Important update: Healthcare facilities
CDC has updated select ways to operate healthcare systems effectively in response to COVID-19 vaccination. Learn more
To maximize protection from the Delta variant and prevent possibly spreading it to others, get vaccinated as soon as you can and wear a mask indoors in public if you are in an area of substantial or high transmission.
UPDATE
Given new evidence on the B.1.617.2 (Delta) variant, CDC has updated the guidance for fully vaccinated people. CDC recommends universal indoor masking for all teachers, staff, students, and visitors to K-12 schools, regardless of vaccination status. Children should return to full-time in-person learning in the fall with layered prevention strategies in place.
UPDATE
The White House announced that vaccines will be required for international travelers coming into the United States, with an effective date of November 8, 2021. For purposes of entry into the United States, vaccines accepted will include FDA approved or authorized and WHO Emergency Use Listing vaccines. More information is available here.

COVID-19 County Check Tool: Understanding Community Transmission Levels in Your County

COVID-19 County Check Tool: Understanding Community Transmission Levels in Your County

COVID-19 spreads easily between people. CDC tracks how much COVID-19 is spreading as well as how likely people are to be exposed to it with a measurement known as the “level of community transmission.” You can use the COVID-19 County Check Tool for a snapshot of your county’s level of community transmission over the past 7 days. The tool also displays guidance on masking based on how the virus is spreading in your county.

How CDC measures the county level of community transmission

CDC looks at two numbers — total new cases and percent positivity — to determine the level of community transmission.

  • Total new cases refers to a county’s rate of new COVID-19 infections, reported over the past 7 days, per every 100,000 residents. To calculate this number, CDC divides the total number of new infections by the total population in that county. CDC multiplies this number by 100,000.
  • Percent positivity refers to the percentage of positive COVID-19 tests in a county over the past 7 days. This number is based on reports from states on a specific type of test known as a Nucleic Acid Amplification Test (NAAT). To calculate this number, CDC divides the number of positive tests by the total number of NAATs performed in that county. CDC multiplies this number by 100 to calculate the percentage of all tests that were positive. Learn more at Calculating SARS-CoV-2 Laboratory Test Percent Positivity.

A higher number of total new cases and a higher percent positivity correspond with a higher level of community transmission, as shown below. If the values for each of these two metrics differ (for example, if one indicates moderate and the other low), then the higher of the two should be used to make decisions about mask use in a county.

Incomplete Data

When data are unavailable for one metric, the other is used to determine the level of community transmission. When data for both metrics are unavailable, the county level of community transmission cannot be determined.

Community Transmission Levels
Community Transmission Levels Low Transmission Moderate Transmission Substantial Transmission High Transmission
Total new cases per 100,000 persons in the past 7 days 0-9.99 10-49.99 50-99.99 ≥100
Percentage of NAATs that are positive during the past 7 days 0-4.99% 5-7.99% 8-9.99% ≥10.0%

County level of community transmission and masking

People and local decision-makers should consider the county level of community transmission when making decisions about masking. Although COVID-19 vaccines authorized in the United States are highly effective at limiting the spread of COVID-19 and preventing severe illness, vaccination in some parts of the country remains low. Layered prevention strategies — like masking along with getting vaccinated — can help further reduce the spread of COVID-19. CDC’s updated guidance, issued in July 2021, advises using county community transmission levels over the last 7 days to help determine who should mask and under what circumstances. See below for a quick reference on when to mask:

When to Mask Reference
County Level of Community Transmission Guidance
Quick Mask Reference
High or Substantial Transmission Everyone should wear a mask in public, indoor settings.
Moderate or Low Transmission Unvaccinated people should wear a mask in public, indoor settings.

Mask requirements vary from place to place. Make sure you follow local laws, rules, regulations, or guidance.

Additional Resources

Visit COVID Data Tracker* to learn more about the community transmission level in your county. Please note that county-level data are not available for territories. For the most accurate and up-to-date data for any county or state, visit the relevant health department website.

*COVID Data Tracker may display data that differ from state and local websites. This can be due to differences in how data were collected, how metrics were calculated, or the timing of web updates.

COVID Data Tracker displays community transmission at two levels, the county and the state/jurisdiction level. For both, CDC uses aggregate data from the state/jurisdiction to determine the community transmission indicator. There are different reporting methods for county-level aggregate data and state/jurisdictional-level aggregate data. The state-level community transmission indicator provides an “at-a-glance” picture of a state’s overall community transmission level. The county-level community transmission level provides a picture at the local level and is used as the basis for CDC’s updated guidance.