To date, 88,027,926 Americans are confirmed to have been infected with COVID-19 — and over 1 million have died as a result. On a per capita basis, the U.S. has one of the highest known infections rates in the world.

In the Des Moines-West Des Moines metropolitan area, located in Iowa, a total of 176,732 COVID-19 cases have been reported to date. Adjusted for population, there have been 27,867 reported infections for every 100,000 people in the area — in line with the national rate of 26,906 cases per 100,000 people.

Though per capita cases of COVID-19 are closely in line with the national per capita infection rate in Des Moines-West Des Moines, there are still parts of the metro area where the per capita infection rate is relatively low.

The broader Des Moines metro area comprises five counties or county equivalents — and of them, Madison County in Iowa has the fewest COVID-19 cases per capita. So far, there have been a total of 3,283 confirmed infections in Madison County, or 20,661 for every 100,000 people.

Though Madison County has the lowest per capita infection rate in the Des Moines metro area, its per capita fatality rate is disproportionately high.

There have been a total of 252 coronavirus-related deaths for every 100,000 people in Madison County, above the 235 COVID-19 deaths per 100,000 across the entire Des Moines-West Des Moines metro area.

All COVID-19 data used in this story are current as of July 17, 2022.

These are all the counties in Iowa 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	Madison County, IA	20,661	3,283	252	40
2	Guthrie County, IA	23,065	2,462	440	47
3	Warren County, IA	26,671	13,165	276	136
4	Polk County, IA	28,108	133,309	236	1,121
5	Dallas County, IA	29,181	24,513	176	148

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