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The first case of community-spread COVID-19 has been reported in Ohio, state health officials now say.During a Wednesday afternoon press conference, Ohio Gov. Mike DeWine confirmed the state now has four confirmed cases of the new coronavirus.The newest case is that of a 53-year-old man in Stark County, officials said. That man has no recent history of travel outside of the United States and has no known contact with someone who has COVID-19.It's the first case of community-spread COVID-19 in the state.Three other cases have been reported in Cuyahoga County.One is a man who attended a conference in Washington, D.C., last weekend. The other two are a married couple and had just returned from a trip to Egypt. All three are in their 50s."We know this disease is spreading in the U.S. We have some hard months ahead with social disruption, but we know when we take these actions they make a difference," said Ohio Department of Health Director Amy Acton Wednesday."Community spread is a game-changer. You're going to see us taking more aggressive actions now. Please know that we're doing this to protect Ohioans and protect our healthcare system," Acton added. The news comes a day after DeWine mad a statewide push for spectator-less indoor sporting events across the state."For indoor events, we are asking for no events with spectators other than the athletes, parents and others essential to the game. Right now, outdoor events can continue," DeWine said.Religious institutions should limit practices that spread germs, DeWine said, adding, "If you are in an at-risk group, please think about staying home."He also asked for nursing homes to screen visitors and vendors for signs of illness in an effort to protect the at-risk populations residing there. In addition, prison visitation has also ended, DeWine said, and entrance to Ohio's prisons will be restricted."The death rate is scaring people," Dr. Melba Moore, Cincinnati's health commissioner, said Monday.She emphasized a series of practical steps that should be taken to prevent both the spread of the virus and panic.She cautioned about the reality of low-wage workers who cannot afford to miss work even if they experience flu-like symptoms."We need to think about maybe suspending some of our policies as it relates to people coming to work," Moore said. "If you don't feel good, stay at home."For those with few or no sick days that are compensated with pay, that becomes problematic.Moore said businesses need to recognize an employee who is symptomatic can spread the virus to co-workers and customers who might then spread it much further, which is what health authorities are trying to prevent.It's possible a worker could be out for 14 days if quarantined, or longer if one of their children develops symptoms.The NCAA conference basketball tournaments are just a week away. Opening Day draws near.The Flying Pig Marathon is another large gathering that's part of the gathering assessment about potential modification."Public Health Partners are discussing and being prepared. As information changes by the day, this is actually kind of a daily conversation about what's needed for each event," said Greg Kesterman, the health commissioner for Hamilton County.At the moment, there are no changes to any event.But the situation is as fluid as the sanitizer lotion health officials suggest you use often.Those organizing the city summit ask citizens to refrain from panic and to take their cues from health professionals.They want citizens to have an improved understanding of what they can do to help limit the affects of COVID-19.In some places, there has been a run on sanitizer, disinfecting wipes and masks."We know that there's a limited supply of those supplies and that's why we're saying to the general public you don't need to run out and get an N95 mask," Moore said. "Reserve those for our health care workforce and our first responders."Assessments are being made on a day-to-day basis.Cincinnati's school superintendent met with Moore last Friday. The impact of the three new cases upstate is not fully known yet.For now, officials are advising you to clean contact surfaces, avoid touching your face as best you can and practice social distancing.Anyone with questions about COVID-19 is encouraged to call the Ohio Department of Health's hotline at 1-833-427-5634.