CUYAHOGA COUNTY, Ohio — The three Northeast Ohio counties at level Red — Cuyahoga, Medina and Erie — remain so this week, while Geauga County improved to the safest level possible, Yellow, and Wayne County slipped from Yellow to Orange.

In all, 11 Ohio counties are rated Level 3 Red.

Those counties are:

• Cuyahoga County
• Erie County
• Lucas County
• Franklin County
• Medina County
• Marion County
• Mercer County
• Fairfield County
• Licking County
• Allen County
• Montgomery County

Mercer County in Western Ohio is a new addition.

“Mercer County is our most concerning county in the state right now. The daily case rates in Mercer County have increased more than 200% in recent weeks, and they have had significant community spread. Citizens, businesses, and local officials in Mercer County need to do everything they can to undertake the mitigation efforts we know slows spread of the virus–social distancing, wearing masks, good hand washing hygiene, and reducing interactions with anyone outside your household,” said Gov. Mike DeWine in a press release.

Lawrence, Hamilton and Henry counties dropped to Level 2 (Orange) after being rated at Level 3 (Red) the previous week. Cincinnati is in Hamilton County.

“We also have good news in Hamilton County, which has moved from red to orange. Hamilton County is a success story. We partnered with community leaders to increase mask usage, social distancing, and testing in the community. Hamilton County implemented best practices, and as a result, has moved their numbers below the Centers for Disease Control and Prevention (CDC) High Incidence thresholds. Hamilton County residents need to keep up these efforts to keep virus spread lower, but they also serve as a model for the rest of Ohio,” said DeWine.

There are four levels with seven indicators to determine the level an area is in.

The four levels include:

• Level 1 – Yellow: Zero or one indicator have been flagged active spread exposure, All current health guidelines to be followed as ordered. 53 counties are currently listed at Level

• Level 2 – Orange: Two or three indicators have been flagged, there is an increased risk for exposure and spread. There are 28 counties currently listed at Level 2.

• Level 3 – Red: Four or five indicators have been flagged, there is a very high risk for exposure and spread. Ohioans should limit activities when possible and wear a mask in public. As of Thursday, counties that are Level 3 include: Cuyahoga County, Trumbull County, Huron County, Butler County, Montgomery County, Hamilton County, Franklin County

• Level 4 – Purple: Six to seven indicators have been flagged, there is severe exposure and spread. Residents in these counties should stay home as much as possible. No counties are currently listed at Level 4, but Franklin County has been flagged as approaching this level.

The seven data indicators are:

1. New cases per capita – When the data shows that a county has had an average of 50 cases per 100,000 people over a two-week period, that will trigger a flag for increasing case rate.
2. Sustained new case growth – If the data shows at least a five-day period of sustained new case growth, that will trigger a flag.
3. Proportion of cases that are non-congregate cases – When there are a large number of positive cases from those living in the broader community, more than 50% of new cases originating from non-congregate settings during at least one of the past three weeks, that will trigger a flag on this indicator.
4. Sustained increase in emergency room visits – When there is an increase in the number of people who visit an emergency department with COVID-19 symptoms or COVID diagnoses over a five day period, that will trigger a flag on this indicator.
5. Sustained increase in outpatient visits – When there is an increase over a five-day period in the number of people in outpatient settings, including telehealth appointments, with suspected or confirmed COVID-19 symptoms, that will trigger a flag on this indicator.
6. Sustained increase in new COVID-19 hospital admissions – When the numbers show at least a five-day period of sustained growth in the number of county residents with COVID-19 who are admitted to a hospital, the county will be flagged for meeting this indicator.
7. Intensive Care Unit (ICU) bed occupancy- A county will be flagged for the indicator when the regional ICU occupancy goes above 80% for at least three of the last seven days.

To see the state’s details in each county, click here.

See complete coverage on our Coronavirus Continuing Coverage page.

Rebound Northeast Ohio News 5’s initiative to help people through the financial impact of the coronavirus by offering one place to go for information on everything available to help and how to access it. We’re providing resources on:

Getting Back to Work – Learn about the latest job openings, how to file for benefits and succeed in the job market.

Making Ends Meet – Find help on topics from rent to food to new belt-tightening techniques.

Managing the Stress – Feeling isolated or frustrated? Learn ways to connect with people virtually, get counseling or manage your stress.

Doing What’s Right – Keep track of the way people are spending your tax dollars and treating your community.

We’re Open! Northeast Ohio is place created by News 5 to open us up to new ways of thinking, new ways of gathering and new ways of supporting each other.

Click here for a page with resources including a COVID-19 overview from the CDC, details on cases in Ohio, a timeline of Governor Mike DeWine’s orders since the outbreak, coronavirus’ impact on Northeast Ohio, and link to more information from the Ohio Department of Health, the Cuyahoga County Board of Health, the CDC and the WHO.

See data visualizations showing the impact of coronavirus in Ohio, including county-by-county maps, charts showing the spread of the disease, and more.

The CDC and the Ohio Department of Health are now recommending the use of cloth face coverings in public to slow the spread of COVID-19.

Read more about the CDC’s recommendation here. Here is a step-by-step guide on how to make a face mask from common household materials, without having to know how to sew.

View a global coronavirus tracker with data from Johns Hopkins University.