How Alabama Compares in the Percentage of the Population Lacking Health Insurance

The percentage of Alabamians without health insurance rose between 2019 and 2020, according to the latest estimates from the U.S. Census Bureau. In 2020, 11.8% of the population under 65 was uninsured, compared to 11.6% in 2019.

Printable PDF available here.

Nationally, the uninsured rate declined from 10.8% to 10.4%. Alabama ranks 39th among the states in the percentage of its population with health insurance.

Comparison Among States

The latest estimates come from the Census Bureau’s Small Area Health Insurance Estimates (SAHIE). The Bureau has built an interactive tool for exploring the data in depth at the national, state, and county levels.

With the implementation of the Affordable Care Act in 2014, Americans gained access to health care exchanges and subsidies, which increased the percentage of people with health insurance. The law also encouraged states to expand Medicaid eligibility in order to provide health insurance to more low-income individuals. To date, 12 states, including Alabama and several other Southeastern states, chose not to expand Medicaid. Those states tend to have higher percentages of their population uninsured.

Three Southeastern states did expand Medicaid eligibility. Those states have a smaller percentage of the population uninsured than Alabama: Kentucky, 6.9%; Louisiana, 9.6%; and Arkansas, 10.2%.   

Health Insurance By County

Dekalb County has the highest percentage of the population without insurance, at 19%. Dekalb and other counties across North Alabama have a greater share of residents who are Hispanic compared to other parts of Alabama. Nationally, the health insurance rate is much lower among Hispanics than in other demographic groups. On the other end of the spectrum is Shelby County, which has the lowest percentage without insurance, 9.3%

Coverage For Children: A Bright Spot for Alabama

Alabama ranks in the top 20 when it comes to providing health insurance to children. Only 3.6% of individuals 18 and younger lack health insurance, largely thanks to the ALL Kids, Alabama’s Children’s Health Insurance Program (CHIP). The program is administered by the Alabama Department of Public Health and Blue Cross Blue Shield of Alabama (BCBSAL) to provide medical, mental health, and substance abuse services through their preferred provider organizations (PPO).

Conclusion

Alabama has policy options for decreasing the number of people who lack health insurance. Recent federal legislation has provided additional incentives to expand Medicaid. An analysis by PARCA and the Center for Economic Development and Business Research at Jacksonville State University found that expanding Medicaid coverage to low-income adults in Alabama would actually save the state almost $400 million per year over the next six years. Much of that savings would come through having federally supported Medicaid coverage pay health care costs that are currently paid for by other state programs. Expansion can be handled by expanding coverage under the government program or a through insurance policies subsidized by Medicaid funding but offered by private companies.


Alabama Population Dynamics and Workforce

Absent immigration from other states or from abroad, Alabama’s working-age population is on track to shrink in coming years, according to a PARCA analysis of new population estimates from the U.S. Census Bureau.

(Not represented in the graphic are the more than 85,000 Alabamians the Census estimates included in the 85 and older category).

The 2021 Census population estimates by age provide a preview of the number of individuals that will join the workforce and the number that will likely be leaving it. Two factors are conspiring to create downward pressure on the working-age population:

  1. Large numbers of aging Baby Boomers are likely leaving the workforce
  2. The smaller rising generations, Gen Z and Gen A, will provide fewer replacements for those retiring workers.

In 2021, the Census estimates there were 65,730 64-year-olds in Alabama vs. 63,125 18-year-olds, a difference of about 2,600.

In every successive year thereafter, the number of Boomers exceeds the corresponding Generation Z cohort.

The gap widens significantly when today’s 11 and 12 years reach the age of 18. In 2008, with the advent of the Great Recession, birth rates fell. And they haven’t recovered.

Even when the Baby Boom has moved out of the prime working years, the number of potential leavers will outnumber new entrants, based on the current age structure of the Alabama population.

Considering only the current population, over the next 18 years, Alabama’s population between the ages of 18 and 64 will drop by a cumulative total of more than 50,000.

However, current residents only make up part of the story. Population growth is also influenced by migration and birth and death rates. Labor force supply is also affected by migration, by labor force participation, and indirectly by educational and skills attainment.

In terms of the natural population increase, Alabama has already seen two successive years in which deaths exceeded births. In 2021, about 8,500 more people died than were born, according to the estimates. This is due to the larger number of people moving into old age and the elevated death rates associated with the Covid-19 pandemic.

In terms of migration, changing patterns are affecting population and labor supply. From 2010-2016, most of Alabama’s population growth came through international immigration, with the state annually adding about 10,000 new residents who had been born abroad.

Since 2018, international migration has dropped, but domestic migration has increased.

In recent years, Alabama has enjoyed a net positive inflow of residents from other states, about 20,000 new residents a year from that source.

With unemployment low and demand for workers high, Alabama may continue to attract new residents through migration. But at the same time, the state is trying to increase the quality and the quantity of Alabama’s homegrown labor force:

  • By improving the education and training of the rising generation so that they are equipped for 21st-century jobs
  • By bringing Alabamians who’ve fallen out of the workforce back in

An array of state initiatives are underway to improve student preparation:

  • the expansion of First Class Pre-K
  • the Alabama Literacy Act
  • the expansion of Advanced Placement classes, high school/college dual enrollment, and the expansion of career technical education.

On the labor force participation front, through the Success Plus Initiative, the Alabama Workforce Council, the Governor’s Office, and an array of state agencies and participating nonprofits are collaborating on strategies to bring more people into the workforce training and education systems. The initiative seeks to address barriers individuals face to participating in the workforce and training. Through cooperation and outreach, the partners hope to reach discouraged workers and provide them pathways to high-demand fields.


Alabama Public Opinion Survey 2022

With elections for governor and legislature pending in the fall, Alabamians are united in support for public investment in education and healthcare, divided on how to raise money for new investments, and express a preference for local leadership and decision-making. That is according to PARCA’s annual public opinion survey.

The poll of over 400 Alabama residents was conducted by Dr. Randolph Horn, Samford University, Assistant Vice President for Enrollment Research and Professor of Political Science. 

Results from this year’s survey are consistent with previous years’ results in some important ways.

  • Alabamians continue to rank education as the most important state government activity.
  • Large majorities of Alabamians say the state spends too little on education and healthcare.
  • Alabamians have an aversion to taxes but say upper-income residents pay too little.
  • A slim majority say budget surpluses should be reinvested in state services, specifically education, rather than used to cut taxes.
  • If budget surpluses are used to cut taxes, the most popular tax cut is the sales tax on groceries.
  • Alabamians are willing to pay more taxes to support education but do not agree on which taxes should be increased.
  • Alabamians are essentially split on tax-funded vouchers to pay for private school tuition. However, a majority believe vouchers, if allowed, should be available to all students.
  • Alabamians continue to believe that they have no say in state government and that government officials in Montgomery do not care about their opinions.

Results of the survey indicate many opportunities for officials to demonstrate responsiveness to public concerns and leadership in crafting public policy solutions.

Download the full report here.


2021 Population Change in Alabama Cities

Each year, PARCA analyzes population estimates issued by the U.S. Census Bureau. Visualizations of the population estimates and change for the state, counties, and metro areas can be found on our data dashboard. The estimates release covers cities and towns and their population changes between July 1, 2020, and July 1, 2021. For additional perspective, see coverage of the estimates by al.com.

During this period, international migration was effectively shut off. The influx of new residents from overseas had been a primary driver of population gain in the larger established cities. Meanwhile, this period also saw elevated mortality rates due to the pandemic. Also, due to the pandemic, cities across the nation saw an outflow of residents as businesses stayed shuttered and workers were asked to work from home.

Printable PDF version available here

Birmingham’s population dropped by 2,558, more than any other Alabama city. It was followed by Mobile, which was down 1,459, and Montgomery down 1,341. With an estimated population of 197,575 in 2021, Birmingham is now the state’s third-largest city, behind Montgomery at 198,665, and No. 1 Huntsville, at 216,963.

Huntsville bucked the trend of large city population loss, adding 1,920 residents according to the estimates. Only Auburn added more, 2,135, which was more population gain than any other Alabama city. Since 2010, Auburn’s population has increased 43%, the fastest rate of growth among cities over 20,000. Neighboring Opelika has also grown, adding an estimated 465 in 2021.

Both Auburn and Huntsville have been spreading out through annexation, adding undeveloped land where housing is now being built. At 218 square miles, Huntsville is now far larger than Birmingham at 147 square miles.

Add up the growth totals in Baldwin County, and you’ll see why the coastal county is No. 1 in numeric growth among Alabama counties. The estimates show Foley adding nearly 1,500 residents, Daphne more than 1,000, and Fairhope and Gulf Shores over 500 apiece.

The Birmingham-Hoover metropolitan area is still far larger than the next largest metro, Huntsville, with around 500,000 residents compared to Birmingham-Hoover’s 1.1 million. Over the past two decades, population growth around Birmingham has occurred chiefly in its suburbs.

However, according to the 2021 estimates, some traditional growth engines were idling. Trussville only added 172 new residents, and Hoover saw a net decrease of 98 residents. Homewood, Mountain Brook, and Vestavia Hills saw population declines. A bright spot for Jefferson County was Gardendale which posted a gain of 407. The growth in the Birmingham MSA occurred farther out in Shelby and St. Clair County. Calera added 742 residents; Chelsea, 478; and Helena, 465. Pell City, Moody, and Margaret town in St. Clair County also added residents. Nearby, Tuscaloosa added 658 residents and broke over the 100,000 population mark, coming in at 100,618.

Across a region, the biggest population gains were in north Alabama. In addition to Huntsville’s growth, Athens, in Limestone County, added over 1,300, and the City of Madison almost 1,000. Nearby, The Shoals added 424 residents, with growth in both Florence and Muscle Shoals continuing a positive trend. Across the entire northern tier of the state, almost all the cities and towns showed growth.

Southeast Alabama around Dothan saw modest growth, with Enterprise leading the way by adding over 500 new residents.

Anniston and Gadsden, however, continued a flat to declining population trend.

More broadly, most cities and towns in rural Alabama, from Northwest Alabama, through the Black Belt, and East Central Alabama, lost population.


2021 Kids Count Data Book provides roadmap for helping Alabama children

VOICES for Alabama’s Children published the 2021 Alabama Kids Count Data Book this month. For the 6th year in a row, PARCA provided the data and analysis for the project.

Since 1994, the Alabama Kids Count Data Book has documented and tracked the health, education, safety, and economic security of children at the state and county levels.

This annual statistical portrait is meant to provide a roadmap for policymakers who seek to improve the lives of Alabama’s children.
The Data Book can be used to raise the visibility of children’s issues, identify areas of need, identify trends and measure how previous efforts are working, set priorities in child well-being, and inform decision-making at the state and local levels.

Among the findings from this year’s data, VOICES points to the following challenges we must continue to address for Alabama’s children and families:

– Child Care: There are only 1,855 licensed child care providers in Alabama to support the workforce of today and tomorrow.  Lack of quality child care is a leading reason for decreased workforce participation. Further, babies need quality care and education as their parents work and their brains develop in pivotal years.

– Health: During a youth mental health crisis and increased family stress, there is 1 mental health provider available for every 923 Alabamians. The latest research shows that unaddressed childhood trauma and Adverse Childhood Experiences (ACEs) lead to lifelong chronic health issues, along with significant barriers to educational achievement and financial security.

– Economic Security: While 16% of Alabamians live in poverty, 23.9% of Alabama children live in poverty (ex. a household of 4 making $24,750 or less). Further, 1 in 5 children in Alabama are food insecure.

– Education: Poverty leads to significant disparities in education. For Alabama 4th graders in poverty, only 37.9% are proficient in reading and 12.1% are proficient in math.

–  Safety and Permanency: In 2021, 3,453 children entered foster care. While cases can have multiple causes of entry, 48% of cases involved parental substance abuse.

See how children in all 67 counties of our state are faring in education, health, economic security, and more.

Access the 2021 Alabama Kids Count Data Book here.


Deaths outnumber births, but population grows through domestic migration

New estimates released by the U.S. Census Bureau show that more than half of Alabama counties lost population between July 1, 2020, and July 1, 2021, losses driven by an aging population, a declining birthrate, and an elevated death rate during the Covid-19 pandemic.

PDF version

Statewide, the 65,868 deaths outnumbered 56,320 births, leading to a net loss through natural change of 8,548. In the visualization below, counties are shaded by their rate of natural change. Only eight counties, those in blue, saw more births than deaths. Alabama had the 4th highest death rate in the U.S., behind West Virginia, Mississippi, and Maine.

However, stronger growth through domestic migration (individuals moving from other states to Alabama, but excluding movers who are foreign-born) helped the state offset those losses. Estimates issued earlier this year put Alabama’s population at 5,039,877, up by about 15,000 or 0.3%, from 2020. A net total of 22,136 domestic migrants moved to Alabama, offsetting the loss from natural change.

Two counties accounted for about half that growth, with coastal Baldwin adding 6,780 net new residents through migration and Madison County adding 5,335. Madison County’s neighbor, Limestone, added 3,388. Other north Alabama counties like Cullman, Lauderdale, Jackson, Morgan, Marshall, and Dekalb also saw gains from domestic migration. The counties containing the three other large population centers — Jefferson, Mobile, and Montgomery — saw population declines, according to the estimates. Meanwhile, counties linked to those metro core counties — counties like Shelby and St. Clair, Elmore and Lee, and Baldwin — saw growth. Modest growth also occurred in some Wiregrass counties — Coffee, Houston, and Henry.

Zooming out to look at the Southeast, similar patterns are evident. Core counties in Atlanta, Charlotte, Nashville, and Memphis lost population while surrounding metro counties grew. Generally, growth was more widespread in Tennessee, Florida, the Carolinas, and the northern half of Georgia. Overall, Alabama counties bordering Georgia, Tennessee, and Florida are growing. Coastal counties on the Southeast’s East and Gulf coasts have seen growth. Counties along the interstates benefit throughout the region. Still, rural counties and whole swaths of the interior South, including counties in central and western Alabama, continue to lose population, not yet connected to the regional engines of growth.

When it comes to counties grouped into metropolitan statistical areas (MSAs), The Daphne-Fairhope-Foley, Huntsville, and Auburn-Opelika MSAs continue to show strong population growth. Among the 358 U.S. metros, they rank No. 16, 40, 50, respectively, in terms of percentage population change.

On the other hand, metro Birmingham is still not seeing the pace of growth of other Southeastern metros. Gains in Shelby, St. Clair, Bibb, and Blount counties weren’t enough to overcome Jefferson County’s estimated population loss of 5,521. Over the past decade, Jefferson County’s natural increase plus population gains from international immigration offset a steady stream of domestic outmigration. But in 2021, deaths outnumbered births by 438, and international migration accounted for a gain of only 153 people. Meanwhile, the estimates show a net loss of 5,238 domestic residents moving out of Jefferson. That produced a net population loss for the MSA in 2021. The Birmingham-Hoover metropolitan statistical area ranked 258 out of 358 U.S. metros in percentage change.

Montgomery ranked No. 248, with a slight population gain, and the Mobile MSA ranked No. 305, with a population loss of 1,326. After strong growth over the past decade, Tuscaloosa County and its metro area lost population in 2021, according to the estimate. Its growth rank ranked it No. 284 among U.S. metros.

The Auburn-Opelika MSA added 2,617 residents, according to the estimates, a growth rate of 1.5%. Dothan, Decatur, and the Florence-Muscle Shoals MSAs also showed positive growth. The Anniston and Gadsden MSAs continued to post slight declines.

Using the menus and tabs in the visualizations above, you can explore birth and death rates, numerical and percentage change of counties and MSAs in Alabama and across the U.S. The state population estimates and components of change released earlier this year are below.

And the final visualization looks back to the results of the 2020 Census and compares population counts from April 2020 and April 2010.


Deaths Exceed Births but Surge in Domestic Migration Powers Alabama Population Growth

Recent data from the U.S. Census Bureau indicate a growing number of people moving to Alabama prior to the Covid pandemic, which helped offset population loss due to a rising death rate and declining birth rate. The estimated number of net new domestic migrants was 13,115 in 2020, the largest inflow of the decade.

That estimate data, released earlier this month, is generated annually by the Bureau. Those estimates use the 2010 Census count as a base and attempt to capture population change by tracking births, deaths, and migration. The actual census count, conducted in 2020, showed even stronger growth than the estimates have indicated.

By April 1, 2020, Alabama’s statewide population had climbed above 5 million, according to the official 2020 Census enumeration. That total, 5,024,279, exceeds by more than 100,000 the Census Bureau’s estimate of Alabama’s population for July 1, 2020. Going forward, estimates will be re-calibrated using the Census count as a basis. On the basis of the count, Alabama kept all seven U.S. House Districts. According to the official Census count, Alabama added 244,543 residents since 2010.

According to the counts, Alabama’s population grew by 5% from 2010 to 2020. The Carolinas, Tennessee, and Georgia grew at about twice that rate, but Alabama grew faster than Mississippi, which lost population, and Louisiana and Arkansas, both of which grew at a rate of 3%. Florida’s population grew by 15%, adding a staggering 2.7 million new residents.

Components of Change

Though Census population estimates were off compared to the actual 2020 count, the estimates and components that drive the estimates provide insight into the drivers of population change in Alabama throughout this past decade. The newest estimates, released earlier this month, and the estimates from prior years present some patterns:

  • Over the course of the decade, Alabama birth rates fell, and death rates climbed as the population aged.
  • International migration provided growth in the early part of the decade.
  • As international immigration faltered in the final years of the decade, domestic migration to Alabama surged.

Aging and Fertility

The most fundamental elements of population change are births and deaths. Census estimates are based on the number of birth and death certificates issued, with some short-term projection built-in since there is a two-year lag in getting the actual county-level data..

According to Census estimates, over the course of the decade, Alabama and the U.S. saw a decline in the number and rate of births and a rise in the number and rate of deaths. For the first time in 2020, the Census Bureau estimated that more people died in Alabama than were born.

If the estimates accurately captured the trend, deaths will likely exceed births in Alabama again in 2021. The math that drives these numbers has to do with the size of generations and the size of families. Members of the Baby Boom Generation, the extra-large cohort born between 1945 and 1965, have entered years of increased mortality, causing a rise in the death rate. Meanwhile, younger generations, with fewer members, have had children later in life and are having fewer children. In addition, the Covid-19 pandemic led to increased mortality, between March and July 1, 2020. The Census Bureau made a national-level adjustment for increased mortality from Covid-19 between March and July of 2020. That will factor into population change this year as well.

But the effects of these changes in fertility and mortality play out unevenly across the U.S. and across Alabama counties. Places that have attracted younger residents have a lower median age and a higher share of births. Places that are losing population tend to retain a higher share of older individuals and consequently see higher death rates. Birth rates are highest in the counties with urban centers, or universities, or cities’ suburbs. Death rates are highest in rural communities where the population is older. The social, ethnic, and racial composition of a community affects birth rates as well. Hispanic and Black families tend to have more children.

The visualization above allows you to explore how the differences play out in different states. The visualization below allows you to explore those differences among Alabama counties.

For example, Blount County has a pattern that reflects the state as a whole. However, using the selector on the right, toggle to Madison or Shelby County, and observe a different pattern: The number of deaths is still rising, but so is the number of births as young families move in, producing a positive rate of natural increase. Conecuh County, by contrast, shows a steep fall in births and a rise in deaths, producing a population decline through natural factors.

Migration

Beyond births and deaths, population change is driven by who is moving in and who is moving out, measures of migration. The Census Bureau develops estimates of movement within the United States (domestic migration) and between the U.S. and other counties (International migration). Over the past decade, general regional migration patterns emerged: Southern and Western states have gained through domestic migration. Northeastern states and California have gained through international migration. Rural counties in the interior South, Rust Belt, and the Plains States have seen moderate growth or some population decline. In the end, all states except Mississippi, Illinois, and West Virginia added population between 2010 and 2020, with gains concentrated in the cities and metropolitan, suburban counties, and retirement and recreational destinations.

According to the estimates, Alabama experienced two different periods of migration since 2010. In the first part of the decade, rising international in-migration offset weak growth and even population loss through domestic migration. Over a span of years, Alabama had more residents moving away than arriving from other states. But late in the decade, those factors flipped: a surge in domestic in-migration replaced faltering international immigration as the driver of population change.

Time will tell whether that surge in domestic migration will resume or even accelerate after the Covid pandemic. Early indications suggest it might. Unemployment in Alabama is down close to pre-pandemic levels, historic lows that should attract movers. There are indications that movements already underway are continuing and even accelerating. The Wall Street Journal analyzed data from permanent change of address forms filed with the U.S. Post Office. The results suggest that during the pandemic, there has been a movement out of dense urban areas in the Northeast towards the South and toward smaller metros and suburbs. The pandemic has accelerated retirements and migration to retirement destinations, adding fuel to the strong growth in Alabama’s Baldwin County, for instance.

As has been the case throughout the decade, estimates indicate that most of the growth in Alabama is occurring in a handful of counties, led by Baldwin and Madison, home to Huntsville. A second tier of growth magnets consists of Lee County, home of Auburn University; Shelby County, south of Birmingham; Limestone County, adjacent to Huntsville; and Tuscaloosa, home to the University of Alabama.

In the estimates for 2020, more counties in Huntsville’s orbit, including Colbert and Lauderdale in the Shoals and Morgan, are showing population gains. Meanwhile, in Southeast Alabama, counties around Dothan, including Houston and Coffee, appear to be picking up residents, as well.  

Jefferson, Montgomery, and Mobile counties all lost population in 2020, according to the estimates. All three counties have been net exporters of domestic migrants throughout the decade but have made up for the loss through natural increase and the arrival of residents from other countries. However, with the clampdown on immigration during the Trump years, made even more acute by the pandemic, all three counties saw sharper losses. That was particularly true in Jefferson, which had a rising number of deaths, a lower number of births, a depressed level of international immigration, and a higher net loss through domestic migration. Jefferson was estimated to have 3,197 fewer people living in the county in July 2020 than in July 2019, the biggest numeric loss among Alabama counties.

Dallas County continued to lose population with an estimated 1,084 fewer residents in 2020. According to the estimates, Dallas County had a population of 36,098 in 2020, a cumulative loss of 7,715 people since 2010. Dallas experienced the second-fastest rate of decline since 2010, 17.6%, among Alabama counties. Only Perry County, at 17.9%, had a greater rate loss. Perry’s population, estimated at 8,698 in 2020, is second lowest in Alabama, outranking only Greene County’s 7,990.

Prior to the pandemic, with unemployment at a historic low, Alabama was on the verge of a labor force shortage. Perhaps in response, the state appears to have begun drawing increased numbers of new residents. For Alabama to reach its economic potential, the state will need to continue to draw migrants. The existing population is aging, with the Baby Boom generation headed for retirement.

Drawing more workers into the state may help Alabama meet the goal established for the state workforce system: add 500,000 highly-skilled workers to its workforce by 2025. But reaching that goal will also require bringing more Alabamians back into the workforce, increasing labor force participation by increasing access to training and education.


2020 Kids Count Data Book provides roadmap for helping Alabama children

VOICES for Alabama’s Children recently released its 2020 Alabama Kids Count Data Book last month. This annual statistical portrait is meant to provide a roadmap for policymakers who seek to improve the lives of Alabama’s children. PARCA provides research support for the project.

The Data Book can be used to raise the visibility of children’s issues, identify areas of need, set priorities in child well-being, and inform decision-making at the state and local levels.

See how children in all 67 counties of our state are faring in education, health, economic security, and more.

View the 2020 Alabama Kids Count Data Book here.


New estimates show Huntsville as the state’s second-largest city.

Huntsville’s population grew past Montgomery’s and crossed the 200,000 mark in 2019, making the Rocket City the second largest city in Alabama.

If those estimates are accurate and current trends prevail, Huntsville will surpass Birmingham within the next three years to become the state’s largest city.

With the official 2020 Census count now in the field, Birmingham should hold on to the top spot when the count comes in. The 2019 estimates have Birmingham’s population at 209,403, down 1,084 from 2018. Meanwhile, Huntsville’s population grew by 2,449, pushing the city to 200,574. The 2010 Census put Birmingham’s population at 212,237 and Huntsville’s at 180,105.

Since 2010, Huntsville has added close to 20,000 residents. During this decade, Huntsville passed Mobile, which in 2019 estimated to have 188,720 residents, and Montgomery which is down to 198,525, after starting the decade with 205,593.

Birmingham’s metro area population is still growing and is more than twice the size of Huntsville’s. Six metro Birmingham suburbs ranked among the top 20 for numerical growth since 2010 including Hoover, Birmingham’s largest suburb. Since 2010, the strongest population growth has occurred in the Huntsville area, in Baldwin County, and in the two college towns, Tuscaloosa, and Auburn and Opelika.

In the most recent year, the population was strongest in the Huntsville area. Beyond the city of Huntsville, its neighbors Madison and Athens both ranked in the top five for numerical growth, each adding around 1,000 residents.

Outside the typical hotspots, Dothan saw growth, adding an estimated 604 residents.

With the exception of some cities in the Wiregrass and the Shoals, cities in non-interstate rural areas lost population in the most recent year estimated and throughout the decade. Selma, Tuskegee, and Eufaula had among the largest declines. Since 2010, Selma is down 3,551 residents, a 17% decline since 2010. That city’s 2019 population is estimated at 17,231.

No one knows what effect the Coronavirus pandemic will have on population trends or how it will affect the ongoing 2020 Census count. The stakes are high for Alabama. Population estimates suggest that Alabama is in danger of losing one of its congressional seats due to relatively slow population growth in Alabama compared to fast-growing states.

The disease outbreak has provided an additional demonstration of why it matters that the population of the state is counted as completely as possible. Much of the federal relief sent to states was distributed on Census population-based estimates.

So far, Alabama’s self-response rate to the Census is better than most other states in the Southeast but trails most states in the Midwest and Mid-Atlantic.

The Census Bureau sent out instructions for responding to the Census in March, either online, by phone, or through the mail. Starting in mid-April, the Bureau mailed paper questionnaires to homes that had not yet responded online or by phone.

Beginning in August and continuing until October 31, Census takers will be in the field interviewing at homes that haven’t responded. If your household hasn’t been counted, you can still respond.


Alabama State and Local Resources for following Coronavirus COVID-19

See the menu at the top of the PARCA homepage: Updated information available at PARCA’s Coronavirus Resource page

Responding to the spread of Cornavirus, Alabama’s State Health Officer ordered Tuesday that in Jefferson and surrounding counties, public gatherings of 25 people or more are prohibited until further notice, and restaurants have been ordered to cease on-site dining operations.

According to the Alabama Department of Public Health (ADPH), the state had 39 confirmed cases of the novel Coronavirus, COVID-19, as of Tuesday, March 17, at 3:30 p.m. Jefferson County had the highest number of cases with 21. (For updates, PARCA has established a PARCA’s Coronavirus Resource page, updated tallies are available directly from ADPH here. And AL.com has established a Coronavirus update page for breaking news).

Following the lead of Jefferson County Health Officer Mark Wilson, on Tuesday Scott Harris, Alabama’s State Health Officer, has ordered the curtailment of certain activities in the counties surrounding Jefferson.

Wilson on Monday said evidence indicates the virus is now spreading in the Jefferson County community. Wilson ordered that bars and restaurants cease offering on-premise dining, that daycares and private schools close, and that senior residential facilities take additional steps to restrict visitation and mingling within the facility. Gatherings of more than 25 people are prohibited. State officials said Tuesday that those same orders are being extended to Tuscaloosa, Blount, Walker, Shelby, and St. Clair Counties. Text of the state order is here.

In support of the work of the government and health care professionals involved in the Coronavirus containment effort, PARCA plans to gather and share information and resources on a daily basis as the situation unfolds. Check back on our PARCA’s Coronavirus Resource page for updates.

The Alabama Department of Public Health (as of March 17) has not yet ordered restrictions in the rest of the state. However, they strongly recommend that people statewide take steps to limit the spread. Those include:

  • No mass gatherings of 50 persons or more, or gatherings of any size that cannot maintain a consistent six-foot distance between participants. This may include festivals, parades, assemblies, or sporting events.
  • Senior adults or those with chronic health problems should avoid gatherings (outside of close family) of 10 or more persons, and should avoid travel by air, train or bus.
  • For retail businesses, including restaurants, limit patronage at any one time to 50% of the normally allowable capacity. Restaurants should maintain a six-foot distance between tables.
  • Public buildings should consider whether visitation may be limited. Hospitals, nursing homes and assisted living facilities are encouraged to implement visitation policies that protect vulnerable persons.
  • All persons should consider whether out-of-state travel plans may be delayed or canceled.
  • Participants in religious services or events, weddings, funerals, and family events should exercise prudence and maintain consistent six-foot distance between participants if possible.

For individuals and families, wash your hands, avoid crowds, and in public maintain a six-foot distance from others. Work from home if possible, and, if sick, stay home.

If You Feel You Need Testing for the Virus

If you suspect you have contracted COVID-19 and are experiencing symptoms, the Alabama Department of Health asks that you contact your health care provider to arrange for testing.

For those without a regular provider, call 1-888-264-2256 to find out about testing in your area.

For Travelers Returning from Affected Geographic Areas

If you recently traveled to one of these affected geographic areas within the last 14 days, visit the CDC’s page of COVID-19 Resources for Travelers. If a person has questions about being tested for COVID-19, with or without any travel history, visit COVID-19 Testing.

The Alabama Department of Public Health is posting its news conferences on the virus, including the most recent on March 17.

ADPH also provides links to local county health departments. As of yet, there is not a comprehensive list of testing sites.

Check back on PARCA’s Coronavirus Resource page for information updates.