Los Angeles County increased to 292,[1] Santa Clara County increased to 196,[2] San Mateo County increased to 100,[3] San Diego County increased to 120[4] San Francisco County increased to 76,[5] Orange County increased to 65,[6] Sacramento County increased to 53 cases with 3 deaths,[7] Contra Costa County increased to 46,[8] Alameda County increased to 45,[9] Marin County increased to 38,[238] Riverside County increased to 28,[11] San Joaquin County increased to 20,[12] Ventura County increased to 17,[13] Santa Cruz County increased to 15,[14] San Luis Obispo reported 16,[239] Santa Barbara reported 9 cases,[240] San Bernardino reported 9 cases,[241] Yolo increased to 6 cases,[242] and Fresno County reported 6 cases including their first person-to-person transmission.[243] Los Angeles County, which is nationally the second-largest municipal health system, believes it can no longer contain the virus and changed their guidelines for COVID-19 testing to not test symptomatic patients if a positive result would not change their treatment.[244]