Those counties are:
- Esmeralda, Nev. (population: 981)
- Loving, Texas (102)
- Skagway, Alaska (1,061)
- Kalawao, Hawaii (75)
While the counties point to their small populations as a strong deterrent of virus spread, local officials also described the vigilance exercised by residents and local healthcare providers to keep their counties free of COVID-19, including revised voting procedures for the election, limited gatherings, masking, social distancing and — for Skagway — a significant level of testing given its remote location.
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