QUINCY — New cases of COVID-19 exceed 20 for the fourth time in seven days in Adams County, and the county's seven-day positivity rate exceeded 8% — a marker the state has used to issue interventions in two regions of the state.

The Adams County Health Department reported 28 new cases Thursday. The new cases are one boy and one girl under 10, five males and three females between 10 and 19, three men and one woman in their 20s, three men and two women in their 30s, two men and one woman in their 40s, three women in their 50s, one man and one woman in their 70s and one woman in her 90s.

The county has reported a total of 1,047, with 133 active cases. There are nine people in their 50s to 90s hospitalized in the county.

The county's positivity rate has climbed to 8.9%.

The Illinois Department of Public Health says a region can be rolled back if indicators show an increase in COVID-19 disease burden with a decrease in hospital capacity or three consecutive days with an 8% positivity rate that is calculated on a seven-day rolling average.

Adams County is in Region 3, which the IDPH says has a seven-day rolling average of 5.3%

The state has issued new restrictions in just two regions — the Metro East and Will and Kankakee counties. Restrictions have been eased in Will and Kankakee counties.

IDPH is operating a drive-thru testing site that opened Thursday on the former Shopko parking lot, 3200 Broadway, for anyone who wishes to receive a test whether they have symptoms or not. The site will remain open 9 a.m. to 5 p.m. Friday through Sunday.

Nasal swabs will be used for the tests, which are being made available at no cost. Those with insurance should bring their insurance card.

Results will be reported within four to seven days.

Also Thursday, Quincy Public Schools reported one additional case was being tracked — 19 total.

In Hancock County, seven new COVID-19 cases were confirmed Thursday. The cases are one man and one woman in their 30s to 40s, one man in his 40s to 50s, three women in their 50s to 60s and one man in his 60s to 70s. All are recovering at home, and six are connected to other positive cases.

The Hancock County Health Department has reported 214 total cases, with 33 active.

The Pike County, Ill., Health Department reported six new cases — one boy under 10, one woman in her 20s, one woman in her 30s, one man in his 40s and one man and one woman in their 50s.

The county has reported 123 cases, with 21 active.

In Missouri, the Lewis County Health Department reported 10 new cases — three people between 10 and 20, one person between 30 and 40, two people between 50 and 60, two people between 60 and 70 and one person between 70 and 80.

The county has reported a total of 131 cases, with 19 active.

The Lewis County C-1 School District also said another student at Highland High School tested positive for COVID-19, which led to 46 students and six staff members entering quarantine. It didn't say how many positive tests were in the school. The district said that it has classes covered to keep schools open, but that it is out of substitute teachers.

If additional quarantines are required, the school could move to remote learning for all students.

The fifth COVID-19-related death was reported Thursday in Pike County, Mo. The county's health department did not provide any additional details on the person who died.

The county reported four additional cases, bringing the total count to 295. There are 37 active cases, with three people remaining hospitalized.

In Marion County, three additional COVID-19 cases were confirmed. The patients — one male between 10 and 20 and two women between 30 and 60 — are all quarantined at home.

The county has reported 681 cases, with 50 active cases. Five people remain hospitalized.

The Ralls County Health Department reported three new cases. The county has had 163 total cases, with 17 active cases. Three people remain hospitalized.

In Shelby County, four new COVID-19 cases were confirmed. The county has had 67 total cases, with nine active cases.

The Clark County Health Department reported two new cases — one person between 20 and 40 and the other between 40 and 60. The county has reported 65 total cases, with four active.

Monroe County also reported two new cases. The county has had 84 total cases, with six active.

The Scotland County Health Department reported three additional cases, bringing the county's total to 32. There are four active cases.

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