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People who are immunocompromised can now get third COVID-19 vaccine dose in Washoe County

People who are immunocompromised can now get third COVID-19 vaccine dose in Washoe County

Aug. 18, 2021. Reno/Sparks, NV – Starting today, Washoe County residents who are immunocompromised can now receive a third dose of the Pfizer or Moderna COVID-19 vaccines at the Reno-Sparks Livestock Events Center drive-through clinic or Health District Community Vaccine Events if they meet certain criteria outlined by the Food & Drug Administration.

Those who received the Janssen (Johnson & Johnson) vaccine are not eligible for the third dose. At this time, only those immunocompromised are eligible for a third dose and this is separate from impending announcements about booster shots for those who’ve been fully vaccinated for more than eight months.

The Washoe County Health District joins CVS Pharmacy and Walgreens Pharmacy as organizations in Washoe County who received permission from the State of Nevada to begin administering additional doses, which have been shown to offer better protection from COVID-19 for those who need it most. Some doctor’s offices also have the ability to administer third doses.

Eligibility

Those eligible include, but are not limited to, people who have:

  • Been receiving active cancer treatment for tumors or cancers of the blood
  • Received an organ transplant and are taking medicine to suppress the immune system
  • Received a stem cell transplant within the last 2 years or are taking medicine to suppress the immune system
  • Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome)
  • Advanced or untreated HIV infection
  • Active treatment with high-dose corticosteroids or other drugs that may suppress the immune response

Residents must bring proof of vaccination card to the appointment. Those with questions about their vaccination card should request that information through WebIZ.

Those who meet the above conditions will only be given the third dose if it has been at least 28 days since the last dose of either Pfizer or Moderna. The third dose, which is identical to the doses that have been administered all along, must be the same vaccine type as administered for the first/second doses. The Janssen (Johnson & Johnson) vaccine was not authorized for an additional dose of COVID-19 vaccine at this time.

How to get the third shot?
  • Reno-Sparks Livestock Events Center (RSLEC) – Those who are eligible can visit the drive-through vaccine location at 1350 N Wells Ave in Reno (enter at Wells Avenue and Sadleir Way intersection).
    • No appointment is needed at this time.
    • Hours of operation are Mondays, Wednesdays & Fridays from 8:30-11:30 a.m.; Saturdays from 9 a.m. to 1 p.m.
  • CVS Pharmacy locations in Washoe County
  • Walgreen’s Pharmacy locations in Washoe County
What to bring

For third doses at the RSLEC, residents must bring their COVID-19 vaccination card. If you do not have your card, request your information through the state’s immunization portal, WebIZ. When you arrive at RSLEC, you will fill out paperwork self-attesting to your immunocompromising condition. For those looking for an appointment, there is currently not an option on our online sign up form. That feature will be added as soon as possible.

For third doses at CVS and Walgreens, please contact those organizations with questions.

Difference between ‘booster’ and ‘third dose’

This additional dose has been referred to as a “booster,” which is technically inaccurate. A booster is for non-immunocompromised people as it supports immune responses that have weakened over time. A third dose is for those who didn’t have a strong enough immune response after the first series because of their condition.

The COVID-19 Regional Information Center is working together to deliver COVID-19 community updates in a unified manner. While press releases are only sent periodically for significant events, you can always get daily results on our website, https://covid19washoe.com/, our COVID-19 Dashboard or by following us on Twitter @COVID19Washoe. The entities include: City of Reno, City of Sparks, North Lake Tahoe Fire Protection District, Pyramid Lake Paiute Tribe, Regional Transportation Commission, REMSA, Reno Sparks Indian Colony, Reno Police Department, Reno Fire Department, Truckee Meadows Fire Protection District, University of Nevada, Reno, Washoe County, Washoe County Health District, Washoe County School District and Washoe County Sheriff’s Office. Also in the group are the area hospitals, Northern Nevada Medical Center, Renown Health and Saint Mary’s.

People who are immunocompromised can now get third COVID-19 vaccine dose in Washoe County

700th COVID-19-related death and 50,000th COVID-19 case reported in Washoe County

Aug. 16, 2021. Reno/Sparks, NV – The Regional Information Center is reporting two unfortunate COVID-19 milestones from over the weekend: 700 COVID-19-related deaths and 50,000 COVID-19 cases in Washoe County.

The total number of COVID-19-related deaths in Washoe County is at 706 and COVID-19 cases reported are 50,167.

COVID-19 transmission and hospitalizations are rising rapidly in Washoe County and residents are reminded to take mask wearing seriously as it is required per Governor Sisolak’s Directive 47 and to get a COVID-19 vaccine. Here’s a summary of data showing the high transmission:

  • 15 – COVID-19-related deaths reported in August so far. In both June and July, six were reported, respectively.
  • 136 – Residents hospitalized with confirmed or suspected COVID-19 according to the Nevada Hospital Association. On Aug. 1, it was 50.
  • 80% – Percentage of staff hospital beds occupied reported on Aug. 15. On Aug. 1, it was 61%. On Aug. 13, it was 83%.
  • 3 – 7-day moving average for new cases per day in Washoe County. On Aug. 1, it was 105.3.
  • 4% – Positivity rate in Washoe County, per NV Health Response dashboard. On Aug. 1, it was 11.7%.

“The impact COVID-19 and the Delta variant are having on everyone in Washoe County, in particular hospitals, is reaching a breaking point,” said Kevin Dick, District Health Officer in Washoe County. “Our healthcare system and public health systems are facing the same labor shortages as retail and service industry and likely cannot support another surge at the same level we faced in the winter.

“If you are still waiting for more time to pass by to get the COVID-19 vaccine or refuse to wear a mask in public, be aware of the inherent risks of failing to do so. Vaccines are over 90% effective at keeping you out of the hospital or dying from COVID-19, and masks block respiratory droplets to reduce disease transmission. Please do your part.”

COVID-19 vaccines are widely available in Washoe County at local pharmacies and grocery stores, as well as at the Reno-Sparks Livestock Events Center on Mondays, Wednesdays, Fridays from 8:30-11:30 a.m. You can walk in or sign up for an appointment here. Vaccines cannot be administered if you are sick or have COVID-19 currently.

Several Community Vaccine Sites are planned this week, including the Boys & Girls Club locations on Neil Road, in Lemmon Valley and on 9th Street, and at the Joe Crowley Student Union at the University of Nevada  – see the list here.

Other important reminders are:

  • Wear a mask when in public indoor settings and crowded outdoor settings
  • Stay home when you don’t feel well
  • Socially distance
  • Check the Truckee Meadows COVID Risk Meter on our COVID-19 Dashboard (Look for “Risk Meter” tab) if you’re wondering how the risk level is increasing or decreasing. The meter is currently at “Very High”

The COVID-19 dashboard has more information regarding COVID-19 in Washoe County. Please note that only 701 COVID-19-related deaths are reported on the dashboard today but we received notification of five more (706 total) that will show up tomorrow on the dashboard. Three of the 706 deaths were vaccinated.

COVID-19 third dose update

The Centers for Disease Control & Prevention (CDC) recommends that people whose immune systems are compromised moderately to severely should receive an additional dose of the Pfizer or Moderna COVID-19 vaccine after the initial 2 doses.

The third dose will be available this week at the Reno-Sparks Livestock Events Center. More information will be distributed once details are finalized. Check COVID19Washoe.com and our COVID19Washoe Twitter page for updated information as it is released.

Some refer to this dose as a “booster,” which is technically incorrect. An additional dose is given to people who may not have had a strong enough immune response after receiving the initial vaccine series. A booster dose is a supplemental dose given to groups whose immune response has weakened over time. No booster doses are recommended at this time. This may change as more information becomes available.

The additional dose would need to be administered 28 days after a two-dose regimen of either the Pfizer or Moderna vaccines. Those who have received the Janssen (Johnson & Johnson) vaccine are not eligible for an additional dose at this time, per the CDC and Food & Drug Administration.

Updates to disease investigations in Washoe County

Due to the surge in COVID-19 cases, the Washoe County Health District is prioritizing disease investigation and contact tracing for pediatric cases aged 5-11 due to the fact they are ineligible to be vaccinated and the rise in cases at local schools.

Those who have recently been diagnosed with COVID-19 are asked to reach out on their own to close contacts who’ve been closer than 6 feet for at least 15 minutes in a 24-hour timeframe to notify them. CDC guidance says those who are fully vaccinated (two weeks since second Pfizer/Moderna shot or two weeks since one-dose Janssen shot) do not need to quarantine unless they are showing symptoms. Unvaccinated individuals must quarantine per CDC guidance after being exposed to someone with COVID-19.

Those who are confirmed to have COVID-19 will be sent a text notifying them that a Washoe County disease investigator will contact them by phone soon. Disease investigators will also leave a voicemail with a call-back number if you are unavailable. In order to reduce the spread of COVID-19, it’s imperative that you cooperate with disease investigators and ensure that your voice mailbox is not full.

COVID-19 Testing at Reno-Sparks Livestock Event Center and results

COVID-19 testing at the Reno-Sparks Livestock Events Center (RSLEC) has expanded to five days a week, Monday-Friday, from 8:30-11:30 a.m. To sign up, go here (en Espanol). Previously, testing was done Mondays, Wednesday and Fridays at RSLEC, but due to increased demand the availability increased. Vaccines remain available only on Mondays, Wednesdays and Fridays and you can schedule an appointment here (en Espanol).

COVID-19 test samples are sent to the Nevada State Public Health Laboratory and results usually take between 24-36 hours. The Washoe County COVID-19 Incident Management Team is working with area labs to reduce the amount of time it takes to get a test result back.

Pregnancy, fertility and COVID-19

According to the CDC, COVID-19 vaccination is recommended for all people 12 years and older, including people who are pregnant, breastfeeding, trying to get pregnant now, or might become pregnant in the future. More information can be found here.

There is currently no evidence that any vaccines, including COVID-19 vaccines, cause fertility problems in women or men.

For more information on COVID-19 in Washoe County, visit the Regional Information Center website.

The COVID-19 Regional Information Center is working together to deliver COVID-19 community updates in a unified manner. While press releases are only sent periodically for significant events, you can always get daily results on our website, https://covid19washoe.com/, our COVID-19 Dashboard or by following us on Twitter @COVID19Washoe. The entities include: City of Reno, City of Sparks, North Lake Tahoe Fire Protection District, Pyramid Lake Paiute Tribe, Regional Transportation Commission, REMSA, Reno Sparks Indian Colony, Reno Police Department, Reno Fire Department, Truckee Meadows Fire Protection District, University of Nevada, Reno, Washoe County, Washoe County Health District, Washoe County School District and Washoe County Sheriff’s Office. Also in the group are the area hospitals, Northern Nevada Medical Center, Renown Health and Saint Mary’s

Masks, vaccine essential in slowing spread of COVID-19

Aug. 9, 2021. Reno/Sparks, NV – As the new school year begins and the cooler fall season around the corner, the Regional Information Center is reminding residents and business owners that, per Gov. Sisolak’s Directive 47, Washoe County has indoor masking requirements to help our local businesses thrive, and businesses are to require employees and customers to wear masks indoors.

COVID-19 cases in Washoe County are surging, largely due to the Delta variant:

  • The 7-day moving average for new COVID-19 cases is at 146.3 (up from 22.7 on July 9)
  • The test positivity rate in Washoe County is at 15.4% (up from 5% on July 11)
  • The Truckee Meadows COVID Risk Meter is at “High”, which indicates elevated risk of community spread
  • According to the Nevada Hospital Association, there are 97 patients hospitalized who are confirmed or suspected to have COVID-19 (up from 25 on July 9)

The  Washoe County’s COVID-19 Mitigation Plan states that restrictions may be reinstated when the community hits certain risk benchmarks, such as if the Risk Meter reaches “Very High” and if cases per 100,000 over a 30-day period reach 625 (currently at 545 according to NV Health Response dashboard).

Residents can take several steps to slow the spread and help return the community to the low-risk state it was in earlier this summer:

  • Stay home when ill
  • Get vaccinated
  • Wear a mask when indoors at businesses and public places
  • Practice basic hygiene by washing hands frequently
  • Keep a safe distance from others in crowded areas

The COVID-19 vaccine is paramount in reducing the risk of hospitalization and death from COVID-19. While the vaccine is not 100 percent effective, it is highly effective and has been proven to lessen the severity of symptoms if you do get COVID-19. Vaccines are widely available in Washoe County at local pharmacies and grocery stores, as well as at the Reno-Sparks Livestock Events Center on Mondays, Wednesdays, and Fridays from 8:30-11:30 a.m. You can walk in or sign up for an appointment here.

Those with underlying health conditions are especially encouraged to find a vaccine clinic convenient to them and begin the process of getting fully vaccinated. It is essential that those who receive a two-dose vaccine like the Pfizer or Moderna vaccines receive both doses to ensure the maximum protection possible. If you’ve had COVID-19 in the past, that does not mean you won’t get the disease again. A study showed that those who were previously infected but did not get vaccinated were 2.34 times more likely to be reinfected with COVID-19 compared with those who were previously infected and did get fully vaccinated.

For more information on COVID-19 in Washoe County, visit the Regional Information Center website.

The COVID-19 Regional Information Center is working together to deliver COVID-19 community updates in a unified manner. While press releases are only sent periodically for significant events, you can always get daily results on our website, https://covid19washoe.com/, our COVID-19 Dashboard or by following us on Twitter @COVID19Washoe. The entities include: City of Reno, City of Sparks, North Lake Tahoe Fire Protection District, Pyramid Lake Paiute Tribe, Regional Transportation Commission, REMSA, Reno Sparks Indian Colony, Reno Police Department, Reno Fire Department, Truckee Meadows Fire Protection District, University of Nevada,  Reno, Washoe County, Washoe County Health District, Washoe County School District and Washoe County Sheriff’s Office. Also in the group are the area hospitals, Northern Nevada Medical Center, Renown Health and Saint Mary’s.

COVID-19 Delta variant update in Washoe County: 133 additional cases, 4 deaths total

Health District Hotline:
775.328.2427

Media Contact:  Matthew Clark
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COVID-19 Delta variant update in Washoe County: 133 additional cases, 4 deaths total

Vaccinations continue to be the best way to prevent COVID-19 and the Delta variant

Correction:  There are no new deaths to report. 

August 6, 2021. Reno/Sparks, NV – There have been 694 COVID-19-related deaths in Washoe County since March 2020 – 4 of those cases were confirmed to have the Delta variant through sequencing performed by the Nevada State Public Health laboratory, and none of the 4 had received a COVID-19 vaccine.

Additionally, we’re reporting 133 additional COVID-19 Delta variant cases for a total of 435 in Washoe County. Of the 435 Delta cases, 35 were hospitalized and 8 were in an Intensive Care Unit (ICU). Of the 35 hospitalized cases, only 5 received a COVID-19 vaccine.

The COVID-19 vaccine remains the best way to avoid contracting COVID-19 and any variants, and it is also proven to reduce the risk of hospitalization and death.

Today we are reporting 222 new daily cases of COVID -19.  The current 7- day average is 131 new COVID-19 cases a day in Washoe County.  These levels exceed the number of cases at the peak of the July 2020 surge (98.4) and are similar to levels experienced last October 2020 as we were entering the November surge (7 day average of 133 on October 20, 2020, with a peak of 481.4 7 day average of new cases per day on November 26, 2020).  As recently as July 1 the 7-day average was only 22.9.  Hospitalizations for COVID-19 have doubled over the last week.

The regional risk meter is now at orange, high risk, and is moving toward red, very high risk.  The CDC designates Washoe County as high risk for COVID-19 transmission.  Residents are urged to take precautions to avoid being infected with COVID-19.

With the Delta variant circulating, which is twice as contagious as the COVID-19 virus was last July, and nearly half of our population still not fully vaccinated, residents are vulnerable to a rapid increase in cases and hospitalizations as we have seen is currently occurring in Clark County. See more COVID-19 information on our dashboard. If you are showing symptoms of COVID-19, you need to stay home, isolate from others, and get a COVID-19 test with the Health District.

The vaccines have proven to be effective against the Delta variant and they are the solution for preventing transmission, hospitalizations, and deaths from COVID-19. For those who plan to receive a test, an appointment can be made in order to minimize wait time.

The COVID-19 vaccine is being offered every Monday, Wednesday and Friday at the Reno-Sparks Livestock Events Center from 8:30-11:30 a.m. Walk-ins are welcome, but appointments are recommended. Sign up for an appointment here.

Local pharmacies and grocery stores are offering the vaccine as well. See a full list here.

Residents 12 and older are urged to get vaccinated as soon as possible, and to consider information from reliable sources when making the decision to be vaccinated. Vaccinations are readily available and provided free of charge regardless of immigration status.

The COVID-19 Regional Information Center is working together to deliver COVID-19 community updates in a unified manner. While press releases are only sent periodically for significant events, you can always get daily results on our website, https://covid19washoe.com/, our COVID-19 Dashboard or by following us on Twitter @COVID19Washoe. The entities include: City of Reno, City of Sparks, North Lake Tahoe Fire Protection District, Pyramid Lake Paiute Tribe, Regional Transportation Commission, REMSA, Reno Sparks Indian Colony, Reno Police Department, Reno Fire Department, Truckee Meadows Fire Protection District, University of Nevada, Reno, Washoe County, Washoe County Health District, Washoe County School District and Washoe County Sheriff’s Office. Also in the group are the area hospitals, Northern Nevada Medical Center, Renown Health and Saint Mary’s.

State mask mandate to go into effect Friday; Delta variant cases top 300 in Washoe County

State mask mandate to go into effect Friday; Delta variant cases top 300 in Washoe County

CDC identifies Washoe County with high COVID-19 transmission, masks required for indoor public settings

July 28, 2021. Reno/Sparks, NV – The Regional Information Center is providing a COVID-19 update after the Centers for Disease Control and Prevention (CDC) updated mask recommendations for vaccinated persons on Tuesday, a recommendation that led to a state mask mandate  that goes into effect on Friday, July 30 at 12:01 a.m.

The CDC lists Washoe County under the “High Transmission” range on its COVID-19 Data Tracker. The CDC said mask requirements for those vaccinated and unvaccinated at indoor public places is in place counties with “substantial” or “high” transmission.

“The COVID-19 vaccine has been proven effective against all variants and it’s highly recommended that those who have yet to receive the vaccine do so as soon as possible,” said Kevin Dick, District Health Officer in Washoe County. “The rise in transmission in Washoe County is attributed solely to those who have yet to receive the COVID-19 vaccine.”

COVID-19 cases in Washoe County have been surging. Since the beginning of the month the daily new cases have tripled to 68.9. On July 1, the 7-day moving average for new COVID-19 cases per day was at only 22.9.

Hospitalizations in Washoe County remain stable as 63% of staffed hospital beds are occupied and 29 patients confirmed or suspected to have COVID-19 are hospitalized.

Under the CDC criteria counties are designated as high transmission of COVID-19 if the test positivity rate is 10% or above, or if the new cases per 100,000 population over 7-days is equal to 100 or greater.  Substantial transmission is test positivity rate of 8 – 9.9%, or if the new cases per 100,000 population over 7-days is between 50 and 99.9.  Washoe County has a test positivity rate of 13.34 percent and has 66.17 cases per 100,000 population over a 7-day period.  On Monday, July 26 the regional risk meter also rose to “high.”

Delta cases on the rise

COVID-19 cases of the Delta variant are increasing in Washoe County. We’re reporting a total of 301 cases which have been genetically sequenced and identified as the Delta variant.  This is 83 more since the last report.

  • 4 – Total COVID-19 Delta variant-related deaths reported in Washoe County since July 1; all four cases had not received the COVID-19 vaccine. No additional deaths since last report.
  • 301 – Total COVID-19 Delta variant cases reported in Washoe County
  • 26 –Hospitalized Delta variant cases; 22 of those cases were not vaccinated and 7 were in the Intensive Care Unit (ICU)
  • 100 – Active Delta cases that have yet to recover

Those who receive the COVID-19 vaccine are less likely to contract, be hospitalized or die from COVID-19 and the Delta variant.

The Washoe County Health District has several Community COVID-19 vaccine sites in Washoe County scheduled for the next two weeks.

Appointments are available to receive the vaccine at the Reno-Sparks Livestock Events Center and for each of the community sites going to our website or calling 775-328-2427. Homebound vaccines are available as nurses can come to your house to administer the vaccine – schedule an appointment by calling 775-328-2427.

Local pharmacies and grocery stores are offering the vaccine as well. See a full list here.

If you are showing symptoms of COVID-19, you need to stay home, isolate from others, and get a COVID-19 test, preferably with the Health District.

The COVID-19 Regional Information Center is working together to deliver COVID-19 community updates in a unified manner. While press releases are only sent periodically for significant events, you can always get daily results on our website, https://covid19washoe.com/, our COVID-19 Dashboard or by following us on Twitter @COVID19Washoe. The entities include: City of Reno, City of Sparks, North Lake Tahoe Fire Protection District, Pyramid Lake Paiute Tribe, Regional Transportation Commission, REMSA, Reno Sparks Indian Colony, Reno Police Department, Reno Fire Department, Truckee Meadows Fire Protection District, University of Nevada, Reno, Washoe County, Washoe County Health District, Washoe County School District and Washoe County Sheriff’s Office. Also in the group are the area hospitals, Northern Nevada Medical Center, Renown Health and Saint Mary’s. 

 

More Community COVID-19 vaccination sites planned the next 2 weeks

More Community COVID-19 vaccination sites planned the next 2 weeks

COVID-19 cases on the rise, best form of protection is the vaccine

July 26, 2021. Reno/Sparks, NV – The Washoe County Health District (WCHD) and community partners have several Community COVID-19 vaccine sites in Washoe County scheduled for the next two weeks.

Appointments are available, but not required, for each of the below sites by going to our website or calling 775-328-2427.

Homebound vaccines are available as nurses can come to your house to administer the vaccine – schedule an appointment by calling 775-328-2427.

  • Tuesday, July 27, 2021
    • Sparks Methodist Church, 1231 Pyramid Way, Sparks, Noon-2 p.m.
    • Boys and Girls Club, 3905 Neil Rd., 4-6 p.m.
  • Wednesday, July 28, 2021
    • Boys & Girls Club, 325 W. Patrician Dr., Reno, 4-6 p.m.
    • Lazy 5 Regional Park, 7100 Pyramid Way, Sparks, 5-7 p.m.
  • Thursday, July 29, 2021
    • Boys and Girls Club, 2680 E. 9th St., Reno, 7-9 a.m.
    • Great Basin Brewing Company, 846 Victorian Ave., Sparks, 3:30-7:30 p.m.
  • Friday, July 30, 2021
    • Food Truck Friday at Idlewild Park, 2055 Idlewild Dr, Reno, 4-7 p.m.
  • Saturday, July 31, 2021
    • Washoe County Health District, 1001 E. 9th St., Building B lobby, 9 a.m.-1 p.m.
  • Tuesday, Aug. 3, 2021
    • Virginia Lake near playground, Lakeside Drive & Eastshore Drive, Reno, 10 a.m.-1 p.m.
  • Wednesday, Aug. 4, 2021
    • Lazy 5 Regional Park, 7100 Pyramid Way, Sparks, 5-7 p.m.
  • Friday, Aug. 6, 2021
    • Food Truck Friday at Idlewild Park, 2055 Idlewild Dr, Reno, 4-7 p.m.
  • Saturday, Aug. 7, 2021
    • Washoe County Health District, 1001 E. 9th St., Building B lobby, 9 a.m.-1 p.m.
  • Please follow our Twitter and Facebook pages for any updates to these vaccine events

 

With the rise of recent Delta variant cases, Washoe County Health District and state health officials are urging those who are unvaccinated to consider receiving the vaccine in order to protect yourself, and those closest to you, from the newest variant. The COVID-19 vaccine is proven to reduce the chances of contracting, or being hospitalized from, COVID-19 and the Delta variant. The Delta variant is the most dominant in Washoe County and most people hospitalized with the Delta Variant are unvaccinated.

The vaccine is also readily available for your convenience at the Reno-Sparks Livestock and Events Center (sign up for an appointment here) or at your local drug store. Children between the ages of 12-17 must have a parent with them when receiving the vaccine.

Next drawing for Vax Nevada Days is set for July 29

More than $5 million in cash and prizes will be given to Nevada residents who receive the COVID-19 vaccine before Aug. 15. For more information regarding rules and prizes please visit https://www.vaxnevadadays.org.

The COVID-19 Regional Information Center is working together to deliver COVID-19 community updates in a unified manner. While press releases are only sent periodically for significant events, you can always get daily results on our website, https://covid19washoe.com/, our COVID-19 Dashboard or by following us on Twitter @COVID19Washoe. The entities include: City of Reno, City of Sparks, North Lake Tahoe Fire Protection District, Pyramid Lake Paiute Tribe, Regional Transportation Commission, REMSA, Reno Sparks Indian Colony, Reno Police Department, Reno Fire Department, Truckee Meadows Fire Protection District, University of Nevada, Reno, Washoe County, Washoe County Health District, Washoe County School District and Washoe County Sheriff’s Office. Also in the group are the area hospitals, Northern Nevada Medical Center, Renown Health and Saint Mary’s.