The number of confirmed cases of COVID-19 in South Dakota rose to 240 Sunday as President Donald Trump declared a major disaster for the state.

Trump’s order directs federal assistance to supplement state, tribal and local recovery efforts in areas hit by the coronavirus pandemic.

The South Dakota Department of Health reported 28 new confirmed cases of the coronavirus Sunday. That number does not include tests pending in private labs or those who are not being tested for the disease.

Minnehaha County reports 23 new positive tests, bringing the total number of cases in South Dakota’s most populous county to 104. Eighteen of those patients in Minnehaha County have recovered.  Codington County now has 10 cases. 

South Dakota’s death total remains at two, but that does not include the death of state Rep. Bob Glanzer of Huron, who was hospitalized after becoming ill with the coronavirus. Avera Prince of Peace said a resident of their retirement home died, which would bring the state’s death count to four, the Argus Leader reported.

Reported hospitalizations from the disease increased to 22. Of reported cases, 84 have recovered.

Older adults and people with existing health problems are more susceptible to severe illness or death from the virus, which generally causes mild or moderate symptoms for most people.