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I know in Indiana we’ve been told by the local health department to expect a spike this week. When I ask why, here’s the answer I received:

“The Indiana State Department of Health (ISDH) announced that healthcare providers and hospitals are required to report clinical cases of COVID-19 in addition to cases where patients tested positive for the virus. Prior to this change, only confirmed cases with a positive COVID-19 test were included in numbers recorded by state officials.

As a result of the new clinical case reporting requirements, it is likely the number of reported cases and deaths locally and statewide could see an increase as well.”