Hawaii Department of Health officials today reported four new coronavirus-related deaths and 752 new confirmed and probable infections statewide, bringing the state’s totals since the start of the pandemic to 558 fatalities and 53,598 cases.

Three of the latest deaths were on Oahu and one was on Kauai. Of the deceased on Oahu, all were hospitalized and had underlying conditions, two were at least 80 years old — a man and a woman — and one woman was in her 60s. The deceased on Kauai was a hospitalized man in his 60s with underlying conditions.

The state’s official coronavirus-related death toll includes 431 fatalities on Oahu, 62 on Maui, 59 on Hawaii island, three on Kauai and three Hawaii residents who died outside the state.

The U.S. coronavirus-related death toll today is over 624,000 and the nationwide infection tally is more than 37.3 million.

Today’s new confirmed and probable infection count by island includes 426 new cases on Oahu, 125 on Maui, 163 on Hawaii island, 25 on Kauai, four on Molokai, one on Lanai and eight Hawaii residents diagnosed outside the state.

State health officials have been including probable infections in its total case counts. Probable infections include people who never received a confirmatory test but are believed to have had the virus because of their known exposure and symptoms or because of a positive antigen test.

The total number of confirmed and probable coronavirus cases by island since the start of the outbreak are 38,079 on Oahu, 6,308 on Maui, 6,003 in Hawaii County, 919 on Kauai, 121 on Lanai and 135 on Molokai. There are also 2,033 Hawaii residents who were diagnosed outside of the state.

The statistics released today reflect the new infection cases reported to the department on Tuesday.

Health officials also said today that, of the state’s total infection count, 8,662 cases were considered to be active. Officials say they consider infections reported in the past 14 days to be a “proxy number for active cases.” The state’s total number of active cases increased today by 126.

By island, Oahu has 5,915 active cases, the Big Island has 1,504, Maui has 853, Kauai has 333, Lanai has four and Molokai has 53.

Health officials counted 8,312 new COVID-19 test results in today’s tally, for a 9.05% statewide positivity rate. The state’s 7-day average positivity rate is 7.6%, according to the Hawaii COVID-19 Data dashboard.

The latest Hawaii COVID-19 vaccine summary says 1,815,801 vaccine doses have been administered through state and federal distribution programs as of Wednesday, up 5,620 from a day earlier. Health officials say that 61.6% of the state’s population is now fully vaccinated, and 69.7% have received at least one dose.

Of all the confirmed Hawaii infection cases, 3,138 have required hospitalizations, with 60 new hospitalizations reported today.

Sixteen hospitalizations in the overall statewide count are Hawaii residents who were diagnosed and treated outside the state. Of the 3,122 hospitalizations within the state, 2,538 have been on Oahu, 363 on Maui, 198 on the Big Island, 16 on Kauai, five on Lanai and two on Molokai.

According to the latest information from the department’s Hawaii COVID-19 Data dashboard, a record total of 352 patients with the virus were in Hawaii hospitals as of today, with 71 in intensive care units and 55 on ventilators. Today’s total number of patients hospitalized with COVID-19 is a 10.3% increase over Wednesday’s record of 319. Prior to this week, the highest number of COVID-19 patients hospitalized in Hawaii was 315 on Sept. 8, 2020.

The seven-day average case count for Oahu is 497 and the seven-day average positivity rate is 8.7%, state health officials said today.

This breaking news story will be updated as more information becomes available.