Special Report

These Are the Counties in the Sioux City, IA-NE-SD Metro Area With the Most COVID-19

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Despite the ongoing vaccination effort, new daily cases of COVID-19 are beginning to rise once again in parts of the United States. To date, there have been 48,413,300 reported cases of the virus nationwide — and that number is growing every day.

In the Sioux City metropolitan area, which covers parts of Iowa, Nebraska, and South Dakota, a total of 33,455 COVID-19 cases have been reported to date. Adjusted for population, there have been 19,834 reported infections for every 100,000 people in the area — above the national rate of 14,798 cases per 100,000 people.

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

The broader Sioux City metro area comprises five counties or county equivalents, which can include independent cities — and of them, Dakota County has the most COVID-19 cases per capita. So far, there have been a total of 4,966 infections in Dakota County, or 24,443 for every 100,000 people.

Not only does Dakota County have the most COVID-19 infections per capita in the Sioux City area, it also has more deaths attributable to the virus per capita than the metro area as a whole. There have been a total of 320 coronavirus deaths for every 100,000 people in Dakota County, compared to 277 COVID-19 deaths per 100,000 across the entire Sioux City metro area.

All COVID-19 data used in this story are current as of Dec. 3, 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 Dakota County, NE 24,443 4,966 320 65
2 Woodbury County, IA 20,250 20,736 257 263
3 Plymouth County, IA 19,701 4,933 351 88
4 Union County, SD 15,828 1,971 329 41
5 Dixon County, NE 14,775 849 191 11

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