RALEIGH — The North Carolina Department of Health and Human Services reported the state’s highest one-day number of COVID-19 cases on Thursday with 4,296 new cases reported. The record-high day follows several days of increasing trends in new cases, the percent of tests that are positive and hospitalizations. The weekly COVID-19 Surveillance Summary report released today on the number of people visiting the emergency department with COVID-like illness also showed an increase.

"I am very concerned. We are seeing warning signs in our trends that we need to heed to keep our family and friends from getting sick and ensuring our hospitals are able to care for those that have serious illness," said NCDHHS Secretary Mandy K. Cohen, M.D. "We can do that if each North Carolinian wears a face mask over their mouth and nose anytime they are with people they do not live with; waits six feet apart and avoids crowds; and washes their hands often. We have reasons for hope. With promising news on vaccines, this pandemic will end. Until then, North Carolinians need to do what we’ve done throughout this pandemic — take care of one another."

COVID-19 is highly contagious, and more than half of North Carolinians are at high risk for serious illness. Studies are also finding that some people, including those who had mild illness, experience symptoms for weeks or months following infection.

State health officials advise people to avoid travel over Thanksgiving and only gather with people in your household. For those that do plan to travel or get together with others, NCDHHS has issued guidance outlining steps to reduce the risk of spreading COVID-19, including getting tested three to four days ahead of time. A test can help someone know if they have COVID-19 even if they do not yet have symptoms. However, a test can miss some infections. Furthermore, a negative test only gives you information for that point in time. Community testing events and other testing sites are listed online at ncdhhs.gov/testingplace.

People who have been recently diagnosed with COVID-19, have symptoms of COVID-19 or have been around a person with COVID-19, should not host or participate in any in-person gatherings until they complete their isolation or quarantine period.

For a full list of guidance about traveling and gathering during the holidays, along with a chart outlining low, medium and high-risk activities, see the NCDHHS Interim Guidance for Thanksgiving Holiday.