SALT LAKE CITY, Utah (AP) — Utah tallied 10 more confirmed deaths from the coronavirus Tuesday, the latest sign showing the severity of a surge of case that began after businesses reopened in May.

The Utah Health Department reported that six of the deaths came in rural San Juan County in the southeast corner of the state, including three at an assisted living facility.

Utah has now recorded 226 confirmed deaths from COVID-19 and nearly 30,500 confirmed cases.

Case counts have more than doubled since mid-May when state leaders allowed some businesses to reopen, with an average of 636 per day over the last seven days.