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Ohio Department of Health Director Dr. Amy Acton called the outbreak at Koester a "hot spot" during the governor's briefing on Saturday.
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Sixteen residents of Koester, 24 staff members and two visitors have shown symptoms of COVID-19, according to the Miami County health district. Twelve of those cases are presumed positive, and five are currently hospitalized.
The community can expect to see an increase in positive cases as more people are tested, Miami County Public Health officials said.
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