Coronavirus Disease (COVID-19)

Coronavirus Disease (COVID-19)

Coronavirus Disease, or COVID-19, is a respiratory virus first identified in Wuhan, Hubei Province, China. The Health Department is committed to ensuring our residents and healthcare professionals have access to the most up-to-date information to ensure the health and safety of themselves, their patients, and our community.  The Centers for Disease Control and Prevention (CDC) is closely monitoring this outbreak and publishes the most accurate and timely COVID-19 information.  Please visit the CDC's website for more information.

Coronaviruses are a large family of viruses, some causing illness in people and others that circulate among animals, including camels, cats and bats.  Some viruses are highly contagious (like measles), while other viruses are less so. At this time, it’s unclear how easily or sustainably this virus is spreading between people. Current symptoms reported for patients with COVID-19 have included mild to severe respiratory illness with fever, cough, and difficulty breathing.


COVID-19 Positive Case Count by Day the Health Department was Notified; Sarpy and Cass County

View historic Case Count by Day information here.

Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Jan 2
125 Cases
Jan 3
307 Cases
Jan 4
320 Cases
Jan 5
577 Cases
Jan 6
409 Cases
Jan 7
586 Cases
Jan 8
476 Cases
Jan 9
291 Cases
Jan 10
475 Cases
Jan 11
464 Cases
Jan 12
626 Cases
Jan 13
833 Cases
Jan 14
625 Cases
Jan 15
419 Cases
Jan 16
245 Cases
Jan 17
602 Cases
Jan 18
627 Cases
Jan 19
527 Cases
Jan 20
792 Cases
Jan 21
670 Cases
Jan 22
332 Cases
Jan 23
246 Cases
Jan 24
548 Cases
Jan 25 Jan 26 Jan 27 Jan 28 Jan 29


COVID-19 Positive Case Contact Tracing

The Sarpy/Cass Health Department utilizes a combination of disease investigators to personally call COVID-positive resident and an electronic statewide survey to gather information regarding symptoms and exposure.  The electronic survey is sent to adult residents via text message.


Reporting of COVID-19 Positive Results via At-Home Test Kits

Currently Nebraska does not include at-home positive test results in official COVID-19 case numbers.  The Sarpy/Cass Health Department is tracking residents who test positive via an at-home kit to include in unofficial counts.  If you would like to self-report a positive at-home result, please call 402-339-4334 or email [email protected].


COVID-19 Symptoms or Tested Positive for COVID-19?

If you have COVID-19 symptoms or have tested positive for COVID-19, the following information may assist you in slowing the spread of the virus.

COVID-19 Positive: How to Isolate

COVID-19 Positive: How to Notify Your Close Contacts

COVID-19 Exposed and Not Vaccinated: How to Quarantine

COVID-19 Exposed and Up To Date on Vaccine

COVID-19: How to Wear a Mask

COVID-19 Quarantine and Isolation Calculator: How Long Should I Quarantine or Isolate?


COVID-19 Vaccination

The Sarpy/Cass Health Department is collaborating with State and local partners to equitably distribute the COVID-19 vaccine in a way that provides the most protection for Nebraskans as quickly as possible.  Please visit the COVID-19 Vaccine webpage for more information.



International Travel Health Notices: CDC recommendations for postponing or canceling travel to international countries affected by COVID-19.


Help if you are Visually Impaired

It can be overwhelming to find the resources you need during this challenging time, especially if you have poor or no vision. If you can’t see or can’t see very well, call Outlook Enrichment’s COVID-19 Help Line at 531-365-5059 for assistance from people who understand vision challenges and want to help. This line is staffed 8 to 4 p.m. Monday through Friday. Messages received outside of these times will be answered within 24 hours. These resources can also be found at


Mental Health Considerations During Infectious Disease Outbreaks

Manage Anxiety and Stress

Mental Health and Psychosocial Considerations During COVID-19 Outbreak 


Nebraska-Specific Information

Nebraska-specific COVID-19 Information

COVID-19 Interactive Map

Nebraska Media Release Archives

COVID-19 Disaster Relief Hotline: 1-844-268-5627


Nebraska Resources

Food Drop Program Cass County

Food Banks


COVID-19 Federal Updates

Jeff Fortenberry - First Congressional District of Nebraska

Don Bacon - Second Congressional District of Nebraska


Information for the Public

Quarantine and Isolation Instructions

How COVID-19 Spreads

COVID-19: How to Protect Yourself and Others

COVID-19 Frequently Asked Questions

Coronavirus and Pregnancy

Nonpharmaceutical Interventions

Information for Healthcare Professionals

COVID-19 information for healthcare professionals

Strategies to Prevent the Spread of COVID-19 in Long Term Care Facilities


I am a medical provider interested in carrying COVID-19 vaccine in my clinic. What is the process?

Review the CDC COVID-19 Vaccination Program provider requirements. If you are able to comply with the requirements, contact [email protected] to begin the enrollment process. Also contact Marianne Toledo to discuss the vaccine redistribution process.


Information for Schools

Guidance for COVID-19 Prevention in K-12 Schools

Nebraska Department of Education Coronavirus Resources for Schools


Sarpy/Cass Health Department COVID-19 Risk Dial (Retired July 1, 2021)

The Sarpy/Cass Health Department COVID-19 Risk Dial was established in the summer of 2020 (and retired on July 1, 2021) to give an overview of the current risk and severity of COVID-19 in Sarpy and Cass Counties. The guidance for each category was based on federal and state guidance published by public health experts.  This guidance did not replace any federal, state, or local directed health measure. This tool was developed by the Lincoln-Lancaster County Health Department and modified for use by the Sarpy/Cass Health Department. 

The Sarpy/Cass Health Department COVID-19 Risk Dial was comprised of the following measures: 

  • Weekly COVID-19 positivity rate in Sarpy and Cass Counties (using the person/person rate of # of new people with positive tests divided by the # of new people with positive test results + the # of new people with negative test results) (three-week average)
  • Number of new cases of COVID-19 per 100,000 people (three-week average)
  • Percent of ICU beds available in the Omaha Metro area hospitals (three-week average)
  • Percent of critical medical equipment available in the Omaha Metro area hospitals (three-week average)
  • Percent of eligible population fully vaccinated for COVID-19 (current percent)
  • Percent of positive COVID-19 residents contacted for an investigation within 48 hours of the positive test result (three-week average)

All six factors were averaged together to determine the overall risk category.