The Ohio Department of Health reported 251 new coronavirus cases in Ohio on Sunday, including just nine in the Mahoning Valley.

The additional cases increase the statewide total to 1,107,047.

There have been 20,091 deaths since the pandemic began. Officials reported 11 hospitalizations in the last 24 hours with two of them being ICU admissions.

Mahoning County has had 22,330 cases, which was an increase of three Sunday, and 601 deaths.

Two new cases were reported in Trumbull County for a total of 16,522 and 479 deaths.

Columbiana County has 9,020 cases, which is an increase of four, with 230 deaths.

Also Sunday, ODH announced that a total of 5,451,581 people — or 46.64 percent of the state’s population — has started the vaccination process, an increase of 5,616 from the previous day.

The ODH reported 70 deaths Friday, bringing the state total to 20,091. The state is updating the total number of deaths only after death certificates have been processed, usually twice a week on Tuesdays and Fridays.

DeWine said the state had a rate of 39.1 cases per 100,000 people for the two weeks ending Tuesday, and all but 16 of 88 counties were below 50 cases per 100,000 people.

That was the benchmark DeWine set in the spring for dropping his pandemic health orders instead of allowing most of them to end on June 2, possibly in response to the General Assembly overriding his veto on a bill that would allow them to end those orders on their own.

Every county is now below 100 cases per 100,000 people, which is the threshold for being considered high incidence by the CDC. The highest rate in the state is Lawrence County at 77.4 cases per 100,000 people. Four counties have even dropped into the single digits: Putnam, Hancock, Vinton and Coschocton.