The North Dakota Department of Health Wednesday morning confirmed 410 new cases of COVID-19 in the state during testing on December 21, bringing the total positives since testing began to 170,371.

The number of currently active COVID-19 cases in the state stands at 2,256 as of December 21, up 58 cases from December 20.

Active positives peaked on November 13, 2020, at 10,441. They declined to 170 by July 5, but rose again to a high of 4,608 on October 6.

Of the 410 new positives on December 21:

  • 153 were in Cass County
  • 47 were in Burleigh County
  • 31 were in Grand Forks County
  • 29 were in Ward County
  • 20 were in Morton County
  • 16 were in Williams County
  • 15 were in Stark County

3 new deaths were reported on December 21. The North Dakota Department of Health says it no longer publicly provides COVID-19 death information by sex, age, and location.

In November, 134 people died as a result of COVID-19, the fifth-highest month for fatalities since COVID-19 tracking officially began in March 2020.

The most deaths in a month from COVID-19 came in November 2020, when 500 people died.

A total of 1,993 people have died so far in North Dakota as a result of COVID-19.

Of those, 1,661 are directly attributable to COVID-19 according to official death records. Another 329 deaths are where COVID-19 is not the primary cause of death. No death records are pending.

Recoveries and Active Cases

The health department reports 166,122 people are considered recovered from the 170,371 positive cases, an increase of 326 people from December 20.

The number of people reported recovered from COVID-19 on December 21 (326) is lower than the number of COVID-19 cases reported that day (410).


119 people are currently hospitalized due to COVID-19 as of December 21, down 1 from December 20. A total of 6,840 people have been hospitalized since pandemic record-keeping began in March 2020.

Breakthrough Infections and Hospitalizations

As of December 21, the total number of North Dakotans with up-to-date vaccinations stands at 377,649. A total of 16,330 people who were fully vaccinated have later tested positive for COVID-19. These are known as “breakthrough cases.”

A total of 630 people who were fully vaccinated and later tested positive for COVID-19 have been hospitalized. These are called “breakthrough hospitalizations.”

More on this data can be found directly on the NDDoH website by clicking here.


As of December 21, there have been 1,617 reinfections of COVID-19 since June 27, 2021. The NDDoH does not report whether these individuals who became reinfection were vaccinated.

Other Data

Since tracking began, COVID-19 cases have been reported at one time or another in all 53 of North Dakota’s counties.

Those in the 20 to 29 year age range have the most positive cases among those tested to date.

According to the data, 73 percent of all North Dakotans have been tested for COVID-19.

The results listed today cover all testing performed the previous day.

You can read more on the daily statistics as well as other COVID-19 information and resources at the North Dakota Department of Health website here.