More COVID-19 cases per capita in U.S. metro than nonmetro areas, but the share of cases in nonmetro areas is increasing

COVID-19 has spread to nearly every nation in the world, and to every State and nearly every county in the United States. The virus initially spread most rapidly to large metropolitan areas, and most confirmed cases are still in metro areas with populations of at least 1 million, according to the Economic Research Service’s (ERS) analysis of data from the Johns Hopkins University Center for System Science and Engineering. This is consistent with most of the U.S. population living in large metro areas. Even in per capita terms, the prevalence of COVID-19 cases has been greater in metro than in nonmetro areas since the initial appearance of the pandemic in the United States (the first confirmed case was reported on January 20, 2020). As of September 1, cumulative confirmed cases per 100,000 residents reached 1,877 in metro areas, compared with 1,437 cases in nonmetro areas. Although the prevalence of COVID-19 cases remains lower in nonmetro areas, the share of cases in nonmetro areas has grown since late March. The nonmetro share of all confirmed U.S. COVID-19 cases grew from 3.6 percent on April 1 to 11.1 percent on September 1. ERS regularly produces research on rural America, including demographic changes in rural communities and drivers of rural economic performance. This chart appears in the ERS topic page, The COVID-19 Pandemic and Rural America, updated September 2020.