The map in question is indeed real from a Kentucky government website. The tweet expresses political satire, and is clearly using satire as a tool to demonstrate a personal opinion. Not misleading.

There is no way to verify if every person who says "Biden is a disgrace" is also doing these other things. It is fairly misleading.

At this point it is super simple to google this info or just search the CDC to find this is a heavily edited image. If you post images like this a report is soon to follow. - an actual MOD

People who are saying ‘Biden is a disgrace’ are: Standing in 95 degree heat swathed in Trump flags, Protesting kids wearing soft cloth across their mouths, During the worst of the pandemic, in a state that looks like this. Tell me again…who’s a disgrace now? #Truth2Voice