LISBON — Four more deaths have been attributed to the COVID-19 virus, bringing the total to 105.

The county health department reported Friday three men ages 84, 85 and 87 and a 90-year-old woman died from the virus. All except the 85-year-old man were residents of long-term health care facilities, such as nursing homes.

Of the 105 deaths, 64 were residents of long-term health care facilities and nine from the federal prison in Elkton. The remaining 32 were from the general community, but some of them had underlying health conditions. In July, the health department quit reporting whether any of the deceased also had underlying health conditions because the county was not getting that information on a consistent basis.

The four new deaths are believed to be the most reported in a single day by the health department. But that doe not mean the deaths occurred the same day or month.

“Please remember we release this death information as we are to able confirm it,” said the health department’s Laura Fauss.

The spike in cases come at a time when the county, state and nation is seeing a significant increase in the number of people testing positive for the virus. Fauss reported the number of positive cases in the county increased by 480 between Nov. 27 and Friday.

The number of active cases is currently 987 compared to 689 on Nov. 20.

According to the state, a total of 4,233 county residents have tested positive since March and a total of 328 have been hospitalized with complications from the virus. This would include the 105 who died.

The health department also released the total number positive cases by zip code for the month of November, which includes nursing homes located in those areas.

The following is the breakdown:

Salem 368

East Liverpool 386

Columbiana 141

* Lisbon 152

Wellsville 141

East Palestine 100

Leetonia 67

New Waterford 49

Hanoverton 38

Beloit 28

Negley 28

Salineville 20

Minerva 24

Alliance 19

Rogers 14

Homeworth 23

Kensington 14

East Rochester 15

Washingtonville 8

Petersburg 5

Winona 3

Hammondsville 4

Irondale 3

Damascus 3

Summitville 0

Elkton 1

West Point 1

North Georgetown 0

Sebring 0

* Includes the federal prison