North Central District Health Department (NCDHD) has been made aware of 26 additional cases in the district. Nine cases in the district, through case investigations, have been determined to be due from community spread: 2- Antelope, 1- Cherry, 1- Rock, 1- Brown, 2- Pierce, and 2- Holt. Eleven cases in the district, through case investigations, have been determined to be due from close contacts with confirmed positive COVID-19 cases: 1- Antelope, 2- Cherry, 5- Rock, 2- Brown, and 1- Knox . Six cases in the district are still under investigation 1- Keya Paha, 1-Cherry, 2-Pierce, 1-Knox, and 1-Boyd.

NCDHD has also been made aware of the first positive equine West Nile Virus case in the district in Holt County. There are three commercially available West Nile Virus equine vaccines. If you are an equine owner, talk to your veterinarian about vaccinating for West Nile Virus.

Case count update as of 9/17/2020 at 3:00 PM: 482 Total Cases (TC), 238 Recoveries (R), and 14 Deaths (D). A reminder that Total Case (TC) numbers are represented first, and of those total cases the number of Recovered (R) persons is represented second, and total case related Deaths (D) is represented third.

Antelope: TC: 46, R: 24, D: 1             

Boyd: TC: 13, R: 10                               

Brown: TC: 20, R: 7 D: 1                      

Cherry: TC: 64, R: 30, D:4                   

Holt: TC: 53, R: 24

Keya Paha: TC: 2, R: 1

Knox: TC: 139, R: 69

Pierce: TC: 99, R: 55, D:8

Rock: TC: 46, R:18