Oregon, Virginia, Louisiana and New York all reported their first coronavirus-related deaths on Saturday, as the toll nationwide approached 60.

Washington state also announced three more deaths the same day, raising its total to 40.

The three additional deaths included a woman in her 70s and two men in their 80s, both of whom were residents at Life Care Center of Kirkland, the long-term-care facility that has become the epicenter of the outbreak in Washington.

In Oregon, a 70-year-old man from Multnomah County died in the Portland Veterans Affairs Medical Center after testing positive on March 10, according to the Oregon Health Authority. He had underlying conditions and is believed to have been infected through person-to-person contact.

“While we knew we would arrive at this day at some point, it doesn’t lessen the impact,” health director Patrick Allen said. “Our thoughts and deepest sympathy are with the family of this individual who honorably served his country.”

The Louisiana patient was a 58-year-old Orleans Parish resident with underlying health conditions, the governor’s office said. The state now reports 77 positive tests for the virus, 10 of them just announced.

“Now more than ever, we must remain vigilant against the spread of this illness by taking care of ourselves and each other, avoiding going into public areas if you are sick, practicing social distancing and washing your hands frequently with soap and water,” Gov. John Bel Edwards (D) said in a statement.

In Virginia, a man in his 70s who lived in the central part of the state died Saturday of respiratory failure, state health officials said.

“On behalf of the entire Commonwealth, we express our deepest sympathy for the family and loved ones of the patient who died, as well as the families of everyone who has been affected by this outbreak,” state Health Commissioner M. Norman Oliver said in a statement. “The health of our residents and the community is our top priority, and we will continue working together to care for the patients, protect the safety of health care workers, and protect the people in our Commonwealth.”