Hawaii health officials reported one new coronavirus-related death on Oahu and 78 new infections statewide today, bringing the totals since the start of the pandemic to 222 deaths and 16,088 cases.

The official state Department of Health coronavirus-related death toll includes 173 fatalities on Oahu, 31 on Hawaii island, 17 on Maui, and one Kauai resident who died on the mainland. The Hawaii County Civil Defense Agency says that the Big Island’s COVID-19 death toll is 48, however, state health officials have yet to verify coronavirus as a factor in 17 of those deaths.

The fatality reported today was a man on Oahu who was between 60 and 69 years old and was hospitalized with underlying medical conditions, health officials said this afternoon.

The U.S. coronavirus death toll is over 239,000 today.

Today’s new infection cases in Hawaii include 62 on Oahu, five on Maui, four on the Big Island, and seven Hawaii residents diagnosed outside the state, according to the health department.

Health Department officials said today’s new infection count came from just over 4,844 COVID-19 tests for a 1.6% statewide positivity rate.

Today’s total coronavirus cases by island since the start of the outbreak are 13,924 on Oahu, 1,413 in Hawaii County, 430 on Maui, 106 on Lanai, 71 on Kauai, and 17 on Molokai. There are also 127 Hawaii residents diagnosed outside of the state.

The Department of Health said that two COVID-19 cases reported as from Kauai on Monday have been re-categorized as Hawaii residents diagnosed outside the state.

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Hawaii health officials said that of the state’s total infection count, 1,319 infections are currently considered active cases statewide. Health officials have replaced the “released from isolation” statistic, which had been used to calculate the number of active cases, with “cases in the past 14 days.” They said this new classification serves as a “proxy number for active cases” and is based on infections reported in the past 14 days. There were 13 additional active cases reported today.

The Health Department says the number of active cases by county include: 1,015 on Oahu, 179 on the Big Island, 18 on Lanai, 28 on Maui, and 10 on Kauai, plus 69 of the residents diagnosed outside the state.

Of all the confirmed Hawaii infection cases, 1,180 have required hospitalizations, with 20 new hospitalizations — 19 on Oahu and one on Big Island — reported today by state health officials.

Two hospitalizations in the statewide count are Hawaii residents who were diagnosed and treated outside the state. Of the 1,178 hospitalizations within the state, 1,043 have been on Oahu, 69 on the Big Island, 58 on Maui, four on Kauai, three on Lanai, and one on Molokai.

According to the latest data from the Health Department’s Hawaii COVID-19 Data dashboard, a total of 77 patients with COVID-19 were in Hawaii hospitals, with 16 in intensive care units and one on a ventilator.

Oahu moved to the less-restrictive Tier 2 of Mayor Kirk Caldwell’s four-tier economic recovery plan on Oct. 22. On Monday, the mayor’s office clarified that to gauge whether Honolulu will move to a different tier, the city takes a “weekly assessment” of two key COVID-19 numbers each Wednesday. To move to Tier 3 from Tier 2, the 7-day average of new cases must be below 50 on two consecutive Wednesdays. Also the 7-day average positivity rate, or percentage of tests coming back positive, must be below 2.5% on those two Wednesdays.

Today’s seven-day average case count for Oahu is 87 and the positivity rate was 3.2%, according to the mayor.