More than 1 million Americans have died from COVID-19 – more than the total number of Americans killed in World War I and World War II combined.

In the Sioux City metropolitan area, which covers parts of Iowa, Nebraska, and South Dakota, a total of 579 deaths have been attributed to the virus, equal to 349 fatalities for every 100,000 people. Nationwide, 310 deaths have been attributed to the virus per 100,000 people.

The higher than average per capita COVID-19 death rate across the metro area is being driven by one area in particular.

The broader Sioux City metro area comprises five counties or county equivalents — and of them, Union County has had the most COVID-19 fatalities per capita. So far, the per capita coronavirus death rate in Union County stands at 418 for every 100,000 people.

Though it has the highest per capita death rate in the Sioux City metro area, Union County ranks among the middle 50% of all U.S. counties or county equivalents by COVID-19 death rate per capita.

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

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

Rank	Geography	Deaths per 100,000 people	Total deaths	Confirmed cases per 100,000 people	Total confirmed cases
1	Union County, SD	418	52	22,629	2,818
2	Plymouth County, IA	415	104	25,892	6,483
3	Dakota County, NE	345	70	34,685	7,047
4	Woodbury County, IA	334	342	28,963	29,658
5	Dixon County, NE	191	11	21,528	1,237

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