It's starting to impact my extended family. Active cases I know of, or which are fairly certain: My wife's 93-year old aunt. My wife's sister, and having spoken to her Husband by phone the other day constantly coughing - I am quite sure he has it, and one of my 1st cousins who is about 70-years old is hospitalized with it. My wife has a cousin whose spouse has it and we suspect her cousin spread it to her aunt and probably had it.
It is to the point here in NE Iowa that I think we are more likely to get it than to avoid it. I reported here earlier I tested positive in October, and I am quite isolated.
The governor put out a mask mandate a few days ago, but I noticed in Wal-Mart someone not adhering to it. And we have people dying from it here, and that has affected my law practice.