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 Sioux City metropolitan area, which covers parts of Iowa, Nebraska, and South Dakota, a total of 47,243 COVID-19 cases have been reported to date. Adjusted for population, there have been 28,008 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 Sioux City, there are still parts of the metro area where the per capita infection rate is relatively low.

The broader Sioux City metro area comprises five counties or county equivalents — and of them, Dixon County in Nebraska has the fewest COVID-19 cases per capita. So far, there have been a total of 1,237 confirmed infections in Dixon County, or 21,528 for every 100,000 people.

Not only does Dixon County have the lowest per capita infection rate in the Sioux City metro area, it also has a relatively low per capita fatality rate.

There have been a total of 191 coronavirus-related deaths for every 100,000 people in Dixon County, below the 343 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 17, 2022.

These are all the counties in South Dakota 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	Dixon County, NE	21,528	1,237	191	11
2	Union County, SD	22,629	2,818	418	52
3	Plymouth County, IA	25,892	6,483	415	104
4	Woodbury County, IA	28,963	29,658	334	342
5	Dakota County, NE	34,685	7,047	345	70

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