Coronavirus Disease (COVID-19)

Coronavirus Disease (COVID-19)

Coronavirus Disease, or COVID-19, is an infectious disease caused by the SARS-CoV-2 virus.  The virus can spread from an infected person's mouth or nose in small liquid particles when they cough, sneeze, speak, sing or breathe.  These particles range from larger respiratory droplets to smaller aerosols, which may linger in the air and accumulate in indoor places where people are gathered and there is poor ventilation.  Most people infected with the virus will experience mild to moderate respiratory illness and recover without requiring special treatment.  However, some will become seriously ill and require medical attention, including older people and those with underlying medical conditions like cardiovascular disease, diabetes, chronic respiratory disease, or cancer.

The best ways to protect yourself from COVID-19 are to get vaccinated and boosted when you are eligible, following testing guidelines, wear a mask, wash your hands, and practice physical distancing.

COVID-19 Cumulative Case Count in Sarpy and Cass Counties as of 10:30 am September 28, 2022:

 Sarpy County

Confirmed Positive Cases    55,663
Active Cases 234
Deaths 312

Cass County 

Confirmed Positive Cases    6,746
Active Cases 26
Deaths 47
Positive Cases = number of individuals who have received a positive lab-confirmed COVID-19 test result; contact investigation is completed and verified prior to posting on this chart.
Active Cases = number of unique individuals who are either still symptomatic, hospitalized, or within less than 14 days following diagnosis.
Deaths = number of unique individuals with COVID-19 listed as a contributing factor on a death certificate.


COVID-19 Positive Case Count by Day the Health Department was Notified; Sarpy and Cass County

View historic Case Count by Day information here.

Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Sep 4
21 Cases
Sep 5
31 Cases
Sep 6
27 Cases
Sep 7
41 Cases
Sep 8
40 Cases
Sep 9
39 Cases
Sep 10
19 Cases
Sep 11
11 Cases
Sep 12
37 Cases
Sep 13
32 Cases
Sep 14
32 Cases
Sep 15
27 Cases
Sep 16
39 Cases
Sep 17
12 Cases
Sep 18
14 Cases
Sep 19
30 Cases
Sep 20
23 Cases
Sep 21
19 Cases
Sep 22
23 Cases
Sep 23
25 Cases
Sep 24
12 Cases
Sep 25
8 Cases
Sep 26
15 Cases
Sep 27
20 Cases
Sep 28 Sep 29 Sep 30 Oct 1

COVID-19 Dashboard Sarpy and Cass Counties

COVID-19 Dashboard for Sarpy and Cass County

COVID-19 Vaccinations of Sarpy and Cass County Residents as of 1:20 am September 26, 2022:

 Sarpy County

Residents Vaccinated 138,317
Residents Fully Vaccinated   126,582
Percent Fully Vaccinated 67.6%

Cass County 

Residents Vaccinated 17,952
Residents Fully Vaccinated  16,619
Percent Fully Vaccinated 63.3%
*Vaccination numbers do not include vaccines provided through U.S. Military sources, i.e., Department of Defense, Veterans Administration, Offutt AFB.  Preliminary data; not for use as official vaccine counts.
Residents Fully Vaccinated = number of unique individuals who have completed the vaccination series (1 dose of Johnson & Johnson or 2 doses of Pfizer or Moderna).
Percent Fully Vaccinated = percentage of Sarpy and Cass County residents who have completed the vaccination series (based on 2018 population of 204,053).
Data source:

Childcare Center COVID-19 Positive Case Reporting

Per the request of the DHHS childcare licensing office, the Health Department needs to keep track of the number of active COVID-19 cases at a daycare at any given time. A childcare representative needs to complete a brief survey for each individual positive case. It should take no longer than one to two minutes.

Childcare COVID-19 Survey

If you have questions about this reporting or about COVID-19 recommendations, contact Kailey Kocourek at [email protected].


COVID-19 Positive Case Contact Tracing

The Sarpy/Cass Health Department utilizes a combination of disease investigators to personally call COVID-positive resident and an electronic statewide survey to gather information regarding symptoms and exposure.  The electronic survey is sent to adult residents via text message.


Reporting of COVID-19 Positive Results via At-Home Test Kits

Currently Nebraska does not include at-home positive test results in official COVID-19 case numbers.  The Sarpy/Cass Health Department is tracking residents who test positive via an at-home kit to include in unofficial counts.  If you would like to self-report a positive at-home result, please call 402-339-4334 or email [email protected]. Please provide first and last name, date of birth, address, and date the positive test was collected.


COVID-19 Symptoms or Tested Positive for COVID-19?

If you have COVID-19 symptoms or have tested positive for COVID-19, the following information may assist you in slowing the spread of the virus.

COVID-19 Positive: How to Isolate

COVID-19 Positive: How to Notify Your Close Contacts

COVID-19: How to Wear a Mask


COVID-19 Vaccination

The Sarpy/Cass Health Department is collaborating with State and local partners to equitably distribute the COVID-19 vaccine in a way that provides the most protection for Nebraskans as quickly as possible.  Please visit the COVID-19 Vaccine webpage for more information.



International Travel Health Notices: CDC recommendations for postponing or canceling travel to international countries affected by COVID-19.


Help if you are Visually Impaired

It can be overwhelming to find the resources you need during this challenging time, especially if you have poor or no vision. If you can’t see or can’t see very well, call Outlook Enrichment’s COVID-19 Help Line at 531-365-5059 for assistance from people who understand vision challenges and want to help. This line is staffed 8 to 4 p.m. Monday through Friday. Messages received outside of these times will be answered within 24 hours. These resources can also be found at


Information for the Public

Isolation and Precautions for People with COVID-19

How COVID-19 Spreads

COVID-19: How to Protect Yourself and Others

COVID-19 Frequently Asked Questions

Coronavirus and Pregnancy

Nonpharmaceutical Interventions

Information for Healthcare Professionals

COVID-19 information for healthcare professionals


I am a medical provider interested in carrying COVID-19 vaccine in my clinic. What is the process?

Review the CDC COVID-19 Vaccination Program provider requirements. If you are able to comply with the requirements, contact [email protected] to begin the enrollment process.


Information for Schools

Guidance for COVID-19 Prevention in K-12 Schools

Nebraska Department of Education Coronavirus Resources for Schools