PIERRE, S.D. (AP) – Officials say a South Dakota man with underlying health problems who tested positive for COVID-19 has died, and four others from across the state have tested positive for the virus.

Gov. Kristi Noem said the man died Tuesday, but officials have not confirmed if his death was caused by the virus. He was in his 60s and from Pennington County in the western part of the state.

The four other cases confirmed on Tuesday were in separate locations stretching across the state – Beadle, Charles Mix, Davison, and Minnehaha Counties.

Health officials said they have not found a link between the cases and that the patients were both male and female and in their 30s, 40s and 50s.