the county where i grew up is #1 in deaths/100k since 6/30/21 in ohio. scioto, jackson, vinton, highland, brown are all above 100 deaths/100k since 6/30/21 and are all contiguous in the Appalachian region. the flip side is Athens county. same region but vaccination makes all the difference! (its also the home of Ohio University, so education polarization in partisanship shows its face again!)