DES MOINES, Iowa (AP) — State health officials say two more people died with COVID-19, so the state has had 533 deaths as part of the coronavirus outbreak. The Iowa Department of Public Health said Sunday that 19,488 people had tested positive for COVID-19, an increase of 245 since Saturday. More than half of the state’s confirmed cases were concentrated in seven counties: Polk, Woodbury, Black Hawk, Linn, Marshall, Dallas and Buena Vista.

For most people, the coronavirus causes mild or moderate symptoms that clear up in two to three weeks. For some infected people, especially older adults and people with existing health problems, the virus can cause severe illness and death.