Not necessarily. Dougherty County, GA is rural and has one of the highest infection rates and fatality rates (per capita) in the world.
JAPAN
Cases 2,524 (+346)
Fatalities 82 (+25)
https://www.thestar.com.my/news/2020/04/02/covid-19-infections-in-japan-rise-to-2524
I can only see Virginia and the cases outside metro areas are very small in number. We have 2 cases in the surrounding 5 counties, both of them returning college students from Spring Break.