The ability to handle a COVID-19 outbreak was obtained from the Surgo Covid-19 Vaccine Coverage Index (CVAC). The Covid-19 Vaccine Coverage (CVAC) Index measures how well a community may be able to handle the repercussions of a COVID-19 outbreak. CVAC is based on a community's access to health care, affordable housing, transportation, childcare, or safe and secure employment. CVAC Index values range from 0 (least vulnerable) to 1 (most vulnerable). The CVAC Index can also be categorized as follows: Very Low (0.0-0.19), Low (0.20-0.39); Moderate (0.40-0.59); High (0.60-0.79); Very High (0.80-1.0).