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Communicable Diseases


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 Summary of Sarpy and Cass Counties as of 11:00 am March 27, 2023:

Sarpy CountyCass County
COVID-19 Cases (last 7 days)

Total Cases 114 24
Case Rate 60.90 91.44
% Change from Previous Week -24.5% +26.32%
COVID-19 Hospitalizations (last 7 days)

Hospitalizations 16 2
COVID-19 Deaths (cumulative)

Deaths 350 52
COVID-19 Testing (last 7 days)

Percent Positivity 15% 17.33%
% Change from Previous Week +1.14% +9.39%
Tests Performed 523 63
COVID-19 Vaccinations (cumulative)

Residents Vaccinated 141,889 18,254
Residents Completed Primary Series 130,377 16,988

Source: CDC COVID Data Tracker: County View

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].

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