CONCORD, NH — New Hampshire health officials announced 51 new cases of COVID-19 in the state but nearly half were due to an outbreak at a Nashua nursing home.

The state reported that Greenbriar Healthcare in Nashua had 21 positive cases as part of an “ongoing outbreak” at the nursing home out of the 51 new cases. According to state data released 48 hours ago, 23 people have died due to COVID-19 at Greenbriar with 35 staff infections and 82 residents contracting the virus.

Of the new cases in New Hampshire, one was a child, 58 percent were women and 42 percent men. Of the cases not connected to Greenbriar, 11 reside in Rockingham County, six live in Manchester, four live in Hillsborough County outside of Manchester and Nashua, three live in Merrimack County, and two live in Nashua.

The new cases bring the state to 5,717 accumulative patients since March 1.

Only one of the new positive patients required hospitalization while only one patient had no identified risk factors. Most of the remaining cases, the state said Saturday, contracted the virus from an outbreak, someone who was infected, or travel.

Two more women have also died due to or because of complications from COVID-19. They both lived in Hillsborough County and were over the age of 60.

The state also announced Saturday that 4,401 people or about 77 percent had recovered from the new coronavirus while current hospitalizations are at 35 patients.

More than 135,000 specimens have been collected by the state including nearly 2,100 on Friday including more than 1,250 new people. About 95.8 percent of all tests have come back negative. Approximately 3,400 people are under public health monitoring.

Learn More About The Spread Of COVID-19

The COVID-19 virus is spread through respiratory droplets, usually through coughing and sneezing, and exposure to others who are sick or might be showing symptoms.

Health officials emphasize residents should follow these recommendations:

  • Avoid any domestic and international travel, especially on public transportation such as buses, trains, and airplanes.

  • Practice social distancing. Stay at least 6 feet from other people, including distancing while in waiting areas or lines.

  • Anybody who is told to self-quarantine and stay at home due to exposure to a person with confirmed or suspect COVID-19 needs to stay home and not go out into public places.

  • If you are 60 years or older or have chronic medical conditions, you need to stay home and not go out.

  • Avoid gatherings of 10 people or more.

  • Employers need to move to telework as much as possible.

  • There is increasing evidence that this virus can survive for hours or possibly even a few days on surfaces, so people should clean frequently touched surfaces, including door handles, grocery carts and grocery basket handles, etc.

Take the same precautions as you would if you were sick:

  • Stay home and avoid public places when sick (i.e., social distancing).

  • Cover mouth and nose when coughing and sneezing.

  • Wash hands frequently.

  • Disinfect frequently touched surfaces.

More information from the New Hampshire Department of Health and Human Services about coronavirus can be found here on the department’s website.

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This article originally appeared on the Concord Patch