A fourth case of COVID-19 (coronavirus) has been confirmed in Ohio, state health officials said Wednesday.

The new case, a man in his mid-50s from Stark County, is in addition to three cases confirmed prior to Wednesday, all three of which are residents in Cuyahoga County who are also in their mid-50s.

Health officials said the Stark County man had no history of international travel and no history of close interaction with individuals who recently traveled out of the country, calling it a case of “community spread” for the virus in Ohio.

According to the Ohio Department of Health, 24 people are currently being tested for COVID-19 in Ohio. 21 people have tested negative so far.

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