DES MOINES, Iowa (AP) — Iowa health officials said Sunday that they have confirmed 38 more cases of COVID-19 and a fourth death.

The Iowa Department of Public Health said the state now has 336 positive cases, up from 298 on Saturday. The latest death was a Linn County resident between the ages of 61 and 80.

The new cases include 10 in Polk County, six in Linn County and four each in Johnson and Dubuque counties. The virus has now been found in 50 of Iowa’s 99 counties.

The new cases include nine people who range in age from 18 to 40; 14 who are 41-60 years old; 14 who are older than 60; and one child younger than 18.

For most people, the coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia, and death.

Iowa Gov. Kim Reynolds has ordered bars, dine-in restaurants, theaters, casinos and businesses that sell furniture, books and clothing to remain closed until at least April 7 to help limit the virus’ spread.

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