The number of confirmed coronavirus cases in Riverside County crept up by 133, with nine more deaths attributed to the virus, but known active cases fell further, health officials said Thursday.

The aggregate number of COVID-19 infections recorded since the public health documentation period began in early March is 54,868, compared to 54,735 on Wednesday, according to the Riverside University Health System.

Officials said the total number of deaths resulting from COVID-19 now stands at 1,094.

The number of known active cases countywide is 4,598, a decline of 291 since Wednesday. The active count is derived by subtracting deaths and recoveries from the current total — 54,868 — according to the county Executive Office.

The number of verified patient recoveries is 49,176. A recovery is defined as someone who has not manifested symptoms for 14 days.

As of Thursday afternoon, there were 189 patients hospitalized countywide for treatment of the virus, up four from a day ago. That figure includes 57 people in intensive care units.

Emergency Management Director Bruce Barton told the Board of Supervisors last week there has been “an ongoing significant decrease” from the peak of hospitalizations in mid-July, when 550 people were in the county’s 17 acute care medical facilities with virus symptoms.

On Aug. 28, Gov. Gavin Newsom unveiled a four-tier, color-coded system that’s used to assess the speed at which to loosen public health regulations impacting businesses, some of which have permanently closed countywide. The county remains in the purple tier, requiring many indoor enterprises to remain shut down, or to limit capacity.

In order for the county to move to the next level, the red tier, it has to document less than seven new COVID-19 cases per 100,000 population on a rolling seven-day average, and the positivity testing rate must be less than 8% in the same period.

The county reached the positivity rate that will allow it to move to the red tier (7.8%), but the case rate remains higher than the state’s requirement, RUHS officials said. This week, the state began adjusting the case rate higher for counties that are not meeting the state’s daily average testing volume, which brought Riverside County’s case rate from 7.4 to 8.6, according to the RUHS.

Officials urged those with and without symptoms to get tested, as well as younger people who traditionally have not gotten screened at the same rate as other groups.

Though Riverside County has the volume to test 4,000 people a day, only half that number have been getting tested at county and state testing sites in recent weeks, RUHS officials said. They believe this is partly due to more private providers offering antigen and antibody testing, which is not calculated in the state’s testing metric for active infections.

“We’e made a lot of progress in slowing the spread of the disease and we want residents to know that more testing will help us continue to disrupt the spread of the virus,” said Kim Saruwatari, director of the Riverside University Health System-Public Health.

“At the beginning of the pandemic, Riverside County led the state in per capita testing. We need to pick up our testing again — for both the purpose of isolating the sick and to help us safely reopen more parts of our community.”

There are 13 screening sites countywide, and they can be found at gettested.ruhealth.org.

“Testing is for everyone, regardless of immigration status or insurance, available for anyone with or without symptoms, and it is free,” said Riverside County Board of Supervisors Chair V. Manuel Perez. “By getting tested, you are helping keep your family and our community healthy.”

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