Contra Costa County has 46 new cases of coronavirus as of Saturday morning, bringing the total of cases in the county to 353, according to the county’s health services. Additionally, one more person was reported hospitalized for COVID-19, for a total of 32.

No new deaths were reported in the county, which so far has had five fatalities from the virus.

Contra Costa County joined Alameda, Marin, San Francisco, San Mateo and Santa Clara counties, as well as the city of Berkeley, in issuing an extended shelter-in-place order earlier this week, which placed additional restrictions on essential businesses and extended the order to May 3. The order is part of an effort to slow the spread of the virus in the region.

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Coronavirus rates soar in college towns as students return to campus On Friday, Contra Costa County also issued an order directing any patients with COVID-19 to self-quarantine for seven days after the date of a positive test or at least seven days after starting to experience symptoms. Anyone who came into close contact with someone who has tested positive must also quarantine themselves for 14 days after their last contact.

“We’ve reached a critical point in the COVID-19 crisis here in Contra Costa,” Dr. Chris Farnitano, health officer at the county, said in a statement about the order. “Our resources are stretched extremely thin and business as usual is not an option.”

The county also reported it conducted 435 new coronavirus tests, for a total of 4,929 tests. The county is home to nearly 1.2 million people.