States Where COVID-19 Is the Worst Right Now

Published: December 6, 2023 by John Harrington

Colder temperatures throughout much of the country are increasing occurrences of seasonal health illnesses such as influenza that can compromise immune systems and present opportunities for the coronavirus to spread. Hospital admissions reached the highest level in more than two months in the most recent reporting period and test positivity also rose.

To determine the states where the COVID-19 surge is the worst right now, 24/7 Tempo reviewed data on recent COVID-19 hospital admissions from the Centers for Disease Control and Prevention. States were ranked based on the number of new hospital admissions due to COVID-19 per 100,000 state residents for the week of Nov. 19-25, 2023. Supplemental data on the total number of recorded COVID-19 hospital admissions since Aug. 1, 2020; the total number of deaths due to COVID-19 since January 2020; and the COVID-19 test positivity rate for the week of Nov. 19-25, 2023 also came from the CDC. Population data used to adjust hospital admission and death counts per capita came from the U.S. Census Bureau’s Population and Housing Unit Estimates program and is for July 1, 2022.

The seven-day moving average of hospital admissions across the country climbed to 10% to 19,444 for the reporting period ending Nov. 25 from the previous week, the highest weekly total since Sept.16. Test positivity rose by 1.2% to 10% for the week ending Nov. 25.

BA.2.86, a variant of the virus that causes COVID-19, is currently projected to account for up to 15% of variants in circulation. The CDC has been tracking the BA.2.86 variant since August. The agency said the expected public health risk of this variant, as well as its offshoot JN.1, is low.

Health officials are concerned that data actually understate the spread of virus, pointing to the higher levels of the virus detected in wastewater, which is an early warning signal for infections. Recent CDC data indicate the national wastewater viral activity level is high.

For the second straight period, West Virginia had the highest number of new hospital admissions due to COVID-19 per 100,000 state residents with a rate of 15.5. The Mountaineer State was one of five to repeat as one of the 10 highest states for hospital admissions.

Alaska repeated as the state with the lowest hospital admissions rate at 2.0; it was at 2.6 the prior week. The Last Frontier state was one of nine to return among the 10 states with the lowest hospital admissions.

Four Midwest/Plains states — Nebraska, Kansas, Missouri, and Iowa — had a nation-high test positivity rate of 16.2. Those states were also the highest in the two prior reporting periods. The lower end of test positivity rates rose from the previous week with nine states recording a rate of 6.2; the rate at the lower end the prior week was 3.3. (Click here for 30 famous people who died from COVID.)

Here is a list of all states and where COVID-19 is the worst right now.

50. Alaska

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 2.0 per 100,000 (15 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,363.4 per 100,000 (7th lowest)
COVID-19 deaths since January 2020: 210.5 per 100,000 (5th lowest)
Current COVID-19 test positivity rate: 7.5% (7.5)

49. Georgia

Source: JENNIFER E. WOLF / iStock Editorial via Getty Images

New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 2.9 per 100,000 (312 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,234.1 per 100,000 (9th highest)
COVID-19 deaths since January 2020: 335.3 per 100,000 (20th lowest)
Current COVID-19 test positivity rate: 7.6% (7.6)

48. Washington

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 2.9 per 100,000 (224 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,029.0 per 100,000 (the lowest)
COVID-19 deaths since January 2020: 197.7 per 100,000 (4th lowest)
Current COVID-19 test positivity rate: 7.5% (7.5)

47. Florida

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 3.3 per 100,000 (723 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,620.5 per 100,000 (4th highest)
COVID-19 deaths since January 2020: 365.2 per 100,000 (23rd highest)
Current COVID-19 test positivity rate: 7.6% (7.6)

46. Mississippi

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 3.5 per 100,000 (102 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,933.8 per 100,000 (25th highest)
COVID-19 deaths since January 2020: 511.8 per 100,000 (the highest)
Current COVID-19 test positivity rate: 7.6% (7.6)

45. Louisiana

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 3.5 per 100,000 (161 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,131.6 per 100,000 (14th highest)
COVID-19 deaths since January 2020: 389.1 per 100,000 (14th highest)
Current COVID-19 test positivity rate: 6.2% (6.2)

44. Texas

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 3.8 per 100,000 (1,134 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,073.2 per 100,000 (16th highest)
COVID-19 deaths since January 2020: 343.7 per 100,000 (22nd lowest)
Current COVID-19 test positivity rate: 6.2% (6.2)

43. North Carolina

North Carolina National Guard by The National Guard

Source: thenationalguard / Flickr

North Carolina National Guard (CC BY 2.0) by The National Guard

New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 3.9 per 100,000 (421 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,620.9 per 100,000 (16th lowest)
COVID-19 deaths since January 2020: 322.3 per 100,000 (18th lowest)
Current COVID-19 test positivity rate: 7.6% (7.6)

42. Rhode Island

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 4.0 per 100,000 (44 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,254.7 per 100,000 (5th lowest)
COVID-19 deaths since January 2020: 369.3 per 100,000 (20th highest)
Current COVID-19 test positivity rate: 9.4% (9.4)

41. Oregon

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 4.0 per 100,000 (171 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,151.8 per 100,000 (4th lowest)
COVID-19 deaths since January 2020: 225.0 per 100,000 (6th lowest)
Current COVID-19 test positivity rate: 7.5% (7.5)

40. Alabama

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 4.2 per 100,000 (215 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,401.0 per 100,000 (6th highest)
COVID-19 deaths since January 2020: 445.4 per 100,000 (6th highest)
Current COVID-19 test positivity rate: 7.6% (7.6)

39. Hawaii

Source: Eric Broder Van Dyke / iStock Editorial via Getty Images

New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 4.5 per 100,000 (65 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,432.7 per 100,000 (9th lowest)
COVID-19 deaths since January 2020: 140.9 per 100,000 (the lowest)
Current COVID-19 test positivity rate: 6.2% (6.2)

38. South Carolina

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 4.7 per 100,000 (247 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,850.3 per 100,000 (20th lowest)
COVID-19 deaths since January 2020: 408.4 per 100,000 (12th highest)
Current COVID-19 test positivity rate: 7.6% (7.6)

37. Tennessee

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 4.7 per 100,000 (330 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,899.7 per 100,000 (24th lowest)
COVID-19 deaths since January 2020: 412.7 per 100,000 (10th highest)
Current COVID-19 test positivity rate: 7.6% (7.6)

36. Maine

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 4.8 per 100,000 (67 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,135.8 per 100,000 (3rd lowest)
COVID-19 deaths since January 2020: 244.1 per 100,000 (8th lowest)
Current COVID-19 test positivity rate: 9.4% (9.4)

35. Nevada

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 5.0 per 100,000 (158 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,065.8 per 100,000 (17th highest)
COVID-19 deaths since January 2020: 377.7 per 100,000 (18th highest)
Current COVID-19 test positivity rate: 6.2% (6.2)

34. California

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 5.0 per 100,000 (1,957 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,617.0 per 100,000 (15th lowest)
COVID-19 deaths since January 2020: 282.4 per 100,000 (12th lowest)
Current COVID-19 test positivity rate: 6.2% (6.2)

33. New Jersey

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 5.2 per 100,000 (484 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,923.3 per 100,000 (25th lowest)
COVID-19 deaths since January 2020: 385.6 per 100,000 (15th highest)
Current COVID-19 test positivity rate: 6.3% (6.3)

32. New Hampshire

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 5.3 per 100,000 (74 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,362.4 per 100,000 (6th lowest)
COVID-19 deaths since January 2020: 241.1 per 100,000 (7th lowest)
Current COVID-19 test positivity rate: 9.4% (9.4)

31. Arkansas

Arkansas National Guard by The National Guard

Source: thenationalguard / Flickr

Arkansas National Guard (CC BY 2.0) by The National Guard

New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 5.4 per 100,000 (163 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,271.0 per 100,000 (8th highest)
COVID-19 deaths since January 2020: 417.0 per 100,000 (9th highest)
Current COVID-19 test positivity rate: 6.2% (6.2)

30. Virginia

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 5.6 per 100,000 (487 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,454.6 per 100,000 (11th lowest)
COVID-19 deaths since January 2020: 276.3 per 100,000 (10th lowest)
Current COVID-19 test positivity rate: 9.7% (9.7)

29. Maryland

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 5.7 per 100,000 (351 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,608.4 per 100,000 (14th lowest)
COVID-19 deaths since January 2020: 299.1 per 100,000 (16th lowest)
Current COVID-19 test positivity rate: 9.7% (9.7)

28. Idaho

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 5.8 per 100,000 (113 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,485.6 per 100,000 (12th lowest)
COVID-19 deaths since January 2020: 288.5 per 100,000 (13th lowest)
Current COVID-19 test positivity rate: 7.5% (7.5)

27. Delaware

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 5.9 per 100,000 (60 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,031.7 per 100,000 (18th highest)
COVID-19 deaths since January 2020: 345.0 per 100,000 (24th lowest)
Current COVID-19 test positivity rate: 9.7% (9.7)

26. Utah

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 6.0 per 100,000 (203 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,436.6 per 100,000 (10th lowest)
COVID-19 deaths since January 2020: 165.7 per 100,000 (2nd lowest)
Current COVID-19 test positivity rate: 12.1% (12.1)

25. Oklahoma

Oklahoma National Guard by The National Guard

Source: thenationalguard / Flickr

Oklahoma National Guard (CC BY 2.0) by The National Guard

New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 6.1 per 100,000 (244 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,786.7 per 100,000 (2nd highest)
COVID-19 deaths since January 2020: 491.8 per 100,000 (3rd highest)
Current COVID-19 test positivity rate: 6.2% (6.2)

24. Minnesota

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 6.2 per 100,000 (353 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,432.3 per 100,000 (8th lowest)
COVID-19 deaths since January 2020: 277.2 per 100,000 (11th lowest)
Current COVID-19 test positivity rate: 14.4% (14.4)

23. Iowa

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Iowa City during Covid-19 (CC BY 2.0) by Alan Light

New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 6.4 per 100,000 (204 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,750.1 per 100,000 (19th lowest)
COVID-19 deaths since January 2020: 352.2 per 100,000 (25th highest)
Current COVID-19 test positivity rate: 16.2% (16.2)

22. Kansas

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 6.6 per 100,000 (193 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,003.6 per 100,000 (20th highest)
COVID-19 deaths since January 2020: 364.9 per 100,000 (24th highest)
Current COVID-19 test positivity rate: 16.2% (16.2)

21. New York

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 7.0 per 100,000 (1,382 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,986.7 per 100,000 (22nd highest)
COVID-19 deaths since January 2020: 417.7 per 100,000 (8th highest)
Current COVID-19 test positivity rate: 6.3% (6.3)

20. Vermont

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 7.4 per 100,000 (48 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,034.7 per 100,000 (2nd lowest)
COVID-19 deaths since January 2020: 165.8 per 100,000 (3rd lowest)
Current COVID-19 test positivity rate: 9.4% (9.4)

19. Arizona

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 7.4 per 100,000 (546 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,146.5 per 100,000 (13th highest)
COVID-19 deaths since January 2020: 407.7 per 100,000 (13th highest)
Current COVID-19 test positivity rate: 6.2% (6.2)

18. Pennsylvania

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 7.4 per 100,000 (965 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,951.4 per 100,000 (24th highest)
COVID-19 deaths since January 2020: 412.1 per 100,000 (11th highest)
Current COVID-19 test positivity rate: 9.7% (9.7)

17. Massachusetts

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 7.7 per 100,000 (535 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,562.1 per 100,000 (13th lowest)
COVID-19 deaths since January 2020: 305.7 per 100,000 (17th lowest)
Current COVID-19 test positivity rate: 9.4% (9.4)

16. Wyoming

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 7.7 per 100,000 (45 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,020.9 per 100,000 (19th highest)
COVID-19 deaths since January 2020: 375.1 per 100,000 (19th highest)
Current COVID-19 test positivity rate: 12.1% (12.1)

15. Indiana

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 7.9 per 100,000 (537 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,091.4 per 100,000 (15th highest)
COVID-19 deaths since January 2020: 384.8 per 100,000 (16th highest)
Current COVID-19 test positivity rate: 14.4% (14.4)

14. Montana

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 7.9 per 100,000 (89 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,767.1 per 100,000 (3rd highest)
COVID-19 deaths since January 2020: 349.9 per 100,000 (25th lowest)
Current COVID-19 test positivity rate: 12.1% (12.1)

13. Michigan

Broadway Theatre - Mt. Pleasan... by Dan Gaken

Source: dgaken / Flickr

Broadway Theatre – Mt. Pleasan… (CC BY 2.0) by Dan Gaken

New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 8.0 per 100,000 (800 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,978.6 per 100,000 (23rd highest)
COVID-19 deaths since January 2020: 380.6 per 100,000 (17th highest)
Current COVID-19 test positivity rate: 14.4% (14.4)

12. Wisconsin

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 8.1 per 100,000 (478 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,212.0 per 100,000 (10th highest)
COVID-19 deaths since January 2020: 295.1 per 100,000 (14th lowest)
Current COVID-19 test positivity rate: 14.4% (14.4)

11. New Mexico

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 8.1 per 100,000 (172 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,878.9 per 100,000 (22nd lowest)
COVID-19 deaths since January 2020: 447.1 per 100,000 (5th highest)
Current COVID-19 test positivity rate: 6.2% (6.2)

10. Connecticut

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 8.2 per 100,000 (296 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,856.2 per 100,000 (21st lowest)
COVID-19 deaths since January 2020: 344.7 per 100,000 (23rd lowest)
Current COVID-19 test positivity rate: 9.4% (9.4)

9. Illinois

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 8.3 per 100,000 (1,039 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,881.9 per 100,000 (23rd lowest)
COVID-19 deaths since January 2020: 324.4 per 100,000 (19th lowest)
Current COVID-19 test positivity rate: 14.4% (14.4)

8. Missouri

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 8.4 per 100,000 (518 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,181.7 per 100,000 (12th highest)
COVID-19 deaths since January 2020: 369.0 per 100,000 (21st highest)
Current COVID-19 test positivity rate: 16.2% (16.2)

7. Colorado

Source: mobili / Flickr

Colorado COVID-19 (CC BY-SA 2.0) by Mobilus In Mobili

New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 8.6 per 100,000 (505 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,734.2 per 100,000 (18th lowest)
COVID-19 deaths since January 2020: 261.1 per 100,000 (9th lowest)
Current COVID-19 test positivity rate: 12.1% (12.1)

6. Ohio

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 8.7 per 100,000 (1,027 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,282.0 per 100,000 (7th highest)
COVID-19 deaths since January 2020: 428.5 per 100,000 (7th highest)
Current COVID-19 test positivity rate: 14.4% (14.4)

5. Nebraska

DFAC feeds Airmen during COVID... by Offutt Air Force Base

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DFAC feeds Airmen during COVID… (CC BY 2.0) by Offutt Air Force Base

New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 8.8 per 100,000 (173 total)
COVID-19 hospital admissions since Aug. 1, 2020: 1,663.3 per 100,000 (17th lowest)
COVID-19 deaths since January 2020: 296.7 per 100,000 (15th lowest)
Current COVID-19 test positivity rate: 16.2% (16.2)

4. Kentucky

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 9.0 per 100,000 (408 total)
COVID-19 hospital admissions since Aug. 1, 2020: 3,525.0 per 100,000 (the highest)
COVID-19 deaths since January 2020: 450.6 per 100,000 (4th highest)
Current COVID-19 test positivity rate: 7.6% (7.6)

3. North Dakota

North Dakota National Guard by The National Guard

Source: thenationalguard / Flickr

North Dakota National Guard (CC BY 2.0) by The National Guard

New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 9.4 per 100,000 (73 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,001.0 per 100,000 (21st highest)
COVID-19 deaths since January 2020: 343.1 per 100,000 (21st lowest)
Current COVID-19 test positivity rate: 12.1% (12.1)

2. South Dakota

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New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 11.7 per 100,000 (106 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,196.5 per 100,000 (11th highest)
COVID-19 deaths since January 2020: 365.7 per 100,000 (22nd highest)
Current COVID-19 test positivity rate: 12.1% (12.1)

1. West Virginia

West Virginia National Guard by The National Guard

Source: thenationalguard / Flickr

West Virginia National Guard (CC BY 2.0) by The National Guard

New weekly COVID-19 hospital admissions, Nov. 19-25, 2023: 15.5 per 100,000 (276 total)
COVID-19 hospital admissions since Aug. 1, 2020: 2,494.8 per 100,000 (5th highest)
COVID-19 deaths since January 2020: 496.1 per 100,000 (2nd highest)
Current COVID-19 test positivity rate: 9.7% (9.7)