COVID Risk Level Chart

Burgum announces changes to COVID-19 risk levels for counties, appoints Mariani interim state health officer

BISMARCK, N.D. – Gov. Doug Burgum today announced changes to the COVID-19 risk levels for 21 of North Dakota’s 53 counties under the ND Smart Restart plan, stressing the need to reverse the state’s upward trend of active coronavirus cases and positive test rate.

Eight counties – Barnes, Benson, Burleigh, Grand Forks, McLean, Morton, Stark and Williams – are moving from the low risk level (green) to the moderate risk level (yellow) under the ND Smart Restart color-coded health guidance. These counties currently account for 64 percent of North Dakota’s 2,437 active cases, Burgum noted.

The goal of moving counties to moderate risk is twofold, Burgum said: to decrease transmissible moments, giving the virus less opportunities to spread, and to raise awareness and communicate to North Dakotans that an elevated risk level exists and there are simple steps they can take to slow the spread, namely:

Avoid large gatherings and social distance

Wear masks in public where social distancing isn’t possible

Wash your hands frequently.

“These are the things that need to happen if we want to keep schools open, if we want to keep businesses open and back to operating at 100%, and most importantly, if we want to protect the most vulnerable among us,” Burgum said. “Let’s remember that our students have given up a lot – missed classes, canceled sports and graduations – and so have our long-term care residents in terms of lost visits with their loved ones. The goal all along has been to protect the most vulnerable and keep things open – to save lives and livelihoods – and we need everyone to be in the fight and be responsible. We truly are in this together.”

Thirteen counties are moving from the low risk level to the “new normal,” or blue risk level: Billings, Cavalier, Divide, Foster, Griggs, LaMoure, Mercer, McIntosh, Nelson, Renville, Traill, Walsh and Wells. Burgum urged residents in those counties not to become complacent, noting the additional risk inherent with students returning to school and creating more transmissible moments for the coronavirus.

The changes in risk level were based on three main criteria: 14-day rolling average of active cases per 10,000 people, 14-day rolling average of tests performed per 10,000 people and 14-day rolling average percent positive rate.

The county-by-county risk levels will take effect at 5 p.m. Friday, Sept. 3. For those moving from low risk to moderate risk, the recommendation for capacity in bars and restaurants decreases from 75 percent to 50 percent and the recommendation for large gatherings would decrease from 75 percent occupancy up to 500 attendees, to 50 percent occupancy up to 250 attendees. 

Despite a recent surge in active cases, because of its robust testing program, North Dakota’s test positivity rate remained under 5% until this week, when the White House’s weekly report to states classified North Dakota as being in the “yellow zone” for test positivity at over 5%, which is consistent with data tracked by the state. Today’s action aligns with the White House’s recommendation to adjust the state coronavirus risk level for highly affected counties to reflect persistently high and increasing reported cases.

While the state’s COVID-19 hospitalizations remain relatively low at 67 today, Burgum stressed that hospitalizations are a lagging indicator, not a leading indicator. Southern states that experienced surges in cases among 15- to 29-year-olds earlier this summer, as North Dakota is seeing now, saw those surges followed by increases in the older adult populations, increased hospitalizations and mortality rates, he noted.

“We said we’re going to be targeted and we’re going to be proactive. We’re doing both of those things today,” Burgum said.

The governor urged college students to make use of available COVID-19 testing and to stay on campus or in their campus communities during the Labor Day weekend to avoid potentially spreading COVID-19 to other areas, as young people are more likely to be asymptomatic and unknowingly transmit the virus.  

The governor also announced the appointment of a new interim state health officer, Dr. Paul Mariani, who since 2015 has served as associate chief of staff for education at the Fargo VA Health Care System, part of the U.S. Department of Veterans Affairs.

Mariani earned his medical degree in Poland and completed his residency at the University of North Dakota School of Medicine and Health Sciences, where he served as chief resident. He also completed a fellowship in infectious disease at the University of Miami.

Prior to his current role at the Fargo VA, Mariani served as medical director of the North Dakota Aids Education & Training Center for three years and as an infectious disease physician at Sanford Health in Fargo for four years. He is a lieutenant colonel in the North Dakota Air National Guard’s Medical Corps.

Department of Health Chief of Staff Dirk Wilke will serve as interim state health officer until Mariani joins the Health Department on Sept. 14.

The governor also signed two executive orders today:

Executive Order 2020-40 allows qualified applicants wanting to practice dentistry in North Dakota to complete their patient-based clinical competency exam on a mannequin instead of a live patient, reducing the risk of virus spread.

Executive Order 2020-42 allows for interim substitute teachers to remain in a classroom beyond the current limitation of 10 consecutive days.

For more information on North Dakota’s COVID-19 response, visit or

COVID-19 Cases Spike in Barnes County

Valley City, N.D. – There are fifty active cases of COVID-19 confirmed in Barnes County, bringing the total to 124 cases. Theresa Will, Administrator for City-County Health District says the last week has been busy with a jump in positive cases. “We continue to work closely with community partners to help slow the spread, but we need the public to double-down on personal responsibility by wearing masks in public, washing hands, and staying home when sick. The basics are the best defense against this virus,” Will said.

With regular public events being offered on Wednesday afternoons, access to COVID-19 testing in Barnes County has been consistent. Will says that public health units are limited to a certain number of samples that they can provide to the North Dakota Department of Health microbiology lab. “There have been days when we have 200 tests available, and we have 75 or less show up to a testing event. Some days we exhaust our limit in a short time. We are doing our best to meet the demand for testing and will continue to offer free events that are open to the public,” Will explained.  

The health district reports turning about fifty cars away from Wednesday’s free testing event at VCSU’s Lokken Stadium. “We don’t like to do it, but we have to work within the state lab’s capacity for daily testing,” said Will. A small-scale, free testing event will be held on Friday, September 4th at City-County Health District from 11:00 am-12:30pm. “If you weren’t able to be tested on Wednesday, please call 845-8518 to pre-register for a spot on Friday the fourth,” she added.

For questions related to COVID-19, the public can call the North Dakota Department of Health hotline at 866-207-2880 or City-County Health Distract at 701-845-8518, 8:00 a.m. – 5:00 p.m. , Monday – Friday. Individuals experiencing a fever and symptoms, such as cough or difficulty breathing, should call their healthcare provider.   

For the most timely information and updates related to COVID-19 in North Dakota, visit the ND DoH website at Follow City-County Health District on Facebook for Barnes County updates or call 701-845-8518.

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