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Minnesota health officials reported another 7,219 COVID-19 cases and 40 more deaths on Sunday, on a record volume of more than 67,000 test results.

The average numbers of COVID-19 hospital admissions and deaths each day over the past week remain at all-time highs.

But for the second straight day, there was a positive sign elsewhere in the new numbers from the state health department. Looking back over the past week, the average daily number of newly confirmed cases ticked downward again.

It's fallen from 7,063 cases a day on Friday, to 6,715 on Saturday, to 6,666 on Sunday.

Saturday’s drop was the first the state had seen since Oct. 26. Sunday’s drop marked the first time the average dropped by double-digits since Sept. 11.

Those declines have come even as testing volume remains high. 

It could be evidence that the state has cleared a peak in the outbreak — but it could also just be a brief blip in the numbers, especially if people go against health experts' pleas to call off Thanksgiving gatherings.

Despite the encouraging signs in case numbers, current conditions remain severe across the state. The trend lines for deaths and hospitalizations continue to climb.

 for treatment of COVID-19 with about 20 percent needing intensive care. The number of hospitalizations has more than doubled since Nov. 1. 

Active, confirmed cases of the disease dropped back below 50,000 on Saturday and fell again on Sunday, after reaching that mark on Friday for the first time in the pandemic. That’s as the state reported another 8,200 people with COVID-19 had recovered to the point where they no longer need to be isolated — though that does not necessarily mean they’ve fully recovered.

Twenty-two of the deaths reported on Sunday were people who lived in long-term care facilities. Eighteen lived in private homes.

New cases have been spiking over the past three weeks in all age groups.

People in their 20s still make up the age bracket with the state’s largest number of confirmed cases  — more than 54,000 since the pandemic began, including more than 29,000 among people ages 20 to 24. The rapid increase, however, has tapered off in recent days.

The number of high school-age children confirmed with the disease has also grown, with more than 21,000 total cases among children ages 15 to 19 since the pandemic began. 

The numbers help explain why experts remain particularly concerned about teens and young adults as spreaders of the virus.

Although less likely to feel the worst effects of the disease and end up hospitalized, experts worry youth and young adults will spread it to grandparents and other vulnerable populations. 

It’s especially concerning because people can have the coronavirus and spread COVID-19 when they don’t have symptoms. 

Walz said recently the state has data showing infection rates rising around bar and restaurant activity after 9 p.m. among young adults, noting that people who have the virus but don’t have symptoms are unwittingly spreading it.

Regionally, central and northern Minnesota have driven much of the recent increase in new cases while Hennepin and Ramsey counties show some of the slowest case growth in the state. 

The fastest growing outbreaks remain largely along the state’s western border with the Dakotas, where the virus is spreading unchecked. But new cases are rising everywhere in Minnesota.

MN critical care doctors sounding the alarm

In Minnesota and its neighbors in Upper Midwest

Here’s what you need to know about the new rules

Collectively, rural areas continue to report the most new COVID-19 cases per capita. 

In Minnesota and across the country, COVID-19 has hit 

communities of color disproportionately hard

 in both cases and deaths. That’s been especially true for Minnesotans of Hispanic descent for much of the pandemic.

, together with deeply rooted health and economic disparities, have hampered efforts to boost testing among communities of color, officials say, especially among unauthorized immigrants who fear their personal information may be used to deport them. 

Similar trends hold true for Minnesota’s Indigenous residents. Counts among Indigenous people

Cases among all races and ethnicities continue to rise, although currently the growth is slowest among Black Minnesotans, who reported the most new COVID-19 cases per capita for much of the spring and summer.

‘They don’t want to watch you die at Christmas’

Public health leaders have begged Minnesotans over the past month to take personal responsibility to reduce the disease’s spread by wearing masks in social gathering places, socially distancing and staying home if you don’t feel well.

The uncontrolled spread is being driven now by Minnesotans’ informal gatherings and get-togethers with family and friends where it’s transmitted unknowingly by people who have the virus but do not have symptoms, officials say.

pleaded with Minnesotans not to gather for Thanksgiving

 outside their immediate household. They also asked college students to consider not going home for the holiday. (The federal Centers for Disease Control and Prevention on Thursday also called on people 

That advice was a change from the state Health Department’s prior recommendations. The agency last week said it’d be OK for people to have gatherings up to 10 from three households.

The acceleration of the spread, however, forced the state to change its guidance. Left unchecked one model suggests Minnesota could hit 20,000 new cases per day by the start of the new year, Health Commissioner Jan Malcolm said earlier this week.. That’s nearly three times the current seven-day average.

“Two weeks ago, I thought a 5,000-case day was horrific,” Malcolm said. “Now, that looks like a good day.”

Minnesota's new restrictions on bars, restaurants, gatherings

On Thursday, state officials and two hospital system executives warned the surge is putting a heavy strain on care workers. 

Current conditions are “very dire,” Dr. Penny Wheeler, CEO of Allina Health, said Thursday. The virus is sidelining health care workers, including 800 at Allina, and the state’s health system is “getting perilously close” to being unable to care for everyone who needs care, she said.

Wheeler begged Minnesotans to wear masks, socially distance and take other measures to reduce COVID-19’s rapid spread. “We have to take a hit for the time being to care for one another.”

Dr. Cindy Firkins Smith, president of Carris Health CentraCare in Willmar, Minn., said the rising numbers of health care workers unable to work due in some way to COVID-19 had put an unprecedented strain on their system. 

The west-central Minnesota hospital executive said more than 10 percent of her 12,000 rural Minnesota workforce was out recently because of COVID-19, either having to quarantine because of illness or exposure, or because they have to take care of family members. 

“We don’t have anybody to replace them,” she said. “There’s no calling New York. There’s no calling Texas. There’s no calling the Twin Cities. There’s no calling anywhere to get help.”

Care workers, she added, are increasingly frustrated by the unwillingness of Minnesotans to take precautions. 

“It’s heartbreaking for health care workers to finish an exhausting workday only to stop at the grocery store and see people not wearing a mask,” she said.

She pleaded with people to follow state guidelines and stay home for Thanksgiving to avoid spreading the virus.

“The people working in the hospital not only don’t get to celebrate with the people they love, they’re going to be watching people die that day,” said Smith. “And they don't want to watch you die at Christmas. So please don’t (gather). Just this year, please don’t.”

Here’s what to do

As restrictions on bars and restaurants takes effect in Minnesota, most tribal casinos are staying open.

Last spring when Gov. Tim Walz closed bars and restaurants, Tribal casinos across Minnesota also closed, cutting off a primary revenue source for tribal governments.

Now, casinos are staying open, with restrictions. The Shakopee Mdewakanton Sioux Community said in a statement that as a sovereign tribal nation it made the decision to keep it's casinos open while following comprehensive health and safety plans. Other tribal casinos have posted similar statements.

Some dine in restaurants are closed, masks are required and many casinos are checking temperatures as people arrive.

Many tribal communities are experiencing significant increases in COVID-19 cases.

COVID curbs courts’ work across Minnesota

New Minnesota court restrictions will limit criminal trials and courthouse service access as the judicial branch responds to an acceleration of the coronavirus pandemic.

The Judicial Council voted unanimously Thursday put the freeze on in-person jury trials that will take effect on Nov. 30. Chief Justice Lorie Gildea plans to formalize the pause in an order coming Friday.

Todd County Judge Jay Carlson, vice chair of the council, made the motion to halt new trials. “Other than new trials that are currently in progress we’re not going to commence any new trials until February unless the chief judge again in consultation with the chief justice has granted a specific exception for a criminal jury trial to commence,” he said.

Exceptions will be made for in-custody defendants or other defendants that made a speedy trial demand prior to the order. Some grand jury proceedings will also be suspended.

Judges on the council said that staff and jurors have become more reluctant to come into court buildings as COVID-19 spreads rapidly.

During the pandemic, the court system has pushed many of its proceedings into virtual settings, including motions hearings in some criminal and civil cases.

The courts also are expected to limit walkup counter service in government buildings, urging people to either make appointments or use virtual methods where possible. But each county will retain at least one public service counter with daily hours.

“I think we should all just send good vibes out into the universe for a vaccine very, very soon,” said Judge Krista Martin of Pine County.

Lawmakers look for ways to help businesses, workers:

 With another round of COVID-19 restrictions taking effect late Friday, Minnesota lawmakers are looking for ways to help small businesses that might be forced to close and the employees who would be put out of work. Discussions are already underway about what the state can do and when it could happen.

COVID-19 brings opera singer home to the farm:

 The pandemic is forcing many people to change how and where they work. For one Minnesota-born opera singer, the COVID-19 threat meant a return to her roots and a surprising revitalization.

A guide to navigating your virtual Thanksgiving:

 With COVID-19 cases on the rise in Minnesota, many families are planning to swap their traditional in-person Thanksgivings for virtual celebrations. But how will that work? We provide some tips for families to keep their video calls on track, along with a collection of activities to keep everyone entertained.

Data in these graphs are based on the Minnesota Department of Health's cumulative totals released at 11 a.m. daily. You can find more detailed statistics on COVID-19 at the 

How it compares with other diseases in 5 charts

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Minnesota health officials reported another 7,219 COVID-19 cases and 40 more deaths on Sunday. But the average daily number of newly confirmed cases over the past week ticked downward for the second straight day.

Person wearing a face mask talks to people from behind a plexiglass. 

Elizabeth Flores | Star Tribune /AP

New COVID-19 hospitalizations in Minnesota

David H. Montgomery | MPR News

Active, confirmed COVID-19 cases in Minnesota

New Minnesota COVID-19 cases by age, adjusted for population

MN counties with the fastest per-capita growth in COVID-19 cases

Percent of COVID-19 tests to come back positive

New COVID-19 related deaths reported in Minnesota each day

Nov. 22 update on COVID-19 in MN: Deaths and hospital admissions climb; case numbers show signs of dropping

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