COVID-19: Over 1 in 200 People in These Counties Has Died

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By Douglas A. McIntyre Published
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COVID-19: Over 1 in 200 People in These Counties Has Died

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The spread of COVID-19 has slowed in America over the past three weeks. However, there are 27,539,217 confirmed cases, after a one-day gain of 100,657. Fatal cases number 473,223, up by 888. Despite the presence of vaccines, experts believe 600,000 people could die of COVID-19 by summer, in part because the rate of vaccination has been slow, and also because new variants of the disease may spread quickly and could be more fatal.

Click here to see the state that has failed most to vaccinate its residents.

The extent to which the rate of deaths from COVID-19 has changed over time recently showed up again as fatal cases in California passed those of New York State. New York was the leader in fatalities for months after the devastation of last March, April and early May. The disease took hold horribly in California much more recently. California’s fatal case count has reached 45,436, after 466 were added in the past day. New York’s count rose by 168 to 44,851.

One yardstick used to measure COVID-19 fatal cases is deaths per 1,000 people. This allows for apples-to-apples comparisons across different population sizes by county and state. Based on the measure, 26 American counties have had more than one in 200 residents die, a staggering figure.

Most of these counties are small by population. The largest of them is McKinley, New Mexico, which has 72,849 residents. Almost all others have populations under 10,000. One, Grant County, Nebraska, has only 718.
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A disproportionate number of the counties are in North and South Dakota, which have been ravaged by the disease despite their small populations and low population density levels. Experts blame some of this on the lack of government-enforced measures to curtail the spread of the disease. Others blame small hospitals being overwhelmed by serious cases. Of the 26 counties where over one in 200 people has died, an extraordinary 15 were in these two states.

The hardest-hit county based on deaths per 1,000 people is Jerauld County, South Dakota. Among its 2,029 residents, 0.789% died of COVID-19. Located in the south-central part of the state, it covers 533 square miles, so it is sparsely populated. Like many of the counties badly damaged in the Great Plains States, it is largely white and far from affluent. Over 92% of the population in Jerauld is white, according to the U.S. Census Bureau. The median household income is $49,632, almost $20,000 below the national median. The number of people who live below the poverty line is 16.3%, well above the national average.

Click here to see the city where cases are soaring.

These are the 66 American counties where more than one person in 200 has died:

County State Population Deaths per 1,000
Jerauld South Dakota 2,029 7.89
Emporia Virginia 5,381 6.50
Hancock Georgia 8,535 6.44
Dickey North Dakota 4,970 6.44
Gregory South Dakota 4,201 6.43
Hamlin South Dakota 6,000 6.33
Buffalo South Dakota 2,053 6.33
Galax Virginia 6,638 6.18
Motley Texas 1,156 6.06
Turner South Dakota 8,264 6.05
Lamb Texas 13,262 5.88
McKinley New Mexico 72,848 5.83
Foster North Dakota 3,290 5.78
Pierce North Dakota 4,210 5.70
Neshoba Mississippi 29,376 5.62
Robertson Kentucky 2,143 5.60
Faulk South Dakota 2,322 5.60
Grant Nebraska 718 5.57
Aurora South Dakota 2,759 5.44
East Feliciana Louisiana 19,499 5.33
Fulton Arkansas 12,139 5.27
Renville North Dakota 2,495 5.21
Grant South Dakota 7,217 5.13
Dawson Texas 12,964 5.09
Day South Dakota 5,506 5.09
Big Horn Montana 13,376 5.08

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Photo of Douglas A. McIntyre
About the Author Douglas A. McIntyre →

Douglas A. McIntyre is the co-founder, chief executive officer and editor in chief of 24/7 Wall St. and 24/7 Tempo. He has held these jobs since 2006.

McIntyre has written thousands of articles for 24/7 Wall St. He is an expert on corporate finance, the automotive industry, media companies and international finance. He has edited articles on national demographics, sports, personal income and travel.

His work has been quoted or mentioned in The New York Times, The Wall Street Journal, Los Angeles Times, The Washington Post, NBC News, Time, The New Yorker, HuffPost USA Today, Business Insider, Yahoo, AOL, MarketWatch, The Atlantic, Bloomberg, New York Post, Chicago Tribune, Forbes, The Guardian and many other major publications. McIntyre has been a guest on CNBC, the BBC and television and radio stations across the country.

A magna cum laude graduate of Harvard College, McIntyre also was president of The Harvard Advocate. Founded in 1866, the Advocate is the oldest college publication in the United States.

TheStreet.com, Comps.com and Edgar Online are some of the public companies for which McIntyre served on the board of directors. He was a Vicinity Corporation board member when the company was sold to Microsoft in 2002. He served on the audit committees of some of these companies.

McIntyre has been the CEO of FutureSource, a provider of trading terminals and news to commodities and futures traders. He was president of Switchboard, the online phone directory company. He served as chairman and CEO of On2 Technologies, the video compression company that provided video compression software for Adobe’s Flash. Google bought On2 in 2009.

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