Counties with worst virus surges overwhelmingly voted Trump

U.S. voters went to the polls starkly divided on how they see President Donald Trump's response to the coronavirus pandemic, with a surprising twist: In places where the virus is most rampant now, Trump enjoyed enormous support.

An Associated Press analysis reveals that in 376 counties with the highest number of new cases per capita, the overwhelming majority — 93% of those counties — went for Trump, a rate above other less severely hit areas. Most were rural areas in the Dakotas, Montana, Nebraska, Wisconsin and Iowa.

Taking note of the contrast, state health officials are pausing for a moment of introspection. Even as they worry about rising numbers of hospitalizations and deaths, they hope to reframe their messages and aim for a reset on public sentiment now that the election is over.

“Public health officials need to step back, listen to and understand the people who aren’t taking the same stance” on mask-wearing and other control measures, said Dr. Marcus Plescia of the Association of State and Territorial Health Officials.

“I think there’s the potential for things to get less charged and divisive," he said, adding that there’s a chance a retooled public health message might unify Americans around lowering case counts so hospitals won’t get swamped during the winter months.

The AP’s analysis was limited to counties in which at least 95% of precincts had reported results, and grouped counties into six categories based on the rates of COVID-19 cases they’d experienced per 100,000 residents.

Polling, too, shows voters who split on Republican Trump vs. Democrat Joe Biden differed on whether the pandemic is under control.

Thirty-six percent of Trump voters described the pandemic as completely or mostly under control, and another 47% said it was...