SIOUX FALLS, S.D. (AP) — South Dakota health officials on Wednesday confirmed six new deaths due to complications from the coronavirus, after two straight days with no fatalities.

The deaths lifted the total to 1,519 since the start of the pandemic. That death count is the seventh highest per capita in the country at about 171 deaths per 100,000 people, according to The COVID Tracking Project.

The update showed 608 new positive tests, including 144 in Minnehaha County, 31 in Lincoln County, 36 in Brown County and 35 in Codington County. The state has confirmed 91,875 cases overall.

South Dakota ranks 34th in the country for new cases per capita in the last two weeks, Johns Hopkins University researchers said One in every 302 people in South Dakota tested positive in the past week.

Hospitalizations in the state fell by six, to 264.

For most people, the new coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia and death.