Special Report

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

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 47,138,600 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 32,585 COVID-19 cases have been reported to date. Adjusted for population, there have been 19,318 reported infections for every 100,000 people in the area — above the national rate of 14,408 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 4,880 infections in Dakota County, or 24,019 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 272 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 Nov. 19, 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 24,019 4,880 320 65
2 Woodbury County, IA 19,770 20,244 250 256
3 Plymouth County, IA 19,206 4,809 351 88
4 Union County, SD 14,695 1,830 313 39
5 Dixon County, NE 14,306 822 191 11