The United States has reported more than 79.8 million confirmed cases of COVID-19 as of April 19. More than 981,000 Americans have died from COVID-19 — the highest death toll of any country.
The virus has spread across the country in a way that is hard to predict, increasing in one region, then showing signs of improvement, then reappearing in other regions. Although local outbreaks can fluctuate, the current surge in cases has been felt almost nationwide, leading to new travel restrictions and business closures across the country.
Nationally, there were an average of 10.0 new daily coronavirus cases per 100,000 Americans in the week ending April 19. Cumulatively, the United States has reported 24,340.8 cases per 100,000 Americans and 299.0 deaths per 100,000 Americans.
The coronavirus has spread to different parts of the country at different stages throughout the pandemic. In the spring, the hardest-hit states were in the northeast, with New York City emerging as the epicenter of the national crisis. The virus spread to Sun Belt states in the summer and hit Midwestern and Western states in the fall. Now, nearly every state is classified as a COVID-19 hotspot, according to definitions based on new cases per capita from the nonprofit health organization Kaiser Family Foundation.
While the country’s largest metropolitan areas were the hardest hit in the early months of the pandemic, nearly every city suffered from the virus. Outbreaks are particularly likely to occur in places where large numbers of people tend to congregate, leaving cities with high concentrations of colleges, correctional facilities and nursing homes particularly at risk.
To determine the metropolitan area in each state with the highest number of COVID-19 cases per capita, 24/7 Wall St. compiled and reviewed data from state and local health departments. We’ve ranked metropolitan areas by the number of confirmed COVID-19 cases per 100,000 population as of April 19. Data was aggregated from the county level to the metropolitan area level using US Census Bureau boundary definitions. The demographic data used to adjust the case and death totals come from the US Census Bureau’s 2019 American Community Survey and are five-year estimates.