BISMARCK — The North Dakota Department of Health reported 1,143 new COVID-19 cases and six deaths Sunday, Nov. 22, bringing the number of active cases to 10,244.

An analysis by the Federation of American Scientists shows North Dakota as the worst hot spot for COVID-19 in the world, along with having the worst mortality rate. So far 840 people have lost their lives in the state due to the virus, with 274 having died in November.

Six deaths were reported Sunday — five men and one woman — from Barnes, Cass, Dickey, Foster, Kidder and Sargent counties. The number of people currently hospitalized due to COVID-19 is 315, with 35 in the ICU. Those between the ages of 60-69 make up the largest age group currently hospitalized, with 2,459 hospitalized throughout the pandemic. Reports of nurse and bed shortages in hospitals have been noted.

Despite the recent mask mandate, the positivity rate of the virus continues to rise. In only a week, the positivity rate of North Dakota has gone from 19.71% to 21.51%. On March 22 the positivity rate by percentage was 2.07%.

Cass, Burleigh and Ward counties reported the highest number of cases in the state. Cass County added 179 cases and now has 1,725 active cases; Burleigh County, which includes Bismarck, has 1,506 cases, an increase of 158; and Ward County recorded 1,167 total cases, with 128 added Sunday.

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Neighboring Morton and Stark counties now have 514 and 386 active cases, respectively. Grand Forks County documented 1,031 cases, while Williston's Williams County recorded 328 total cases.

Every county in North Dakota has at least one active case.

Not only does Cass County have the highest number of active cases, it has also had the highest number of deaths in the state. In Cass County, 116 residents have died as a result of COVID-19, as well as 112 in Burleigh County, 114 in Ward County and 66 in Morton County.

Slope, Golden Valley, Billings and Adams counties have had no COVID-19 deaths.

Adams, Bowman, Burke, Cavalier, Eddy, Golden Valley, Kidder, Logan, McHenry, McIntosh, Nelson, Oliver, Pembina, Sheridan, Towner and Wells counties each added five or fewer new cases.

A total of 9,961 tests were conducted, in which 2,834 were tested for the first time. Of the 1,150 new cases, 584 had previously tested negative for COVID-19.

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