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Response to COVID-19 (Coronavirus)

The report includes information about all deaths, including summary statistics about all races, all ages, all zip codes and a graph of each date when death(s) occurred in Butler County. This allows the public and officials to identify trends. 

These cases listed represent only those that the Health District verified to be unique, individual cases associated with Miami University. The information previously captured in the Miami University Case Report can be found on the last few pages of the Butler County Epidemiology Report. 

CLASS A DISEASE REPORTING PHONE NUMBER (24/7): 1-877-774-4636              

6,102  93 6,195
Confirmed Cases* Probable Cases** Total Cases***
Cases updated 9.28.2020
*Confirmed Case: A case with or without symptoms that has tested positive by a standard PCR test.
**Probable Case: A case with symptoms who has close contact with a positive case or in a setting with widespread COVID-19, or, a case with symptoms who has tested positive using other types of lab tests such as antigen testing or antibody testing, or a case with no symptoms who has tested positive using other types of lab tests AND an epidemiological link to known cases.
***Total Cases: The total of confirmed and probable cases combined. Includes cases from Miami University.   

 Miami University Total Cases
Cases updated 9.21.2020. Miami University cases numbers are updated weekly with the Epidemiology Report. 
Miami University Cases: A case linked to Miami University outbreak. Includes students on all campuses.  Cases are included in the Butler County confirmed and total cases. 

Miami University Oxford Campus Dashboard
The University will update this dashboard in a timely manner as information becomes available and is verified. Past entries will be adjusted as necessary to reflect the most accurate information available. 

Ohio Department of Health COVID-19 Dashboard 

Case numbers may not be the same as the Ohio Department of Health COVID-19 Dashboard due to delays in reporting. 


Research has shown that cloth masks can block these respiratory droplets. To help reduce the spread of COVID-19 in Ohio, masks or face coverings, with some exceptions, are required in public places and in
K-12 schools.  Face shields have not been shown to be an adequate substitute.

CLICK HERE FOR: Mandated Facial Covering Order for Ohio 
CLICK HERE FOR: FAQ on the Mask/Face Covering Order

In short, face coverings must be worn: 
1. In any indoor location that is not a residence, including K-12 schools and other childcare education settings;
2. Outdoors and unable to consistently maintain a distance of 6 feet or more from individuals who are not members of their household; or
3. Waiting for, riding, driving, or operating public transportation, a taxi, car service or ride sharing vehicle. 

Face Shields

CLICK HERE FOR: Ohio Department of Health, News Release: The  Use of Face Shields Not Appropriate Substitute for Masks, 8.15.2020


We will take all complaints from the public about persons not wearing masks, and will follow up as we are able.

Individuals inquiring about lawsuits in regards to the mask order should contact the Governor's Office directly.
The number for Governor Dewine's office is 614-466-3555.   


Butler County: LEVEL 3/RED
As of 9/14/2020
Very high exposure and spread. Limit activities as much as possible.

Map 9.24.20


Need a Mask? Click Here for a List of Locations for Free Disposable Masks

Disposable masks are provided to Butler County residents on behalf of your Public Health and Public Safety Partners in Butler County.The distribution will continue until the supply of masks is gone.


Click here to visit the COVID-19 Ohio Testing Map for information regarding various testing options in Butler County and the surrounding area


At this time Butler County General Health District cannot do testing at our facilities. 

Primary Health Solutions

Offering coronavirus testing to the communities we serve.  Testing is available for anyone with or without health insurance and is at no cost to the individual.  For those with health insurance, insurance will be billed.  

Centerpoint Health
Offers curbside COVID-19 testing at the Middletown location on 231 N Breiel Blvd.  Testing is available for anyone with or without health insurance and is at no cost to the individual. For those with health insurance, insurance will be billed. 

Cincinnati Testing Sites

Get tested today
Testing FAQ
Waiting for and Receiving COVID-19 Test Results
Guidance on Interpreting COVID-19 Test Results 

COVID-19 antibody test collections (blood draw) are available through LabCorp at all locations, including LabCorp at Walgreens locations. This type of COVID-19 test is for individuals who think they may have had COVID-19 and do not have symptoms. Note: antibody testing should not be used as the sole basis to diagnose or exclude infection.
Click here to schedule an appointment for an antibody test ($10)


Influenza (Flu) and COVID-19 are both contagious respiratory illnesses, but they are caused by different viruses. COVID-19 is caused by infection with a new coronavirus (called SARS-CoV-2) and flu is caused by infection with influenza viruses. Because some of the symptoms of flu and COVID-19 are similar, it may be hard to tell the difference between them based on symptoms alone, and testing may be needed to help confirm a diagnosis. Flu and COVID-19 share many characteristics, but there are some key differences between the two.

While more is learned every day, there is still a lot that is unknown about COVID-19 and the virus that causes it. To learn more about the flu, visit the CDC's webpage by clicking here. 

Click here for a printable version of the below chart. 

Signs and SymptomsColdInfluenza (Flu)Coronavirus COVID-19
Sore throat Common Common Sometimes
Cough Common Common Common
Sneezing Common Sometimes --
Fever -- Common Common
Body aches/chills Mild Common Sometimes
Tiredness Mild Common Sometimes
Headache -- Common Sometimes
Runny/stuffy nose Common Sometimes --
Nausea -- Sometimes --
Shortness of breath -- -- In severe cases
Loss of taste or smell -- -- Sometimes


1-833-4-ASK-ODH (1-833-427-5634). 
Open 7 days a week from 9 a.m.-8 p.m. 
Call center staff includes licensed nurses and infectious disease experts. They will be available to answer questions and provide accurate information about COVID-19, the risk to the public, and the state’s response.  


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The Document Center provides easy access to public documents. Click on one of the categories below to see related documents or use the search function.

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Categories always sorted by seq (sub-categories sorted within each category)
Documents sorted by _RECORDID in Descending Order within category

Butler County COVID-19 Epidemiology Report30 documents

  • Butler County Epidemiology Report, 9.21.2020
    document _recordid 1336
  • Butler County Epidemiology Report, 9.17.2020
    document _recordid 1329
  • Butler County Epidemiology Report, 9.11.2020
    document _recordid 1320
  • Butler County Epidemiology Report and Miami University Total Cases, 9.4.2020
    document _recordid 1306
  • Butler County Epidemiology Report, 8.24.2020
    document _recordid 1304
  • Butler County Epidemiology Report, 8.18.2020
    document _recordid 1281
  • GIS Map: COVID-19 cases in Butler County, 3.11.20 - 7.15.20
    document _recordid 1280
  • Butler County Epidemiology Report, 8.4.2020
    document _recordid 1206
  • Butler County Epidemiology Report, 07.28.2020
    document _recordid 1201
  • Butler County Epidemiology Report, 7.21.2020
    document _recordid 1195
  • Butler County Epidemiology Report, 7.14.2020
    document _recordid 1168
  • Butler County Epidemiology Report 7.07.2020
    document _recordid 1166
  • Butler County Epidemiology Report, 6.30.2020
    document _recordid 1164
  • Butler County Epidemiology Report, 6.24.2020
    document _recordid 1161
  • Butler County Epidemiology Report, 6.16.2020
    document _recordid 1159
  • ButlerCounty Epidemiology Report, 6.9.2020
    document _recordid 1158
  • Butler County Epidemiology Report, 6.2.2020
    document _recordid 1155
  • Butler County Epidemiology Report, 5.26.2020
    document _recordid 1152
  • Butler County Epidemiology Report, 5.19.2020
    document _recordid 1143
  • Butler County Epidemiology Report, 5.13.2020
    document _recordid 1121
  • Butler County Epidemiology Report, 5.06.2020
    document _recordid 1068
  • Butler County Epidemiology Report, 4.29.2020
    document _recordid 998
  • Butler County Epidemiology Report, 4.22.2020
    document _recordid 985
  • Butler County Epidemiology Report, 4.13.2020
    document _recordid 939
  • Butler County Epidemiology Report, 4.9.2020
    document _recordid 932
  • Butler County Epidemiology Report, 4.6.2020
    document _recordid 924
  • Butler County Epidemiology Report, 4.2.2020
    document _recordid 918
  • Butler County Epidemiology Report, 3.30.2020
    document _recordid 907
  • Butler County Epidemiology Report, 3.25.2020
    document _recordid 902
  • Butler County Epidemiology Report, 3.23.2020
    document _recordid 893

Miami University Case Reports1 document

  • Miami University Case report, 9.15.20
    document _recordid 1323

Press Releases44 documents

  • COVID-19 Guidance on Homecoming Parades and Dances, 9.24.2020
    document _recordid 1334
  • Stay Safe Guidance for Halloween, 9.22.2020
    document _recordid 1332
  • ODH News Release -- COVID19 and Halloween 2020
    document _recordid 1330
  • Collaboration Efforts Continue as Miami University Students Return to Campus, 9.10.2020
    document _recordid 1317
  • Butler County General Health District and Miami University Urge Community to Comply with Health Standards This Labor Day Weekend, 9.2.2020
    document _recordid 1305
  • Increases in COVID-19 Cases at Miami University, 8.26.2020
    document _recordid 1303
  • Miami University student-athletes instructed to quarantine for 14 days, 8.25.2020
    document _recordid 1302
  • Miami University student-athletes to quarantine for 14 days, 8.24.2020
    document _recordid 1301

July 20205 documents

  • Butler County COVID-19 Risk Level Remains in the Red, 7.17.2020
    document _recordid 1316
  • Butler County at Level 3/Red According to Public Health Advisory Alert System for COVID-19, 7.13.2020
    document _recordid 1315
    document _recordid 1314
  • Ohio's new COVID-19 Public Health Advisory Alerting System ranks Butler County at a level 3, 7.2.2020
    document _recordid 1313
  • COVID-19 Test Options Expand in Butler County, 7.1.2020
    document _recordid 1312

June 20201 document

  • Potential COVID-19 Exposure on Bus, 6.10.20
    document _recordid 1277

May 20205 documents

  • Health District Investigates COVID-19 Cases Linked to Social Gatherings in Oxford, 5.23.20
    document _recordid 1275
  • Public Health teams up with Butler County Chambers of Commerce and Economic Development, 5.20.20
    document _recordid 1274
  • CORRECTION NOTICE. Spike in COVID-19 cases in Butler County: Not Just Because of Testing, 5.14.20
    document _recordid 1273
  • First COVID-19 Related Death in Butler County Under 60 Years of Age, Ninth Death in County Overall, 5.6.20 -9th - 5.6.2020.pdf
    document _recordid 1272
  • Seventh COVID-19 Related Death in Butler County, 5.4.20
    document _recordid 1271

April 202016 documents

  • Butler County Board of Commissioners to Host Press Conference on COVID-19, 4.30.20
    document _recordid 1269
  • Sixth COVID-19 Related Death in Butler County, 4.29.20
    document _recordid 1268
  • Fifth COVID-19 Related Death in Butler County, 4.27.20
    document _recordid 1267
  • Potential Increase in Overdose Activity, 4.23.20
    document _recordid 1266
  • Fourth COVID-19 Related Death in Butler County, 4.22.20
    document _recordid 1265
  • Public Health Considers Options for Housing - A tiered approach to be used, 4.18.20
    document _recordid 1264
  • T-shirts Bring Attention to "Stay at Home" Order, 4.15.20
    document _recordid 1263
  • Is a Fulfillment Center an Essential Business in Butler County? 5.14.20
    document _recordid 1262
  • Third COVID-19 Related Death in Butler County, 4.13.20
    document _recordid 1261
  • Butler County Board of Commissioners to Host Press Conference on Friday, 4.10.20
    document _recordid 1260
  • Church Service Should Look Different During COVID-19, 4.8.20
    document _recordid 1259
  • PPE and Homemade Mask Donations, 4.4.2020
    document _recordid 1258
  • Butler County COVID-19 Related Deaths, 4.3.2020
    document _recordid 1257
  • Butler County COVID-19 Press Conference, 4.3.2020 at 10:30 AM
    document _recordid 1255
  • Who Determines an Essential Business, 4.1.2020
    document _recordid 1254
  • UPDATED Media Advisory COVID-19, 4.1.20
    document _recordid 1253

March 20204 documents

  • Medical Director Issues Plea to STAY AT HOME, 3.31.20
    document _recordid 1251
  • Butler County Board of Commissioners to Host Press Conference on COVID-19, 3.26.20
    document _recordid 1250
  • Media Advisory COVID-19, 3.19.2020
    document _recordid 1249
  • Health Collaborative: Greater Cincinnati COVID-19 Assessment Sites
    document _recordid 1248

February 20202 documents

  • Gov. Mike DeWine, Health Director Update COVID-19 Prevention and Preparedness Plan, 2.27.20
    document _recordid 1246
  • Results of two Butler County 2019 Novel Coronavirus Tests: Negative, 2.2.2020
    document _recordid 1245

January 20203 documents

  • Miami University President letter to MU community, 1.28.2020
    document _recordid 1242
  • Persons Under Investigation, 1.28.2020
    document _recordid 1241
  • The Health Collaborative Release on Persons Under Investigation, 1.28.2020
    document _recordid 1239

Community Resources and Holiday Guidance6 documents

  • Halloween Guidance 2020
    document _recordid 1331
  • Consider Your Risk When Returning to Activities
    document _recordid 1156
  • Garage and Yard Sales
    document _recordid 1125
  • Grocery Shopping
    document _recordid 1116
  • Face Coverings and Masks
    document _recordid 1114
  • Avoiding Scams
    document _recordid 1113

Schools and Child Education Settings4 documents

  • What Parents Should Know About Sending Children Back to Child Care
    document _recordid 1283
  • COVID Measures to Inform School Planning
    document _recordid 1278
  • Health and Prevention Guidance for Ohio K-12 Schools
    document _recordid 1227
  • Order Requiring the Use of Facial Coverings in Child Education Settings
    document _recordid 1226

Sports4 documents

  • Youth, Collegiate, Amateur Club and Professional Sports Order, 8.19.20
    document _recordid 1288
  • Checklist for Coaches
    document _recordid 1287
  • Youth Sports Factsheet
    document _recordid 1286
  • COVID-19 Youth Sports Banner
    document _recordid 1285
    Printable 6x3

Quarantine and Isolation2 documents

  • When to stay home inforgraphic
    document _recordid 1325
  • Quarantine FAQ
    document _recordid 1174

Masks and Facial Coverings10 documents

  • How to Properly Use a Mask
    document _recordid 1295
  • Face Shields FAQ
    document _recordid 1230
  • CDC Guidance on Masks
    document _recordid 1222
  • Checklist on Cloth Face Coverings
    document _recordid 1221
  • American Academy of Pediatrics - Masks and Children During COVID-19
    document _recordid 1220
  • Ohio Department of Health Order: Requiring the Use of Facial Coverings in Child Education Settings
    document _recordid 1218
  • Order on Facial Coverings throughout State Ohio
    document _recordid 1200
  • Mask Health Order FAQ, 7.23.20
    document _recordid 1199
  • Locations for Free Disposable Masks in Butler County
    document _recordid 1198
  • Masks Reduce Airborne Transmission Aerosol, 6.15.20
    document _recordid 1197

Long Term Care Facilities3 documents

  • Testing Residents and Staff at ALL Residential Care Facilities Order, 8.21.20
    document _recordid 1294
  • Testing at Nursing Home Order, 5.22.2020
    document _recordid 1293
  • CDC Preparedness Checklist for Long Term Care Settings
    document _recordid 1290

Guidance for Businesses, Restaurants, Campgrounds and Childcare8 documents

  • Child Care
    document _recordid 1123
  • Campgrounds Fact Sheet
    document _recordid 1122
  • Consumer and Retail Services
    document _recordid 1079
  • General Office Environments
    document _recordid 1078
  • Manufacturing-Distribution-Construction
    document _recordid 1077
  • Restaurants and Bars
    document _recordid 1076
  • Restaurant Food Establishment Guidance
    document _recordid 1075
  • Hair-Salons-Day-Spas-Nail Salons-Barbershops-Tanning-Facilities
    document _recordid 1074

Printable Posters and Flyers14 documents

  • Properly wear mask 8.20.20 FINAL.pdf
    document _recordid 1296
  • Responsible RestartOhio  Protocols
    document _recordid 1098
  • COVID-19 Symptoms Infographic
    document _recordid 1097
  • Self Monitor and Social Distancing
    document _recordid 1096
  • Wash Your Hands Poster
    document _recordid 1095
    Size: 8.5"W x 11"H
  • Stay Home from Work When Sick - English
    document _recordid 1094
    Size: 24"W x 36"H
  • Stay Home From Work When Sick - Espanol
    document _recordid 1093
    Size: 24"W x 36"H
  • Stay Home from Work When Sick - English
    document _recordid 1092
    Size: 8.5"W x 11"H
  • Stay Home From Work When Sick - Espanol
    document _recordid 1091
    Size: 8.5"W x 11"H
  • Stay Home From Work When Sick - English
    document _recordid 1089
    Size: 11"W x 8.5"H
  • Stay Home From Work When Sick - Espanol
    document _recordid 1088
    Size: 11"W x 8.5"H
  • How to Safely Wear and Take off a Cloth Face Covering
    document _recordid 1083
    Size: 8.5"W x 11"H
  • Stop the Spread of Germs
    document _recordid 1082
    Size: 8.5"W x 11"H
  • How to Protect Yourself and Others
    document _recordid 1081
    Size: 8.5"W x 11"H

Ohio Public Health Advisory System 10 documents

  • Case Rates by County, 9.24.2020
    document _recordid 1335
  • Top 20 Ohio Counties Ranked by Highest Occurrence, 9.17.2020
    document _recordid 1328
  • Case Rates by County, 9.17.20
    document _recordid 1327
  • Public Health Advisory System Ohio Map, 9.17.2020
    document _recordid 1326
  • Public Health Advisory System Ohio Map, 9.10.2020
    document _recordid 1319
  • COVID-19 Case Rates Per County as of 9.9.2020
    document _recordid 1318
  • County Level Indicator Breakdown, 9.4.2020
    document _recordid 1307
  • Summary of Alert Indicators, 7.2.20
    document _recordid 1192
  • Risk Level Guidelines for the Public, 7.2.20
    document _recordid 1191
  • Combined PDF of all Public Health Advisory System Documents, 7.2.20
    document _recordid 1190

Health Advisories2 documents

  • Serious Adverse Health Events Associated with Methanol-based Hand Sanitizers, 7.5.20
    document _recordid 1187
  • Potential Increase in Overdose Activity, 4.23.20
    document _recordid 1185

Local, State, Federal and Global Organizations7 documents

  • The Path to Zero: Key Metrics For COVID-19 Suppression
    document _recordid 1193
  • Ohio Department of Health Website on Coronavirus
    document _recordid 1021
  • Centers for Disease Control Website on Coronavirus
    document _recordid 1020
  • Coronavirus COVID-19 Global Cases by Johns Hopkins CSSE
    document _recordid 1019
  • World Health Organization Website on Coronavirus
    document _recordid 1018
  • Harm Reduction Coalition: Safer Drug Use During the COVID-19 Outbreak
    document _recordid 1017
  • Harm Reduction Coalition: COVID-19 Guidance for Harm Reduction Programs
    document _recordid 1016