North Central Public Health District Heath Officer Dr. Mimi McDonell confirmed Wednesday a fourth death resulting from the COVID-19 outbreak at Flagstone Senior Living in The Dalles.  It is the seventh confirmed COVID fatality in Wasco County since the pandemic began.  McDonell says there have been a total of 48 COVID cases linked to the outbreak that started with a positive test on September 13, involving facility residents, staff, and household contacts of the staff.  McDonell said it is tough to tell if they will have more cases result from this outbreak, even though she does not expect to see large numbers of them.  She adds the outbreak underlines how contagious COVID-19 can be.  McDonell says this outbreak also illustrates the need for people to follow quarantine instructions when they are involved in a COVID case, even if they don’t have symptoms.  She also recognized workers at Flagstone and with Hearts of Hospice that are working long hours to deal with impacts of the outbreak.