![Youngstown is the largest city in Mahoning County. Officials at Mercy Health hospital, which has a Level I trauma center, say they are prepared for a surge in coronavirus patients. [Jack W. Pearce / flickr]](https://npr.brightspotcdn.com/dims4/default/bcc88fd/2147483647/strip/true/crop/1100x619+0+0/resize/840x472!/format/webp/quality/90/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Flegacy%2Fuploads%2F2020%2F4%2F02%2Fyoungstown_web2.jpg)
Health officials in Mahoning County are investigating the state鈥檚 highest rate of coronavirus infection and say it鈥檚 too early to know why it鈥檚 happening.
The Youngstown area has residents. Cuyahoga County has the highest number of confirmed cases overall, with 589 as of April 1, but is also more populated and has an confirmed infection rate of 47 per 100,000 residents.
Mahoning County also has 10 confirmed deaths, the most of any Ohio county.
James Kravec, chief clinical officer for Mercy Health hospital in Youngstown, said the hospital system there is ready for the expected surge in acute coronavirus cases.
鈥淭his is what we do, as far as planning,鈥� Kravec said. 鈥淎nd we have been meeting since mid-January, knowing this was coming.鈥�
That extra time allowed them to start conserving personal protective equipment and open up extra beds, Kravec said. The first confirmed case of coronavirus in the United States was announced on Jan. 21. The first confirmed cases in Ohio were made public March 9.
But Kravec said it鈥檚 too early to tell why the Youngstown area is being hit so hard.
鈥淎t this point, I don鈥檛 have a good answer,鈥� he said. 鈥淚鈥檝e read speculation, different reasons, but I don鈥檛 think there鈥檚 anything I鈥檓 comfortable hanging my hat on yet as far as why.鈥�
Just based on driving to work and the grocery, he said it doesn鈥檛 seem to him like people are ignoring the state鈥檚 stay-at-home order.
Others aren鈥檛 so sure. Mahoning County Sheriff Jerry Greene Tuesday with a 鈥渧ery strong reminder鈥� to people to stay at home. It鈥檚 gotten more than 91,000 views on Facebook.
鈥淚 think people need to start taking this very seriously. Stay at home,鈥� Greene said.
The county board of health鈥檚 investigation into the spread of the disease is only in its early stages. No clusters or specific events that accelerated the outbreak there, have been discovered yet, but the county has received more than a dozen complaints a day about nonessential businesses remaining open.
Mahoning County Health Commissioner Ryan Tekac said the county has sent out health inspectors, who normally inspect restaurants, to help with the investigation.
鈥淲e've trained them to help our nursing department to do our contact tracing as well,鈥� Tekac said. 鈥淐lose contact tracing is very similar to what a sanitarian or health inspector would do during a foodborne outbreak.鈥�
