(KLZA)--The Southeast District Health Department has confirmed four additional cases of coronavirus (COVID-19) within the district.

These additional cases include a male in his twenties who lives in Otoe county, a female in her teens who lives in Otoe county, a female in her twenties who lives in Otoe county and a female in her sixties who lives in Richardson county.

All identified close contacts will be asked to self-quarantine. Individuals with symptoms consistent with COVID-19 should self-isolate to avoid transmitting the virus to others. COVID-19 symptoms include cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, sore throat, and new loss of taste or smell. In many cases, a person will have more than one of these symptoms.

As of June 5, the total cumulative confirmed cases of COVID-19 within the district is 23. Case counts by county are Johnson with 6. Nemaha 4, Otoe 10, Pawnee 0 and Richardson with 3.

SEDHD reviews all reported test results as soon as they become available and will continue to report county totals to most accurately reflect current cumulative case numbers in the district.