An additional 23 cases of COVID-19 and one related death have been reported for Barnstable County since Tuesday, April 7.

The total number of confirmed cases on Cape Cod is now 423, with 11 deaths.

A woman in her 90s who was hospitalized with unknown pre-existing conditions is the most recent reported fatality.

Across the state a total of 77 coronavirus deaths have been reported in the state since Tuesday, April 7, for a total of 433 deaths statewide.

The state has seen an increase of 1,588 cases since April 7.

Governor Charles D. Baker Jr. said in a press conference on April 7 that about 30 percent of people who have been tested for the disease have tested positive.

There are nearly 1,000 more women than men infected in the state, with women accounting for 8,872 cases and men for 7,874. There are 44 cases where the state does not currently know the gender of the patient.

By age there are 363 cases in people who are 19 or younger; 2,195 in people between 20 and 29; 2,603 in those between the ages of 30 and 39; 2,649 who are 40 to 49; 3,204 in people ages 50 to 59; 2,398 in those who are between 60 and 69; 1,529 in people who are between 70 and 79; and 1,847 in the 80 older age group. The ages of two patients are not known at this time.

The state also started classifying cases by race or ethnicity in the latest update. This data do not necessarily reflect all patients, as the race of more than half of the affected patients has not been reported. The information is also not necessarily being self-reported by the affected individual.

Of the races reported, the most affected is among non-Hispanic whites who make up 16 percent of cases and 23 percent of COVID-19 deaths. Hispanics account for 7 percent of cases and 3 percent of the deaths, non-Hispanic blacks make up 5 percent of the cases and 2 percent of the deaths, non-Hispanic Asians people represent 1 percent of cases and 1 percent of deaths, and people classified as non-Hispanic other make up 3 percent of the cases and 2 percent of the deaths.

The race and ethnicity are unknown in 53 percent of the cases and 53 percent of the deaths.

An additional 14 percent of the cases and 16 percent of the deaths were labeled "race missing."

The state Department of Public Health clarified the difference between the two designations.

"If no information is provided by any reporter on a case’s race or ethnicity, DPH classifies it as missing," the latest report says. "A classification of unknown indicates the reporter did not know the race and ethnicity of the individual, the individual refused to provide information, or that the originating reporting system does not capture the information."

Sean O'Brien, director of the Barnstable County Department of Health and Environment, has continued to advise that the state is going to see a surge in cases this week into next week. He asks that residents take the stay-at-home advisory seriously and wear masks and take proper precautions when out in public.

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