After adding over 141,000 new cases on Jan. 24, the U.S. now has more than 24,600,000 confirmed cases of COVID-19. There have been more than 400,000 COVID-19-related deaths — the highest death toll of any country.

New cases continue to rise, albeit at a slowing rate. In the past week, there were an average of 57.5 daily new coronavirus cases per 100,000 Americans — a decrease from the week prior, when there were an average of 71.9 daily new coronavirus cases per 100,000 people.

While COVID-19 has spread to nearly every part of the country, cities continue to be the sites of major outbreaks. Experts agree that the virus is more likely to spread in group settings where large numbers of people routinely have close contact with one another, such as colleges, nursing homes, bars, and restaurants. Metropolitan areas with a high degree of connectivity between neighborhoods and a large population may be particularly at-risk.

In the 50 largest metro areas, the incidence of coronavirus grew at an average rate of 61.2 new cases a day per 100,000 residents in the past week — 8.4% greater than the case growth in all counties outside of metro areas.

The Texarkana, TX-AR, metro area consists of Bowie County, Miller County, and Little River County. In the past week, there were an average of 59.2 new coronavirus cases every day per 100,000 Texarkana residents, in line with the national figure. The metro area’s average daily case growth in the most recent week is essentially unchanged from the week prior, when there was an average of 63.1 daily new cases per 100,000 Texarkana residents.

The spread of coronavirus depends on a variety of factors and can vary even between neighboring counties. Within the Texarkana metro area, COVID-19 is growing the fastest in Little River County, Arkansas. There were an average of 83.2 new cases per day per 100,000 residents in Little River County during the past week, the most of the three counties in Texarkana with available data.

Case growth in the Texarkana metro area varies widely at the county level. In Bowie County, for example, there were an average of 52.9 new cases per day per 100,000 residents in the past week — the least of any county in Texarkana and far less than the case growth rate in Little River County.

Just as Little River County is driving the growth of COVID-19 in the Texarkana area, it also has the highest incidence of cases overall. As of Jan. 24, there were a total of 9,809.1 confirmed cases per 100,000 residents in Little River County, the most of the three counties in the metro area. For comparison, the U.S. has so far reported 7,645.6 cases per 100,000 Americans nationwide.

In order to slow the spread of COVID-19, city and county governments have ordered the closure of thousands of consumer-facing businesses. These measures have led to widespread job loss and record unemployment. In Little River County, unemployment peaked at 10.4% in April 2020. As of November 2020, the county’s unemployment rate was 5.9%.

To determine the county in every metropolitan area where COVID-19 is growing the fastest, 24/7 Wall St. compiled and reviewed data from state and local health departments. We ranked counties according to the average number of new daily COVID-19 cases per 100,000 residents in the seven days ending Jan. 24. To estimate the incidence of COVID-19 at the metropolitan level, we aggregated data up from the county level using boundary definitions from the U.S. Census Bureau. Population data used to adjust case and death totals came from the U.S. Census Bureau’s 2018 American Community Survey and are five-year estimates. Unemployment data is from the Bureau of Labor Statistics and is not seasonally adjusted.

County	Population	New daily cases per 100,000, week ending Jan. 24	New daily cases per 100,000, week ending Jan. 17	Cumulative cases per 100,000	Cumulative deaths per 100,000
Little River County	12,417	83.2	91.1	9,809.1	330.2
Miller County	43,759	66.1	78.1	9,668.9	84.6
Bowie County	93,858	52.9	52.5	5,400.7	159.8

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

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