The Top COVID-19 Hot Spots in the U.S.

These are the 25 counties with the highest recent averages for new COVID cases per capita.

U.S. News & World Report

Top COVID Hot Spots in the U.S.

HOUSTON, TEXAS - AUGUST 13: Genview Diagnosis medical assistants Crystal Leyva (L), and Keitia Perez administer COVID-19 sampling tests, to laboratory technicians, at Foxconn Assembly on August 13, 2021 in Houston, Texas. Across the Houston metropolitan area, testing has significantly increased as the Delta variant overwhelms hospitals, and schools and business's continue to reopen. Houston has seen an upward increase of Delta infections, and research is showing the Delta variant to be 60% more contagious than its predecessor the Alpha variant, also known as COVID-19. (Photo by Brandon Bell/Getty Images)

Medical assistants administer COVID-19 sampling tests to laboratory technicians at Foxconn Assembly on Aug. 13, 2021, in Houston.(Brandon Bell/Getty Images)

COVID-19 case counts in the U.S. ticked down week over week, based on provisional data from the Centers for Disease Control and Prevention.

The U.S. tallied about 455,000 new COVID-19 cases over the seven days ending Dec. 14, and 2,703 deaths in that same time frame. In contrast, the counts one week earlier were about 469,000 cases and 3,115 deaths.

For comparison, the largest loss of life during the pandemic was seen in mid-January 2021, when COVID-19 deaths in the U.S. totaled approximately 23,400 in one week. Conversely, weekly deaths dropped to under 1,700 during early July 2021.

Among the top 25 COVID hot spots in the country of late – as measured by the highest average case counts over a week per 100,000 people – six were in Kansas and four were in Oklahoma.

Because average case rates are calculated per 100,000 people, it’s worth noting that even a relatively small number of infections in a small community can lead to a higher case rate. Loving County, Texas, for instance, had a reported tally of six cases over a week’s time, but with a recent population of about 170, that translates to an average rate of 507 daily cases per 100,000 people.

Case counts may be of limited use as a COVID surveillance measure, however, particularly given the rise of at-home tests.

But other measures can help give a sense of the current state of the pandemic. For example, as the nonpartisan data center USAFacts explains, the CDC has a "community level" metric that looks not only at case rates but also incorporates COVID-19 hospital admissions and the average percentage of hospital beds occupied by COVID-19 patients.

As of data calculated Dec. 15, across U.S. states, territories and the District of Columbia, about 56% of “counties” were considered to be at a “low” COVID-19 community level, according to data from the CDC. About 9% were at the “high” level, while 35% were at the “medium” level.

Hawaii is the only state where all of its regions were at the “low” level. The states with the largest proportion of their counties at the “medium” or “high” level were New Jersey (100%), Connecticut (88%), Massachusetts (86%) and Illinois (84%).

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Healthiest Communities is an interactive destination developed by U.S. News & World Report for consumers and policymakers. Backed by in-depth research and accompanied by news and analysis, the site features comprehensive rankings drawn from an examination of nearly 3,000 counties and county-equivalents on 89 metrics across 10 categories, informing residents, health care leaders and officials about local policies and practices that drive better health outcomes for all. Data was gathered and analyzed by the University of Missouri Extension Center for Applied Research and Engagement Systems (CARES).