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BISMARCK, N.D. – North Dakota’s COVID-19 mortality rate is not only the highest in the nation but also in the world, according to the U.S. Centers for Disease Control and Prevention.

Although both the state’s active cases and hospitalizations decreased Tuesday, November is tracking to be North Dakota’s deadliest since the pandemic began with an average of 13 reported deaths per day, the Grand Forks Herald reported.

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An analysis conducted recently by the Federation of American Scientists revealed a North Dakota COVID-19 mortality rate of 18.2 deaths per 1 million people, The Hill reported, citing figures first reported by HuffPost.

Meanwhile, South Dakota’s 17.4 deaths per 1 million residents rank that state’s COVID-19 mortality rate the third-worst in the world, The Hill reported.

According to the Herald, North Dakota currently has 10,022 active cases, but virus-related hospitalizations decreased by more than two dozen to 304. The deaths confirmed to date represent 11 different counties.

North Dakota Gov. Doug Burgum last week unveiled a new series of restrictions on businesses, as well as a new mandate limiting social gatherings, The Hill reported.

“Our situation has changed, and we must change with it,” Burgum said. “We believe in North Dakotans. We believe in the power of individual responsibility. And we need individual responsibility now more than ever to slow the spread of COVID-19.”

The state, however, is facing a critical shortage of hospital beds with only 181 regular inpatient beds and 11 intensive care unit beds available statewide, the Herald reported.

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