FILE - In this Monday, May 25, 2020 file photo, a vile of a COVID-19 vaccine candidate on a shelf during testing at the Chula Vaccine Research Center, run by Chulalongkorn University in Bangkok, Thailand. Refrigeration, cargo planes, and, above all, money: All risk being in short supply for the international initiative to get coronavirus vaccines to the world’s most vulnerable people. (AP Photo/Sakchai Lalit, File)

CONCORD – The state Department of Health and Human Services announced 491 new positive test results for COVID-19 Sunday, including 258 people who tested positive by PCR test and 233 who tested positive by antigen test.

The state also announced three additional deaths related to COVID-19, a man from Belknap County, a woman from Coos County and a man from Rockingham County, all older than 60.

There are currently 146 individuals hospitalized with COVID-19. In New Hampshire since the start of the pandemic, there have been a total of 20,480 cases of COVID-19 diagnosed with 839 (4%) of those having been hospitalized.

There are now 4,995 current COVID-19 cases diagnosed in New Hampshire.

Of the results reported Sunday, 259 new positive test results are from Friday, 11/27; the Friday cases announced today combined with those announced yesterday results in a daily PCR test positivity rate of 5.2%.

The municipalities with the most active cases Sunday were Manchester (973), Nashua (445) amd Derry (131).

Today’s cases also include 232 new positive test results from Saturday, 11/28. Test results received Saturday are still being processed and the total number of new positives for that day is not yet complete. Updated case counts for prior days will be reflected on the COVID-19 interactive dashboard.

Several cases are still under investigation. Additional information from ongoing investigations will be incorporated into future COVID-19 updates. Of those with complete information, there are sixty-two individuals under the age of 18 and the rest are adults with 47% being female and 53% being male. The new cases reside in Rockingham (142), Hillsborough County other than Manchester and Nashua (91), Merrimack (47), Strafford (28), Carroll (14), Cheshire (14), Belknap (13), Grafton (13), Sullivan (6), and Coos (5) counties, and in the cities of Manchester (54) and Nashua (41). The county of residence is being determined for twenty-three new cases.

Community-based transmission continues to occur in the State and has been identified in all counties. Of those with complete risk information, most of the cases have either had close contact with a person with a confirmed COVID-19 diagnosis or are associated with an outbreak setting.