After seeing a slow downward trend in positive COVID cases, Dr. Michelle Bache, vice president of Medical Affairs at Elkhart General Hospital, said the county is once again starting to see more COVID activity. “This is not something to take our eyes off of,” Dr. Bache said. The seven-day average of positive tests — a leading indicator of COVID activity in an area — has risen to 13.9% on Monday, after having dropped to 11.4 percent. St. Joseph County is seeing a similar situation occurring. “We want to see things holding steady at 5% or less.” The number of COVID patients at Elkhart General has remained fairly constant. “It’s not an insignificant number,” Dr. Bache said. “We need to remain diligent with masking, social distancing and hand washing. “If you don’t know somebody who has been personally affected by this disease, it’s easy to pretend (COVID) is somebody else’s problem. But there are definitely many people in this community who have been terribly affected by this.”