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Update, May 23, 12:07 p.m.
An outbreak at the Philadelphia Macaroni Company last week caused a spike in case numbers in Spokane County. It's shining a light on how the Spokane Regional Health District contains outbreaks to cut down on community spread. For the most part, those who test positive for COVID-19 are on the honor system to comply with health district recommendations and stay home to avoid infecting others.