Special Report

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

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Though vaccine distribution is well underway across the United States, the novel coronavirus continues to spread through the population. To date, there have been 34,256,300 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 25,213 COVID-19 cases have been reported to date. Adjusted for population, there have been 14,948 reported infections for every 100,000 people in the area — above the national rate of 10,471 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 3,939 infections in Dakota County, or 19,388 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 250 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 July 28, 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 19,388 3,939 320 65
2 Plymouth County, IA 16,171 4,049 327 82
3 Woodbury County, IA 14,960 15,319 225 230
4 Dixon County, NE 10,633 611 157 9
5 Union County, SD 10,399 1,295 281 35

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