Getting your Trinity Audio player ready...

The number of COVID-19 cases in Virginia has climbed to 67 with a spike in the number of people tested.

About 1,028 test results had been received as of noon Monday, with 67 people testing presumptive positive, according to the Virginia Department of Health.

The Peninsula Health District continues to have the highest number of cases, with 14 — 12 in James City County and one each in York County and Williamsburg.

There are 13 cases in Arlington County, 12 in Fairfax County and five or fewer in Loudoun County, Virginia Beach, Prince William County, Spotsylvania County, Stafford County, Henrico County, Goochland County, Hanover County, Alexandria, Charlottesville, Prince Edward County and Harrisonburg.

There remain only four cases in Virginia Beach, the only place on the Southside where a person has tested positive so far. There are no cases so far in the Western Tidewater Health District, which includes the cities of Suffolk and Franklin, as well as Isle of Wight and Southampton counties.

Most patients with COVID-19 have only mild to moderate symptoms. However, in a small proportion of patients, COVID-19 can lead to more severe symptoms, including death, particularly among those who are older or those who have chronic medical conditions. Symptoms include fever, cough and difficulty breathing. Symptoms appear within 14 days of being exposed. COVID-19 spreads primarily through respiratory droplets produced when an infected person coughs or sneezes.

To lower the risk of spreading respiratory infections, including COVID-19, the Virginia Department of Health encourages the following effective behaviors:

• Stay home when you are sick.
• Avoid contact with sick people.
• Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.
• Wash your hands often with soap and water for at least 20 seconds; use an alcohol-based hand sanitizer if soap and water are not available.
• Avoid touching your eyes, nose and mouth.
• Clean and disinfect frequently touched objects and surfaces.

This is a rapidly changing situation, and information is being shared as it becomes available on the following websites: www.cdc.gov/coronavirus or www.vdh.virginia.gov/coronavirus/. Please consult www.vdh.virginia.gov/coronavirus for the latest number of COVID-19 cases in Virginia.

The Virginia Department of Health has also activated a public information line, 877-ASK-VDH3, for questions from residents about the novel coronavirus situation.