As the U.S. prepares for a potential winter coronavirus surge, many states are proving how safety is a priority by keeping cases down and taking continued precautions to help prevent spreading the virus. But others haven’t done such a great job at keeping the pandemic under control. WalletHub did a recent survey that ranks the safest states and the District of Columbia. According to the site, "In order to identify the safest states during the COVID-19 pandemic, WalletHub compared the 50 states and the District of Columbia across five key metrics: 1) Vaccination Rate, 2) Positive Testing Rate, 3) Hospitalization Rate, 4) Death Rate, and 5) Transmission Rate… Each metric was graded on a 100-point scale, with a score of 100 representing the safest conditions." Read below to find out the 7 least safest states according to WalletHub. Read on—and to ensure your health and the health of others, don’t miss these Sure Signs You’ve Already Had COVID . Cleveland, Ohio, USA downtown skyline on the river. Ohio ranked 45 out of 51 for safest states in the WalletHub survey and is experiencing a rise in cases and deaths. Cleveland.com reports, "COVID-19 activity is ‘exceptionally high’ in Northwest Ohio, which has the highest case rate per 100,000 residents in the state, coming in at 742.4 cases per 100,000 residents, Ohio Department of Health director Dr. Bruce Vanderhoff said in a press briefing. "The lowest region by comparison, is southwest Ohio at 401.9 cases per 100,000 residents." Vanderhoff added, "While you can still see the cases are high in all of Ohio’s counties, it’s clear that a higher vaccination rate is correlated with a lower case rate. Simply put, it’s a further demonstration of the protective impact of vaccination." State Capitol of North Dakota, Bismarck North Dakota ranked 46 out of 51 for safest states in the WalletHub survey and can’t shake the Delta variant. The Dickinson Press reports "The delta wave, which started in North Dakota this summer, peaked at 4,604 active cases on Oct. 6 and since has generally edged down along a zig-zagging trend line. Active cases were as high as 3,904 on Nov. 10 but fell to 2,841 as of Sunday, Nov. 21, according to figures from the North Dakota Department of Health." But officials are worried about a holiday surge. Dr. Avish Nagpal, the chief infectious disease specialist at Sanford Health in Fargo said, "Holidays always bring an unpredictable factor with them. We may see cases go up again.