In observance of the Thanksgiving Holiday, Dallas County offices will be closed Thursday, November 26, 2020 and Friday, November 27, 2020.
For Dallas County Coronavirus (COVID-19) Updates and Information, please click the links below:
COVID-19 Main Site   |    Reopenings and Operational Updates    |    Cares Act Funding
Emergency Housing Assistance Program (EHAP)

-A A A+

2019 Novel Coronavirus (SARS-CoV-2/COVID-19)

Dallas County Health and Human Services - 2377 N. Stemmons Freeway, Dallas, TX 75207
Telephone: 214-819-2000

If you receive a call or text from Dallas County Health and Human Services and you need additional assistance, please call the DCHHS COVID-19 Call Center at (972) 692-2780. You can access the Contact Tracing page here.



2019 Novel Coronavirus (SARS-CoV-2/COVID-19)

Dallas County Residents

Date last updated:

 Confirmed Cases of COVID-19

Deaths from COVID-19

November 23, 2020119,483*1,191
* Numbers are updated daily. Note: Does not include positive results from persons who reside out-of-state or outside of Dallas County.

As of 4:00 pm November 23, 2020, Dallas County Health and Human Services is reporting 541 additional positive cases of 2019 novel coronavirus (COVID-19) in Dallas County, 521 confirmed cases and 20 probable cases. There is a cumulative total of 119,483 cases (PCR test), including 1,191 confirmed deaths.  There is a cumulative total of 11,244 probable cases (antigen test), including 27 probable deaths.

The additional deaths being reported today includes the following:

  • A man in his 40’s who was a resident of the City of Garland. He had been critically ill in an area hospital, and had underlying high risk health conditions.
  • A woman in her 50’s who was a resident of the City of Dallas. She had been critically ill in an area hospital, and had underlying high risk health conditions.
  • A man in his 60’s who was a resident of the City of Dallas. He had been critically ill in an area hospital, and had underlying high risk health conditions.
  • A woman in her 60’s who was a resident of the City of Lancaster. She had been critically ill in an area hospital, and had underlying high risk health conditions.
  • A man in his 60’s who was a resident of the City Grand Prairie. He had been critically ill in an area hospital, and had underlying high risk health conditions.
  • A woman in her 70’s who was a resident of the City of Dallas. She had been critically ill in an area hospital, had underlying high risk health conditions.
  • A man in his 80’s who was a resident of the City Dallas. He had been critically ill in an area hospital, and had underlying high risk health conditions.

The provisional seven-day average of daily new confirmed and probable cases (by date of test collection) for CDC week 46 has increased to 1,321, which is a rate of 50.1 daily new cases per 100,000 residents-- the highest case rate in Dallas County since the beginning of the pandemic. The percentage of respiratory specimens testing positive for SARS-CoV-2 has increased, with 16.8% of symptomatic patients presenting to area hospitals testing positive in week 46 (week ending 11/14/20).

A provisional total of 1,224 confirmed and probable COVID-19 cases were diagnosed in school-aged children (5 to 17 years) during CDC week 46, a three-fold increase from 5 weeks earlier (week ending 10/10/20). Since November 1, there have been 2,851 COVID-19 cases in school-aged children and staff reported from over 558 separate K-12 schools in Dallas County, including 393 staff members.  A total of 1,224 confirmed and probable COVID-19 cases were diagnosed in school-aged children (5 to 17 years) during CDC week 46 -- which is 50% more than the number of cases in this age group reported during the second highest peak week of cases in July (Week 28). Since November 1, there have been over 116 COVID-19 cases in children and staff reported from 60 separate daycares in Dallas County. 

Over the past 30 days, there have been over 850 COVID-19 cases reported from 84 separate long-term care facilities, including 304 staff members.  This is the highest number of long-term care facilities with active outbreaks reported in Dallas County since the beginning of the pandemic. Over the past 30 days, there have been 90 COVID-19 cases reported from over 14 separate congregate-living facilities, including 22 staff members and one death of a staff member.

Of all confirmed cases requiring hospitalization to date, more than two-thirds have been under 65 years of age. Diabetes has been an underlying high-risk health condition reported in about a third of all hospitalized patients with COVID-19. Of the total confirmed deaths reported to date, about 23% have been associated with long-term care facilities. New cases are being reported as a daily aggregate, with a more detailed summary report updated Tuesdays and Fridays. 

To view current and past press releases, please visit:

For additional information, please visit:

Texas COVID-19 Testing Locations

Test collection sites which are accessible to the public are available statewide.

Click here to view a map of drive-through and in-person testing sites.


November 20, 2020Dallas County 2019 Novel Coronavirus (COVID-19) Summary, 11/20/20
*Summary will be updated Tuesdays and Fridays. For past issues, click here.

Date Issued


July 16, 2020Dallas County Order of Local Health Authority for Public and Private Schools
April 2, 2020Amended Order of County Judge Clay Jenkins (Safe at Home Order)
April 1, 2020Amended Order of County Judge Clay Jenkins Regarding Long-Term Care Facilities
March 31, 2020Amended Order of County Judge Clay Jenkins (Stay Home Stay Safe)
March 31, 2020Executive Order of County Judge Clay Jenkins (Allowing Donations)
March 29, 2020Amended Order of County Judge Clay Jenkins (Safer at Home Order)
March 29, 2020Dallas County Order of County Judge Clay Jenkins Regarding Long-Term Care Facilities

Residents are asked to help prevent spread of the virus by practicing non-pharmaceutical interventions (NPIs) such as social distancing at a distance of at least 6 feet wearing masks, and good hand hygiene. Clean and disinfect frequently touched surfaces, and avoid touching your eyes, nose and mouth with unwashed hands. If you are sick, stay home. 

Current travel advisories can be viewed at the U.S. Department of State and CDC. The CDC recommends that travelers defer all cruise travel worldwide.

What is the coronavirus disease or COVID-19? 

How does the virus spread?

The virus that causes COVID-19 most commonly spreads between people who are in close contact with one another (within about 6 feet, or 2 arm lengths). t spreads through respiratory droplets or small particles, such as those in aerosols, produced when an infected person coughs, sneezes, sings, talks, or breathes. These particles can be inhaled into the nose, mouth, airways, and lungs and cause infection. This is thought to be the main way the virus spreads. Droplets can also land on surfaces and objects and be transferred by touch. A person may get COVID-19 by touching the surface or object that has the virus on it and then touching their own mouth, nose, or eyes, but it is not thought to be the main way the virus spreads. It is possible that COVID-19 may spread through the droplets and airborne particles that are formed when a person who has COVID-19 coughs, sneezes, sings, talks, or breathes. There is growing evidence that droplets and airborne particles can remain suspended in the air and be breathed in by others, and travel distances beyond 6 feet (for example, during choir practice, in restaurants, or in fitness classes). In general, indoor environments without good ventilation increase this risk.

For more information about how the virus spreads, see the CDC's FAQ.

What are the symptoms of COVID-19?

  • Symptoms reported for patients with COVID-19 have included mild to severe respiratory illness with fever, cough, and difficulty breathing. Additional symptoms include headache, fatigue, sore throat, runny nose, new loss or taste or smell, nausea or vomiting, and diarrhea. This is not a comprehensive list. Please visit the CDC for more information on symptoms of COVID-19.
  • Older adults and people who have severe underlying medical conditions like heart or lung disease or diabetes are at higher risk for developing more serious complications from COVID-19 illness.
  • If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs may include: trouble breathing, persistent pain or pressure in the chest, new confusion, inability to wake or stay awake, or bluish lips or face. (This list is not all the possible symptoms, so consult your medical provider for any other symptoms that are severe or concerning.)

Who is at risk for having severe disease related to COVID-19?

Most people who contract COVID-19 will experience mild symptoms; however, there are groups of people who need to take extra precautionsPeople at higher risk for severe illness include: older adults; people at any age with chronic conditions, including cancer, chronic kidney disease, COPD (Chronic Obstructive Pulmonary Disease); heart conditions; weakened immune system from a solid organ transplant; obesity or severe obesity; pregnancy; sickle cell disease; smoking; Type 2 diabetes. Other populations that need to take extra precautions include: people experiencing homelessness; people with disabilities; and possibly people with the following health conditions: asthma, cerebrovascular disease, cystic fibrosis, high blood pressure, weakened immune system (from a blood or bone marrow transplant, HIV, immune deficiencies, use of corticosteroids or other immune weakening medicines), neurologic conditions such as dementia, liver disease, overweight, pulmonary fibrosis, Thalassemia, Type 1 diabetes.

What is the treatment for COVID-19?

  • People with COVID-19 may receive supportive care to help relieve symptoms.
  • The U.S. Food and Drug Administration (FDA) has granted Emergency Use Authorization of potential treatments. A summary of these treatments can be found here
  • Information on Convalescent Plasma (Texas Medical Association)

Should I be tested for COVID-19?

  • If you develop a fever and symptoms of respiratory illness, such as cough or shortness of breath, you should call ahead to a healthcare provider or visit a drive-thru testing location or other testing location. If your symptoms are mild, you can:
    • Visit the CDC's Coronavirus Self-Checker to answer questions about your symptoms and receive guidance to help you make a decision on whether or not to seek medical care. 
    • Call 2-1-1 for general public inquiries about COVID-19 resources.
  • Individuals who have been identified by public health as high risk for COVID-19 will be given specific recommendations to seek care for testing for COVID-19, if needed.

What if I am experiencing flu-like symptoms and am worried I might have COVID-19?

  • If you think you were exposed to COVID-19 and feel sick with fever, cough, or difficulty breathing, you should contact a healthcare provider or visit a drive-thru testing location or other testing location to be screened for COVID-19 testing.
    • Before you go to a doctor’s office or emergency roomcall ahead and tell them about your symptoms.
    • Cover your nose and mouth with a cloth face covering BEFORE you enter the healthcare facility for medical evaluation.
  • Follow the CDC's recommendations for what to do if you are sick with COVID-19 or think you might have COVID-19.

Useful Resources:

Think You Might Have COVID-19?

Take the CDC's Symptom Self-Checker here.

What should you do if you test positive for COVID-19?

What should you do if you have symptoms for COVID-19?

Are you a critical infrastructure worker?

If your job identifies you as a critical infrastructure worker, please see the CDC guidance on safety practices in the case of potential exposure to COVID-19. This interim guidance pertains to critical infrastructure workers, including personnel in 16 different sectors of work including: Federal, state, & local law enforcement; 911 call center employees; Fusion Center employees; hazardous material responders from government and the private sector; janitorial staff and other custodial staff; workers (including contracted vendors) in food and agriculture, critical manufacturing, informational technology, transportation, energy and government facilities.

Links to PDF versions of the guidance and printable flyers:

  • Interim Guidance for Implementing Safety Practices for Critical Infrastructure Workers Who May Have Had Exposure to a Person with Suspected or Confirmed COVID-19 (CDC) (Translations: English | Spanish)

  • Printable flyers for the work place (CDC) (Translations: English | Spanish)

Are you a parent or guardian?

Parents and guardians, please see the the following:  Guidance for Parents and Guardians: What to do when you or your child is sick with COVID-19

Daily Life and Basic Habits

The CDC has posted the following helpful resources for households:

Protect yourself from COVID-19: 

  • Wear a mask over your mouth and nose.
  • Stay at least 6 feet away from other people, even when you are wearing a mask.
  • Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use an alcohol-based hand sanitizer.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Avoid close contact with people who are sick.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces.
Additional Resources:

Travel increases your chance of getting and spreading COVID-19. Staying home is the best way to protect yourself and others from COVID-19. You can get COVID-19 during your travels. You may feel well and not have any symptoms, but you can still spread COVID-19 to others. You and your travel companions (including children) may spread COVID-19 to other people including your family, friends, and community for 14 days after you were exposed to the virus. Don’t travel if you are sick or if you have been around someone with COVID-19 in the past 14 days. Don’t travel with someone who is sick. More information about travel can be found here.

As part of a strategy aimed to limited continued COVID-19 spread in US communities, the US government has has issued travel health notices on the CDC website hereTraveling Abroad? Check CDC’s COVID-19 Travel Recommendations by Destination before planning your trip.

Guidance for Social Distancing 

During your trip, take steps to protect yourself and others from COVID-19:


If you need to seek medical care for other reasons, such as dialysis, call ahead to your doctor and tell them about any recent travel.

What Schools Can Do

  • See the DCHHS K-12 School Reopening guidance below under public health resources.
  • Schools should report positive COVID-19 cases of students and staff to DCHHS using the case report form below.

Public Health Resources

Guidance from the CDC

Infographics and Helpful Resources

Planning Considerations

Plan, Prepare & Respond (CDC)

Businesses should review their Continuity of Operations Plan or Business Continuity Plan. 

A Continuity of Operations Plan (COOP) or Business Continuity Plan (BCP) outlines the job or service functions that are essential to keeping the business operational. Essential functions are often tied to public safety and health, job functions tied to laws or administrative codes and those functions that keep the business open. A healthy COOP or BCP plan will include: details of the essential functions; key staff who perform the essential functions; list of essential records, contracts and important information needed to keep the functions running; cross-trained personnel who can perform essential functions.

Businesses should prepare for social distancing and absenteeism

Businesses should include ways to reduce interactions amongst employees. Explore whether you can establish policies and practices, such as flexible worksites, teleworking, flexible work hours (e.g., staggered shifts), to increase the physical distance among employees and between employees.

Be flexible with employees who become ill. It’s important that employees with signs of respiratory illness (fever and cough) stay home and seek medical care. Some employees with recent travel to areas with high case numbers may be placed under quarantine for 14 days.

DO NOT require proof of a negative COVID-19 test before employees return to work.  

For more guidance on COOP or BCP planning, visit 

Response Considerations

Provide alcohol-based (60%) hand sanitizers for use for both employees and customers by placing them at convenient/accessible locations.

Actively encourage sick employees to stay home:

  • Dallas County Health and Human Services recommends employees who have COVID-19 symptoms to follow the CDC guidelines for what to do if you are sick. This recommendation applies regardless of whether the individual has been tested for COVID-19 and is advised to reduce overall risk of transmission of flu-like symptoms before returning to work. Employees should notify their supervisor and stay home if they are sick.
  • Ensure that your sick leave policies are flexible and consistent with public health guidance and that employees are aware of these policies.
  • Talk with companies that provide your business with contract or temporary employees about the importance of sick employees staying home and encourage them to develop non-punitive leave policies.
  • Do NOT require a healthcare provider’s note for employees who are sick with acute respiratory illness to validate their illness or to return to work, as healthcare provider offices and medical facilities may be extremely busy and not able to provide such documentation in a timely way.
  • Do NOT require a negative COVID-19 test for employees to return to work.
  • Public Health WILL NOT contact every business to notify them of employees who are positive for COVID-19. Notification to businesses depends on case investigation information, potential exposure and whether the employee was in a high-risk job (e.g., healthcare).
  • Employers should maintain flexible policies that permit employees to stay home to care for a sick family member. Employers should be aware that more employees may need to stay at home to care for sick children or other sick family members than is usual.
  • Encourage sick staff to use telehealth if available.

Separate sick employees:

  • CDC recommends that employees who appear to have acute respiratory illness symptoms (i.e. cough, shortness of breath) upon arrival to work or become sick during the day should be separated from other employees and be sent home immediately. While at work, sick employees should cover their noses and mouths with a tissue when coughing or sneezing (or an elbow or shoulder if no tissue is available).
  • Have sick employees follow CDC guidelines for what to do if you are sick.

Emphasize staying home when sick, respiratory etiquette and hand hygiene by all employees:

  • Place posters that encourage staying home when sickcough and sneeze etiquette, and hand hygiene at the entrance to your workplace and in other workplace areas where they are likely to be seen.
  • Provide tissues and no-touch disposal receptacles for use by employees.
  • Instruct employees to clean their hands often with an alcohol-based hand sanitizer that contains at least 60-95% alcohol,or wash their hands with soap and water for at least 20 seconds. Soap and water should be used preferentially if hands are visibly dirty.
  • Provide soap and water and alcohol-based hand rubs in the workplace. Ensure that adequate supplies are maintained. Place hand rubs in multiple locations or in conference rooms to encourage hand hygiene.
  • Visit the coughing and sneezing etiquette and clean hands webpage for more information.

Perform routine environmental cleaning:

  • Routinely clean all frequently touched surfaces in the workplace, such as workstations, countertops, and doorknobs. Use the cleaning agents that are usually used in these areas and follow the directions on the label.
  • Provide disposable wipes so that commonly used surfaces (for example, doorknobs, keyboards, remote controls, desks) can be wiped down by employees before each use.

Advise employees before traveling to take certain steps:

  • Check the CDC’s Traveler’s Health Notices for the latest guidance and recommendations for each country to which you will travel. Specific travel information for travelers going to and returning from China, and information for aircrew, can be found at on the CDC website.
  • Advise employees to check themselves for symptoms of acute respiratory illness before starting travel and notify their supervisor and stay home if they are sick.
  • Ensure employees who become sick while traveling or on temporary assignment understand that they should notify their supervisor and should promptly call a healthcare provider for advice if needed.
  • If outside the United States, sick employees should follow your company’s policy for obtaining medical care or contact a healthcare provider or overseas medical assistance company to assist them with finding an appropriate healthcare provider in that country. A U.S. consular officer can help locate healthcare services. However, U.S. embassies, consulates, and military facilities do not have the legal authority, capability, and resources to evacuate or give medicines, vaccines, or medical care to private U.S. citizens overseas

Restaurants and other food businesses can find CDC guidance here.



If your health care organization or agency is involved in the COVID-19 response and you would like to place an order for PPE from the Strategic National Stockpile (SNS), please note the following prior to placing a request:
  • The SNS cache is available to entities in Trauma Service Area E based on critical need; it is not distributed on a first-come-first-serve basis.
  • Organizations experiencing a critical shortage of PPE necessary for COVID-19 response can request supplies from the SNS PPE cache.
  • Not all organizations that request PPE from the SNS cache will have their request filled, and some requests will be filled at a lower level than requested.
  • The SNS cache is not intended to provide a full or recurring PPE supply. It is intended to provide organizations who are within 72 hours of exhausting their PPE supply with up to 72 hours of PPE.
To request Personal Protective Equipment (PPE) from the Strategic National Stockpile (SNS), follow the instructions to complete the NCTTRAC PPE Resource Request Form and ICS 213RR found in the link below:

Reporting Novel Coronavirus (COVID-19) Cases

Healthcare providers with positive (confirmed) COVID-19 test results must complete the submit the following case report form (CRF) to DCHHS at (214) 819-6095:

Testing for Novel Coronavirus (COVID-19)

The CDC has an FAQ on COVID-19 testing at laboratories that includes information on public health and commercial laboratory testing capacity.

Commercial Lab Testing

A list of commercial labs offering COVID-19 testing can be found at the FDA's FAQ on Diagnostic Testing for SARS-CoV-2 webpage.

Public Health Lab Testing

Dallas County LRN Laboratory has capacity to test for novel coronavirus. Healthcare providers requesting testing should review the following documents:

Health Advisories and Alerts

Provider Resources

PUI Assessment and Infection Control

Home Care Considerations and Discontinuation of Precautions

EMS Resources

Testing for Novel Coronavirus (COVID-19)

The Dallas County LRN Laboratory has capacity to test for novel coronavirus. Healthcare providers requesting testing should review the following documents and specimen collection resource:

Laboratory Guidelines

Dallas County Health and Human Services recommends individuals and families follow everyday preventative measures, otherwise known as non-pharmaceutical interventions (NPI), as the frontline of defense against COVID-19 and other seasonal respiratory viruses:

  • Wear A Mask
  • Stay at least 6" away from others
  • Voluntary Home Isolation: Stay home when you are sick with respiratory disease symptoms. Follow CDC guidelines for what to do if you are sick
  • Respiratory Etiquette: Cover coughs and sneezes with a tissue, then throw it in the trash can.
  • Hand Hygiene: Wash hands often with soap and water for at least 20 seconds; especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.
  • If soap and water are not readily available, use an alcohol-based hand sanitizer with 60%-95% alcohol.
  • Environmental Health Action: Routinely clean frequently touched surfaces and objects

Routine use of these measures by individuals and their families will increase community resilience and readiness for responding to an outbreak. Additionally, CDC is also recommending the following:

  • Use of masks to keep people who are infected but do not have symptoms from spreading COVID-19 to others
    • The mask covering your nose and mouth protects other people in case you get sick.
    • The mask should not be used as a substitute for social distancing; use both.
  • People 65 years and older and people with severe underlying medical conditions should take special precautions because they are at higher risk of developing serious COVID-19 illness.
  • People who get a fever or cough should consider whether they might have COVID-19, depending on where they live, their travel history or other exposures. All of the U.S. is seeing community spread of COVID-19.There is no treatment for this virus. Most people have mild illness and are able to recover at home without medical care.
  • Testing for COVID-19 may be accessed through your medical provider, one of Dallas County's drive-thru testing locations or Dallas County Health and Human Services (your medical provider must contact the health department to request testing). You can also view a map of all testing locations throughout Texas.
  • American citizens, lawful permanent residents, and their families who have been in one of the countries with travel restrictions for entering the U.S. in the past 14 days will be allowed to enter the United States but will be redirected to one of 13 airports. If you are returning from one of these countries, you should stay home and monitor your health. All other international travelers please follow CDC instructions during this time. Your cooperation is integral to the ongoing public health response to try to slow spread of this virus.

COVID-19 Convalescent Plasma Donations

If you have recovered from novel coronavirus disease 2019 (COVID-19) and are interested in donating plasma, please visit the organizations below to determine your eligibility and fill out a donor request form:

COVID-19 Vaccine Development & Distribution

Vaccines are being developed for COVID-19. Find more information at these links:

Contact Information