The worst virus outbreaks in the U.S. are now in rural areas.

With the U.S. case count and hospitalization rates approaching a third peak, none of the country’s biggest hot spots are currently in a large city. Almost all the counties with the largest outbreaks have populations under 50,000, and most have populations under 10,000. Nearly all are in the Midwest or the Mountain West.

source https://www.nytimes.com/2020/10/22/world/the-worst-virus-outbreaks-in-the-us-are-now-in-rural-areas.html