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Tulare County remains the highest in confirmed COVID-19 cases in the centra San Joaquin Valley.

On Monday, Tulare County Public Health Branch announced four new cases of positive COVID-19 tests in Tulare County, bringing the total to 16.

The new cases are all travel-related, with three of the most recent patient being between 18 and 25 years old. One patient is between the ages of 26 and 40.

All the individuals are at home under self-isolation, county officials stated.

In comparison, San Bernadino County, with 2.2 million people, has 17 total cases. Tulare County's population is an estimated 440,000.

"It’s more important than ever that our community stays at home and ensures they’re only leaving their homes to access essential services," states Dr. Karen Haught, County Public Health Officer. "We are wishing all our positive cases a swift recovery."

Dinuba, Porterville, Tulare, and Visalia are communities that are impacted by positive cases. Public Health staff have started additional contact investigations Monday morning.

Of the 16 patients, one is a minor. It's unclear which school the minor attends.

As of Monday morning, there were 123 people under self-quarantine being monitored by county health officials.

On Monday, there were six confirmed cases of COVID-19 in Fresno County.

Across California, there are 1,828 positive COVID-19 cases and 35 deaths as of Monday morning, according to the California Department of Public Health. More than 26,000 tests have been conducted in the state so far.

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Tulare County HHSA continues to urge individuals to monitor their health closely.

Avoid all non-essential gatherings

If you are ill, stay home

If you are a member of a vulnerable population, stay home as much as possible

Practice social distancing

Practice good hand and environment hygiene

If you are a person who has traveled outside the county or country, please call 2-1-1 to find about the potential need to self-quarantine

Please call 2-1-1 if you have the symptoms of COVID-19, such as:

Fever

Cough

Inability to take in a deep breath

Other lower respiratory symptoms

Community members with urgent questions about or symptoms of COVID-19 in Tulare County can call 2-1-1 to be connected to the information and resource hotline.

If you are a member of our senior population, over 65 years of age, and you need help with questions and resources, please call K/T AAA at 1-800-321-2462 or online at www.ktaaa.org.

Please note that although testing for COVID-19 is occurring at the Tulare County Public Health Lab, all results are only available through the testing physician.

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Sheyanne Romero covers Tulare County public safety, local government and business for the Visalia Times-Delta and Tulare Advance-Register newspapers. Follow her on Twitter @sheyanne_VTD. Get alerts and keep up on all things Tulare County for as little as $1 a month. Subscribe today.