Public health officials in Clark, Pierce and Kittitas counties announced their first confirmed cases of COVID-19 on Friday night and Saturday morning, while state officials reported five new deaths in King County, indicating the virus continues to spread in Western Washington.

As of Saturday morning 16 people have died from the disease, with 15 of them in King County, according to the state Department of Health. King County officials said 14 of those 16 deaths are associated with an outbreak at the Life Care Center of Kirkland.

A total of 102 cases have been confirmed in six Washington counties, including deaths, and 156 people are under public health supervision.

State officials expect those numbers to rise as more tests are completed.

Spokane County, along with neighboring public health jurisdictions, has no confirmed cases of COVID-19, though Spokane officials are awaiting the results of dozens of tests that could be sent directly from local health care providers to labs without public health officials knowing. The Spokane Regional Health District sent samples for testing Friday from two people in Spokane County, who are under observation and in isolation.

Grant County identified a case of the disease – the first east of the Cascades – on Thursday, while a person associated with the Colville School District tested negative.

One person was being tested in Okanogan County Friday. Chelan-Douglas Health District has sent tests for two patients to the state health lab in Shoreline.

A Spokane County couple from Chattaroy were among those onboard a cruise ship off the California coast which had 21 people test positive for COVID-19 as of Friday, the Associated Press and KHQ reported. The male Chattaroy passenger declined to give his name and did not indicate if they have been tested.

Idaho had no confirmed cases as of Friday, according to the Idaho Department of Health and Welfare.

The Kittitas County resident is a 67-year-old who was seen at a local clinic and placed in home isolation with her spouse, according to a Kittitas County Public Health Department statement. The woman is said to be in stable condition after a presumptive positive test from the University of Washington.

The woman has symptomatic family members and Kittitas officials have requested they be tested for COVID-19, according to a statement. Kittitas officials have isolated people known to be in close contact with the patient, including health care providers and three employees of a local business. The woman is known to be active in different recreational clubs across different counties.

“We most likely have community spread,” a Kittitas County Public Health Department statement said. That means “people have been infected with the virus in our area, including some who are not sure how or where they became infected.”

Pierce County officials identified a confirmed case of COVID-19 in a Gig Harbor man in his 50s, according to a statement. The man went to St. Anthony Hospital in Gig Harbor March 4 and remained there awaiting test results from the University of Washington. He is in stable condition but has underlying health conditions and has experienced pneumonia.

The man did not travel outside the country, according to Pierce County officials. The Centers for Disease Control and Prevention will confirm the positive test result while health officials identify close contacts with the patient.

Clark County Public Health announced its first presumptive positive test result for COVID-19 Friday in a statement. That patient is a man in his 70s who had been in isolation at a hospital awaiting test results. He did not recently travel to a country where the virus is spreading.

Clark County officials identified a “small number” of people who had close contacts with that man, according to a Saturday morning statement. Those people will be quarantined for 14 days.

The most deadly outbreak in the U.S. remains at the Life Care Center of Kirkland.

The facility, which cares mostly for elderly with underlying health conditions, has 63 remaining residents, six of whom have symptoms but have not received test results, according to a news conference streamed by KIRO 7. In all, 18 residents have tested positive.

Seventy out of 180 facility employees have shown symptoms and been asked not to come to work, according to the facility. Only essential employees are being allowed inside the facility and all residents have been confined to their rooms.

While there are currently no recommendations that people in Eastern Washington avoid large crowds or stock up on supplies, it appears some are doing just that.

The Costco in Spokane Valley appeared to be out of toilet paper, paper napkins, paper towels, Kleenex and disinfectant wipes on Saturday. The store also had a sign indicating there was a limit of two cases of bottled water per customer.

In addition, vendors at Custer’s arts & crafts show at the Spokane County Fair and Expo Center reportedly received an announcement that attendance was down 30% on Friday.