(KLZA)-- The Southeast District Health Department reports a fourth confirmed case of coronavirus in Nemaha County, Nebraska.

A female in her twenties who lives in Nemaha County is the latest confirmed case.  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. 

There have now been 19 confirmed cases of COVID-19 within the district which consists of Richardson, Pawnee, Nemaha, Johnson and Otoe counties.  

Seven of the cases have been in Otoe County, six in Johnson County, four in Nemaha County,  two in Richardson County with no confirmed cases in Pawnee County.