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You glossed over that it could have been another strain, or a cluster that died off. Doesn't really change anything in regards to what has happened.
Yes, this is more serious in areas with high poulation density and other variables, that's been known for quite some time now.
I would say it has less to do with population density and everything to do with the age of the patient and any existing medical conditions they have.
Per CDC reports, if you're under 55, the mortality rate is less than 1%, and for 35 and under it's less than 0.1%. Patients over 65 account for almost 75% off all reported cases.
I'm guessing there's huge numbers of younger people who've been exposed and were never "Reported" because they either had no symptoms or had very mild symptoms.
https://data.cdc.gov/NCHS/Provisional-COVID-19-Death-Counts-by-Sex-Age-and-S/9bhg-hcku