220 total cases)
--- 9.4% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 48 (19 new cases, +27% change from previous week)
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State Archives of North Carolina // Wikimedia Commons

#16. Edgecombe County

- Cumulative deaths per 100k: 204 (105 total deaths)
--- 74.4% more deaths per 100k residents than North Carolina
--- #1,235 highest rate among all counties nationwide
- New deaths per 100k in the past week: 5.8 (3 new deaths, +200% change from previous week)
- Cumulative cases per 100k: 10,136 (5,217 total cases)
--- 13.5% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 183 (94 new cases, -12% change from previous week)
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Jerrye & Roy Klotz, MD // Wikimedia Commons

#15. Richmond County

- Cumulative deaths per 100k: 205 (92 total deaths)
--- 75.2% more deaths per 100k residents than North Carolina
--- #1,217 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 9,953 (4,462 total cases)
--- 11.5% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 100 (45 new cases, -27% change from previous week)
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AlexiusHoratius // Wikimedia Commons

#14. Rowan County

- Cumulative deaths per 100k: 210 (299 total deaths)
--- 79.5% more deaths per 100k residents than North Carolina
--- #1,170 highest rate among all counties nationwide
- New deaths per 100k in the past week: 1.4 (2 new deaths, -33% change from previous week)
- Cumulative cases per 100k: 11,292 (16,045 total cases)
--- 26.5% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 141 (200 new cases, +5% change from previous week)
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Cecouchman // Wikimedia Commons

#13. Halifax County

- Cumulative deaths per 100k: 214 (107 total deaths)
--- 82.9% more deaths per 100k residents than North Carolina
--- #1,122 highest rate among all counties nationwide
- New deaths per 100k in the past week: 4.0 (2 new deaths, 0% change from previous week)
- Cumulative cases per 100k: 10,686 (5,344 total cases)
--- 19.7% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 134 (67 new cases, -29% change from previous week)
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G Keith Hall // Wikimedia Commons

#12. Surry County

- Cumulative deaths per 100k: 217 (156 total deaths)
--- 85.5% more deaths per 100k residents than North Carolina
--- #1,082 highest rate among all counties nationwide
- New deaths per 100k in the past week: 1.4 (1 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,978 (7,880 total cases)
--- 23.0% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 118 (85 new cases, -41% change from previous week)
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Indy beetle // Wikimedia Commons

#11. Duplin County

- Cumulative deaths per 100k: 218 (128 total deaths)
--- 86.3% more deaths per 100k residents than North Carolina
--- #1,067 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,332 (6,069 total cases)
--- 15.7% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 121 (71 new cases, +92% change from previous week)
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Ken Thomas // Wikimedia Commons

#10. Alexander County

- Cumulative deaths per 100k: 221 (83 total deaths)
--- 88.9% more deaths per 100k residents than North Carolina
--- #1,045 highest rate among all counties nationwide
- New deaths per 100k in the past week: 2.7 (1 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 11,324 (4,246 total cases)
--- 26.8% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 155 (58 new cases, +18% change from previous week)
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Upstateherd // Wikimedia Commons

#9. Anson County

- Cumulative deaths per 100k: 225 (55 total deaths)
--- 92.3% more deaths per 100k residents than North Carolina
--- #998 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,067 (2,461 total cases)
--- 12.8% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 82 (20 new cases, -9% change from previous week)
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OptimumPx // Wikimedia Commons

#8. Cleveland County

- Cumulative deaths per 100k: 227 (222 total deaths)
--- 94.0% more deaths per 100k residents than North Carolina
--- #977 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 11,262 (11,031 total cases)
--- 26.1% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 84 (82 new cases, +4% change from previous week)
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Theresaperry44 // Wikimedia Commons

#7. Bertie County

- Cumulative deaths per 100k: 227 (43 total deaths)
--- 94.0% more deaths per 100k residents than North Carolina
--- #973 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 9,036 (1,712 total cases)
--- 1.2% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 37 (7 new cases, -22% change from previous week)
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Nyttend // Wikimedia Commons

#6. Scotland County

- Cumulative deaths per 100k: 235 (82 total deaths)
--- 100.9% more deaths per 100k residents than North Carolina
--- #901 highest rate among all counties nationwide
- New deaths per 100k in the past week: 5.7 (2 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,398 (3,621 total cases)
--- 16.5% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 89 (31 new cases, +63% change from previous week)
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Boston Public Library // Wikimedia Commons

#5. Hertford County

- Cumulative deaths per 100k: 266 (63 total deaths)
--- 127.4% more deaths per 100k residents than North Carolina
--- #646 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,603 (2,037 total cases)
--- 3.6% less cases per 100k residents than North Carolina
- New cases per 100k in the past week: 89 (21 new cases, +31% change from previous week)
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gerrydincher // Wikimedia Commons

#4. Columbus County

- Cumulative deaths per 100k: 268 (149 total deaths)
--- 129.1% more deaths per 100k residents than North Carolina
--- #630 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 11,137 (6,182 total cases)
--- 24.7% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 56 (31 new cases, -3% change from previous week)
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Ymblanter // Wikimedia Commons

#3. Washington County

- Cumulative deaths per 100k: 268 (31 total deaths)
--- 129.1% more deaths per 100k residents than North Carolina
--- #628 highest rate among all counties nationwide
- New deaths per 100k in the past week: 0 (0 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 8,938 (1,035 total cases)
--- 0.1% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 86 (10 new cases, +43% change from previous week)
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Nolichuckyjake // Shutterstock

#2. Rutherford County

- Cumulative deaths per 100k: 307 (206 total deaths)
--- 162.4% more deaths per 100k residents than North Carolina
--- #418 highest rate among all counties nationwide
- New deaths per 100k in the past week: 3.0 (2 new deaths, -100% change from previous week)
- Cumulative cases per 100k: 10,507 (7,043 total cases)
--- 17.7% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 69 (46 new cases, -12% change from previous week)
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Jerrye & Roy Klotz, MD // Wikimedia Commons

#1. Montgomery County

- Cumulative deaths per 100k: 342 (93 total deaths)
--- 192.3% more deaths per 100k residents than North Carolina
--- #278 highest rate among all counties nationwide
- New deaths per 100k in the past week: 7.4 (2 new deaths, +100% change from previous week)
- Cumulative cases per 100k: 11,935 (3,243 total cases)
--- 33.7% more cases per 100k residents than North Carolina
- New cases per 100k in the past week: 114 (31 new cases, +182% change from previous week)

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