Virginia COVID-19 cases rise by more than 800 in a day to 14,339

As of Tuesday, April 28, the Virginia Department of Health has received 14,339 confirmed tests and clinical diagnoses for COVID-19 across the commonwealth.

New positive results submitted to the department have accelerated rapidly throughout April, with Virginia first crossing 2,000 cases on Friday, April 3; 3,000 cases by Tuesday, April 7; 4,000 cases by Thursday, April 9; 5,000 by Saturday, April 11; 6,000 by Tuesday, April 14; 7,000 by Friday, April 17; 8,000 by Saturday, April 18; 9,000 by Tuesday, April 22; 10,000 by Wednesday, April 22; 11,000 by Friday, April 24; 12,000 by Sunday, April 26; and 13,000 by Monday, April 27.

From Monday to Tuesday, cases rose by 804. Sunday and Monday had seen declining daily case totals, but the spike of 804 cases was a significant jump.

Virginia's projected peak, according to data modeling, should be around now.

Last Friday, Gov. Ralph Northam

, based on comprehensive testing, a steady supply of PPE, and requirements on open hospital capacity.

Those guidelines, based on federal guidance from the White House, call for 14 days of declining daily case totals before Virginia can enter Phase 1. Put simply, we're not there yet.

Researchers are also extremely confident there are many more people with positive cases who have not been tested because they didn't show symptoms, but can still pass the virus on to others. In long-term care facilities in Virginia where the full populations have been tested, large numbers of residents tested positive without displaying symptoms.

By April 28, the Virginia Department of Health had received reports of 13,794 confirmed and 545 probable cases of COVID-19 across the commonwealth.

Since an April 21 update to the VDH system, the department clarifies the difference in cases confirmed by lab tests and "probable" cases, which are cases that were diagnosed by a doctor based on symptoms and exposure without a test.

Those positive test results are out of 82,753 people that have been tested in Virginia, which comes out to around 17% of Virginians tested for the coronavirus receiving positive results.

At this point, 2,165 Virginians have been hospitalized due to the disease caused by the virus, and 492 have died of causes related to the disease.

In

, Dr. Norm Oliver, the state health commissioner, said the data on deaths displayed by the VDH is almost always delayed by a day or several from when the deaths actually occurred.

Since April 21, the

shows a lot more detail by locality, including hospitalizations and deaths for each city or county.

The hospitalization numbers are cumulative — they represent the total number of people hospitalized due to the disease throughout the outbreak and not the total number currently in the hospital. For current hospitalization stats,

.

In our area, as of April 28, there were at least 39 confirmed cases in Augusta County, 406 cases in Harrisonburg, 216 cases in Rockingham County, 89 cases in Page County, 79 cases in Shenandoah County, 11 cases in Staunton, 11 cases in Waynesboro, 2 cases in Highland County, 97 cases in Frederick County, 36 cases in Winchester, and 5 cases in Rockbridge County, along with 3 in Lexington.

Part of the Harrisonburg number, which has the most confirmed cases in our region, comes from

, where the Virginia Department of Health and UVA Health collaborated to test every resident and staff member, finding 81 residents and 12 staff members positive.

By Wednesday, April 22, the facility had

due to coronavirus.

A separate outbreak in Harrisonburg,

, has resulted in at least 25 positive cases, according to the Virginia Department of Corrections.

In Page County, which went from 30 cases on Friday to 87 as of Monday, a large part is accounted for from an outbreak at

, where 59 residents tested positive for the virus amid an outbreak.

The facility has 115 residents total. According to Dr. Colin Greene, with the Lord Fairfax Health District, about 10-15 percent of staff members there have tested positive as well.

The Central Shenandoah Health District currently has 10 identified outbreaks and the Lord Fairfax Health District has 11.

Health department officials have not specified the majority of the locations of those outbreaks, given that Virginia state code requires permission to be granted by a facility for their information to be released to the media.

Of the state's total hospitalizations, at least 42 have been in the Central Shenandoah Health District. Of those, 2 are in Augusta County, 25 in Harrisonburg, 14 in Rockingham County, and 1 in Waynesboro.

In the Lord Fairfax Health District, there have been at least 36 hospitalizations. Ten of those have been in Shenandoah County and ten in Page County.

As far as deaths, there have been two reported in Shenandoah County, one in Augusta County, nine in Harrisonburg, and one in Rockingham County.

Although the statewide numbers have listed 9 deaths in Harrisonburg since Friday, the

of coronavirus-related causes. It's unclear exactly why those numbers are still not reflected on the state dashboard.

While the state-listed number remains for Rockingham County has remained at one, WHSV has also confirmed with Cargill

of COVID-19.

Just to the east, there have been at least 80 cases in Albemarle County, 51 in Charlottesville, 9 in Greene County, and 7 in Nelson County. There have been 57 hospitalizations there.

In the part of West Virginia we cover, one case has been confirmed

, three cases

, and one case in Grant County.

The numbers provided here are a blend of the data provided by the Virginia Department of Health and case updates provided directly by our local health districts.

As of April 28, the Thomas Jefferson Health District had reported 3,060 total COVID-19 tests performed. The Lord Fairfax Health District had reported 3,117 tests, and the Central Shenandoah Health District had reported 2,463 tests.

For context, on a state level, of the COVID-19 tests administered, a little more than 17% of people tested have received positive results. Of the tests administered in the Central Shenandoah Health District, around 27% of people tested have received positive results.

According to Dr. Greene, with the Lord Fairfax Health District, those testing numbers reported by the Virginia Department of Health may not include all the tests that have actually been conducted. He said tests performed by private labs aren't always reported to the state if they came back negative, so advised that those numbers generally don't show the full picture.

Dr. Forlano, the state's deputy health commissioner, said in a Wednesday briefing that the state data is meant to give at look at overall trends more than it's meant to show every single case.

Wondering about the number of people who have recovered from COVID-19 in Virginia? Recovery information is not required to be sent to the Department of Health, so there is no accurate way to track that data for every single confirmed case.

But there is a way to track the number of patients who were hospitalized due to COVID-19 and have since been discharged – effectively tracking how many people have recovered from the most severe cases.

The Virginia Hospital & Healthcare Association updates their own dashboard of data each day on hospital-specific statistics, including bed availability, ventilator usage, and more. Their

indicates that, as of April 27, at least 1,914 COVID-19 patients have been discharged from the hospital.

Unlike the VDH data that reports cumulative hospitalizations, their data on hospitalizations reflects people currently hospitalized for COVID-19 (whether with confirmed or pending cases), and that number is at 1,508.

The data used by the VDH to report

hospitalizations is based on information reported in hospital claims. On the other hand, the numbers reported by the Virginia Hospital & Healthcare Association are based on a current census from hospitals, which provides a separate data set.

The

is updating with the latest statewide numbers at 9 a.m. each day.

The numbers that appear on that list are based on the cases that had been submitted to the department by 5 p.m. the previous day, so there is always some lag between when local health districts announce positive test results and when the department's numbers reflect those new results.

Our Virginia counties are primarily served by the Central Shenandoah Health District, which covers Augusta, Bath, Highland, Rockbridge and Rockingham counties, as well as the cities of Buena Vista, Harrisonburg, Lexington, Staunton and Waynesboro; and the Lord Fairfax Health District, which covers Shenandoah, Page, Frederick, Warren, and Clarke counties, as well as the city of Winchester.

According to the Virginia Department of Health's April 28 breakdown, 82,753 people in Virginia had been tested for the virus, with 14,339 positive results. The number of total tests increased significantly in recent days, with about 15,000 tests administered from Friday to Monday, falling in line with Gov. Northam's guidelines to focus on comprehensive testing for the state. But from Monday to Tuesday, the daily testing rate appeared to fall back to around 2,000 tests.

The department's breakdown and location map, available to the public

, shows the number of cases confirmed each day, number of people tested, total hospitalizations, total deaths, and demographic breakdowns, as well as breakdowns by health district.

Here's a breakdown of cases for our region as of 9 a.m. on April 28. You can find the breakdown for the entire state in the chart below our list.

• Augusta County - 39

• Buena Vista - 5

• Harrisonburg - 406

• Highland County - 2

• Lexington - 3

• Rockbridge County - 5

• Rockingham County - 216

• Staunton - 11

• Waynesboro - 11

10, with 1 in a long-term care facility, 1 in a healthcare setting, 6 in congregate settings, 1 in a correctional facility, and 1 in an educational setting

• Clarke County - 7

• Frederick County - 97

• Page County - 89

• Shenandoah County - 79

• Warren County - 47

• Winchester - 36

11, with 3 in long-term care facilities, 3 in healthcare settings, and 5 in congregate settings

• Albemarle County - 80

• Charlottesville - 51

• Fluvanna County - 73

• Greene County - 9

• Louisa County - 41

• Nelson County - 7

3, with 2 in long-term care facilities and 1 in a correctional facility

• Culpeper County - 126

• Fauquier County - 105

• Madison County - 14

• Orange County - 27

• Rappahannock - 3

1 in a healthcare setting

On Friday, April 24, Gov. Ralph Northam

, based on testing, PPE, and hospital capacity requirements. The governor also announced that he was delaying May's local elections by two weeks.

, but Tuesday saw an increase of more than 600 cases that quickly broke that trend.

On Thursday, April 23, Gov. Ralph Northam

, bringing the expiration dates of those orders more in line with other statewide orders.

Last Friday, Northam

to allow more medical providers to practice in Virginia during the state of emergency, and talked about the federal guidelines for reopening the state.

Last Wednesday, he

, which closed many non-essential businesses and banned gatherings of more than 10 people. That order is now set to run through at least May 8.

The previous Friday, he

, proposed the release of inmates with less than year left in their sentences, and emphasized a need for volunteers.

On April 8, he

to November by the General Assembly.

On March 30, Gov. Northam

by signing

, effectively instructing all Virginians to stay home except for essential needs.

Virginia remains under a state of emergency until June 10, and Northam's order that closed many non-essential businesses,

, remains in place until at least May 9.

That order is enforceable by law, so someone who hosts a gathering of more than 10 people can be charged with a Class 1 misdemeanor. You can learn more about what police enforcement of Northam's executive orders looks like

.

Most people don't suffer much from COVID-19, but it can cause severe illness in the elderly and people with existing health problems.

The coronavirus that causes COVID-19 can cause mild to more severe respiratory illness. In a small proportion of patients, COVID-19 can cause death, particularly among those who are older or who have chronic medical conditions. Symptoms include fever, cough, and difficulty breathing. Symptoms appear within 14 days of being exposed to an infectious person. COVID-19 spreads primarily through respiratory droplets produced when an infected person coughs or sneezes.

To lower the risk of respiratory germ spread, including COVID-19, the Virginia Department of Health encourages the following effective behaviors:

• Wash your hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer only if soap and water are not available.

• Avoid touching your eyes, nose, and mouth.

• Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.

• Clean and disinfect frequently touched objects and surfaces.

• Stay home when you are sick.

• Avoid contact with sick people.

• Avoid non-essential travel.

For the latest factual information on COVID-19, you're encouraged to check both the

and the

.