State health officials say Monona and Emmett are the only Iowa counties to accept their full allocation of COVID-19 vaccine doses for next week.
According to data released on Friday, 40 counties accepted part of their allocation, and 57 counties declined all new doses.
State officials say because of the decrease in demand, they have accepted just 19,870 doses of their 68,950 dose federal allocation for next week. That's less than a third of it.
Iowa, like many states, has seen a decline in demand for the COVID-19 vaccine in recent weeks.
At a press conference this week, Gov. Kim Reynolds said the state is increasing its outreach efforts to encourage more people to get the shot.
According to state data, nearly half of adult Iowans are fully vaccinated. Close to 60 percent have had at least one dose.