Special Report

This Is the County in the Omaha-Council Bluffs, NE-IA Metro Area With the Most COVID-19

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Following a months long surge driven by the delta variant, new daily cases of COVID-19 are falling once again in the United States. To date, there have been 44,940,700 reported cases of the virus nationwide — and that number is growing every day.

In the Omaha-Council Bluffs metropolitan area, which covers parts of Nebraska and Iowa, a total of 142,086 COVID-19 cases have been reported to date. Adjusted for population, there have been 15,396 reported infections for every 100,000 people in the area — above the national rate of 13,736 cases per 100,000 people.

The higher than average per capita COVID-19 infection rate across Omaha-Council Bluffs is being driven by a high concentration of the virus in one area in particular.

The broader Omaha metro area comprises eight counties or county equivalents, which can include independent cities — and of them, Sarpy County has the most COVID-19 cases per capita. So far, there have been a total of 28,035 infections in Sarpy County, or 15,719 for every 100,000 people.

A relatively high infection rate does not necessarily mean COVID-19 related fatalities per capita are higher in Sarpy County than they are across all of the Omaha area, however. There have been a total of 94 coronavirus deaths for every 100,000 people in Sarpy County, compared to 144 COVID-19 deaths per 100,000 across the entire Omaha-Council Bluffs metro area.

All COVID-19 data used in this story are current as of Oct. 22, 2021.

These are all the counties in Nebraska where COVID-19 is slowing (and where it’s still getting worse).

Rank Geography COVID cases per 100,000 people Total cases Deaths per 100,000 people Total deaths
1 Sarpy County, NE 15,719 28,035 94 167
2 Douglas County, NE 15,540 86,248 142 789
3 Harrison County, IA 15,393 2,177 544 77
4 Pottawattamie County, IA 15,268 14,276 214 200
5 Saunders County, NE 14,797 3,111 95 20
6 Washington County, NE 13,621 2,754 143 29
7 Cass County, NE 13,563 3,486 66 17
8 Mills County, IA 13,365 1,999 194 29

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