Two of the four new cases are the first community-spread cases in the county, and the other two cases are linked to confirmed cases.[188] San Francisco reported four new cases, bringing the total of confirmed cases to 18. Two of the new cases are hospitalized and the other two are isolated at home. One of the patients had close contact with a confirmed case, while the other three did not recently travel to a country with coronavirus cases and did not have close contact with a confirmed patient.[189] Four firefighters with the San Jose Fire Department tested positive for the coronavirus.