Valley Health's Virginia hospitals have 63 hospitalizations from COVID-19 compared to the 30 they had on Nov. 1, said Dr. Nicolas Restrepo, vice president of medical affairs for Winchester Medical Center.

"Which I think is a pretty dramatic change," he said. For further comparison, he said, on Oct. 1 it was 14.

"So we are very concerned about the rise in cases," he said, adding that he "can't overemphasize the importance of good decision-making."

He reminded the public to wear masks when around people outside their household, wash their hands frequently and practice proper social-distancing.

"Really, avoiding situations where that's not being practiced."

The hospitals are "well-positioned with PPE," he said, and have developed a robust testing platform that allows for same-day results of all hospital patients.

He advised people who aren't feeling well to get evaluated.

After a week of record highs, the Virginia Department of Health on Friday added 2,544 new statewide cases of COVID-19 and 87 local cases.

It was Virginia’s second-highest one-day increase of the pandemic following Monday’s 2,677 new cases.

Friday also saw the Lord Fairfax Health District’s fourth-highest single-day increase, following Wednesday’s 174 new cases, Thursday’s 127 cases and Tuesday’s 113 cases.

In total, Virginia added 14,069 cases this week for a seven-day new case average of 2,010.

The commonwealth's seven-day positivity rate for PCR tests is 7.0%, down from 7.1% on Thursday.

The health district added 655 cases this week for a seven-day average of 94. Comparatively, from Nov. 7-13, the district added 360 cases for a seven-day average of 51.

On Friday, Frederick County added 37 cases, Shenandoah County 17, Winchester 15, Warren County seven, Clarke County six and Page County five.

Page, Warren and Winchester each reported one hospitalization and Clarke reported its third death.

The health district now has a total of 5,329 cases, 407 hospitalizations and 141 deaths.

Virginia has 213,331 cases, 13,914 hospitalizations (99 new) and 3,912 deaths (16 new). Among those, 21,360 cases, 248 hospitalizations and 307 deaths are probable.

A Friday notice on Winchester Public Schools’ website, wps.k12.va.us/Page/11740, states the school division would be transitioning to distance learning from Monday through Dec. 2, “due to the recent, significant increase in both confirmed COVID cases and symptomatic cases in our community.”

Superintendent Jason Van Heukelum's letter to parents is also posted on the site.

The dashboard lists five active student cases (down three) and 10 staff cases (down two) along with 18 staff members and 47 students self-quarantining.

Handley High has four staff cases and two student cases (one more), Daniel Morgan Middle has one new staff case and one new student case as of Friday, Daniel Morgan Intermediate has one staff case, John Kerr Elementary has two student cases and Virginia Avenue Charlotte DeHart Elementary has one staff case.

Shenandoah County Public Schools at shenandoah.k12.va.us reported five students and one staff member with active cases.

Signal Knob Middle has two student cases (one less), while Strasburg High and W.W. Robinson Elementary each have one. The school division office has one staff case.

Peter Muhlenberg Middle is on a virtual learning model until at least Monday.

Warren County Public Schools at wcps.k12.va.us/index.php/covid-19-dashboard listed one active student case each at Skyline Middle, Warren County Middle (new) and Warren County High. Ressie Jeffries Elementary and Skyline High each have one active staff case, Warren County High has two and the central office has four.

Its online dashboard lists 59 students (three more) and 15 staff members (one more) quarantining because of contact with the virus. Since Sept. 8, the site said it’s had eight positive cases among students and 10 among staff. All schools remain open, the site states.

Clarke County Public Schools, which updates its dashboard with weekly totals each Wednesday at clarke.k12.va.us, lists 17 students and three staff self-quarantining.

Clarke County High has one active staff case and one student case. The county joint maintenance and finance departments have two staff cases, and D G Cooley Elementary has one active case for a contracted service employee assigned to that school. All schools remain open.

Frederick and Page counties don’t have online dashboards for their school divisions. A Wednesday news release posted at pagecounty.k12.va.us alerted parents that a student or staff member at Springfield Elementary School has been diagnosed with COVID-19.

The health district has not confirmed any outbreaks in K-12 settings.

A Friday post at Rappahannock-Shenandoah-Warren Regional Jail’s online COVID dashboard at rswregionaljail.com states that five inmates have positive COVID-19 tests.

Virginia has had 1,468 outbreaks, an increase of eight from Wednesday, and 31,443 outbreak-associated cases.

The Lord Fairfax Health District has seen 55 outbreaks, with no change since Monday.

Local cases

Frederick County has had 1,741 cases (up 37) 111 hospitalizations and 17 deaths

Shenandoah County has had 1,268 cases (up 17), 112 hospitalizations and 62 deaths

Winchester has had 847 cases (up 15), 50 hospitalizations (up one) and four deaths

Warren County has had 746 cases (up seven), 55 hospitalizations (up one) and 24 deaths

Page County has had 549 cases (up five), 60 hospitalizations (up one) and 31 deaths

Clarke County has had 178 cases (up six), 19 hospitalizations and three deaths (up one)

Regional cases

Harrisonburg, in the Central Shenandoah Health District, has had 3,319 cases (up 23), 103 hospitalizations and 36 deaths

Rockingham County has had 2,025 cases (up 38), 137 hospitalizations (up one) and 31 deaths

Contact Josette Keelor at jkeelor@nvdaily.com