Of those, 16 were patients of two nursing homes, where a cluster of cases affected staff and residents of Koester Pavilion in Troy and SpringMeade Health Center in Tipp City.
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The other three were due to community spread, Miami County Public Health officials said in an email.
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There are 122 positive COVID-19 cases in the county, with an age range of less than 1 year to 96 years involving 71 females and 51 males with 46 hospitalizations.
>>Coronavirus in nursing homes: 'We are going to see deaths'
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