SIOUX FALLS, S.D. (AP) – South Dakota on Friday reported 39 deaths from COVID-19, pushing the state to record more deaths in November than all other months of the pandemic combined.

The state’s tally of COVID-19 deaths stands at 888 after the Department of Health reported the death records from a two-day period stretching over the Thanksgiving holiday. The total number of deaths has more than doubled since November began, with 463 reported this month.

The state currently has a death rate of about 100.7 deaths per 100,000 people. As of Friday morning, the state’s death toll was the 41st highest in the country overall, but the 11th highest per capita, according to Johns Hopkins.

Health officials also reported that 2,138 people have tested positive for the coronavirus since Wednesday. The state has seen a downward tick in new cases over the last two weeks, but health officials are concerned that holiday gatherings could lead to a renewed surge in infections.

The state has already reported the nation’s third-highest number of new cases per capita in the last two weeks. One in every 138 people in the state tested positive in the past week.

Hospitalizations from the virus remained mostly steady over the holiday, with 569 people in the state’s hospitals.

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